Barriers to improvement in the NHS

"Every day, teams within the NHS strive to make things better, but individual, organisational and system-wide barriers get in the way. This evidence scan compiles published research about the key barriers to improvement in the NHS."

What's getting in the way? Barriers to improvement in the NHS: Evidence scan no. 24
D de Silva
The Health Foundation
February 2015

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The role of hospital managers in quality and patient safety

"We present a model to summarise the conditions and activities that affect quality performance."

The role of hospital managers in quality and patient safety: a systematic review
A Parand, S Dopson, A Renz, C Vincent
BMJ Open, 2014:4:2005055

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Making sense of evidence in management decisions

"Local processes and professional and microsystem considerations played a significant role in adoption and implementation."

Making sense of evidence in management decisions: the role of research-based knowledge on innovation adoption and implementation in health care
Y Kyratsis, R Ahmad, K Hatzaras, M Iwami, A Holmes
HS&DR, 2014, 6(2)

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New evidence on management and leadership

"Public concern about patient care has highlighted uncertainties about the current role and nature of managers in today’s NHS. This digest presents key findings from fourteen new studies on leadership and management practice."

New evidence on management and leadership
Health Services and Delivery Research Programme
National Institute for Health Research
December 2013

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Challenging bureaucracy

"Our review has uncovered a number of ways to reduce unnecessary bureaucracy from national bodies on NHS providers. We believe our recommendations will help manage the volume of requests, reduce the effort involved in responding and, crucially, maximise the value of information for staff, patients and the public."

Challenging bureaucracy
NHS Confederation
November 2013

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Taking safety on board: the board's role in patient safety

"The paper looks at three main areas: the board’s core roles in relation to patient safety; how boards might deliver these roles; and the optimal relationship between board leadership, clinical leadership and regulatory oversight."

Taking safety on board: the board's role in patient safety
A Fresko, S Rubenstein
The Health Foundation
October 2013

Read more here.

Leading health care innovation

This is a collaboration of the editors of the Harvard Business Review and the New England Journal of Medicine, providing an eight-week online forum devoted to helping leaders, managers, and others in health care increase value by improving patient outcomes and reducing costs. Find out more here.

Primary healthcare in transition

"This qualitative study shows the complexity of the system change and describes the different effects and perceptions of the transition from a manager's perspective. "

Primary healthcare in transition -- a qualitative study of how managers perceived a system change
A Maun, K Nilsson, C Furaker, J Thorn
BMC Health Services Research, 2013, 13:382

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Attempting to govern uncertainty in healthcare management

"The Good Governance Institute (GGI)  supports organisations to enhance their capacity to govern and control, but is increasingly asked what tools or techniques could be deployed to help boards protect their organisations against a broad set of high-consequence risks."

Countering the biggest risk of all: attempting to govern uncertainty in healthcare management
P Moore
Good Governance Institute
May 2013

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Managing NHS hospital consultants

"This report examines the extent to which the expected benefits of the 2003 consultants’ contract have been realised and whether consultants are managed effectively and consistently across NHS trusts."

Managing NHS hospital consultants
National Audit Office, Department of Health
February 2013

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The match between institutional elderly care management research and management challenges

"Institutional care management research needs to focus more on challenges in integrated care, productivity, ICT and division of labor."

The match between institutional elderly care management research and management challenges - a systematic literature review
K Kokkonen, S Rissanen, A Hujala
Health Research Policy and Systems, 2012, 10:35

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Literature review of decision criteria for resource allocation and healthcare decisionmaking

"This study highlights the importance of considering both normative and feasibility criteria for fair allocation of resources and optimized decisionmaking for coverage and use of healthcare interventions."

From efficacy to equity: literature review of decision criteria for resource allocation and healthcare decisionmaking
LA Guindo, M Wagner, R Baltussen, D Rindress, J van Til, P Kind, MM Goetghebeur
Cost Effectiveness and Resource Allocation, 2012, 10:9

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Improved NHS services through new perspectives

"This toolkit offers a way of improving productive working between doctors and managers in your Trust."

Improved NHS services through new perspectives
Centre for Innovation in Health Management
University of Leeds
July 2012

Access the toolkit here. (Free registration is required)

Clinicians in management: does it make a difference

"Those NHS hospital trusts with larger proportions of doctors on their boards are also those which are most likely to achieve quality ratings of four, lower morbidity rates (according to Dr Foster) and higher levels of patient satisfaction."

Clinicians in management: does it make a difference
G Veronesi, I Kirkpatrick, F Vallascas
Centre for Innovation in Health Management
Leeds University Business School
May 2012

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Proactive approaches to safety management

This paper offers some practical suggestions for proactively managing safety.

Proactive approaches to safety management
E Hollnagel
The Health Foundation
May 2012

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Management roles in innovative technology implementation: a healthcare perspective

"In a healthcare empirical context, we show that lack of top management vision and coordination leads to local units that are excessively autonomous in some respects, hindering knowledge and information transfer within the organisation."

Management roles in innovative technology implementation: a healthcare perspective
Centre for Strategic Innovation Research Electronic Working Paper Series: Paper no. 2012/2
Blekinge Institute of Technology, Karlskrona, Sweden
2012

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Uncovering middle managers' role in healthcare innovation implementation

"Because middle managers oversee these team initiatives, their potential to influence innovation implementation has grown."

Uncovering middle managers' role in healthcare innovation implementation
SA Birken, S-Y Daniel Lee, BJ Weiner
Implementation Science, 2012, 7:28

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Leadership and management for all doctors

"This guidance sets out the wider management and leadership responsibilities of doctors in the workplace."

Leadership and management for all doctors
General Medical Council
January 2012

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The Management Code

"An excellent manager will always have safety in mind when planning change and patient client services."

The Management Code
The Institute of Healthcare Management
January 2012

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Effectiveness of a quality-improvement program in improving management of primary care practices

"Primary care practices that completed the European Practice Assessment instrument twice over a three-year period showed improvements in practice management."


Effectiveness of a quality-improvement program in improving management of primary care practices
J Szecsenyi, S Campbell, B Broge, G Laux, S Willms, M Wensing, K Goetz
Canadian Medical Association Journal, 31st October 2011

Read more here.