The NHS Five Year Forward View – NHS England – 23 October 2014

Posted on October 24, 2014. Filed under: Health Mgmt Policy Planning, Health Systems Improvement, National Health Strategies | Tags: |

The NHS Five Year Forward View – NHS England – 23 October 2014

“The NHS Five Year Forward View was published on 23 October 2014 and sets out a vision for the future of the NHS. It has been developed by the partner organisations that deliver and oversee health and care services including NHS England, Public Health England, Monitor, Health Education England, the Care Quality Commission and the NHS Trust Development Authority. Patient groups, clinicians and independent experts have also provided their advice to create a collective view of how the health service needs to change over the next five years if it is to close the widening gaps in the health of the population, quality of care and the funding of services.

The purpose of the Five Year Forward View is to articulate why change is needed, what that change might look like and how we can achieve it. It describes various models of care which could be provided in the future, defining the actions required at local and national level to support delivery. Everyone will need to play their part – system leaders, NHS staff, patients and the public – to realise the potential benefits for us all. It covers areas such as disease prevention; new, flexible models of service delivery tailored to local populations and needs; integration between services; and consistent leadership across the health and care system.

The Five Year Forward View starts the move towards a different NHS, recognising the challenges and outlining potential solutions to the big questions facing health and care services in England. It defines the framework for further detailed planning about how the NHS needs to evolve over the next five years.”

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Posted on October 14, 2014. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , , , |

Cause for concern: second annual statement – Quality Watch, The Health Foundation & Nuffield Trust – 10 October 2014

“Our second annual statement, Cause for concern, offers an independent assessment of the current quality of NHS health and social care services in England. We observe that while care quality has improved since a decade ago, the last year has seen progress in some areas slow down or begin to reverse.”

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Into the Red? The State of the NHS’ Finances – Nuffield Trust – 10 July 2014

Posted on July 11, 2014. Filed under: Health Economics | Tags: , |

Into the Red? The State of the NHS’ Finances – Nuffield Trust – 10 July 2014

“This report shows that, after holding up well under austerity since 2010, the NHS’ finances are starting to come under severe financial pressure.”

 

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Sign up to Safety – NHS England – 24 June 2014

Posted on June 25, 2014. Filed under: Patient Safety | Tags: |

Sign up to Safety – NHS England – 24 June 2014

“Today, the Secretary of State for Health launched a new campaign to make the NHS the safest healthcare system in the world, building on the recommendations of the Berwick Advisory Group. The campaign has set out a three-year shared objective to save 6,000 lives and halve avoidable harm as part of our journey towards ensuring patients get harm free care every time, everywhere.

The Sign up to Safety campaign is for everyone in the NHS. It will generate a movement which places the safety of patients as a top priority in everything the NHS does. NHS England, Department of Health, Monitor, NHS Trust Development Authority, NHS Litigation Authority and CQC have all agreed to sign up to safety and have made a commitment to align their organisations’ work with the campaign, which will be led by Sir David Dalton, Chief Executive of Salford Royal NHS Foundation Trust.

For more information visit the Sign up to Safety website

“How Safe is my Hospital” site launched – eHealth Insider– 24 July 2014

“The Department of Health has launched a website that will let the public compare hospitals in England based on a number of safety indicators.

The website, called ‘How Safe is my Hospital’, is part of NHS Choices and will include indicators such as ward level staffing levels, incident reporting levels, pressure ulcers, falls and how the hospital is complying with patient safety alerts.

The launch is part of Hunt’s ‘Sign up to Safety’ campaign to crack down on unsafe care and preventable deaths. It aims to save up to 6000 lives over the next three years.”

… continues on the site

 

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Meeting the Challenge – Employee Engagement and the future of the NHS – ipa – April 2014

Posted on May 9, 2014. Filed under: Workforce | Tags: |

Meeting the Challenge – Employee Engagement and the future of the NHS – ipa – April 2014

“Employee engagement is vital to high quality care in the NHS. Evidence shows it is linked to both patient satisfaction and quality of care. Here, Joe Dromey, Head of Policy and Research at the IPA highlights the findings of a major new piece of research on engagement in the NHS. He argues that by better engaging with employees, the NHS will be more able to face the significant challenges of the next few years.”

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The NHS productivity challenge: Experience from the front line – The King’s Fund – 1 May 2014

Posted on May 1, 2014. Filed under: Health Economics | Tags: , |

The NHS productivity challenge: Experience from the front line – The King’s Fund – 1 May 2014

“The unprecedented slowdown in the growth of NHS funding in England since 2010 required the NHS to pursue the most ambitious programme of productivity improvement since its foundation. It has broadly risen to the challenge, with pay restraint, cuts in central budgets, and the abolition of some tiers of management producing significant savings. But the strongest pressure has been applied and felt at the front line, by hospitals and other local service providers, faced with squeezing more and more value from every health care pound.

This report describes how six trusts have been grappling with the productivity challenge. It also suggests ways to divert the NHS and social care from their current trajectory, which is heading towards a major crisis.”

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Challenges and improvements in diagnostic services across seven days – NHS Improving Quality – 7 March 2014

Posted on March 13, 2014. Filed under: Health Systems Improvement, Pathology | Tags: |

Challenges and improvements in diagnostic services across seven days – NHS Improving Quality – 7 March 2014

“Across the country, hospitals and primary and community care organisations are working together to look at ways of delivering safe and effective care over seven days a week. This helps address the link between poorer outcomes for patients and the reduced levels of service provision at the weekend.

Diagnostic and scientific services underpin all models of care irrespective of settings and most clinical pathways. Nationally, the seven day service forum, led by Sir Bruce Keogh, Medical Director for NHS England, has set out a plan to drive seven day services across England in the next three years1, as part of a transformational improvement programme. For this plan to be successful diagnostic and scientific services must be at the centre of service transformation. There are therefore huge opportunities for these services to contribute to delivery of this plan and to improve patient experience and outcomes.”

… continues on the site

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Closing the NHS funding gap: Can it be done through greater efficiency? – The Health Foundation – February 2014

Posted on February 28, 2014. Filed under: Health Economics | Tags: , |

Closing the NHS funding gap: Can it be done through greater efficiency? – The Health Foundation – February 2014

“Recently, the Health Foundation brought together senior health sector leaders to consider whether the NHS can close the £30bn funding gap through greater efficiency.

The discussion was stimulated by Monitor’s publication last year of Closing the NHS funding gap: how to get better value healthcare for patients which highlighted the financial challenges facing the NHS in England. The report identified four key areas where there were opportunities to make significant productivity gains across the NHS by 2021 and beyond:

improving productivity within existing services
delivering the right care in the right setting
developing new ways of delivering care
allocating spending more rationally.

While the original intention had been to focus the roundtable discussion around the 2021 challenge, it quickly became clear that there was a more immediate hurdle to clear first – the financial pressures facing the system in 2014/15 and 2015/16.

This report highlights the following key points from the presentations and discussions on the day:”

… continues on the site

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Hunt sets out tough new approach to turn around NHS hospitals – 19 September 2013

Posted on September 20, 2013. Filed under: Clin Governance / Risk Mgmt / Quality, Patient Safety | Tags: |

Hunt sets out tough new approach to turn around NHS hospitals – 19 September 2013

“Health Secretary Jeremy Hunt today set out the Government’s plans to help prevent future failures of care and safety at NHS hospitals.

In the wake of the scandal over standards at Mid Staffordshire NHS Foundation Trust and subsequent Keogh Review which looked at 14 NHS Trusts with high mortality rates, 11 of those Trusts have already been placed in ‘special measures’.

Now, the Health Secretary has set out a new approach to ensure progress at those NHS Trusts, which could be applied to any NHS Trust that is placed in special measures under a new, tougher inspection regime:”

… continues on the site

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The dismantled National Programme for IT in the NHS – House of Commons Committee of Public Accounts – report – published 18 September 2013

Posted on September 19, 2013. Filed under: Health Economics, Health Informatics | Tags: |

The dismantled National Programme for IT in the NHS – House of Commons Committee of Public Accounts – report – published 18 September 2013

Summary

“Although the National Programme for IT in the NHS (the National Programme) has been dismantled, it in effect remains in place with separate component programmes which continue to incur significant costs. The Department of Health (the Department) has been negotiating with CSC for around two years to re-set the contract to provide the Lorenzo care records system to trusts in the North, Midlands and East of England. Its negotiating position is weak. The Department’s statement on the benefits expected from the National Programme showed that most of the benefits are yet to be delivered. There is a risk that some of these benefits may never materialise. Unless the Department acts on the lessons of the failed National Programme it is unlikely to deliver the new vision of a paperless NHS by 2018.”

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Consultant treatment outcomes now published online – NHS England

Posted on July 25, 2013. Filed under: Clin Governance / Risk Mgmt / Quality, Surgery | Tags: , |

Consultant treatment outcomes now published online – NHS England

“NHS England is committed to making more information available about how services and professionals are performing. The aim is to drive up the quality of care in the NHS and help people choose the treatment that suits them best.

This initiative is a central part of NHS England’s ambition to ensure every patient gets high quality care, and to build improved services for the future.

On NHS Choices you’ll find links to information about individual consultants in a number of clinical areas. You can look at their results for a range of operations and treatments to help you make decisions about your care.

Prof Sir Bruce Keogh, National Medical Director of NHS England, said: ‘This is a major breakthrough in NHS transparency.

‘We know from our experience with heart surgery that putting this information into the public domain can help drive up standards. That means more patients surviving operations and there is no greater prize than that.’

The reporting of the data was led by Prof Ben Bridgewater from the Healthcare Quality Improvement Partnership (HQIP). Prof Bridgewater is a practising heart surgeon who leads the successful cardiac consultant-level reporting which paved the way for this work.”

… continues on the site

Everyone counts: Publication of Consultant clinical outcomes: Frequently Asked Questions

Your choices: consultant choice – the data

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The NHS belongs to the people: a call to action – NHS England – 11 July 2013

Posted on July 25, 2013. Filed under: Health Mgmt Policy Planning | Tags: |

The NHS belongs to the people: a call to action – NHS England – 11 July 2013

News

“NHS England sets out call to action to staff, public and politicians to help NHS meet future demand and tackle funding gap through ‘honest and realistic’ debate.

NHS England has today called on the public, NHS staff and politicians to have an open and honest debate about the future shape of the NHS in order to meet rising demand, introduce new technology and meet the expectations of its patients. This is set against a backdrop of flat funding which, if services continue to be delivered in the same way as now, will result in a funding gap which could grow to £30bn between 2013/14 to 2020/21.

A new publication, ‘The NHS belongs to the people: a call to action’ sets out these challenges facing the NHS, including more people living longer with more complex conditions, increasing costs whilst funding remains flat and rising expectation of the quality of care. The document says clearly that the NHS must change to meet these demands and make the most of new medicines and technology and that it will not contemplate reducing or charging for core services.”

… continues

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Spending on health and social care to 2015-16 [Parliamentary Briefing] – Nuffield Trust – 11 July 2013

Posted on July 24, 2013. Filed under: Health Informatics | Tags: , |

Spending on health and social care to 2015-16 [Parliamentary Briefing] – Nuffield Trust – 11 July 2013

“This briefing examines the key issues underlying debates on health funding, the decisions taken on NHS spending over this Parliament and the 2015-16 Spending Round period, and the closely linked issue of spending on social care.

It aims to link these fiscal decisions to their implications for access, quality, sustainability and efficiency.

The first section of the briefing examines how spending in the NHS faces upward pressure from internal factors at the same time as its budget is under downward pressures from outside, leading to a gap.

The second looks at how the Government is trying to bridge this gap and how deeper changes may be needed to achieve a long-term solution, while the third looks at the urgent situation facing social care funding in the context of the reforms contained in the Spending Round and Care Bill.”

 

 

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The wisdom of the crowd: 65 views of the NHS at 65 – Nuffield Trust – July 2013

Posted on July 5, 2013. Filed under: Health Mgmt Policy Planning | Tags: , |

The wisdom of the crowd: 65 views of the NHS at 65 – Nuffield Trust – July 2013

“On 5 July 2013, the NHS reached its 65th anniversary. To mark this milestone, the Nuffield Trust has been carrying out a number of activities to promote debate and discussion on the current state of the NHS and social care system, and its future prospects.

This publication is the centrepiece of our activities. Enclosed are interviews and essays with a cast list of 65 health and political leaders, consisting of current and former health secretaries and ministers, senior civil servants, clinicians, managers, academics, patient representatives, journalists and other key individuals. It is edited by Nuffield Trust Senior Associate Nick Timmins, who has reprised a role he performed for the Nuffield Trust back in 2008 when we took a similar temperature check of the views of leaders at the time of the NHS’s 60th anniversary.”

… continues

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Our vision for research in the NHS – Association of Medical Research Charities – 15 May 2013

Posted on May 20, 2013. Filed under: Research | Tags: , |

Our vision for research in the NHS – Association of Medical Research Charities – 15 May 2013

Healthcare professionals recognise value of NHS supporting medical research

“But they are less sure of their own role in improving patient care through research

Results of a survey of healthcare professionals released today (15 May), commissioned by some of the UK’s leading medical research charities*, highlight the practical challenges to be overcome if the NHS is to become an innovative research organisation driving improvements  in patient care.

The survey carried out by ComRes with 392 GPs, hospital doctors and nurses, showed universal agreement among them that the NHS should support research into treatments for patients. However 91% of those surveyed identified barriers they had experienced to taking part in research – including lack of time (62%), funding (30%), practical support (27%) and difficulties navigating regulation (24%) were among the reasons given.

And although a majority of GPs believed it is very important for the NHS to support research into treatments for their patients, only 22% felt it was very important for them to be personally involved. Lack of time was a key issue for GPs, with nearly three quarters (73%) naming it as the biggest barrier to preventing them from getting involved in research.  As the majority of NHS contact with patients is made in general practice, GPs can play a vital role in engaging patients in research, conducting innovative research themselves and facilitating research though commissioning.

Among all health professionals, around a fifth (18%) felt they did not have the necessary skills to get involved in research and some reported a lack of confidence in talking about research with their patients, with a third of nurses (31%) and GPs (34%) not very or not at all confident. And whilst many resources exist for clinicians about medical research and how to be involved, a fifth of healthcare professionals (20%) did not use any of the tailored information resources available.

Patients can be part of the solution here. We know from other studies** that the public are keen to be involved in research, yet the majority (53%) of health professionals told us that they are asked by their patients about research opportunities less than once a year, if at all.”

… continues

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NHS Safety Thermometer Report – April 2012 to April 2013 – Health and Social Care Information Centre [UK] – 8 May 2013

Posted on May 9, 2013. Filed under: Patient Safety | Tags: , |

NHS Safety Thermometer Report – April 2012 to April 2013 – Health and Social Care Information Centre [UK] – 8 May 2013

“The NHS Safety Thermometer is a local improvement tool for measuring, monitoring, and analysing patient harms and ‘harm free’ care.”

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How should we pay for health care in future? – The King’s Fund and Ipsos MORI – 15 April 2013

Posted on April 16, 2013. Filed under: Health Economics | Tags: , , |

How should we pay for health care in future? – The King’s Fund and Ipsos MORI – 15 April 2013

“Public remain wedded to NHS funding model says new research by The King’s Fund and Ipsos MORI”

How should we pay for health care in future? – paper

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Improving the allocation of health resources in England. How to decide who gets what – The King’s Fund – 11 April 2013

Posted on April 12, 2013. Filed under: Health Economics | Tags: |

Improving the allocation of health resources in England. How to decide who gets what – The King’s Fund – 11 April 2013

David Buck, Anna Dixon

“While the principles behind resource allocation in the English NHS have changed little since the mid-1970s, the NHS has changed considerably. This paper argues that the resource allocation system needs to change accordingly.

The paper explores how the health resource allocation process and the formula on which it is based have changed over time, and how it will work from April 2013. It suggests some improvements that can be made to support a more coherent health and care system.”

 

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Putting Patients First: The NHS England Business Plan for 2013/14 – 2015/16 – NHS England

Posted on April 8, 2013. Filed under: Health Mgmt Policy Planning, Health Policy | Tags: , |

Putting Patients First: The NHS England Business Plan for 2013/14 – 2015/16 – NHS England

NHS England’s business plan for 2013/14 – 2015/16, called Putting Patients First, explains how its commitment to transparency and increasing patients’ voice are fundamental to improving patient care.

The plan describes an 11 point scorecard which NHS England will introduce for measuring performance of key priorities, focused on receiving direct feedback from patients, their families and NHS staff.

This supports the cultural change needed to put people at the centre of the NHS, a key theme in the report by Robert Francis QC, by making sure that patients’ voices are heard and used to deliver better services.

This plan builds on Everyone Counts: Planning for Patients 2013/14, our earlier planning guidance for commissioners which was published in December 2012.

There is also a summary document available – Putting Patients First: The summary NHS England business plan for 2013/14 – 2015/16.”

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NHS Constitution for England – 26 March 2013

Posted on April 3, 2013. Filed under: Patient Participation | Tags: |

NHS Constitution for England – 26 March 2013

“The constitution sets out rights for patients, public and staff. It outlines NHS commitments to patients and staff, and the responsibilities that the public, patients and staff owe to one another to ensure that the NHS operates fairly and effectively. All NHS bodies and private and third sector providers supplying NHS services are required by law to take account of this constitution in their decisions and actions.”

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Changing of the guard: lessons for the new NHS from departing health leaders – Nuffield Trust – 28 March 2013

Posted on April 2, 2013. Filed under: Leadership | Tags: |

Changing of the guard: lessons for the new NHS from departing health leaders – Nuffield Trust – 28 March 2013

“Just prior to the new NHS structures going live in April 2013, we interviewed some of the most experienced NHS leaders to gather their lessons for the new generation of leaders.

These frank reflections from 12 former or soon-to-depart hospital, primary care trust (PCT) and strategic health authority (SHA) chief executives, along with health regulators, offer insights into the challenges they faced during the last decade or more in the NHS.”

… continues on the site

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The anatomy of health spending 2011/12: a review of NHS expenditure and labour productivity – Nuffield Trust – 5 March 2013

Posted on March 5, 2013. Filed under: Health Economics, Workforce | Tags: , |

The anatomy of health spending 2011/12: a review of NHS expenditure and labour productivity – Nuffield Trust – 5 March 2013

Blog posting: NHS productivity: more of the same or more for less? 

Guardian report on the research: Productivity in the NHS ‘stubbornly stagnant’, reveals report

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The formula for clear governance: Finding the equilibrium – NHS Governance Review – Grant Thornton – 2013

Posted on February 5, 2013. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , , |

The formula for clear governance: Finding the equilibrium – NHS Governance Review – Grant Thornton – 2013

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Everyone counts: Planning for Patients 2013/14 – NHS – December 2012

Posted on January 9, 2013. Filed under: Health Mgmt Policy Planning, Health Policy | Tags: |

Everyone counts: Planning for Patients 2013/14 – NHS – December 2012

“Everyone Counts: Planning for Patients 2013/14 outlines the incentives and levers that will be used to improve services from April 2013, the first year of the new NHS, where improvement is driven by clinical commissioners.

The guidance is published alongside financial allocations to clinical commissioning groups and is accompanied by other documents intended to help local clinicians deliver more responsive health services, focused on improving outcomes for patients, addressing local priorities and meeting the rights people have under the NHS Constitution.”

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A decade of austerity? The funding pressures facing the NHS from 2010/11 to 2021/22 – Nuffield Trust – 3 December 2012

Posted on December 4, 2012. Filed under: Health Economics | Tags: , |

A decade of austerity? The funding pressures facing the NHS from 2010/11 to 2021/22 – Nuffield Trust – 3 December 2012

“This research highlights the funding challenges facing the NHS and social care system in England over the next decade, with NHS funding growth likely to be restricted beyond 2015.”

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NHS Mandate published – 13 November 2012

Posted on November 15, 2012. Filed under: Health Policy | Tags: |

NHS Mandate published – 13 November 2012

“The first Mandate between the Government and the NHS Commissioning Board, setting out the ambitions for the health service for the next two years, is published today.

The Mandate reaffirms the Government’s commitment to an NHS that remains comprehensive and universal – available to all, based on clinical need and not ability to pay – and that is able to meet patients’ needs and expectations now and in the future.”

… continues

 

 

 

 

 

 

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Takeover: Tackling failing NHS hospitals – Reform Research Trust – 28 September 2012

Posted on October 5, 2012. Filed under: Health Economics, Health Mgmt Policy Planning | Tags: , |

Takeover: Tackling failing NHS hospitals – Reform Research Trust – 28 September 2012

“This report, written by Paul Corrigan, John Higton and Simon Morioka finds that the Government should drive the takeover of up to 30 NHS hospitals in this Parliament. Instead of encouraging mergers between failing NHS hospitals, private companies and the best NHS hospitals, should take over troubled hospitals because that is the surest way to turn them around.”

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Dealing with financially unsustainable providers: how will the failure regime work? – The King’s Fund – 20 September 2012

Posted on September 21, 2012. Filed under: Health Economics | Tags: , |

Dealing with financially unsustainable providers: how will the failure regime work? – The King’s Fund – 20 September 2012

“The financial pressures within the NHS are being particularly harshly felt by acute hospital trusts, with some trusts and foundation trusts being rated as at financial risk and others declaring themselves financially unsustainable. With the current economic situation more organisations are likely to find themselves financially challenged and unable to survive in their present form.

This paper explains why a failure regime is required in the NHS, outlines how the failure regime for NHS trusts (currently being applied in South London) works and how the failure regime for foundation trusts introduced by the Health and Social Care Act 2012 will work in future. It concludes with a discussion of key issues that need to be resolved if providers of acute services to the NHS are to be put on a financially sustainable footing.”

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NHS Change Model – launched July 2012

Posted on July 6, 2012. Filed under: Health Mgmt Policy Planning | Tags: , |

NHS Change Model – launched July 2012

“The model has been created to support the NHS to adopt a shared approach to leading change and transformation.  We hope to build this website further and add practical information, tools and support over the coming months.  Please tell us what you think to help us shape this model and the ongoing future work using the chat room facility.

Why do we need a change model?
Building on what we collectively know about successful change the ‘NHS Change Model’ has been developed with hundreds of our senior leaders, clinicians, commissioners, providers and improvement activists who want to get involved in building the energy for change across the NHS by adopting a systematic and sustainable approach to improving quality of care.

What does the model do?
The model brings together collective improvement knowledge and experience from across the NHS into eight key components. Through applying all eight components change can happen. This means no matter whom or wherever you are in the NHS you can use the approach to fit your own context as a way of making sense at every level of the ‘how and why’ for delivering improvement, to consistently make a bigger difference.”

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Setting levels of ambition for the NHS Outcomes Framework – 4 July 2012

Posted on July 5, 2012. Filed under: Health Mgmt Policy Planning | Tags: , |

Setting levels of ambition for the NHS Outcomes Framework – 4 July 2012

“NHS Outcomes Framework: a technical annex setting levels of ambition published

Developing our NHS care objectives: a consultation on the draft mandate to the NHS Commissioning Board’ explains that the Secretart of State will hold the NHS Commissioning Board to account for delivering improvements in health outcomes.

This technical annex provides more information on the NHS Outcomes Framework and the preparatory work underway for setting these outcome objectives (‘levels of ambition’). The levels of ambition themselves will be included in the final mandate.

The purpose of this technical annex is to support the consultation on the draft mandate. It explains the proposed methodology for deriving levels of ambition and use examples to illustrate the planned approach. The technical annex is aimed at those who are interested in the measurement of health outcomes.”

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NHS and social care funding: the outlook to 2021/22 – Nuffield Trust – 4 July 2012

Posted on July 5, 2012. Filed under: Health Economics | Tags: , |

NHS and social care funding: the outlook to 2021/22 – Nuffield Trust – 4 July 2012

ISBN: 978-1-905030-55-2

“Nuffield Trust Research Analyst Adam Roberts on what might happen when the current period of broadly flat NHS funding in real terms ends in 2014-15.

The path of Government funding for health over the next decade is a key concern for commissioners, providers, as well as patients and the public.

The coalition Government gave the NHS relative protection during the 2010 Spending Review – a 0.1 per cent real-terms annual increase. However, this settlement yielded extremely demanding productivity targets – the so-called ‘Nicholson challenge’ to generate £20 billion in efficiency savings by 2015.

What can be expected in the decade from now up to 2021/22? And what is the likely outlook for social care spending, given that demographic pressures are increasing demand for care services and the Commission on Funding of Care and Support (the Dilnot Commission) called for major reforms that would, if accepted, increase costs to the taxpayer?

NHS and social care funding: the outlook to 2021/22, written by Rowena Crawford and Carl Emmerson of the Institute for Fiscal Studies (IFS) for the Nuffield Trust, maps the longer term financial challenge facing the NHS and social care. It is the first output from a Nuffield Trust research programme that is seeking to assess the scale of the challenge and how it can be met.

The report considers some scenarios for spending on the NHS and social care in England into the next decade. The scenarios involve a real-term funding freeze, annual increases in line with any national income growth, and a return to the long term average of 4.0 per cent per year.

The authors attempt to establish what such settlements would mean for other public services, for taxation, and for borrowing.

In summary, the report concludes that public funding for health is set to be tight until at least the end of the decade. As spending cuts continue in real terms through to 2016-17 and beyond, they calculate that only a long-term freeze in other public service budgets or large tax rises could enable a return to the 4.0 per cent average annual growth to which the NHS has become accustomed.”

… continues on the site

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NHS Procurement: raising our game – 28 May 2012

Posted on May 31, 2012. Filed under: Health Mgmt Policy Planning | Tags: , |

NHS Procurement: raising our game – 28 May 2012

“Guidance aims to improve procurement across healthcare system

Guidance aimed at improving procurement across the healthcare system has been published by the Department of Health.

‘NHS procurement: raising our game’ sets out proposed actions for NHS trusts and the Department and focuses on taking immediate action to start tackling six key areas for improvements:

levers for change
transparency and data management
NHS standards of procurement
leadership, clinical engagement and reducing variation
collaboration and use of procurement partners
suppliers, innovation and growth

Read NHS Procurement: raising our game

This guidance is launched in advance of a procurement strategy planned for later in 2012 that will be developed following a wider call for evidence. It aims to start the journey to world class procurement by identifying those issues and actions that require immediate attention in order to lay the foundations for a fuller and further-reaching strategy later in the year.

In support, we are also publishing NHS Standards of Procurement, which will support trusts in understanding what good procurement looks like and in planning their improvements at a local level.

The standards can be used to identify what a trust’s areas of strengths and weakness are in their procurement and suggest ways in which they can start to monitor and measure improvements.

Read NHS Standards of Procurement

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Inpatient survey 2011 – Care Quality Commission, NHS – 24 April 2012

Posted on April 26, 2012. Filed under: Patient Participation | Tags: , |

Inpatient survey 2011 – Care Quality Commission, NHS – 24 April 2012

“Read our findings from the Inpatient survey 2011, which looked at the experiences of over 70,000 people who were admitted to NHS hospitals around England.

The results of the survey will be used by NHS Trusts to improve their performance and to understand their patients’ experiences, and we will use the results to support our regulatory, compliance and monitoring activities.

View the A-Z list of inpatient survey results by NHS Trust to find out how your care service performed.”

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Productivity of the English National Health Service 2003-4 to 2009-10 – Centre for Health Economics, University of York – 30 March 2012

Posted on April 3, 2012. Filed under: Health Economics | Tags: , , |

Productivity of the English National Health Service 2003-4 to 2009-10 – Centre for Health Economics, University of York – 30 March 2012

media release

Chris Bojke, Adriana Castelli, Rosalind Goudie, Andrew Street, Padraic Ward

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NHS Patient Feedback Challenge – March 2012

Posted on April 2, 2012. Filed under: Patient Participation | Tags: |

NHS Patient Feedback Challenge – March 2012

“The NHS Patient Feedback Challenge will provide an opportunity to radically transform patient experience, to spread this learning widely across healthcare systems, and reward those who are making this happen.

The NHS Patient Feedback Challenge is backed by a £1m challenge fund which will support the development of ambitious demonstration sites that::

Develop a fully integrated patient experience measurement system that leads to continuous improvement cycles
Create wholly patient focussed organisations
Encourage spread and adoption of positive patient experience practice within and across organisations
Develop sustainable approaches that live beyond the initial programme”

… continues on the site

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NHS Information Centre – Indicator Portal

Posted on March 28, 2012. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , , , |

NHS Information Centre – Indicator Portal

“This website gathers together a number of health and social care indicators. Currently these include:

Compendium of Population Health Indicators
A wide-ranging collection of over 1,000 indicators designed to provide a comprehensive overview of population health at a national, regional and local level. These indicators were previously available on the Clinical and Health Outcomes Knowledge Base website (also known as NCHOD).

GP Practice data
This is a collection of practice level data and is designed to improve healthcare and support patients in making better, informed choices about the practice they choose to register with.

Local Basket of Inequalities Indicators (LBOI)
This collection of 60 indicators helps organisations to measure health and other factors which influence health inequalities such as unemployment, poverty, crime and education. These indicators were previously available on the London Health Observatory website.

NHS Outcomes Framework
The NHS Outcomes Framework indicators will be used by the Secretary of State to hold the NHS Commissioning Board to account.

Summary Hospital-level Mortality Indicator (SHMI)
SHMI is the new hospital-level indicator which uses standard and transparent methodology for reporting mortality at hospital trust level across the NHS in England.”

Media release – New information to help improve patient outcomes 

“New information that will help put the NHS on the side of patients and improve results for patients has been published today.

As part of the Government’s drive to improve results for patients, new detailed information on 20 of the 30 NHS Outcomes Framework indicators, which measure the care patients receive, has been published by the NHS Information Centre.”

… continues

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Looking back, moving forward. Capturing lessons and building the evidence base for health informatics. The Connecting for Health Evaluation Programme – 15 March 2012

Posted on March 27, 2012. Filed under: Evidence Based Practice, Health Informatics | Tags: , |

Looking back, moving forward. Capturing lessons and building the evidence base for health informatics. The Connecting for Health Evaluation Programme – 15 March 2012

University of Birmingham, Health Service Journal, NHS Connecting for Health

Contents

Unfinished business: A national research programme to evaluate the effect of IT on Patient Care

Evaluation crucial to learning from both disasters and triumphs

The impact of eHealth on the Quality and Safety of Care (Parts 1 and 2)

Electronic Blood Tracking: improving blood management and patient safety

The Electronic Prescription Service in Primary Care: Great oaks..?

Lessons learned from implementation of nationally shared electronic patient records in England, Scotland, Wales and Northern Ireland

Understanding the Implementation and Adoption of the NHS Care Records Service (CRS) in English Secondary Care

Should there be greater structuring and coding of the medical record?

Understanding the impact of information technology on interactions between patients and healthcare professionals: the INTERACT-IT study

Commentary on this from eHealth Central 23 March 2012

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National NHS Staff Survey – 2011 Results – March 2012

Posted on March 22, 2012. Filed under: Workforce | Tags: |

National NHS Staff Survey – 2011 Results – March 2012

“We are pleased to announce that the results of the 2011 NHS staff survey are now available.”

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Does Competition Improve Public Hospitals’ Efficiency? Evidence from a Quasi-Experiment in the English National Health Service – London School of Economics – February 2012

Posted on February 21, 2012. Filed under: Health Economics | Tags: , |

Does Competition Improve Public Hospitals’ Efficiency? Evidence from a Quasi-Experiment in the English National Health Service – London School of Economics –  February 2012

Zack  Cooper,  Stephen  Gibbons,  Simon  Jones,  Alistair  McGuire, Paper No’ CEPDP1125

“Abstract:

This paper uses a difference-in-difference style estimation strategy to test separately the impact of competition from public sector and private sector hospitals on the efficiency of public hospitals. Our identification strategy takes advantage of the phased introduction of a recent set of substantive reforms introduced in the English NHS from 2006 onwards. These reforms forced public sector health care providers to compete with other public hospitals and eventually to face competition from existing private sector providers for care delivered to publicly funded patients. In this study, we measure efficiency using hospitals’ average length of stay (LOS) for patients undergoing elective surgery. For a more nuanced assessment of efficiency, we break LOS down into its two key components: the time from patients’ admission to the hospital until their surgery and the time from their surgery until their discharge. Here, pre-surgery LOS serves as a proxy for hospitals’ lean efficiency. Our results suggest that competition between public providers prompted public hospitals to improve their productivity by decreasing their pre-surgery, overall and post-surgery length of stay. In contrast, competition from private hospitals did not spur public providers to improve their performance and instead left incumbent public providers with a more costly case mix of patients and led to increases in post-surgical LOS. ”

Guardian commentary

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The National Inquiry into Ethical Decision Making in the NHS – Centre for Innovation in Health Management – 2012

Posted on February 9, 2012. Filed under: Health Mgmt Policy Planning | Tags: , , |

The National Inquiry into Ethical Decision Making in the NHS – Centre for Innovation in Health Management – 2012

“CIHM’s third National Inquiry, this time into Organisational Decision Making in the NHS has highlighted the need for more resources on ethical decision-making at a senior management level.

The major output from this research is a checklist for ethical decision-making, which we recommend implementing in real situations. It is only through practice that NHS staff can improve their ethical decision-making.

In our report we have set out some simple, practical advice that can help NHS organisations to make better, more effective ethical decisions. We have also have looked in detail at specific ethical issues – fairness, justice, equity, equality, openness, honesty, transparency – which will play a role in decisions made by all trusts at some point.

The report is particularly relevant for NHS senior managers and Board members although all those within the NHS who are making strategic and organisational decisions may find it of value. The check list in the report can be used to influence decision-making at all levels of the organisation. Wherever there is an element of ethical complexity to the decision in question, we think these considerations are important, and the checklist is intendeds to be flexible enough to be used in a number of different contexts.”

… continues on the site

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Were massive reforms necessary to save the NHS? Inquiry into the NHS Health Reforms – All Party Parliamentary Group, Primary Care & Public Health – January 2012

Posted on February 3, 2012. Filed under: Health Mgmt Policy Planning, Health Policy | Tags: |

Were massive reforms necessary to save the NHS? Inquiry into the NHS Health Reforms – All Party Parliamentary Group, Primary Care & Public Health – January 2012

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Sustainable Development in the National Health Service (NHS). The views and values of NHS leaders – RAND – 2012

Posted on February 3, 2012. Filed under: Environmental Health | Tags: , |

Sustainable Development in the National Health Service (NHS). The views and values of NHS leaders – RAND – 2012

by Tom Ling, Janice S. Pedersen, Samuel Drabble, Claire Celia, Laura Brereton, Christine Tiefensee

“This report presents National Health Service (NHS) leaders’ views of priorities and approaches regarding sustainable development in the NHS. It was produced in close collaboration with the United Kingdom (UK) NHS Sustainable Development Unit (SDU), and it represents the first systematic picture of leadership views in the NHS. It also provides a commentary on ways forward. Analysis draws on results of a survey of 172 leaders of NHS organisations (primarily chief executives), 12 follow-up interviews, interviews with the SDU, and additional data and literature searches. A major conclusion is that almost all leaders consider sustainable development to be important for the NHS and that a focus on sustainability can most likely be aligned with delivering other corporate goals. Aligned incentives at all organisational levels and support for diversity are considered necessary to achieve sustainability, as well as relevant performance metrics. The main barrier is organisational culture.”

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NHS Chief Executive’s Review of Innovation in the NHS Summary of the responses to the Call for Evidence and Ideas – Young Foundation – December 2011

Posted on January 17, 2012. Filed under: Health Systems Improvement, Knowledge Translation | Tags: , |

NHS Chief Executive’s Review of Innovation in the NHS Summary of the responses to the Call for Evidence and Ideas – Young Foundation – December 2011

“In June 2011, the Department of Health issued a Call for Evidence and Ideas about how the adoption and diffusion of innovations can be accelerated across the NHS. This was part of the NHS Chief Executive‘s Review of Innovation in the NHS. This report is a summary of the responses submitted to the Call for Evidence which was carried out by the Young Foundation on behalf of the Department of Health.”

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Can NHS hospitals do more with less? – Nuffield Trust – 12 January 2012

Posted on January 13, 2012. Filed under: Health Economics, Health Mgmt Policy Planning | Tags: , , |

Can NHS hospitals do more with less? – Nuffield Trust – 12 January 2012

“The NHS is facing a period of financial constraint, with providers charged with delivering four per cent efficiency savings per year up until 2015. While this can be seen as an opportunity to stimulate NHS providers to think differently about how they work to deliver services and to extract the necessary efficiencies, the scale of the challenge is unprecedented.

Against this backdrop, the Nuffield Trust commissioned a study into the factors known to impact on hospital efficiency. The resulting report, Can NHS hospitals do more with less?, by Jeremy Hurst and Sally Williams, draws on a review of UK and international research studies and a survey of senior managers and clinicians at NHS trusts.

The report contains recommendations on how hospitals can increase efficiency. It identifies the key determinants of technical efficiency in hospitals, which include: leadership, management and staff engagement; technology adoption; hospital operational processes; staff productivity; and the external policy environment.”

… continues

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NHS Outcomes Framework indicators – Autumn 2011 release, England – 16 December 2011

Posted on December 20, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Health Mgmt Policy Planning | Tags: , , |

NHS Outcomes Framework indicators – Autumn 2011 release, England – 16 December 2011

“Summary

The NHS Outcomes Framework indicators form part of the NHS Outcomes Framework, which will:

1.provide national level accountability for the outcomes the NHS delivers
2.drive transparency, quality improvement and outcome measurement throughout the NHS.”

 

 

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P3M Resource Centre – NHS – new website on portfolio, programme and project management (P3M)

Posted on December 20, 2011. Filed under: Health Mgmt Policy Planning, Health Systems Improvement, Workforce | Tags: |

P3M Resource Centre – NHS – new website on portfolio, programme and project management (P3M)

“NHS organisations are planning for change, so the need for effective portfolio, programme and project management (P3M) is more apparent than ever. This Resource Centre brings together all the support materials and tools needed to improve P3M practice and skills in the NHS.”

How P3M can help your business
Organisational Capability
Organisational Capacity
Workforce development
Implementing and improving P3M practice
Introduction to P3M

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NHS Outcomes Framework 2012-13 – 9 December 2011

Posted on December 8, 2011. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , |

NHS Outcomes Framework 2012-13 – 9 December 2011

“The attached document sets out the changes that have been made to the indicators in the NHS Outcomes Framework and is designed to help NHS organisations to start to think through what to focus on outcomes means in practical terms.”

Media response
Lansley issues 60 non-targets for NHS
Andrew Lansley’s brilliantly backward steps
 
Andrew Lansley launches 60 NHS ‘patient outcome measures’

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The NHS as a Driver for Growth. A report by The Prime Minister’s Council for Science and Technology – September 2011

Posted on October 18, 2011. Filed under: Health Economics | Tags: |

The NHS as a Driver for Growth. A report by The Prime Minister’s Council for Science and Technology – September 2011

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How is the NHS performing? October 2011 quarterly monitoring report – King’s Fund – 14 October 2011

Posted on October 17, 2011. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , , |

How is the NHS performing? October 2011 quarterly monitoring report – King’s Fund – 14 October 2011
John Appleby, James Thompson, Amy Galea

“Summary
Many NHS hospitals will struggle to deliver productivity improvements essential to maintaining quality and avoiding significant cuts to services, according to our latest quarterly monitoring report.

This is the third quarterly monitoring report produced by the Fund as we aim to provide a regular update on how the NHS is coping as it grapples with the evolving reform agenda as well as the more significant challenge of making radical improvements in productivity. It complements our NHS health check prezi and is a continuation of work that we have done historically to assess, analyse and report on the performance of the NHS.”

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The hospital is dead, long live the hospital – Reform – September 2011

Posted on September 21, 2011. Filed under: Health Mgmt Policy Planning | Tags: |

The hospital is dead, long live the hospital – Reform – September 2011

by Paul Corrigan, Caroline Mitchell

“The financial pressure facing the NHS is unprecedented. Over the course of this Parliament the health service must deliver £20 billion of efficiency savings. With 50 per cent of the health budget spent in hospitals, NHS hospital trusts are in the front line in the drive to achieve more for less.

Cutting costs in hospital services means that services need to be transformed, with fewer beds, smaller wards and in some instances complete conversions of the way in which hospitals work.  The financial pressures on hospitals are not a short term problem. Some hospitals have been facing difficulties for years, often associated with the delivery of poor quality care, and a growing number will become financially unviable. ” … continues

Full text

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The National Programme for IT in the NHS: An update on the delivery of detailed care records systems – Public Accounts Committee [UK] – 3 August 2011

Posted on August 3, 2011. Filed under: Health Informatics | Tags: , |

The National Programme for IT in the NHS: An update on the delivery of detailed care records systems – Public Accounts Committee [UK] – 3 August 2011

The Commons Public Accounts Committee publishes a report today which, on the basis of evidence from the Department of Health and its contractors BT and Computer Sciences Corporation (CSC), examines the delivery of care records systems under the National Programme for IT in the NHS.

The report

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Can competition and integration co-exist in a reformed NHS? – King’s Fund – 15 July 2011

Posted on July 18, 2011. Filed under: Health Mgmt Policy Planning | Tags: |

Can competition and integration co-exist in a reformed NHS? – King’s Fund – 15 July 2011

20 pages, ISBN: 978 1 85717 623 0

“Summary

The health care system needs to respond to the growing burden of chronic illness. Many NHS researchers, managers and clinical leaders believe that increased integration within the health service will help to achieve this, and the government has made clear its ambitions that the health reforms should encourage integrated care.

This paper addresses the fundamental question of whether competition and integration can co-exist and considers the role that different bodies, especially the NHS Commissioning Board and Monitor, will play within a new system.

The paper argues that, through its influence on commissioners, the NHS Commissioning Board will have an important role in fostering an environment that encourages integration. The elements of policy design and implementation that may be most critical for fostering development of integrated service delivery include:”

… continues on the site

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Government response to the NHS Future Forum report – June 2011

Posted on June 29, 2011. Filed under: Health Mgmt Policy Planning, Health Policy | Tags: |

Government response to the NHS Future Forum report – June 2011

CM 8113
ISBN: 9780101811323

Foreword 2
Summary of key changes 4
Chapter 1 : Modernising the NHS 7
Chapter 2 : Overall accountability for the NHS 11
Chapter 3 : Clinical advice and leadership 14
Chapter 4 : Public accountability and patient involvement 30
Chapter 5 : Choice and competition 41
Chapter 6 : Developing the healthcare workforce 50
Chapter 7 : The timetable for change

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The voluntary and community sector in health – implications of the proposed NHS reforms – The King’s Fund – 2011

Posted on June 29, 2011. Filed under: Community Services, Health Mgmt Policy Planning | Tags: , |

The voluntary and community sector in health – implications of the proposed NHS reforms – The King’s Fund – 2011
ISBN: 978 1 85717 621 6

Extract from the executive summary:
“The government’s health and social care White Paper and subsequent Health and Social Care Bill (House of Commons Bill 2010–11) set out clear aspirations for the voluntary and community sector as a provider of health services, a source of support for commissioning, and a partner in tackling health inequalities. However, the proposed reforms present a number of challenges and risks.”  … continues

Introduction 1
Context 2
The sector’s current involvement in health 2
The financial and demographic context 4
The Health and Social Care Bill 5
The sector’s future involvement in health 8
Can the aspirations for the sector be realised? 11
How will the sector be able to operate in a competitive market? 12
How will the sector be able to engage with the right partners? 16
Will the sector be able to support the health inequalities agenda? 18
What can the sector do to succeed in the new system? 20
Conclusion 23
The best-case scenario 23
The worst-case scenario 24
What next? 25
Recommendations

 

 

 

 

 

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Ambulance Quality Indicators [UK] – June 2011

Posted on June 7, 2011. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , |

Ambulance Quality Indicators – June 2011

“The NHS Operating Framework for 2011-12 covers a number of measures regarding the quality of ambulance services in England. The publication covers system and clinical indicators.”

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Making the most of public services A systems approach to public innovation – The Work Foundation – May 2011

Posted on May 31, 2011. Filed under: Workforce | Tags: , , |

Making the most of public services A systems approach to public innovation – The Work Foundation – May 2011

A Knowledge Economy programme report Charles Levy
May 2011

“While our economy is showing tentative signs of recovery, the public sector is facing almost unprecedented challenges. An innovation miracle is being demanded from the centre – services are facing a triple lock of shrinking public  spending, expanding service demands and a broad reform agenda. Looking at two case studies – international higher education and the NHS – this paper highlights that the government is struggling to understand how to support innovation within public services, and that this will impact on the future performance of both public and private sectors.”

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Where next for the NHS reforms? The case for integrated care – The King’s Fund – 23 May 2011

Posted on May 24, 2011. Filed under: Health Mgmt Policy Planning | Tags: , |

Where next for the NHS reforms? The case for integrated care – The King’s Fund – 23 May 2011

“Written as a contribution to the government’s current listening exercise, this paper sets out the challenges facing the NHS and identifies the reforms we believe are needed to meet these challenges. We offer suggestions for revisions to the current Bill and future policy development but we also lay out a more radical model that we believe holds the prospect of greater progress towards the vision of integrated care and a health system sustainable in the longer term.”

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National Health Service Landscape Review – UK Parliament Public Accounts Committee – 4 April 2011

Posted on May 20, 2011. Filed under: Health Mgmt Policy Planning | Tags: |

National Health Service Landscape Review – UK Parliament Public Accounts Committee – 4 April 2011
Terms of Reference
Summary
Conclusions and recommendations
1 Accountability and assurance in the new NHS model
2 Managing the transition to the new model
3 Establishing effective GP commissioning
4 Overseeing hospital services
5 Securing value for money in the new NHS market

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Predictive risk and health care: an overview – Nuffield Trust – 2 March 2011

Posted on March 18, 2011. Filed under: Health Economics | Tags: , |

Predictive risk and health care: an overview – Nuffield Trust – 2 March 2011

Author: Dr Martin Bardsley and others

“Predictive risk adjustment tools are becoming increasingly important in the NHS, with primary care trusts (PCTs) and GP consortia expected to make greater use of such tools to stratify the health risk of the populations they serve.

These tools use relationships in historic, routinely collected electronic health data to determine the expected future health care resource use of each individual in a population. The tools can be used to estimate future events for people at different levels of risk, providing commissioners with more accurate estimates of likely future costs.

In the US and Europe, risk adjustment models are used widely to help determine health payments, either for fixing ‘capitated’ budgets or for deciding reimbursement rates for individual patients. In the NHS, the most widespread use of these techniques so far has been in the use of ‘case finding’ tools, such as the Patients At Risk of Re-hospitalisation (PARR) and the ’Combined Model’.

Predictive risk and health care: an overview explores how predictive risk adjustment techniques are currently being used in the NHS and identifies some of the challenges involved in applying the techniques in practice. The research summary also looks at emerging developments, including modelling with social care data, predicting the impact of preventive care and making shorter-term predictions of readmissions.”

…continues on the site

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NHS reforms in England: managing the transition – Nuffield Trust – 9 March 2011

Posted on March 18, 2011. Filed under: Health Mgmt Policy Planning, Health Policy | Tags: , |

NHS reforms in England: managing the transition – Nuffield Trust – 9 March 2011

Author: Judith Smith & Anita Charlesworth

“The period from 2011 to 2014 is likely to be the most challenging ever faced by the NHS. Primary Care Trusts (PCTs) are required to hold 2 per cent of their allocations with Strategic Health Authorities (SHAs). Allowing for this, the recurrent resources available to PCTs to spend in 2011/12 fall by 2.3 per cent on average in real terms, with a minimum cut of 0.3 per cent and some PCTs facing a reduction of 2.5 per cent. Providers face the challenge of making a 4 per cent overall efficiency saving at the same time as they experience a 1.5 per cent cut to the tariff by which they are paid.

This Nuffield Trust policy response assesses the 2011/12 Operating Framework for the NHS together with guidance on the operation of Payment by Results (PbR) in 2011/12. It sets out the key challenges associated with managing the transition to a reformed NHS, as envisaged in the White Paper: Equity and Excellence: Liberating the NHS, and proposes ways in which the risks associated with transition might be mitigated.”  … continues on the site

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Management of NHS hospital productivity – Parliament UK Public Accounts Committee 26th Report – 15 March 2011

Posted on March 18, 2011. Filed under: Health Economics | Tags: |

Parliament UK Public Accounts Committee 26th Report – Management of NHS hospital productivity – 15 March 2011

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Coalition policy towards the NHS: past contexts and current trajectories – January 2011

Posted on March 18, 2011. Filed under: Health Mgmt Policy Planning, Health Policy | Tags: |

Coalition policy towards the NHS: past contexts and current trajectories – January 2011
by Martin Gorsky

“Executive summary
The Coalition programme for the NHS broadly continues the trajectory of policy development pursued by both parties since 1989. Once adopted it will provide the clearest test yet of the internal market model begun under Prime Ministers Margaret Thatcher and John Major and developed by New Labour.
The current funding settlement will see the rate of real increase severely constrained over four years. This is historically unprecedented.
History suggests several risks attach to rapid adoption of the planned structural reform. These relate to doctors’ ability and willingness to lead consortia, the reduction of managerial capacity, and unresolved weaknesses of commissioning.
The state’s retreat from centralised control may also prove contentious. ‘Top-down’ targets and tough bureaucratic rationing have been effective tools in certain respects.
Proposals for an autonomous NHS Commissioning Board must confront the ‘Enoch Powell problem’ of how to square non-ministerial management with political accountability in a single-payer system.”  …continues on the site

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A shared agenda in the new world: The role of GP consortia and public health in improving health and wellbeing and delivering effective health care – NHS Alliance – February 2011

Posted on March 4, 2011. Filed under: General Practice, Health Mgmt Policy Planning, Primary Hlth Care, Public Hlth & Hlth Promotion | Tags: |

A shared agenda in the new world: The role of GP consortia and public health in improving health and wellbeing and delivering effective health care – NHS Alliance – February 2011

Final report of a national colloquium

“A Colloquium took place in January 2011, sponsored by the NHS Alliance and QIPP Right Care Team and organised by Solutions for Public Health (NHS). The scale of national changes, and current uncertainties in precise processes and delivery mechanisms, provided significant potential to influence thinking and shape the future direction for relationships and interactions between public health and primary care to deliver health improvement and better health care within the new systems.”

…continues

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In their words: What patients think about our NHS – February 2011

Posted on February 28, 2011. Filed under: Patient Participation | Tags: |

In their words: What patients think about our NHS

“To mark the launch of a brand new version of our website, Patient Opinion is releasing a report ‘In their own words: What patients think about our NHS’, reviewing the last few years of the patient feedback we have received.

The most common areas of concern raised in the report are about the interaction between patient and staff. Above everything else, patients want better communication, considerate staff and more information. These are all things that health service staff could wake up tomorrow and improve immediately. And all this is made easy and accessible for NHS staff through working with Patient Opinion.”

Download In their own words: What patients have been saying about health services over the past 5 years

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Care and compassion? Report of the Health Service Ombudsman on ten investigations into NHS care of older people – 14 February 2011

Posted on February 16, 2011. Filed under: Aged Care / Geriatrics | Tags: |

Care and compassion? Report of the Health Service Ombudsman on ten investigations into NHS care of older people – 14 February 2011

Parliamentary and Health Service Ombudsman
Ordered by The House of Commons to be printed on 14 February 2011
ISBN: 9780102971026

Extract from the foreword:

“I am laying before Parliament, under section 14(4) of the Health Service Commissioners Act 1993 (as amended), this report of ten investigations into complaints made to me as Health Service Ombudsman for England about the standard of care provided to older people by the NHS.

The complaints were made about NHS Trusts across England, and two GP practices. Although each investigation was conducted independently, I have collated this report because of the common experiences of the patients concerned and the stark contrast between the reality of the care they received and the principles and values of the NHS.

Sadly, of the ten people featured in this report, nine died during the events described here, or soon afterwards.”

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Reforming urgent and emergency care performance management – UK Department of Health – 17 December 2010

Posted on February 15, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Emergency Medicine | Tags: , |

Reforming urgent and emergency care performance management – UK Department of Health – 17 December 2010

“In line with the Government’s commitment, outlined in Equity and excellence: liberating the NHS, to hold the NHS to account against clinically credible and evidence-based outcome measures, the Department of Health is developing some clinical quality indicators for urgent and emergency care.  They will be consistent with the NHS Outcomes Framework.  The first sets of clinical quality indicators, for A&E and ambulance services, were announced on 17 December 2010 and will start being used from April 2011.  In the meantime, existing standards and requirements remain in place.”

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Managing Sickness Absence in the NHS – 10 February 2011

Posted on February 10, 2011. Filed under: Workforce | Tags: |

Managing Sickness Absence in the NHS – 10 February 2011
 
“This briefing examines the local variation and cost of sickness absence to primary care trusts, NHS trusts and foundation trusts. It sets out where organisations can find more help and advice in cutting sickness absence rates.

We found that levels of staff sickness absence in the NHS vary dramatically across the country, with the North of England showing the highest levels. By understanding and tackling the factors causing some of this variation, the NHS could increase staff productivity, improve morale and save £290 million.

To achieve this, we recommend that managers:

review their organisation’s sickness absence rates and benchmark against others
identify specific staff groups with a particularly high sickness absence rate
calculate the cost of sickness absence to their organisation
consider whether their organisation could reduce its sickness absence and what savings could be made

The briefing points to the guidance available to help managers tackle sickness absence. A number of Audit Commission tools can also help NHS organisations improve efficiency and manage their sickness absence.”

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The third annual population review: commissioning for health improvement: using programme budgeting and marginal analysis to deliver quality, innovation productivity and prevention – 1 January 2011

Posted on February 4, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Health Economics, Health Mgmt Policy Planning, Health Systems Improvement | Tags: |

The third annual population review: commissioning for health improvement: using programme budgeting and marginal analysis to deliver quality, innovation productivity and prevention – 1 January 2011

“This is the third edition of the Annual Population Review. It looks at programme budgeting, and its related discipline of marginal analysis and puts forward this as an ideal framework for setting out the agenda for commissioning and for QIPP. The tools, experience and evidence base have been growing and are explained in this document, which is recommended for use by NHS practitioners, particularly new GP commissioners.”

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National Health Service Landscape Review: Review of the new arrangements for the NHS proposed in the Health White Paper – National Audit Office – 20 January 2011

Posted on January 24, 2011. Filed under: Health Economics, Health Mgmt Policy Planning | Tags: , , |

National Health Service Landscape Review: Review of the new arrangements for the NHS proposed in the Health White Paper – National Audit Office – 20 January 2011

“This review, published today by the National Audit Office, summarizes the new arrangements for the NHS proposed in the Health White Paper. The review’s purpose is to inform the Public Accounts Committee so that it can take stock of the proposals as they currently stand and discuss their implementation with the Department of Health and NHS.”

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Hospitals in the new health service (UK) – Reform – December 2010

Posted on January 24, 2011. Filed under: Health Mgmt Policy Planning | Tags: , , |

Hospitals in the new health service (UK) – Reform – December 2010

This transcript from Reform’s December health summit presents the discussions which took place around the topic of the NHS reforms. The paper includes transcripts of speeches from Norman Lamb MP, Earl Howe (Parliamentary Undersecretary of State), Liz Kendall MP (Shadow Health Minister) and Christine Connelly (Chief Information Officer, Department of Health).

ISBN 1-905730-33-0
ISBN 978-1-905730-33-9

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Risk, ‘Equity and Excellence’: A commentary on the NHS White Paper – Civitas – Institute for the Study of Civil Society – January 2011

Posted on January 24, 2011. Filed under: Health Mgmt Policy Planning | Tags: , , |

Risk, ‘Equity and Excellence’: A commentary on the NHS White Paper – Civitas – Institute for the Study of Civil Society – January 2011
http://www.civitas.org.uk/pdf/VarneyRiskequity.pdf

Sir David Varney

The NHS White Paper, Equity and Excellence: Liberating the NHS, is not a document for the faint-hearted. The scope of issues addressed, the scale of the reorganisations and the short timescale are extremely ambitious. In this piece I want to explore some of the issues that will need to be addressed in order to improve the chances of successful outcomes materialising.

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Health and Social Care Bill 2011: Impact Assessments – [NHS] – January 2011

Posted on January 24, 2011. Filed under: Health Mgmt Policy Planning | Tags: , |

Health and Social Care Bill 2011: Impact Assessments – [NHS] – January 2011

“This document is the Impact Assessments (IAs) for the Health and Social Care Bill, 2011. It provides the six IAs that accompany the Bill, which cover:
Annex A Commissioning for patients
Annex B Regulating providers
Annex C Local democratic legitimacy
Annex D HealthWatch
Annex E Public bodies”

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Technical guidance for the 2011/12 Operating Framework – NHS – 20 January 2011

Posted on January 21, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Health Mgmt Policy Planning | Tags: |

Technical guidance for the 2011/12 Operating Framework – NHS – 20 January 2011

Pages: 262

“The purpose of this technical guidance is to list all the indicators against which the NHS will be held accountable nationally during 2011/12.”

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House of Commons Health Select Committee report on NHS Commissioning – 13 January 2011

Posted on January 21, 2011. Filed under: Health Mgmt Policy Planning | Tags: , |

House of Commons Health Select Committee report on NHS Commissioning

“The starting point of our inquiry has been our predecessors’ findings on the significant shortcomings of the current arrangements for commissioning in the NHS. Like the previous Committee, we are motivated by the desire to deliver high quality care to patients and good value to the taxpayer; and we see the need for an effective instrument to drive innovation and quality if these objectives are to be met. It is from this perspective that we have sought to ask “How do we make commissioning effective?” and reached our conclusions about the Government’s proposals.

We are mindful that the need to develop more effective NHS commissioning cannot be considered in isolation from the financial context in which the NHS now finds itself; the two issues are inevitably bound up inextricably with one another. The key priority facing the NHS in the immediate period ahead is the challenge first articulated by the NHS Chief Executive, Sir David Nicholson, in 2009 to achieve an efficiency gain of 4% per annum (“the Nicholson Challenge”) from 2011-12 (also expressed as the need to make £15to 20 billion in efficiency savings). The Committee accepts that it follows from the unprecedented scale of the Nicholson Challenge, and the widespread recognition of the weakness of existing commissioning structures in the NHS, that action to enhance the effectiveness of NHS commissioning is essential if the NHS is to deliver the pace of change implicit in the Nicholson Challenge – and therefore in the Comprehensive Spending Review. It is against this immediate challenge that the Committee believes the White Paper process should be judged.”  …continues

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Interactive NHS Atlas of Variation in Healthcare – 19 January 2011

Posted on January 20, 2011. Filed under: Health Informatics, Health Mgmt Policy Planning | Tags: |

Interactive NHS Atlas of Variation in Healthcare – 19 January 2011

Right care NHS Atlas of Variation in Healthcare

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Accident and Emergency attendances in England (experimental statistics) 2009-10 – January 2011

Posted on January 20, 2011. Filed under: Emergency Medicine | Tags: |

Accident and Emergency attendances in England (experimental statistics) 2009-10 – January 2011

“Large number of [NHS] A&E visits require no actual treatment, new report suggests

A large number of visits to NHS accident and emergency departments in England end with the patient just needing advice and no actual treatment, a new NHS Information Centre report suggests today.

Of 10.3 million A&E visits 5 in 2009/10 with a valid treatment code recorded, about two in five – around 3.9 million – ended with the patient receiving guidance or advice only. During the same period nearly one in eight – 1.2 million – were recorded as requiring neither advice nor treatment.

The report, Accident and Emergency attendances in England (experimental statistics) 2009-10, covers 15.6 million records submitted by NHS A&E departments, minor injury clinics and walk-in centres in 2009-10, representing about three quarters of known activity and covering 172 of 263 providers in England.

The report also shows that, of the 15.6 million attendances, around half a million patients were recorded as leaving A&E before being treated.”

…continues on the site

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Liberating the NHS. What might happen? – NHS Confederation – 2011

Posted on January 20, 2011. Filed under: Health Mgmt Policy Planning | Tags: , |

Liberating the NHS. What might happen? – NHS Confederation – 2011
 
The Roger Bannister Health Summit, Leeds Castle, 2010

“The Government’s health reform proposals, announced in July 2010, undoubtedly represent the biggest shake up of the NHS in its history. Radical changes to where power sits in the system are proposed, along with a very different hierarchy and a move to full-blooded market mechanisms with limited, if any, system management. The Government also proposes having a much lighter touch itself in managing both the system and the way the NHS is held to account for its performance.

In November 2010, we brought together a wide mix of patient groups, professional leaders, local government and health policy experts in a summit at Leeds Castle. Using the wide range of their perspectives, we asked them to:”
…continues on the website

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NHS reference costs 2009-2010 – 13 January 2011

Posted on January 18, 2011. Filed under: Health Economics | Tags: , , |

NHS reference costs 2009-2010 – 13 January 2011

“This suite of documents provides the most detailed picture available about how £51 billion of NHS expenditure was used by over 400 NHS organisations to treat patients in 2009-10. As in previous years, the main purpose is to provide a basis for comparison within (and outside) the NHS between organisations, and down to the level of individual treatments. The organisation level data that underpins the national averages is being published alongside the National Schedules and Reference Cost Index (RCI) on our website.

This is the first publication of the Reference Costs since the Review of Reference Costs was published in July 2010, which amongst its outcomes suggested that the data publication could be improved to help users of the data and improve the quality of future submissions.”

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More for less 2009/10: Are efficiency and productivity improving in the NHS? – 16 December 2010

Posted on January 14, 2011. Filed under: Health Economics | Tags: |

More for less 2009/10: Are efficiency and productivity improving in the NHS? – 16 December 2010

“This briefing is an update to last year’s More for less 2008/09 report with updated data for 2009/10.

It reviews how and where primary care trusts (PCTs) spent their money, how trust income changed and how successful the NHS has been in moving care out of hospitals to more cost-effective settings. The most recent data suggests that the NHS has seen no identifiable changes in past trends. There are few signs of progress in key areas required to meet its target of saving £15-20 billion by 2014.

The briefing also includes a look at the first quarter of 2010/11.”

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NHS outcomes framework – 20 December 2010

Posted on January 14, 2011. Filed under: Health Economics, Health Mgmt Policy Planning | Tags: , |

NHS outcomes framework – 20 December 2010

Pages: 56

“The first NHS outcomes framework sets out the outcomes and corresponding indicators that will be used to hold the NHS Commissioning Board to account for the outcomes it delivers through commissioning health services from 2012/13. The framework sets direction of travel in the journey towards improving outcomes, and offers an opportunity for the NHS to begin to understand what an NHS focussed on outcomes means for individuals, organisations and health economies.”

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Liberating the NHS: An Information Revolution – 18 October 2010

Posted on October 26, 2010. Filed under: Health Informatics | Tags: |

Liberating the NHS: An Information Revolution – 18 October 2010

Equity and excellence: Liberating the NHS sets out a vision of patients at the heart of the NHS through an information revolution, which depends on transforming the way information is accessed, collected, analysed and used. This consultation document proposes and seeks views on the journey we all need to take so that information is managed for the benefit of all.

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Improving quality and productivity in the NHS whilst facing the financial pressures – joint statement from the Academy of Medical Royal Colleges, Healthcare Financial Management Association and the NHS Confederation – September 2010

Posted on September 29, 2010. Filed under: Health Economics, Health Mgmt Policy Planning | Tags: |

Improving quality and productivity in the NHS whilst facing the financial pressures – joint statement from the Academy of Medical Royal Colleges, Healthcare Financial Management Association and the NHS Confederation – September 2010

“In a joint paper, the three national bodies say it is crucial the issue is addressed in ways that are constructive to help maintain the gains in quality, access and activity that have been achieved over the past decade.

As national representatives of the NHS medical, finance and managerial communities, the three organisations outline a number of common principles they believe will help NHS organisations minimise the impact that tightened finances will have on services. They include maintaining a focus on quality care for patients, improving clinical outcomes, and recognising the importance of delivering improved cost effectiveness for taxpayers.”

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Improving data quality in the NHS – Audit Commission – Released 26 August 2010

Posted on August 26, 2010. Filed under: Health Economics, Medical Records | Tags: , |

Improving data quality in the NHS – Audit Commission – Released  26 August 2010

“Annual report on the PbR assurance programme 2010
 
This report summarises the results of the PbR data assurance programme since it began in 2007. For the last three years, the Audit Commission has looked at over £200 million worth of payments for inpatient treatments.

The report finds that the accuracy of clinical coding has improved since 2007. The coding error rate has dropped from 16 per cent to 11 per cent in three years, which shows that NHS organisations have made real progress in tackling the quality of their data.

But there remains wide variation between the best and worst performing trusts, even if the gap is narrowing.

Errors are continuing to affect payments. We estimate that of the £21 billion spent on the four specialties we’ve audited for three years, £1 billion (5 per cent) was paid wrongly.

To continue to improve data quality, the report makes a series of recommendations for primary care trusts and NHS trusts to consider.

A summary of the report is available to download and examples of good practice have been published to assist trusts.

By including reviews of all 2009/10 reference cost data in the PbR assurance programme for 2010/11, we intend to work with the NHS to further improve the accuracy of costing information. More information on the future programme is available.”

Download the report and executive summary 

Improving data quality in the NHS report ( PDF, 2mb ) 

Improving data quality in the NHS executive summary ( PDF, 561kb )

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Liberating the NHS? Analysis and questions on the white paper – NHS Confederation – August 2010

Posted on August 23, 2010. Filed under: Health Mgmt Policy Planning | Tags: |

Liberating the NHS? Analysis and questions on the white paper – NHS Confederation – August 2010

“The coalition Government’s health white paper and its associated documents represent one of the most significant reforms of the NHS in its history. It proposes radical changes to where power sits in the system, replaces much of the existing hierarchy and moves from quasi-markets that were often really just managed systems to full blooded market mechanisms with limited system management. It also represents an attempt to change the nature of political involvement in the detailed management of the system and the way that the NHS is held to account for its performance. Finally, it involves a very large structural reorganisation of the NHS.

Read our analysis and have your say

The consultation documents ask a number of detailed questions about the design of the new system and we are working with members to address each of these.”

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Implementing trauma systems: key issues for the NHS – Ambulance Service Network, NHS Confederation – 2010

Posted on August 20, 2010. Filed under: Emergency Medicine | Tags: , |

Implementing trauma systems: key issues for the NHS – Ambulance Service Network, NHS Confederation – 2010

Table of contents
Executive summary
Introduction
Section 1: Changing the trauma pathway
Section 2: Trauma systems – evidence analysis and discussion
Conclusion
References
Appendix

Extract from the summary:
“Trauma is the main cause of death in the first four decades of life and a leading cause of disability. Following a series of high-profile reports it is recognised that, while emergency care has improved, treatment for victims of major injury could be improved and coordinating trauma services is now a priority for the NHS. There is significant variation in outcomes across the system. Better organisation of care could ensure consistently higher standards of care. Evidence suggests that introducing trauma systems can reduce mortality rates by around 10 per cent, more efficiently use the £300-400m spending on emergency care for major injuries and contribute to reducing the estimated £3.3bn – £3.7bn annual economic cost of trauma.”

…continues

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Variations in place of death in England: inequalities or appropriate consequences of age, gender and cause of death? – NHS National End of Life Care Programme – August 2010

Posted on August 20, 2010. Filed under: Palliative Care | Tags: , , |

Variations in place of death in England: inequalities or appropriate consequences of age, gender and cause of death? – NHS National End of Life Care Programme – August 2010

This report reveals big variations in the percentage of deaths that occur in hospital – both between the English regions and at a local authority level. It also shows that people on low incomes are more likely to die in hospital, with 62% of deaths amongst people in the most deprived quintile of the population occurring in hospital. Amongst the most affluent fifth of the population the figure is 55%. The report cautions however that these inequalities might reflect a greater incidence of diseases requiring hospital care at the terminal stage amongst people in lower socio-economic groups.

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Market Research for Online Communities in the NHS – IES Institute for Employment Studies – 2010

Posted on August 20, 2010. Filed under: Health Informatics, Workforce | Tags: , , , |

Market Research for Online Communities in the NHS – IES Institute for Employment Studies  – 2010

PDF Document

“In 2010 the NHS Institute for Innovation and Improvement commissioned the IES (Institute for Employment Studies) to undertake market research to support the development of a ‘National Ideas Platform’. The need for this study was prompted by, firstly recognition that networking and the sharing of knowledge are ways in which ideas and technologies diffuse through the NHS, alongside an acknowledgement that NHS staff often report frustration at the lack of knowledge sharing across the NHS. This is despite a range of networking opportunities available via the NHS Institute and through NHS groups.

The research had four components: a literature review focused on the specific question around whether NHS staff engage in online networks/ communities and if so where and when; stakeholder interviews with organisers of existing networks; an online survey; and focus groups at ten NHS organisations. The fieldwork was conducted between May and July 2010.

There were four broad learning outcomes from the work, providing information on: what affects people’s use of online resources and why some networks work; how do people go about sharing ideas at the moment; what technologies are people using at present and for what purposes; and do people want a new network?”

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Visions of Britain 2020 – Paying for the NHS – Friends Provident – the trading name of a number of UK-based life and pensions companies

Posted on August 20, 2010. Filed under: Health Economics | Tags: |

Visions of Britain 2020 – Paying for the NHS – Friends Provident – the trading name of a number of UK-based life and pensions companies

“With societal and demographic changes coming into force during the next decade, we will examine the future of healthcare in Britain and explore how, or if, we will maintain a high-quality health service into 2020.

The principal driver of change in healthcare over the next ten years will be our ageing society. In 2008, 22% of the population were aged sixty or over. This proportion is increasing rapidly and by 2033, will have reached nearly 29%. As life expectancy increased, women can now expect to live to 82 and men to 78.

This report poses interesting questions about the balance of power between the state and the individual in determining the future health of British citizens. It is widely accepted that the NHS will be forced to fundamentally change the way it provides healthcare in the next decade, slowly shifting more of the burden from the state towards the individual.

This report aims to better understand how the balance will shift by analysing both the role of the state and changing behaviours among the public.”

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Improving Access to Psychological Therapies (IAPT): data handbook (v1.0) – NHS – August 2010

Posted on August 12, 2010. Filed under: Evidence Based Practice, Mental Health Psychi Psychol | Tags: |

Improving Access to Psychological Therapies (IAPT): data handbook (v1.0) – NHS – August 2010

Guidance on recording and monitoring outcomes to support local evidence-based practice
 
This handbook aims to provide guidance for all data collection issues within the IAPT programme such as: utilising outcomes data for patient-centred care, improving clinical practice and service quality; help with routine outcome measurement using standard clinical metrics; and using clinical records which will form the basis of the future National Data Set.
 
Improving Access to Psychological Therapies – services

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The Coalition Government’s NHS reforms: an assessment of the White Paper – Nuffield Trust – 10 August 2010

Posted on August 12, 2010. Filed under: Health Mgmt Policy Planning | Tags: , |

The Coalition Government’s NHS reforms: an assessment of the White Paper – Nuffield Trust – 10 August 2010

Author and publisher: Nuffield Trust 

Download full publication pdfDownloadable file: PDF, size: 230 KB

“The NHS is facing a major financial challenge. Official NHS sources suggest that, to meet rising demand, there will be a funding shortfall between 2011 and 2014 of £15 to £20bn. The Coalition Government has revealed its plans for reforming the NHS in England in the White Paper Equity and Excellence: Liberating the NHS. This briefing outlines the main features of the proposed reforms and assesses whether they are fit for purpose.”

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The triumph of hope over experience – Lessons from the history of reorganisation – NHS confederation – 2010

Posted on August 5, 2010. Filed under: Health Mgmt Policy Planning | Tags: , , |

The triumph of hope over experience – Lessons from the history of reorganisation – NHS confederation – 2010

By Nigel Edwards
ISBN 978-1-85947-183-8

Extract from the introduction:

“Restructuring has been a common occurrence in the NHS over the last 20 years, including mergers and reorganisation, the  abolition and creation of new organisations and renaming and reforming of others.

With the coalition Government now in place and the scale of the financial challenge facing the NHS over the next three to five years, calls for large-scale reorganisation are increasingly likely.

This report is part of a series from the NHS Confederation reflecting on the last decade of NHS reforms to help managers, policy-makers and politicians ensure that some of the errors made in the past are not repeated. It aims to inform these debates and decisions, and is intended to generate discussion rather than present a definitive policy position.

We review the history of restructuring, what is known about its results and the reasons for the pattern of increasingly frequent organisational change to draw out some important lessons that are particularly salient at this time.

The evidence outside healthcare shows that no more than 25 to 30 per cent of mergers and acquisitions in the commercial sector succeed. Given the greater complexity and level of risk in the NHS, this success rate would be optimistic.

While modest savings can be made over time, dysfunctional effects of reorganisation include a loss of focus on services, delays in service improvements and a difficulty in transferring good practice within the merged organisation.”

…continues

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Using NICE guidance to help you cut costs

Posted on July 30, 2010. Filed under: Health Economics | Tags: , |

Using NICE guidance to help you cut costs 

“Is it possible to increase the quality of care provided against a backdrop of tightening budgets? We think it is, and that NICE has a key role to play. From identifying specific recommendations that can save money, to advice on reconfiguring to support disinvestment from ineffective services, we have products and services to help organisations meet the twin challenges of providing high quality care to patients and the public while also saving money and resources.”

 How NICE could help the NHS save millions 

“The NHS could stand to save millions – at a time when healthcare budgets are being squeezed – by following NICE guidance, according to a review by the Institute.   …

NICE has identified 19 sets of recommendations that if fully implemented by trusts could help to save millions of pounds. This list is based on costing work undertaken at the time the guidance is published and covers all clinical guidelines from January 2005 and technology appraisals from January 2006 that deliver a net saving.  …

All of NICE’s cost-saving tools and information can be found here

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Liberating the NHS – July 2010

Posted on July 28, 2010. Filed under: Clin Governance / Risk Mgmt / Quality, Health Economics, Health Mgmt Policy Planning, Patient Safety, Workforce | Tags: |

Liberating the NHS 

DH draft Structural Reform Plan  

Managing the Transition: Letter from Sir David Nicholson to NHS chief executives (13 July 2010)

Liberating the NHS: Report of the arms-length bodies review (26 July 2010)

Equity and excellence: Liberating the NHS
Published: 12 July 2010

Consultations

Transparency in outcomes – a framework for the NHS  Published: 19/07/2010

Increasing democratic legitimacy in health  Published: 22/07/2010

Commissioning for patients Published: 22/07/2010

Regulating healthcare providers  Published: 26/07/2010

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Improving NHS productivity More with the same not more of the same – King’s Fund – July 2010

Posted on July 27, 2010. Filed under: Health Economics, Health Mgmt Policy Planning | Tags: , |

Improving NHS productivity More with the same not more of the same – King’s Fund – July 2010
32 pages ISBN: 978 1 85717 598 1

Authors: John Appleby Chris Ham Candace Imison Mark Jennings

(pdf 236kb)

“Summary
Although the coalition government has pledged to protect funding for the NHS, the pressures to meet rising demand will put a strain on spending. Building on a previous analysis produced in association with the Institute for Fiscal Studies, this paper examines the gap between the likely available funding and the level of funding required to achieve the progress projected by Sir Derek Wanless in his 2002 report for the Treasury. It sets out: the scale of the problem; strategies for managing the cost and demand pressures; strategies for improving productivity and suggests that improving productivity offers the best option for reducing the shortfall.

Improving productivity is not a straightforward or well-understood option: it can suggest that the NHS needs to dramatically cut budgets, reduce services for patients and sack staff.  In fact, this paper suggests that the overall approach is one of ‘doing things right and doing the right things’; a number of strategies are outlined that will reduce production costs and improve outcomes; others will free up resources to be used more productively; others may lead to actual cash savings. This information will help health care leaders at national and local level to select the strategies which, together, produce more value from the same or similar resource – rather than the same for less.

The biggest challenge facing the NHS is to act on the knowledge of what needs to be done and to make it happen. This action is required at all levels in the system – from government to frontline teams.”

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Transparency in outcomes – a framework for the NHS – Consultation opens – 19 July 2010

Posted on July 21, 2010. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , |

Transparency in outcomes – a framework for the NHS – Consultation opens – 19 July 2010

 Closing date: 11 October 2010
 Creator/s: UK Department of Health
 
“The Government’s White Paper, Equality and excellence: liberating the NHS, set out how the Secretary of State for Health will hold the NHS Commissioning Board to account for delivering better health outcomes through a national NHS Outcomes Framework.  We are now launching a full consultation and engagement process on how we should develop the NHS Outcomes Framework.

The purpose of this consultation is to seek the help of those working in the NHS, patients and the public in developing this NHS Outcomes Framework

The consultation document explains and asks for views on:

the principles that should underpin the NHS Outcomes Framework; a proposed structure and approach that could be used to develop the framework; the potential outcome indicators  (existing and future) that could be presented in the framework, including the proposed rationales for selection; how the proposed NHS Outcomes Framework can support equality across all groups and can help reduce health inequalities; and how the framework can support the necessary partnership working between public health and social care services needed to deliver the best possible outcomes for patientsThe consultation closes on 11 October 2010.”

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Equity and excellence: liberating the NHS – 12 July 2010

Posted on July 14, 2010. Filed under: Health Mgmt Policy Planning | Tags: |

Equity and excellence: liberating the NHS 
Document type: White paper
Author: Department of Health
Published date: 12 July 2010
Series number: Cm7881
Pages: 61

“The NHS White Paper, Equity and excellence: liberating the NHS, sets out the Government’s long-term vision for the future of the NHS.  The vision builds on the core values and principles of the NHS – a comprehensive service, available to all, free at the point of use, based on need, not ability to pay.

It sets out how we will:

  • put patients at the heart of everything the NHS does;
  • focus on continuously improving those things that really matter to patients – the outcome of their healthcare; and
  • empower and liberate clinicians to innovate, with the freedom to focus on improving healthcare services.

The Department is consulting on elements of these proposals.  Details on how to respond can be found in the White Paper.”

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Death by market power: reform, competition and patient outcomes in the National Health Service – July 2010

Posted on July 12, 2010. Filed under: Clin Governance / Risk Mgmt / Quality, Health Economics, Patient Safety | Tags: |

Death by market power: reform, competition and patient outcomes in the National Health Service

“The effect of competition on the quality of health care remains a contested issue.  Most empirical estimates rely on inference from non experimental data. In contrast, this paper exploits a pro-competitive policy reform to provide estimates of the impact of competition on hospital outcomes. The English government introduced a policy in 2006 to promote competition between hospitals. Patients were given choice of location for hospital care and provided information on the quality and timeliness of care. Prices, previously negotiated between buyer and seller, were set centrally under a DRG type system. Using this policy to implement a difference-in-differences research design we estimate the impact of the introduction of competition on not only clinical outcomes but also productivity and expenditure. Our data set is large, containing information on approximately 68,000 discharges per year per hospital from 160 hospitals. We find that the effect of competition is to save lives without raising costs. Patients discharged from hospitals located in markets where competition was more feasible were less likely to die, had shorter length of stay and were treated at the same cost.”

University of Bristol Centre for Market and Public Organisation

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NICE launches quality standards for the NHS – 1 July 2010

Posted on July 2, 2010. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , |

NICE launches quality standards for the NHS – 1 July 2010

NICE has unveiled the first set of quality standards, setting out a vision of what high-quality care should look like for patients on the NHS.

Some 150 clinical areas will eventually have their own set of quality standards, with the first three standards published yesterday covering the treatment and care of stroke, dementia and venous-thromboembolism (VTE) prevention.

The new quality standards are a series of concise statements that show what high-quality care should look like for these conditions, and are sourced from the best available evidence such as NICE guidance, or evidence accredited by NHS Evidence.”

…continues

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Changing Management Cultures and Organisational Performance in the NHS (OC2) – Research Report – April 2010

Posted on May 19, 2010. Filed under: Health Mgmt Policy Planning, Health Systems Improvement | Tags: , , |

Changing Management Cultures and Organisational Performance in the NHS (OC2) – Research Report – April 2010

Produced for the National Institute for Health Research Service Delivery and Organisation programme
prepared by: Russell Mannion  et al

“The rhetoric surrounding policy changes in the NHS has, in recent years, extended beyond consideration of structural arrangements and incentive regimes, to encompass suggestions that NHS organisations also need to undergo significant cultural renewal if the desired improvements in quality and performance are to be secured (Department of Health, 2001; Mannion et al. 2005).

Since the election of the New Labour government in 1997, clinical quality, safety and performance have all been the focus of purposeful management intervention alongside broader systemic changes. From 2002 onwards, broader system reform has included a whole raft of pro-market policies, programmes and supporting tactics designed to introduce new incentives for purchasers and providers, including the promotion of a more diversified delivery environment – with an expanded role for independent sector providers and private capital; a new hospital prospective payment system (Payment by Results); and enhanced patient choice. The implementation of such changes is likely to have major cultural consequences, (both intended and unintended) not least because they challenge many deeply held managerial assumptions and professional values that have been affirmed over decades and woven into the fabric of health care delivery (Scott et al. 2003b).

This report details the findings of a three year National Institute of Health Research Service Delivery and Organisation programme funded project into changing cultures, relationships and performance in the NHS undertaken by an interdisciplinary consortium of researchers based at the Universities of Birmingham, York, St Andrews, Manchester, Durham and King’s College, London. It builds upon (and should be read alongside) the associated SDO report – Measuring and Assessing Organisational Cultures in the NHS – also available on the SDO website (Mannion et al. 2008b).”

…continues

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A Framework for Staff Engagement: Developing policy at a local level – NHS Staff Engagement Policy Group – March 2010

Posted on May 6, 2010. Filed under: Workforce | Tags: |

A Framework for Staff Engagement: Developing policy at a local level – NHS Staff Engagement Policy Group

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