NHS Evidence - health management

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A practical guide to self-management support: key components for successful implementation

Thu, 10/12/2015 - 14:55

The Health Foundation -
This guide provides an overview of self-management support and the key components for effective implementation. It is aimed at those starting their self-management support journey and those building on and improving the support that they already provide. The guide explains what self-management support is and why it is important. It then looks at various aspects of putting it into practice, including planning and commissioning, building knowledge, skills and confidence, and measurement and evaluation. It also contains suggestions for further reading and case studies of self-management support in practice.

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Patients' experience of using hospital services: an analysis of trends in inpatient surveys in NHS acute trusts in England 2005-13

Thu, 10/12/2015 - 14:29

The King's Fund -
Patient surveys - recognised internationally as a key marker of the quality of care, and an important tool for improvement in the NHS - provide a unique perspective, complementing the wealth of other data on hospital performance gathered by trusts and regulators. Now, for the first time, The King’s Fund and Picker Institute Europe have analysed longitudinal inpatient survey data for acute trusts over a nine-year period (2005 to 2013). The survey questions that were analysed (20 of a much larger number) were grouped into five aspects of care that matter most to patients: access and waiting; safe, high-quality co-ordinated care; better information, more choice; building better relationships; and a clean, comfortable and friendly place.

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National mapping of weight management services: provision of tier 2 and tier 3 services in England

Thu, 10/12/2015 - 14:00

Public Health England -
This report explores the provision of tier 2 and tier 3 weight management services for children, young people and adults that are locally commissioned through local authorities and clinical commissioning groups. It provides insights into how these services are delivered across England including referral routes and entry criteria, service details, costs, exit routes and barriers to commissioning services.

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NHS bursary reform

Thu, 10/12/2015 - 13:46

Department of Health -
From 1 August 2017, new nursing, midwifery and allied health students will no longer receive NHS bursaries. Instead, they will have access to the same student loans system as other students. This guidance explains the reforms.

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The A&E winter crisis: lessons from last year

Thu, 10/12/2015 - 13:42

Nuffield Trust -
England’s NHS has faced a succession of winter crises in A&E departments. In 2014/15 an extra £700 million was spent as the Government promised the Health Service would be “better prepared than ever”. But this did not prevent the worst waiting times performance in a decade, and a string of black alerts. This briefing draws on expert seminars and analysis by the Nuffield Trust and others to answer the question of what happened to the £700m spent on addressing winter pressures last year, and looks at how the same mistakes can be avoided.

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Transforming local services through digital

Thu, 10/12/2015 - 09:54

Local Government Association (LGA) - 
The purpose of this paper is to explore the wider potential of digital tools, technologies and approaches to support ‘transformation' - that is the fundamental redesign of local services so that they deliver better outcomes, in a more targeted and timely fashion, at less cost - building on existing exemplars. It discusses the use of digital tools and technology to support the integration of health and social care.

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Collective action for knowledge mobilisation: a realist evaluation of the Collaborations for Leadership in Applied Health Research and Care (CLAHRCs)

Wed, 09/12/2015 - 16:54

National Institute for Health Research (NIHR) - 
The establishment of CLAHRCs was the culmination of a number of policy initiatives to bridge the gap between evidence and practice. CLAHRCs were created and funded to facilitate development of partnerships and connect the worlds of academia and practice in an effort to improve patient outcomes through the conduct and application of applied health research. This study evaluates the effectiveness CLAHRCs initiative so far in disseminating knowledge, research and new ideas.

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Health in 2015: from millennium development goals (MDGs) to sustainable development goals (SDGs)

Wed, 09/12/2015 - 16:53

World Health Organization (WHO) - 
In 2015 the MDGs come to the end of their term, and a post-2015 agenda, comprising 17 SDGs, take their place. This report looks back 15 years at the trends and positive forces during the MDG era and assesses the main challenges that will affect health in the coming 15 years. The 17 SDGs are broader and more ambitious than the MDGs, presenting an agenda that is relevant to all people in all countries to ensure that "no one is left behind." The new agenda requires that all 3 dimensions of sustainable development - economic, social and environmental - are addressed in an integrated manner.

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The role of allied health professionals in public health: examples of interventions delivered by allied health professionals that improve the public's health

Tue, 08/12/2015 - 13:36

Public Health England (PHE) - 
PHE commissioned a team of academics led by Sheffield Hallam University to undertake an initial review to identify examples where there is good evidence of impact on public health by Allied Health Professionals (AHPs) and therefore an opportunity to broaden practice; and to identify areas which require more focus to demonstrate impact by AHPs on public health.

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National Information Board prospectus: September 2015

Tue, 08/12/2015 - 13:27

National Information Board (NIB) - 
This report is an interim review of progress for the National Information Board, in advance of its annual report, which is due to be published in March 2016. It describes the impact of Personalised Health and Care 2020 (PHC2020) for patients, citizens and professionals.

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Women in clinical commissioning leadership: a case for change

Tue, 08/12/2015 - 11:15

NHS Clinical Commissioners - 
This report looks at why there is a lack of gender diversity in health leadership, the efforts currently being made to improve this, and actions that need to be taken to increase female leadership in the clinical commissioning arena.

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Cancer cash crisis

Tue, 08/12/2015 - 11:02

Macmillan - 
This report finds that NHS in England spends more than £500 million a year on emergency care for people diagnosed with the four most common cancers alone. Of this, more than £130m is spent treating people more than six months after their diagnosis, when initial treatment has usually finished. The report warns that a lack of post-diagnosis support for people living with cancer is putting increased pressure on overstretched A&E departments as the health service faces another winter of high demand.

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Saving lives, improving mothers' care

Tue, 08/12/2015 - 10:47

National Perinatal Epidemiology Unit (NPEU) - 
This is the second report of the confidential enquiry into maternal deaths and it details the findings of maternal mortality surveillance 2011 to 2013 in the UK and the lessons learned from the confidential enquiries into maternal deaths of women with mental health-related problems, substance misuse, cancer and blood clots and women who died by homicide. Overall, the maternal mortality rate in the UK continues to fall largely as a result of a reduction in deaths from ‘direct’ pregnancy causes. However the rate of deaths from ‘indirect’ causes has not reduced significantly. It highlights the need for improved care of pregnant women with mental illness, substance misuse problems or socially complex lives.

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Healthwatch England: co-creating the future of primary care

Tue, 08/12/2015 - 10:42

Healthwatch - 
This report outlines the findings from two deliberative events with a cross-section of the public which aimed to investigate what patients want from primary care in the future. The discussions found that patients wanted a more joined-up approach to care; that they were in favour of greater self-referral; and that technology had the power to increase efficiency within primary care.

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Making a fair contribution: consultation on the extension of charging overseas visitors and migrants using the NHS in England

Tue, 08/12/2015 - 10:15

Department of Health (DH) - 
This consultation seeks views on proposed changes to further extend charging for overseas visitors and migrants who use the NHS. It explores changes in primary care, secondary care, community health care and current residency requirements. The consultation closes on 7 March 2016. 

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Appointment of the Chair of the Care Quality Commission

Tue, 08/12/2015 - 09:59

House of Commons Health Select Committee - 
This report details a pre-appointment hearing to consider the preferred candidate for the Chair of the Care Quality Commission. Following the hearing, the committee endorsed Peter Wyman but highlighted his lack of clinical experience and made recommendations to rectify this.

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The socioeconomic and demographic characteristics of United Kingdom junior doctors in training across specialities

Tue, 08/12/2015 - 09:40

Centre for Health Economics (CHE) - 
This study finds that junior doctors who opt to become surgeons in the NHS are more likely to be male, white and from a better-off background. It also found that in general, junior doctors from better-off socioeconomic backgrounds are less likely to go into general practice than  other specialties. The research also confirmed a persistent gender gap - more surgeons are male and more GPs are female.

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Diagnosis: overrated - an analysis of the structural flaws in the NHS

Fri, 04/12/2015 - 16:00

Institute of Economic Affairs -
This report looks at NHS performance and discusses the funding structure, patient choice and how health outcomes compare with other countries.

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Debt and health: a briefing

Thu, 03/12/2015 - 15:07

Picker Institute Europe -
This briefing focuses on the relationship between debt and health, including the health related consequences of debt, the impact it can have on individual mental health and recommendations for implication prevention.

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How safe are NHS patients in private hospitals? Learning from the Care Quality Commission

Wed, 02/12/2015 - 16:21

Centre for Health and the Public Interest (CHPI) -
This report uses findings from the Care Quality Commission (CQC)’s new inspection regime for private hospitals suggests that there continue to be risks to patient safety associated with the distinctive nature of private hospitals in England, compared with the NHS. It analyses the data reported for the first 15 private hospitals inspected under the CQC’s new inspections regime.

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