NHS Evidence - health management

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Report of the Expert Advisory Group: Healthcare Safety Investigation Branch

Thu, 12/05/2016 - 10:52

Department of Health -
The report makes recommendations about establishing the Healthcare Safety Investigation Branch (HSIB) as well as how to improve investigation, and learning from investigation, across the health system.

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A report of investigations into unsafe discharge from hospital

Wed, 11/05/2016 - 15:45

Parliamentary and Health Service Ombudsman -
This report highlights cases investigated by the Ombudsman service where people have been discharged from hospital before they are fit to leave or without making sure they can cope on their return home. Last year the Parliamentary and Health Service Ombudsman saw a 36 per cent increase in discharge related investigations. These found that people’s deaths or suffering could have been prevented if hospitals carried out the right checks before discharging people.

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Managing the supply of NHS clinical staff in England

Wed, 11/05/2016 - 15:33

House of Commons Committee of Public Accounts -
This report calls for an urgent review of NHS clinical staffing in England, raising concerns about supply, budgeting, agency costs and leadership.

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The chief executive's tale

Wed, 11/05/2016 - 14:49

The King's Fund -
This report, published in partnership with NHS Providers, draws on the views and experiences of 12 departed or departing chief executives, or those changing jobs within health care. It aims to illuminate the realities of leadership in today’s NHS. The interviews illustrate both the positives of the job and its current difficulties. It concludes that the difficulties need to be addressed if we are, first, to hold on to experienced leaders who are able to transform the NHS in an innovative way, and, second, recruit the next generation.

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What makes a top clinical commissioning leader?

Tue, 10/05/2016 - 10:56

NHS Clinical Commissioners - 
This report, written in conjunction with Hunter Healthcare, finds that clarity about the future of the commissioning system, a commitment to developing GP leadership, and improved leadership programmes, have been identified as critical to supporting current and prospective clinical commissioning leaders. Through a series of interviews with both clinical and managerial CCG leaders, the report sets out how current leaders can be supported, and a future generation inspired and encouraged to take up a role in commissioning.

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Outpatient services and primary care: scoping review, substudies and international comparisons

Tue, 10/05/2016 - 10:36

National Institute for Health Research (NIHR) - 
This study updates a previous scoping review of quality improvement methods for outpatient services and primary care. This updated review suggests that with appropriate safeguards, training and support, substantial parts of care given in outpatient clinics can be transferred to primary care. The review also highlights the lack of evidence on the cost-effectiveness of these new models of care.

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NHS five year forward view: recap briefing for the Health Select Committee on technical modelling and scenarios

Tue, 10/05/2016 - 09:59

NHS England - 
At the request of the House of Commons Health Select Committee, this briefing recaps the financial modelling undertaken in the lead up to October 2014, when the NHS five year forward view was published. It outlines the methodology used to calculate the £30 billion funding gap figure which was projected for 2020/21 and also for the NHS funding requirement figures.

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Fracture Liaison Service Database (FLS-DB) facilities audit: FLS breakpoint: opportunities for improving patient care following a fragility fracture

Tue, 10/05/2016 - 09:51

Royal College of Physicians (RCP) - 
This report provides the first detailed mapping of current service provision for secondary fracture prevention within the NHS in England and Wales. It recommends that service providers and commissioners (or local health boards) should use the data in this report to review local performance and inform quality improvement.

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'A different ending': addressing inequalities in end of life care

Mon, 09/05/2016 - 10:56

Care Quality Commission (CQC) - 
This review of end of life care found that people from certain groups in society sometimes experience poorer quality care because providers do not always understand or fully consider their needs. In light of this, the report argues that some commissioners and providers might not be fulfilling their duties under the Equality Act 2010 as all public bodies have a legal duty to consider the needs of a range of equality groups when carrying out their day-to-day work. The review identified examples of good practice, but found that action is needed to make sure everyone has the same access to high quality, personalised care at the end of their lives, regardless of their diagnosis, age, ethnic background, sexual orientation, gender identity, disability or social circumstances.

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Funding mental health at a local level: unpicking the variation

Mon, 09/05/2016 - 10:46

NHS Providers - 
NHS Providers and the Healthcare Financial Management Association (HFMA) surveyed finance directors in mental health trusts and chief finance officers in CCGs to understand how the parity of esteem commitment is being implemented locally. The survey found that the government’s commitment to parity of esteem between mental and physical health services is being undermined by a failure to ensure funding increases reach the frontline with only half (52%) of providers reporting that they had received a real terms increase in funding of their services in 2015/16. 

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Mental health crisis care: health based places of safety funding

Mon, 09/05/2016 - 10:42

Department of Health (DH) - 
This funding programme aims to increase and improve health based places of safety and continue to reduce police cells being used as an alternative. Bids for a share of the £15 million fund will be managed by the Department of Health. This guidance document sets out how local crisis care concordat groups can apply for funding to increase the capacity and number of health based places of safety.

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State of caring 2016

Mon, 09/05/2016 - 10:35

Carers UK - 
This report shows that, one year on from the implementation of the Care Act 2014 - designed to improve support for carers - carers in England are still struggling to get the support they need to care well, maintain their own health, balance work and care, and have a life of their own outside of caring. It calls for the government, local authorities and health bodies to redouble their efforts to support England’s 5.4 million unpaid carers, arguing that squeezed public services and financial pressures is pushing carers to the brink.

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NESTA ideas bank: ideas to transform Scotland

Mon, 09/05/2016 - 10:29

This report discusses innovative policy solutions to transform Scotland's health and care system, democratic process and creative industries. It focuses on patient-centred care, personalisation and smarter use of technology and data to improve health and care in Scotland.

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Regional review of medical education and training in the East of England: 2015-16

Fri, 06/05/2016 - 17:00

General Medical Council (GMC) - 
This report outlines the findings of a review into medical education and training organisations in the east of England and it highlights a number of areas of good practice such as the University of East Anglia's programme designed to encourage young people from disadvantaged backgrounds to consider a career in medicine. The review found the main challenge in hospitals was the increasing workload, which made it difficult to ensure high quality training as it decreased the time available for on-the-job learning in wards, clinics and theatre. It also reduced the time available for doctors in training to attend teaching.

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Reviewing regulation: DH commitments: post-implementation review schedule

Fri, 06/05/2016 - 16:31

Department of Health (DH) - 
This paper sets out the Department of Health's commitments to review regulations and evaluate any legislative measures after implementation. The review will focus on whether the regulatory interventions are delivering the intended outcomes; identify any unintended consequences; re-evaluate the estimates of costs and benefits; and make sure that these accurately reflect the impacts to business and society.

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Optimal hospital payment rules under rationing by random waiting

Fri, 06/05/2016 - 11:35

Centre for Health Economics (CHE) - 
This paper derives optimal rules for paying hospitals in a public health care system in which providers can choose quality and random patient demand is rationed by waiting time.

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Adult personal social services: specific revenue funding and grant allocations for 2016/17

Fri, 06/05/2016 - 10:49

Department of Health (DH) - 
This letter clarifies local authority specific revenue funding for the financial year 2016 to 2017, which was subject to the 2015 spending review. It provides information on funding for the second year of Care Act implementation, which comes from a range of sources, as well as allocations for parts of the Better Care Fund.

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Understanding pressures in general practice

Thu, 05/05/2016 - 10:39

The King's Fund -
Increasing demands on general practice over the past five years – not just a heavier workload but the increasing complexity and intensity of work – have led to a feeling of crisis. The NHS is finding it difficult to recruit and retain sufficient GPs who want to do full-time, patient-facing work. This report looks at patient factors, system factors and supply-side issues to see what lies behind this increasing pressure on general practice. It finds that despite GPs being at the heart of the health care system, a lack of nationally available, real-time data has made their changing workload largely invisible to commissioners and policy-makers.

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The 3rd national emergency department survey of alcohol identification and intervention activity

Wed, 04/05/2016 - 12:13

Alcohol Research UK -
This research shows that emergency departments in England have increased the level of alcohol screening for adults - with the offer of specialist support for those attending with alcohol-related health problems and for those who frequently attend. However, it also shows that while most emergency departments attending to under-18s ask them about their drinking few do so routinely. It concludes that this needs to improve to ensure young people considered to be at risk of developing drink-related ill health receive the specialist support they need.

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A rough guide to early action: seven stories of how society is acting earlier

Tue, 03/05/2016 - 16:16

Community Links -  

This case study report showcases seven stories of services and projects from across the UK that have acted earlier in dealing with social problems. It is part of an ongoing project from the Early Action Task Force, hosted by Community Links and supported by the Big Lottery Fund.

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