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.
This document sets out a range of opportunities for pharmacy teams working in communities, and through their daily interactions with patients and the public, to play an important role in protecting and improving the health of the nation.
Speaking at the NHS Expo conference in Manchester, Mr Stevens will urge the new sustainability and transformation partnerships (STPs) to take coordinated cross-system action to improve identification and treatment of these potentially life-threatening conditions. At the same time Duncan Selbie, the Chief Executive of PHE, will highlight the initiative during his annual conference today.
We will be asking people to help us develop the options for the community hospitals and services at in Leek, Bradwell, Cheadle, Longton and the Haywood Hospitals from which proposals will be developed.We aim to develop a range of options and proposals that will form the basis of a preconsultation business case. This business case will need NHS England approval to assure it that the local health economy can satisfy the rigorous tests for major service reconfiguration set out by Simon Stevens, Chief Executive of NHS England, earlier this year.
Public Health England (PHE) has today (30 August 2017) launched a ground breaking new tool for local public health teams identifying the most cost effective mental health programmes. One of these 8 initiatives is an innovative resilience programme in schools that results in an estimated saving of £5.08 for every £1 invested (over 3 years).
Over the past five years, the government and national NHS bodies have conducted a unique experiment: running health services as a planned system against the backdrop of a contradictory legislative framework, one that envisages arm’s length contracting relationships between purchasers and providers, independent provider organisations, and a significant role for competition. In doing so, they have turned their backs not just on the Health and Social Care Act 2012, but on almost three decades of reforms: separate commissioners, foundation trusts, payment for activity and patient choice among others.
The diagnosis then, as now, was that our problem was not quality or efficiency but our ability to effectively meet the rising demand of a largely ageing and affluent population. Chris urged us to take action and to learn the lessons of integration from around the world, particularly the experiences in Canterbury, New Zealand.
In this welcome update, Anna Charles builds on Nick Timmins and Chris Ham’s initial review of the experiences of Canterbury and reflects on the implications for new models of care and for sustainability and transformation partnerships. It is a must read for anyone developing models of community integration.
The objective was to provide real, honest insight into the challenges and hurdles that had been faced when designing new services. It also gave the opportunity to showcase some of the successes achieved so far.
With support from the Robert Wood Johnson Foundation, the Health Research & Educational Trust has developed a playbook of effective methods, tools and strategies to create new partnerships and sustain successful existing ones.
A. Grigoryan, und S. Agaian. Applied Mathematics and Sciences: An International Journal (MathSJ), Volume 1 von IFIP Advances in Information and Communication Technology, Seite 23-39. Springer, (Dezember 2014)