Making the case for cardiac rehabilitation: modelling potential impact on readmissions – NHS Improvement – March 2013

Posted on April 9, 2013. Filed under: Cardiol / Cardiothor Surg, Health Economics, Rehabilitation | Tags: |

Making the case for cardiac rehabilitation: modelling potential impact on readmissions – NHS Improvement – March 2013

“This report summarises the findings of a short study, commissioned by NHS Improvement, which models the relationship between uptake of CR and unplanned cardiac readmission rates both nationally and at commissioner level.

The primary purpose of the study was to examine the Quality, Innovation, Productivity and Prevention (QIPP) potential of CR and to establish whether the benefits of CR outweigh the costs in terms of the potential impact on readmissions alone.

Over and above the well-documented, positive effects of rehabilitation on mortality, morbidity and quality of life, the results suggest that increasing the uptake of ’gold standard’ CR has the potential to reduce cardiac-related readmissions and deliver significant financial savings.”

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Making the case for cardiac rehabilitation: modelling potential impact on readmissions – NHS Improvement – March 2013

Posted on March 20, 2013. Filed under: Cardiol / Cardiothor Surg, Rehabilitation | Tags: |

Making the case for cardiac rehabilitation: modelling potential impact on readmissions – NHS Improvement – March 2013

Extract

“The primary purpose of the study was to examine the Quality, Innovation, Productivity and Prevention (QIPP) potential of CR and to establish whether the benefits of CR outweigh the costs in terms of the potential impact on readmissions alone.

Over and above the well-documented, positive effects of rehabilitation on mortality, morbidity and quality of life, the results suggest that increasing the uptake of ’gold standard’ CR has the potential to reduce cardiac-related readmissions and deliver significant financial savings.”

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Service improvement in blood sciences – NHS Improvement Diagnostics – January 2013

Posted on February 5, 2013. Filed under: Haematology, Pathology | Tags: |

Service improvement in blood sciences – NHS Improvement Diagnostics – January 2013

“How to improve quality, delivery and efficiency for laboratory providers and their customers”

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First steps to improving chronic obstructive pulmonary disease (COPD) care – NHS Improvement – October 2012

Posted on October 24, 2012. Filed under: Respiratory Medicine | Tags: , |

First steps to improving chronic obstructive pulmonary disease (COPD) care – NHS Improvement – October 2012

“A basic guide to the key principles every area should be adopting to provide good COPD care– if you do nothing else, start with these ten things and make sure they are in place for all your patients. This may be a helpful starting point for those new to commissioning for COPD services or for a stocktake for a local respiratory team.”

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Towards best practice in interventional radiology – NHS Improvement – 29 June 2012

Posted on July 3, 2012. Filed under: Radiology | Tags: |

Towards best practice in interventional radiology – NHS Improvement – 29 June 2012

Towards best practice in interventional radiology draws together the findings from visits to interventional radiology (IR) services at proposed major trauma centres in England during 2011/12.

“Key messages
• High quality IR services are essential for safe and effective patient care.
• There is variation in provision of IR throughout England, particularly for potentially lifesaving emergency and out-of-hours procedures.
• Despite this there are already many examples of good practice and service delivery across the country.
• Networking will be essential to improve access to IR. There are challenges in developing effective operational delivery networks but there are already good examples of these in the UK.
• A good well resourced IR service can contribute to significant savings (both financial and non-financial) along care pathways in both planned and emergency care.
• The opportunity exists to use improvement techniques of standard work and visual management to create agreed standard operating procedures. This can support a network approach to providing on-call across a number of organisations.”

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Fulfilling the potential – A better journey for patients and a better deal for the NHS – NHS Improvement – April 2012

Posted on May 4, 2012. Filed under: Patient Participation, Surgery | Tags: |

Fulfilling the potential – A better journey for patients and a better deal for the NHS – NHS Improvement – April 2012

Enhanced Recovery Partnership

What is Enhanced Recovery?

“Enhanced Recovery is a novel approach to elective surgery based on the following principles:

patients are in the optimal condition for treatment
patients have different care during their operation
patients experience optimal post-operative rehabilitation.

Enhanced Recovery may be referred to as Rapid, Accelerated Recovery or Fast Track surgery and was originally pioneered in Denmark.

Enhanced Recovery involves the whole health community.

Enhanced Recovery has a compelling clinical evidence base and should be the norm for best practice elective care pathways.”

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Delivering major breast surgery safely as a day case or one night stay (excluding reconstruction) – NHS Improvement – December 2011

Posted on January 6, 2012. Filed under: Oncology, Surgery | Tags: |

Delivering major breast surgery safely as a day case or one night stay (excluding reconstruction) – NHS Improvement – December 2011

“Why should major breast surgery be an inpatient procedure?

• It’s a relatively short operation
• Low post operative pain
• Patients can mobilise, eat anddrink early
• Rare post operative events
• Patients want to return to normal life as quickly as possible.

In 2007, NHS Improvement Transforming Inpatient Care Programme as part of the Cancer Reform Strategy (2007) and recently the Improving Cancer Outcomes Strategy (2011) redesigned the breast care surgical pathway (excluding reconstruction) with the working hypothesis that:
“Streamlining of the breast surgical pathway could reduce length of stay by 50% and release 25% of unnecessary bed days for 80% of major breast surgery (excluding reconstruction).” ”

… continues

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Mind the gap: ways to enhance therapy provision in stroke rehabilitation – NHS Improvement – 2011

Posted on December 13, 2011. Filed under: Neurology, Rehabilitation | Tags: , |

Mind the gap: ways to enhance therapy provision in stroke rehabilitation – NHS Improvement – 2011

“Ways to enhance therapy provision in stroke rehabilitation This document explores some of the different models adopted by therapy services to deliver more rehabilitation and provides further detail about 45 minutes, process and outcomes.”
 
Contents
Introduction
National guidelines
Who can deliver more rehabilitation?
When – a seven day service?
How long – getting more out of the whole week?
Where can more therapy make a difference?
How – bridging the gap?
Conclusions
References
Case studies

Practical principles for improving stroke care 

1 – Improving psychological care after stroke 

2 – Developing an early supported discharge service 

 3 – Improving access to CT scanning 

4 – Transient Ischaemic Attack (TIA) 

5 – How to establish joint care planning 

6 – How to manage reviews for stroke survivors 

7 – Being the best in acute stroke 

8 – Developing a community stroke service

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The best of clinical pathway redesign. Practical examples delivering benefits to patients – NHS Improvement – July 2011

Posted on December 13, 2011. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: |

The best of clinical pathway redesign. Practical examples delivering benefits to patients – NHS Improvement – July 2011

“The approach: NHS Improvement Framework for Service Improvement
2010-11 achievements
Helping to deliver quality and productivity improvements and sharing the learning
The external assessor perspective
The staff perspective
The stakeholder perspective
Best practice case studies
• Cancer
• Diagnostics
     • Audiology
• Heart
• Lung
• Stroke”

Summary

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First steps towards quality improvement: A simple guide to improving services – NHS Improvement – December 2011

Posted on December 13, 2011. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: |

First steps towards quality improvement: A simple guide to improving services – NHS Improvement – December 2011

Introduction
Chapter 1 – Improvement models
Chapter 2 – Defining the change idea and developing aims
Chapter 3 – Managing a successful project
Chapter 4 – Levers and drivers – framing the work for a wider audience
Chapter 5 – Getting the right people involved
Chapter 6 – Involving patients and carers in service redesign
Chapter 7 – Communicating the right things to the right people
Chapter 8 – Improvement Tool: Process mapping
Chapter 9 – Improvement Tool: Plan Do Study Act Cycles
Chapter 10 – Measuring your efforts
Chapter 11 – Improvement Tool: Using statistical process control charts
Chapter 12 – Human dimensions of change
Chapter 13 – Sharing your success
Resources

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NHS Improvement – lung: national improvement projects – December 2011

Posted on December 13, 2011. Filed under: Respiratory Medicine | Tags: , |

NHS Improvement – lung: national improvement projects – December 2011

Improving earlier diagnosis and the long term management of COPD: testing the case for change – December 2011

Improving end of life care in chronic obstructive pulmonary disease (COPD): testing the case for change – December 2011

Transforming acute care in chronic obstructive pulmonary disease (COPD): testing the case for change – December 2011

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