NHS Evidence - health management

Adult social care outcomes framework 2015 to 16

Mon, 17/11/2014 - 10:18

Department of Health (DH) - 
This framework measures how well care and support services achieve the outcomes that matter most to people. It supports councils to improve the quality of care and support services they provide; gives a national overview of adult social care outcomes in 2013 to 2014; and looks at how the framework will be developed in future.

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Healthy cities : promoting health and equity - evidence for local policy and practice

Fri, 14/11/2014 - 15:04

World Health Organization (WHO) Europe -
This publication summarizes the evaluation of Phase V (2009–2013) of the WHO European Healthy Cities Network. The evaluation findings are rooted in the enduring values such as equity, governance, partnership, participation and sustainability. Also considering the core Phase V themes, this publication focuses on policy and governance, healthy urban environments and design, caring and supportive environments, health and active living, national networks’ performance and effects on health and equity. The evaluation finds good progress among cities and networks that differs in scale and quality. The healthy cities movement adds value and allows local governments to invest in health and well-being and address inequities through novel approaches to developing health.

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NHS data breaches

Fri, 14/11/2014 - 11:40

Big Brother Watch -
This report highlights the scale of data breaches in the NHS. The research reveals examples of medical data being lost, shared on social media, and inappropriately shared with third parties.

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Choice of GP practice

Thu, 13/11/2014 - 16:10

NHS England -
Last year’s GMS contract agreement provided that GP practices will be able to register patients from outside their traditional practice boundaries without the requirement to provide home visits or out of hours care. This guidance provides further information on how the new arrangements will work. This includes a commissioning framework to support area team decisions on putting in place urgent primary medical care services.

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Can valid and practical risk-prediction or casemix adjustment models, including adjustment for comorbidity, be generated from English hospital administrative data (Hospital Episode Statistics)? A national observational study

Thu, 13/11/2014 - 11:15

NHS National Institute for Health Research -
To derive robust risk-adjustment models for various patient groups, including those admitted for heart failure, acute myocardial infarction, colorectal and orthopaedic surgery, and outcomes adjusting for available patient factors such as comorbidity, using England’s Hospital Episode Statistics data. It concludes that many practical risk-prediction or casemix adjustment models can be generated from HES data using logistic regression, though an extra step is often required for accurate calibration.

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GP contract

Thu, 13/11/2014 - 10:57

NHS England -
This guidance and page of resources was put together to support implementation of changes to General Medical Services, Personal Medical Services and Alternative Provider Medical Services contractual arrangements that will apply in England.

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Personalised health and care 2020: using data and technology to transform outcomes for patients and citizens - a framework for action

Thu, 13/11/2014 - 10:38

National Information Board -
This framework for action aims to support frontline staff, patients and citizens to take better advantage of the digital opportunity. It finds that better use of data and technology has the power to improve health, transform the quality and reduce the cost of health and care services. It can: give patients and citizens more control over their health and wellbeing; empower carers; reduce the administrative burden for care professionals; and support the development of new medicines and treatments.

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Tackling poverty: making more of the NHS in England

Thu, 13/11/2014 - 10:18

The King's Fund -
The research on which this paper is based was commissioned by the Joseph Rowntree Foundation to inform its work to develop an anti-poverty strategy for the United Kingdom. Importantly for potential poverty reduction, the NHS has immense economic power as well as massive scale and reach in the population. As a country we are now spending more than £100 billion on the NHS in England, and there are more than 300 million consultations in general practice every year alone, and more in hospital and other community services. But it is far less clear that the most is being made of that potential in terms of the effect on poverty.

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In-depth review of the psychiatrist workforce

Wed, 12/11/2014 - 14:59

Centre for Workforce Intelligence -
This report contains an in-depth review of the psychiatrist workforce in England, with a particular focus on fully trained psychiatrists with a certificate of completion of training (‘CCT holders’) who typically are employed as consultants. The review considered demand and supply for CCT holders in the six psychiatry specialties: general adult psychiatry, psychiatry of old age, child and adolescent psychiatry, forensic psychiatry, psychiatry of learning disability, and medical psychotherapy.

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Confidentiality and information sharing for direct care: guidance for health and care professionals

Wed, 12/11/2014 - 14:34

Department of Health -
The Department of Health and the Information Governance Alliance want to know how this guidance leaflet, to help health care professionals make the right decisions about data sharing, can be improved. The consultation ends on 31 January 2015.

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Good practice for handling feedback

Wed, 12/11/2014 - 14:12

Royal College of Nursing -
This guidance aims to help health care workers deal with feedback, concerns, complaints and compliments. It has been developed following discussion with RCN members about their own experiences. It is part of the RCN’s commitment to help improve the way the NHS handles feedback and complaints following a review into the NHS complaints system. Consultation with RCN members revealed that many feel there is a lack of information in their workplace from their employers on what the process is for dealing with complaints, and what is expected of them.

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Information to support the commissioning of chlamydia screening in general practice and community pharmacies

Wed, 12/11/2014 - 12:19

Public Health England -
This guidance is for commissioning chlamydia screening in general practice and community pharmacies. It can be adapted to suit local circumstances and provides suggested sections that commissioners may wish to include in their contracts with providers of chlamydia screening.

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Out-of-hours GP services in England

Wed, 12/11/2014 - 11:55

House of Commons Public Accounts Committee -
This report finds that patients’ experience of and satisfaction with the out-of-hours services varies significantly and unacceptably across the country, as does the cost.

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Health Visiting Programme and 0-5 commissioning of public health services

Wed, 12/11/2014 - 11:29

Department of Health -
This document provides information on changes to the health visiting service including how the services are commissioned. It also provides information for health practitioners, providers and local authorities on changes to the Healthy Child Programme, the Health Visiting Programme and on the importance of health visiting.

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Making an impact through good governance: a practical guide for health and wellbeing boards

Tue, 11/11/2014 - 16:50

Local Government Association (LGA) - 
Now that health and wellbeing boards are fully operational, their emphasis is on being as effective as possible in their statutory and influencing roles. This guide discusses how health and wellbeing boards can make an impact through their governance structures and procedures – delivering business within council constitutional requirements, as required by statute – while enabling all board members to participate as equal partners.

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Connecting health and wellbeing boards: a social media guide

Tue, 11/11/2014 - 16:46

Local Government Association (LGA) - 
This guide was undertaken in response to requests from people working with health and wellbeing boards where there was a real desire for social media to be used effectively to help the boards shape policy, explain decisions and deliver objectives. It explores some of the current social media channels; five broad principles for using social media; and five levels of social media engagement for health and wellbeing boards to encourage progress and best practice.

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Rethinking resistance to ‘big IT’: a sociological study of why and when healthcare staff do not use nationally mandated information and communication technologies

Tue, 11/11/2014 - 15:00

National Institute for Health Research (NIHR) - 
This study examines why nationally mandated information and communication technology systems are often locally resented and little used, from a sociological perspective. The analysis focused on the Choose and Book system for outpatient referrals and makes suggestions to counteract resistance to the implementation of new systems.

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Planning for the Better Care Fund

Tue, 11/11/2014 - 14:06

National Audit Office - 
This report recognises that a government programme to integrate local health and social care services to improve care in the community and lessen pressures on health services is an innovative idea. However, according to today’s report, the quality of early preparation and planning did not match the scale of ambition.

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Next steps towards primary care co-commissioning

Tue, 11/11/2014 - 14:04

NHS England - 
This document aims to give CCGs the opportunity to choose afresh the co-commissioning model they wish to assume. It clarifies the opportunities and parameters of each co-commissioning model and the steps towards implementing arrangements. The document is accompanied by a suite of practical resources and tools to support local implementation of co-commissioning arrangements.

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Commissioning and contracting for integrated care

Tue, 11/11/2014 - 13:00

The King's Fund - 
This report describes how CCGs in England are innovating with two broad models – the prime contract and alliance contract. It draws on experiences from five geographical areas, covering different population and disease groups (cancer, end-of-life care, musculoskeletal services, mental health rehabilitation, and older people’s services). It concludes by highlighting four lessons that CCGs, other commissioners and providers should keep in mind as they embark on new models of commissioning and contracting to support integrated care.

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