NHS operational productivity: unwarranted variations Mental health services Community health services

NHS Improvement, May 2018

This report from the Carter review has looked at the productivity and efficiency of mental health and community health services. It has done so in the context of the Five Year Forward View and its delivery plan which are clear that these services provide critical support to patients in the most appropriate setting, and assist the better management of mental and physical health conditions.  key findings are:

  • There is significant good practice but there needs to be stronger mechanisms for sharing this between trusts.
  • Workforce productivity is mixed, particularly in services delivered in the community, and NHS Improvement must step up its support for trusts to drive improvements in the engagement, retention and wellbeing of their staff.
  • The Getting It Right First Time (GIRFT) programme should extend its approach to community health and mental health services, and specify more efficient and high quality pathways of care for patients.
  • The use of mobile working and technology to drive efficiency and productivity is inconsistent and poor in many areas.
  • There is scope for trusts to take action across all areas of spend including corporate services, procurement and estates.

Click here to view the full report.

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