NHS Evidence - health management

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Making our communities ready for ageing: a call to action

Fri, 04/07/2014 - 14:54

International Longevity Centre -
This report takes a futures perspective on understanding the evidence about how communities need to adapt to an ageing society. It argues that policy makers must work to ensure that communities do more than cater for our basic needs. The report highlights the importance of supporting walking and cycling in old age as well as the need to ensure housing is adaptable to an ageing society.

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A framework for personalised care and population health for nurses, midwives, health visitors and allied health professionals

Fri, 04/07/2014 - 11:19

Public Health England -
This framework has been developed as a resource to support nurses, midwives, health visitors and allied health professionals’ access to best evidence and support them in delivery of their public health role. It is also a tool for clinical leaders, managers and commissioners to develop services which use the knowledge and skills of healthcare practitioners to deliver the best health outcomes for the populations they serve.

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Monitor: regulating NHS foundation trusts

Fri, 04/07/2014 - 10:55

House of Commons Public Accounts Committee -
This report finds the number of NHS foundation trusts in difficulty is growing, possibly casting doubt on Monitor’s effectiveness as their regulator. It suggests that responsibility for overseeing the provision of healthcare is fragmented, and there is a strong risk of regulatory overlaps and gaps between Monitor’s role and those of other bodies, including the Care Quality Commission, the NHS Trust Development Authority, NHS England and the Department of Health. The report makes several recommendations for improvement.

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Can we live with how we're dying? Advancing the case for free social care at the end of life

Fri, 04/07/2014 - 10:40

Macmillan Cancer Support -
According to this report the NHS could save approximately £69 million a year by providing community care to allow cancer patients in England to die at home instead of in hospital. It sets out the economic and moral case for providing free social care to people at the end of life. It also finds that three in four health professionals believe the vast majority of cancer patients in hospital in the last few days of life would have no medical need to be there if there were alternative community-based services available.

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Right tier, right now: perspectives on harmony in local government - an essay collection

Thu, 03/07/2014 - 12:39

New Local Government Network -
This collection of essays explores how counties and districts are approaching the problems of two tier local government in practice. Some of the essays discuss integration of health and social care services.

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Access all ages 2: variations in access to surgical treatment among older people

Thu, 03/07/2014 - 12:13

Royal College of Surgeons -
This report, by the Royal College of Surgeons and Age UK, warns that age discrimination in the NHS may still be preventing older people from having access to life-saving surgery. An analysis of surgery rates across England’s 211 CCGs, for six common procedures which are known to be effective in older people, shows there was widespread variation in the rates of surgery for people aged over 65 and 75, depending on where they live.

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Managing the care of people with long-term conditions

Thu, 03/07/2014 - 12:01

House of Commons Health Select Committee -
This report finds that 15 million NHS patients in England with long-term conditions such as diabetes, arthritis and asthma account for 70% of the annual expenditure of the NHS in England. It argues that demographic and cost pressures on the NHS from patients with long-term conditions is only likely to increase in the coming years, with one projection estimating that the bill for treatment of long-term conditions will require the NHS to find £4 billion more each year by 2016.

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Improving patients’ experience of transfer from the Adult Intensive Care Unit (AICU) to the High Dependency Unit (HDU)

Wed, 02/07/2014 - 15:55

Foundation of Nursing Studies -
The aim of this study was to explore problems for patients and staff with the transfer process from AICU, to act on these problems and to implement solutions as identified by patients and staff. Themes included communication and information for patients and relatives, person-centred care and timing.

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Improving dementia long-term care: a policy blueprint

Wed, 02/07/2014 - 15:34

RAND Corporation -
This document aims to provide a foundation upon which to build consensus among a set of stakeholders to set priorities and the sequencing of policy recommendations. The authors identified 25 high-impact policy options covering five broad objectives to improve dementia long-term services and supports delivery system, workforce, and financing.

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Consultation on specialised services clinical commissioning policies

Wed, 02/07/2014 - 15:24

NHS England -
This consultation looks at a number of clinical commissioning policies for specialised services: Bortezomib for the treatment of refractory antibody mediated rejection post kidney transplant, Eculizamab for the treatment of refractory antibody mediated rejection post kidney transplant, non invasively lengthened spinal rods for scoliosis and Dolutegravir for the treatment of HIV-1 in adults and adolescents. The four policies will be open to a 12 week formal consultation period, closing on 17th September 2014.

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Navigating the gap between volume and value

Wed, 02/07/2014 - 15:08

Hospitals in Pursuit of Excellence (HPOE) -
This guide provides step-by-step information on the financial planning process and how it can help an organisation evaluate the impact of repositioning initiatives as it moves towards value-based care and payment.

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In the red? The state of the NHS finances

Wed, 02/07/2014 - 11:55

Nuffield Trust -
This briefing focuses on the breakdown of commissioner spending on NHS and non-NHS providers in the acute, community and mental health sectors. It updates previous analysis published by the Nuffield Trust and IFS in May 2013 on the private/ public provider mix in the NHS and is extracted from a forthcoming report.

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Staff engagement case studies

Tue, 01/07/2014 - 17:27

NHS Employers - 
NHS Employers has been working with three NHS organisations to profile particular aspects of their approaches to engagement. These case studies focus on the journey, the challenges and the outcomes of three NHS trusts. Some of the key outcomes include, major improvements in national staff survey results, reductions in sickness absence and staff feeling more valued.

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A state policy framework for integrating health and social services

Tue, 01/07/2014 - 17:26

The Commonwealth Fund - 
This briefing describes three essential components for integrating health, including physical and behavioural health services and public health, and social services: a co-ordinating mechanism; quality measurement and data-sharing tools; and aligned financing and payment.

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Commissioning of public health services for children

Tue, 01/07/2014 - 17:15

Department of Health (DH) - 
From 1st October 2015, the responsibility for commissioning children’s public health services, including health visitors, will transfer from NHS England to local authorities. These documents aim to help support local authorities and stakeholders through the transition. The documents identify 6 areas where health visitors have the most impact on children aged 0 to 5’s health and wellbeing. Local authorities should use this information to ensure that health visiting services are commissioned effectively.

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Developing a model of mental health self-care support for children and young people

Tue, 01/07/2014 - 12:02

National Institute for Health Research (NIHR) - 
This study looks at the options of self-care support available to children and young people in order to help prevent mental ill-health or speed recovery from it. The study consists of a systematic review of the literature as well as case studies of existing self-care services for mental health in England and Wales. It found that self-care could aid in recovery and that patients and families welcomed the choice and flexibility in self-care services.

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LGBT attitudes and experiences survey

Tue, 01/07/2014 - 11:37

Health Service Journal - 
The extent to which an organisation is inclusive and understands specific health needs of LGBT people will have an impact on the experience of LGBT staff and patients. HSJ is exploring attitudes to and experiences of LGBT people in the NHS. We are seeking the views both from people who identify as LGBT and those who do not.

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Future organisation models for the NHS: perspectives for the Dalton Review

Tue, 01/07/2014 - 10:53

The King's Fund - 
Sir David Dalton’s forthcoming review provides a timely opportunity to explore the range of organisational models that providers could use to meet their current strategic and financial challenges. This publication explores some of the organisational options available, including how high-performing NHS organisations might support providers in difficulty. It provides an evidence review and a range of individual perspectives on some of those new organisational arrangements, in health and other sectors, nationally and internationally – in a bid to inform the work of the Dalton review. The individual contributions highlight the benefits and challenges of different organisational models.

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Government’s response to the House of Lords Committee on Public Service and Demographic Change Report ‘Ready For Ageing?’ one year update

Tue, 01/07/2014 - 10:47

Department of Health (DH) - 
This report outlines the government response to the House of Lords report on what can be done to meet the challenges of an ageing population.

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Commissioning home care for older people

Mon, 30/06/2014 - 12:11

Social Care Institute for Excellence (SCIE) - 
This guide captures the latest research findings on this important and emerging area of social care. It also provides some practice examples of good work in this area. The guide is aimed at health and social care commissioners of home care services for older people with complex needs. Providers of these care services may also find it useful.

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