NHS Evidence - health management

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Great Manchester service change engagement

Fri, 02/09/2016 - 15:04

Healthwatch England - 
This report is the result of research conducted in conjunction with ten local Healthwatch organisations in Greater Manchester which examined public and patient opinion on how health and care needs should be met in future. The research focused on ways that services can work better together and ways that healthy communities can be encouraged and fostered in local areas. 

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North Lancashire and South Cumbria breast screening programme: quality assurance visit report

Thu, 01/09/2016 - 11:48

Public Health England (PHE) - 
This executive summary report sets out observations and recommendations from a quality assurance visit to the NHS breast screening programme in North Lancashire and South Cumbria.

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Public health post-2013

Thu, 01/09/2016 - 11:43

House of Commons Health Select Committee - 
This report is the result of a short inquiry on the impact of the Health and Social Care Act reforms on the public health landscape. It warns of risks of widening health inequalities and a false economy due to cuts in local authority and public health budgets. It calls for a Cabinet Officer minister to be given specific responsibility for embedding health across all areas of government policy at a national level and for greater and bolder action to tackle public health issues such as childhood obesity.

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Understanding quality in district nursing services: learning from patients, carers and staff

Thu, 01/09/2016 - 09:48

The King's Fund - 
This report investigates what ‘good’ district nursing care looks like from the perspective of people receiving this care, unpaid carers and district nursing staff and puts forward a framework for understanding the components involved. It also looks at the growing demand–capacity gap in district nursing and the worrying impact that this is having on services, the workforce and the quality and safety of patient care. The report makes recommendations to policy-makers, regulators, commissioners and provider organisations as to how to start to address these pressures.

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East and North Hertfordshire diabetic eye screening programme: quality assurance visit report

Wed, 31/08/2016 - 10:02

Public Health England (PHE) - 
This executive summary report sets out observations and recommendations from a quality assurance visit to East and North Hertfordshire to assess the diabetic eye screening programme.

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Trust-level 30-day mortality after systemic anticancer treatment for breast and lung cancer in England: companion report

Wed, 31/08/2016 - 09:59

Public Health England (PHE) - 
This report, co-authored by PHE's National Cancer Registration and Analysis Service and Cancer Research UK, is the first major report using systemic anticancer treatment data. This data gives trust-level insights about real-world chemotherapy treatment of patients in the NHS in England which was previously only available from clinical trials. The report shows that age, general wellbeing and other factors can affect 30-day mortality following chemotherapy for breast and lung cancer. This report is a companion to an open-access study paper published in The Lancet Oncology.

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Consultation on revised guidance on returning to practice

Tue, 30/08/2016 - 12:03

Health and Care Professions Council (HCPC) - 
This consultation seeks views and comments on draft revised guidance on returning to practice for professions who are currently not practising or considering a break in their practice. The proposed changes include a restructure of the guidance to provide additional clarity on what is meant by 'practising your profession' as well as certain aspects of the requirements. The consultation runs until 7 October 2016 and the updated guidance is expected to be launched in 2017.

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Promoting staff benefits through events

Tue, 30/08/2016 - 11:58

NHS Employers - 
This case study examines how Dorset Healthcare University NHS Foundation Trust raised awareness of staff benefits through a series of interactive roadshows. The roadshows helped the trust to communicate to staff across a large geographical area and also helped the trust to increase the trust bank and therefore reduce agency spending.

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Community pharmacy: good practice examples

Tue, 30/08/2016 - 11:55

Royal Pharmaceutical Society (RPS) - 
These examples of good practice aim to illustrate how community pharmacy can be integrated in the wider primary care and community health system. The examples outlined in this briefing provide an insight into how commissioning pharmacy services outside of the core NHS contractual framework can transform the provision of care in local areas.

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Community pharmacy forward view

Tue, 30/08/2016 - 11:48

Pharmaceutical Services Negotiating Committee (PSNC) - 
Written jointly with Pharmacy Voice, this document sets out the ambitions for community pharmacies to enhance and expand personalised care, support  and wellbeing services offered by the sector. The paper also argues for fuller integration with other local health and care services and highlights the role of the community pharmacy in being the facilitator of personalised care for patients with long-term conditions and in being a neighbourhood health and wellbeing hub.

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STPs - early areas of action

Tue, 30/08/2016 - 11:29

38 Degrees - 
38 Degrees commissioned Incisive Health to review all publicly available documents on sustainability and transformation plans (STPs). This report brings together all the available information and identifies key emerging themes in the plans. It identifies the NHS deficit as a key driver of some of the measures outlined within STP footprint plans, alongside service transformation to support quality improvement. 

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New joints: private providers and rising demand in the English National Health Service

Tue, 30/08/2016 - 11:19

Institute for Fiscal Studies (IFS) - 
This paper explores how NHS reforms to allow for entry of private providers has affected demand for elective surgical procedures. The study found that for elective hip replacements, at least seven per cent of publicly-funded procedures were conducted by private hospitals. Using clinical audit data, the report finds that these additional procedures are not substitutions from privately-funded procedures but that they represent new surgeries.

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Safe working in general practice

Tue, 30/08/2016 - 11:06

British Medical Association (BMA) - 
This report discusses measures which could help to manage the rising workload of GPs and help to calculate sustainable and safe working levels within the specialty. It outlines proposals for GP appointments to be lengthened to 15 minutes and consultations to be limited to a target of 25 a day. It also considers the potential impact of locality hubs - a central facility where demand, patient lists and safe working limits would be managed for a number of local practices and suggests that GPs could benefit from the integration, collaboration and flexible employment patterns potentially on offer. 

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Health system performance for the high-need patient: a look at access to care and patient care experiences

Tue, 30/08/2016 - 10:51

The Commonwealth Fund - 
This report compared the health care experience of U.S. patients with co-morbidities and a functional limitation in the ability to care for themselves to those with multiple conditions but no functional limitations. It found that patients with higher levels of need were more likely to report having unmet medical needs and less likely to report experiences of good patient-provider communication. The findings of this study highlights the importance of tailoring interventions to meet the needs of the highest-need, most complex patients.

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High-need, high-cost patients: who are they and how do they use health care? A population-based comparison of demographics, health care use, and expenditures

Tue, 30/08/2016 - 10:45

The Commonwealth Fund - 
This report presents an analysis of the health care needs of patients in the U.S. with long-term conditions and argues that health care improvement efforts should focus on the needs of those with multiple chronic illnesses and limited ability to care for themselves. 

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UK Chief Medical Officers' low risk drinking guidelines

Tue, 30/08/2016 - 10:39

Public Health England (PHE) - 
These guidelines, produced by the four UK chief medical officers, provide the most up to date scientific information to help people make informed decisions about their own drinking. The guidelines have been tested through public consultation and market research to ensure the advice is as clear and useable as possible.

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Quarterly performance of the NHS provider sector: 3 months ended 30 June 2016

Tue, 30/08/2016 - 10:35

NHS Providers - 
The findings of this performance report shows that the number of NHS providers showing a financial deficit fell by 20 percent during the first quarter of 2016/17. The provider sector is reporting an overall deficit of £461 million this quarter which is £5 million better than the planned deficit. 

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Becoming one of us: reforming the UK's citizenship system for a competitive, post-Brexit world

Thu, 25/08/2016 - 10:55

Institute for Public Policy Research (IPPR) - 
This report calls for a reform of citizenship rules to avoid harm to the British economy and workforce following Brexit. Home Office figures show a rise of 14 per cent in EU nationals applying for British citizenship in the past year, reflecting the uncertainty of the result of the referendum. The report notes that one in ten doctors is from the EU and that this uncertainty would have implications for the NHS workforce and on service provision.

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Securing meaningful choice for patients: CCG planning and improvement guide

Thu, 25/08/2016 - 10:09

NHS England - 
This guide is designed to help CCGs deliver their statutory duties by highlighting the actions they need to take to make choice work for the populations that they serve. CCGs are encouraged to focus specifically on choice of provider and team for first outpatient appointments and choice of a suitable alternative provider if patients are not able to access certain services within the waiting time standards. The guide sets out a number of enablers for patient choice and the actions that can be taken to deliver each of these.


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Health in a hurry: the impact of rush hour commuting on our health and wellbeing

Wed, 24/08/2016 - 14:25

Royal Society for Public Health (RSPH) - 
This report highlights the impact of passive commuting (via rail, bus or car) on the public's health and wellbeing. The report outlines how longer commute times are associated with increased stress, higher blood pressure and BMI and contributes to reduced time available for health promoting activities such as cooking, exercise and sleeping. The report calls for a greater adoption of flexible and remote working and greater restrictions on unhealthy food and drinks outlets in stations.

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