NHS Evidence - health management

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Updated: 26 min 34 sec ago

Catalyst or distraction? The evolution of devolution in the English NHS

Tue, 19/04/2016 - 14:52

The Health Foundation - 
This report considers the potential implications of devolution on health and care outcomes in England and how policy could best evolve. It draws on analysis of the devolution deals agreed to date, relevant literature, and international experience with a focus on four European decentralised health systems.

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Privatisation and independent sector provision of NHS healthcare

Tue, 19/04/2016 - 10:28

British Medical Association (BMA) - 
This report argues that the independent sector should be subject to the same robust standards as NHS providers and that managers must be wary of the health service becoming fragmented. It calls for government and policy makers to implement a series of recommendations aimed at protecting the NHS from being destabilised. It also urges commissioners and health service managers to consider the possible negative effects of privatisation on training and recruitment.

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Shaping research agenda to estimate cost-effectiveness thresholds for decision making

Tue, 19/04/2016 - 09:59

Office of Health Economics (OHE) - 
This report details the views of a selection of experts in the fields of health and welfare economics on the cost-effectiveness threshold used by NICE to decide which new medicines to recommend for use in the NHS, and the direction of future research in this area.

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Transition between inpatient hospital settings and community or care home settings for adults with social care needs

Mon, 18/04/2016 - 16:31

National Institute for Health and Care Excellence (NICE) - 
This consultation seeks feedback on a draft quality standard which aims to improve the quality of patient transitions between hospital, community and care home settings. The quality standard is expected to contribute towards improvements in delayed transfers of care; reducing patient readmission; and improving patient experience and quality of life. The closing date for submissions to this consultation is 17 May 2016.

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Quick guide: supporting patients' choices to avoid long hospital stays

Mon, 18/04/2016 - 11:40

NHS England - 
This guidance has been developed in partnership with Healthwatch England and it aims to support local health and social care systems to reduce the time people spend in hospital, when they are ready to depart and no longer need hospital care but are delayed whilst making arrangements for or decisions about ongoing care. 

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Implementing the cancer taskforce recommendations: commissioning person centred care for people affected by cancer

Mon, 18/04/2016 - 11:19

NHS England - 
This guidance is intended to support commissioners and strategic clinical networks to ensure every person affected by cancer will have access to the recovery package and stratified follow-up pathways by 2020, as set out in the cancer strategy. It describes the actions needed to deliver this including checklists for developing service specifications, practical examples and templates to use and adapt locally.

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Untapped potential: bringing the voluntary sector's strengths to health and care transformation

Mon, 18/04/2016 - 09:57

New Philanthropy Capital (NPC) - 
This research was commissioned by the Richard Group of Charities and it assessed the findings of 175 evaluations into how the voluntary sector's offer can integrated into the health and care system of the future. The project also aimed to design a framework for a shared language to help charities describe their work and its value to give commissioners and policymakers a way to identify aspects of charities' work that most clearly matches their needs.

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European health information gateway

Fri, 15/04/2016 - 12:46

World Health Organization (WHO) - 
This portal provides access to curated health data and information from official WHO sources and joint data collections with partner organisations such as the European Commission and OECD. 

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Tackling poor oral health in children: local government's public health role

Fri, 15/04/2016 - 12:41

Local Government Association (LGA) - 
This briefing outlines the roles and responsibilities of local government in commissioning oral health services for children. The briefing includes some case studies and signposts to useful resources to support the commissioning of these services.

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Evaluation of the UCLH-Macmillan Partnership to deliver improvements in the care, treatment, support, and information to patients with cancer throughout their individual journeys

Fri, 15/04/2016 - 12:37

RAND Corporation - 
The University College London Hospitals NHS Trust and Macmillan Cancer Support partnership is intended to improve the experiences of carers and patients with cancer by improving the whole journey from diagnosis through to palliation, and to embed this in a system that actively engages patients and carers in decision-making at each step. The evaluation aimed to assess the working of the partnership and its capacity to support the partners' plans to move forward through both quantitative and qualitative methods. The evaluation team aimed to approach the question of how the partnership was working from the perspectives of staff, volunteers, and senior strategic and operational managers. The evaluation also aimed to understand if, even at this early stage, there were perceptible changes in patient experience compared with comparable changes elsewhere in the NHS.

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Dementia and comorbidities: ensuring parity of care

Fri, 15/04/2016 - 12:31

International Longevity Centre - UK (ILC-UK) - 
This report, supported by Pfizer, argues that a failure to prevent, diagnose and treat depression, diabetes and urinary tract infections in people with dementia could cost the UK's health and care system up to nearly £1 billion per year. It highlights a lack of parity in the diagnosis of these conditions in people with dementia and outlines some recommendations including revision of NICE clinical guidelines; greater patient involvement in care plans; and commissioning of a wider range of psychological therapies.

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Housing, health and care

Thu, 14/04/2016 - 14:03

The King's Fund -
As part of a joint learning network on integrated housing, care and health, The King's Fund and the National Housing Federation have produced a set of slides illustrating the connections between housing, social care, health and wellbeing.

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The NHS finance function in 2015: United Kingdom

Thu, 14/04/2016 - 11:57

Healthcare Financial Management Association (HFMA) -
This briefing summarises the 2015 finance staff census results for England, Wales, Scotland and Northern Ireland and the results of the HFMA’s finance staff attitude survey completed by a sample of NHS finance staff. The census reflects the number of finance staff in post at the end of June 2015 and the NHS finance staff attitudes survey was carried out during autumn 2015. Please note that registration is required to download this publication.

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Transfers of premature and sick babies

Wed, 13/04/2016 - 13:59

Bliss -
This report highlights the challenges faced by neonatal transport services in the UK. Findings reveal that these essential services are often under-staffed, under-resourced and part-time. It shows that in a one week snapshot, half of the neonatal transport services across the UK reported gaps in their rota.

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Developing a method to assist investment decisions in specialised commissioning

Wed, 13/04/2016 - 10:37

NHS England -
NHS England is consulting on a method which we propose is used by NHS England's Clinical Priorities Advisory Group when comparing competing priorities when it meets to agree recommendations on the relative prioritisation of new investments in specialised services. The closing date for comments is 11 May 2016.

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Enhancing staff engagement and patient care through the 'Go Engage' survey tool

Tue, 12/04/2016 - 12:24

NHS Employers - 
This case study examines the experience of Wrightlington, Wigan and Leigh NHS foundation trust who commissioned the development of a staff engagement tool. The survey tool is based on the NHS national staff survey questions and sits alongside a number of exploratory questions. They are sent to staff every quarter to assess morale and engagement. The case study provides more information on the tool and its uses, how the trust communicates with staff and the results that have been achieved so far.

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Guidance for doctors who offer cosmetic interventions

Tue, 12/04/2016 - 12:20

General Medical Council (GMC) - 
This guidance accompanies the newly updated RCS guidance on professional standards for cosmetic surgeons. The GMC guidance makes clear the ethical obligations that doctors have towards patients and the standards of care that they need to provide during cosmetic procedures. 

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Professional standards for cosmetic surgery

Tue, 12/04/2016 - 12:15

Royal College of Surgeons (RCS) - 
This guidance has been updated with the aim of improving patient safety and standards within the cosmetic surgery industry. It stipulates that only surgeons with the appropriate training and experience should undertake cosmetic surgery and outlines the ethics and behaviour expected of cosmetic surgeons. It supplements new guidance produced by the General Medical Council today for all doctors who carry out cosmetic intervention and is intended to be read alongside this guidance.

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Estimates memorandum: Department of Health 2015-16 supplementary supply estimate

Tue, 12/04/2016 - 11:56

House of Commons Health Select Committee - 
The supplementary estimates are presented by HM Treasury to the House of Commons to seek parliamentary approval for voted expenditure by government departments resources, capital and cash, both for existing services and for any necessary new services. The supplementary estimates for the Department of Health estimated that the net deficit across all NHS trusts and foundation trusts would be managed to £1.8bn. This would score as a pressure against the department's expenditure limits and would therefore require offsetting mitigations to ensure that financial balance is achieved. This memorandum summarises these planned offsetting mitigations.

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Who cares? The future of general practice

Tue, 12/04/2016 - 11:51

Reform - 
This report examines the current model of general practice in relation to advances in culture, society and technology and argues that the model needs to change to adapt to future needs. It highlights the need for providers to operate at a larger scale in order to deliver primary care services more effectively. It also considers different approaches to providing primary care services such as utilising a more diverse workforce to deliver these services, such as using nurses or pharmacists to administer some general practice appointments.

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