NHS Evidence - health management

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Acute care toolkit 10: ambulatory emergency care

Thu, 02/10/2014 - 13:00

Royal College of Physicians -
Ambulatory emergency care (AEC) allows patients going to hospital as an emergency to be quickly assessed, diagnosed and treated on the same day, so that they can return home, reducing the number of patients admitted to a hospital bed.  Although not suitable for all patients, for example those needing emergency surgery, the streamlined process has already improved clinical care, reduced costs, and is popular with patients. This toolkit outlines the principles of AEC and describes the resources required for delivering AEC, highlighting the benefits, and signposts other resources to support its development.

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Taking digital health to the next level: promoting technologies that empower consumers and drive health system transformation

Thu, 02/10/2014 - 12:40

The Commonwealth Fund -
This report finds that there are significant barriers to the development and adoption of effective digital health technologies. It outlines these challenges and makes recommendations for overcoming them, with the explicit goal of encouraging clinicians, developers, and entrepreneurs to focus on the needs of patients with complex and costly medical and behavioral health conditions. The recommendations are informed by interviews with clinicians, entrepreneurs, investors, and consumer advocates as well as research, and are founded on the premise that such technologies will work toward achieving the vision of the triple aim: improving population health, improving care experiences, and reducing per capita costs of care.

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A vision for using digital health technologies to empower consumers and transform the U.S. health care system

Thu, 02/10/2014 - 11:50

The Commonwealth Fund - 
Health care organisations also beginning to use data-mining tools that have helped other industries identify and fill customers’ needs. Using clinical data drawn from various sources, organisations have been able to identify not only the patients who would benefit from more intensive or better-coordinated care, but also best practices that can influence health outcomes for millions of patients. This report includes examples of these innovations, as well as others that have been used to help consumers make informed decisions about their treatment based on the known benefits, risks, and uncertainties of medical procedures.

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Alcohol, drugs and tobacco joint strategic needs assessment support pack

Wed, 01/10/2014 - 17:30

Public Health England (PHE) - 
This support pack aims to help local areas develop joint strategic needs assessments and local joint health and wellbeing strategies that effectively address public health issues relating to alcohol, drug and tobacco use. It consists of eight resources covering young people’s substance misuse and adult alcohol, drug and, for the first time in 2014, tobacco use. For each topic area there are good practice evidence-based prompts to support local areas to assess need, plan and commission effective services and interventions. The second component for each topic is a bespoke data pack for every local authority to support needs assessment and commissioning.

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Guidance for developing a local suicide prevention action plan: information for public health staff in local authorities

Wed, 01/10/2014 - 16:41

Public Health England (PHE) - 
This document is part of PHE’s ongoing programme of work to support the government’s suicide prevention strategy. It advises local authorities on how to develop a suicide prevention action plan; monitor data, trends and hot spots; engage with local media; work with transport to map hot spots; and work on local priorities to improve mental health.

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GMS contract changes 2015-16

Tue, 30/09/2014 - 11:53

NHS Employers - 
The changes to the GMS contract for 2015-16 have been announced and the focus of the changes is on a named, accountable GP for all patients, publication of GPs' average net earnings and commitment to expand and improve the provision of online services.

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Focus on: allied health professionals (AHPs) - can we measure quality of care?

Tue, 30/09/2014 - 11:16

The Nuffield Trust - 
This report reveals that AHPs are a growing part of the NHS workforce, accounting for over £2bn of the salary bill, yet there is little data on the contribution they make to the quality of patient care. It examines the role of AHPs in the NHS, private and voluntary sector and finds that there has been a significant increase in the numbers of AHPs, with numbers of registered practitioners rising by 53% since 2002, and NHS-based practitioners rising by a third.

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Co-ordinated care survey findings

Mon, 29/09/2014 - 11:06

Royal College of Surgeons (RCS) - 
This report details the results of a survey of RCS members and patients looking into the coordination of care including discharge processes and re-admission for surgical patients in England and Wales. Overall, the results showed that discharge from hospital is an area of particular concern with only one quarter of those surveyed agreeing that there is a thorough coordinated discharge process in place to enable effective transfer of care from the hospital environment. It makes a number of recommendations for where the integration of care for patients can be improved including calling for greater discharge planning to take place from the outset, more information to be available to patients and carers, and greater communication between professionals and services.

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Review body on doctors’ and dentists’ remuneration (DDRB) review for 2015: written evidence from the Department of Health

Mon, 29/09/2014 - 10:24

These documents are produced annually and provide evidence from the Department of Health to the review body on DDRB and the NHS Pay Review Body (NHS PRB). Pay raises for doctors and dentists who work for the NHS are determined by the government in light of recommendations made by the DDRB. Pay raises for NHS staff on Agenda for Change pay, terms and conditions are determined in the light of the recommendations of the NHS PRB. Both of these independent review bodies take evidence from the four UK governments, trades unions and NHS employers before making their recommendations.

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Exploring the cost of care at the end of life

Fri, 26/09/2014 - 13:55

Nuffield Trust -
This analysis estimates the hospital and non-hospital costs for people in the last 90 days of life. It also explores whether reduced hospital activity and costs at the end of life were likely to be offset by increased care costs in other health and social care settings using the Marie Curie home-based palliative care nursing service. The results suggest that cost savings might be available if community-based support were made more widely available to help people to die in their own homes, where that was their preference.

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Transforming mental health: a plan of action for London

Thu, 25/09/2014 - 14:51

The King's Fund -
This report describes a vision for the future of mental health provision in London, generated through a process of engagement with key stakeholders in the capital. The vision is based on a collaborative, integrated approach towards mental health that is relevant in London and elsewhere.

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Marmot indicators 2014

Tue, 23/09/2014 - 11:38

UCL Institute of Health Equity - 
These key indicators aim to help local authorities monitor health inequalities and social determinants of health. Originally published in 2011, they have been updated to account for the coalition government's policy changes. The updated indicators highlight children's development, living standards and income as areas of concern for health equity. Included alongside the updated indicators is data for each local authority tracking their progress against the indicators.

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The state of health

Tue, 23/09/2014 - 11:16

Incisive Health - 
This briefing outlines the results of a poll on public attitudes towards the NHS, in the run up towards the general election in 2015. It sets out the state of health and the questions that politicians will need to answer between now and May.

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National Conversation on health inequalities event report: 25 June 2014

Tue, 23/09/2014 - 11:03

Public Health England (PHE) - 
This report presents a summary of discussions and a brief synopsis of sessions of the National Conversation on health inequalities event on 25 June 2014.

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Emergency surgery policy briefing

Tue, 23/09/2014 - 10:59

Royal College of Surgeons (RCS) - 
This briefing sets out the main challenges facing emergency surgery, and the high-level actions the Government and other policy-makers can take to support patients who require emergency surgical care. It highlights concerns about variations in mortality rates following emergency surgery and argues for clearer protocols and standards on how patients undergoing emergency surgery should be treated and for the NHS to measure outcomes for patients much more rigorously by publishing audits.

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Saving lives, averting costs

Tue, 23/09/2014 - 10:17

Cancer Research UK - 
This report reveals that 46 per cent of cancers in England are diagnosed at an advanced stage, when they are harder to treat successfully. It shows that if all areas diagnosed cancers as early as the best in England, for four types of cancer alone, this could save the NHS over £44 million in treatment costs and benefit over 11,000 patients each year. Extrapolating this to all types of cancer would imply an annual saving of nearly £210m, while helping to improve the survival prospects for more than 52,000 patients.

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World Alzheimer's report 2014

Mon, 22/09/2014 - 12:13

Alzheimer's Disease International - 
This report calls for dementia to be integrated into both global and national public health programmes alongside other major non-communicable diseases. It reveals that control of diabetes and high blood pressure as well as measures to encourage smoking cessation and to reduce cardiovascular risk, have the potential to reduce the risk of dementia even in late-life. The report found that diabetes can increase the risk of dementia by 50%. Obesity and lack of physical activity are important risk factors for diabetes and hypertension, and should, therefore, also be targeted.

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Children with special educational and complex needs: guidance for health and wellbeing boards

Mon, 22/09/2014 - 10:57

Department of Health - 
The Children and Families Act 2014 introduces a new statutory requirement for local services to work together when providing care and support for children and young people with special educational needs and disabilities. Health and wellbeing boards are responsible for overseeing the implementation of the new requirement, ensuring that local services are fulfilling their role and that children are getting the care they need. This document provides guidance and advice for health and wellbeing boards on how best to oversee the implementation of changes made by the act.

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Making parity a reality: six asks for the next government to improve the nation's mental health

Fri, 19/09/2014 - 11:47

Royal College of Psychiatrists - 
This manifesto calls for a firm commitment from all parties to take action to ensure that the millions of people who do, and will experience mental health problems are given timely, appropriate care. It highlights the need for a waiting time target for mental health treatment; improved access to crisis and specialist services; and greater investment in evidence-based parenting programmes.

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Draft code of practice for local public audit: consultation

Fri, 19/09/2014 - 11:34

National Audit Office - 
Under the Local Audit and Accountability Act 2014, the head of the National Audit Office (the Comptroller and Auditor General) takes on from the Audit Commission the role of preparing and maintaining the code of practice for local public audit. The code sets out the framework within which the auditors of local public bodies are required to carry out their work. Subject to parliament’s approval, the code will take effect from 1 April 2015 for audits for the financial year 2015-16. Audits for the financial year 2014-15 will be conducted under the existing codes prepared by the Audit Commission, and by Monitor for NHS foundation trusts. This consultation seeks views on the draft code and closes on 31 October 2014.

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