NHS Evidence - health management

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Personal budgets as an integral form of NHS care: a discussion paper

Wed, 16/12/2015 - 11:16

National Voices -
This paper argues that the use of personal budgets in health care supports the values of the NHS. It asserts that personal budgets in health offer a more targeted form of support that is available free at the point of use, according to need, and via public funds. The paper consolidates the view the idea that personal budgets can be implemented in a way that promotes community ties, rather than individualism and privatisation of health and social care and that they have the potential to improve experience and outcomes for individuals, promoting equity of access to support that can change lives.

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Care of dying adults in the last days of life

Wed, 16/12/2015 - 11:04

National Institute for Health and Care Excellence (NICE) -
These guidelines aim to put the dying person at the heart of decisions about their care, so that they can be supported in their final days in accordance with their wishes. Until recently, the Liverpool Care Pathway was used to provide good end of life care.  It was withdrawn however, following widespread criticism and a subsequent government review that found failings in several areas. As a result, NICE was asked to develop evidence-based guidelines on care of the dying adult.  The new guideline aims to tackle these and other issues by providing recommendations for the care of a person who is nearing death no matter where they are.

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Sustainability and financial performance of acute hospital trusts

Wed, 16/12/2015 - 10:59

National Audit Office -
According to this report, the financial performance of acute hospital trusts has significantly declined in the last year and their financial position looks set to worsen in 2015-16. It found that the deterioration in the financial position of NHS trusts and NHS foundation trusts has been severe and worse than expected, with their £843 million deficit in 2014-15 representing a sharp decline from the £91 million deficit reported in 2013-14. Overall, the financial position of NHS bodies worsened in 2014-15, as NHS commissioners, NHS trusts and NHS foundation trusts together moved from a surplus of £722 million in 2013-14, to a deficit of £471 million.

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London health devolution agreement

Tue, 15/12/2015 - 14:01

Department of Health (DH) - 
This briefing outlines plans which aim to help to secure improvements in the health and wellbeing of London’s diverse 8.6 million residents; addressing inequalities in health outcomes and radically reshaping healthcare provision across the city, in line with the aspirations of the NHS Five Year Forward View.

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Dementia in the family: the impact on carers

Tue, 15/12/2015 - 13:58

Alzheimer's Research UK - 
This report highlights the the realities of daily life for carers who are looking after their loved ones and reveal how dementia changes family relationships, leaving people feeling socially isolated, and affects both the health and finances of family carers. The findings underline the importance of research to provide new treatments capable of reducing care needs for people with the condition.

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Maternity services survey 2015

Tue, 15/12/2015 - 13:52

Care Quality Commission (CQC) - 
The findings from the CQC national survey of more than 20,000 women suggest that the majority who gave birth in February this year had a better experience overall compared to the results from previous years, across the 133 NHS trusts in England. Access to midwives, choice of where to give birth, and the quality of information are particular areas where the NHS appears to have improved. The findings highlight women’s responses to questions across themes such as access to care, personal choices, type of birth and emotional wellbeing.

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Family-Reported Experiences Evaluation (FREE) study: a mixed-methods study to evaluate families’ satisfaction with adult critical care services in the NHS

Mon, 14/12/2015 - 14:59

National Institute for Health Research (NIHR) - 
This study aimed to validate a tool used to measure family satisfaction with critical care services; to describe family satisfaction and explore how it varies by family member, patient, unit/hospital and other contextual factors and by country; and to model approaches to sampling for future use in quality improvement.


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Tobacco Products Directive: proposals for UK law

Mon, 14/12/2015 - 11:31

Department of Health (DH) - 
This directive requires EU member states to introduce restrictions on the advertising of electronic cigarettes. This briefing explains how the government intends to incorporate the directive into the wider Tobacco and Related Products Regulations 2016.

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NHS England annual accountability statement for NHS public health

Mon, 14/12/2015 - 11:25

Department of Health (DH) - 
The NHS Public Health Functions Agreement requires NHS England to produce an annual report on its achievement against the outcomes set out in the agreement. This accountability statement assesses NHS England’s performance against the agreement for 2014 to 2015.

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Department of Health response to the Law Commission's consultation on mental capacity and deprivation of liberty

Mon, 14/12/2015 - 11:17

Department of Health (DH) - 
The Department of Health has published its response to the Law Commission’s consultation on how the law should regulate deprivations of liberty (DoLS) for people who lack capacity to consent to their care and treatment arrangements. The consultation proposes that DoLS should be replaced by a new system called ‘protective care’. It also proposes that there should be a new code of practice. The Law Commission will publish its final recommendations by the end of 2016.

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The end of formal social care?

Mon, 14/12/2015 - 10:38

International Longevity Centre - UK - 
This report contains detailed analysis of the social care funding measures outlined in the spending review and it reveals a bleak future for older people needing care. It highlights that increasing pressures on unpaid carers will have a significant economic impact, preventing more people from continuing in work. It argues that the UK does not have the required infrastructure to move to a model of care that relies so heavily on family and community support and that if this were to happen, significant extra investment would be needed. Without greater support, both financial and in terms of more formal care support, greater unpaid caring could risk an erosion in the quality of care provided.  

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Care Quality Commission: twelfth report of session 2015-16

Fri, 11/12/2015 - 10:46

House of Commons Committee of Public Accounts - 
This report raises concerns around the performance of the Care Quality Commission (CQC) and argues that it is not yet an effective regulator. It highlights the significant impact staff shortages are having on CQC's ability to complete its inspection programme, and identifies weaknesses in the consistency, accuracy and timeliness of its initial draft reports. The report identifies concerns about CQC's ability to respond quickly and effectively to information received from service users and staff, in particular issues raised by whistleblowers, as well as the quality of information on offer to people seeking a care provider.

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Health promotion for sexual and reproductive health and HIV: strategic action plan, 2016 to 2019

Fri, 11/12/2015 - 10:41

Public Health England (PHE) - 
This strategic action plan sets out PHE’s approach to improving the public’s sexual and reproductive health and reversing the HIV epidemic. It identifies the key areas for PHE action, and describes how PHE can work with partners at a national and regional level to improve health and reduce inequalities.

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The Forward View into action: new care models: support for the vanguards

Fri, 11/12/2015 - 10:36

NHS England - 
This briefing outlines the revised package of support for the vanguards programme which was announced in the NHS Five Year Forward View. The revised package has been updated to reflect the needs of the urgent and emergency care and acute care collaboration vanguards and includes the learning to date from the first 29 vanguards. It is the result of extensive engagement with the vanguards including site visits, workshops and discussions.

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Annual report of the Chief Medical Officer, 2014: the health of the 51%: women

Fri, 11/12/2015 - 10:30

Department of Health (DH) - 
This report examines women’s health in England and makes a range of recommendations to improve it. It identifies several missed opportunities for intervention in women’s health, and brings attention to ‘embarrassment’ as a needless barrier to health. It makes recommendations on a wide range of health issues, most notably obesity, ovarian cancer and ‘taboo problems’ such as incontinence and the menopause.

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Transposition of revised Mutual Recognition of Professional Qualifications (MRPQ) Directive

Fri, 11/12/2015 - 10:24

Department of Health (DH) - 
The revised MRPQ directive has brought in a number of changes that aim to further facilitate the free movement of professionals within the EU. This consultation sets out the changes that are specific to the sectoral health professions (nurses, midwives, pharmacists, doctors and dentists). It seeks views on the draft legislation that is needed to implement the changes and any potential impacts of the implementation. It also sets out a number of the cross-sector changes that were covered in the Department for Business Innovation and Skills consultation of March 2015 but that will impact on the health and care professional regulators. The consultation closes on 20 January 2015. 

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The A&E winter crisis: lessons from last year

Fri, 11/12/2015 - 10:10

Nuffield Trust - 
This analysis of winter pressures on the NHS found that 3.6 per cent of patients took up over a third of all bed capacity in acute hospitals in England last year. The patients in this group were likely to have been frail older people who weren't able to be discharged to their residence despite medical treatment being finished. It argues that this helps to explain why the NHS suffered a 'winter crisis' last year despite receiving extra funding from NHS England to deal with winter pressures. 

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Person-centred care around the world

Thu, 10/12/2015 - 16:27

The Health Foundation -
This directory of person-centred care organisations around the world was produced as part of an international environment scan of the field of person-centred care undertaken by Health Policy Partnership. It highlights the leading international centres working on similar aspects of person-centred care to the Health Foundation. The tool can help to identify person-centred care research, measurement and implementation ‘hot spots’ in different settings globally. The tool enables collaboration between those working on person-centred care by providing key information on the type of work being undertaken on person-centred care.

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Building the House of Care

Thu, 10/12/2015 - 16:06

The Health Foundation -
This paper explores how the House of Care, a coordinated approach to personalised care and support planning, can transform the health and care of people with long-term conditions (LTCs). It contains case studies of evolving practice in Leeds and Somerset and seeks to understand how two whole health economies - individuals, communities, health and social care services and others - are working to manage the rise in the number of people with multiple LTCs and enhance their care experiences. The paper is intended for CCGs, public health teams, other front-line providers and national bodies.

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Integrated digital care records: enabling information sharing

Thu, 10/12/2015 - 15:41

Centre of Excellence for Information Sharing -
This report looks at the approaches to integrated digital care records made from four local places. It considers the challenges and benefits from the various approaches and draws out the common themes from across the localities. Despite the different approaches taken, recommendations have been made by reviewing and comparing the information provided.

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