NHS Evidence - health management

Who we are and what we do: our business plan for 2014 to 2015

Thu, 12/06/2014 - 15:28

Public Health England (PHE) - 
This business plan for 2014 and 2015 sets out the PHE’s core functions, outlines the key steps and actions it will be the taking over the next year to protect and improve the public’s health and reduce inequalities, and highlights some of its achievements in its first year. The accompanying letter from Jane Ellison MP confirms the role the government expects PHE to play in the health and care system in 2014 to 2015.

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Psychiatry's contract with society

Thu, 12/06/2014 - 15:06

Mental Health Foundation (MHF) - 
This survey is part of a larger piece of research looking at the unwritten but implicit ‘contract’ that exists between psychiatrists and patients, carers, fellow professionals, service managers and commissioners and wider society. Views are being sought from patients, carers, family and staff until 27th June 2014.

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Government response to the House of Commons health committee report on Public Health England (PHE)

Thu, 12/06/2014 - 13:54

Department of Health - 
The House of Commons Health Select Committee examined the new public health arrangements in England and the work of PHE. The Committee was satisfied that some functions are operating well, but expressed concerns about PHE’s policy work and its relationship with government. The government’s response directly addresses these concerns and the recommendations made by the Committee.

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Commissioning to meet hearing need and for better access, outcomes, quality and choice

Thu, 12/06/2014 - 13:40

National Community Hearing Association - 
This is the first in a planned series of commissioning guidance documentsfor CCGs and local authorities. This guidance makes the case for offering adult hearing services in the community as it can improve access, quality and choice with high levels of patients satisfaction at lower and more transparent cost to the NHS. It also advises that long-term sustainability is best achieved through closer working relationships between commissioners, providers and other community and charity partners.

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Reforming the NHS from within: beyond hierarchy, inspection and markets

Wed, 11/06/2014 - 09:58

The King's Fund - 
This report argues that politicians’ role in the running of the NHS needs to be better defined to counter interventionist and centralising tendencies that have hampered effective reform to date. It makes the argument that a new political settlement is needed that clarifies the strategic role of ministers in determining funding, establishing priorities and providing accountability to Parliament, and leaves local NHS leaders with the space to innovate and lead service change. This settlement should reflect lessons learnt from the experience of the present government’s health reforms, which have failed to distance ministers from the operational management of the NHS as originally intended.

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Valuing every voice, respecting every right: making the case for the Mental Capacity Act

Tue, 10/06/2014 - 16:36

Department of Health (DH) - 
The government has closely considered the 39 recommendations of the House of Lords. It has also reviewed inputs and insights received from our discussions with a wide range of stakeholders. This response sets out a system-wide programme of work over 2014 to 2015 and beyond that we believe will make a real improvement to the implementation of the Mental Capacity Act.

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Opportunities for alignment: arts and cultural organisations and public sector commissioning

Tue, 10/06/2014 - 16:26

New Philanthropy Capital (NPC) - 
This research—which included a literature review, an online survey for arts and cultural organisations and interviews with a range of organisations and commissioners—maps the arts and cultural sector’s experiences of public sector commissioning to date, examines the public service commissioning landscape and highlights opportunities for relationships between the sector and commissioners to be strengthened in the future.

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Functions of the local public health system

Tue, 10/06/2014 - 11:45

UK Faculty of Public Health (FPH) - 
This document sets out the public health functions of local authorities in England and is intended to replace the draft minimum standards for public health teams published by FPH in November 2013.

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The Bradley Report five years on

Tue, 10/06/2014 - 10:59

Centre for Mental Health - 
The Bradley Report was a six-month independent commission which reviewed the extent to which offenders with mental health problems or learning disabilities could be diverted from prison. This report looks at what has happened in the five years since the Bradley Report was published. It finds that there has been concerted action to improve support for people with mental health problems and those with learning difficulties in the criminal justice system, but this will need to be sustained for at least another five years to put the vision into practice nationwide.

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Behind the screen

Mon, 09/06/2014 - 17:02

Demos - 
This report models the impact of an improved screening rate for cervical cancer. It finds that the NHS currently spends around £21 million a year treating cervical cancer, while the state loses £9 million in tax revenue from women and their partners who stop work as a result. It argues that if screening coverage were to reach 100%, it estimates that costs to the NHS would almost half, costs to the state would fall by a third, and total costs to women diagnosed with cervical cancer would fall by around 40%. More importantly, incidence of cancer would also almost halve. Based on these findings, the report concludes by offering a set of recommendations for a renewed and concerted effort to increase the number of women regularly attending screening by removing some of the practical, psychological and emotional barriers.

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General practice in England

Mon, 09/06/2014 - 16:43

House of Commons library - 
This briefing note provides general background information on NHS primary medical services provided by GPs in England. It has been updated to include sections on specific elements of the new GP contract including the introduction of named GPs for over 75s and increased choice of GP practice, as well as background to extended opening hours, out-of-hours services and waiting times for appointments.

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Joint note from NHS Commissioning Assembly and NHS Clinical Commissioners

Mon, 09/06/2014 - 15:10

NHS Commissioning Assembly - 
This letter, written by Dr Peter Melton (Co-Chair, NHS Commissioning Assembly) and Dr Amanda Doyle (Co-Chair, NHS Clinical Commissioners Leadership Group), aims to clarify the roles of the NHS Commissioning Assembly and NHS Clinical Commissioners and set out the ways the two bodies separately and collectively support the NHS commissioning system.

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From the pond into the sea: children's transition to adult health services

Mon, 09/06/2014 - 14:53

Care Quality Commission (CQC) - 
This review found that young people with complex health needs do not always receive the necessary care and support when they move on to adult care services. The transition process can be a vulnerable time for young people and their families. During this period, they stop receiving health services that they may have had since a young age and move on to equivalent adult services which can be structured and funded differently. The review found that there are many committed professionals providing high-quality care but that system-wide change is needed in order to make the transition between services smoother for patients and families.

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National Health Service pension scheme: actuarial valuation at 31st March 2012

Mon, 09/06/2014 - 14:48

Department of Health (DH) - 
The valuation was carried out as at 31st March 2012. It specifies the employer contribution rate that is payable from 1st April 2015 to 31st March 2019. It also sets out the employer cost cap, which will be used in future valuations to assess whether the cost of the scheme remains within set limits.

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European Observatory on Health Systems and Policies (EOHSP)

Mon, 09/06/2014 - 10:51

What is the evidence on the economic impacts of integrated care? - 
This policy summary reviews the existing evidence on the economic impact of integrated care approaches. Whereas it is generally accepted that integrated care models have a positive effect on the quality of care, health outcomes and patient satisfaction, it is less clear how cost effective they are. The authors found that the evidence base in this field was not strong enough to thoroughly assess the cost-effectiveness of integrated care and that a readjustment of expectations in terms of its assessment was therefore required.

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Dental contract reform: engagement

Fri, 06/06/2014 - 15:46

Department of Health -
This engagement exercise seeks views on changing dental contractual system to focus on improving oral health through prevention and increasing access. This consultation closes at 31st July 2014.

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Busting bureaucracy: collaborative audit findings and recommendations

Fri, 06/06/2014 - 15:11

Health & Social Care Information Centre (HSCIC) -
This report makes a series of recommendations to help acute trusts spend less time on paperwork and more time providing direct care to patients. The HSCIC has been working with 16 acute trusts in England to understand local burdens of bureaucracy, since a pledge to increase efficiency and reduce burden was made last year by the Secretary of State for Health. The recommendations relate to controlling burden and bureaucracy, implementing processes and technology adoption.

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Risk, safety and recovery

Fri, 06/06/2014 - 14:58

Centre for Mental Health -
This briefing paper finds that mental health services can manage risk more effectively by involving service users in planning for safety. It argues that risk and safety are rightly major concerns in mental health care but that traditional methods of assessing risk have stood in the way of helping people to recover their lives. It argues that jointly produced ‘safety plans’ can be more effective ways of managing risk as well as enabling people to get on with their lives.

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Care Act 2014 Part 1: factsheets

Fri, 06/06/2014 - 10:55

Department of Health -
The Care Act received Royal Assent on 14th May 2014. These factsheets have been produced to accompany Part One of the Act and provide an overview and the duties and powers that local authorities will have in the future.

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Care Act 2014: launch of care and support consultation

Fri, 06/06/2014 - 10:32

Department of Health -
This consultation seeks views on how local authorities should deliver the care and support reforms in the 2014 Care Act. The draft regulations and guidance have been developed by working with expert groups, including users of care and support, local authority staff, voluntary sector organisations, social workers, and national representative bodies including those drawn from local government. The consultation is open until Friday 15th August 2014. A further consultation on the reforms that come into effect from April 2016 - which include the cap on care costs - will take place this autumn.

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