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National Audit Office -
According to this report, the health and social care system’s management of discharging older patients from hospital does not represent value for money. The spending watchdog estimates that the gross annual cost to the NHS of treating older patients in hospital who no longer need to receive acute clinical care is in the region of £820 million.
Health Foundation -
This report looks at the first year of the Q initiative and the extensive co-design process used to create it. Q is a diverse and growing community of people, with experience and understanding of improvement, committed to improving the quality of health and care across the UK. This report identifies lessons for anyone seeking to support improvement work across organisations or through networks, as well as those engaged in designing initiatives with many diverse stakeholders. It draws on a variety of sources including the independent real-time evaluation of Q undertaken by RAND Europe.
The King's Fund -
The King’s Fund was commissioned by Oxleas NHS Foundation Trust to work with their Quality Board to facilitate an assessment of its existing approaches to quality improvement and to develop a strategy for future work. This case study details the approach and philosophy behind this work, which involved working with the trust’s five directorates to develop their ability to appraise their own approach to quality improvement with a view to improving performance, achieving better clinical outcomes and building further on the trust’s capacity as a learning organisation.
The impact of the 2015 Comprehensive Spending Review on higher education fees and funding arrangements in subjects allied to medicine
According to this report, government plans to scrap the bursary funding for students on nursing, midwifery and other health degrees will mean around 2,000 fewer people a year will study for a career in the NHS.
Specialised Services Commission -
This report from an expert commission has called for changes to improve outcomes and efficiency in the NHS but has warned that these alone are unlikely to avoid hard choices about what the NHS can afford without improved funding. The commission strongly supports the need for national funding and accountability for specialised services and argues that commissioners should be given greater freedom to work with providers to deliver end to end services for patients' entire care. It highlights the role of specialised services in maximising the value of every pound spent by the NHS but warns that efficiency improvements will be enough to avoid pushing the NHS towards unwanted rationing of services, treatments or both.
Care Quality Commission (CQC) -
This five-year strategy sets out CQC's vision and ambitions for a more targeted, responsive and collaborative approach to regulation so that more people receive high-quality care. It describes how CQC will combine learning from 22,000 comprehensive inspections with better use of intelligence from the public, providers and partners in order to focus inspections more tightly to where people may be at risk of poor care. The new strategy also aims to encourage services to innovate and collaborate to drive improvement.