The 2,000 days project: Practical ideas for reforming health and care

Healthcare at Home, November 2017

An Industry Coalition Group of clinicians, senior leaders in hospitals, primary care, the central bodies, charities and the private sector met earlier this year to take on the challenge of re-energising the NHS approach to handling rising demand, hospital debt, slow technological innovation and growing public expectations.  This report from Healthcare at Home identifies many examples of new care provision,  but also that current reform struggles to deliver the change needed, and integrated care is not happening on the scale required.  This report identifies seven key principles for reform:

  • Person-centred care must be at the heart of every NHS decision and action.
  • Person-centred care means taking every opportunity to maximise our ability to manage our own health. The NHS needs to focus on what we can do, not just try to fix what we can’t.
  • NHS leaders need to see joy and fulfilment in the workplace as key to delivering person-centred care and nurturing innovation.
  • Care services must stop being health and safety police, and take a more balanced approach to risk, to empower staff and let people live the lives they want.
  • Clinicians and managers need to be taught how to think digitally so they develop their own solutions using consumer technology. Online and face-to-face services should be integrated.
  • Where possible there should be direct access, including digital access, to community services.
  • The costs, benefits and practicalities of developing care at home need to be understood and debated.

Click here to view the full report.

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Health at a glance 2017

OECD, November 2017

This report looks at data and trends on different aspects of health systems in OECD countries. The analysis of the UK health system finds that the overall health of Britons is similar to the OECD average but that obesity rates are considerably worse than the OECD average.

Click here to view the UK analysis.

Click here to access the full report.

People with learning disabilities: health checks audit tool

Public Health England, October 2017

This audit tool consists of 6 questions and is designed to support practices, primary care liaison staff, health facilitators to improve the uptake and quality of annual health checks, and reduce the health inequalities experienced by people with learning disabilities.

Click here to access the tool.

How to improve care for people with multimorbidity in Europe?

World Health Organization, May 2017

Where do policy makers start if they want to prepare their health systems for the growing challenge of multimorbidity? This policy brief finds that Europe’s health systems are ‘disease-oriented’ and organised around single medical specialties, leading to fragmented care. It examines how to support patient-centred integrated care provision by changing clinical practice and reforming the health and social care system.

Click here to view the report.

Health and social care integration

National Audit Office, February 2017

This report warns that progress with integration of health and social care has, to date, been slower and less successful than envisaged and has not delivered all of the expected benefits for patients, the NHS or local authorities. As a result, the government’s plan for integrated health and social care services across England by 2020 is at significant risk.  The report also finds that  The Better Care Fund has not achieved the expected value for money, in terms of savings, outcomes for patients or hospital activity.

Click here to view the report.