How is the NHS performing?

"This is the 20th report and aims to take stock of what has happened over the past quarter and to assess the state of the health and care system. It provides an update on how the NHS is coping as it continues to grapple with productivity and reform challenges under continued financial pressure."

How is the NHS performing? September 2016: Quality Monitoring report
R Murray, J Jabbal, J Thompson, D Maguire
The King's Fund
September 2016

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Deficits in the NHS 2016

"This briefing draws on data from our quarterly monitoring reports, secondary research and interviews with health care leaders to consider commissioner and provider finances in the round and to provide an overview of the factors that have led to the NHS going into deficit. It goes on to outline some of the strategies being employed to restore financial balance, before drawing together our thoughts on the implications of these strategies for the NHS this year and in the longer term."

Deficits in the NHS 2016
P Dunn, H McKenna, R Murray
The King's Fund
July 2016

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Accuracy of administrative data for infection surveillance

"If hospitals and policymakers choose to rely on administrative data for HAI surveillance, continued improvements to existing algorithms and their robust validation are imperative."

Accuracy of administrative data for surveillance of healthcare-associated infections: a systematic review
MSM van Mourik, PJ van Duijn, KGM Moons, MJM Bonten, GM Lee
BMJ Open, 2015, 5:e008424

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Safety measurement and monitoring in healthcare

"This paper summarises the findings of a more extensive report and proposes a framework which can guide clinical teams and healthcare organisations in the measurement and monitoring of safety and in reviewing progress against safety objectives."

Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety
C Vincent, S Burnett, J Carthey
BMJ Quality and Safety, 2014, 23(8):670-677

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Understanding the new NHS

"In reading this guide, we hope that the structures of the NHS, and your place within it, become a little clearer."

Understanding the new NHS: A guide for everyone working and training within the NHS
NHS England
June 2014

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A framework for measuring and monitoring safety

"The purpose of this Practical guide is to support NHS organisations to apply a framework for measuring and monitoring safety."

Practical guide: a framework for measuring and monitoring safety
The Health Foundation
April 2014

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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

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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

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Identifying risks and monitoring safety: the role of patients and citizens

"The paper discusses opportunities for patients, their families and carers, as well as the wider public, to become part of an integrated system for ensuring the safety of care."

Identifying risks and monitoring safety: the role of patients and citizens
J O'Hara, R Isden
The Health Foundation
October 2013

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Measuring and monitoring safety: an acute care perspective

"This thought paper offers reflections on the measurement and monitoring of safety from the perspective of a practising clinician based at a busy district general hospital."

Measuring and monitoring safety: an acute care perspective
C Peden
The Health Foundation
October 2013

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Measuring and monitoring safety: a primary care perspective

"This thought paper considers the differences between primary care and other settings and explains that a variety of factors mean that assessing harm and safety in primary care remains a challenge."

Measuring and monitoring safety: a primary care perspective
A Esmail
The Health Foundation
October 2013

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Asymmetry of influence: the role of regulators in patient safety

"By working together to create conditions which promote engagement with professional responsibility and identity, regulators can create a consistent regulatory system within which safe care can flourish."

Asymmetry of influence: the role of regulators in patient safety
D Bilton, H Cayton
The Health Foundation
October 2013

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Measuring harm

"This was the third in a series of roundtable discussions looking at potential future improvements in patient safety involving a broad approach which:

• incorporates greater involvement of patients and citizens in their own safety and the safer design of services
• measures and monitors the multiple dimensions that make up a safety culture
• develops ‘leading’ (before the event) as well as ‘lagging’ (after the event) performance measures to more 
• accurately assess the current experience of people using healthcare services."

Measuring harm: a summary of learning from a Health Foundation roundtable
The Health Foundation
October 2013

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Performance-based financing as a health system reform

"The paper lays out a broad framework within which indicators can be prioritised for monitoring and evaluation of performance-based financing or other health system reforms."

Performance-based financing as a health system reform: mapping the key dimensions for monitoring and evaluation
S Witter, J Toonen, B Meessen, J Kagubare, G Fritsche, K Vaughan
BMC Health Services Research 2013, 13:367

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How is the health and social care system performing?

"The Quarterly Monitoring Report combines publicly available data on selected NHS performance measures with views from a panel of NHS finance directors."

How is the health and social care system performing? Quarterly monitoring report
The King's Fund
June 2013

Read more here.

The regulation and oversight of NHS trusts and NHS foundation trusts

"This joint policy statement provides further detail on the changes to the regulation and oversight of NHS trusts and NHS foundations trusts proposed in the Government’s initial response to the Mid Staffordshire NHS Foundation Trust Public Inquiry and related clauses in Part 2 of the Care Bill."

The regulation and oversight of NHS trusts and NHS foundation trusts
Department of Health
May 2013

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The measurement and monitoring of safety

"The aim of this report is to provide a framework and approach to measuring and monitoring safety in all relevant dimensions and facets. The report is based on review of safety literature, enquiries into safety practice in other industries, case studies of organisations, and discussions and interviews with a wide variety of people."

The measurement and monitoring of safety
C Vincent, S Burnett, J Carthey
The Health Foundation
April 2013

Read more here.

Safety culture: What is it and how do we monitor and measure it?

"Safety culture tools provide an opportunity for staff to reflect on the things that are working well, that should be renewed or strengthened, as well as identifying areas for action."

Safety culture: What is it and how do we monitor and measure it?
The Health Foundation
March 2013

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How is the health and social care system performing?

"Concerns about the quality of health and social care are growing; a third of finance directors report that the quality of NHS care in their area has deteriorated over the past 12 months, compared with only about one in six in our last survey."

How is the health and social care system performing? Quarterly monitoring report
The King's Fund
February 2013

Read more here.