Meningococcal Working Group: Raising awareness of the signs and symptoms, and ensuring early diagnosis and treatment of meningococcal disease

Meningococcal Working Group, July 2018

This report sets out 12 recommendations aimed at organisations and bodies that have a role to play in improving awareness and early diagnosis of sepsis and meningococcal disease.   It focus’ on raising awareness of the signs and symptoms, and ensuring early diagnosis and treatment, of sepsis and meningococcal disease.

Click here to view the report.

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What will new technology mean for the NHS and its patients?: Four big technological trends

The Nuffield Trust, June 2018

Report that considers the potential impact of the following technologies to improve health care.:

  • Genomics and precision medicine can target treatment interventions at specific sub-groups of patients, potentially making them more effective and opening up new therapeutic possibilities.
  • Remote care can improve access to health care services, enabling patient needs to be addressed as early as possible and potentially making systems more efficient.
  • Technology-supported self-management can help to empower patients to better manage and understand their condition, supporting improved behavioural and clinical outcomes.
  • Data can provide new ways for the NHS to learn, improve and generate new research – alongside artificial intelligence (AI), which is providing new analytical capacity for diagnosing patients, effective triage and logistics.

Click here to view this report.

Are we expecting too much from the NHS?

Nuffield Trust, June 2018

Paper that explores the public’s expectations of the NHS, the balance between meeting those expectations and living within a constrained budget, and the question of who is responsible for keeping us healthy. It finds:

  • The public strongly identifies with the values and founding principles of the NHS. Recent polling suggests people are becoming increasingly concerned about the NHS, particularly in relation to lengthening waiting times and the level of funding provided by the government.
  • Resources for health care are finite; all health systems are required to make choices about how to allocate funds. However, a prolonged funding squeeze combined with rising demand has resulted in the NHS having to take increasingly difficult decisions at both local and national level, with the NHS currently struggling to meet core standards within its budget. The announcement in June of additional funding for the NHS is welcome but it does not provide the long-term cure that would restore it to full health. Further hard choices lie ahead and polling suggests the public is reluctant to accept measures perceived as ‘rationing’.
  • Underpinning the NHS is the idea of a contract between the individual and health services. In England, the NHS Constitution sets out the public’s rights and the NHS’s commitments, together with individual responsibilities. Most people accept they have a responsibility to contribute to their own health and wellbeing.
  • The most important influence on people’s health is the economic, physical and social environment in which they live. Consequently, while the NHS and individuals can play their part, it is essential that together, national and local government use the levers they have at their disposal (such as tax and regulation) to foster healthy environments. New polling suggests that the public are more receptive to such interventions than politicians often suppose.

Click here to view the full report.

Posted in NHS

Hiding in plain sight: Treating tobacco dependency in the NHS: A report by the Tobacco Advisory Group of the Royal College of Physicians

Royal College of Physicians, June 2018

Report from the Royal College of Physicians that addresses the harms and costs arising from smoking in patients, and argues for a new approach to treating their addiction.  It identifies giving smokers the help they need to quit smoking while in hospital will save lives, improve quality of life as well as increasing life expectancy, and help to reduce the current £1 billion per year cost to the NHS of smoking by patients and staff.

It also argues that:

  • Treating tobacco dependency is not just about preventing disease: in many cases it represents effective disease treatment. Clinicians working in all areas of medicine can improve their patients’ lives by helping them to quit.
  • Current models of delivering stop smoking services separately from mainstream NHS services, while successful in the past, may now not be the best approach because the patient has to seek help themselves
  • Most health professionals receive little or no training in treating smokers
    The NHS does not collect data on smoking treatment delivery, or have a payment tariff for treating tobacco dependency
  • Smoking treatment also tends to be squeezed out, even in the management of diseases caused by smoking, by other, less cost-effective interventions.

Click here to view the full report.

How good is the NHS?

The Nuffield Trust, June 2018

Nuffield Trust Report comparing the NHS to health systems in 18 similar developed countries, including France, Germany, Italy, Japan and the USA. It looks at three aspects of what we might mean by a good health care system:

  • the speed and accessibility of care,
  • the efficiency of the system, and
  • the outcomes delivered for patients.

It also sets the scene by looking at what the health service has to work with, so that we can consider whether it is doing a good job given the circumstances.  The report finds that the NHS performs neither as well as its supporters sometimes claim nor as badly as its critics often allege. Compared with health systems in similar countries, it has some significant strengths but also some notable weaknesses.

Click here to view the full report.

Posted in NHS

Ten steps towards a new plan for the NHS in England

NHS Confederation, July 2018

Calls for a national conversation about what we want and can expect from the health service in England over the next.  this NHS Confederation document proposes ten actions which would underpin specific priorities for a new plan.

  1. Healthcare must be patient-centred
  2. Invest in new models of care in the community
  3. Must devise national and local strategies to recruit
  4. Must wage war on unwarranted variation and streamline the back-office
  5. Update legislation to create simpler structures
  6. Work to put mental health on an equal footing with physical health
  7. Invest in social care and integrate health and social care services
  8. Save a national settlement with local government for commissioning properly integrated local services
  9. Help manage demand for healthcare with effective public health and self-care
  10. The public must be consulted and clinical staff must be involved

Click here to view the report.

Posted in Uncategorized

Developing new care models through NHS vanguards

National Audit Office, July 2018

This report examines whether the NHS is well placed to get value for money from its investment in developing new care models through vanguards. In particular, it focuses on:

  • set up and management of the vanguard programme (Part One);
  • national support and evaluation (Part Two);
  • progress made by the vanguards (Part Three); and
  • readiness for the spread of these new care models (Part Four).

This report focuses primarily on the two types of vanguards which were designed to test integrated models of health and social care for a local population: integrated primary and acute care systems (PACs) and multispecialty community providers (MCPs). The report also covers the six enhanced health in care homes (EHCHs) vanguards and the 13 acute care collaborations (ACCs) vanguards. We excluded from our report the eight urgent and emergency care (UECs)vanguards, which were all moved to another part of NHS England after the first year.

Finds individual vanguards have made progress in implementing new models of care and there are early signs of a positive impact on emergency admissions. But the evaluation is not yet complete and, while NHS England expects to achieve savings, the long-term impact and sustainability of vanguards is still not proven.

Click here to view the report.