Simon Stevens: Five-Year Plan for NHS (BBC News / NHS England)

Summary

Simon Stevens, Chief Executive of NHS England, has presented an important five-year view for the health service, presenting a new model for meeting increasing challenges on the NHS, with more integrated care, care closer to home and a greater emphasis on local initiatives. There are to be more prominent roles for prevention (preventative care), community pharmacies, self-care and public health. Dementia, ageing, long-term conditions and obesity pose major challenges. Local (varied, non-standard) solutions are to be permitted; to enable GPs, hospitals, community health services and social services to pool resources and work collaboratively to provide more joined-up care for patients.

More funding, inevitably, is required (£8 billion) for the NHS, despite the maxim to “Think like a patient [and] act like a taxpayer”. Economies along the lines of £22 billion are also on the cards.

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Reference

Triggle, N. (2014). NHS needs extra cash and overhaul, say bosses. London: BBC Health News, October 23rd 2014.

See also:

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Reference

Triggle, N. (2014). The NHS plan: Five things we’ve learned. London: BBC Health News, October 23rd 2014.

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Dementia: Demand Pressures in Wales (BBC News)

Summary

NHS hospitals in Wales could “grind to a halt” unless more community-based support is provided to help care for dementia patients. Roughly one quarter of patients in district general hospital beds in Wales have dementia and other complex needs. Wales has the lowest dementia diagnosis rates recorded in the UK.

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Reference

NHS ‘to grind to halt’ with dementia warns professor. Wales: BBC Wales / BBC Health News, October 21st 2014.

Possibly of background / contextual interest on meltdown issues and allegations:

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Reference

Wales NHS ’tissue of lies’ accusation by minister. Wales: BBC Wales / BBC Health News, October 21st 2014.

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Models of Dementia Care, NHS, Patient Care Pathway, Quick Insights, Standards, UK, Universal Interest, Wales | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Conflicts of Interest in Dementia Diagnosis Incentive Payments? (BBC News)

Summary

Family doctors in England are to be paid £55 for each diagnosis of dementia, NHS England has decided. This ruling is broadly compatible with the national dementia strategy and the Prime Minister’s Challenge on Dementia, whereby NHS England is committed to increase the dementia diagnosis rates in England by March 2015. The agreed target is for two-thirds of people with dementia to receive a formal diagnosis, as early as possible.

The principles behind dementia case-finding schemes (in general) have been widely debated, however, and may now even come to be criticised by patients’ groups in addition to worried professionals.

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Reference

GPs to be paid £55 for each dementia diagnosis. London: BBC Health News, October 22nd 2014.

Posted in BBC News, Charitable Bodies, Commissioning, Community Care, Department of Health, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Patients Association, Personalisation, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Conflicts of Interest at NICE? (BBC News)

Summary

Doctors and researchers have written to MPs on the Health Select Committee, expressing concern about potential conflicts of interest at National Institute for Health and Care Excellence (NICE) regarding medicines recommendations. This debate appears to have arisen, in particular, following recent decisions concerning the wider the availability of statins for people at low risk of developing a cardiovascular event. NICE, on the other hand, believe existing rules and safeguards on conflicts of interests are adequate.

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Reference

Brimelow, A. (2014). NICE conflicts of interest: Call for MPs to investigate. London: BBC Health News, October 22nd 2014.

Posted in BBC News, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, National, NICE Guidelines, Pharmacological Treatments, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , | Leave a comment

Innovation Via Untested Medicines? (BBC News)

Summary

The law may soon be changed in England and Wales to allow untested medicines to be used under certain conditions. People dying from cancer might one day be allowed to be treated voluntarily with unlicensed drugs, under the Medical Innovation Bill proposed by Lord Saatchi.

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Reference

‘Untested drugs for dying’ bill given government backing. London: BBC Health News, October 20th 2014.

Posted in BBC News, For Doctors (mostly), For Researchers (mostly), In the News, National, Pharmacological Treatments, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , | Leave a comment

Community Pharmacists: the Potential of Minor Ailment Centres (BBC News / RPS)

Summary

The Royal Pharmaceutical Society has proposed that community pharmacies could save the NHS over £1 billion per year. This assertion is endorsed by research from Pharmacy Research UK published earlier this year and led by the University of Aberdeen. Common ailment schemes and minor ailment centres operating in community pharmacies could, potentially, cut the number of accident and emergency visits by 650,000 and reduce avoidable GP consultations by 18 million per year.

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Reference

Treating common illnesses at pharmacies ‘could save NHS £1bn’. London: BBC Health News, October 19th 2014.

“The cost of treating common ailments in community pharmacies was found to be £29.30 per patient. The cost of treating the same problems at A&E was found to be nearly five times higher at £147.09 per patient and nearly three times higher at GP practices at £82.34 per patient. Overall, the study estimates that 3% of all A&E consultations and 5.5% of GP consultations for common ailments could be managed in community pharmacies”.

Note: Hindsight is always 20:20. How many patients know in practice, at the time, into which category they fall?

Read more: Royal Pharmaceutical Society. Pharmacists could save the NHS 1.1billion by treating common ailments.

Reference

Pharmacists could save the NHS 1.1billion by treating common ailments. London [Online]: Royal Pharmaceutical Society (RPS), October 19th 2014.

This relates to:

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Reference

Final Report to Pharmacy Research UK: Community Pharmacy Management of Minor Illness. London: Pharmacy Research UK, January 2014.

Posted in BBC News, Commissioning, Community Care, For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, Northern Ireland, Pharmacological Treatments, Quick Insights, Scotland, Standards, Statistics, Systematic Reviews, UK, Universal Interest, Wales | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Failings in the Complaints System in Health and Social Care? (Healthwatch England / CQC)

Summary

An estimated 250,000 incidents of poor care were unreported last year. There are concerns that NHS and local authority “red tape” make it difficult to complain, that there is insufficient independent advice and support to help those who need it, and that the public may have too little incentive to discuss their negative experiences.

This Healthwatch England report presents a summary of patients’ and their families’ experiences. It presents recommendations for the creation of a compassionate complaints system.

“Three out five patients and care users that complain about receiving poor treatment feel that the system is failing to address their concerns – not taking their cases seriously, ignoring them or in many cases bouncing them around the system until they give up”.

Read more: Renewed efforts required to create compassionate complaints system. Healthwatch.

This relates to:

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Reference

Suffering in silence: listening to consumer experiences of the health and social care complaints system. London: Healthwatch England, October 14th 2014.

Annual Report: Making Consumer Voices Heard

The Healthwatch England annual report also discusses this investigation into failings in the complaints system in health and social care.

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Reference

Loud and clear: making consumer voices heard. Healthwatch England annual report 2013/14. London: Healthwatch England, October 14th 2014.

In response to Healthwatch England’s report on the need for a more compassionate and responsive complaints system, Professor Sir Mike Richards, Chief Inspector of Hospitals at the Care Quality Commission has responded positively. Listening to, and acting on, patients’ complaints and concerns is planned to be integral to the CQC’s new inspection regime.

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Reference

Our response to Healthwatch England’s complaints system report. London: Care Quality Commission, October 14th 2014.

Posted in Acute Hospitals, Commissioning, Community Care, CQC: Care Quality Commission, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, National, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment