NHS Evidence - health management

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Parity in progress?

Mon, 09/03/2015 - 14:40

All Party Parliamentary Group on Mental Health - 

This report calls for an end to the ‘institutional bias’ against mental health in the NHS. The APPG Mental Health report  also asks that the next government accelerates its efforts to bring mental health services up to the standard of physical health services.

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DRIVERS: social inequalities in early childhood health and development, evidence and policy implications,

Fri, 06/03/2015 - 15:38

UCL Institute of Health Equity - 
This paper examines health inequalities in relation to early childhood health and development in order to discern the causes of social inequalities. It also examines available evidence in order to make recommendations for policy and practice.

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Central cuts, local decision-making: changes in local government spending and revenues in England, 2009-10 to 2014-15

Fri, 06/03/2015 - 15:34

Institute for Fiscal Studies (IFS) - 
This briefing note uses data from the Department for Communities and Local Government to delve into a number of questions about how local governments in England have responded to the reductions in their revenues. They have been forced to cut back significantly on service spending, but not all local authorities have been affected equally or reacted in the same way.

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The homecare deficit: a report on the funding of older people’s homecare across the United Kingdom

Fri, 06/03/2015 - 15:07

UK Homecare Association (UKHCA) - 
Using data obtained under freedom of information legislation, this report provides a snapshot of the national and regional picture of under-funding of homecare services for older people across the United Kingdom. It highlights the level of risk that councils in Great Britain (and health and social care trusts in Northern Ireland) place on a system intended to support older people.

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Better Care Fund - London Council's seven point plan

Fri, 06/03/2015 - 14:46

London Councils - 
This paper argues that health and wellbeing boards should be at the centre of managing winter pressures to prevent a repeat of the crisis in A&E. It argues that health and wellbeing boards are best placed as they have taken an important role on Better Care Fund plans. The paper also calls for the government to make the additional £37 million provided to help with winter pressures to be included in yearly council budgets.

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Building a supportive environment: a review to tackle undermining and bullying in medical education and training

Fri, 06/03/2015 - 14:35

General Medical Council (GMC) - 
This report highlights and examines  circumstances where bullying and undermining of doctors in training is most likely to occur. The findings come from a representative sample of 12 UK hospitals which the GMC visited. These were chosen because concerns had previously been raised through the GMC’s national survey of doctors in training and for their size, type and geographic location. In many sample sites the issues had been resolved prior to the visit subsequently resulting in examples of good practice.

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Public Health England's grant to local authorities

Fri, 06/03/2015 - 14:32

House of Commons Public Accounts Committee - 
This report argues that many local authorities do not yet receive a proportion of public health funding that fairly reflects their needs. It highlights the need for the Department of Health to set out clear plans for how quickly it will move local authorities to their target funding allocations for public health. It also argues that Public Health England should provide more support to local authorities whilst developing a strategy to improve their influence on Whitehall.

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No voice unheard, no right ignored - a consultation for people with learning disabilities, autism and mental health conditions

Fri, 06/03/2015 - 14:19

Department of Health (DH) - 
This consultation seeks views to strengthen rights of people with learning disabilities, autism and mental health issues to enable them to live independently. It also also seeks to explores views on a number of issues relating to the Mental Health Act which were raised during the recent consultation on the revised Mental Health Act Code of Practice. The consultation closes on 29 May 2015.

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Prescribed Specialised Services Advisory Group: recommendations to ministers

Fri, 06/03/2015 - 14:07

Department of Health (DH) - 
This report outlines the recommendations to ministers on which health services should be considered to be specialised and be nationally commissioned by NHS England, rather than locally commissioned by clinical commissioning groups.

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Election 2015: what’s at stake for the NHS?

Fri, 06/03/2015 - 13:59

Centre for Labour and Social Studies (CLASS) - 
This guide covers the current challenges facing the NHS: increased pressure, plunging staff morale and impending funding crises, and how privatisation and marketisation has fundamentally damaged standards in healthcare. This pamphlet outlines how pressures could be lessened by eliminating costly competition processes. By repealing the Health and Social Care Act, integrating social care and boosting the wages of NHS staff the service will be able to begin to turn around the damage inflicted by top-down reorganisation.

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What's behind the A&E 'crisis'?

Fri, 06/03/2015 - 13:46

Nuffield Trust - 
This briefing examines the real reasons behind England’s A&E ‘crisis’, and warns that the emphasis on the four-hour waiting time target has become disproportionate. It also makes some recommendations to policy makers on how performance management should be approached in the future.

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Local leadership, new approaches: improving the health of local communities

Fri, 06/03/2015 - 10:58

Public Health England (PHE) - 
This report describes how local authorities and health teams are working together to improve the health of local communities through prevention and early intervention. It also features seven case studies, each of which describes a particular programme or close partnership between a local authority and local public health or health care teams, often with the additional support of the voluntary sector.

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NHS adult hearing services in England: exploring how choice is working for patients

Fri, 06/03/2015 - 10:55

Monitor - 
This report presents the findings from Monitor's research and sets out how the NHS could ensure that choice works better for patients. The research sought views on how having a choice of NHS hearing loss services impacts patients.

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Tariff arrangements for 2015/16 NHS activity

Fri, 06/03/2015 - 10:53

Monitor - 
This letter is aimed at all chief executives of providers of NHS-funded care and discusses the tariff arrangements for 2015/16 activity. It provides new information on next year’s NHS funding and contracting round, and sets out decisions that need to be taken by 6 March 2015.

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Monitor and the Care Quality Commission: memorandum of understanding

Fri, 06/03/2015 - 10:52

Monitor - 
This memorandum of understanding sets out how Monitor and CQC will work together. It describes both organisations' respective roles, the principles followed and the agreed governance framework on joint areas of work.

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Country-level cost-effectiveness thresholds: initial estimates and the need for further research

Fri, 06/03/2015 - 10:50

Centre for Health Economics (CHE) - 
This report looks at whether a cost-effectiveness analysis of resource allocation is an economically viable method of improving population healthcare needs in low - and middle-income countries.

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Access to GP care

Fri, 06/03/2015 - 10:27

London Assembly - 
This report highlights GP shortages in London and investigates the issue of low morale and GP retention. It outlines a number of recommendations to improve access to primary care services in London such as commissioning further research into staff morale; a review of IT strategy to improve patient access; and greater collaboration between the Mayor of London and NHS England.

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The state of care in counties: the integration imperative

Fri, 06/03/2015 - 10:25

County All Party Parliamentary Group - 
This report from the County All Party Parliamentary Group is the result of an inquiry into integrated care and the future of adult social care. It concludes that the success of the health and social care integration is at risk in counties from overly centralised NHS structures entrenching barriers between services. It argues that there was a critical need for health and social care deals to enable counties and their partners in health to negotiate devolved deals suited to their local challenges.

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Putting patients in charge: the future of health and social care

Fri, 06/03/2015 - 10:18

Social Market Foundation - 

This report argues that a new system of charges is needed for an integrated NHS and social care service to distribute the costs of care more fairly across the system, to make funding more sustainable and to incentivise patients to prevent health needs and costs arising. It calls for the introduction of 'personal care accounts', where both the individual and the state contribute towards the costs of NHS and social care treatments. The funding model proposed in this paper puts health and social care on an equal footing and brings to an end the current unfair settlement where individuals face huge financial liabilities for social care, while the cost for their health needs is almost entirely paid for by the state. It would do this by redistributing £7 billion of charging that currently falls solely on social care patients in a more equitable way to all health and social care patients through expanded charging for health services.

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Ignoring the prescription?

Fri, 06/03/2015 - 10:16

Royal College of Emergency Medicine - 
This paper reports the findings of a survey of 142 clinical leaders in emergency medicine across the UK. The survey was carried out in response to the unprecedented pressures over the 2014/15 winter period and reveals just how much needs to be done to address the profound challenges facing A&E services.

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