NHS Evidence - health management

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Smokers and overweight patients: soft targets for NHS savings?

Fri, 22/04/2016 - 16:17

Royal College of Surgeons (RCS) -
This report explores how widespread the practice of restricting surgery on the basis of weight or smoking status has become by examining the commissioning policies of CCGs in England. The report compares these against guidance produced by NICE, RCS and surgical specialty associations. It found that over one in three CCGs in England are denying or delaying routine surgery to patients – such as hip and knee replacements – until they stop smoking or lose weight, in contravention of national clinical guidance.

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Thirty-eighth annual report on senior salaries 2016

Thu, 21/04/2016 - 14:27

Department of Health -
This report contains recommendations from the Senior Salaries Review Body (SSRB) on the pay of senior staff in the public sector. It sets out the SSRB’s analysis of evidence given by relevant organisations and makes recommendations for the pay of senior staff in the public sector from April 2016.

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Primary care

Thu, 21/04/2016 - 11:39

House of Commons Health Select Committee -
This report analyses the challenges facing primary care and examines the long-term solutions which can improve access to services and patient care. It warns that primary care is under unprecedented strain and struggling to keep pace with relentlessly rising demand.

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The Nursing and Midwifery Council: amendments to modernise midwifery regulation and improve the effectiveness and efficiency of fitness to practise processes

Thu, 21/04/2016 - 11:29

Department of Health -
This consultation seeks views on the government's proposed changes to current the Nursing and Midwifery Council’s governing legislation through changes to the Nursing and Midwifery Order 2001. The closing date for comments is 17 June 2016.

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Mental health services: preparations for improving access

Thu, 21/04/2016 - 10:43

National Audit Office -
This report finds that the Department of Health and NHS England are making progress, particularly in setting priorities and national leadership, but significant risks to implementing the access and waiting times programme remain. The strongest areas are the clear objectives and strong leadership, and a governance framework is being developed. The greatest challenges for the future are collecting data to show whether the standards are being met, building the mental health workforce and reinforcing incentives for providers. It finds that full information does not exist to measure how far the NHS is from meeting the access and waiting time standards, but it is clear that meeting the standards will be a very significant challenge.

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General practice forward view

Thu, 21/04/2016 - 10:32

NHS England -
This forward view sets out a plan, backed by a multi-billion pound investment, to stabilise and transform general practice. It has been developed with Health Education England and in discussion with the Royal College of GPs and other GP representatives. It commits to an extra £2.4 billion a year to support general practice services by 2020/21. This means spending will rise from £9.6 billion in 2016/17 to over £12 billion by 2021. This investment will be supplemented by a one off five-year £500 million national sustainability and transformation package to support GP practices, and includes additional funds from local CCGs. The plan also contains specific, practical and funded steps to grow and develop workforce, drive efficiencies in workload and relieve demand, modernise infrastructure and technology, and support local practices to redesign the way modern primary care is offered to patients.

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Mental health and criminal justice: views from consultations across England & Wales

Thu, 21/04/2016 - 10:06

Centre for Mental Health -
With extremely high rates of mental ill-health among the prison population, this report draws on experiences from across England and Wales to determine the way forward for improvement. It finds that few of the prisons represented at the events were able to offer psychological therapies, and that primary mental health care remains the weakest element of mental health support in prisons.

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Supporting NHS staff who are volunteers

Wed, 20/04/2016 - 11:51

NHS Employers -
This guidance for NHS employers looks at the business case and benefits of volunteering, the impact it has on an employee’s terms and conditions and gives examples from Northumbria Healthcare NHS Foundation Trust and Cambridge University Hospitals NHS Foundation Trust who have both supported their staff to take part in volunteering activities.

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Integrated care to address the physical health needs of people with severe mental illness: a rapid review

Wed, 20/04/2016 - 10:43

National Institute for Health Research (NIHR) -
People with mental health conditions have a lower life expectancy and poorer physical health outcomes than the general population. Evidence suggests that this discrepancy is driven by a combination of clinical risk factors, socioeconomic factors and health system factors. The objective of this research was to explore current service provision and map the recent evidence on models of integrated care addressing the physical health needs of people with severe mental illness primarily within the mental health service setting.

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Catalyst or distraction? The evolution of devolution in the English NHS

Tue, 19/04/2016 - 14:52

The Health Foundation - 
This report considers the potential implications of devolution on health and care outcomes in England and how policy could best evolve. It draws on analysis of the devolution deals agreed to date, relevant literature, and international experience with a focus on four European decentralised health systems.

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Privatisation and independent sector provision of NHS healthcare

Tue, 19/04/2016 - 10:28

British Medical Association (BMA) - 
This report argues that the independent sector should be subject to the same robust standards as NHS providers and that managers must be wary of the health service becoming fragmented. It calls for government and policy makers to implement a series of recommendations aimed at protecting the NHS from being destabilised. It also urges commissioners and health service managers to consider the possible negative effects of privatisation on training and recruitment.

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Shaping research agenda to estimate cost-effectiveness thresholds for decision making

Tue, 19/04/2016 - 09:59

Office of Health Economics (OHE) - 
This report details the views of a selection of experts in the fields of health and welfare economics on the cost-effectiveness threshold used by NICE to decide which new medicines to recommend for use in the NHS, and the direction of future research in this area.

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Transition between inpatient hospital settings and community or care home settings for adults with social care needs

Mon, 18/04/2016 - 16:31

National Institute for Health and Care Excellence (NICE) - 
This consultation seeks feedback on a draft quality standard which aims to improve the quality of patient transitions between hospital, community and care home settings. The quality standard is expected to contribute towards improvements in delayed transfers of care; reducing patient readmission; and improving patient experience and quality of life. The closing date for submissions to this consultation is 17 May 2016.

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Quick guide: supporting patients' choices to avoid long hospital stays

Mon, 18/04/2016 - 11:40

NHS England - 
This guidance has been developed in partnership with Healthwatch England and it aims to support local health and social care systems to reduce the time people spend in hospital, when they are ready to depart and no longer need hospital care but are delayed whilst making arrangements for or decisions about ongoing care. 

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Implementing the cancer taskforce recommendations: commissioning person centred care for people affected by cancer

Mon, 18/04/2016 - 11:19

NHS England - 
This guidance is intended to support commissioners and strategic clinical networks to ensure every person affected by cancer will have access to the recovery package and stratified follow-up pathways by 2020, as set out in the cancer strategy. It describes the actions needed to deliver this including checklists for developing service specifications, practical examples and templates to use and adapt locally.

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Untapped potential: bringing the voluntary sector's strengths to health and care transformation

Mon, 18/04/2016 - 09:57

New Philanthropy Capital (NPC) - 
This research was commissioned by the Richard Group of Charities and it assessed the findings of 175 evaluations into how the voluntary sector's offer can integrated into the health and care system of the future. The project also aimed to design a framework for a shared language to help charities describe their work and its value to give commissioners and policymakers a way to identify aspects of charities' work that most clearly matches their needs.

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European health information gateway

Fri, 15/04/2016 - 12:46

World Health Organization (WHO) - 
This portal provides access to curated health data and information from official WHO sources and joint data collections with partner organisations such as the European Commission and OECD. 

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Tackling poor oral health in children: local government's public health role

Fri, 15/04/2016 - 12:41

Local Government Association (LGA) - 
This briefing outlines the roles and responsibilities of local government in commissioning oral health services for children. The briefing includes some case studies and signposts to useful resources to support the commissioning of these services.

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Evaluation of the UCLH-Macmillan Partnership to deliver improvements in the care, treatment, support, and information to patients with cancer throughout their individual journeys

Fri, 15/04/2016 - 12:37

RAND Corporation - 
The University College London Hospitals NHS Trust and Macmillan Cancer Support partnership is intended to improve the experiences of carers and patients with cancer by improving the whole journey from diagnosis through to palliation, and to embed this in a system that actively engages patients and carers in decision-making at each step. The evaluation aimed to assess the working of the partnership and its capacity to support the partners' plans to move forward through both quantitative and qualitative methods. The evaluation team aimed to approach the question of how the partnership was working from the perspectives of staff, volunteers, and senior strategic and operational managers. The evaluation also aimed to understand if, even at this early stage, there were perceptible changes in patient experience compared with comparable changes elsewhere in the NHS.

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Dementia and comorbidities: ensuring parity of care

Fri, 15/04/2016 - 12:31

International Longevity Centre - UK (ILC-UK) - 
This report, supported by Pfizer, argues that a failure to prevent, diagnose and treat depression, diabetes and urinary tract infections in people with dementia could cost the UK's health and care system up to nearly £1 billion per year. It highlights a lack of parity in the diagnosis of these conditions in people with dementia and outlines some recommendations including revision of NICE clinical guidelines; greater patient involvement in care plans; and commissioning of a wider range of psychological therapies.

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