NHS Evidence - health management

Responding to the needs of patients with multimorbidity: a vision for general practice

Fri, 04/11/2016 - 14:27

Royal College of General Practitioners (RCGP) - 
This report reviews how effectively the current health system serves patients living with multiple long-term conditions and explores the experiences of these patients. It highlights the barriers that prevent the quality of their care improving such as lack of time and resources for GPs and provides recommendations to overcome these barriers. The report also recommends improving communication between primary and secondary care; increasing exposure of delivering care for those with multimorbidity in GP training; and developing improved decision making tools.

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General practitioner recruitment and retention: an evidence synthesis

Fri, 04/11/2016 - 14:11

Policy Research Unit in Commissioning and the Healthcare System (PRUComm) - 
This report presents an evidence synthesis on GP revruitment, retention and re-employment. It finds that overall the published evidence focuses primarily on attracting GPs to rural areas however the literature does provide some useful insights to factors that may support the development of specific strategies for the recruitment and retention of GPs. The report suggests that medical students should be exposed to successful GP role models and general practice and that supporting intrinsic motivational factors and career determinants can influence recruitment.

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Estates and technology transformation fund schemes 2016/17

Fri, 04/11/2016 - 14:04

NHS England - 
The recipients of the NHS England estates and technology transformation fund have now been announced. Nearly 300 GP schemes have been earmarked for investment to improve premises and IT infrastructure and to expand the range of services for patients.

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Procedures for clinical commissioning groups to apply for constitution change, merger or dissolution

Fri, 04/11/2016 - 13:40

NHS England - 
This guidance outlines the testst that will be applied to any CCGs who submit proposals to merge or combine their managements. It makes clear that there remains a general presumption against mergers unless they can be shown to release staff and resrouces to support local STP implementation whilst cutting administrative costs. The guidances includes a list of eleven criterial that CCGs will have to meet for a formal merger, as well as prior approval of merger of senior management.

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Blood pressure: how can we do better?

Fri, 04/11/2016 - 13:34

NHS England - 
This resource, developed in partnership with Public Health England, the British Heart Foundation, the Stroke Association, Blood Pressure UK, the British Hypertension Society and the Royal College of Practitioners, highlights the national picture around high blood pressure. It also provides a breakdown of the data at a local level for every CCG and highlights opportunities and areas for improvement.

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The missing million: a practical guide to identifying and talking about loneliness

Fri, 04/11/2016 - 13:23

Campaign to End Loneliness - 
There are an estimated 1,100,000 people who are 65 and over who are chronically lonely and difficult to reach. This guide aims to support commissioners, service providers, front line staff and volunteers in identifying people who experience or are at risk of experience loneliness. It also provides recommendations on how best to engage in a dialogue about loneliness and offers examples of effective approaches to supporting older people.

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Lethal and illegal: solving London's air pollution crisis

Fri, 04/11/2016 - 13:16

Institute for Public Policy Research (IPPR) - 
This report calls for cross-party support for a strategy to radically cut air pollution and improve the health of London's population. It argues that a cut in London air pollution to bring it to within legal limits could add 1.7 months onto Londoners' life expectancy. The report outlines action that can be taken locally and nationally in order to reduce air pollution in the capital.

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Making personal budgets dementia friendly: a guide for local authorities

Thu, 03/11/2016 - 13:49

Alzheimer's Society -
Alzheimer’s Society has produced a personal budgets guide of easy and cost-effective actions councils can take to improve the personal budgets process for people with dementia and their carers. The aim of this is to help local authorities deliver person-centred care.

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A new public service ethos: next generation public service reform

Thu, 03/11/2016 - 11:00

Localis -
This publication surveyed 1415 NHS and local government senior managers and executives from across the UK. It found a clear perception within the public sector of what characterises the public service ethos: accountability, community responsibility, customer service and integrity. The survey shows that NHS and council workers believe private sector involvement in public services has affected the quality of public services and the core values that make up the public service ethos.

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Winter pressure in accident and emergency departments

Thu, 03/11/2016 - 10:22

House of Commons Health Select Committee -
This report concludes that the Government urgently needs to address the underfunding of adult social care to relieve pressure on A&E departments. It finds that for major emergency departments in 2015, only 88 per cent of patients were admitted, transferred or discharged within four hours, short of the 95 per cent standard set by the Government. It also finds that the current level of variation in meeting the four hour waiting time standard is also due to differences in the way that trusts manage flows within hospitals.

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Redrawing the health and social care architecture: exploring the role of national bodies in enabling and supporting the delivery of local health and care services

Thu, 03/11/2016 - 10:03

PricewaterhouseCoopers -
This research finds that 70 per cent of NHS staff in England do not understand the role of the national bodies in the healthcare system. The report calls for the government to clarify the roles of these bodies and move to a more devolved system where local areas are given more accountability and responsibility. It also suggests that local areas should be given the power to raise funds for their regional health service.

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NHS Injury Cost Recovery scheme 2016 to 2017: guidance on the application of the NHS Injury Cost Recovery scheme

Wed, 02/11/2016 - 13:54

Department of Health -
This guidance is primarily for NHS trusts and NHS foundation trusts who provide treatment for injuries whose costs are recoverable under the NHS Injury Cost Recovery scheme (ICR). It sets out the circumstances where costs can be recovered and the process under which this is undertaken, as well as giving some guidance on how ICR payments should be recorded in annual accounts.

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Progress with the disposal of public land for new homes

Wed, 02/11/2016 - 13:28

House of Commons Committee of Public Accounts -
This report welcomes a commitment by the Department for Communities and Local Government to monitor homes built as a result of land sales; the guidance and monitoring arrangements it has put in place, and greater clarity on other departments' roles and responsibilities. However, it warns that there is still a long way to go to ensure Government departments will sell land with capacity for at least 160,000 new homes by 2020.  Individual departments have been set their own target contributions, with the Department of Health having land with the capacity for 26,000 homes.

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Adult social care funding: 2016 state of the nation report

Wed, 02/11/2016 - 13:15

Local Government Association -
This report looks at the state of funding for adult social care and current pressures. It contains a series of short essays by senior figures in the care sector offering personal views and expert perspectives.

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What if NHS leaders were more representative of their patients?

Wed, 02/11/2016 - 13:04

The King's Fund -
The NHS if is a collection of essays that explores hypothetical scenarios and their impact on the future of health and care. Our aim is to encourage new thinking and debate about possible future scenarios that could fundamentally change health and care. This essay, by Vijaya Nath, looks at the current leadership structure of the NHS and discusses how increased diversity could improve performance.

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Dementia 2020 Citizens' Engagement Programme: toolkit for engaging people with dementia and carers

Wed, 02/11/2016 - 12:54

Department of Health -
This toolkit is aimed at dementia groups and networks and provides guidance and tips about facilitating discussions with people with dementia and carers effectively and sensitively.

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Take me to your leader: hospital collaboration in the NHS

Tue, 01/11/2016 - 13:50

This report discusses the need for collaboration born out of the arrival of the Sustainability and Transformation Plans and a new two year planning guidance. It looks at what makes collaboration successful and what prevents it.

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Better equipped, better care: improving mental health training for GPs and practice nurses

Tue, 01/11/2016 - 13:18

Mind -
Data collected for this report shows that less than half (46 per cent) of trainee GPs undertook a training placement in a mental health setting. The report calls on the Government to ensure all GPs and practice nurses receive structured mental health training that is comprehensive, relevant and supports their ongoing development.

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The distribution of the EQ-5D-5L index in patient populations

Tue, 01/11/2016 - 13:07

Office of Health Economics -
The results of this study aim to highlight the importance of undertaking careful exploratory data analysis for health related quality of life measures such as the EQ-5D, to ensure that statistical testing takes account of clustering and other features of the data distribution.

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Medicines use review (MUR) service (England)

Mon, 31/10/2016 - 14:19

Pharmaceutical Services Negotiating Committee (PSNC) - 
This briefing is aimed at health professionals outside of pharmacy and provides information on the MUR service and answers common questions about MURs.

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