NHS Evidence - health management

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How is the NHS performing? Quarterly monitoring report, July 2014

Thu, 17/07/2014 - 11:40

The King's Fund -
This report illustrates the pressures on NHS finances, with a quarter of NHS trust finance directors surveyed for the report expecting to overspend their budgets this year. Analysis of the data collected for the report shows that the nursing workforce increased by almost 9,000 over the past six months to nearly 315,000 – the highest on record. This underlines the choice facing hospitals: whether to balance the books or maintain quality of services, with many choosing to recruit more nurses despite their budgets being stretched to the limit. It warns that cracks are beginning to appear in NHS performance as a result of the growing financial pressures and rising demand for services.

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We are primary care

Thu, 17/07/2014 - 10:51

Pharmacy Voice -
This cross-sector report urges the public and policy makers to look beyond general practice as the only alternative to hospital care. It highlights the political drive to address the extreme demand and fiscal pressure on the NHS by taking care out of hospital and into the community, but argues that this can only be successful if people have a clear understanding that GPs are not always the most appropriate first contact. It further argues that reducing demand is an imperative and that high street health specialists have a key role to play in tackling public health challenges like smoking and obesity.

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Mortality measurement: the case in favour

Wed, 16/07/2014 - 11:56

Dr Foster Intelligence -
This report was written in response to recent criticism in the media and the healthcare world of the use of risk-adjusted mortality measures. The authors advocate a multidimensional approach to measuring healthcare – including the use of risk-adjusted mortality measures – as the best way of monitoring safety and improving quality.

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Acute and emergency care: prescribing the remedy

Wed, 16/07/2014 - 11:04

The College of Emergency Medicine -
The College of Emergency Medicine convened a summit in March 2014 to bring together key policy makers, opinion formers and leaders in acute healthcare to develop solutions to the challenges and to strengthen the system for future service demands. This report contains the consensus recommendations of this summit. It lists recommendations to address the challenges and to build safer, more effective and efficient urgent and emergency care services for all patients.

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Husband, partner, dad, son, carer?

Tue, 15/07/2014 - 13:47

Carers Trust - 
This report looked at the experiences and needs of male carers and highlights the need for support for informal carers. Over half (53%) of the male carers surveyed felt that their needs were different to those of female carers, many citing that men find it harder to ask for help and support and that balancing work and caring is challenging, particularly if they are the main earner.

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Is access to surgery a postcode lottery?

Tue, 15/07/2014 - 13:42

Royal College of Surgeons (RCS) - 
This report warns that many CCGs are ignoring clinical evidence in their surgical commissioning policies, leading to some patients are facing long delays for surgical treatment. The study investigated commissioning policies relating to four common surgical procedures carried out on the NHS and compared those policies to evidence-based guidance published by The Royal College of Surgeons, the surgical specialty associations and NICE.

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Housing associations and the NHS: new thinking, new partnerships

Tue, 15/07/2014 - 11:59

The Smith Institute - 
The treatment and care of more people in their own communities and the provision of more support to allow them to stay in their own homes or in specially designed accommodation is vital if our society is to cope with an ageing population and the growing number of people with multiple long-term conditions. Furthermore, given the increase in demand and the consequential rise in healthcare costs, it is essential to secure efficiency savings and productivity improvements wherever possible. Much greater integration of health and housing is widely seen as one way of meeting these challenges. The report provides a snapshot of current thinking around some elements of the agenda, including using surplus NHS land to improve clinical outcomes. The report aims to stimulate a debate across both disciplines and help shape the policy response.

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Improving NHS care by engaging staff and devolving decision-making

Tue, 15/07/2014 - 11:51

The King's Fund - 
An independent review for the government has concluded that more NHS organisations should be encouraged to become public service mutuals. The review, led by Chris Ham, Chief Executive of The King’s Fund, found compelling evidence that NHS organisations with high levels of staff engagement – where staff are strongly committed to their work and involved in decision-making – deliver better quality care. While staff engagement levels have increased across the NHS in recent years, the review found significant variations between organisations. It calls on all NHS organisations to make staff engagement a key priority in order to improve care at a time of unprecedented financial and service pressures.

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Safe staffing for nursing in adult inpatient wards in acute hospitals

Tue, 15/07/2014 - 10:00

National Institute for Care and Excellence (NICE) - 
This guidance is designed to help ensure safe and efficient nurse staffing levels on hospital wards that provide overnight care for adult patients in England and is in response to concerns about standards of patient care following the Mid-Staffs inquiry. The guidance committee concluded that when each registered nurse is caring for more than 8 patients this is a signal to check that patients are not at risk of harm. At this point senior management and nursing managers should closely monitor red flag events, analyse safe nursing indicator data and take action if required. No action may be required if patient needs are being adequately met.

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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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