Doctors' vision for change in the NHS

"Despite a growing need for care to be integrated around the needs of patients, doctors are prevented from providing joined-up care by bureaucratic barriers, communication gaps and competing organisational priorities. Working in silos is bad for patients and doctors. Removing obstacles to collaboration can help reduce doctors’ workloads and the unnecessary waste of time and resources."

Caring, supportive, collaborative: Doctors' vision for change in the NHS
BMA
2019

Read more here.

Rebooting health and social care integration

"This report is an attempt to explain why health and social care integration should be the catalyst to ‘build it around the passenger’. It focuses on making it work for the individual, not creating a more perfect system for professionals."

Rebooting health and social care integration: An agenda for more person centred care
L Booth-Smith
Localis
July 2017

Click here to read the report.

Public satisfaction with the NHS in 2015

"Overall public satisfaction with the NHS fell by 5 percentage points in 2015 to 60 per cent. At the same time, dissatisfaction with the service rose by 8 percentage points to 23 per cent, taking dissatisfaction back to the levels reported between 2011 and 2013."

Public satisfaction with the NHS in 2015: Results and trends from the British Social Attitudes survey
J Appleby, R Robertson
The King's Fund
February 2016

Read 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

Read more here.

Spending Review 2015: what it means for health and social care

"Care services in England remain on the brink of collapse despite the extra investment in social care. None of the measures outlined in the Spending Review will plug the funding gap in social care expected over the course of this Parliament."

Spending Review 2015: what it means for health and social care
Nuffield Trust Parliamentary Briefing
December 2015

Read more here.

Devolution: what it means for health and social care in England

"Ahead of further devolution deals expected to be announced as part of the Spending Review 2015, this briefing describes the origins of the devolution agenda and charts its progress in relation to health and social care."

Devolution: what it means for health and social care in England
The King's Fund
November 2015

Read more here.

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

Read more here.

Tax and fiscal options for a sustainable UK health and social care system

"Our analysis suggests that there are challenging times ahead for health care across the UK. The NHS needs to embed and sustain rates of productivity improvement for the foreseeable future in a way that has hitherto proved difficult. Our analysis of the extra funding required would be sufficient to maintain the current service. It would not address known weaknesses in our health care system such as the lack of parity for mental health care."

Filling the gap: Tax and fiscal options for a sustainable UK health and social care system
A Roberts, S Thompson, A Charlesworth, B Gershlick, A Stirling
The Health Foundation
November 2015

Read more here.

Tools to help provide care and support at home

"These pages provide useful tools, resources and examples of innovative approaches to enabling older people and people with disabilities to live well and independently in their own homes. They provide specific information across 8 key areas for adult social care commissioners, housing and care providers, primary care services and NHS hospital trusts on shaping, commissioning, funding, and delivering a range of care and support solutions for people living in their own homes."

Find out more here.

Commissioning standards integrated urgent care

"These standards build on the success of NHS 111 and will help to deliver the benefits for all patients set out in the Urgent and Emergency Care review led by Sir Bruce Keogh. The intent is to enable commissioners to deliver a functionally integrated 24/7 urgent care service that is the ‘front door’ of the NHS and which provides the public with access to both treatment and clinical advice. This will include NHS 111 providers and GP Out-of-hours services, community services, ambulance services, emergency departments and social care."

Commissioning standards integrated urgent care
NHS England
September 2015

Read more here.

The state of health care and adult social care in England 2014/15

"The sectors we regulate face significant challenges. Our concerns are amplified by our finding that many services do not yet have the leadership and culture required to deliver safe, high-quality care. To survive and thrive will require resilience, innovation and creativity, supported by great leadership."

The state of health care and adult social care in England 2014/15
Care Quality Commission
October 2015

Read more here.

Measuring the performance of local health systems

"This report summarises the results of a rapid review of how to assess the performance of local health systems through the lens of clinical commissioning groups (CCGs). The review was commissioned by the Department of Health who asked The King’s Fund to advise on the ‘first principles’ of a local health system scorecard for the NHS in England."

Measuring the performance of local health systems: a review for the Department of Health
C Ham, V Raleigh, C Foot, R Robertson, H Alderwick
The King's Fund
October 2015

Read more here.

How should we think about value in health and care?

"This paper suggests reframing value in health and care, drawing on ideas from a number of sources, and in particular from public and social value theory. These approaches emphasise that the outcomes we aim to achieve must be responsive to what relevant groups of people – ‘citizens’,
‘viewers’, ‘stakeholders’ – value."

How should we think about value in health and care?
Realising the value: Empowering people engaging communities
The Health Foundation, Nesta
September 2015

Read more here.

Rethinking regulation

"Health and care regulation is incoherent and expensive and there is little evidence for its effectiveness; if it was going to improve care it would have done so by now."

Rethinking regulation
Professional Standards Authority for Health and Social Care
August 2015

Read more here.

New organisational models of primary care to meet the future needs of the NHS

"We identified three overlapping categories of models: models that introduce new, or change existing, roles in general practice; models of collaboration among professionals and among sectors (primary care, secondary care and social care); and new organisational forms for general practice."

New organisational models of primary care to meet the future needs of the NHS: a brief overview of recent reports
T Bienkowska-Gibbs, S King, C Saunders, M-L Henham
RAND Europe
June 2015

Read more here.

Reconsidering accountability in an age of integrated care

"The NHS and publicly funded social care are important not only for people’s individual wellbeing, but also to the health of the population, the fairness of our society, levels of taxation and economic growth. Hence, although it may be tempting to argue that health and care decisions should be left solely to clinicians and patients, it is surely right that services are accountable to the public."

Reconsidering accountability in an age of integrated care
B Jupp
Nuffield Trust
July 2015

Read more here.

The budget: Health and social care funding

"It is clear that if more funding is not forthcoming for the current year, the consequences will be significant – either patient care will suffer as staff are cut, waiting times rise and the quality of care deteriorates, or the Department of Health will overspend its budget."

The budget: Health and social care funding
The King's Fund
July 2015

Read more here.

Access to healthcare for people facing multiple health vulnerabilities

"European stakeholders increasingly recognise the impacts that the economic crisis and austerity measures have had on the accessibility of national healthcare services."

Access to healthcare for people facing multiple health vulnerabilities in 26 cities across 11 countries: Report on the social and medical data gathered in 2014 in nine European countries, Turkey and Canada
Medecins Du Monde
May 2015

Read more here.

Health and social care priorities for the Government: 2015-2020

"As part of our role to deliver evidence to support better health policy, the Nuffield Trust has produced this briefing, which outlines 10 key health and social care priorities for the new Government."

Health and social care priorities for the Government: 2015-2020
Nuffield Trust
June 2015

Read more here.

Integrated health and social care: making it happen

"Integration isn’t an end point in itself: it’s part of the journey, and should be part of a broader shift to improving population health and wellbeing."

Join the club: Many in the NHS are signing up to integrated health and social care. But how can we make it happen?
HSJ Integration: An HSJ Supplement, 10th April 2015

Read more here.