Health and wellbeing boards: Engaging effectively with providers

"This briefing has been jointly produced by the Local Government Association (LGA), NHS Providers and Monitor to provide case studies that offer a snapshot of how HWBs are using different mechanisms to engage with local providers to develop system-wide approaches, join up the strategic commissioning of health and care, take a holistic place-based approach to prevention, and develop a shared local vision for local health and care services expressed through their Joint Health and Wellbeing Strategies (JWHS)."

Health and wellbeing boards: Engaging effectively with providers
Local Government Association, NHS Providers, Monitor
February 2016

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Implementing the Forward View: Supporting providers to deliver

"This document is designed for NHS provider organisations. It is part of a series of roadmaps that draw on messages from the NHS Planning Guidance and set out the key priorities for specific audiences that are responsible for delivering high quality health and care this year and beyond."

Implementing the Forward View: Supporting providers to deliver
NHS Improvement in collaboration with a range of provider leaders, NHS Providers, NHS Confederation, NHS Clinical Commissioners, NHS Partners and the Local Government Association.
February 2016

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Consultation on specialised services clinical commissioning policies and service specifications

"NHS England has today (28 January 2016) launched a 30 day public consultation on a proposed number of new products for specialised services, (including service specifications and clinical commissioning policies)."

Find out more here.

Improving outcomes for patients with sepsis

"Earlier this year, NHS England convened a group of experts from across the health and care landscape, the UK Sepsis Trust, Royal Colleges, patients and expert clinicians to advise on those actions needed to drive improvement in the identification and treatment of sepsis. Through their deliberations, the group agreed on the need to:

1. Prevent avoidable cases of sepsis.
2. Increase awareness of sepsis amongst professionals and the public.
3. Improve the identification and treatment of sepsis across the whole patient pathway.
4. Improve consistency of standards and reporting.
5. Underpin all actions with the principles of appropriate antibiotic use and antimicrobial stewardship.

This document is intended for those working across the health and social care landscape – including provider organisations, commissioners, and healthcare professionals. We hope that it will also be helpful to the public in understanding what the health system is doing to address a major cause of death and lasting ill health."

Improving outcomes for patients with sepsis: A cross-system action plan
NHS England
December 2015

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Developing an ambulance commissioning strategy

"The ambulance service should develop into a mobile health provider working in multidisciplinary teams."

Developing an ambulance commissioning strategy: Five Year Forward View and beyond
NHS Clinical Commissioners
November 2015

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Growing healthy communities: The Health and Wellbeing Index

"The purpose of this report is to help stakeholders – NHS providers and clinical commissioning groups (CCGs), local authorities, health and social care providers, housing associations, fire authorities and the police – to improve collaboration through a better understanding of the correlation between the economic, social and environmental health determinants and health outcomes within their locality."

Growing healthy communities: The Health and Wellbeing Index
Grant Thornton
October 2015

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Place-based systems: A way forward for the NHS in England

"This paper argues that providers of services should establish place-based ‘systems of care’ in which they work together to improve health and care for the populations they serve. This means organisations collaborating to manage the common resources available to them."

Place-based systems: A way forward for the NHS in England
C Ham, H Alderwick
The King's Fund
November 2015

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Better use of care at home

"This quick guide provides case studies, ideas and practical tips to commissioners, health professionals and care providers on how to improve the relationships, processes and use of homecare and housing support to help people home from hospital."

Quick guide: Better use of care at home: Transforming urgent and emergency care in England
NHS England
November 2015

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Local solutions to national challenges

"CCGs are now firmly established as key players in delivering quality health services and shaping the long-term future of the NHS. They are local doctors who understand the needs of their areas, focusing on the national priorities of sickness prevention, public health, self-care and care delivered in the community."

Local solutions to national challenges: Delivering our commitment to patients
NHS Clinical Commissioners
October 2015

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Helping NHS providers improve productivity in elective care

"Improving productivity does not mean simple cost cutting: it means increasing the efficiency of elective care while at the same time improving or maintaining its quality."

Helping NHS providers improve productivity in elective care
Monitor
October 2015

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Shared principles for redesigning the local health and care landscape

"This document builds on previous work by NHS England’s Planning and Delivering Service Changes for Patients which offered good practice guidance to health commissioners on developing proposals for major service changes and configuration. Our five key principles are for use by the whole system. It aims to provide local system leaders – local authorities, health and wellbeing boards, clinical commissioning groups, NHS and care providers and patients and the public – with shared principles to ensure that service redesign meet a number of fundamental requirements to assure themselves, their partners and their communities that proposals are focused on improving services and health and wellbeing outcomes."

Shared principles for redesigning the local health and care landscape
Local Government Association
September 2015

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Integration and continuity of primary care: polyclinics and alternatives

"In recent years the NHS has introduced new organisations and ways of working in order to improve the care of people with complex health needs. These approaches include general practitioner-led health centres, ‘case management’ (where a community matron or similar co-ordinates patients’ care) and (especially in London) ‘polyclinics’. We wanted to find out how these approaches compare in terms of improving the co-ordination of patient care across the range of services."

Integration and continuity of primary care: polyclinics and alternatives – a patient-centred analysis of how organisation constrains care co-ordination
R Sheaff, J Halliday, J Ovretveit, R Byng, M Exworthy, S Peckham, S Asthana
Health Services and Delivery Research, 2015, 3(35)

Read more here.

Universal health visitor reviews

"This document is primarily intended for those in LAs responsible for the commissioning of 0 to 5 public health services and for providers of those services. Its purpose is to help explain and provide the context of Regulations relating to the mandatory delivery of five key child development reviews as set out in the Healthy Child Programme (HCP)."

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

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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

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Foundation trust and NHS trust mergers 2010 to 2015

"Our review paints a picture of a highly centralised and politicised system where providers pursue mergers at the instigation of national bodies, often in pursuit of foundation trust status or in response to financial or clinical failure. Hard-pressed NHS leaders appear to be betting the farm on mergers for severely challenged providers, typically after a range of alternative strategies have been attempted.

This is despite the paucity of evidence that mergers offer lasting solutions for challenged hospitals. Our review has highlighted the length of time, costs and risks involved in mergers. Others have shown that mergers are unlikely to deliver the intended benefits."

Foundation trust and NHS trust mergers 2010 to 2015
B Collins
The King's Fund
September 2015

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Putting the pieces together: Removing the barriers to excellent patient care

"We need a system that enables doctors, nurses and others on the front line of the NHS to deliver the safest, most effective care, in whatever setting is most appropriate for each patient’s needs."

Putting the pieces together: Removing the barriers to excellent patient care
Royal College of Physicians
September 2015

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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

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Boards, leadership and the NHS

"There is no legal form, structure or system that can completely inoculate NHS provider organisations against failure because organisations are led by people not systems or methodologies, and as in any industry, success is contingent on the cumulative behaviour of individuals. But good corporate governance provides a vehicle for the provision of sound leadership, clear direction and dynamic accountability."

We need to talk about boards: Boards, leadership and the NHS
NHS Providers
July 2015

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Putting the consumer at the heart of UK healthcare

"The responsibility to allocate healthcare funding should be shifted from politicians and health sector bureaucrats to individual patients. Funding should closely follow patients, so that patients would allocate funding through the choices they made."

A patient approach: Putting the consumer at the heart of UK healthcare
K Niemietz
IEA Discussion Paper No. 64
Institute of Economic Affairs
August 2015

Read more here.