NHS Evidence - health management
General Medical Council -
Increasingly heavy workloads are eroding the time doctors have for training, according to the GMC's annual survey of medical education and training in the UK. The 2016 national training survey, which canvassed opinions from around 55,000 doctors in training, showed that while most doctors continue to rate their training experience positively, there were areas of concern.
Carers UK -
Based on findings from Carers UK’s State of Caring Survey 2016, this research explores the time it takes for people to recognise they have taken on a caring role, and whether they had missed out on support because they simply didn’t think of themselves as a carer. It also looks at the impact that missing out on support can have across carers’ lives.
This is the final report of the Realising the value programme, an 18-month programme funded by NHS England in support of the NHS Five Year Forward View vision to develop a new relationship with people and communities. The report sets out ten key actions on what should be done and how people need to work differently to put people and communities at the heart of health and wellbeing.
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 Lord Kerslake, Chair of King’s College Hospital NHS Foundation Trust and President of the Local Government Association, argues that there would be benefits if the NHS had to balance its books in the same way as local government.
Royal College of Physicians (RCP) -
This is the third annual Sentinel Stroke National Audit Programme (SSNAP) report and it reveals that despite continuing improvements in stroke care there is still more work to do to ensure that all patients have access to high quality care regardless of where they live or when they are admitted to hospital. The audit measures processes of care as well as the structure of stroke services and it aims to provide timely information on how well stroke care is being delivered.
Building capacity: realising the potential of community pharmacy assets for improving the public's health
Royal Society for Public Health (RSPH) -
This report, produced in conjunction with Public Health England, identifies a number of opportunities and challenges for community pharmacy teams to further support the public’s health. It provides a snapshot of the extent to which pharmacy teams are supporting the public’s health, the opportunities and challenges they may face and what can be done to address the challenges. The report includes findings from a survey of over 600 community pharmacy staff and found that 74 per cent of respondents think that the sector is underutilised but 51 per cent note that capacity in terms of staff numbers and appropriate facilities is a barrier to delivering a wider range of services.
Royal Pharmaceutical Society (RPS) -
This report argues the case for community pharmacists being able to routinely prescribe medicines for people with long term conditions and refer them directly to other healthcare professionals to ease the overwhelming demand facing the NHS. Currently, the care of people with long term conditions accounts for half of all GP appointments, 64 per cent of outpatient appointments and 70 per cent of all health and social care spending. The report estimates that up to £500 million of extra value could be generated if medicines were used in a more optimal manner in five therapeutic areas: asthma, diabetes, high blood pressure, vascular disease and schizophrenia.
NHS Providers -
This survey of NHS trust chairs and chief executives has revealed rising concerns over the growing NHS workforce gap. 172 NHS leaders responded to the survey and only 27 per cent of these respondents reported confidence in having the right staff numbers, quality and skill mix to deliver high-quality care. The report provides examples of where trusts are improving quality of care and increasing productivity despite financial constraints and growing demand. The report highlights that trusts are able to deliver when given achievable tasks but warns that the sustainability of services is at risk.
House of Commons Library -
In October 2016, the government announced a new funding settlement for NHS contractors providing services under the community pharmacy contractual framework. Compared to 2015/16 levels, the funding settlement includes a reduction of four per cent in 2016/17 and a further 3.4 per cent in 2017/18. The briefing paper outlines the implications of these changes.
Centre for Health Economics (CHE) -
This paper examines the change in the effect of market structure on hospital quality for elective procedures following changes in 2006 to encourage greater patient choice of hospital in England. The study finds that post-2006, hospital quality was reduced as the probability of emergency readmission was increased for hip and knee replacement patients.
British Medical Association (BMA) -
A recent survey of BMA members in England finds that 84 per cent of respondents report that unchecked and growing workload pressures are undermining their ability to provide safe and quality care. Of this figure, 57 per cent described their daily workloads as ‘unmanageable’ with a further 27 per cent saying that excessive pressures are directly impacting standards.
Challenges and opportunities in improving access to medicines through efficient public procurement in the WHO European Region
World Health Organization (WHO) -
This report reviews how different public procurement practices can influence prices and ensure supply security for pharmaceuticals. It discusses the use of increased collaboration as a means to improve procurement outcomes. In particular, it seeks to provide insights into the following question: how can public strategic procurement and increased collaboration, within and across countries, contribute to improving access to high-cost medicines in Europe?
Royal College of General Practitioners (RCGP) -
This report, written in partnership with the British Geriatrics Society, showcases how GPs and geriatricians are collaborating to design and lead innovative schemes to improve the provision of integrated care for older people with frailty. It highlights 13 case studies from across the UK, ranging from schemes to help older people remain active and independent, to those providing better services in the community, to those supporting patients in hospital.
House of Commons Library -
This briefing paper provides information about the number of carers in the UK and the issues they face. It also explains the rights, benefits and support available to carers and government policy on caring.
Howard League for Penal Reform -
This report, written in conjunction with the Centre for Mental Health, reveals that 2016 has been the worst year on record for prison suicides with 102 suicides recorded since the beginning of the year. The report highlights the action that needs to be taken to improve the safety and mental health of prisoners in England and Wales. It calls for a reduction in the use of solitary confinement and an increase in investment in staffing.
NHS Employers -
This case study discusses how Barking, Havering and Redbridge University Hospitals NHS Trust partnered with Creative English to develop and deliver a learning programme for their international staff, designed to improve confidence in conversational English.
House of Commons Library -
This briefing gives details on the nationality of NHS staff by region for doctors, nurses and other categories in England.
Institute for Healthcare Improvement -
In the past few years, East London NHS Foundation Trust has reduced incidents of inpatient violence, medication errors, waiting times for treatment in the community, and improved staff satisfaction and engagement, among other improvements. This report looks at what made these achievements possible. Please note that registration is required before viewing this document.
Healthcare Financial Management Association -
This map aims to promote best practice in identifying, delivering and monitoring cost improvement programmes in the NHS. It contains links to a range of tools and guidance to help NHS bodies improve their efficiency. The map is split into three sections: enablers for efficiency, provider efficiency and system efficiency. It highlights the successes some NHS providers have had in delivering specific efficiency schemes and provides sign-posts to existing tools and reference materials. It also includes updated definitions for different types of efficiency.
Leonard Cheshire Disability -
This report looks at the state of social care in Britain today and how a crisis in social care is impacting on the lives of disabled people across the country. It contains various case studies and lists actions for UK governments to help improve social care in Great Britain.