Publications on health and social care sustainability The latest reports from the Health Foundation on NHS finances and funding, social care, workforce and efficiency and productivity

Our publications are available to read online or download. Printed copies of many are available to order free of charge.
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Failing to capitalise
A report outlining how short-term thinking has resulted in years of inadequate capital spending for the NHS in England, risking patient safety and staff productivity
How many hospital beds will the NHS need over the coming decade?
In the REAL Centre's latest analysis, we review past trends and set out our projections for the number of general and acute hospital beds required in England between 2018 and 2030.
Projections: General practice workforce in England
We summarise key findings of our analysis on workforce supply and demand in general practice in England up to 2030/31, focusing on patient care staff (GPs, general practice nurses and other patient ca...
How many NHS workers will we need over the coming decade?
The latest REAL Centre working paper examines how many full-time equivalent staff the NHS in England might need by 2030/31 to meet projected health care demand under various scenarios.
Nurse supply model: overview
This working paper provides an overview of the context for nurse supply in England and the various components that make up the nurse supply model.
Nurse supply model: a review of economic factors affecting nurse supply
This working paper summarises research on economic factors that affect the decision to become a nurse and subsequent participation in the nurse labour market. It also discusses how this research can b...
A radical new vision for social care
Acclaimed author and social innovator Hilary Cottam asks what might it take to turn our current thinking about care on its head, reimagining care not merely as a cost but as an investment in our socia...
The value of investing in social care
The King’s Fund, the Health Foundation and Nuffield Trust have come together to set out the benefits of further funding for reform to adult social care in England.
Health and social care funding to 2024/25
New analysis from the Health Foundation’s REAL Centre sets out the scale of the challenge facing government if it wants to clear the backlog in NHS care over the course of this parliament and return h...
The future of the NHS hospital payment system in England
The whole health service needs to recover well from COVID-19 and transform to meet the challenges of the post-pandemic environment. This briefing, produced with Frontier Economics, considers these cha...
The most expensive breakfast in history
20 years on from the Wanless report, we look back on its origins, methodology, and impact, and highlight the learnings that can be applied to the pandemic recovery.
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