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

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Open innovation in health: A guide to transforming healthcare through collaboration

This guide explores examples of open innovation in the field of health from around the world. It analyses the ways that companies, governments, researchers and citizens are collaborating to improve the innovation process, from the way that problems are identified to how new products and services are created and then adopted by providers of healthcare. Click here to read more.

Patients as partners

"More collaborative relationships among health and care professionals, patients, service users, carers and communities are essential for the future of the NHS, but what helps to build effective relationships? This guide stems from an evolving body of the Fund's work focused on exploring and supporting shared leadership. This work is reinforced by a growing consensus that health services, agencies, patients and communities need to work together more – and differently."

Patients as partners: Building collaborative relationships among professionals, patients, carers and communities
B Seale
The King's Fund
July 2016

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Large-scale general practice in England

"In this paper authors present the findings of a review of the literature which contributes to the Nuffield Trust’s stream of work on large-scale general practice, including the recently published findings of a 15-month mixed methods research study, Is Bigger Better? Lessons for Large-Scale General Practice. The report, published in collaboration with the London School of Hygiene & Tropical Medicine, aims to answer the following questions:

1. Which organisational form(s) have large-scale collaborations of GP practices adopted in England
2. What are they expected to deliver?
3. What evidence is available on their impact in England?
4. What can we learn from initiatives with similarities?"

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

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Contextualizing learning to improve care using collaborative communities of practices

"Study findings offer insights into collaborative, inter-organizational community of practice learning approaches to build quality improvement capabilities amongst clinicians, staff, and managers. In particular, our study delineates the need to contextualize QI learning by using deliberate learning activities to balance systematic and structured approaches alongside pragmatic and accommodating approaches with expert mentors."

Contextualizing learning to improve care using collaborative communities of practices
L Jeffs, J McShane, V Flintoft, P White, A Indar, M Maione, AJ Lopez, S Bookey-Bassett, L Scavuzzo
BMC Health Services Research, 2016, 16:464

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Is bigger better? Lessons for large-scale general practice

"Traditional general practice is changing. Three-quarters of practices are now working collaboratively in larger-scale organisations – albeit with varying degrees of ambition. 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? This research summary presents the key findings from a 15-month study of large-scale general practice organisations in England. It was informed by an extensive literature review, and combined national surveys with in-depth case studies of contrasting, largescale general practice organisations and analysis of 15 quality indicators."

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

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Integrated knowledge translation (IKT) in health care

"Conclusions: The IKT strategies that achieve beneficial outcomes remain unknown. We generated a summary of IKT approaches, enablers, barriers, conditions, and outcomes that can serve as the basis for a future review or for planning ongoing primary research. Future research can contribute to three identified knowledge gaps by examining (1) how different IKT strategies influence outcomes, (2) the relationship between the logic or theory underlying IKT interventions and beneficial outcomes, and (3) when and how decision-makers should be involved in the research process. Future IKT initiatives should more systematically plan and document their design and implementation, and evaluations should report the findings with sufficient detail to reveal how IKT was associated with outcomes."

Integrated knowledge translation (IKT) in health care: a scoping review
AR Gagliardi, W Berta, A Kothari, J Boyko, R Urquhart
Implementation Science, 2016, 11:38

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Collaborative research and the co-production of knowledge for practice

"In our view, the theory of co-production provides useful insights into what it is about the qualities of collaborative working that inspire the requisite mechanisms for generating knowledge that is translated into practice. The theory provides a potentially useful basis for future knowledge translation programmes and projects in applied health research in a range of contexts."

Collaborative research and the co-production of knowledge for practice: an illustrative case study
J Heaton, J Day, N Britten
Implementation Science, 2016, 11:20

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Addressing basic resource needs to improve primary care quality

"Difficulty affording healthcare and food are particularly common needs among patients with priority conditions. Strategies to identify and address unmet needs as part of routine care may be an important way to improve healthcare quality."

Addressing basic resource needs to improve primary care quality: a community collaboration programme
SA Berkowitz, et al
BMJ Quality and Safety, 2016, 25:164-72

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Implementing the Forward View: Supporting providers to deliver

"This document is designed for NHS provider organisations. It is part of a series of roadmaps that draw on messages from the NHS Planning Guidance and set out the key priorities for specific audiences that are responsible for delivering high quality health and care this year and beyond."

Implementing the Forward View: Supporting providers to deliver
NHS Improvement in collaboration with a range of provider leaders, NHS Providers, NHS Confederation, NHS Clinical Commissioners, NHS Partners and the Local Government Association.
February 2016

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Taking a participatory approach to development and better health

"This publication documents the experiences of participatory approaches taken by Region Skåne (Sweden) and three case studies: the Autonomous Province of Trento (Italy), the Autonomous Community of Andalusia (Spain) and Wales (United Kingdom)."

Taking a participatory approach to development and better health: Examples from the regions for health network
World Health Organization
2015

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Collaboration in general practice: surveys of GPs and CCGs

"GPs and CCGs report that the growth in collaborative working is driven primarily by CCG encouragement alongside financial pressures faced within general practice and a desire to expand the range of services offered in primary care."

Collaboration in general practice: surveys of GPs and CCGs
S Kumpunen, N Curry, N Edwards, M Holmes, H Price, T Ballard
Royal College of General Practitioners, Nuffield Trust
December 2015

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Growing healthy communities: The Health and Wellbeing Index

"The purpose of this report is to help stakeholders – NHS providers and clinical commissioning groups (CCGs), local authorities, health and social care providers, housing associations, fire authorities and the police – to improve collaboration through a better understanding of the correlation between the economic, social and environmental health determinants and health outcomes within their locality."

Growing healthy communities: The Health and Wellbeing Index
Grant Thornton
October 2015

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Place-based systems: A way forward for the NHS in England

"This paper argues that providers of services should establish place-based ‘systems of care’ in which they work together to improve health and care for the populations they serve. This means organisations collaborating to manage the common resources available to them."

Place-based systems: A way forward for the NHS in England
C Ham, H Alderwick
The King's Fund
November 2015

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Better use of care at home

"This quick guide provides case studies, ideas and practical tips to commissioners, health professionals and care providers on how to improve the relationships, processes and use of homecare and housing support to help people home from hospital."

Quick guide: Better use of care at home: Transforming urgent and emergency care in England
NHS England
November 2015

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Bridging the gap between research and the frontline NHS

"Since 2008, CLAHRCs have conducted a range of innovative research studies leading to improved outcomes for patients, better and more cost-effective services and challenge health inequalities nationally. Alongside that, CLAHRCs engaged in innovative capacity development work with NHS partners, running courses in research, evaluation and implementation of the latest evidence."

World class research making a difference: Bridging the gap between research and the frontline NHS
National Institute for Health Research
September 2015

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Research utilisation and knowledge mobilisation and public health

"Not all practitioners have the time, skills or interest to work in cocreation, but when there was collaboration, much was learned."

Research utilisation and knowledge mobilisation in the commissioning and joint planning of public health interventions to reduce alcohol-related harms: a qualitative case design using a cocreation approach
RK Rushmer, et al.
Health Services and Delivery Research, 2015, 3:33

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New organisational models of primary care to meet the future needs of the NHS

"We identified three overlapping categories of models: models that introduce new, or change existing, roles in general practice; models of collaboration among professionals and among sectors (primary care, secondary care and social care); and new organisational forms for general practice."

New organisational models of primary care to meet the future needs of the NHS: a brief overview of recent reports
T Bienkowska-Gibbs, S King, C Saunders, M-L Henham
RAND Europe
June 2015

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Useful approaches for teaching about quality improvement

"This study provides guidance for future organisers and participants of quality improvement collaboratives about which learning approaches will best suit the participants and enhance improvement work."

Do quality improvement collaboratives’ educational components match the dominant learning style preferences of the participants?
AM Weggelaar-Jansen, J van Wijngaarden, SS Slaghuis
BMC Health Services Research, 2015, 15:239

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Moving services out of hospital

"‘Scaling up’ primary and community services in order to provide more care outside hospitals will require general practices and their community service colleagues to work together in new ways."

Moving services out of hospital: Joining up general practice and community services?
D Bramwell, K Checkland, P Allen, S Peckham
Policy Research Unit in Commissioning and the Healthcare System, Department of Health
August 2014

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