NHS Evidence - health management

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Constructive comfort: accelerating change in the NHS

Thu, 26/02/2015 - 10:35

The Health Foundation -
This report identifies key factors needed for successful change and explores why they are not consistently present in the NHS. It sets out how national bodies can help make successful change more likely, in part by boosting the support provided to organisations and focusing on NHS staff leading change.

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A consultation to inform an update of the NHS Constitution

Wed, 25/02/2015 - 13:45

Health Education England -
The main changes proposed cover: mental health; Francis recommendations; fundamental standards; transparency; and the Armed Forces Covenant. Responses to the consultation will feed into a revised version of the NHS Constitution, which will be published in 2015. The closing date for comments is 11 March 2015.

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Improving practice in safeguarding at the interface between hospital services and children's social care: a mixed-methods case study

Wed, 25/02/2015 - 11:42

NHS National Institute for Health Research (NIHR) -
This study addresses the following primary question: ‘Can a safeguarding culture be designed within the hospital environment that will provide the conditions for the detection of children at risk of abuse and support protective actions before discharge, including collaboration with external agencies?’ Objectives included the development of a sociologically rich understanding of why diagnostic failures and communication breakdowns occur; the design of a suite of integrated interventions for promoting a positive safety culture, following a user-centred approach; and the evaluation of the effectiveness of this package, including its generalisability across sites.

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Evaluating a major innovation in hospital design: workforce implications and impact on patient and staff experiences of all single room hospital accommodation

Wed, 25/02/2015 - 11:32

NHS National Institute for Health Research (NIHR) -
New hospital design includes more single room accommodation but there is scant and ambiguous evidence relating to the impact on patient safety and staff and patient experiences. The objective of this research was to explore the impact of the move to a newly built acute hospital with all single rooms on care delivery, working practices, staff and patient experience, safety outcomes and costs.

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Can community-based peer support promote health literacy and reduce inequalities? A realist review

Wed, 25/02/2015 - 11:19

NHS National Institute for Health Research (NIHR) -
Community-based peer support (CBPS) has been proposed as a potentially promising approach to improve health literacy and reduce health inequalities. Peer support, however, is described as a public health intervention in search of a theory, and as yet there are no systematic reviews exploring why or how peer support works to improve health literacy. This research aimed to undertake a participatory realist synthesis to develop a better understanding of the potential for CBPS to promote better health literacy and reduce health inequalities.

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Public attitudes to the NHS

Wed, 25/02/2015 - 10:58

The Health Foundation -
This report analyses the results of a series of questions about the NHS that were included in the 2014 British Social Attitudes Survey, undertaken by NatCen Social Research. The survey took place in late summer/early autumn 2014 and 2,878 adults from across Great Britain were surveyed.

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Experiences of integrated care and the Integrated Care Ageing Team

Wed, 25/02/2015 - 10:43

Healthwatch Islington -
Healthwatch Islington was commissioned by Islington CCG to carry out engagement and interviews with residents, relatives/carers and staff in local care homes. The aim of the research was to find out about users experiences of the Integrated Care Ageing Team service and how residents (and where appropriate relatives/carers) had been involved in their treatment, and in conversations about their end of life care.

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Promoting better integration of health information systems: best practices and challenges

Tue, 24/02/2015 - 15:48

World Health Organization - 
This report looks at how to promote better integration of health information systems. To understand what better integration means from a pragmatic perspective, experts from 13 EU member states were interviewed and the results combined with the findings from a literature search

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The future of out of hours GP care

Tue, 24/02/2015 - 15:10

Royal College of General Practitioners (RCGP) - 
This report examines out of hours services contracting and argues that the regulations for awarding contracts should be clarified, and legislative changes made if necessary, to enable practices or groups of practices to take back their out of hours service without having to go through a competitive tender. It also raises concerns that, despite efforts by GPs, patients have a low level of awareness about the availability of their local GP out of hours service.

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Charging for care and support

Tue, 24/02/2015 - 15:02

Department of Health (DH) - 
This local authority circular advises of changes to the social care charging arrangements and provides an overview of these changes and some additional statutory guidance.

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Unblocking: securing a health and social care system that protects older people

Tue, 24/02/2015 - 14:51

Localis - 
This report explores the standards of health and social care for the older population. It argues that it is older people who are suffering the most from the lack of health and social care integration. They are more likely than any other age group to face unnecessary admissions to hospital, and to experience lengthy discharge delays and poor standards of care – problems that are only likely to be compounded by shrinking health and social care budgets. And these vital issues will become ever more critical as the population of England continues to age.

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NHS Contribute Extra: a return to the NHS’s core values

Tue, 24/02/2015 - 14:47

Civitas - 
This paper sets out the case for an NHS contribution scheme which could generate increased income in a progressive manner while reducing overall demand for already stretched services. It would encourage patients to become involved in their healthcare and thus modify their lifestyles. Contributors would be highly aware of their own standard care budget, using it, with increased flexibility, at NHS or non-NHS providers of their choice, sometimes with extra, out of pocket payments.

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The costs of eating disorders: social, health and economic impacts

Tue, 24/02/2015 - 14:44

Beat - 
This economic analysis examines the overall costs of eating disorders to the UK economy, indicates how inconsistent access to treatment can be for individuals, and that the cost to the economy is in the tens of billions of pounds.

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Impact of the interim tariff proposal announcement on the 2015 to 2016 planning round

Tue, 24/02/2015 - 14:43

Monitor - 
This letter from from Jason Dorsett, Finance, Reporting and Risk Director at Monitor, explains why Monitor is extending the existing planning timetable for foundation trusts.

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Prime Minister’s challenge on dementia 2020

Mon, 23/02/2015 - 11:13

Department of Health (DH) - 
This document sets out what this government wants to see in place by 2020 in order for England to be the best country in the world for dementia care and support and for people with dementia, their carers and families to live; and the best place in the world to undertake research into dementia and other neurodegenerative diseases. It also highlights the progress to date on improving dementia care, support and research.

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Preventing deaths in detention of adults with mental health conditions

Mon, 23/02/2015 - 11:02

Equality and Human Rights Commission (EHRC) - 
This publication is the final report of an inquiry into non-natural deaths of adults with mental health conditions who have been detained in England and Wales. It focuses on prisons, police custody and psychiatric hospitals, as every year hundreds of deaths occur in these settings and these deaths are later deemed to have been preventable.

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Tackling the causes of premature mortality (early death)

Mon, 23/02/2015 - 10:07

National Institute for Health and Care Excellence (NICE) - 
This briefing summarises NICE's recommendations for local authorities and partner organisations on tackling the more direct causes of premature mortality. It is particularly relevant to health and wellbeing boards and others with a responsibility for, or interest in, delivering the Department of Health's Public Health Outcomes Framework for England 2013 to 2016 and the government's call for action Living well for longer: a call to action to reduce avoidable premature mortality.

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Population health systems: going beyond integrated care

Mon, 23/02/2015 - 10:05

The King's Fund - 
Integrated care has become a key focus of health service reform in England in recent years, as a response to fragmentation within the NHS and social care system. Yet efforts to integrate care services have rarely extended into a concern for the broader health of local populations and the impact of the wider determinants of health. This is a missed opportunity. This paper aims to challenge those involved in integrated care and public health to ‘join up the dots’, seeing integrated care as part of a broader shift away from fragmentation towards an approach focused on improving population health.

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Why our NHS should listen and be human: this is what the public are telling us

Fri, 20/02/2015 - 10:27

The Patients Association - 
This report highlights that far too many patients are still experiencing unacceptable standards of care within the health and social care system. It includes patient stories and experiences of care within the NHS to illustrate the gap between patient experience and the commitments of the NHS Constitution.

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Preventing suicide in England: two years on - second annual report on the cross-government outcomes strategy to save lives

Fri, 20/02/2015 - 10:23

Department of Health (DH) - 
This report summarises the latest trends, research and developments on suicide prevention in England. It calls on services to be more ambitious about suicide prevention, and challenge the assumption that suicide is inevitable. It also highlights 3 areas in England that have already adopted a zero suicide ambition and outlines how services can improve by adopting this new attitude and effective interventions.

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