Wednesday 12 October 2016

The future of pathology services

"The report also looks at the changes digital and genomic technology is bringing in pathology, and what they mean for services, and how we can get the most benefit out of them."

The future of pathology services
S Karakusevic, N Edwards, R Lewis, M Dayan
Nuffield Trust
June 2016

Read more here.

Large-scale general practice in England: what can we learn from the literature?

"Traditional general practice is changing. Three-quarters of practices are now working collaboratively in larger-scale organisations – albeit with varying degrees of ambition and organisational integration. Policy-makers and practitioners have high hopes for these organisations and their potential to transform services both within primary care and beyond. But can we be confident that they can live up to these expectations?"

Large-scale general practice in England: what can we learn from the literature?
L Pettigrew, N Mays, S Kumpunen, R Rosen, R Posaner
Nuffield Trust
September 2016

Read more here.

Lessons for large-scale general practice

"This study examines the factors affecting the evolution and impact of large-scale general practice on staff, patients, the wider health economy and the quality of care. The study combines an extensive literature review and national surveys with an in-depth mixed-methods evaluation of contrasting, large-scale general practice organisations that includes detailed case studies."

Is bigger better? Lessons for large-scale general practice
R Rosen, S Kumpunen, N Curry, A Davies, L Pettigrew, L Kossarova
Nuffield Trust
July 2016

Read more here.

Sustainability and Transformation Plans: what we know so far

"So far, the plans are not sufficient to close the funding gap, but, if implemented well and combined with high-quality local efficiency improvement, they would go some way to doing so and would demonstrate the capability of the NHS and social care system to deliver. This paper points to some important trends, ideas to be explored and issues that need to be resolved in order to ensure success."

Sustainability and Transformation Plans: what we know so far
N Edwards
Nuffield Trust
September 2016

Read more here.

Understanding patient flow in hospitals

"Previous Nuffield Trust work has argued that although the target can be over-emphasised, struggles in meeting it are associated with deeper problems in the capacity to move patients into hospital wards. This briefing draws on theories about congestion to look at why this has become more difficult, and what can be done about it. It aims to be useful to the hospital managers and people involved in Sustainability and Transformation Plans who tackle these problems on the front line, as well as to the policymakers who oversee them."

Understanding patient flow in hospitals
S Karakusevic, N Edwards
Nuffield Trust
October 2016

Read more here.

Thames Valley & Milton Keynes Strategic Clinical Networks commissioning guidance

Thames Valley & Milton Keynes Strategic Clinical Networks have produced commissioning guidance with recommendations for action and best practice case studies for cancer, cardiovascular health, children, end of life care, long term conditions, maternity, mental health and neurological conditions. Although locally focused, the guides may have wide spread interest. 

Access the guides here.

A guide to enabling the spread of person and community-centred approaches for health and wellbeing

"This guide outlines how behavioural science can help spread the take-up of person- and community- centred approaches to health and wellbeing. It is aimed at people who champion these approaches in health and social care, in other statutory bodies and in community-based organisations."

Spreading change: A guide to enabling the spread of person- and community-centred approaches for health and wellbeing
H Burd, M Hallsworth, The Behavioural Insights Team
Nesta and the Health Foundation
September 2016

Read more here.

A guide to enabling behaviour change for health and wellbeing using person- and community-centred approaches

"This guide is for people who support those living with long-term conditions, their carers, families or communities. It summarises practical ways to support people to self manage effectively using person and community-centred approaches. Many of these activities are useful also for people who work to prevent the development of long-term conditions in the first place."

Supporting self-management: a guide to enabling behaviour change for health and wellbeing using person and community centred approaches
H Burd, M Hallsworth, The Behavioural Insights Team
Nesta and the Health Foundation
September 2016

Read more here.

Monday 10 October 2016

User feedback in maternity services

This report looks at what maternity services are doing locally to collect, analyse and act on user feedback. It describes the challenges of adopting the different approaches and highlights the features of organisations that are successful in user feedback activities.

User feedback in maternity services
L Wenzel, J Jabbal
The King's Fund
October 2016

Read more here.


Deficits in the NHS 2016

This briefing draws on data from our quarterly monitoring reports, secondary research and interviews with health care leaders to consider commissioner and provider finances in the round and to provide an overview of the factors that have led to the NHS going into deficit. It goes on to outline some of the strategies being employed to restore financial balance, before drawing together our thoughts on the implications of these strategies for the NHS this year and in the longer term.

Deficits in the NHS 2016
 P Dunn, H McKenna, R Murray
The King's Fund
July 2016

Read more here.

Understanding dementia memory services across London

This reports details the results of the clinical audit carried out on London dementia memory services by the Dementia CN’s Effective diagnosis work stream.

The audit found substantial variation between services, and the report provides recommendations to address this and improve practice.

Understanding dementia memory services across London
June 2016
London Clinical Networks

Read more here.

Tooling up and gearing up mental health in primary care

This document supports people to improve access and understand the key components of good primary care mental health training and education. It provides: 1.) Workforce training and education framework; 2.) competency checklist; 3.) summary of education and training in London.

Tooling up and gearing up mental health in primary care
London Clinical Networks
August 2016

Read more here.

Delayed Transfer of Care Pan London Review

This report has been prepared by the NHS England Delayed Transfer of Care Programme and provides an overview of the causes of delayed transfers of care across London, and the characteristics of a good model for reducing these.

NHS England: Delayed Transfer of Care Pan London Review
A Bjorkstrand, Lead for Delayed Transfer of Care Project
March 2016

Read more here.

Improving the quality of care in the last days of life: medication

"This document identifies best practice in the way medications should be managed in the last days of life. It sets out practical, high level, evidence-based recommendations to help guide those responsible for care to review their processes and consider ways to make change where necessary."

Improving the quality of care in the last days of life: A practical guide to getting the medications right
London Clinical Networks
April 2016

Read more here.

London acute neurology services: A case for change

This document describes why neurological services must change how patients are managed upon entering the health system through emergency and urgent care routes.

London acute neurology services: A case for change
London Clinical Networks
January 2015

Read more here.

Excellence in anticoagulant care

This document defines and describes the components of an excellent anticoagulation service.
A consensus view on what constitutes an excellent anticoagulation service for patients with atrial fibrillation (AF) will support providers and commissioners in ensuring the provision of best quality practice for their local populations.

Excellence in anticoagulant care
London Clinical Networks
August 2016

Read more here.

Type 1 diabetes London commissioning pack

This comprehensive commissioning pack aims to ensure excellent type 1 diabetes services for all Londoners. There are three parts:
  • Service specification – Aimed at commissioners, this document details the care to be commissioned for adults with type 1 diabetes, including an overview of diabetes, elements of an excellent service plus commissioning recommendations.
  • Clinical management: Optimal pathway – Aimed at providers, this document details the expected clinical care for type 1 diabetes.
  • Implementation guide – This document provides the tools for both commissioners and providers to measure, analyse and develop improvement plans for their local diabetes service. It includes a summary of expectations and self assessments for commissioners and providers, performance targets and a sample patient reported outcome measures (PROM) form to collate patient feedback. It also highlights the type 1 care consultation tool (developed by Health Innovation Network and King’s Health Partners), which can be used in the management of people with type 1 diabetes.
Diabetes commissioning pack
London Clinical Networks
September 2016

Access the pack here.