Our Time to Think Differently programme has made the case for change and highlighted the trends that will influence the way health and social care is delivered in future. To help you explore and share this work, we are creating a series of downloadable slidepacks. We hope that they will inform your thinking and discussions about the future of care. The first pack in this series explores the pressures on the health and social care delivery system and why it needs to change to meet the challenges of the future.

1. The case for change
Time to Think Differently
www.kingsfund.org.uk/think

2. Major progress has been
made in improving the
performance of the NHS in
the past decade.

3. Waiting times for treatment in hospital have fallen
dramatically and generally remain stable.

4. Hospital-acquired infection rates like MRSA have
fallen dramatically.

5. The NHS continues to be highly valued by the
public.
Source: Ipsos Mori 2013

6. The NHS continues to perform well on most
indicators when compared to other countries.

7. However, the current health and social
care delivery system has failed to keep
pace with the needs of an ageing
population, the changing burden of
disease, and rising patient and public
expectations.

8. Fundamental
change is needed.
It is time to think
differently.

9. The case for change is compelling:
1. Variations in quality and outcomes of care
2. Funding pressures
3. Delivery system not fit for the future
4. Future trends – magnifying the pressures

10. 1. Variations in quality and
outcomes of care

11. ‘The UK has the second
highest rate of mortality
amenable to health care in
16 high-income nations.’
Source: Nolte and McKee 2011

15. For many diseases, there is unwarranted variation.

16. There are wide
variations in
performance and gaps
in the quality of care of
general practice.

17. 2. Funding pressures

18. Current spending projections suggest
significant financial pressures on
services for the next 20 years.

19. Historic pressures to increase NHS spending.
Source: Appleby 2012

21. Increasing pressure to achieve productivity
gains.
By 2015
£20
billion
Nicholson challenge for productivity gains
By 2021
£30 billion
more
NHS England estimates of a funding gap

22. Projected spending on long-term care 2016/17–2061/2
Source: OBR 2012

23. 3. Delivery system not fit
for the future

24. A significant proportion of patients
occupying beds do not need to be in
hospital on clinical grounds.
Source: Goddard et al 2000; Audit Commission 2003

25. The separation between general practitioners and
hospital-based specialists, and between health
and social care, often inhibit the provision of timely
and high-quality, integrated care to people who
need to access a range of services relevant to
their needs.
Source: Ham et al 2012

27. There are significant problems with
standards of dignity and care.

30. Obesity is associated with an increased risk of diseases
including diabetes, heart disease, osteoarthritis and cancer.
Source: National Obesity Observatory 2012

31. 4. Future trends:
magnifying the pressures

32. Demographics are changing.

33. More people with long-term conditions.

34. A rise in chronic disease.

36. Population lifestyles present significant risks
to health.

37. What is the future model of care?
Integrated care, co-ordinated around the needs of
patients and service users.
Patients and service users actively involved in the design
of their care and working with professionals as part of the
care team.
Re-designing the care pathway, with greater
specialisation in hospitals, increased capacity and more
consistent standards in primary care.
Stronger focus on prevention.

38. If you would like to know more:
Visit www.kingsfund.org.uk/think for guest blogs, videos
and supporting data on trends.
Follow us @thekingsfund or join the
debate #kfthink
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