System under strain: Why demand pressures are more than a winter phenomenon

NHS Confederation, June 2018

NHS Confederation report describing ways in which increasing demand in one part of the system can affect the performance of other NHS services elsewhere.  It notes that rising demand is not confided to winter and outlines how some NHS and social care providers have adapted their services to enable patients and service users to access care more efficiently.

Click here to view the full report.

Advertisements
Posted in NHS

Tobacco Control Plan delivery plan 2017 to 2022

Department of Health and Social Care, June 2018

This delivery plan will monitor how the aims of the tobacco control plan for England are being met. specific milestones and what is expected at national and local levels. It includes actions for:

  • government departments
  • national agencies
  • local partnerships

The plan will be updated as new actions are identified and existing ones are completed.

Click here to view the report.

Patient experience improvement framework

NHS Improvement, June 2018

An evidence-based framework centred around Care Quality Commission key themes to enable board and senior teams in providers to continuously improve the experience of patients. It brings together the characteristics of trusts that consistently improve patient experience and enables them to carry out an organisational diagnostic to establish how far patient experience is embedded in its leadership, culture and its operational processes. Providers can use the framework to promote senior-level discussion of the factors such as leadership and culture that underpin an ability to improve patient experience. The framework integrates policy guidance with the most frequent reasons CQC gives for rating acute trusts ‘outstanding’.

Click here to view the full report.

Time to deliver: report of the WHO Independent High-Level Commission on Noncommunicable Diseases

World Health Organization, June 2018

World Health Organization report calling for urgent action to address chronic diseases and mental health disorders. It demands high-level political commitment and the immediate scaling up of actions to address the epidemic of NCDs.

Click here to view this report.

Mental Health Act 1983: patient information leaflets

Department of Health and Social Care, June 2018

The leaflets are designed to help hospitals and local social services authorities (LSSAs) provide written information to patients who have been detained under section 135 or 136 of the Mental Health Act 1983. The leaflets explain to the person:

  • why they are in hospital
  • what to expect during this section
  • their rights
  • what could happen afterwards

The leaflets contain form fields for healthcare professionals to enter the expiry date and time of the patient’s detention.  The leaflets are non-statutory and hospitals or LSSAs are not obliged to use them.

Click here to access this resource.

From prison to work: A new frontier for Individual Placement and Support

Centre for Mental Health, June 2018

From prison to work: A new frontier for Individual Placement and Support reports on a pilot programme in the West Midlands to support prisoners with mental health difficulties into employment when they are released. The programme sought to employ the proven Individual Placement and Support approach from mental health services to the criminal justice system for the first time. It enabled people who would otherwise have had little prospect of paid work to get jobs when they were released from prison as well as providing help with basic needs such as housing and health.

The report finds that the Individual Placement and Support approach can be adapted successfully to support prisoners to get work when they are released. It calls on the Government to invest in a larger scale trial of IPS for former prisoners and to reform existing employment services in the criminal justice system. The report also found that few of the people who had been in contact with prison mental health services as a result of complex needs and vulnerabilities were supported by community mental health services after their release. And many former prisoners got scant help with housing or money despite leaving prison with nowhere to live and no income. It calls on the NHS and probation services to offer more effective, holistic support to former prisoners to support their rehabilitation.

Click here to view the full report.

Horizontal or Vertical: Which way to integrate?: Approaches to community services integration and consequences for emergency hospital activity: A case study based on the Transforming Community Services Policy

The Strategy Unit, Midlands and Lancashire CCG, June 2018

This report explores the impact integration choices made by Primary Care Trusts had on the level and growth in emergency hospital use in older people and considers the wider implications for the NHS as it develops new models of care and integrated care systems. It reflects on policies that lead to structural change. In 2010-11, emphatic and definitive claims were made about the benefits of Transforming Community Services. Substantial resources were used to develop plans and extensive assurance processes were put in place to check that these would deliver the changes required. But as far as we can tell, no attempt was made to test whether the promised benefits were realised.  Eight years on from this reform and familiar claims are being made about benefits of structurally integrating services. Management teams are exploring options and developing plans and regulators are establishing new assurance frameworks. The question of whether and how to structurally integrate services lies at the heart of this process. This paper attempts to draw out the lessons from Transforming Community Services for those wrestling with this question.

Click here to view this report.