NHS Evidence - health management

Preventing dementia: a provocation

Mon, 14/07/2014 - 15:21

International Longevity Centre - UK (ILC-UK) - 
This report highlights how we can do more to prevent dementia, save lives and reduce avoidable costs. It explores potential savings to the state if we were able to intervene successfully on the risk factors that cause dementia - these include physical activity, smoking, obesity and depression.

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Consultation on profession-specific standards of proficiency for practitioner psychologists

Mon, 14/07/2014 - 11:51

Health and Care Professions Council (HCPC) - 
HCPC are consulting on revised standards of proficiency for practitioner psychologists. The deadline for responses to the consultation is 17 October 2014.

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Global action plan for the prevention and control of non-communicable diseases (NCDs) 2013-2020

Mon, 14/07/2014 - 11:47

World Health Organization (WHO) - 
The action plan provides a road map and a menu of policy options for policy-makers to take coordinated and coherent action on the prevention and control of long-term conditions. The agreed global targets include a 25% relative reduction in premature mortality from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases by 2025. An accompanying publication provides information and data on long-term conditions in each country.

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Personalisation for people from black and minority ethnic groups

Mon, 14/07/2014 - 11:27

Race Equality Foundation (REF) - 
The term ‘personalisation’ means different things to different people but, as used both by the previous Labour and current Coalition governments, it is about tailoring services to people’s own circumstances and giving them more control over the amount and type of support they receive. This briefing looks at how personalisation can increase access to healthcare for people from black and minority ethnic communities, but also considers some of the challenges that it may bring.

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Visitor & migrant NHS cost recovery programme implementation plan 2014–16

Mon, 14/07/2014 - 11:01

Department of Health (DH) - 
This implementation plan sets out a timeline for how the Visitor and Migrant NHS Cost Recovery Programme will be rolled out over the next 2 years. It is intended to give the NHS a clear idea of the timeline and sequence for building on existing systems and developing new ones. The programme aims to help the NHS recover costs from visitors and migrants from both the European Economic Area (EEA) and outside.

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Off-payroll arrangements at NHS foundation trusts

Fri, 11/07/2014 - 12:10

Monitor - 
This report presents the findings of a review into off-payroll employment in NHS foundation trusts. Monitor worked with the Health and Social Care Information Centre to make sure that NHS foundation trusts understand and are complying with tax arrangements recommended by HM Treasury.

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Out-of-hours GP services in England

Fri, 11/07/2014 - 10:18

National Audit Office -
Although some parts of the NHS in England are achieving value for money for their spending on out-of-hours GP services, this is not the case across the board, according to this report. It finds that the number of cases handled by out-of-hours GP services has fallen, from an estimated 8.6 million in 2007-08 to 5.8 million in 2013-14. The report also estimates that out-of-hours GP services also cost less now, in real terms, than they did in 2005-06, but NHS 111 makes cost comparisons difficult.

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NHS surplus land for supported housing: why now and what are the possible cost savings?

Thu, 10/07/2014 - 15:47

The Smith Institute -
This research paper forms part of an ongoing programme of work examining the relationship between housing and health. This paper looks specifically at how using surplus NHS land to build supported housing can help meet demand and reduce the costs of care. It makes the case for thinking differently about cost savings in the NHS, notably in regard to alternative provision of supported housing through innovative partnerships between housing associations and NHS trusts. In particular, the paper aims to quantify possible future savings that can be made based on existing land disposal programmes. The evidence suggests that even by disposing of small parcels of surplus land significant savings can be realised over the long-term.

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Professional standards for hospital pharmacy services

Thu, 10/07/2014 - 13:16

Royal Pharmaceutical Society -
In light of the findings from the Francis Review of events at Mid Staffordshire Foundation Trust, the Royal Pharmaceutical Society has revisited and re-launched its professional standards, originally published in 2012. The revised standards have more emphasis on the need to increase patient involvement and feedback in the development and delivery of pharmacy services. More focus has also been given to organisational culture and the need to provide services in a candid, transparent and open way.

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An exploration of the implementation of open disclosure of adverse events in the UK: a scoping review and qualitative exploration

Thu, 10/07/2014 - 11:55

NHS National Institute for Health Research (NIHR) -
In 2009 the UK National Patient Safety Agency relaunched its Being Open framework to facilitate the open disclosure of adverse events to patients in the NHS. The implementation of the framework has been, and remains, challenging in practice. The aim of this work was to both critically evaluate and extend the current evidence base relating to open disclosure, with a view to supporting the implementation of a policy of open disclosure of adverse events in the NHS.

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Better care for older people

Thu, 10/07/2014 - 11:42

General Medical Council -
This online resource aims to support doctors in their day-to-day care of older patients. The resource gives practical advice, including from leading clinicians, on how to put older patients first and use GMC guidance to handle their clinical, emotional and psychological needs. It contains a mixture of guidance, case studies, scenarios, articles and tips to prepare doctors for caring for the growing number of older patients.

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Medical engagement: a journey not an event

Thu, 10/07/2014 - 11:07

The King's Fund -
This report is based on case studies of four NHS trusts with acknowledged high levels of medical engagement. It aims to help other organisations that are seeking to create cultures in which doctors want to engage more in the management, leadership and improvement of services. Based on interviews with a range of executives, senior and junior doctors, the report presents key features of each of the four trusts. Its final analytical section highlights common themes and includes a checklist to allow organisations and individuals to assess how far medical engagement is being sought and developed.

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Adult social care in England - sixth report of session 2014-15

Thu, 10/07/2014 - 10:55

House of Commons Public Accounts Select Committee -
This report finds that up to 220,000 people working in the care system earn less than the minimum wage and that around one third of the workforce are on zero-hours contracts, whilst 2.2 million people have had to give up work to care for family members, at extra cost to the government through the benefits bill. It concludes that successful implementation of the Care Act depends on an unprecedented amount of collaboration at every level of government.

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In the red? The state of the NHS' finances - an analysis of NHS expenditure between 2010 and 2014

Thu, 10/07/2014 - 10:34

Nuffield Trust -
This report looks at how the finances of the hospitals and commissioning groups that make up the NHS in England have held up under austerity. It finds that, after holding up well under austerity since 2010, the NHS’ finances are starting to come under severe financial pressure.

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Investing in our nation's future: the first 100 days of the next government

Wed, 09/07/2014 - 12:54

Local Government Association (LGA) - 
This document sets out a possible course of action of what the government will need to do in May 2015. It covers at healthcare, housing, education, employment and transport.

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Ambulance survey 2013-1-2014: technical document

Wed, 09/07/2014 - 12:40

Care Quality Commission (CQC) -
In this survey almost 3000 people gave their views of ‘Hear and Treat’ services – a ‘999’ service, in which trained call handlers give medical advice over the telephone to avoid ambulances and paramedics being sent out when they are not needed. The survey asked people, amongst other things, whether they felt reassured by staff, whether they were treated with dignity and respect, whether they understood the advice given to them and whether they received an explanation if an ambulance was not sent out.

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Making mental health count: the social and economic costs of neglecting mental health care

Wed, 09/07/2014 - 12:08

Organisation for Economic Cooperation and Development (OECD) -
This report argues that even in those OECD countries with a long history of deinstitutionalisation, there is still a long way to go to make community-based mental health care that achieves good outcomes for people with severe mental illness a reality. It addresses the high cost of mental illness, weaknesses and innovative developments in the organisation of care, changes and future directions for the mental health workforce, the need to develop better indicators for mental health care and quality, and tools for better governance of the mental health system.

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Monitor and the Department of Health: framework agreement

Wed, 09/07/2014 - 11:35

Monitor & Department of Health -
This framework agreement defines the critical elements of the relationship between Monitor and the Department of Health.

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Exploring how choice is working in NHS adult hearing services

Tue, 08/07/2014 - 12:14

Monitor - 
This research project examines the extent to which patients in England benefit from having a choice of NHS hearing loss services. As part of this research project, Monitor is seeking views from patients, patient representative groups, GPs, healthcare providers and commissioners on their experiences of adult hearing services. The survey will be open until 4th September 2014.

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Health profiles 2014

Tue, 08/07/2014 - 12:10

Public Health England (PHE) - 
These profiles bring together existing information into one place to provide a snapshot of health and wellbeing across each local authority in England. They contain data on a range of indicators for local populations such as the proportion of children in poverty, adult smoking rates, levels of child and adult obesity, hospital stays and early mortality rates. The profiles are designed to provide local government and health services with ‘conversation starters’ to highlight local issues and priorities, and discuss how to tackle these. They show potential problems and opportunities by making comparisons with other areas and with the national average.

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