NHS Evidence - health management

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Examining new options and opportunities for providers of NHS care: the Dalton review

Fri, 05/12/2014 - 10:18

Department of Health (DH) - 
This report is the result of an independent review which looked at the challenges faced by providers of NHS care by examining organisational models to identify key markers and characteristics in order to improve quality of hospital care. It highlights five important themes which include the need for quicker transactional and transformational change; the need for sustainability within the provider sector; and that a one-size-fits-all approach does not work. 

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Exploring international acute care models

Thu, 04/12/2014 - 14:44

Monitor -
Monitor have looked at acute service line models in countries other than England to help inform and support the current thinking on potential new models of care in the NHS. This report focuses on how these service models work in other health systems. It recognises that international models might need to be applied differently in the NHS and so alongside this report Monitor have launched an engagement exercise seeking views on their greater use in the NHS.

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Managing quality in community health care services

Thu, 04/12/2014 - 14:23

The King's Fund -
Community health care services provide vital care out of hospital for millions of people. From children’s services to care for older people and end-of-life support, the community sector plays a key part in meeting the challenges facing our health and care system. This report presents findings from a small-scale study into how quality is managed in community services. It explores how community care providers define and measure quality and recommends important next steps to support better measurement and management of quality.

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Access to services: the Immigration Act 2014 and key equality impacts

Wed, 03/12/2014 - 16:32

Race Equality Foundation -
As the Immigration Act (2014) is implemented, a new charging regime for primary care is scheduled come into force next year - which may impact voluntary sector providers and on the health of BME groups. The charge is targeted at migrants who are in the UK for less than six months and who have not paid a new health surcharge. The charging regime is set to apply to primary care such as minor surgeries, A&E, and services outside of hospital.

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Autumn statement

Wed, 03/12/2014 - 16:00

HM Treasury -
The Chancellor of the Exchequer George Osborne gave his annual Autumn Statement to Parliament on 3 December 2014. It included provision of £2 billion of additional funding for frontline NHS services in England in 2015-16. This is part of a multi-year £3.1 billion UK-wide investment in the NHS.

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Intrapartum care: care of healthy women and their babies during childbirth

Wed, 03/12/2014 - 14:41

National Institute for Health and Care Excellence (NICE) -
This guideline offers evidence-based advice on the care of women and their babies during labour and immediately after the birth. It covers healthy women with uncomplicated pregnancies entering labour at low risk of developing intrapartum complications. New recommendations have been added in a number of areas, including choosing place of birth, care during the latent first stage of labour, transfer of care, fetal assessment and monitoring during labour and management of the third stage of labour.

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Sentinel Stroke National Audit Programme (SSNAP) reports

Tue, 02/12/2014 - 16:58

Royal College of Physicians (RCP) - 
These two reports from SSNAP show that despite steady progress in the care of stroke patients in the UK, there are still major shortages of both nurses and doctors. The organisational audit measures the staffing levels, resources and facilities available in every hospital that cares for stroke patients acutely whilst the annual patient care audit provides answers to questions about the type of patient having a stroke, whether or not they are being treated quickly enough, receive enough therapy, where patients go for treatment including after their hospital stay, and whether they get the clot-busting drugs they require.

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Urgent and important: the future for urgent care in a 24/7 NHS

Tue, 02/12/2014 - 12:45

Urgent Care Commission - 
The Urgent Care Commission, supported by an unrestricted grant from Care UK, explores the provision of urgent and out of hours care in England and makes eight recommendations to improve standards and ensure the most efficient use of resources. It also highlights concerns from GPs that out of hours care is being hindered by a lack of integration with in-hours services and insufficient resources to consistently provide high quality care.

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Accident and emergency survey 2014

Tue, 02/12/2014 - 10:26

Care Quality Commission (CQC) - 
The results of this annual patient survey finds that 80 per cent report a good A&E experience, but there are still problems with patient discharge and people waiting too long for pain relief. The findings demonstrate that departments are largely caring, however, more work needs to be done so that services are safer, are more effective and are more responsive to people’s needs.

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Key to care: report of the Burstow Commission on the future of the home care workforce

Tue, 02/12/2014 - 09:59

Local Government Information Unit (LGiU) - 
This report outlines clear recommendations on what needs to change to have a professional, well-paid, well-trained and properly regulated workforce who can provide the quality of care at home that people need. But it also recognises the complex nature of social care and the interrelatedness of problems and solutions.

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Working better together: community health and primary care

Mon, 01/12/2014 - 14:19

NHS Confederation - 
This slidepack captures the main points from a workshop on integrated working between primary care and community health services. The workshop was organised by the NHS Confederation's Community Health Services Forum in partnership with the National Association of Primary Care, in September 2014.

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I’m still me: a narrative for coordinated support for older people

Mon, 01/12/2014 - 14:13

National Voices - 
This document, produced in collaboration with UCLPartners and Age UK, sets out how integrated care and support looks and feels to older people and is written from their point of view. It outlines five themes that older people say are key to coordinated support: independence, community interactions, decision making, care and support and terminology.

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Overcoming obesity: an initial economic analysis

Mon, 01/12/2014 - 14:02

McKinsey & Company
This discussion paper brings together a range of case studies and examples of obesity interventions from around the world and presents them with an initial assessment of their cost-effectiveness.

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Mental health for sustainable development

Mon, 01/12/2014 - 11:45

All-Party Parliamentary Group on Global Health - 
This report, written in collaboration with the All-Party Parliamentary Group on Mental Health, considers what the UK is currently doing to improve mental health globally and whether UK expertise and resources could be more effectively used to meet this challenge.

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Ethnicity, health and the private rented sector

Fri, 28/11/2014 - 17:30

Racial Equality Foundation - 
The link between poor housing and poor health is well documented and extremely complex, with numerous confounding factors having direct and indirect impacts on both physical and mental health. Evidence shows that homes in the private rented sector in England are in poorer physical condition compared to owner-occupied or social rented sector homes, whilst the recession has led to rising levels of insecurity within the sector, which may also have an impact on the health of residents. While the likelihood of living in the private rented sector has grown for all demographic groups, black and minority ethnic households, younger people and recent migrants are over-represented both in the private rented sector and in homes which are in poor physical conditions. This paper looks at the relationship between poor housing and health for black and minority ethnic communities and also considers recent policy responses and practical developments.

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Going home alone: counting the cost to older people and the NHS

Fri, 28/11/2014 - 17:28

Royal Voluntary Service - 
This report, written in association with The King's Fund, argues that older people returning home from hospital without enough support are more than twice as likely to be readmitted within three months. It argues that older people and their families, doctors, nurses, other charities, the general public and commissioners working together we can challenge the rising readmission rates for older people, to the benefit of everyone.

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The bigger picture: understanding disability and care in England’s older population

Fri, 28/11/2014 - 15:12

Strategic Society Centre - 
This project explores disability and care at a national, regional and local authority level in England. It brings together data from the 2011 Census, the Department for Work and Pensions and Health and Social Care Information Centre administrative data, as well as from Wave 6 of the English Longitudinal Study of Ageing, to look at the prevalence of disability, need and care of different types, and to ‘paint a picture’ of the lives of different groups. The accompanying policy discussion paper uses the findings of the research to evaluate public policy in relation to the reach of publicly funded support, unmet need, consistency vs. variation, as well as to explore issues around the implementation of the Care Act in light of findings from the research.

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Supporting influence on health and wellbeing boards: survey

Fri, 28/11/2014 - 14:36

Regional Voices - 
This annual survey asks the voluntary, community and social enterprise (VCSE) sector about engagement with health and wellbeing boards - what is working well, what could work better and what support would help? The aim of the survey is to capture how VCSE engagement with health and wellbeing boards is changing over time. The closing date for this survey is 23 January 2015.

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Triennial review of the Independent Reconfiguration Panel (IRP): call for evidence

Fri, 28/11/2014 - 13:49

Department of Health (DH) - 
The DH undertakes a triennial review of all arm's length bodies and this document is a call for evidence on the performance and function of the IRP. 

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CQC inspections of dental, ambulance and independent acute healthcare services consultation

Fri, 28/11/2014 - 13:23

Care Quality Commission (CQC) - 
These consultation documents outline proposals for changes to the way that dental, ambulance and independent acute healthcare services are inspected by CQC. The proposals include new ways to inspect services with chief inspectors and public involvement on the teams; using a new intelligent monitoring system to prioritise inspections; and listening to people's experiences of care. This consultation closes on 23 January 2014.

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