NHS Evidence - health management

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A digital NHS?: an introduction to the digital agenda and plans for implementation

Thu, 22/09/2016 - 09:53

The King's Fund -
In recent years, the digital agenda in health care has been the subject of an array of promises and plans, ranging from the Secretary of State’s challenge to the NHS to ‘go paperless’ to the commitment set out in the NHS’s Five Year Forward View to ‘harness the information revolution’. But have expectations been set too high? And is there sufficient clarity about the funding available to achieve this vision? This report looks at the key commitments made and what we know about progress to date.

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Fiscal sustainability analytical paper: fiscal sustainability and public spending on health

Wed, 21/09/2016 - 12:51

Office for Budget Responsibility -
This paper reviews the latest evidence on the demographic and non-demographic determinants of health spending in the UK and its implications for the Office for Budget Responsbility's long-term health spending projection. It finds that demographic effects have explained only a small part of the increase in health spending over past decades and that they are likely to remain a relatively small, although growing, driver of spending in the future.

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Improving access to mental health services

Wed, 21/09/2016 - 12:07

House of Commons Public Accounts Committee -
This report concludes that much remains to be done to secure urgently needed improvements in mental health services. The Committee finds pressure on the NHS budget will make it very difficult to achieve 'parity of esteem' between mental and physical health and that this is a task "for the whole of government".

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Underfunded, underdoctored, overstretched: the NHS in 2016

Wed, 21/09/2016 - 11:34

Royal College of Physicians -
This report argues that the NHS in 2016 needs a new plan, designed to meet the UK’s health and care needs in the long term, and to value, support and motivate NHS staff. This would include an increase in the amount of funding and an increase in the number of medical students and doctors training to be hospital specialists.

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The economics of housing and health: the role of housing associations

Tue, 20/09/2016 - 12:00

The King's Fund -
This report, based on work commissioned by the National Housing Federation from The King’s Fund and the New NHS Alliance, looks at the economic case for closer working between the housing and health sectors. The authors demonstrate how housing associations provide a wide range of services that produce health benefits, which can both reduce demand on the NHS and create social value. The report concludes that there is no one piece of economic analysis that will persuade health providers or commissioners to work with or commission housing associations. However, the case studies in the report illustrate the economic benefits that housing association can provide.

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Time for a turnaround on turnaround time

Tue, 20/09/2016 - 11:47

MindMetre Research -
This briefing contains an assessment of the importance and impact of improving laboratory test turnaround time in the acute care sector. The authors consider whether this is an area that should be better funded and prioritised?

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Who knows best? Older people’s contribution to understanding and preventing avoidable hospital admissions

Tue, 20/09/2016 - 11:30

University of Birmingham -
The authors of this report interviewed 104 older people, exploring their experiences of emergency admissions. The research focused on whether the older people felt it was appropriate to be admitted to hospital and whether they thought anything could have prevented their admission. The findings of this study confirm the belief that older people have an important role to play in helping understand the nature of emergency admissions and to devise appropriate responses to their rising numbers. The report concludes that ignoring this expertise could be detrimental to ensuring older people get the appropriate care they need.

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Fairer decisions, better health for all: health equity and cost-effectiveness analysis

Fri, 16/09/2016 - 17:24

Centre for Health Economics -
This report provides a non-technical introduction to practical methods for using cost-effectiveness analysis to address health equity concerns, with applications to low-, middle- and high-income countries. These methods can provide information about the likely impacts of alternative health policy decisions on inequalities in health, financial risk protection and other health-related outcomes that may be considered unfair, allowing for the distribution of costs as well as benefits.

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Real lives: listening to the voices of people who use social care

Fri, 16/09/2016 - 17:11

The Richmond Group of Charities -
In summer 2016, working in collaboration with the British Red Cross and Royal Voluntary Service, The Richmond Group of Charities commissioned The King’s Fund and the Nuffield Trust to undertake a series of interviews with individuals with experience of using social care services. The aim of this work was to complement and add value to a wider piece of research being undertaken by The King’s Fund and the Nuffield Trust to examine the future sustainability of the social care system, Social Care for Older People: Home Truths (published 15 September 2016). The personal experiences of people needing care and support and their carers outlined in Real Lives illustrate the key issues and challenges facing local authorities, policymakers and those who depend on services.

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About the Public Health England Office for Data Release (ODR) and accessing data

Fri, 16/09/2016 - 16:55

Public Health England (PHE) -
These documents contain details of the services offered by the PHE ODR and guidance on how to access PHE held data. PHE recognises the benefits of using data for the public good but also has a range of policies, protocols and processes in place to ensure the confidentiality of data is maintained at all times. The ODR is responsible for managing the release of explicitly identifiable or potentially identifiable data from PHE on behalf of the Information Asset Owner to an agreed process and within a formal structure.

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Health service medical supplies costs

Fri, 16/09/2016 - 12:34

Department of Health -
The Health Service Medical Supplies (Costs) Bill amends the National Health Service Act 2006. The factsheet provides more information on the measures in the Bill. The impact assessment covers two individual impact assessments: impact assessment for the amendment of powers to enable the government to control the cost of health service medicines; and impact assessment for powers to enable the government to obtain information on medicines supplied to the health service.

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Upgrading emergency service communications: the Emergency Services Network

Fri, 16/09/2016 - 12:02

National Audit Office -
According to this report, the Government is seeking to upgrade the radio system used by the police, fire and ambulance services with a system that is not yet in use nationwide anywhere in the world, and therefore carries significant implementation risk.

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Social care for older people: home truths

Thu, 15/09/2016 - 13:56

The King's Fund -
This report, published jointly with the Nuffield Trust, looks at the current state of social care services for older people in England, through a combination of national data and interviews with local authorities, NHS and private providers, Healthwatch and other groups. It considers the impact of cuts in local authority spending on social care providers and on older people, their families and carers. Alongside this work, we were commissioned by the Richmond Group of Charities to interview older people about their experiences of social care. The picture that emerges is of social care providers under pressure, struggling to retain staff, maintain quality and stay in business; local authorities making unenviable choices about where to make reductions; a complex set of causes of delays in discharging older people from hospital; and the voluntary sector keeping services going even when funding was curtailed.

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Engaging local people: a guide for local areas developing Sustainability and Transformation Plans (STPs)

Thu, 15/09/2016 - 11:54

NHS England -
This document is for teams developing STPs in each of the 44 footprint areas, and the statutory organisations which form part of them. It is intended to clarify the expectations on stakeholder involvement, in particular patient and public participation. It also covers legal duties around engagement and consultation and will be of particular interest to communication and engagement leads for STPs and footprint leaders.

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Women’s health and well-being in Europe: beyond the mortality advantage

Wed, 14/09/2016 - 11:15

World Health Organization (WHO) -
Women are in focus as the 66th session of the Region Committee considers a strategy for women’s health and well-being in Europe. This report supports the strategy with key facts about women’s health and well-being in different parts of the region, it shows the impact of gender based inequalities interacting with social, economic and environmental determinants and it looks at the how people-centered health systems can respond to women’s needs across the life-course.

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Four case studies to explore the added value of Oxford Academic Health Science Network (AHSN)

Wed, 14/09/2016 - 10:58

Office of Health Economics (OHE) -
The Oxford AHSN commissioned OHE Consulting and RAND Europe to explore the value of the various projects and programmes that the network has developed and implemented since it was established in 2013. In order to do this four case study projects were analysed: anxiety and depression clinical network; maternity clinical network; energy project; and intermittent pneumatic compression. The four case studies were chosen as examples of areas in which the Oxford AHSN has played a crucial role in improving patient care, and areas in which analysis of added value is feasible.

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Mental health and wellbeing of looked-after children: government response to the Committee’s fourth report of session 2015-16

Wed, 14/09/2016 - 10:14

Department of Health -
This report contains the government’s response to the Education Committee report on the mental health and wellbeing of looked-after children. It addresses the committee’s recommendations and conclusions and was written jointly by the Department of Health and Department for Education.

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Transforming community health services for children and young people who are ill: a quasi-experimental evaluation

Tue, 13/09/2016 - 11:13

National Institute for Health Research (NIHR) - 
Children’s community nursing (CCN) services support children with acute, chronic, complex and end-of-life care needs in the community. This research examined the impact of introducing and expanding CCN services on quality, acute care and costs. The research found that large, generic CCN teams that integrate acute admission avoidance for all children with support for children with complex conditions and highly targeted teams for children with complex conditions offer the possibility of supporting children more appropriately at home while also making some difference to acute activity.

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Supporting self-management: a guide to enabling behaviour change for health and wellbeing using person- and community-centred approaches

Tue, 13/09/2016 - 11:10

This guide outlines how the science of behaviour can help people to self-manage their health and wellbeing. It is written for people who support those living with long-term conditions, or those who help people avoid these conditions using person- and community-centred approaches.

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Spreading change: a guide to enabling the spread of person- and community-centred approaches for health and wellbeing

Tue, 13/09/2016 - 11:06

This guide outlines how behavioural science can help spread the take-up of person- and community-centred approaches to health and wellbeing. The guide uses the EAST framework to organise ideas and examples. The core message of EAST is that if you want to encourage a behaviour, you should make it easy, attractive, social and timely. It features a number of low-tech, pragmatic and manageable activities which can increase the spread of person- and community-centred health and wellbeing programmes.

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