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NHS England -
The newly published ratings on mental health and maternity services have been published by NHS England on the My NHS website. The data highlights areas that are performing well and also helps to identify where improvements can be made. The ratings can be broken down by CCG and can help CCGs to self-assess more effectively and target areas in need of improvement.
NHS England -
This dashboard brings together data from across the broad range of mental health services. This aims to provide a resource to track improvement at the CCG level and allow areas to understand where they need to target their efforts to improve services locally. The dashboard not only includes statistics from mental health services but also metrics on employment, housing and justice relating to people with mental health problems.
National Audit Office (NAO) -
This report has found that the Department of Health and the NHS, working with other parts of government, have made progress to recover more of the cost of treating overseas visitors who are not entitled to free hospital treatment but, if current trends continue and the charging rules remain the same, will not achieve the government’s ambition of recovering up to £500 million a year by 2017-18.
Towards improved decision support in the assessment and management of pain for people with dementia in hospital: a systematic meta-review and observational study
National Institute for Health Research (NIHR) -
Pain and dementia are common in older people, and impaired cognitive abilities make it difficult for them to communicate their pain. Accurate pain assessment in this vulnerable group is challenging for hospital staff, but essential for appropriate management. This study reviews the literature and explores staff and carer views to identify robust methods for identifying, assessing and managing pain.
Patient-level information and costing systems (PLICSs): a mixed-methods study of current practice and future potential for the NHS health economy
National Institute for Health Research (NIHR) -
Traditionally, the cost object in health care has been either a service line (e.g. orthopaedics) or a clinical intervention (e.g. hip replacement). In the mid-2000s, the Department of Health recommended that in the future the patient should be the cost object, to enable a better analysis of cost drivers in health care, resulting in PLICSs. Monitor proposes that PLICS data will now form the basis for mandatory prices for health-care services across all care settings. This study aimed to explore the current use of PLICSs and the potential for future use of PLICSs in commissioning.
RAND Corporation -
This report, commissioned by the US Government, evaluates the effectiveness of an intervention designed to prevent falls in the elderly, with a particular focus on fall-related injuries and on health care costs. The researchers concluded that the intervention did not have a substantial effect on health care costs. Although they did not find evidence that the intervention reduced A&E visits for fall-related injuries, they cautioned that the study was underpowered for this outcome and that a clinically meaningful effect could have gone undetected.
Mapping UK mental health research funding and its contribution to global funding: a refined analysis for the UK context
RAND Europe -
This briefing provides an analysis across the UK of government support for mental health research, with a particular emphasis on the Department of Health. This analysis builds on data collected for the project, Mapping the global mental health research system, which aimed to map the global funding of mental health research between 2009 and 2014, using bibliometric data to develop a picture of who the major funders were, what kinds of research they supported and how their strategies related to one another.
Audit Scotland -
This report is the annual review of the financial health and performance of the NHS in Scotland. It recognises that there have been improvements over time, such as increasing patient safety and reducing waiting times for hospital treatment. However, it warns that a combination of increasing costs, staffing pressures and unprecedented savings targets mean that Scotland's NHS boards are finding it difficult to balance demand for hospital care with investing in community-based services to meet future need.
Alliance contracting, prime contracting and outcome based contracting: what can the NHS learn from elsewhere? A literature review
Policy Research Unit in Commissioning and the Healthcare System (PRUComm) -
Alliance contracting, prime provider contracting and outcome based contracting are collaborative models of contracting that are increasingly being considered within the English NHS but have a history of use in other sectors such as construction and defence, as well as in the commissioning of public services in the UK and overseas. This report summarises the findings of a literature review of the available evidence concerning the characteristics of these new contractual models and their implementation in other sectors. The available evidence is considered in order to draw out the lessons which may be learnt to aid the implementation of these models in the NHS.
This submission of evidence to the NHS Pay Review Body outlines the findings of UNISON's annual pay survey which seeks the views, experiences and strength of feeling on pay across NHS staff in the UK. This year's survey received over 21,000 responses and the results highlighted the increased pressures on personal finances with 67 per cent of respondents reporting that they have had to seek financial help from friends and family or make substantial changes to their living standards within the past year.
Royal College of Surgeons -
Traditionally clinical practice in the NHS has considered that it is up to doctors to decide what risks to communicate to patients. Recent case law has changed and doctors are now obliged to ensure that patients are aware of any and all risks that an individual patient might consider significant. This guidance is aimed at doctors and surgeons to help them understand this shift in the law, as well as giving them the tools to assist in improving their practice.
General Medical Council (GMC) -
This annual report explores how the medical profession has changed and reviews the education and practice of doctors in the UK. This year's report raises concerns that the health system and staff working within it are struggling to cope with a range of issues such as the increased pressure on health and social care services. The report outlines the response that the GMC will take to these increased pressures on doctors by taking a lighter touch on regulation.