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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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)

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Towards a new future for general practice

"This report will not only examine the current problems in general practice, but also look at the future of primary care within a rapidly changing system. We will set out our principles and vision and – by examining what patients want and how practices and practitioners should be configured and assisted to respond – put forward the key actions that will be required to enable us to realise that future vision."

Responsive, safe and sustainable: Towards a new future for general practice
British Medical Association
2015

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What do leaders want from NHS Improvement?

"In May 2015, the Secretary of State for Health announced that Monitor, the regulator of NHS foundation trusts, would merge with the Trust Development Authority, which oversees other trusts – under the oversight of a single chief executive. This single body, NHS Improvement, will have regulatory and oversight duties over all NHS providers. This Viewpoint is published as the chief executive of the newly formed organisation takes up post, at a time when NHS trusts face historic financial pressure and an ambitious programme of change. The Nuffield Trust and NHS Providers asked leaders from across the health service and other key positions in health care policy-making for their advice to the first holder of this important position. Each respondent was asked to set out some priority areas for the chief executive to focus on, and how they believe he or she could deliver real help to the NHS at this difficult time."

What do leaders want from NHS Improvement?
Nuffield Trust
September 2015

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Need to nurture: outcomes-based commissioning in the NHS

"Outcomes-based commissioning is an approach to commissioning health care that is based on the combination of five components: (1) use of outcomes; (2) a population approach; (3) use of metrics and learning; (4) payments and incentives; and (5) coordinated delivery. Rather than an individual intervention, it is one part of a broader approach to transforming a whole health care system."

Need to nurture: outcomes-based commissioning in the NHS
R Taunt, C Allcock, A Lockwood
The Health Foundation
September 2015

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Call for papers: Innovations in health care deliver: Call for papers for a year long series

"Articles on devices, information technologies, and other technologies that have effects on care delivery are welcome, as are reports on sociological, managerial, and organizational changes. One area not central to this initiative is innovation in health care payment and finance, which has numerous publication outlets. JAMA will focus on new ways in which care is organized and delivered, not paid for."

Innovations in health care deliver: Call for papers for a yearlong series
D Berwick, H Bauchner, PB Fontanarosa
Journal of the American Medical Association, 2015, 314(7):675-76

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Evaluation of complex health and care interventions

"As policy-makers, commissioners and providers look to innovate and develop new ways of delivering care, there is increasing recognition at both national and local levels about the importance of understanding what works, why it works, and to demonstrate impact on cost and patient outcomes. One of the recurrent problems when evaluating the impact of new care models on outcomes is how to know ‘what would have happened under a different approach to delivering care’."

Evaluation of complex health and care interventions using retrospective matched control methods: A guide for evaluators
A Davies, C Ariti, T Georghiou, M Bardsley
Nuffield Trust
August 2015

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The digital doctor report 2015

"In order to keep abreast of these developments and help our clients better tailor their offerings, Ipsos Healthcare has sought to uncover how Doctors feel about digital health, and how they see its role developing in the future."

The digital doctor report 2015
R Sangar
Ipsos Healthcare
August 2015

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Publishing selected transparency metrics - how NHS England compares

"Internal analysis by the Department of Health (DH) looked into how the NHS in
England compares to 10 other countries in publishing selected transparency metrics."

How the NHS in England compares to other countries in publishing selected transparency metrics
Department of Health
July 2015

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Diffusing healthcare innovation at pace and scale

"The diffusion of healthcare innovation is essential for any well-functioning and high-performing healthcare system."

Cracking the innovation nut: Diffusing healthcare innovation at pace and scale
NHS Confederation
June 2015, Issue 285

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Paths to sustainability for innovative delivery system programs

"We found widespread interest and activity in testing new care delivery models to improve health care quality and reduce costs in Massachusetts. However, the environment presents great uncertainty for the sustainability of these programs."

Paths to sustainability for innovative delivery system programs
PS Hussey, C Armstrong, EC Schneider
RAND Corporation
May 2015

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Building primary care in a changing Europe

"It is expected that primary care can help health systems become more responsive to changing health needs; offer more integrated care delivery; and increase the efficiency of the system overall."

Building primary care in a changing Europe
DS Kringos, WGW Boerma, A Hutchinson, RB Saltman (eds)
World Health Organization
March 2015

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Unwarranted variations in health care performance across Europe

This special supplement contains articles about the ECHO project, which looks at variations in health care delivery with the European Union.

Unwarranted variations in health care performance across Europe: Lessons from the ECHO Project
European Journal of Public Health, 2015, 25, supp 1

Access the articles here.

A team-work approach to improving health service provision

"The development of relationships was seen to be to be an important part of promoting effective resource sharing, training opportunities, government networking and resource mobilisation and will be important for other health networks to consider."

Networking between community health programs: a team-work approach to improving health service provision
NJ Grills, R Kumar, M Philip, G Porter
BMC Health Services Research, 2014, 14:297

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Allowing new models of healthcare to be provided for NHS patients

"Most clinicians and managers within the NHS continue to defend the service models and organisations they have grown up with, believing that the model that they work within is the only way of delivering safe health and social care."

Going with change: Allowing new models of healthcare to be provided for NHS patients
P Corrigan, M Parish
Reform
June 2014

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Increasing the scale and adoption of population health interventions

"This analysis articulates the processes of how decisions to scale up interventions are made, the roles of evidence, and contribution of different professional groups."

Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers
AJ Milat, L King, R Newson, L Wolfenden, C Rissel, A Bauman, S Redman
Health Research Policy and Systems, 2014, 12:18

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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

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Delivering integrated care and support

"The achievement of personal outcomes for individuals should be the focus of integrated care and support."

Delivering integrated care and support
A Petch
Institute for Research and Innovation in Social Services
February 2014

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Planning and delivering service changes for patients

"This guidance is designed to support CCGs and NHS England with the planning, development and assurance of proposals for major service change and reconfiguration. It provides a high level process, sets out good practice, and explains how to assess proposals against the Government’s ‘four tests’."

Planning and delivering service changes for patients
Strategy Unit - NHS England
December 2013

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