We present a generalized perturbative analytical formalism for evaluation and optimization of the chromatic dispersion of complex ultrafast optical systems. Notably, we identify polynomial and recursive relations associated with the chromatic dispersion orders that are identical to the Lah and Laguerre transforms. We explicitly outline the first ten dispersion terms and dispersion slope parameters and visualize the significance of the chromatic dispersion orders for several advanced ultrafast optical and photonic systems consisting of various optical materials and nanostructures, grating and prism-pair compressors, and hollow-core photonic anti-resonant fibers. The derived simple hypergeometric transforms are applicable for evaluation of infinitely high orders for any type of frequency-dependent phase and can facilitate the optimization of complex optical systems with controlled dispersion balance at the single-cycle waveform extreme.
Open access. Commissioning is a term used in the English National Health Service (NHS) to refer to what most health systems call health planning or strategic purchasing. Drawing on research from a recent in-depth mixed methods study of a major integrated care initiative in North West London, we examine the role of commissioning in attempts to secure large-scale change within and between health and social care services to support the delivery of integrated care for people living with complex long-term conditions.
How do you use information for your work and CPD? What do you think of MPFT library services? Tell us here and you could win £25 vouchers: https://www.surveymonkey.co.uk/r/B2JVNPR
We've added 10 new Be Aware updates following your suggestions:
Musculoskeletal ; Osteoporosis ; Nutrition and obesity ; Falls ; HR ; Research Methods ; Information Governance ; Bladder, bowel and pelvic healthcare ; Rheumatology ; Medicines and healthcare products regulatory agency (circulated email)
We'd like to hear your suggestions for new book alert topics. Simply reply to this email with 'Book Alert Topic' and your suggestions. You can also view and sign-up to our current new book alerts here: http://library.sssft.nhs.uk/librarykeepuptodate
- Quick access to the Royal Marsden online via the library website homepage: library.sssft.nhs.uk
- Sign-in using your Open Athens username and password (if you don't yet have an Open Athens account, register at: openathens.nice.org.uk)
- Do a quick keyword search of all procedures
- Browse all chapters, clinical procedures and illustrations
- View custom MPFT procedures including: infection control skin preparation, medicines management.
We're expanding our Be Aware updates and want to know what physical health topics you'd like to keep updated on. Let us know your ideas by replying to this email with 'physical health topics' followed by your suggestions
NHS England’s belated decision to change the name of accountable care systems to integrated care systems has the virtue of describing more accurately the work being done in the 10 areas of England operating in this way. Despite this, there is understandable confusion in many quarters about NHS England’s plans, and uncertainty about what they mean for the NHS in the medium term.
This Commons Library briefing paper looks at the introduction of Accountable Care Organisations (ACOs) in the NHS in England, the development of the ACO policy, and comment on its potential impact.
n our new report – Some assembly required: implementing new models of care – we set out ten lessons for local leaders seeking to systematically make changes across services in their area. These are based on first-hand accounts of clinicians and managers from NHS England’s new care models programme vanguard sites, who have developed and tested new ways of joining up health and social care services.
Cheshire and Wirral Partnership NHS Foundation Trust (CWP) is delighted to announce that it has been awarded the contract to provide primary care services at Willaston Surgery, from December 2017.
Willaston Surgery, a GP Practice near Neston in Cheshire, becomes the second GP practice to be managed by the Trust
CNWL have formed a partnership with Hillingdon Hospitals NHS Foundation Trust and Brunel University London to fund the new Brunel Partners Academic Centre for Health Sciences.
The partnership is a response to increasing patient demands and expectations and the rising cost of healthcare delivery. The Centre will change the way health and social care is delivered to meet the changing needs of society.
A system where all patients have a telephone call with their GP before an appointment decreased the number of face-to-face consultations but increased telephone consultations. There was an overall 8% increase in the time GPs spent consulting, though there was large variation across practices.
In April 2016, control of Greater Manchester’s £6 billion combined health and social care budget was handed over to local leaders as part of the first devolution deal of its kind. Since then, local NHS and local government leaders, clinicians and wider partners have been working together to develop services suited to the needs of the 2.8 million people who live in Greater Manchester.
Developing One NHS in Dorset is one of 50 vanguards across the country which were selected to take a lead on the development of new care models which will act as blueprints for the NHS moving forward and inspiration to the rest of the health and care system.
We have established 10 workstreams looking at different patient and support services: stroke, ophthalmology, women’s health, paediatrics, cardiology, non-surgical cancer, pathology, radiology, health informatics and business support services.
The Integrated Care Communities will work together to improve the overall health and wellbeing of local people by joining up local health and care services, bringing more care out of hospital and into the communities and people’s homes, and supporting people to manage their own health conditions.
The ICCs are being developed in response to the changing needs of the population which the current system is struggling to cope with. The ambition will see health and social care professionals, GPs, the voluntary sector and the community working together in each Integrated Care Community as one team to improve the health and wellbeing of local people. They are focusing on helping people to manage long term health conditions, improve access to information about healthier lifestyles and providing more care in the community and at home.
The vision that drove the transformation of the Canterbury health system and that has continued to be its focus is one orientated around care that is people centred, that is connected and that aims not to waste patients’ time: in other words, care that is provided at the right time, by the right person, in the right place.
Looking at the experiences of Pegasus Health, a clinically led, management-enabled primary care network of general practices in Canterbury, gives some hints to how a solution can be achieved. Pegasus Health supports more than 350 GPs in 100 practices within the Christchurch and Canterbury area to deliver care for 420,000 enrolled patients.
Health care leaders across Staffordshire and Stoke-on-Trent’s clinical commissioning groups have announced the appointment of Marcus Warnes as their single joint Accountable Officer.
A series of short films have been produced to help GPs learn more about what it is like to be part of a developing multispecialty community provider (MCP) and what it might mean for them.
A new way of working is being trialled in Appleby Medical Practice to increase independence in frail and older patients. Occupational therapists (OT) are working from the local GP surgery three times a week to increase independence and provide more care in the community. The pilot has already seen great results and has had positive feedback from patients.
As sustainability and transformation partnerships (STPs), accountable care systems and new models of care evolve, governance arrangements must be a priority consideration.
Selected in December 2015, 14 rapid test sites (RTS) have been implementing this new enhanced approach to primary care across England. They are not vanguards but are part of the new care models programme and consistent with the ambitions of the Five Year Forward View.
32 GP practices in Torbay and South Devon have been funded by their CCG to access to Health and Care Videos Primary Care Video Library for a year to see if using video can help relieve demands on staff and waiting times.
We are four semi-rural practices on the western edge of the Peak District, separated by Cheshire’s rolling hills. All of us at Team BDP have similar reasons to change, and this was one of our most important steps.
The Primary Care Home is a provider of services based in a community setting, but incorporates some appropriate secondary care services and personnel and so enables primary care, community health and social care professionals to work in partnership with hospital-based specialists.
A pioneering mental health crisis service run by Cambridgeshire and Peterborough NHS Foundation Trust has received more than 14,500 calls in its first year.
The First Response Service – which can be contacted via the NHS 111 helpline and selecting option 2 - operates 24 hours a day, seven days a week, and gives people in crisis direct access to mental health advice and help them to avoid unnecessary visits to hospital.
In the first 12 months the number of people visiting local accident and emergency departments has fallen by 21 per cent.
House of Commons Library briefing on reconfiguration of NHS services, including recent policy developments, information on consultation and scrutiny powers, and drivers of major service changes.
Clinical commissioners are playing a key role as architects of the changing health and care landscape, our analysis launched today shows. The new publication sets out CCGs’ vision for the future and what they need to get there at pace so they can deliver more for patients.
As the Government and the NHS leadership have repeatedly said, the priority for the NHS is to increase its speed of innovation. To do this, the NHS is rightly seeking to devolve decision-making and to deregulate. For the workforce, however, policy remains highly centralised and tightly regulated. This paper shows how to bring the same reform ideas to the workforce as the NHS is applying to other areas.
Our report published today finds many similarities between London’s STPs and those produced in the rest of England. There are shared ambitions to give greater priority to prevention and early intervention and to strengthen and redesign services delivered in primary care and the community. There are also plans to reconfigure hospital services and, in some cases, to concentrate specialist services in fewer hospitals to improve outcomes.
A recent Lancet paper gives an interesting perspective. Researchers looked at elements of dependency including continence, cognition and self-reported activities of daily living in two cohorts of people aged over 65 – one cohort recruited in 1991 and the other in 2011.
The bottom line finding from this research is that the men and women studied in 2011 were living, on average, an additional 2.4 and 3 years respectively with substantial care needs. Even with a radical shift towards healthy active ageing, it’s unlikely that a hypothetical 2031 cohort would show anything but an increase in the total number of older people living with dependency.
NHS England’s Sustainable Improvement team and the Horizons team have refreshed and updated a 2011 publication, Leading Large Scale Change: A Practical Guide, to reflect today’s unique health and care landscape and challenges.
Housing providers are helping the NHS save money by helping people out of hospital into homes faster with the right care and support, a new National Housing Federation report has found.
With over 30% of their residents living with a disability or aged 60 or over, and given the predicted surge in this demographic, housing associations have stepped in to ensure patients are not stuck in hospital longer than necessary.
This document describes the Test Bed programme’s story so far and how the Test Beds are tackling clinical challenges such as dementia, diabetes and mental health through technology including algorithms, sensors and the Internet of Things.
In these days of localism, the authors find that the largest impacts come from national interventions, and the more centralised health protection functions, partly because they are regularly studied. Further evidence on the health improvement and wider determinants is sorely needed, but even now the emerging work indicates respectable returns.
The development of the Accountable Care Organisations contract has identified some necessary changes to regulation. This is largely to ensure that current rules continue to apply to the new contract, and the organisations using it. It also increases flexibility in some cases, for example for GPs who wish to enter into ACO arrangements without terminating their existing contracts.