Doctors' vision for change in the NHS

"Despite a growing need for care to be integrated around the needs of patients, doctors are prevented from providing joined-up care by bureaucratic barriers, communication gaps and competing organisational priorities. Working in silos is bad for patients and doctors. Removing obstacles to collaboration can help reduce doctors’ workloads and the unnecessary waste of time and resources."

Caring, supportive, collaborative: Doctors' vision for change in the NHS
BMA
2019

Read more here.

Achieving change in primary care—causes of the evidence to practice gap

"This comprehensive review of reviews summarises current knowledge on the barriers and facilitators to implementation of diverse complex interventions in primary care."

Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews
R Lau, et al.
Implementation Science, 016, 11:40

Read more here.

Monitoring change in health care through statistical process control methods

"The family of approaches known as statistical process control (SPC) have been widely used for monitoring outcomes in industry and have gained acceptance in many health care settings: usually within an organisation or clinical pathway. However, they are less commonly applied to look at population level changes across organisations: the changes we now see emerging in new models of care. Moreover, SPC methods can be applied to looking at some of the measures (such as changes in emergency admissions) that are commonly used to monitor major programmes of organisational change as seen in, for example, new models of integrated care or the Vanguards."

Monitoring change in health care through statistical process control methods
C Sherlaw-Johnson, M Bardsley
Nuffield Trust
January 2016

Read more here.

The problem with Plan-Do-Study-Act cycles

"To be successful, the use of PDSA must be supported by a significant investment in leadership, expertise and resources for change."

The problem with Plan-Do-Study-Act cycles
JE Reed, AJ Card
BMJ Quality and Safety, 2016, 25:147-52

Read more here.

Delivering the benefits of digital health care

"This report sets out the possibilities to transform health care offered by digital technologies, with important insight about how to grasp those possibilities and benefits from those furthest on in their digital journey."

Delivering the benefits of digital health care
C Imison, S Castle-Clarke, R Watson, N Edwards
Nuffield Trust
February 2016

Read more here.

Making change possible: a Transformation Fund for the NHS

"A successful health and care system will be one that can adapt and respond to the needs of the population it serves and the environment in which it delivers care. Transformation must not be seen as a one-off project but as a way of operating – part of the DNA of our health service and its funding system."

Making change possible: a Transformation Fund for the NHS
The King's Fund, The Health Foundation
July 2015

Read more here.

Better value in the NHS: The role of changes in clinical practice

"The direct and indirect costs of preventable harm to the NHS can be significant, so reducing harm can save the NHS money as well as improving quality of care."

Better value in the NHS: The role of changes in clinical practice
H Alderwick, R Robertson, J Appleby, P Dunn, D Maguire
The King's Fund
July 2015

Read more here.

Asset-based approaches in health care

"The title, ‘Head, hands and heart’ refers to a well-known asset-mapping technique, in which participants are asked to respond to three questions: What knowledge do you have? (‘head’); What skills do you have? (‘hands’); What are you passionate about? (‘heart’).

The report introduces the theory and practice of asset-based approaches, explores some of the key principles for developing health assets and the evidence and mechanisms of impact on health outcomes of asset-based projects in the UK. It also identifies areas for further investigation."

Head, hands and heart: asset-based approaches in health care: A review of the conceptual evidence and case studies of asset-based approaches in health, care and wellbeing
T Hopkins, S Rippon
The Health Foundation
April 2015

Read more here.

Governance challenges for providers in light of the Dalton review

"Any change in organisational structure arises from a strong business case to develop models of care for patient benefit (to improve outcomes, safety or experience), and/or to deliver a more efficient service, providing best value for the taxpayer and potentially releasing funds to reinvest in patient care."

Form follows function: Governance challenges for providers in light of the Dalton review
NHS Confederation
April 2015

Read more here.

Read related QIPP @lert post here.

The Forward View into action: Planning for 2015/16

"This document describes the approach for national and local organisations to make a start in 2015/16 towards fulfilling the vision set out in the NHS Five Year Forward View, whilst at the same time delivering the high quality, timely care that the people of England expect today."

The Forward View into action: Planning for 2015/16
NHS England
December 2014

Read more here.

Five year forward view

"A future that sees far more care delivered locally but with some services in specialist centres where that clearly produces better results."

Five year forward view
NHS England
October 2014

Read more here.

Guide to whole system commissioning for sexual and reproductive health and HIV

"Whole system commissioning requires a commitment to meticulous collaboration, an alignment of values and principles, an agreement on processes and mechanisms and a willingness to work differently."

Making it work: a guide to whole system commissioning for sexual and reproductive health and HIV
Public Health England
September 2014

Read more here.

How commissioning support units are growing into their support role

"CSUs have been careful not to build on their NHS credentials alone and are marketing strong portfolios which show a breadth of expertise and innovation that will see them well placed at the starting line in 2015."

The NHS's not so little helper: How commissioning support units are growing into their support role
Health Service Journal supplement
12th September 2014

Read more here.

Read a summary from the Commissioning Elf here.

Researching organizational culture during health service redesign and change

"This paper makes a methodological contribution to the study of culture in health care organizations."

Patients-people-place: developing a framework for researching organizational culture during health service redesign and change
NK Gale, J Shapiro, HST McLeod, S Redwood, A Hewison
Implementation Science, 2014, 9:106

Read more here.

ROMA: A guide to policy engagement and influence

"ROMA (RAPID Outcome Mapping Approach) is an approach to improving your policy engagement processes, to influence change."

ROMA: A guide to policy engagement and influence
Overseas Development Unit
2014

Read more here.

The new era of thinking and practice in change and transformation

"This new White Paper from NHS Improving Quality examines leading trends in change and transformation from multiple industries across the world."

The new era of thinking and practice in change and transformation: A call to action for leaders of health and care
H Bevan, S Fairman
NHS Improving Quality
July 2014

Read more here.

The NHS Productivity Challenge

While it is true that there is also an increasing consensus around what makes a high-quality, sustainable health and care system, three inputs are needed to achieve this service and unlock the greater efficiency and improved outcomes it can offer:

• more time
• more money for transformational change and short-term support
• measures to support change and value for money.

The NHS Productivity Challenge: experience from the front line
J Appleby, A Galea, R Murray
The King's Fund
May 2014

Read more here.

Improving general practice: a call to action

“This report focuses on general practice and the central role we want it to play in wider local systems of primary care.”

Improving general practice: a call to action: Phase 1 report
B Dyson
NHS England
March 2014
Read more here.

Whole-system solutions for urgent and emergency care

“This follow-up report acts as a roadmap to the fundamental changes required to create a sustainable and high-quality urgent and emergency care system that can meet the needs of patients now and in the future.”

Ripping off the sticking plaster: whole-system solutions for urgent and emergency care
NHS Confederation
March 2014

Read more here.

Commissioning Excellence

The latest issue of the Primary Care Commissioning newsletter is now available. Read it here.