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

Read more here.

Population health systems: Going beyond integrated care

"Making the shift from integrated care to population health in England requires NHS organisations to work much more closely with local authorities, third sector organisations and the private sector."

Population health systems: Going beyond integrated care
H Alderwick, C Ham, D Buck
The King's Fund
February 2015

Read more here.

Intra-Action Report: A dynamic tool for emergency managers and policymakers

"In contrast to an After-Action Report, which focuses on recently completed response and recovery for application to a future incident, the IAR is intended for dynamic use to inform and guide ongoing response and recovery efforts, capturing experiences and learning and applying lessons during an emergency that unfolds over a protracted time frame (that is, the IAR is not applicable to an incident for which response requires only hours or days)."

Intra-Action Report: A dynamic tool for emergency managers and policymakers: A proof of concept and illustrative application to the 2014-2015 Ebola Crisis
M Chamberlin, A Okunogbe, M Moore, M Abir
RAND Corporation
February 2015

Read more here.

Provider chains: lessons from other sectors

"Operating across multiple sites requires a shift to a management system with a corporate centre and outposts, rather than appending an acquired institution onto an existing organisation."

Provider chains: lessons from other sectors: a report for the Dalton review into new options
H Crump, N Edwards
Nuffield Trust
December 2014

Read more here.

Safer clinical systems

"Safer Clinical Systems is an approach for improving safe and reliable health care based on learning from a range of high-risk sectors such as aviation, oil and gas, and mining."

Safer clinical systems: evaluation findings
M Dixon-Woods, et al.
The Health Foundation
December 2014

Read more here.

Provider chains: lessons from other sectors

"Operating across multiple sites requires a shift to a management system with a corporate centre and outposts, rather than appending an acquired institution onto an existing organisation."

Provider chains: lessons from other sectors: A report for the Dalton review into new options for providers of NHS care
H Crump, N Edwards
December 2014

Read more here.

Mergers in the NHS

"The introduction of competition into the provision of NHS-funded hospital care in England has meant that the work of NHS providers and commissioners has become increasingly exposed to competition regulation."

Mergers in the NHS: Lessons from the decision to block the proposed merger of hospitals in Bournemouth and Poole
E Spencelayh, J Dixon
December 2014

Read more here.

Lessons for social policy and practice from NICE

"NICE-type bodies should listen to users and understand social values."

The NICE way: lessons for social policy and practice from the National Institute for Health and Care Excellence
F Ruiz, J Breckon
Alliance for Useful Evidence, National Institute for Health and Care, NESTA Excellence
October 2014

Read more here.

International responses to austerity

"Financial crisis provides a window of opportunity and stimulus for reform."

Evidence scan 22: International responses to austerity
J Ellins, S Moore, M Lawrie, O Jackson, D Mann, K Singh, R Dam
The Health Foundation
September 2014

Read more here.

Click here to read a summary from The Commissioning Elf.

What can the UK learn from healthcare innovation in India?

"Each health centre had a strong understanding of the role that clinical indicators play in performance monitoring and improvement, with the information genuinely owned by the clinicians."

What can the UK learn from healthcare innovation in India?
The Health Foundation
February 2014

Read more here.

Service transformation: Lessons from mental health

"Simply moving the location of care is not good enough. New evidence-based models of care are useful, but choice of model should be driven by local need, have a clear objective and be properly evaluated."

Service transformation: Lessons from mental health
H Gilburt, E Peck, B Ashton, N Edwards, C Naylor
The King's Fund
February 2014

Read more here.

Service transformation: lessons from mental health

"While nationally and internationally developed models are useful, choice of any particular model should be driven by local need, allowing flexibility for local providers to innovate."

Service transformation: lessons from mental health
H Gilburt, E Peck, B Ashton, N Edwards, C Naylor
The King's Fund
February 2014

Read more here.

New models of primary care: practical lessons from early implementers

"This event report summarises three Nuffield Trust seminars that took place to discuss three of the new organisational models described in Securing the Future of General Practice (Smith and others, 2013). These models aim to balance the benefits of small and local organisations with the scale and capacity to improve quality and deliver a wider range of services."

New models of primary care: practical lessons from early implementers
R Rosen, H Parker
Nuffield Trust
December 2013

Read more here.

Read Securing the future of general practice here.

Caring for an ageing population

"We looked beyond our own system to examine how Japan has tried to address the conundrum of providing sufficient and appropriate services for an increasing number of frail older people in an affordable and equitable way."

Caring for an ageing population
N Curry, H Holder, L Patterson
November 2013

Read more here.

Co-ordinated care for people with complex chronic conditions

"Based on a comparative analysis of five UK-based case studies of care co-ordination programmes for people with long-term and complex chronic conditions, this report examines key lessons and markers for success in the ‘how’ of care co-ordination that might be transferable to different contexts and settings."

Co-ordinated care for people with complex chronic conditions: key lessons and markers for success
N Goodwin, L Sonola, V Thiel, DL Kodner
The King's Fund
October 2013

Read more here.

Lessons from Europe: the value of tariff design

"Payment systems are an important policy tool for improving quality and efficiency, but they have limitations."

Lessons from Europe: the value of tariff design
Health Services Research Network
NHS Confederation
October 2013

Read more here.

NICE QIPP Shared Learning Examples

Two new QIPP Shared Learning Examples have been published on the NICE website:

• Using quality and productivity to enhance heart failure pathway in primary care
• Implementing and evaluating training for health visiting teams as part of the UNICEF UK Baby Friendly Initiative Community award

To find out more about submitting a shared learning example visit here.

Lessons for England: integrated care in Northern Ireland, Scotland and Wales

"The aim of this report is to describe the approach taken to integrated care in Northern Ireland, Scotland and Wales with a view to drawing out the lessons for England."

Integrated care in Northern Ireland, Scotland and Wales: lessons for England
C Ham, D Heenan, M Longley, DR Steel
The King's Fund
July 2013

Read more here.

Reflections on a decade of NHS commissioning

"This report captures critical lessons from the past, and translates these into messages that are relevant to new commissioners."

Ambition, challenge, transition: reflections on a decade of NHS commissioning
NHS Confederation
April 2013

Read more here.

Read a summary from the Commissioning Elf here.

Lessons for the new NHS from departing health leaders

"Time. Time and transparency, and clinical engagement. These are the three issues that come roaring out of these interviews with ‘the dear departed’ – a clutch of recent NHS chief executives and other health leaders who were asked what advice they would deliver to their successors as the new NHS structures go live in April 2013."

Changing of the guard: lessons for the new NHS from departing health leaders
Edited by Nicholas Timmins
Nuffield Trust
Issue 3 - March 2013

Read more here.