NHS Evidence - health management

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New care models and staff engagement: all aboard

Thu, 16/06/2016 - 13:40

NHS Confederation -
This publication brings together the experiences of four vanguards which are placing staff at the centre of new care models. The vanguards featured recognise that those on the front line of care have the best ideas about how to improve it – but need to feel empowered to do so.

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Securing health returns: realising the financial value of sustainable development

Wed, 15/06/2016 - 15:15

NHS Sustainable Development Unit -
This research has calculated that the NHS and wider health sector could save up to £414m and cut one million tonnes of carbon emissions every year by 2020. The analysis selected 35 areas and calculated their financial and environmental benefits. This report outlines areas that offer potential cash savings and environmental benefits. These include providing mental health services to people being treated for physical health needs in hospitals, encouraging staff to travel to work by bike or foot and increasing use of technology for communication - for instance between staff and for patients with long term conditions.

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Better mental health for all: a public health approach to mental health improvement

Wed, 15/06/2016 - 15:03

Faculty of Public Health - 
This report focuses on what can be done individually and collectively to enhance the mental health of individuals, families and communities by using a public health approach. It is intended as a resource for public health practitioners to support the development of knowledge and skills in public mental health. It presents the latter from the perspective of those working within public health, giving valuable interdisciplinary perspectives that focus on achieving health gains across the population.

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Leadership in the NHS: thoughts of a newcomer

Wed, 15/06/2016 - 14:51

The King's Fund -
Marcus Powell joined The King’s Fund earlier this year as Director of Leadership and Organisational Development, having spent his whole career outside the NHS in the private sector. This paper contains his initial observations about leadership in the NHS.

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Six principles for engaging people and communities: putting them into practice

Wed, 15/06/2016 - 14:29

National Voices -
This document is about creating person-centred, community-focussed approaches to health, wellbeing and care. It builds on the proposed new relationship with patients and communities set out in the NHS Five Year Forward View. It aims to complement a wider suite of products to be produced by national bodies for the health and care system as it moves forward with the implementation of innovations in care delivery.

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Stepping up to the place: the key to successful health and care integration

Wed, 15/06/2016 - 10:39

NHS Confederation -
Bringing together health and social care has been a constant and dominant policy theme for many decades, and many places around the country are already demonstrating the potential to do things differently. The Association of Directors of Adult Social Services, Local Government Association, NHS Clinical Commissioners and NHS Confederation believe it is time to put integrated systems and services to the test, to translate aspirations into action, and to ensure they deliver for our citizens. This briefing aims to describe what a fully integrated, transformed system should look like based on evidence.

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A survey of staffing levels of medical clinical academics in UK medical schools as at 31 July 2015

Mon, 13/06/2016 - 10:39

Medical Schools Council - 
This annual survey examines medical clinical academic staffing levels across the UK. Medical clinical academics are doctors who, in addition to treating patients in the NHS, are responsible for educating the doctors of the future and for carrying out research into all aspects of health and disease. The report finds that over the past five years, there has been a decline in the numbers of medical clinical academic staff in contrast to the increase in consultants across the NHS. The census also identifies changes in the make up of the clinical academic workforce with an increase in women and an ageing profile.

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Looking after infant mental health: a case for change

Mon, 13/06/2016 - 10:22

This report argues that our approach to the mental health needs of infants and children in care requires rethinking. The report sets out a number of solutions to increase the range and amount of supportive services for both foster carers and birth parents to make sure babies and young children in care have stable and loving placements, undoing the neural damage caused by abuse and neglect in their early lives.  The report is accompanied by a wide range of evidence from research and practice, from the UK and internationally.

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Medical workforce census report 2015

Mon, 13/06/2016 - 10:15

Royal College of Anaesthetists (RCOA) - 
This report provides comprehensive data on the anaesthetics workforce in the UK. It finds that while there have been increases in the numbers of consultant and specialty and associate specialist doctors since the previous census in 2010, the 2015 report confirms a number of challenges facing the specialty, including an existing unmet need for anaesthetics and intensive care medicine in trusts across the UK.

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Map of technology and data in health care

Fri, 10/06/2016 - 17:05

The King's Fund - 
Our interactive map brings together case studies from across England and the rest of world, highlighting some of the places that are experimenting with and implementing new technologies to achieve better health outcomes or more efficient care. This map is not a comprehensive listing of all such projects – it is limited to a selection of case studies featured in our publications and at our events, plus the NHS test bed sites set up to evaluate the real-world impact of new technologies.

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Engaging patients and communities in the community health needs assessment process

Fri, 10/06/2016 - 17:03

Hospitals in Pursuit of Excellence (HPOE) - 
This guide presents a model for engaging patients, their families and community members at each step of the process of developing a community health needs assessment.

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The economic consequences of outdoor air pollution

Fri, 10/06/2016 - 12:47

Organisation for Economic Co-operation and Development (OECD) - 
This report estimates that outdoor air pollution could cause six to nine million premature deaths a year by 2060 and cost 1 per cent of global GDP as a result of sick days, medical bills and reduced agricultural output, unless action is taken.

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GMC workshop - changes to reduce the impact of our fitness to practice processes on doctors

Fri, 10/06/2016 - 12:32

General Medical Council (GMC) - 
This report outlines proposals which originated from a workshop to discuss a set of draft proposals aimed at reducing the stress and impact that GMC processes can have on doctors, particularly those with health concerns. The report summarises key feedback received on the draft proposals and highlights further areas for consideration.

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Each baby counts: key message from 2015

Fri, 10/06/2016 - 11:21

Royal College of Obstetricians and Gynaecologists (RCOG) - 
This is the first annual report from RCOG's Each Baby Counts quality improvement programme which aims to halve the number of stillbirths, neonatal deaths and severe brain injuries by 2020. The report examines the interim data from 2015 and finds that the quality of local investigations into cases of stillbirth, early neonatal death and severe brain injury occurring as a result of incidents during term labour must improve. 

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Health leaders' panel: survey six - footprints, financing and staff morale

Fri, 10/06/2016 - 10:54

The Nuffield Trust - 
Since July 2014, the Nuffield Trust has regularly surveyed a panel of 100 health and social care leaders in England for their views on a range of issues including: finance, general practice and rationing. This is the sixth poll in the series and this poll focuses on NHS finances, staff morale and the Sustainability and Transformation Plan (STP) areas. The poll results identify a decline in staff morale in the last six months, linked to heavy workloads and financial pressures in the sector. Respondents also highlighted concerns about the successful implementation of STPs due to the survival instincts of previously independent bodies and the fragmented system of NHS governance.

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"Hiding who I am": exposing the reality of end of life care for LGBT people

Fri, 10/06/2016 - 09:52

Marie Curie - 
This report looks at the barriers that prevent lesbian, gay, bisexual and trans (LGBT) people from accessing end of life care and highlights their real-life experiences. Its findings indicate that nearly three-quarters (74 per cent) of LGBT people are not confident that health and social care services provide sensitive end of life care for their needs.  As a result, access to care is often delayed and LGBT people are more likely to experience unmanaged symptoms and pain at the end of their lives.

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NHS contracting for the provision of third party pharmacy out-patient dispensing services and service provider access to the Commercial Medicines Unit framework agreement prices

Fri, 10/06/2016 - 09:49

Department of Health (DH) - 

This guidance for NHS trusts and chief pharmacists, informs all stakeholders involved in outsourcing of outpatient pharmacy services of their responsibilities during this process. The document includes a template letter to help make sure a consistent message is sent to pharmaceutical manufacturers and suppliers about these arrangements.

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Inpatient survey 2015

Wed, 08/06/2016 - 17:04

Care Quality Commission -

This survey provides information on the experiences of people admitted to an acute or acute specialist NHS hospital in England in 2015. The results indicate that there have been small, but statistically significant improvements in a number of questions, compared with results dating back to the 2014, 2011 and 2006 surveys. This includes patients’ perceptions of the quality of communication between medical professionals (doctors and nurses) and patients, the standards of hospital cleanliness, the availability of help to eat when needed, the number of nurses on duty and being involved in decisions about their care and treatment.


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Building better participation

Wed, 08/06/2016 - 16:58

National Association for Patient Participation -
The National Association for Patient Participation (NAPP) has launched a new resource guide to help all GP practice Patient Participation Groups (PPGs) to work effectively.  The resource will help all PPGs – whether they are long-standing or recently formed to reflect on what they do. It is a useful tool for GP practices and CCGs seeking to support effective PPGs.

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Personal budgets in social care

Wed, 08/06/2016 - 16:45

House of Commons Public Accounts Committee -
This Public Accounts Committee reports warns that stronger measures are needed to safeguard the interests of adults receiving personal budgets for social care. The Committee calls on the Department of Health to set out clearly to local authorities and providers 'what high-quality and proportionate support looks like' and how much it costs, and recommends a range of analytical and other measures to safeguard users' interests and the social care market.

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