NHS Evidence - health management

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Benefits of delegated commissioning: case studies

Fri, 20/01/2017 - 10:08

NHS England - 
Delegated commissioning is the level of co-commissioning that assumes the greatest level of responsibility for commissioning GP services. CCGs that apply for delegated commissioning take on full responsibility for general practice commissioning. This series of case studies show how five CCGs are using delegated commissioning to improve care for local people. 

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Regional review of medical education and training in the south west of England: 2016

Fri, 20/01/2017 - 09:59

General Medical Council (GMC) - 
This report outlines the findings of a review of medical education and training in the south west of England. Overall, it found that medical students and doctors in training are learning in positive and supportive environments but training time becomes squeezed when doctors’ workloads increase. 

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Designing a high-performing health care system for patients with complex needs: ten recommendations for policymakers

Fri, 20/01/2017 - 09:46

Commonwealth Fund - 
In 2014, the Commonwealth Fund established the International Experts Working Group on Patients with Complex Needs to outline the prerequisites for a high-performing health system designed for high-need patients. This report outlines the working group's recommendations for tackling the challenges of delivering care which is more patient-centred, more collaborative and integrated.

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NHS efficiency map

Thu, 19/01/2017 - 11:25

Healthcare Financial Management Association (HFMA) -
The HFMA and NHS Improvement have worked in partnership to update and revise the NHS efficiency map. The map is a tool that promotes best practice in identifying, delivering and monitoring cost improvement programmes in the NHS. The map contains links to a range of tools and guidance to help NHS bodies improve their efficiency.

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NHS performance statistics up to and including November 2016

Thu, 19/01/2017 - 10:48

NHS Confederation -
This briefing provides an overview of the key findings from the latest set of NHS performance data and some points of comparison. It looks at A&E attendances, emergency admissions, trolley waits and delayed transfers of care.

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Progress report on the independent Cancer Taskforce recommendations

Thu, 19/01/2017 - 10:41

Public Health England -
This document outlines Public Health England’s progress on strategic priorities identified in the Independent Cancer Taskforce report, Achieving world-class cancer outcomes: a strategy for England 2015 to 2020 that was published in July 2015.

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Supporting carers: mental health carers’ assessments in policy and practice

Thu, 19/01/2017 - 10:36

Centre for Mental Health -
This briefing outlines the challenges that mental health carers face in accessing carers’ assessments. It looks at the legal context and how the assessments work in practice.

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Tackling tuberculosis in under-served populations: a resource for TB control boards and their partners

Thu, 19/01/2017 - 10:15

Public Health England -
Tackling TB among under-served populations is one of the key areas for action identified in the Collaborative TB Strategy for England. This resource has been developed to improve the understanding of the health needs of under-served populations with TB; to support the design and delivery of multi-agency programmes and services to better meet those needs; and ultimately to reduce the health inequalities associated with TB among USPs.

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Support overdue: women’s experiences of maternity services

Wed, 18/01/2017 - 10:43

This report is based on the NCT's second survey of women’s experiences of their maternity care carried out with the WI. Women are generally positive about the maternity care they receive and many praised the kindness and professionalism of the staff who cared for them.  However, some findings gave cause for concern. For example, the survey asked about ‘red-flag’ events – indicators of dangerously low staffing levels, such as a women not receiving one-to-one care during established labour – and found that half of all women surveyed had experienced a red flag event. Postnatal care remains an area of concern with no change in the percentage of women – roughly one in five – telling us they were not able to see a midwife as much as they needed post-birth.

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Faulty by design: the state of public-service commissioning

Wed, 18/01/2017 - 10:28

Reform -
The purpose of this paper is to evaluate the success of current approaches to commissioning. To do so, interviews with experts, from government, providers and third-parties, were conducted, alongside a literature review and evaluation of the publicly available data. Attention is paid to complex human services, in which there is a purchaser-provider split – in health and social care, criminal justice, housing and homelessness, and employment services. The aim is to outline a case for change, for commissioners to learn from past actions when approaching commissioning in the future.

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Allied health professions into action: using AHPs to transform health, care and wellbeing

Tue, 17/01/2017 - 10:35

NHS England - 
This document is a vision of how, with collective action, our nation would be different if all AHPs were used effectively. Aimed at leaders and decision makers, to help them understand the transformative potential and role of AHPs within the health, social and wider care system. The document provides examples of innovative AHP practice and a framework to help develop local delivery plans.

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Love long and prosper? Demographic trends and their implications for living standards

Mon, 16/01/2017 - 15:00

Resolution Foundation - 
This report explores how the UK population has changed over the last century and how it is set to change in future. It discusses how the changes in demography, particularly in relation to age, will impact on all aspects of society including employment and labour, finances and health inequalities.

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Follow-up report to the March 2015 Patients Association publication on the Parliamentary and Health Service Ombudsman

Mon, 16/01/2017 - 14:20

Patients Association - 
This report reveals that a significant number of patients and family members who submit complaints to the PHSO feel that they receive a poor quality service. The Patients Association’s national helpline received nearly 300 calls between May and October 2016 from people who had concerns about the way their cases were being dealt with by the PHSO. An investigation into the nature of the calls has revealed the findings contained in this follow-up report.


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Standards of proficiency: social workers in England

Mon, 16/01/2017 - 11:11

Health and Care Professions Council (HCPC) - 
This is the revised set of professional standards which sets out what social workers in England should know, understand and be able to do when they complete their social work training in order to register with HCPC. The revisions to the standards come after a public consultation and the changes state that social workers must be able to identify and apply strategies to build professional resilience; understanding of information governance; and understanding of leadership and its application to practice.

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Taking revalidation forward: improving the process of relicensing for doctors: Sir Keith Pearson's review of medical revalidation

Mon, 16/01/2017 - 10:56

General Medical Council (GMC) - 
This report details the findings of a review of the medical revalidation process so far. The review gathered feedback from a wide range of individuals and finds that revalidation has delivered benefits in terms of clinical governance and driving changes in doctors' practice. The review highlights concerns around the added workload of revalidation and makes recommendations for better ways to support doctors who are undergoing the revalidation process. The GMC have responded to the recommendations in the review in their formal response document. 

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Quality payments: how to become a Healthy Living Pharmacy level 1

Fri, 13/01/2017 - 10:29

Pharmaceutical Services Negotiating Committee (PSNC) -
This briefing provides an overview of how to achieve the Healthy Living Pharmacy criterion of the Quality Payments scheme.

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Specialist substance misuse services for young people: a rapid mixed methods evidence review of current provision and main principles for commissioning

Thu, 12/01/2017 - 11:49

Public Health England (PHE) -
PHE commissioned The Children’s Society to undertake scoping research, to understand some of the opportunities and challenges currently facing those now responsible for commissioning and delivering young people’s specialist substance misuse services and to outline some critical good practice principles. Four main commissioning principles have been developed for the commissioning and provision of specialist substance misuse provision for young people, based on the findings, research and evidence based guidelines.

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Sustainable development management plan guidance for health and social care organisations

Thu, 12/01/2017 - 11:42

Sustainable Development Unit -
This guidance has been brought up to date with the current NHS standard contract and aims to provide more detailed guidance as to which areas are more or less appropriate for large providers, small providers and CCGs. It is intended to support organisations to understand the key elements that make up a Sustainable Development Management Plan (SDMP). It also provides some advice on how you can develop your organisation’s SDMP.

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Tackling wasteful spending on health

Wed, 11/01/2017 - 14:01

Organisation for Economic Co-operation and Development (OECD) - 
This report finds that across OECD countries a significant share of health care system spending and activities are wasteful at best, and harm our health at worst and that one in ten patients in OECD countries is unnecessarily harmed at the point of care. It also finds that more than 10 per cent of hospital expenditure is spent on correcting preventable medical mistakes or infections that people catch in hospitals.

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Swimming together or sinking alone: health, care and the art of systems leadership

Wed, 11/01/2017 - 13:50

Institute of Healthcare Management -
This report is based on interviews with senior leaders in health and local government on what is happening as managers grapple with the Sustainability and Transformation Plan (STP) process. It aims to help leaders understand the values, culture and skills they need to survive and thrive as the NHS tries to change from organisations working in silos to local health and care networks focussed on the needs of patients.

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