NHS Evidence - health management

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The business case for affordable housing

Thu, 14/07/2016 - 12:44

Peabody -
This report shows that the capital's social housing residents make a contribution that is five times greater than the housing benefit bill for social housing residents in London in the same year. It contains an analysis of social housing residents' occupations in the capital shows that over a third work in the emergency services such as ambulance services.

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Future of an ageing population

Wed, 13/07/2016 - 14:46

Government Office for Science -
This report brings together evidence about today’s older population, with future trends and projections, to identify the implications for the UK. It is hoped that this evidence will help government to develop the policies needed to adapt to an ageing population.

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Building bridges, breaking barriers

Wed, 13/07/2016 - 14:36

Care Quality Commission -
This report follows the CQC's review of integrated care for older people. It looks at how well care for older people is integrated across health and social care, as well as the impact on older people who use services and their families and carers. It finds that some older people are being denied personalised, effective and responsive care due to poor integration across local systems and makes various recommendations to make improvements.

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ADASS budget survey 2016

Wed, 13/07/2016 - 14:20

Association of Directors of Adult Social Services (ADASS) -
The annual ADASS budget survey provides an analysis of the state of adult social care finances drawn from the experiences of current leaders in adult social care. It aims to explain how adult social care is responding to the multiple challenges of meeting increased expectations and need, whilst managing reducing resources in an environment where the provider and labour markets are fragile.

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Stepping up to the place: integration self-assessment tool

Wed, 13/07/2016 - 14:12

NHS Clinical Commissioners -
This toolkit was developed to help local health and care leaders move further and faster on achieving their vision of integration. It aims to enable local areas to assess their own readiness to bring about integration, and identify what action they need to take.

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Identifying and managing clinical risks in newborn babies and providing care for infants in the community who need respiratory support

Wed, 13/07/2016 - 13:48

Care Quality Commission -
This thematic review explains how newborn babies and infants with complex health conditions are cared for in hospitals and in the community. The review focused on three areas of care; the detection of health problems during pregnancy through screening; the diagnosis and management of newborn babies with deteriorating medical conditions, (with a particular focus on high blood pressure) and the management of infants requiring respiratory support in the community.

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Clinical commissioning: GPs in charge?

Wed, 13/07/2016 - 12:00

The King's Fund -
Clinically led approaches to planning and designing health services are more likely to be both innovative and effective. For this reason, CCGs were set up to put GPs at the heart of NHS planning decisions. This report looks at what has been learnt – including strategies to overcome challenges and identification of the main barriers to effective involvement – and makes recommendations for the future. Its findings about clinical involvement are relevant not only to policy-makers and CCGs but also to other organisations across the NHS involved in planning and designing services.

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We need to talk about caring: dealing with difficult conversations

Mon, 11/07/2016 - 11:24

Independent Age - 
This report summarises research looking at how and why families avoid talking about challenges they may face in older age. It draws on an online poll of 2,066 people conducted by ComRes and a series of focus groups and interviews. The research suggests that almost two thirds of those aged 65 and over have never had a conversation with their family about key issues including preferences for end of life care, where they would like to live if they can no longer live at home, and who will care for them. The report warns that by putting off difficult conversations about ageing, families risk making rushed decisions about care, health, housing and financial matters at times of crisis.  

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Staffing matters; funding counts: an analysis of workforce profile and trends in the English NHS

Mon, 11/07/2016 - 11:13

The Health Foundation - 
This report examines the profile and features of the NHS workforce in England, including; health labour market trends; relevant international data and comparisons from other countries; and a series of specific ‘pressure points’. The report concludes that the greatest threats to the delivery of the NHS five year forward view are funding constraints and workforce shortages. It argues that policymakers need to look at how targeted and aligned policies covering the effective use of temporary staff, retention of existing employees and international recruitment can be used to address current shortages in staffing and skills in order to buy time, while a more long-term sustainable approach is introduced. 

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Brexit FAQs

Mon, 11/07/2016 - 10:35

NHS Confederation - 
The NHS European Office has produced a set of frequently asked questions which relate to the potential implications of leaving the EU on the NHS. It covers the facts around issues such as compliance with EU laws and regulations, recruiting and retaining EU staff and accessing EU funding.

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Deficits in the NHS 2016

Mon, 11/07/2016 - 09:53

The King's Fund - 
Unaudited figures indicate that NHS commissioners (clinical commissioning groups and NHS England) and providers in aggregate ended 2015/16 in deficit for the second year running. This briefing draws on data from our quarterly monitoring reports, secondary research and interviews with health care leaders to consider commissioner and provider finances in the round and to provide an overview of the factors that have led to the NHS going into deficit. It goes on to outline some of the strategies being employed to restore financial balance, before drawing together our thoughts on the implications of these strategies for the NHS this year and in the longer term.

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Partnership agreement: an agreement between Department of Health, NHS Employers, NHS trade unions, NHS England, NHS Improvement and Health Education England

Fri, 08/07/2016 - 11:51

Department of Health (DH) - 
The partnership agreement sets out the framework agreed by all partners in the Social Partnership Forum (SPF) which describes the aims of SPF, partners’ shared values and principles for effective joint working. The national SPF and its subgroups discuss, debate and involve partners in the strategic development and implementation of policy where there are workforce implications. SPF aims to supports strong and effective partnership working at regional and local level with the overall aim of improving outcomes for patients and supporting staff to deliver high quality care.

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Primary eye care framework for first contact care

Fri, 08/07/2016 - 11:27

Clinical Council for Eye Health Commissioning - 
This guidance has been developed by a cross-sector initiative with the aim of relieving pressure from hospital eye services by treating more people in the community. This framework will help commissioners address capacity issues in their area by delivering more support in primary care settings in line with the NHS five year forward view. It complements the 2015 Community opthamology framework and aims to empower commissioners and providers to release capacity within hospital through a multidisciplinary approach to treat the right patient in the most appropriate service.

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Not seen, not heard: a review of the arrangements for child safeguarding and health care for looked after children in England

Fri, 08/07/2016 - 11:10

Care Quality Commission (CQC) - 
This report looks at how effective health services are in providing early help to children in need, the health and wellbeing of looked-after children and how these services identify and protect children at risk of harm. It concludes that health professionals have improved the way they assess risk and recognise safeguarding concerns, but that services are not consistently protecting and promoting the health and welfare of children. It urges a whole system response to do more to listen to and involve children in need in their care.

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Keep on caring: supporting young people from care to independence

Fri, 08/07/2016 - 10:14

Department of Health (DH) - 
This cross-government strategy looks at how to improve services, support and advice for care leavers. It makes recommendations for local and national government, and wider sectors of society.

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Delayed discharges and hospital type: evidence from the English NHS

Fri, 08/07/2016 - 10:11

Centre for Health Economics (CHE) - 
This study investigated how delayed discharges vary by hospital type (acute, specialist, mental health, teaching), and the extent to which such differences can be explained by demography, case-mix, the availability of long-term care and hospital governance as reflected in whether the hospital has foundation trust status, which gives greater financial autonomy and flexibility in staffing and pay.

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Best start in life: promoting good emotional wellbeing and mental health for children and young people

Thu, 07/07/2016 - 12:38

Local Government Association -
Tackling mental illness in children should begin before they are born, at a time when expectant mothers can suffer mental health problems, this report suggests. It says that early interactions and experiences directly affect how a child's brain develops and concludes it is vital that intervention is made at this critical stage to reduce the chances of mental illness developing in children.

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Technology is changing the way we live: can it also transform the way we deliver adult social care?

Thu, 07/07/2016 - 12:29

Voluntary Organisations Disability Group -
This report looks at how social care providers are embracing technology to improve services and argues that commissioning practices must keep pace with technological change to support quality improvement. It finds that digital technology is enabling people using care and support services to exercise greater choice, control and autonomy and to live more safely.

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NHS financial temperature check - July 2016

Thu, 07/07/2016 - 12:24

Healthcare Financial Management Association (HFMA) -
This briefing sets out finance directors’ views on the financial issues facing the NHS in the UK. It draws on the responses to a survey of finance directors and CFOs of NHS trusts and CCGs from across the English NHS. It provides a national picture of NHS finance directors’ and CFOs’ views of the financial outlook and main challenges NHS finance staff are facing. Please note that registration is required to access this publication.

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National Data Guardian for Health and Care’s review of data security, consent and opt-outs

Thu, 07/07/2016 - 12:07

Department of Health -
This consultation seeks views on the proposed data security standards and the consent/opt-outs model from health and care professionals and organisations and the public. The review includes: ten new data security standards; a method of testing compliance with these standards; and a new consent model for data sharing in health and social care. The consultation closes on 7 September 2016.

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