NHS Evidence - health management

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Making the case for integrated, impartial information and advice about housing and care for older people

Thu, 16/04/2015 - 14:04

Care & Repair England - 
This report focuses on the delivery of independent information and advice for older people which brings together housing and care options and related financial advice. It sets out how integrated housing and care information and advice services enable local authorities to meet their new duties under the Care Act and includes model clauses to assist with service commissioning.

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Using clinical practice variations as a method for commissioners and clinicians to identify and prioritise opportunities for disinvestment in health care: a cross-sectional study, systematic reviews and qualitative study

Thu, 16/04/2015 - 13:53

National Institute for Health Research  - 
This study aimed to explore if geographical variation in procedure rates is a marker of clinical uncertainty and might be used by local commissioners to identify procedures that are potential candidates for disinvestment. We also explore obstacles and solutions to local commissioners achieving disinvestment, and patient and clinician perspectives on regulating access to procedures.

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One hundred days for early action: time for government to put prevention first

Thu, 16/04/2015 - 13:47

Community Links - 
This report brings together leading experts and thinkers and presents a collection of essays outlining a preventative policy approach in various areas such as health, education and family services. Amongst the recommendations for health policy, is a focus on a more holistic approach to the treatment of mental illness and generally more cross-sector collaboration for better outcomes.

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Manifesto 2015

Wed, 15/04/2015 - 12:44

Liberal Democrats - 
This manifesto sets out the Liberal Democrats' policy pledges for the upcoming general election. The manifesto makes commitments to an additional £8 billion of funding by 2020; parity of esteem between mental and physical health care; integrating health and social care; improving access to GPs and community care; providing more support for family carers; improving social care; and an increased focus on preventive care and public health.

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Believe in Britain: UKIP manifesto 2015

Wed, 15/04/2015 - 12:35

United Kingdom Independence Party (UKIP) - 
This manifesto sets out UKIP's policy pledges for the upcoming general election. The manifesto makes commitments to increased funding for GP, nursing and midwifery training and recruitment; increased funding of £3 billion a year for the NHS; placing GPs within A&E services; and improving mental health care by giving it equal parity to physical health care.

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Joint review of investment in voluntary, community and social enterprise organisations in health and care sector

Wed, 15/04/2015 - 12:13

Voluntary Sector Health and Care - 
The Department of Health, Public Health England, NHS England and representatives of the voluntary sector are working together to review how government invests in the voluntary sector in health and care. This interim report outlines the findings of the review so far and highlights the challenges that the voluntary sector has experienced, as well as the potential benefits and value that collaboration could bring to the health and care sector. 

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For the common good: general election manifesto 2015

Wed, 15/04/2015 - 11:00

Green Party - 
This manifesto sets out the Green Party's policy pledges for the upcoming general election. The manifesto makes commitments to ending privatisation in the NHS; increasing funding for the NHS; focusing on a person-centred approach to care; and improving mental health care by achieving parity of mental and physical health care.

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The Conservative Party manifesto 2015

Wed, 15/04/2015 - 10:07

Conservative Party - 
This manifesto sets out the Conservative Party's policy pledges for the upcoming general election. The manifesto makes a commitment to an additional £8 billion of funding by 2020; integration of health and social care through the Better Care Fund; and improvement in access to GPs, particularly for over-75s.

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A better plan for the NHS, health and care

Mon, 13/04/2015 - 11:06

Labour Party - 
This health manifesto outlines the Labour Party pledges for the NHS and health and care system. It makes commitments to supporting the implementation of integrated care, capping private provider profits and improving access to services.

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Frontline first: the fragile frontline

Mon, 13/04/2015 - 11:00

Royal College of Nursing (RCN) - 
This report finds that there are fewer nurses than in 2010 and that an already over-stretched workforce is being forced to carry out even more work, with serious implications for patient care and staff welfare. It also highlights other areas for the next Government to consider such as the decrease in numbers in the community nursing workforce and cuts to student nursing places.

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The red, the blue, the NHS and you

Mon, 13/04/2015 - 10:48

New Local Government Network (NLGN) - 
NLGN hosted two roundtable discussions in December 2014 and January 2015 centred on the Conservative and Labour parties’ approaches to health and social care in the run-up to the General Election in May 2015. This paper details the outcomes of the discussions as well as a section highlighting the key differences between the two approaches.

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A national study of practice patterns in UK renal units in the use of dialysis and conservative kidney management to treat people aged 75 years and over with chronic kidney failure

Fri, 10/04/2015 - 16:33

National Institute for Health Research - 
Conservative kidney management (CKM) is recognised as an alternative to dialysis for a significant number of older adults with multimorbid stage 5 chronic kidney disease (CKD5). However, little is known about the way CKM is delivered or how it is perceived. The aim of this study is to determine the practice patterns for the CKM of older patients with CKD5, to inform service development and future research.

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Health: how will the NHS fare in a cold climate?

Fri, 10/04/2015 - 16:30

Centre for Economic Performance, London School of Economics - 
This briefing argues that an NHS protected from budget cuts is only going to be viable through further efficiency savings of some kind - and even then it is not clear how resource levels will be maintained. It highlights future reforms to the system, rather than privatisation, as the key threat to the NHS.

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Can our homes pay for the care we need in older age? Asset wealth and an ageing population

Fri, 10/04/2015 - 16:24

National Housing Federation - 
This report finds that more than one in five homeowners aged 55 or over – the equivalent of around 3 million people – have not considered how they will pay for potential care costs in later life, assuming that the value of their homes will cover the cost. It calls for affordable homes designed for older people with integrated care services to be built.

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NHS Continuing Healthcare: refreshed redress guidance

Thu, 09/04/2015 - 12:20

NHS England -  
This guidance is to be used when considering NHS Continuing Healthcare redress payments for individuals. The document has been updated to reflect the Principles for remedy from the Parliamentary and Health Service Ombudsman for all public bodies. The guidance retains the principle of returning the individual to the financial position they would have been in had they been assessed as eligible and the need for redress identified.

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Hidden citizens: how can we identify the most lonely older adults?

Thu, 09/04/2015 - 12:02

Campaign to End Loneliness - 
In 2013, the Campaign to End Loneliness consulted over 100 frontline service providers about what they needed to improve their support. Nearly half said they wanted a tool or information that could help them to identify people experiencing – or at risk of – loneliness. This report explores what was already known in both research and practice about identifying people experiencing loneliness. It looked at current approaches to identifying loneliness and searched for insights into how services can improve their outreach and support.

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The future of general practice 2015

Thu, 09/04/2015 - 10:21

British Medical Association (BMA) - 
This briefing outlines key findings from an opinion poll of over 15,000 GPs. The poll also found that almost all GPs feel that their heavy workload is having a negative impact on the quality of patient services and many GP practices doubted they had the ability to provide blanket seven day opening.

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Form follows function: governance challenges for providers in light of the Dalton review

Wed, 08/04/2015 - 11:45

NHS Confederation - 
This joint NHS Providers and NHS Confederation report explores the governance implications of the different organisational forms proposed in Sir David Dalton’s review of organisational forms. The report focuses on governance as a critical factor in determining success and explores the governance implications of adopting different organisational forms for the purposes of improving quality and/or efficiency, and provides some core questions for provider boards to use to inform their thinking

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Equity in the provision of palliative care in the UK: review of evidence

Wed, 08/04/2015 - 11:23

London School of Economics (LSE) - 
This report, funded by Marie Curie, finds that a significant minority of people – at least a fifth of everyone who dies – are not receiving the palliative care they need. It argues that there is need for investment to extend palliative care provision to everyone who would benefit from it. Whilst the evidence examined in this study does not indicate how much it would cost to implement more equitable provision, it does indicates that once services are in place, patients and families not only have better outcomes (including better-managed symptoms and dying in their preferred place), but the costs of providing palliative care are offset by fewer emergency hospital admissions and fewer avoidable hospital deaths.

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A toolkit to support NHS commissioners to reduce poor experience of in-patient care

Tue, 07/04/2015 - 10:39

NHS England - 
This toolkit has been developed to support NHS commissioners to work collaboratively with patients, carers and NHS provider organisations to reduce poor experiences of in-patient care. It is the first in a series and is made up of three core elements: a data tool to help commissioners identify priority areas to focus on in order to improve in-patient experience; case examples to illustrate improvement work undertaken by organisations; and signposting to relevant improvement tools.

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