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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Developing people — improving care

NHS Improvement has updated their evidence-based national framework to guide action on improvement skill-building, leadership development and talent management for people in NHS-funded roles.

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Approaches to better value in the NHS

"This report shares learning and insight from three NHS hospital trusts that have developed organisation-wide strategies for value improvement. It draws on interviews, roundtables and site visits with senior leaders in the NHS who are committed to developing better value services."

Approaches to better value in the NHS: Improving quality and cost
J Jabbal, M Lewis
The King's Fund
October 2018

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Supporting successful innovation and improvement

"Adopters make a crucial contribution to the successful spread of new ideas, both through the hard work involved in adoption and their role in generating new learning about an intervention as it spreads."

The spread challenge: How to support the successful uptake of innovations and improvements in health care
T Horton, J Illingworth, W Warburton
The Health Foundation
September 2018

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Driving improvement in GP practices

"The case studies show that a good or outstanding GP practice needs to work as a team – including its clinical, administrative and managerial staff – with a shared vision, values and commitment to improving. This also means working as a multidisciplinary model, recognising the value of nursing teams in taking some of the clinical workload off GPs."

Driving improvement in GP practices
Care Quality Commission
June 2018

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Embedding a culture of quality improvement

"This report explores the factors that have helped organisations to launch a quality improvement strategy, and the key enablers for sustaining a focus on continuous quality improvement."

Embedding a culture of quality improvement
J Jabbal
The King's Fund
November 2017

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NHS efficiency map

The HFMA and NHS Improvement have worked in partnership to update and revise the NHS efficiency map. The map is a tool that promotes best practice in identifying, delivering and monitoring cost improvement programmes (CIPs) in the NHS. The map contains links to a range of tools and guidance to help NHS bodies improve their efficiency. The map is split into three sections: enablers for efficiency, provider efficiency and system efficiency.

Access the map here.

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.

Improving the health of the public by 2040

"Over the coming decades, the UK population will face a wide range of complex health challenges and opportunities, many of which can only be fully addressed through strategies to secure and improve the health of the public as a whole. This report explores how to organise our research environment to generate and translate the evidence needed to underpin such strategies."

Improving the health of the public by 2040: Optimising the research environment for a healthier, fairer future
The Academy of Medical
September 2016

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Four case studies to explore the added value of Oxford AHSN

"The Oxford Academic Health Science Network (Oxford AHSN) wishes to demonstrate the value of the various projects and programmes that the network has developed and implemented since it was established in 2013. In order to do this, OHE Consulting and RAND Europe conducted analyses of four case study projects:

1. Anxiety & Depression Clinical Network: A targeted 5% improvement in recovery rates
2. Maternity Clinical Network: Improving referral pathways for preterm babies
3. Energy project: Quantifying the value of energy savings and carbon reduction
4. Intermittent Pneumatic Compression: Increasing utilisation of IPCs in immobile stroke patients"

Four case studies to explore the added value of Oxford AHSN
G Marsden, A Martin, B Zamora, J Exley, J Sussex, A Towse
Office of Health Economics
September 2016

Download the publication here.

Sustainability and Transformation Plans: What we know so far

"This discussion paper reflects the work in progress from one third of STP areas, as captured in July and August 2016. It shows that the scale of the STP process is large and ambitious, and the speed with which plans are being pulled together is astonishing. 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

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Securing meaningful choice for patients

"This guide sets out more detail on the fundamental enablers for effective patient choice and the key actions needed to strengthen or put them in place."

Securing meaningful choice for patients: CCG planning and improvement guide
NHS England, NHS Improvement,
August 2016

Access the guide here.

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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Making IT work

"The goal of digitisation of health systems is to promote what has become widely known as healthcare’s Triple Aim: better health, better healthcare, and lower cost. These aims are consistent with those of the NHS’s 2014 Five Year Forward View, which called for improvements in quality and service, as well as £22 billion in efficiencies. The Advisory Group believes that trying to achieve the aims of the Five Year Forward View without giving highest priority to digitisation would be a costly and painful mistake."

Making IT work: Harnessing the power of health information technology to improve care in England
R Wachter
Department of Health
September 2016

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Improving handovers from hospital to home

"This study protocol describes the implementation of TIP, which provides the foundation for a safe, reliable and accurate discharge process. If effective, nationwide implementation of the discharge bundle may result from this study protocol."

Implementation of a Transfer Intervention Procedure (TIP) to improve handovers from hospital to home: interrupted time series analysis
R van Seben, SE Geerlings, KJM Verhaegh, CGJM Hilders, BM Buurman
BMC Health Services Research, 2016, 16:479

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Bringing hospital-level care to the patient

"This case study is one in an ongoing series examining programs that aim to improve outcomes and reduce costs of care for patients with complex needs, who account for a large share of U.S. health care spending."

The hospital at home model: Bringing hospital-level care to the patient
S Klein, M Hostetter, D McCarthy
The Commonwealth Fund
August 2016

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Strengthening population health intervention

"Much of the research and theorising in the knowledge translation (KT) field has focused on clinical settings, providing little guidance to those working in community settings. In this study, we build on previous research in community-based KT by detailing the theory driven and empirically-informed CollaboraKTion framework."

Strengthening population health intervention: developing the CollaboraKTion Framework for community-based knowledge translation
EK Jenkins, A Kothari, V Bungay, JL Johnson, JL Oliffe
Health Research Policy and Systems, 2016, 14:65

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Quality assessments for cancer centers in the European Union

"The need for assessments in cancer centers is increasing. To improve efforts in the quality of research and patient care and to prevent new assessments that “reinvent the wheel”, it is advised to start comparative research into the assessments that are likely to bring patient benefits and improve patient outcome."

Quality assessments for cancer centers in the European Union
A Wind, A Rajan, WH van Harten
BMC Health Services Research, 2016, 16:474

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Multidisciplinary team-led community case management programme

"This study has identified that a programme of MDT-led case management was generally very well received by patients and their families."

Patients’ experiences of a multidisciplinary team-led community case management programme: a qualitative study
A Gowing, C Dickinson, T Gorman, L Robinson, R Duncan
BMJ Open, 2016, 6:e012019

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Incentive-driven commissioning for improved oral health in primary dental care

"This is the first UK study to assess the clinical and cost-effectiveness of a blended contract in primary care dentistry."

Shaping dental contract reform: a clinical and cost-effective analysis of incentive-driven commissioning for improved oral health in primary dental care
C Hulme, PG Robinson, EC Saloniki, K Vinall-Collier, PD Baxter, G Douglas, B Gibson, JH Godson, D Meads, SH Pavitt
BMJ Open, 2016,6:e013549

Read more here.