NHS Evidence - health management

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Care in a post-Brexit climate: how to raise standards and meet workforce challenges

Tue, 14/02/2017 - 12:10

Institute for Public Policy Research (IPPR) - 
This report argues that training and working standards in the care sector need to be improved in order to attract a greater number of UK workers and to avoid labour shortages post-Brexit. It highlights the need for greater investment and funding alongside a workforce strategy that focuses on effective minimum standards for training and qualification; better conditions for workers; and a focus on innovation to drive productivity improvements.

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Financial analysis of STPs

Tue, 14/02/2017 - 11:33

British Medical Association (BMA) - 
This analysis of the 44 STPs in England estimates that £9.5bn of capital funding is required to create the infrastructure to deliver the plans. The BMA sent out a series of FOI requests and have compiled information for each STP area on the financial needs required to implement the plans in each area. 

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The sustainability and transformation plans: a critical assessment

Tue, 14/02/2017 - 11:22

Centre for Health and the Public Interest (CHPI) - 
This report assesses the published drafts for STP plans and it raises concerns around the credibility of the implementation measures outlined in the plans. It argues that the scale of the planned reduction in hospital services implies rationing and risks the collapse of some services.

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A summary of Age UK's Index of Wellbeing in Later Life

Mon, 13/02/2017 - 11:16

Age UK - 
The Index of Wellbeing in Later Life provides a multi-faceted measure of older people's wellbeing across health, social, personal, financial and local environment domains. The report highlights the importance of maintaining meaningful engagement with the world for older people's wellbeing and recommends that work needs to be done in reducing barriers and increasing enablers to societal engagement for the UK's older people.

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Preventing prison suicides: staff perspective

Mon, 13/02/2017 - 10:50

Centre for Mental Health - 
This report is the last in a series stemming from a year-long investigation into suicide in prisons by the Centre for Mental Health and the Howard League for Penal Reform. This report is based on interviews with health care staff working in prisons and those reviewing clinical care following suicide deaths. It finds that find that distress, self-harm and suicide attempts are too often seen as manipulative rather than signs of need and vulnerability among prisoners. And staff shortages, a ‘toxic’ working environment and a failure to recognise the traumatising impact of prison for both prisoners and staff all contribute to an unsafe environment. The report highlights the need for a culture change in prisons to prevent people from losing their lives through suicide.

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Proposals for congenital heart disease services

Fri, 10/02/2017 - 10:09

NHS England - 
Views are being sought on new proposals for hospital standards for congenital heart disease services. The standards set out the need for surgeons to do a minimum of 125 cases per year, the equivalent of three per week. They also require that there should be a minimum of three surgeons in the team to cover the workload 24 hours a day, rising to four surgeons per team by April 2021. To make sure critically ill children receive the full range of support, the standards also specify that specialist children’s cardiac services must also only be delivered where there are also a wider range of other paediatric specialities present on the same hospital site. The consultation closes on 5 June 2017.

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Managing conflicts of interest in the NHS: guidance for staff and organisations

Fri, 10/02/2017 - 09:48

NHS England - 
This guidance aims to strengthen the management of conflicts of interest within the NHS and to ensure transparent and accountable health care. The guidance permits NHS staff to receive small tokens or gifts but will require them to decline anything that could be seen to affect their professional judgement. It will also be standard practice for NHS commitments to take precedence over private practice, and for any member of staff - clinical or non-clinical - to declare outside employment and the details of where and when this takes place although not earnings at this stage.

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Foundation programme 2017 undersubscription

Fri, 10/02/2017 - 09:43

The Foundation Programme - 
This briefing analyses data from the 2017 foundation programme recruitment round and finds that the overall percentage of UK medical students applying to the UK Foundation Programme has decreased from 94.8 per cent to 94.1 per cent. Using course withdrawal trend data from previous years, the briefing estimates that the programme will be undersubscribed by March 2017.  

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Warning signs: challenges to delivering the Cancer Strategy for England by 2020

Fri, 10/02/2017 - 09:35

Macmillan Cancer Support - 
This report lays out the challenges an under-pressure health service in England faces in areas such as workforce as it seeks to transform cancer services so it can meet increased demand in the coming decades. It finds that 64 per cent of people recently diagnosed with cancer in England have experienced mental health problems such as anxiety and depression while waiting for their treatment to start. It also finds that confidence in delivering the cancer strategy is mixed amongst NHS leaders and GPs and that greater clarity is needed on who is responsible for redesigning cancer services at a local and regional level.

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A new relationship with people and communities: actions for delivering chapter 2 of the NHS five year forward view

Thu, 09/02/2017 - 16:46

People and Communities Board - 
As part of the NHS five year forward view, the PCB was invited to recommended a set of high-impact actions for adopting person- and community-centred approaches to health and social care. Chapter two of the forward view sets out a vision of health and care where people are fully engaged with their health. This report outlines actions and related recommendations for making this vision a reality. The actions address key areas in the NHS where substantial progress can be made over the next year. The annex highlights approaches or interventions developed within the voluntary sector which have the potential for wider adoption.

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First do no harm: the impact of financial incentives on dental x-rays

Thu, 09/02/2017 - 16:40

Centre for Health Economics (CHE) - 
This paper assesses the impact of financial incentives to dentists on the incidence of potentially harmful x-rays in Scotland. It finds that there are significant increases in x-rays when dentists receive fees for services rather than salary payments. 

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What is the normative basis for selecting the measure of 'average' preferences for use in social choices?

Thu, 09/02/2017 - 16:28

Office of Health Economics (OHE) - 
Value sets for preference-based patient-reported outcome measures aim to provide a measure of the average preferences of the general public. This paper considers the arguments for advocating the use of any given measure of the average in the context of health state values. 

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Addressing social, economic and environmental determinants of health and the health divide in the context of sustainable human development

Thu, 09/02/2017 - 12:57

United Nations Development Programme -
This report investigates how the effects of social, economic and environmental determinants of health and health equity are rarely fully addressed in development policy and practice. The research also aims to develop a methodology to embed health equity into development projects.

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The way forward

Thu, 09/02/2017 - 12:45

Royal College of Ophthalmologists -
These reports identify current methods of working employed by ophthalmology departments in the UK. The research was gathered through more than 200 structured interviews with ophthalmology clinical leads, providing real-life solutions and models of care. They aim to be an effective resource for ophthalmologists to share and collaborate with hospital managers, commissioners, medical and non-medical healthcare professional colleagues in the delivery of hospital eye services.

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Engaging health care volunteers to pursue the Triple Aim

Thu, 09/02/2017 - 12:34

American Hospital Association -
This report showcases how volunteer services support the Triple Aim, a framework developed by the Institute for Healthcare Improvement that outlines an approach for maximizing the performance of the health care system. This framework looks at improving the patient experience of care; improving the health of populations; and reducing the per-capita cost of health care.

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Local authority circular: social care - charging for care and support

Thu, 09/02/2017 - 12:05

Department of Health -
This circular advises local authorities of the social care charging arrangements for 2017 to 2018.

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Fatherhood: the impact of fathers on children’s mental health

Thu, 09/02/2017 - 11:15

Centre for Mental Health -
This briefing explores the research available on this topic and highlights the distinct role fathers can play in nurturing good mental health in their children.

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What's behind delayed transfers of care?

Wed, 08/02/2017 - 14:25

Nuffield Trust -
This briefing explores what the data tells us about delayed transfers of care and dispels some myths about how to prevent them.

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Consolidated standards for NHS Breast Screening Programme

Wed, 08/02/2017 - 13:47

Public Health England -
The NHS Breast Screening Programme is consulting on the consolidation of its standards into one document. The closing date for comments is 27 February 2017.

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Health and social care integration

Wed, 08/02/2017 - 13:04

National Audit Office -
This report warns that progress with integration of health and social care has, to date, been slower and less successful than envisaged and has not delivered all of the expected benefits for patients, the NHS or local authorities. As a result, the National Audit Office concludes that the government’s plan for integrated health and social care services across England by 2020 is at significant risk.

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