The Social Care Institute for Excellence (SCIE)’s Future of Care Briefing Number 6, which tackles Innovative models of health, care and support for adults covers the spread of innovation from small-scale models of health, social care and support for adults. It discusses the potential benefits of scaling-up new models of care / relationship-based care which may exist locally, but which tend to be implemented inconsistently more widely. The main section headings (in no particular order) cover:
- Key messages and recommendations.
- Imagining a transformed landscape.
- Real life stories from our research.
- Routes to scale.
- Embedding a local innovation.
- Whole-area innovation.
- Challenges and facilitators.
- New approaches for scaling innovations.
Full Text Link (Note: Access to this document requires free registration with SCIE).
Growing innovative models of health, care and support for adults. London: Social Care Institute for Excellence (SCIE), January 2018. Future of Care Briefing No.6.
A King’s Fund piece primarily about the NHS:
Adoption and spread of innovation in the NHS. [Online]: King’s Fund, January 2018.
Collins, B. (2018). Adoption and spread of innovation in the NHS. [Online]: King’s Fund, January 2018.
The Innovation Unit
The Innovation Unit and the Health Foundation have produced a joint report investigating approaches to improving the spread of beneficial innovation in health and care.
Albury, D. Beresford, T. [and] Dew, S. [et al] (2018). Against the odds: successfully scaling innovation in the NHS. London: Innovation Unit and Health Foundation, January 2018.
Possibly of interest, a shortlist of ten important new medicines introduced in the NHS in the last 70 years:
- Polio vaccine.
- Oral contraceptives.
- Second to fourth generation penicillins.
- Beta blockers.
- Beta2 agonists.
- HIV/AIDS antiretrovirals.
- MMR vaccine.
Sampson, C. O’Neill, P. [and] Lorgelly, P. (2018). The impact of new medicines in the NHS: 70 years of innovation. OHE Consulting Report, London: Office of Health Economics (OHE), August 2018.
The Opportunity Cost of Carrying-on Unchanged
Funding opportunities squandered (albeit on fire-fighting short-term crises):
“The NHS has received extra funding, but this has mostly been used to cope with current pressures and has not provided the stable platform intended from which to transform services”. Amyas Morse, National Audit Office.
Therrien, A (2018). NHS bail-outs could become new normal, National Audit Office says. London: BBC Health News, January 18th 2018.
Tackling the Replicability Challenge
Health Foundation recommendations for spreading innovation geared to health care improvement (tackling the “replicability problem”):
Jones, B. Illingworth, J. [and] Warburton, W. (2018). The spread challenge: how to support the successful uptake of innovations and improvements in health care. London: Health Foundation, September 2018.
There is also an Executive Summary.