NHS Evidence - health management

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Freedom of information release: surplus/deficit financial data: acute NHS foundation trusts

Fri, 23/10/2015 - 10:42

Monitor - 
This document is the response to a freedom of information request for the current surplus/deficit (in this financial year to date) for all acute foundation trusts in England; and the projected surplus/deficit for the financial year 2015/16 for all acute foundation trusts in England.

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Hospital trusts productivity in the English NHS: uncovering possible drivers of productivity variations

Fri, 23/10/2015 - 10:35

Centre for Health Economics (CHE) - 
This study looks at how NHS trusts perform in terms of how much they produce given the resources (doctors, nurses, medicines and premises) they use. It finds that on these criteria - which economists call productivity measures - there is a lot of variation between trusts and that the best and worst performers stay the same over time. It is not possible to explain away the variation in terms of the kinds of patients that are treated. These results suggest that there may be scope for making substantial savings by ensuring that all trusts perform as well as the best ones.

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Sugar reduction: the evidence for action

Thu, 22/10/2015 - 14:32

Public Health England -
This document brings together the international evidence on interventions to help reduce the nation’s sugar consumption, as requested by the Department of Health. It contains options including further regulation of promotions, restrictions on the marketing of high sugar products, the impact of fiscal measures and a voluntary reformulation programme.

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Care pathways: guidance on appraising sustainability

Thu, 22/10/2015 - 11:56

Sustainable Development Unit -
The Coalition for Sustainable Pharmaceuticals and Medical Devices has produced innovative new guidance to enable sustainability to be considered when designing new models of care. The suite of documents will allow users to consistently appraise environmental impacts of health care pathways and can also be used when redesigning existing models or investigating the benefits of prevention.

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Managing demand and delivering differently: responses to the assessment capacity challenge

Thu, 22/10/2015 - 11:32

Local Government Association -
The demographic and financial context in which the Care Act's reforms are being embedded demands that local authorities are pro-active in transforming their ways of working and business processes, to meet demand and capacity challenges. This briefing document sets a number of innovative approaches to managing demand - drawing on councils' experiences preparing for the cap on care costs.

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Consultation on payment proposals for mental health services for adults and older people commissioned by CCGs in 2016/17

Thu, 22/10/2015 - 11:21

Monitor -
Monitor and NHS England are considering requiring commissioners and providers of adult and older people’s mental health care to adopt one of the following payment approaches in 2016/17: a payment approach based on year of care or episode of treatment or a payment approach based on capitation. Under both approaches an element of payment should be linked to the achievement of agreed quality and outcomes measures.

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Health and housing resources

Thu, 22/10/2015 - 10:38

Public Health England -
This series of resources was commissioned by Public Health England and developed by national partners. They aim to better equip professionals in environmental health, housing, public health and social care to work together locally to reduce the impact of poor housing and homelessness on physical and mental health and wellbeing, and the impact on health care and social care services.

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Report on selected summaries of investigations by the Parliamentary and Health Service Ombudsman: February and March 2015

Thu, 22/10/2015 - 10:29

Parliamentary and Health Service Ombudsman -
This report finds that too many unresolved complaints are being taken to the Parliamentary and Health Service Ombudsman which could have been resolved by public services locally, meaning that people are left waiting longer for answers and that much needed service improvements are delayed. It reveals the impact that public service failures can have on individuals and how its investigations have resulted in the organisations putting things right for people.

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Quarterly monitoring report: issue 17

Thu, 22/10/2015 - 10:17

The King's Fund -
This report examines the views of finance directors on the productivity challenge they face, as well as some key NHS performance data to see how the NHS is performing. Cuts in local authority social care budgets are adversely affecting health services, according to nearly 9 out of 10 (88 per cent) of NHS trust finance directors and 8 out of 10 (80 per cent) of clinical commissioning group finance leads surveyed for the report.

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The management of adult diabetes services in the NHS: progress review

Wed, 21/10/2015 - 11:39

National Audit Office -
Progress has been made in reducing the additional risk of death for people with diabetes and the additional risk of diabetes-related complications has been stable or has reduced for most complications, according to this report. However, there are still 22,000 people estimated to be dying each year from diabetes-related causes that could potentially be avoided. The report finds that performance in delivering key care processes and achieving treatment standards, which help to minimise the risk of diabetes patients developing complications in the future, is no longer improving.

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Briefing: the health and care of older people in England 2015

Wed, 21/10/2015 - 11:27

Age UK -
This report examines trends in funding, provision and the use of health and care services to investigate whether the health and care system is meeting the needs of older people in England.

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Prevent, reduce, delay: are councils meeting their new duties to support unpaid carers?

Wed, 21/10/2015 - 11:19

Carers Trust -
This research reveals that few councils in England have outlined how they are fulfilling the duties required of them under the Care Act 2014, which came into force this April. Under the Care Act local authorities have a duty to provide services to carers that prevent, reduce or delay them developing a need for support. But just 17 (13 per cent) of the 132 local authorities contacted by Carers Trust stated that they are working to identify carers and, of the 23 councils that mentioned having a prevention strategy in place, few provided details on the support they are providing specifically to help carers.

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UK National Screening Committee: evidence review process

Tue, 20/10/2015 - 12:53

Public Health England (PHE) - 
This document describes the process used by the UK National Screening Committee to review the evidence relating to the introduction, modification and cessation of national population screening programmes.

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Bliss baby report 2015

Tue, 20/10/2015 - 10:50

Bliss - 
This report has heard from neonatal units, transport services and parents across the country in order to assess the state of neonatal care in England in 2015. It found that neonatal staff are being forced to cope with consistently high demand, with far too few resources resulting in units being unable to meet national standards for high quality and safe care.

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Care in crisis: a survey highlighting the views of people with diabetes and how that relates to the reality of today's NHS

Tue, 20/10/2015 - 10:42

InDependent Diabetes Trust - 
This report outlines the results of a survey of over 15,000 people with diabetes and found that 40 per cent of those surveyed believe that the NHS has "worsened" since the reforms. It also found that 37 per cent were not given appropriate advice and information about diet and exercise at the time of diagnosis. It calls on the government to introduce a specialist diabetes organisation which would work with the clinical community to drive improvements in care and stresses that CCGs should be more strongly encouraged to follow NICE commissioning guidance for diabetes education courses.

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Care and continuity: contingency planning for provider failure

Tue, 20/10/2015 - 10:19

Local Government Information Unit (LGiU) - 
This guide outlines some of the reasons care providers fail and how councils have responded to the need to help people find new care. It is also a practical guide to developing contingency and continuity plans to help councils prepare for any provider failure and work through disruption with providers, care users and their families. It was developed through an open process in collaboration with social care professionals, the financial services industry, emergency planners and provider and user representatives. The accompanying resource pack provides sample plans and links to additional useful guidance.

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UK International Healthcare Management Association: prospectus and call for founder members

Mon, 19/10/2015 - 13:52

Department of Health (DH) - 
This prospectus outlines the founding of a new network for UK providers who are aiming to win international healthcare management contracts. The network will provide market intelligence and practical support; facilitate collaboration between member organisations; and bring commercial and NHS organisations together to strengthen their offer to international buyers.

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What works in schools and colleges to increase physical activity? A briefing for head teachers, college principals, staff working in education settings, directors of public health and wider partners

Mon, 19/10/2015 - 12:04

Public Health England (PHE) - 
This briefing provides an overview from the evidence about what works in schools and colleges to increase levels of physical activity among children and young people. It is aimed at head teachers, college principals, staff working in education settings, directors of public health and wider partners.

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Freedom of information request: national tariff, payment by results and financial indicators/metrics

Mon, 19/10/2015 - 12:01

Monitor - 
This letter contains Monitor's response to five requests for information relating to pricing, payment by results and the national tariff. This information request included questions about financial indicators/metrics used in the NHS and the use of reference costs; exploitation of the payment by results tariff; tariffs for treatment of pressure sores and for chest/lung conditions; how tariffs and national prices are calculated; and the national tariff and primary care.

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Annual accountability review: Parliamentary Under Secretary of State for Life Sciences and the Medicines & Healthcare products Regulatory Agency

Mon, 19/10/2015 - 10:46

Department of Health (DH) - 
This report contains the minutes from the ministerial annual accountability review with the Medicines & Healthcare products Regulatory Agency.

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