Improving experiences of care

"The National Quality Board (NQB) has developed a shared understanding of what we mean by:

• experience of care;
• why it’s important; and
• a good experience of care."

Improving experiences of care: Our shared understanding and ambition
National Quality Board
January 2015

Read more here.

Is general practice in crisis?

"Not enough GPs are being trained, more trainees now work part-time, and more existing GPs plan to retire early. Numbers are not keeping up with hospital doctors."

Is general practice in crisis?
M Dayan, S Arora, R Rosen, N Curry
Nuffield Trust
November 2014

Read more here.

What is the evidence on the economic impacts of integrated care?

"Failure to better integrate or coordinate services along the care continuum may result in suboptimal outcomes and available evidence of integrated care programmes points to a positive impact on the quality of patient care and improved health or patient satisfaction outcomes."

Policy summary 11: What is the evidence on the economic impacts of integrated care?
E Nolte, E Pitchforth
European Observatory on Health Systems and Policies
World Health Organization
2014

Read more here.

Nurses and their work environment affect patient experience

"Nurses must gain autonomy over their own practice in order to improve patient experiences."

How nurses and their work environment affect patient experiences of the quality of care: a qualitative study
RAMM Kieft, BBJM de Brouwer, AL Francke, DMJ Delnoij
BMC Health Services Research, 2014, 14:249

Read more here.

Patient-reported confidence in primary healthcare

"Improving the delivery of primary health care services through positive interactions between patients and their usual provider and acceptability of wait times are examples of how the PHC system can be strengthened."

Patient-reported confidence in primary healthcare: are there disparities by ethnicity or language?
ST Wong, C Black, F Cutler, R Brooke, JL Haggerty, JF Levesque
BMJ Open, 2014, 4:e003884

Read more here.

Patient reports of the outcomes of treatment: a structured review of approaches

"The purpose of this was to identify suitable candidate questions for a short instrument to tap patient evaluations of in-patient hospital interventions."

Patient reports of the outcomes of treatment: a structured review of approaches
H Lloyd, C Jenkinson, M Hadi, E Gibbons, R Fitzpatrick
Health and Quality of Life Outcomes, 2014, 12:5

Read more here.

Measuring a caring culture in hospitals

"Characteristics of the instruments included in this review could provide useful input for the design of a reliable and valid instrument for measuring a caring culture in hospitals."

Measuring a caring culture in hospitals: a systematic review of instruments
G Hesselink, E Kuis, M Pijnenburg, H Wollersheim
BMJ Open, 2013, 3:e003416

Read more here.

Patients' experience and satisfaction with GP led walk-in centres in the UK

"The GP led walk-in centres increased access to GP care and most of the patients were satisfied with the service."

Patients' experience and satisfaction with GP led walk-in centres in the UK; a cross sectional study
M Arain, J Nicholl, M Campbell
BMC Health Services Research, 2013, 13:142

Read more here.

Managing multi-morbidity in practice

"Learning from those sites who responded to the survey suggests there is a need for multimorbid disease management templates and care pathways, and that integrated working with community teams, including pharmacists, can improve outcomes, with the potential to reduce overall consultation times, increase patient satisfaction, reduce polypharmacy and reduce hospital admissions."

Managing multi-morbidity in practice…what lessons can be learnt from the care of people with COPD and co-morbidities?NHS Improvement
March 2013

Read more here.

The Francis Report

"The final report of the Mid Staffordshire NHS Foundation Trust Public Inquiry was published on Wednesday 6 February 2013....There are 290 recommendations in the report."

The Mid Staffordshire NHS Foundation Trust Public Inquiry
Chaired by Robert Francis QC
The Stationery Office
February 2013

Access all the relevant documents here.

Patient experience and health outcomes

"Do patients' reports of their health care experiences reflect the quality of care? Despite the increasing role of such measures in research and policy, there's no consensus regarding their legitimacy in quality assessment."

The patient experience and health outcomes
MP Manary, W Boulding, R Staelin, SW Glickman
New England Journal of Medicine, 2013, 368:201-203

Read more here.

Improving the quality of orthopaedic care with the National Health Service

"By appropriate referral, getting it right first time, using evidence based treatments, gold standard prostheses, reducing complications, and different modes of working, quality of care for patients can be significantly improved, leading to greater patient satisfaction and outcomes."

Getting it right first time: improving the quality of orthopaedic care with the NHS
TWR Briggs
Royal National Orthopaedic Hospital
August 2012

Read more here.

Consumer quality index (CQ-index) in an accident and emergency department

"The Consumer Quality index for the accident and emergency department measures patients' experiences of A&E healthcare performance."

The consumer quality index (CQ-index) in an accident and emergency department: development and first evaluation
N Bos, LM Sturms, AJP Schrijvers, HF van Stel
BMC Health Services Research, 2012, 12:284

Read more here.

Improving interactions with patients in a dialysis facility

"This report describes the efforts of one dialysis center to improve customer service and access for its patients with end-stage renal disease (ESRD)."

Improving interactions with patients in a dialysis facility: a case study of a successful quality improvement intervention
DO Farley, SH Wiseman, DD Quigley
RAND Health
August 2012

Read more here.

Putting patients first - the Productive Series

"All of the examples here are real-life improvement initiatives at various stages of development and implementation during 2011."

Putting patients first - the Productive Series
NHS Institute for Innovation and Improvement
March 2012

Read more here.

Clinicians in management: does it make a difference

"Those NHS hospital trusts with larger proportions of doctors on their boards are also those which are most likely to achieve quality ratings of four, lower morbidity rates (according to Dr Foster) and higher levels of patient satisfaction."

Clinicians in management: does it make a difference
G Veronesi, I Kirkpatrick, F Vallascas
Centre for Innovation in Health Management
Leeds University Business School
May 2012

Read more here.

NICE guideline: Patient experience in adult NHS services

"This clinical guidance offers evidence-based advice on ensuring a good experience of care for people who use adult NHS services."

Patient experience in adult NHS services: improving the experience of care for people using adult NHS services: CG138
National Institute for Health and Clinical Excellence (NICE)
February 2012

Read more here.

Health care leader action guide to effectively using HCAHPS

"HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems data) is a tool that can be used to help organizations improve the patient experience, and may have a related effect on clinical quality."

Health care leader action guide to effectively using HCAHPS
Health Research and Educational Trust
March 2012

Read more here.

Patient safety, satisfaction, and quality of hospital care

"Improvement of hospital work environments might be a relatively low cost strategy to improve safety and quality in hospital care and to increase patient satisfaction."

Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States
LH Aiken, et al
British Medical Journal, 2012, 344:e1717

Read more here.

Critical success factors that enable individuals to die in their preferred place of death

"The main aim of this work was to try to identify the factors that influenced increases in numbers of people being able to die in their preferred place of death, which can largely be assumed to be outside of acute hospital settings, but is not always."

Critical success factors that enable individuals to die in their preferred place of death
National End of Life Care Programme
February 2012

Read more here.