Decommissioning health care

"Decommissioning – defined as the planned process of removing, reducing or replacing health-care services – is an important component of current reforms in the NHS. This study aims to formulate theoretically grounded, evidence-informed guidance to support best practice in effective decommissioning of NHS services. Decommissioning is shaped by change management and implementation, evidence and information, and relationships and politics. We propose an expanded understanding, encompassing organisational and political factors, of how avoidance of loss affects the delivery of decommissioning programmes. Future work should explore the relationships between contexts, mechanisms and outcomes in decommissioning, develop the understanding of how loss affects decisions and explore the long-term impact of decommissioning and its impact on patient care and outcomes."

Decommissioning health care: identifying best practice through primary and secondary research a prospective mixed-methods study
I Williams, J Harlock, G Robert, R Mannion, S Brearley, K Hall
Health Services and Delivery Research, 2017, 5:22

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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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Six ways in which NHS financial pressures can affect patient care

"In The King’s Fund report Thinking about rationing, Rudolf Klein and Jo Maybin describe a useful framework for understanding the different ways in which access to high-quality care can be limited by commissioners and providers, building on earlier work by Roy Parker. Their typology outlines six ways in which patients can be affected by financial pressures and provides a useful means of examining what is happening in local health systems."

Six ways in which NHS financial pressures can affect patient care
R Robertson
The King's Fund
March 2016

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Improving the quality and safety of patient care

"This brochure outlines some of the initiatives the UK is currently pursuing, and the organisations which are leading the way in standards of safety. The different sections also provide information on the partners who can best help you achieve your goal of safer, better healthcare."

Improving the quality and safety of patient care
Department of Health
March 2016

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The effects of improving hospital physicians working conditions on patient care

"This study demonstrates that participatory work design for hospital physicians is a promising intervention for improving working conditions and promoting patient quality of care."

The effects of improving hospital physicians working conditions on patient care: a prospective, controlled intervention study
M Weigl, S Hornung, P Angerer, J Siegrist, J Glaser
BMC Health Services Research, 2013, 13:401

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Effects of improving hospital physicians working conditions on patient care

"This study demonstrates that participatory work design for hospital physicians is a promising intervention for improving working conditions and promoting patient quality of care."

The effects of improving hospital physicians working conditions on patient care: a prospective, controlled intervention study
M Weigl, S Hornung, P Angerer, J Siegrist, J Glaser
BMC Health Services Research, 2013, 13:401

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Patient-centred leadership

"Clinical teams perform best when their leaders value and support staff, enable them to work as a team, ensure that the main focus is on patient care, and create time to care."

Patient-centred leadership: rediscovering our purpose
The King's Fund
May 2013

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Quality governance

"A highly engaged board working in true partnership with the senior leadership team and wider staff, and where applicable the council of governors, is a critical factor in the successful delivery of quality improvement."

Quality governance: how does a board know that its organisation is working effectively to improve patient care? Guidance for boards of NHS provider organisations
Monitor
April 2013

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Raising and acting on concerns about patient safety

"This guidance sets out our expectation that all doctors will, whatever their role, take appropriate action to raise and act on concerns about patient care, dignity and safety."


Raising and acting on concerns about patient safety
General Medical Council
January 2012

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Does improving safety culture affect outcomes?

"This research scan examines whether improving safety culture has an impact on patient and staff outcomes."

Research scan: Does improving safety culture affect outcomes?
The Health Foundation
November 2011

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Ten tips for incorporating scientific quality improvement into everyday work

"This paper provides personal advice (10 ‘tips’) for choosing, designing, implementing and publishing work that improves patient care and advances the field."

Ten tips for incorporating scientific quality improvement into everyday work
D Goldmann
BMJ Quality and Safety, 2011, 20:i69-i72

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