#MHN2014: The future of mental health – NHS Confederation – 26 March 2014
“What might mental health services look like in ten to 20 years’ time?
Our population demographics are changing. Technology continues to develop at a rapid pace. The recovery movement in mental health continues to grow, as does a focus on integration.
At the same time, demand continues to increase and significant questions are being asked about where future investment in the NHS might come from.
Currently, there is a lack of a sustainable and coherent national plan to tackle these issues.
This paper discusses what these challenges might mean for the future of our nation’s mental health.”
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Ripping off the sticking plaster: Whole-system solutions for urgent and emergency care – NHS Confederation – 10 March 2014
Extract from the Executive Summary
“In Emergency care: an accident waiting to happen? the NHS Confederation noted concerns from members that only sticking plaster solutions were being offered.
This follow-up report acts as a roadmap to the fundamental changes required to create a sustainable and high-quality urgent and emergency care system that can meet the needs of patients now and in the future. While this destination is clear, the public and politicians will need to recognise that the journey to get there may vary in each area, according to the resources, needs and priorities in different communities. As the NHS Confederation’s 2015 Challenge campaign sets out, we must ensure the health and care system has the freedom and flexibility it needs to develop solutions that will deliver the best possible outcomes for patients and the public.
The report draws on a review of the literature and evidence commissioned from the University of Sheffield’s School of Health and Related Research (ScHARR), and on the knowledge and experience of our members as shared through a programme of forum events, visits and steering group meetings.”Read Full Post | Make a Comment ( Comments Off on Ripping off the sticking plaster: Whole-system solutions for urgent and emergency care – NHS Confederation – 10 March 2014 )
The marginal rate for emergency admissions: What you said, what we did, what has and still needs to be done – NHS Confederation – 21 October 2013
“Proposed changes to the way urgent and emergency care services are funded have recognised NHS concerns about current implementation of the marginal rate for emergency admissions and responded to calls for a more transparent, clear and effective system.”
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“There is a growing consensus that NHS trusts in general, and the acute sector in particular, are about to enter a new phase of organisational consolidation.
A combination of system pressures may mean a wave of mergers, as trusts look to increased scale as a means of weathering staffing pressures, declining tariff payments, long-term shifts in demand and, for some, the foundation trust pipeline.
Seeking an alternative, a number of acute providers have in recent years pursued more targeted alliances – often termed ‘groups’ – to get the benefits of collaboration without the upheaval or loss of autonomy required by a merger.
With some of these arrangements now showing real promise, and leaders looking with interest to see what might be replicated, this Briefing summarises key learning from those who have already had involvement in developing healthcare groups and considers what might be done to take the concept further.”Read Full Post | Make a Comment ( Comments Off on Healthcare groups: an alternative to merger-mania? – NHS Confederation – 1 May 2013 )
Service resdesign case study: Providing specialist emergency care in Northumbria – NHS Confederation – 27 March 2013
“This case study is part of a series designed to share good practice and lessons learned by local NHS organisations involved in major reviews of local health services.
This case study features the establishment of Northumbria Healthcare NHS Foundation Trust’s new urgent and emergency care facility, that culminated from several years’ strategic planning, and a comprehensive programme of engagement with staff and the local community.”Read Full Post | Make a Comment ( Comments Off on Service resdesign case study: Providing specialist emergency care in Northumbria – NHS Confederation – 27 March 2013 )
Tough times, tough choices – NHS Confederation – 18 March 2013Read Full Post | Make a Comment ( Comments Off on Tough times, tough choices – NHS Confederation – 18 March 2013 )
Making it better? Assuring high-quality care in the NHS – NHS Confederation – 11 February 2013
“The Francis report painted a shocking picture of appalling standards of patient care. This paper aims to start a constructive debate, leading to concrete proposals about how to tackle these issues and find ways of reinforcing both organisational and individual accountability for delivering and improving the quality of NHS patient care.
The Francis report highlighted poor management practices, and an organisational focus on national financial and performance imperatives to the detriment of the quality of patient care.
It also challenged the effectiveness of the regulatory and oversight mechanisms in identifying and tackling poor quality patient care proactively and systematically.
This has focused attention on who is responsible for ensuring patients receive high-quality care, and for acting if appropriate standards are not met. It has particularly highlighted how the decisions and actions of managers at all levels can affect the quality of care patients receive.
This has fuelled calls to make NHS organisations, their boards and individual staff, including managers, more accountable for the quality of care.
We have structured this paper to assess the current position and take account of some of the main recommendations of the Francis report. It presents for consideration some of the options for improvements. We welcome your feedback on this paper and the questions it asks.”Read Full Post | Make a Comment ( Comments Off on Making it better? Assuring high-quality care in the NHS – NHS Confederation – 11 February 2013 )
Zero tolerance – Making ambulance handover delays a thing of the past – NHS Confederation – 6 December 2012
“Making ambulance handover delays a thing of the past
Nobody wants to see ambulances stacked up outside hospitals waiting to hand over patients. Not paramedics, not emergency department doctors and nurses, not hospital managers, ambulance service controllers, commissioners
or politicians – and least of all patients.
Handing over a patient from an ambulance to an ED is expected to take no more than 15 minutes. But as the National Audit Office highlighted in its review of ambulance services in June 2011, only around 80 per cent of handovers meet this expectation.”
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Six principles for delivering integrated out-of-hospital care – NHS Confederation – 19 December 2012
“Adopting six key principles will help the delivery of effective integrated out-of-hospital care, says a new report by the NHS Confederation and Royal College of General Practitioners.”Read Full Post | Make a Comment ( Comments Off on Six principles for delivering integrated out-of-hospital care – NHS Confederation – 19 December 2012 )
Liaison psychiatry – the way ahead – NHS Confederation – 8 November 2012
“This briefing sets out the findings of a report that details a study of liaison psychiatry services. It was commissioned by the NHS Confederation on behalf of the SHA mental health leads, and written by the Centre for Mental Health.
The study set out to identify how liaison psychiatry can most effectively contribute to the Government’s quality, innovation, productivity and prevention (QIPP) challenge of improving health outcomes while also reducing healthcare costs.
It is based on case studies of five established liaison psychiatry services around the country, a review of published research and discussions with academic and other experts.”Read Full Post | Make a Comment ( Comments Off on Liaison psychiatry – the way ahead – NHS Confederation – 8 November 2012 )
Leadership in a matrix – NHS Confederation – 15 November 2012
“The NHS is facing its biggest ever challenge, with the £20 billion productivity requirement alongside the huge pressures facing the social care system and the need to continue to drive up quality of care and health outcomes. Exemplary leadership in the NHS is therefore required more than ever.
In response to this significant challenge, it is clear that there is a desire from leaders across the system to work closely together to build a shared leadership approach, using and developing a variety of leadership skills. This paper written by Ciaran Devane, the Chief Executive of Macmillan Cancer Support, is the first in a series which will explore in detail the needs of future healthcare leaders in the new system.
Drawing on his own experiences of working in a matrix system, Ciaran Devane calls on NHS leaders to build a different set of core skills, covering conflict resolution and multi-party negotiation in order to lead through influence. He also highlights the importance of leaders being able to operate across the breadth of the new system and he makes it clear that he believes the future success of the NHS will be heavily reliant on the abilities of its leaders to build trust.”
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Health impact assessment: a useful tool for health and wellbeing boards – NHS Confederation – June 2012
“This document provides an overview of the health impact assessment (HIA) process. It was developed by one of the health and wellbeing board learning sets, for improving the health of the population, part of the National Learning Network for health and wellbeing boards. Drawing on the work of NHS South of Tyne and Wear, it outlines the key stages of the process and provides a case study which demonstrates how this process might be used to influence decision-making and service delivery.”Read Full Post | Make a Comment ( Comments Off on Health impact assessment: a useful tool for health and wellbeing boards – NHS Confederation – June 2012 )
“This Briefing looks at integration and collaboration in health and social care and highlights the benefits that an inclusive approach brings to the delivery of care in both sectors.
It includes examples of successful models of integration from within the UK, where NHS organisations are now working more effectively with other public sector providers as well as independent providers, and from Western Europe, where integration between the public and independent sectors is more widely accepted.
For many health economies developing and delivering integrated care is a priority to enable health and social care to keep pace with the changing demographics of national populations.
The UK is no exception and in order to meet the increasing demands on our health and social care systems a more inclusive approach to collaborative partnerships needs to become a commonplace, and standard, model of delivery. However, integration has never been a key feature in the traditional UK NHS model where silo working is still too prevalent.”Read Full Post | Make a Comment ( Comments Off on A stitch in time – the future is integration – NHS Confederation – 21 June 2012 )
“Remember the Spice Girls? They exploded into our lives in 1996 and became an instant global phenomenon with their debut single Wannabe and the iconic line “I’ll tell you what I want, what I really really want”.
More than 15 years later the band members have gone their separate ways but the sentiment of the song lives on. People today have a greater understanding of what they want and never more so than in health and social care. As patients increasingly exercise their right to choose where and how they receive their care, it becomes more important than ever for healthcare organisations to offer them what they want.
But what do patients really want? Of course their clinical care has to be of the highest standard possible and, in the vast majority of cases, in both the NHS and the independent sector, it is. But patients today want more than that. The whole package of today’s healthcare has to be right. Patients are the customers and they want to be treated with dignity and respect, be involved in decisions about their care and looked after in a clean, safe environment.”Read Full Post | Make a Comment ( Comments Off on ‘ll tell you what I want, what I really really want – NHS Confederation – 21 June 2012 )
Supporting recovery in mental health – NHS Confederation – 21 June 2012
“The Implementing Recovery through Organisational Change (ImROC)project is a new approach to helping people with mental health problems that aims to change how the NHS and its partners operates so that they can focus more on helping those people with their recovery.
The Department of Health commissioned the NHS Confederation’s Mental Health Network and the Centre for Mental Health to pilot this major national project involving 29 mental health provider sites from April 2010. This Briefing details the interim findings of the project.
In mental health, ‘recovery’ means the process through which people find ways of living meaningful lives with or without ongoing symptoms of their condition. Users of mental health services have identified three key principles:
• the continuing presence of hope that it is possible to pursue one’s personal goals and ambitions
• the need to maintain a sense of control over one’s life and one’s symptoms
• the importance of having the opportunity to build a life beyond illness.”
“The Health Innovation and Education Clusters (HIECs) initiative was launched in 2009/10 as an attempt to promote innovation in the NHS by combining the expertise of industry, health and education at a local level.
The initial funding for most of the 17 HIECs set up across England is due to finish this year, although most have secured continuing funds to manage the transition to new structures. Following research and interviews with all of the HIECs, this Briefing looks at their work to date, what impact it has made and what lessons can be learned from their experience of trying to spread innovation through partnerships.”Read Full Post | Make a Comment ( Comments Off on Lessons from Health Innovation and Education Clusters – NHS Confederation – 19 June 2012 )
“The NHS’s ability to harness innovation to improve patient outcomes is more important than ever in a tough financial climate. Uniquely among the organisations supporting this agenda, the National Institute for Health Research (NIHR) Collaborations for Leadership in Applied Health Research and Care (CLAHRCs) have integrated research and implementation to ensure findings improve practice in real time.
They carry out high-quality applied health research and support getting research evidence into practice in the NHS. It has been said that getting research into practice takes 17 years; CLAHRCs have shown that it’s possible within three years through collaborative partnership working. They provide a powerful model to connect innovation, evidence and implementation.
The NHS Confederation has been closely involved in the work of CLAHRCs and continues to host their national support function. This Briefing describes the CLAHRC approach and their impact to date as well as the factors that continue to contribute to their successes.”Read Full Post | Make a Comment ( Comments Off on Integrating research into practice: the CLAHRC experience – NHS Confederation – 19 June 2012 )
Academic Health Sciences Networks: engaging with innovation and improvement – NHS Confederation – 19 June 2012
“This Briefing provides an update on the development of Academic Health Sciences Networks (AHSNs) – a new tier of organisations to improve the identification, adoption and spread of innovation in the NHS.
It explores some of the forms that AHSNs could take, what contributions different sectors need to make and, building on the experience of other local innovation partnerships, how AHSNs will need to be supported as they emerge.
This Briefing is part of a series on the NHS innovation landscape. It is accompanied by “Lessons from Health Innovation and Education Clusters” and “Integrating research into practice: the CLAHRC experience”. Later this year a summing up paper will be released, updating our 2009 publication “Making sense of the new innovation landscape”.”Read Full Post | Make a Comment ( Comments Off on Academic Health Sciences Networks: engaging with innovation and improvement – NHS Confederation – 19 June 2012 )
“This paper explores the potential for using and sharing information in the NHS. It looks at the costs and benefits of informing and communicating with patients through web and social media platforms versus the costs of not doing so effectively.
Managing information is an essential part of delivering good healthcare but historically difficult to get right. While the NHS drowns in information and spends more and more to gather it, it has struggled to use it to good effect for patients, often shying away from being transparent about how services are run and responding openly when things go wrong.
The third in our series of papers looking at interactions between the NHS, individuals and communities.”Read Full Post | Make a Comment ( Comments Off on Alive and clicking: information that benefits all – NHS Confederation – 17 May 2012 )
Long-term health gains: Investing in emotional and psychological wellbeing for patients with long-term conditions and medically unexplained symptoms – NHS Confederation – 18 April 2012
“A close relationship exists between long-term physical conditions and mental health and wellbeing. Long-term physical conditions often affect a patient’s mental health, and psychological wellbeing can also have an impact on the effectiveness of treatment for, and a patient’s ability to manage, long-term conditions. Despite this, many individuals do not receive care that addresses both their physical and psychological needs.
There is a growing body of clinical and economic evidence supporting investment in psychological services as part of the treatment for long-term conditions – people with long-term conditions use disproportionately more primary and secondary care services and are more likely to develop depression than the rest of the population.
A new Mental Health Network report, ‘Investing in emotional and psychological wellbeing for patients with long-term conditions’, brings together the evidence across diabetes, chronic obstructive pulmonary disease and coronary heart disease, plus medically unexplained symptoms, to present a business case for investing in psychological services.
This Briefing summarises the report and describes how primary and secondary health services can improve patient outcomes, while reducing the overall costs of care for the NHS reducing the overall costs of care for the NHS.”Read Full Post | Make a Comment ( Comments Off on Long-term health gains: Investing in emotional and psychological wellbeing for patients with long-term conditions and medically unexplained symptoms – NHS Confederation – 18 April 2012 )
Mental health and homelessness: planning and delivering mental health services for homeless people – NHS Confederation – 18 April 2012
“This Briefing sets out the policy context around tackling homelessness and addressing the mental health needs of homeless people. It also examines what considerations need to be made when planning, designing and delivering mental health services for homeless people and highlights examples of good practice.
Around 70 per cent of people accessing homelessness services have a mental health problem. Homelessness charity St Mungo’s estimate that 64 per cent of their clients have drug and/or alcohol problems. Although the causes of homelessness are complex, mental ill health is a major contributing factor. Becoming homeless can worsen existing conditions or cause a mental health problem to occur.”Read Full Post | Make a Comment ( Comments Off on Mental health and homelessness: planning and delivering mental health services for homeless people – NHS Confederation – 18 April 2012 )
Investing in emotional and psychological wellbeing for patients with long-term conditions – NHS Confederation – 18 April 2012
“A guide to service design and productivity improvement for commissioners, clinicians and managers in primary care, secondary care and mental health.
For many patients, several physical illnesses will coexist at any one time, and for some a mental health disorder will also be present. In the face of such multi-morbidity and need, focus on the patient journey across the lifespan and across the care system will maximise effective service design and delivery.
The collation of evidence and emerging economic analysis, together with examples of service design and delivery in this guide, will assist commissioners, clinicians and managers in primary care, secondary care and mental health in designing services, improving productivity and learning across disease-specific groups.”Read Full Post | Make a Comment ( Comments Off on Investing in emotional and psychological wellbeing for patients with long-term conditions – NHS Confederation – 18 April 2012 )
Putting people first through shared decision-making and collective involvement – NHS Confederation – 20 March 2012
“Everyone who provides or receives healthcare services needs to play a role in greater decision-making.
This paper, the second in our Uneasy consensus series ahead of the NHS Confederation annual conference and exhibition 2012, explores what it really means to put people first when commissioning and providing services, and sets out what we know about the benefits.”Read Full Post | Make a Comment ( Comments Off on Putting people first through shared decision-making and collective involvement – NHS Confederation – 20 March 2012 )
Personal experiences, public value: changing relationships in the NHS – NHS Confederation – 20 February 2012
“The relationship between individual patients and the health service has been remarkably consistent since the establishment of the NHS in 1948. However, during this time, expectations, technology, patterns of disease and demography have all changed significantly. There remains great attachment to the idea of the NHS as a public service, but public expectations of the service and assumed safety and willingness to bear an ever increasing tax burden are now very different. This paper explores aspects of these changes and what this may mean for the future leadership and sustainability of the NHS.
Intended to stimulate discussion, this paper is the first in a series looking at interactions between the NHS, individuals and communities. A further four papers in the run up to the 2012 NHS Confederation annual conference and exhibition will explore:
putting people first through shared decision-making
information and the power paradigm
micro-enterprises and building community assets
building social value within the system and society.”
Delivering Dignity. Securing dignity in care for older people in hospitals and care homes. A report for consultation – NHS Confederation, Local Government Association – AgeUK – 29 February 2012
“There has now been more than a decade of reports and investigations exposing severe shortcomings in the care of older people, yet the problems persist. The NHS Confederation, Age UK and the Local Government Association established the Commission on Dignity in Care for Older People in July 2011 to identify the underlying causes of these persistent failings, and determine what must change to deliver dignity in the care system, focussing on hospitals and care homes.
This draft report, based on expert evidence, recommends fundamental changes to the culture, leadership, management, staff
development, clinical practice and service delivery of care homes and NHS hospitals to secure the dignified care that is the right of all older people, with the belief that if we get it right for older people we get it right for everyone. The three organisations which have established the Commission want to play a major role in supporting hospitals and care homes to improve dignity in care, led by the staff who are working there day to day.
This draft report sets out ‘what good looks like’, based on evidence from hospitals and care homes that are already providing excellent dignity in care for older people. The report seeks to help hospitals and care homes identify how they need to change to deliver dignity for every person every time. It also sets out the changes that need to take place in the wider health and social care system to support hospitals and care homes in prioritising dignity in care.”Read Full Post | Make a Comment ( Comments Off on Delivering Dignity. Securing dignity in care for older people in hospitals and care homes. A report for consultation – NHS Confederation, Local Government Association – AgeUK – 29 February 2012 )
“This digest highlights recent research around the organisation and delivery of mental health services and new ways of working. It can help managers with evidence of what works and evaluations of service initiatives that could have wider benefits across the NHS.
Read to find out:
what the evidence says on making best use of new specialist services, like crisis resolution teams
how much care is now provided by alternatives to hospital and the potential for savings
how services are engaging users – from peer workers to online support groups.”
Read Full Post | Make a Comment ( Comments Off on New service models in mental health: emerging lessons – NHS Confederation – 8 December 2011 )
Developing an outcomes-based approach in mental health – NHS Confederation – 5 December 2011
“The Department of Health commissioned the Mental Health Network to produce a report which would help set out a direction of travel for developing an outcomes-based approach to improving mental health. The report makes a number of recommendations for Government, the NHS Commissioning Board and emerging clinical commissioning groups.
This Briefing sets out the policy context for outcomes in mental health and summarises the recommendations made in the report, including the need to develop an implementation framework in support of the mental health strategy, ‘No health without mental health’.”
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Housing and mental health – NHS Confederation – 6 December 2011
“This Briefing, produced in association with the National Housing Federation, outlines a number of routes that mental health providers and housing associations may wish to explore together to improve quality and reduce costs.
A settled home is vital for good mental health. People with mental health problems are far less likely to be homeowners and far more likely to live in unstable environments.
Support with housing can improve the health of individuals and help reduce overall demand for health and social care services. Ensuring service users have a suitable and settled place to live can aid recovery from mental health problems.”
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Preventing suicide through community and emergency healthcare. New suicide prevention toolkits for the NHS – NHS Confederation Mental Health Network – December 2011
“The prevention of suicide in inpatient mental health settings has long been a focus for clinicians and managers. Understanding what can be done in community, emergency and general practice settings to reduce the number of suicides has presented more of a challenge.
Although the suicide rate in England has been declining steadily over the last ten years, self-harm – an indicator of suicide risk – continues to rise. Times of economic downturn are known to correspond to a rise in the number of suicides, and 2008 saw the first rise in the suicide rate for some years. Policy-makers and service providers recognise that there is no room to be complacent.
This Briefing introduces the National Patient Safety Agency’s (NPSA) new suicide prevention toolkits for community, emergency and general practice staff, launched in December 2011, and outlines their benefits for providers, illustrated by the experience of some pilot sites. The Mental Health Network is happy to support the NPSA and the Department of Health to bring the toolkits to the wider NHS.”Read Full Post | Make a Comment ( Comments Off on Preventing suicide through community and emergency healthcare. New suicide prevention toolkits for the NHS – NHS Confederation Mental Health Network – December 2011 )
“This briefing outlines the benefits that the Birmingham RAID liaison psychiatry service has brought in terms of cost savings and improved health and well-being for patients. It will be of particular interest to all those who commission and provide acute hospital and mental health services.
Improving the quality of treatment and care in health services is a difficult and continuous challenge in itself, but with co-morbidities and complexity increasing at a time of economic austerity, it can appear daunting.
Liaison psychiatry services are increasingly seen as an essential component of effective care in acute hospitals. their clinical effectiveness has been well documented, but little has been known up to now about their potential economic impact.”Read Full Post | Make a Comment ( Comments Off on With money in mind: the benefits of liaison psychiatry – NHS Confederation – November 2011 )
From illness to wellness: achieving efficiencies and improving outcomes – NHS Confederation – 3 November 2011
From illness to wellness: achieving efficiencies and improving outcomes – NHS Confederation – 3 November 2011
“At a time of major transformation for public health in England, services aimed at improving well-being present a key opportunity to significantly shift approaches towards improving population health.
This briefing is intended to share learning with commissioners and providers in the NHS, local government and health and wellbeing boards, to support integration of wellness approaches within existing programmes and services and scale-up system-wide change.”Read Full Post | Make a Comment ( Comments Off on From illness to wellness: achieving efficiencies and improving outcomes – NHS Confederation – 3 November 2011 )
Operating principles for health and wellbeing boards – NHS Confederation – 18 October 2011
“At an event held in July 2011, a number of national organisations developed a set of operating principles to support the effective establishment of health and wellbeing boards.
These operating principles are designed to be a realistic and practical response to supporting health and wellbeing boards. They are intended to help board members consider how to create really effective partnerships across local government and the NHS.”Read Full Post | Make a Comment ( Comments Off on Operating principles for health and wellbeing boards – NHS Confederation – 18 October 2011 )
The influence of health services research on the NHS – NHS Confederation – 30 September 2011
“Health services research (HSR) investigates how healthcare services can best be organised, financed and delivered. Translating the information gained through research into action is challenging but essential. This new briefing covers some key issues that challenge NHS clinicians and managers daily, such as patient safety and cost cutting, and looks at where HSR has addressed them.”Read Full Post | Make a Comment ( Comments Off on The influence of health services research on the NHS – NHS Confederation – 30 September 2011 )
“This report was commissioned jointly by the National Mental Health Development Unit (NMHDU) and the NHS Confederation in 2010.”
“The Five Ways to Wellbeing is a set of evidence-based public mental health messages aimed at improving the mental health and wellbeing of the whole population. They were developed by nef (the new economics foundation) as the result of a commission by Foresight, the UK government‟s futures think-tank, as part of the Foresight Project on Mental Capital and Wellbeing.
This report presents the results of a scoping exercise looking at how the Five Ways to Wellbeing have been used across the UK since their launch as part of the Foresight report in October 2008.”Read Full Post | Make a Comment ( None so far )
The right reform for patients. The NHS Confederation’s response to the Government’s listening exercise on the Health and Social Care Bill 2011 – May 2011Read Full Post | Make a Comment ( None so far )
Public mental health and well-being – the local perspective – NHS Confederation – 9 March 2011
“Government programmes, policies and national projects in the last three years have given increasing emphasis to public mental health and well-being. This has changed the focus of public service agencies towards promoting and protecting better mental health, not just among the unwell but across whole populations.
This report examines local leaders’ perceptions of public mental health and well-being, the progress they have made, how they are acting on recent evidence, and the complementary nature of addressing mental illness and improving mental well-being. It aims to describe the current state of public mental health and well-being and to provide a sense of what would help to take this work forward locally and nationally.”Read Full Post | Make a Comment ( None so far )
Efficiency in mental health services: Supporting improvements in the acute care pathway – NHS Confederation – 3 February 2011
Efficiency in mental health services: Supporting improvements in the acute care pathway – NHS Confederation – 3 February 2011
“This briefing is produced jointly by the NHS Confederation’s Mental Health Network and Primary Care Trust Network, the Audit Commission, and the National Mental Health Development Unit. It provides a guide to support local mental health communities to gain a better understanding of their local acute care pathway for adult mental health and, where necessary, to help come up with solutions that provide better value for money.
It focuses on how organisations can use benchmarked data on bed usage, with additional local data where appropriate, to improve the efficiency of the acute care pathway. It has been designed for use in any mental health system, wherever they are on the performance scale and whatever their service configuration and their demographic and geographical circumstances.”Read Full Post | Make a Comment ( None so far )
Transfer and transform – NHS Confederation – 9 November 2010
“The challenges for community health services
Community health services cover ‘cradle to grave’ services that many of us take for granted. They provide a wide range of care, from supporting patients to manage long-term conditions like respiratory disease and diabetes, to treating those who are seriously ill with complex conditions.
In addition to treating patients in their own homes, they also provide a range of preventative and health improvement services, often with a range of partners from local government and the third sector. At some point in their lives most people will have contact with these services.
Plans are underway to transfer community service provision from primary care trusts (PCTs) by April 2011. The presence of these services in the community and their close day-to-day working relationships with GPs means they are well placed to deliver the improvements that strike at the heart of the Government’s planned NHS reforms.
This Briefing sets out the key points from our discussions with members who have experience of transferring services, including their learning about how best to transfer services, what exactly should be transferred, the cultural issues to consider and the necessary governance arrangements.”Read Full Post | Make a Comment ( None so far )
Remote control: The patient-practitioner relationship in a digital age – NHS Confederation – 20 January 2011
Remote control: The patient-practitioner relationship in a digital age – NHS Confederation – 20 January 2011
“There are ambitious claims for the potential of multi-channel, remotely delivered healthcare to lead a self-service transformation of the NHS. Currently the UK is not perceived to be at the forefront of telehealth, relying heavily on face-to-face consultations to achieve continuity of care. Success is mixed, with half of patients still feeling that they are insufficiently involved in making decisions about their health.
As an increasingly digital society changes the nature of one-to-one relationships, this report asks whether health technology will involve patients more or exclude them even further.
In considering these issues, we present evidence that illustrates how powerful everyday technology can be in disrupting the roles and relationships of patients and practitioners. Sometimes the effects are positive, sometimes not. The real opportunity lies in elevating shared decision-making to be as important a concern for health technology as cost savings and efficiency. Where this is done, the digital future can offer patients far more opportunities to be involved in decisions about their care, while protecting face-to-face services for the people it has value for.” …continuesRead Full Post | Make a Comment ( None so far )
Feeling better? Improving patient experience in hospital – NHS Confederation – 6 January 2011
Extract from the summary
“Understanding and improving how patients experience their care is a key component to successfully delivering high-quality services that are based on their needs. This report looks at what we know about improving patients’ experiences of hospital care and shares the approaches of both UK and USA hospital providers that have made significant progress in providing services that are truly patientcentred. It also details emerging evidence that hospital boards can achieve better outcomes across their whole organisation when patient experience is a priority.” …continuesRead Full Post | Make a Comment ( None so far )
Clinical responses to the downturn – NHS Confederation – 15 December 2010
“This joint publication brings together practical recommendations from focus groups with seven specialty medical societies and royal colleges, each of which were asked to suggest ways that clinicians in their own specialties can release NHS resources while maintaining or enhancing quality.
Seven medical specialties address how they can help tackle the NHS financial challenge.
The NHS faces the most prolonged period of financial constraint in its history. In the next four years it needs to find £15-£20 billion of savings at the same time as tackling underlying increase in the costs and demand for healthcare, and managing one of the biggest reorganisations in its history.
This report examines how to release NHS resources across the seven specialties of:
The answers tackle issues with referrals, discharge, follow-up, procedures of low or questionable value, workforce profiles, commissioning, waste, and productivity, among others.
The recommendations will be of use to local commissioners and providers, clinical leaders, policy makers and anyone else seeking to address the most serious period of financial constraint in the history of the NHS.”Read Full Post | Make a Comment ( None so far )
“Research is crucial to the NHS. It helps the NHS understand, adapt and respond to the challenges it faces. These challenges might come from changes in policy, populations, technologies or disease patterns. In the present climate, research evidence can play a key role in helping the NHS respond to the challenge of improving quality while simultaneously finding efficiencies.
This Briefing looks at the role and value of research, in particular health services research, and explores the virtues and rewards to NHS organisations of being a good research partner.”Read Full Post | Make a Comment ( None so far )
Too much of the hard stuff: what alcohol costs the NHS – January 2010
“Consumption of alcohol in the UK has increased by 19 per cent over the last three decades and is now higher than in any other European country. Recent reports indicate that 10.5 million adults in England drink above sensible limits and around 1.1 million have a level of alcohol addiction. Alcohol is the third leading cause of disease burden in developed countries and, as a result, the cost of providing alcohol-related services is escalating. The burden on the NHS will be unsustainable if this continues.
This Briefing, produced with the Royal College of Physicians, outlines the extent of the problem and gives examples of where the NHS is managing problem drinkers effectively and efficiently. The NHS Confederation visited hospitals between August and November 2009 and gathered evidence from members to gain an understanding of the extent of the burden and the ways in which hospitals can improve their services.”Read Full Post | Make a Comment ( None so far )
Pandemic flu: ensuring the NHS is ready – NHS confederation briefing – 13 July 2009 – 6 p.Read Full Post | Make a Comment ( None so far )
The new registration system for health and adult social care
“From April 2010, a new system of regulation for health and adult social care in England comes into force for the NHS. This will require all providers of certain health and adult social care activities to register with the Care Quality Commission in order to provide services. The Department of Health is now consulting on the draft regulations. This briefing summarises the main proposals and their implications for providers of NHS care and its commissioners.”Read Full Post | Make a Comment ( None so far )