COMMISSIONING: A £270m community services contract between Virgin Care and East Staffordshire Clinical Commissioning Group has been delayed for a month. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
This guidance summarises key advice for those working in primary care, since they may be consulted by patients, including pregnant women, who are travelling to or returning from countries that are part of this outbreak (ie those countries with active Zika transmission).
As we publish our new report on addressing barriers to partnership working with the voluntary, community and social enterprise sector, Helen Gilburt takes a look at three fundamental principles needed to create change.
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The ‘stranded patient metric’ is defined as the number of beds occupied by patients who have been in hospital 7 days or more. A proportion of these will have a truly catastrophic illness and need to be in hospital that long. However, a significant proportion will have spent 7 or more days in hospital because of unnecessary waits in the system. Many are internal, including waiting for a decision, diagnostic test, intervention, referral etc. It is important to be certain that whatever the patient is waiting for necessarily needs to be done as an in-patient. The effective use of Expected Date of Discharge (EDD) and Clinical Criteria for Discharge (CCD) from point of admission as part of the case management plan assists in the daily focus on what our patients are waiting for. EDD should be set assuming ideal recovery and no delays, thus helping to ‘flush out’ any constraints within a patient’s journey.
Public Accounts Committee reviews the progress made on improving patient access to GPs, following an increase in funding aimed at extending services into evenings and weekends.
When discharge goes wrong, it comes at a cost to the NHS, to social care services, and to the individual. When it works, people are able to move on with their lives and recover safely.
The core delivery model for general practice has remained largely unchanged since the creation of the National Health Service (NHS) in 1948. General practices are independent businesses, contracted by the state to provide defined health services to a registered list of patients. Practices are owned and run by one or more ‘partners’ – general practitioners (GPs) who hold contracts and share the profits their practice delivers. In theory, this incentivises the most effective care for all patients – from a young, healthy person requiring one-off treatment to an elderly patient with a variety of long-term conditions.
The Unit Costs of Health and Social Care 2017 is now available online, bringing the costs of a wide range of health and social care services for both adults and children. Thanks to funding from the Department for Education, once again this year, we have been able to add new services to chapter 6, which focuses mainly on children’s social care. Here you will find unit costs for children’s care homes, adoption, end-of-life care at home, parenting programmes and many more.
Includes section about integrated primary and acute care systems that are part of some vanguards. Cites Salford example that has social care at its heart. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Managing demand for planned health care is described in this report as a “wicked problem” – demand for healthcare is outpacing capacity to meet it.
Health economies have tried various approaches to managing demand; referral management centres, expanded roles, direct access amongst others. But the evidence base has been mixed, of variable quality and sometimes conflicting findings.
This synthesis of evidence sets out to understand what works but with a particular focus on context, to understand what works, in what settings and why.
Purposefully building stronger collaborations between primary care (PC) and public health (PH) is one approach to strengthening primary health care. The purpose of this paper is to report: 1) what systemic factors influence collaborations between PC and PH; and 2) how systemic factors interact and could influence collaboration.
Services to keep children out of hospital, known as hospital at home or virtual wards, are set for a major expansion across the NHS after a string of successful pilot schemes. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Our new report shows that the draft plans submitted last October are wide-ranging, from prevention and community-based services through to acute and specialised services in hospitals
This is the question we asked members of the public to explore in-depth at the workshops we ran last summer. Read our new report on how people want to play a bigger role in looking after their own health and care and had clear views on what would support them to do that.