NHS Evidence - health management
House of Commons Public Accounts Committee -
This report warns that services for patients are likely to suffer following the collapse of an £800 million contract to provide older people's and adult community services. It sets out urgent recommendations to address the lack of commercial skills in the NHS and calls on NHS England and NHS Improvement to improve the oversight and supervision of contracting arrangements to avoid failures in future.
Freedom to speak up in primary care: guidance to primary care providers on supporting whistleblowing in the NHS
NHS England -
This guidance aims to make it easier for primary care staff to raise their concerns so that action can be taken and improvements made. The guidance has been produced following recommendations from the Freedom to Speak Up review which suggested that guidelines be adapted for primary care where smaller work settings can present challenges around anonymity and conflicts with employers.
Institute for Fiscal Studies (IFS) -
This paper presents an analysis of patients' hospital choice for elective medical procedures when their choice set is pre-selected by a GP. The study found that patients defer to GPs when assessing hospital quality and tangible attributes such as hospital ameneties and that GPs, in turn, as patients' agents present choice options based on quality, but as agents of health authorities also consider their financial implications.
Personal Social Services Research Unit (PSSRU) -
This report examines the economic case for investing in early interventions that reflect best practice in England. Commissioned by NHS England, the study included a comparison of the potential costs and consequences associated with such interventions compared with one or more alternative course of action (operationally defined as current practice, and sometimes referred to in studies as the ‘do nothing’ option).
New Local Government Network (NLGN) -
This essay collection brings together a selection of voices, representing different institutions and stakeholders in places, to show how place leadership is already emerging. The essays highlight the interconnectedness of local services, institutions and organisations and how a shared vision can help to deliver the best outcomes for local people.
Care Quality Commission (CQC) -
This report outlines the findings of a patient experience survey of people who have received community mental health services. It found that overall the majority of respondents reported a positive experience of care but that areas for improvement include patient involvement in their care decisions, provision of crisis care, named contacts for care planning and regularity of care reviews.
Department of Health (DH) -
This framework sets out progression and developments for forensic mental health social workers. It builds on the capabilities set out in the framework for social workers and it outlines pathways for post-qualifying progression and development for social workers practising within forensic mental health settings.
Commission on Children and Young People's Mental Health -
This is the final report from an independent commission which was tasked to reflect on the progress made in transforming children and young people's (CYP) mental health services following the government's promised investment of £1.4bn. The report highlights the government decision not to ringfence the CYP funding is putting the transformation process at risk. The commission also found that there is little clarity around whether the CYP funding is reaching frontline services and with increasing pressures on the NHS, there is a risk that the investment may be spent on other priorities.
The King's Fund -
Our latest quarterly monitoring report finds that big rises in demand for health care mean the NHS is heading into winter with its finances under pressure and performance against several key indicators at their worst level for more than a decade. For the first time, the report includes analysis of demand and activity in general practice and similarly finds an increase in patient contacts. Ahead of next week's Autumn Statement, the report highlights the impact of social care budget cuts on delayed discharges and problems in co-ordinating care.
Voluntary Organisations Disability Group (VODG) -
This practical resource aims to help to promote increased cooperation between social care commissioners and providers. It has been created in response to the need for resources to support social care providers in implementing the Social Value Act. The toolkit reflects an approach to commissioning which creates maximum value for money from public spending by realising addition benefits from providers with no extra cost to public funds. The toolkit also provides support on demonstrating added value for money that voluntary and not-for-profit organisations might deliver.
British Medical Association (BMA) -
This report warns that the GP patient record system in England is "in chaos" following a survey of 281 GP practices which has revealed widespread problems with the delivery of back office services by Capita. In September 2015, Capita were awarded an outsourced contract from NHS England to deliver administrative support services to GP practices and the survey of practices reveals the performance of Capita in delivering these services so far.
Department of Health (DH) -
This guidance is aimed at people who buy social care services, including local authority and clinical commissioning group commissioners, as well as personal budget holders and people who fund their own care, care service providers and potential investors in the care sector. It aims to help people and organisations understand adult social care market shaping and how to take action.
The King's Fund -
This report argues that STPs offer the best hope to improve health and care services despite having been beset by problems so far. STPs have been strongly criticised by politicians, local authority leaders and patient groups and this report supports many of the criticisms including patchy involvement of local government, clinicians, frontline staff and patients and that there is a lack of a governance structure or formal authority for STP leaders. Despite this, the report supports the idea behind STPs and offers suggestions for helping to make them work better.
Social Care Institute for Excellence (SCIE) -
This report argues that adult social care will struggle to continue to provide good services that meet rising demand without significant transformation. It explores the potential for scaling up some of the most promising examples of care and support services, using data from Birmingham City Council, to see what their impact would be on outcomes and costs. It finds that total transformation of care and support indicates potential improvements in outcomes for individuals, and potential savings of £6.6 million to the adult social care budget, along with £1.4 million to the NHS, per year, if three promising models were fully scaled up in Birmingham.
Nuffield Trust -
This report describes the results of a pilot analysis of the effectiveness of using routine health care data to determine areas that have made quality improvements in the care of frail and older people over time. It focuses on a few indicators that were mainly derived from acute emergency hospital use and applies statistical analyses to them at the local authority area level. It concludes that there is scope to use these methods and approaches not only to track past change, but also as part of real-time monitoring of ongoing interventions.
This report is based on a survey of more than 1000 home care, residential support and day services staff across the UK and it finds that budget cuts are having a direct impact on the quality of care. 63 per cent of staff surveyed report having less time to spend with their users due to staff shortages and 36 per cent said that the rationing of supplies had increased.
County Councils Network -
This report outlines the issues and funding pressures facing county authorities in delivering adult social care. The results of a survey of county directors of adult social care reveals that 88 per cent believe their budgets to be 'severe' or 'critical' and 12 per cent report their current funding levels as 'manageable'. The report argues that social care pressures are most acute in county areas due to the fastest-growing elderly populations and the proportionately reduced funding in county authorities.
House of Commons Library -
This briefing provides an overview of the local government finance settlement for England in 2016-17. It provides projections for the spending power of local authorities up until 2019-20 and also outlines the trends in funding of revenue expenditure from 2010-11 up until 2016-17.
NHS Employers -
This case study from Kettering General Hospitals shares their experiences of how they've improved their staff engagement levels through the implementation of a workforce development strategy. The strategy focuses on eight key objectives and is based on findings from the NHS Staff Survey and is aligned to the trust's wider five year organisational strategy.
Skills for Care -
These nine regional reports and infographics use data from the National Minimum Data Set for Social Care and they give a picture of the adult social care workforce across England. The reports include data on a profile of the ageing population; the size of the adult social care workforce; an outline of recruitment and retention issues; pay rates; qualification levels; and demographic profiles of the workforce.