Understanding quality in district nursing services

"This report investigates what ‘good’ district nursing care looks like from the perspective of people receiving this care, unpaid carers and district nursing staff and puts forward a framework for understanding the components involved. It also looks at the growing demand–capacity gap in district nursing and the worrying impact that this is having on services, the workforce and the quality and safety of patient care. The report makes recommendations to policy-makers, regulators, commissioners and provider organisations as to how to start to address these pressures."

Understanding quality in district nursing services: Learning from patients, carers and staff
J Maybin, A Charles, M Honeyman
The King's Fund
September 2016

Read more here.

The accompanying quality framework for district nursing is available here.

High need, high-cost patients

"Those who face financial or other barriers to care, or who are less likely to seek care when medically needed, may be underrepresented in counts of chronic diseases because they have not had the opportunity to be medically evaluated and diagnosed."

High need, high-cost patients: Who are they and how do they use health care? A population-based comparison of demographics, health care use, and expenditures
SL Hayes, CA Salzberg, D McCarthy, D Radley, MK Abrams, T Shah, G Anderson
The Commonwealth Fund
August 2016

Full report and accompanying date available here.

Health system performance for the high-need patient

"The health care system needs to work better for the highest-need, most-complex patients. This study’s findings highlight the importance of tailoring interventions to address their needs."

Health system performance for the high-need patient: A look at access to care and patient care experiences
CA Salzberg, SL Hayes, D McCarthy, D Radley, MK Abrams, T Shah, G Anderson
The Commonwealth Fund
August 2016

Read more here.

Transforming healthcare in England’s core cities

"Through a series of case studies, this report explains how core cities commissioners are addressing such challenges. It is grouped around four key themes:

• equitable care
• partnership working
• improving wellbeing
• changing healthcare."

Transforming healthcare in England’s core cities
NHS Clinical Commissioners
September 2015

Read more here.

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

Read more here.

Moving healthcare closer to home: Literature review of clinical impacts

"As set out in our summary paper, many providers and commissioners facing both demand growth and capacity constraints may be considering these schemes, particularly as they could deliver clinical and patient experience benefits."

Moving healthcare closer to home: Literature review of clinical impacts
Monitor
September 2015

Read more here.

Individual care plans for chronically ill patients within primary care in the Netherlands

"We conclude that individual care plan (ICP) use among chronically ill patients within primary care in the Netherlands is low, even among diagnostic groups for which a nationwide disease-management approach was adopted. This implies that there is a gap between practice and policy aspirations to implement ICPs in primary chronic illness care."

Individual care plans for chronically ill patients within primary care in the Netherlands: Dissemination and associations with patient characteristics and patient-perceived quality of care
DL Jansen, M Heijmans, M Rijken
Scandinavian Journal of Primary Care: 2015

Read more here.

How outcomes-based commissioning can help unlock the potential of community services

"Commissioning based on outcomes has the potential to facilitate the transformation of care and is one way of overcoming the barrier of current payment mechanisms that do not support integrated care."

Beginning with the end in mind: how outcomes-based commissioning can help unlock the potential of community services
NHS Confederation
September 2014

Read more here.

A commissioner's guide to primary care mental health

"Ten lessons have been derived from 108 international, national and regional case studies. Lessons which cover community based care, proactive wellbeing, accessible services and coordinated mental healthcare."

A commissioner's guide to primary care mental health
NHS London Strategic Clinical Networks
July 2014

Read more here.

Read a summary from the Commissioning Elf here.

Managing the care of people with long-term conditions

"Effective management of long-term conditions (LTCs) is widely recognised to be one of the greatest challenges facing the 21st-century National Health Service in England."

Managing the care of people with long-term conditions: Second report of session 2014-15
House of Commons
July 2014

Read more here.

Accountable care organisations in the United States and England

"Cost pressures associated with ageing populations and an increase in the numbers of people with chronic illness in both the United States and England create a need for more accountable and 
integrated forms of delivering health services."

Accountable care organisations in the United States and England
S Shortell, R Addicott, N Walsh, C Ham
The King's Fund
March 2014

Read more here.

Transformative ideas for commissioners

"To support the development of the bold and transformative strategic plans, NHS England is developing a series of discussion papers to help commissioners and their partners identify transformative ideas."

A call to action: Achieving parity of esteem; transformative ideas for commissioners
NHS England
February 2014

Read more here.

Sustaining and spreading self-management support

"Changing the way healthcare is delivered so that patients are supported to more effectively manage their longterm condition is also hard – it involves redefining the role of professionals and patients and putting in place processes and infrastructure that support new ways of working."

Sustaining and spreading self-management support: lessons from Co-creating Health phase 2
Health Foundation
September 2013

Read more here.

GPs’ perspectives on the management of patients with multimorbidity

"This systematic review shows that the problem areas for GPs in the management of multimorbidity may be classified into four domains. There will be no ‘one size fits all’ intervention for multimorbidity but these domains may be useful targets to guide the development of interventions that will assist and improve the provision of care to multimorbid patients."

GPs’ perspectives on the management of patients with multimorbidity: systematic review and synthesis of qualitative research
C Sinnott, S McHugh, J Browne, C Bradley
BMJ Open, 2013: e003610

Read more here.

The work of commissioning: a multisite case study of healthcare commissioning in England's NHS

"Commissioners adopting an incremental approach to service change in defined and manageable areas of work appeared to be more successful in terms of delivering planned changes in service delivery than those attempting to bring about wide-scale change across complex systems."

The work of commissioning: a multisite case study of healthcare commissioning in England's NHS
SE Shaw, JA Smith, A Porter, R Rosen, N Mays
BMJ Open, 2013, 3:e003341

Read more here.

Networks that work: partnerships for integrated care and services

"This publication shows how third sector organisations can develop and provide services that can help people to get themselves on top of their conditions."

Networks that work: partnerships for integrated care and services
NESTA Innovation Unit
August 2013

Read more here.

Patient empowerment in long-term conditions

"Although many measures of empowerment exist, no measure has been developed specifically for patients with long-term conditions in the primary care setting. This study presents preliminary data on the development and validation of such a measure."

Patient empowerment in long-term conditions: development and preliminary testing of a new measure
N Small, P Bower, CA Chew-Graham, D Whalley, J Protheroe
BMC Health Services Research, 2013, 13:263

Read more here.

Improving health outcomes for people with chronic illness

"In order to address the challenges faced by people with chronic illness, health policy must be more closely aligned with the identified needs and wants of people affected by chronic illness than is currently the case."

A patient-centred approach to health service delivery: improving health outcomes for people with chronic illness
M Mirzaei, C Aspin, B Essue, YH Jeon, P Dugdale, T Usherwood, S Leeder
BMC Health Services Research, 2013, 13:251

Read more here.

Enabling people to live well

"Fresh thinking about collaborative approaches to care for people with long-term conditions."

Enabling people to live well
V Entwistle, A Cribb
The Health Foundation
May 2013

Read more here.

People powered health: health for people, by people and with people

"This report, and the programme it’s part of, make the case for changing the ways in which healthcare is organised. Specifically they show how healthcare can better combine the very best scientific and clinical knowledge with the expertise and commitment of patients themselves, as well as the families, communities and networks that they are part of."

People powered health: health for people, by people and with people
M Horne, H Khan, P Corrigan
NESTA
April 2013

Read more here.