NHS Evidence - health management

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Commissioning for quality: views from commissioners

Fri, 25/07/2014 - 10:41

NHS England - 
This resource sets out five key messages which have emerged from the analysis of a number of CCG quality frameworks and strategies as well as other relevant literature. It aims to help commissioners with quality improvement.

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Biomedical engineering: advancing UK healthcare

Fri, 25/07/2014 - 10:05

Instistute of Mechanical Engineers - 
This report argues that boosting the number, as well as the influence, of engineers in the NHS would help cut the number of incidents caused by faulty medical equipment. It calls for for urgent action to prioritise the role of engineers in the NHS, and introduce a Chief Biomedical Engineer in every NHS acute trust.

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Auditing the accounts 2013/14 - NHS bodies

Thu, 24/07/2014 - 13:57

Audit Commission -
This report found that the timeliness and quality of NHS trusts’ financial reporting improved for 2013/14. It also looks at arrangements to secure value for money and auditors’ use of their statutory reporting powers. It found that in their first year, CCGs submitted their accounts on time but experienced some issues with quality.

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Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations

Thu, 24/07/2014 - 13:30

World Health Organization (WHO) -
According to these guidelines, countries need to remove legal and social barriers that prevent many people from accessing services for HIV testing, treatment and care. The guidelines outline steps for countries to take in reducing new infections and increasing access to services for five key populations: men who have sex with men, people in prison, people who inject drugs, sex workers and transgender people. They conclude that failure to provide adequate services to these groups threatens regional and global progress in responding to HIV.

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Focus on: A&E attendances - why are patients waiting longer?

Thu, 24/07/2014 - 11:59

Nuffield Trust -
This analysis from the Nuffield Trust and Health Foundation looks at patterns of A&E activity, the nature of the increased demand and what has driven waiting times upwards.

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The friends and family test

Thu, 24/07/2014 - 11:48

NHS England -
This guidance supports the introduction of the NHS Friends and Family Test (FFT) to NHS funded services and GP practices. NHS England has engaged with NHS providers, patients, the public and insight experts in carrying out a review of the methodology and implementation of the FFT after the first six months of national data collection. This guidance has been informed by this review and the work of a number of pathfinders.

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Initiatives to reduce length of stay in acute hospital settings: a rapid synthesis of evidence relating to enhanced recovery programmes

Thu, 24/07/2014 - 11:38

NHS National Institute for Health Research (NIHR) -
This objective of this study was to evaluate the clinical effectiveness and cost-effectiveness of enhanced recovery programmes for patients undergoing elective surgery in acute hospital settings. It aimed to identify and critically describe key factors associated with successful adoption, implementation and sustainability of enhanced recovery programmes in UK settings. It also summarises existing knowledge about patient experience of enhanced recovery programmes in UK settings.

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A mixed-methods study exploring therapeutic relationships and their association with service user satisfaction in acute psychiatric wards and crisis residential alternatives

Thu, 24/07/2014 - 11:30

NHS National Institute for Health Research -
This study aimed to test the hypothesis that stronger therapeutic alliances are achieved in crisis houses than in hospital. It also aimed to develop a model of service user satisfaction with acute services, exploring its relationship to service type, service user characteristics, therapeutic relationships, perceived peer support, recovery and negative events experienced as well as trying to understand the factors that impede and facilitate good staff–service user relationships in acute settings.

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'Then what...?' special inquiry

Tue, 22/07/2014 - 16:38

Healthwatch England - 
This special inquiry aims to investigate the experience of people who are discharged from hospitals or care homes without adequate support in place. The aim of the inquiry is to gain a deeper understanding of what happens to people who experience ‘unsafe discharge’ from a hospital, nursing or care home, or mental health setting in England and how it was that they were able to fall through the gaps.

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Securing the future of the GP workforce: delivering the Mandate on GP expansion.

Tue, 22/07/2014 - 16:25

Health Education England (HEE) - 
The GP Taskforce was established prior to the establishment of HEE and it was asked to recommend how the system could achieve the long-standing workforce target for 3,250 trainees to enter GP training in England each year by 2015. This report identifies the blocks to progress, as well as considering other key factors affecting the overall size of the GP workforce, namely retention and retirement rates.

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Post-legislative assessment of the Health and Social Care Act 2012: memorandum to the House of Commons Health Select Committee

Tue, 22/07/2014 - 16:19

Department of Health (DH) - 
This memorandum reports on whether the objectives for each part of the Health and Social Care Act 2012 were met. The overall assessment was the Act had achieved most of its objectives, in particular by putting in place new structures for the NHS in England.

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Post-legislative assessment of the Health Act 2009: memorandum to the House of Commons Health Select Committee

Tue, 22/07/2014 - 16:17

Department of Health (DH) - 
This memorandum reports on the whether the objectives for each part of the Health Act 2009 were met. It finds that broadly speaking, the Act achieved its objectives, although some of its provisions have since been modified by later Acts.

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Everything you need to know about sickness absence: a simple guide for NHS managers

Tue, 22/07/2014 - 11:31

NHS Employers - 
This online tool aims to further improve the management of staff sick leave in the NHS. It answers questions such as, what do you do when a staff member calls in sick? How do you handle long-term or recurring absences? How can managers reduce stress, support staff to return to work and prevent sickness absence from becoming an issue in the first place?

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National confidential inquiry into suicide and homicide by people with mental illness: annual report 2014 – England, Northern Ireland, Scotland and Wales

Tue, 22/07/2014 - 11:21

University of Manchester - 
This report finds that mental health patients are at their highest risk of dying by suicide in the first two weeks after leaving hospital. It calls for suicides within 3 days of hospital discharge and deaths and serious injuries caused by restraint to be NHS ‘never events’.

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Guidance on implementing the Friends and Family Test (FFT)

Tue, 22/07/2014 - 10:53

NHS England - 
NHS England has produced guidance for NHS hospital trusts and providers of NHS funded services, helping them to implement FFT most effectively for both patients and staff. This includes advice on how to make the FFT more inclusive, allowing people of all ages and from all parts of our community to provide feedback.

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Review of the Friends and Family Test (FFT)

Tue, 22/07/2014 - 10:52

NHS England - 
This review was designed to assess the implementation, publication, use and reception of FFT during the first six months of national data collection, focusing on what has worked well and what might be improved. It found that FFT had made a positive impact on the NHS, with 78% of trusts saying it had increased the emphasis on patient experience in their trust. The FFT was also seen to have an important role on driving local service improvements, as well as boosting staff morale when positive comments are received.

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Survey of health managers on the future of the NHS

Tue, 22/07/2014 - 10:01

Institute of Healthcare Management (IHM) - 
This survey of IHM members reveals that over half (53.7%) of health and social care managers signalled doubt that greater integration of health and social care will take the pressure off the NHS. Other key concerns and issues included uncertainty on whether their organisations could deliver safe and compassionate care; an appetite for greater collaboration between the public and private sector; and increasing financial pressure inspiring greater innovation.

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NHS procurement atlas of variation

Tue, 22/07/2014 - 09:56

Department of Health (DH) - 
This atlas of variation shows differences in the amount hospitals pay for everyday items including catheters, gloves and needles. It aims to help hospitals to compare prices and identify where they need to drive down costs so they can invest in more doctors and nurses to care for patients, as well as in frontline care.

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NHS National Tariff Payment System 2015/16: engagement

Mon, 21/07/2014 - 11:19

Monitor - 
Monitor and NHS England’s long-term aim is to develop a transparent, flexible and accountable NHS payment system that rewards good-quality, efficient care that delivers the best possible outcomes for patients. The proposed changes to the 2015/16 National Tariff Payment System are designed to help maintain financial discipline while promoting quality high-quality care for patients in tough economic conditions. The proposals would also encourage a speedier expansion of innovative patterns of care to meet the needs of patients. Healthcare providers and commissioners are encouraged to respond to these proposals in order to influence the final national tariff which will be published later in the year. This consultation closes on 15 August 2014.

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Understanding the rise in Fitness to Practise complaints from members of the public

Mon, 21/07/2014 - 10:25

Plymouth University - 
Enquiries made by the general public to the General Medical Council (GMC) about doctors’ fitness to practise rose from 5,168 in 2007 to 10,347 in 2012. The report found that an increase in complaints has been seen across the UK, which suggests wider social trends rather than localised issues; pointing towards problems with the wider complaint-handling system and culture. It highlights the increased profile of the GMC, press coverage of medical complaints and social media as potential factors in the rise in complaints.

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