Review of NHS Performance Under the Coalition Government (King’s Fund / BBC News / Macmillan Cancer Support)

Summary

The following review of NHS performance by the King’s Fund finds that waiting times for A&E, cancer care and routine operations have been deteriorating recently, and that Trust deficits are increasing in scale and extent.

The report analyses NHS productivity and financial performance between 2010 and 2015, and discusses future prospects. It appears the NHS is pushing the limits (according to this analysis), and there are indications that staff morale may be on the decline. Patient and public satisfaction remain high.

A substantial NHS deficit will occur in the final year of the current parliament, despite extra funding injections during 2014/15 and even though funding has increased in real terms since 2010 more than planned. All-too familiar territory.

“ …assessing the performance of any health service is an inexact science for many reasons”.

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Reference

Appleby, J.Baird, B. Thompson, J. [and] Jabbal, J. (2015). The NHS under the coalition government. Part two: NHS performance . London: The King’s Fund, March 26th 2015.

There is an Executive Summary.

There is also an online presentation.

Part One of this report was about NHS Reform.

BBC News comment and analysis:

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Reference

Triggle, N. (2015). NHS problems ‘at their worst since 1990s’. London: BBC Health News, March 26th 2015.

See also, with specific reference to standards for cancer treatment:

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Reference

Triggle, N. (2015). Is cancer care at a crossroads?. London: BBC Health News, March 25th 2015.

This relates to:

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UK cancer survival rates “stuck in the 1990s” says charity. London: Macmillan Cancer Support, March 24th 2015.

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Realising the Value Programme (NHS England / Dementia / Australian Journal of Dementia Care)

Summary

The NHS Five Year Forward View requires more support for people with long term conditions, enabling them to manage their own health. The NHS England “Realising the Value Programme” is about putting such plans into action.

“NHS England is pleased to announce that a consortium led by NESTA and the Health Foundation in partnership with Voluntary Voices (National Voices, Regional Voices, NAVCA and CSV), the Behavioural Insights Team and Newcastle University, has been selected to take forward this work to empower patients and engage communities in their own health and care. The consortium will work collaboratively with NHS England, the Coalition for Collaborative Care and other stakeholders to deliver this programme of work”.

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Reference

Realising the value: a new relationship with patients and communities. London [Online]: NHS England, March 2015.

This relates to:

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Realising the Value: a new relationship with patients and communities. Leeds: NHS England, December 1st 2014.

The Relevance of Prescribed DisengagementTM (Particularly in the Earlier Stages of Dementia)

Kate Swaffer has introduced the concept of Prescribed DisengagementTM to focus attention on the potentially negative aspects of a dementia diagnosis (usually unintentional, but no less damaging) in terms of the increased level of stigma and discrimination experienced by people with dementia. Prescribed DisengagementTM carries ensuing risks of disempowerment, lower self-esteem, isolation, reduced autonomy / self-efficacy and loss of self-identity. Kate Swaffer is in favour of empowering dementia patients and promoting patient voice. She has, further, made recommendations for better support services to provide rehabilitation / reablement in dementia, as a component of living well with dementia.

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Reference

Swaffer, K. (2015). Dementia and Prescribed Dis-engagement. Dementia. January 2015; 14(1): 3-6.

There is a related article, touching on the pejorative influence (again predominantly unintentional) of language and medical terminology which permeates the official literature:

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Reference

Swaffer, K. (2014). Dementia: stigma, language, and dementia-friendly. Dementia. November 2014; 13(6): 709-16.

See also:

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Reference

Swaffer, K. (2015). The power of language. Australian Journal of Dementia Care. February 6th 2015. [Epub ahead of print].

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Promoting the Importance of Mental Wellbeing: Awareness, Budgets and Policy (NHS Employers / BBC News / CommunityCare / Department of Health / NHS England)

Summary

NHS Employers has published an infographic / poster outlining key facts and figures about mental wellbeing.

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Reference

Things you need to know about mental wellbeing. London: NHS Employers, February 20th 2015.

Mental Health Service Budgets: Swings and Roundabouts?

Research indicates that mental health trusts in England have had their budgets reduced by more than 8% in real terms (around £600 million) over the course of the current parliament.

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Reference

Buchanan, M. (2015). Mental health service budgets ‘cut by 8%’. London: BBC Health News, March 20th 2015.

This relates to:

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McNicoll, A. (2015). Mental health trust funding down 8% from 2010 despite coalition’s drive for parity of esteem. [Online]: CommunityCare, March 20th 2015.

Enhancements to Child Mental Health Services / Budgets

Mental health services for children and young people in England are to receive a complete overhaul. Mental health services in England will receive £1.25 billion.

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Reference

Mental health care in England to get funding boost – Clegg. London: BBC Health News, March 14th 2015.

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Triggle, N. (2015). Child mental health services ‘face overhaul’. London: BBC Health News, March 17th 2015.

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Reference

Pym, H. (2015). Child mental health – promises and challenges. London: BBC Health News, March 17th 2015.

Proposals For Improving Mental Health Services for Young People: Official Policy

The Department of Health has released policy proposals on improving children and young people’s mental health and wellbeing.

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Reference

Improving mental health services for young people. London: Department of Health, March 17th 2015.

See also:

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Reference

NHS England welcomes new plans for radical shake up of youth mental health care. London: NHS England, March 17th 2015.

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NHS England Supporting Nutrition and Hydration Week (NHS England)

Summary

NHS England has again given support to the annual Nutrition and Hydration Week. The Nutrition and Hydration Week 2015 falls between March 16th – 22nd 2015. This national campaign aims to improve awareness of the importance of nutrition and hydration standards for patients in health and social care.

Nutrition and Hydration Week is a campaign of joint action by the Hospital Caterers Association (HCA), National Association of Care Catering (NACC) and [the Patient Safety Domain of NHS England]”.

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Reference

NHS England supports national Nutrition and Hydration Week. London: NHS England, March 17th 2015.

“There is evidence that poor nutrition and hydration can harm patients’ health and wellbeing, reduce their ability to recover and even lead to death. Poor and inconsistent practice in nutrition and hydration care can also lead to serious and avoidable harm”.

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Announcements From WHO’s First Ministerial Conference on Global Action Against Dementia Conference (Dementia Challenge / Department of Health / World Dementia Council / WHO / GAAD)

Summary

Health Secretary Jeremy Hunt has announced a $100 million Dementia Discovery Fund at the World Health Organisation’s First Ministerial Conference on Global Action Against Dementia Conference.

The Dementia Discovery Fund will be used to finance dementia research with the aim of developing new drugs. It includes financial commitments from pharmaceutical industry, and £15 million (which the UK government announced for the fund earlier in Autumn 2014).

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Reference

Health Secretary announces $100m Dementia Discovery Fund. London: Department of Health / Dementia Challenge / World Dementia Council, March 17th 2015.

See also:

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Reference

Health secretary announces $100m Dementia Discovery Fund. London: Department of Health, March 17th 2015.

International Call for Action

World Health Organization (WHO) member states have agreed to support a formal Call for Action reiterating their intention to tackle dementia on an international …

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Reference

Countries agree to support Call for Action at Global Action Against Dementia Conference. London: Department of Health / Dementia Challenge / World Dementia Council, March 17th 2015.

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Shape of Caring Review Report (HEE / NMC / BBC News)

Summary

Health Education England (HEE) and the Nursing and Midwifery Council (NMC) have published the Shape of Caring Review “Raising the Bar” report, which makes 34 recommendations (grouped into 8 themes) concerning education and training for registered nurses and care assistants.

The eight key themes:

  1. Theme 1: Enhancing co-production and the voice of the patient.
  2. Theme 2: Valuing care assistants.
  3. Theme 3: Widening access for care assistants to enter the nursing profession.
  4. Theme 4: Assuring flexibility in nursing.
  5. Theme 5: Assuring a high-quality learning environment in undergraduate nursing education.
  6. Theme 6: Assuring predictable and sustainable access to ongoing learning and development for registered nurses.
  7. Theme 7: Supporting and enabling research, innovation and evidence-based practice.
  8. Theme 8: Funding and commissioning levers to support future education and training.

“There are 1.3 million care assistants and half a million registered nurses in England… Patients and the public will have more complex clinical needs and higher expectations than ever before. The education and training of nurses and care assistants need to reflect the changing care environment, and equip them to deliver high quality care”. Lord Willis (Independent Chair of the Shape of Caring Review).

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Reference

The Shape of Caring Review report published. London: Health Education England, March 12th 2015.

This relates to: 

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Reference

Lord Willis (2015). Raising the bar. Shape of caring: a review of the future education and training of registered nurses and care assistants. London: Health Education England, March 11th 2015.

There is also an Executive Summary.

Questions of Skills Mix, Staff Shortages and Exploitation?

Possibly of interest, a BBC investigation indicates that hospital healthcare assistants are sometimes required to work on tasks above their official “pay grade”, without adequate training or supervision:

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Reference

Sulehria, S. (2015). ‘Untrained’ healthcare assistants ‘put patients at risk’. London: BBC Health News / BBC East, March 23rd 2015.

Posted in Acute Hospitals, Commissioning, Community Care, End of Life Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Global Action Against Dementia and World Dementia Council: Progress Reports (Dementia Challenge / Department of Health / World Dementia Council / GAAD)

Summary

Coinciding, roughly, with the First Global Ministerial Conference on Global Action Against Dementia, which is currently hosted by the World Health Organisation (WHO) in Geneva between March 16th – 17th 2015, the World Dementia Council (WDC) has released a progress report on Global Action Against Dementia (GAAD). This report summarises the GAAD’s achievements, against five priorities, since the G8 Dementia Summit of December 2013.

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Reference

Report on Global Action Against Dementia highlights achievements since Dementia Summit. London: Department of Health / Dementia Challenge / World Dementia Council, March 13th 2015.

This relates to:

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Reference

Global Action Against Dementia. Progress Report: December 2013 – March 2015. London: Department of Health / Dementia Challenge / World Dementia Council, March 13th 2015.

World Dementia Council’s Year-On Report 2014/15

See also, the World Dementia Council’s own WDC annual report and review of progress, “one year on”:

“The Council’s initial focus was on finance, global integrated development and open science and data. Over the past year, this has widened to include 2 further priorities, care and risk reduction, to take a more holistic approach to improving dementia prevention, diagnosis, treatment and care”.

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Reference

World Dementia Council publishes report reviewing progress in its first year. London: Department of Health / Dementia Challenge / World Dementia Council, March 13th 2015.

This relates to:

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World Dementia Council’s year-on report 2014/15. WDC annual report. London: Department of Health / Dementia Challenge / World Dementia Council, March 13th 2015.

View the Global Action Against Dementia Conference Online

Proceedings of the First World Health Organization Ministerial Conference on Global Action Against Dementia can be followed via the web, in real-time:

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Reference

Watch Global Action Against Dementia Conference live. London: Department of Health / Dementia Challenge / World Dementia Council, March 16th 2015.

This relates to:

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Reference

First WHO Ministerial Conference on Global Action Against Dementia. Geneva [Switzerland / Online]: World Health Organization, March 2015.

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