Financial Sustainability in the NHS: Holding Up a Mirror? Reflection (BBC News / NHS Improvement / NHS England / BMJ / OECD)

Summary

The authors of the Getting It Right First Time (GIRFT) report believe that the NHS may not actually need further money from the taxpayer, asserting that efficiency savings identified (in the field of general surgery alone, and without looking elsewhere) could yield an estimated £268 million. Other voices perhaps predictably, for example NHS Providers, disagree profoundly.

Treasonable and potentially misleading, or well-intentioned common-sense? It would be remiss not to investigate these issues with an open mind.

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Reference

Pym, H. (2017). Could the NHS save money by getting it right first time? London: BBC Health News, August 4th 2017.

This relates to:

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Abercrombie, J. [et al] (2017). General Surgery: GIRFT Programme National Specialty Report. London: NHS Improvement, Royal College of Surgeons and Royal National Orthopaedic Hospital, August 2017.

NHS England Annual Report and Accounts for 2016/17

Squaring the circle: a parallel-universe confrontation with the official view on the NHS accounts:

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Reference

NHS England balanced its 2015/16 £102 billion budget and met key performance goals. [Online]: NHS England, July 19th 2017.

This relates to the Annual Report and Accounts:

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Reference

Annual Report 2016/17. Presented to Parliament pursuant to the National Health Service Act 2006 (as amended by the Health and Social Care Act 2012). Ordered by the House of Commons to be printed 18 July 2017. HC 101. London: NHS England, July 18th 2017.

There is also a “big-picture” performance report:

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Reference

Stevens, S. (2017). Performance report. London: NHS England, July 3rd 2017.

Further commentary from BBC News:

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Reference

Pym, H. (2017). The NHS summer report says it could try harder. London: BBC Health News, July 19th 2017.

Endemic Waste. A Relative Proposition?

The NHS was judged to have a relatively high level of efficiency in its use of resources, in a recent international comparison table.

The Organisation for Economic Cooperation and Development (OECD) estimates about one fifth of healthcare spending across OECD countries is wasted; this being equivalent to $1.2 Trillion (£950 Billion, or €1.1 Trillion) i.e. equal to five times the UK NHS’s total annual spending.

The World Health Organisation estimates that 20 – 40% of healthcare spending may go to waste globally.

Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

Chalkidou, K. [and] Appleby, J. (2017). Eliminating waste in healthcare spending. BMJ. February 7th 2017; 356: j570.

This relates to:

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Reference

Organisation for Economic Cooperation and Development; Berchet, C. Cecchini, M. [and] Couffinhal, A. [et al] (2017). Tackling wasteful spending on health. Paris: Organisation for Economic Cooperation and Development (OECD), 2017.

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, International, Mental Health, National, NHS, NHS England, Quick Insights, Standards, Statistics, UK, Universal Interest, World Health Organization (WHO) | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Clinical Commissioning Groups (CCG) Assessments for 2016/17 (NHS England / NHS Networks)

Summary

NHS England has published its annual assessment of Clinical Commissioning Groups (CCGs) for 2016/17. The following document lists the overall ratings for the 209 CCGs, following their annual assessment under the CCG Improvement and Assessment Framework (CCG IAF). This is intended to monitor local performance against the clinical priority areas identified in “Next Steps on the NHS Five Year Forward View”: including cancer care, mental health and dementia.

NHS Wolverhampton CCG has been rated “Outstanding”.

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Reference

NHS England Assessment Team (2017). CCG annual assessment 2016/17. London: NHS England, July 19th 2017.

The new framework also considers CCG performance in 29 areas (measured by 57 indicators), including new models of care, efficiency and conflicts of interest management. Further information about the CCG improvement and assessment framework:

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Reference

NHS England Assessment Team (2016/17). CCG improvement and assessment framework 2016/17. London: NHS England, July 26th 2017 (First Published March 31st 2016).

Gentle amusement:

“According to NHS England figures, [insert name of locality here] is one of the best places to get ill. Going forward we intend to make it one of the best places to get better too”.

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Reference

Patterson, J. (2017). We’re Blithering. [Online]: NHSNetworks, August 4th 2017.

Posted in Commissioning, Community Care, Diagnosis, Falls, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, Mental Health, National, NHS, NHS England, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Parkinson’s Disease in Adults: Updated Guidance (NICE / BBC News / NHS Choices / Lancet)

Summary

The National Institute for Health and Care Excellence recently released an updated guideline on the diagnosis and management of Parkinson’s Disease in patients aged over 18 years. This guidance updates and replaces their earlier “NG35 – Parkinson’s disease in over 20s” guidelines. The aim is to:

“ …improve care, including monitoring and managing symptoms, providing information and support, and palliative care”.

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Reference

Parkinson’s disease in adults – guidance (NG71). London: National Institute for Health and Care Excellence, July 2017.

There is an associated online NICE Pathways version.

Breaking News: Cautious Future Treatment Hope?

Early results from a clinical trial suggest it may, one day, be possible to halt or slow the progression of Parkinson’s Disease using a drug similar to Exenatide (which is normally used to treat Type 2 Diabetes). It is too soon to draw certain conclusions.

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Reference

Gallagher, J. (2017). First hints Parkinson’s can be stopped. London: BBC Health News, August 4th 2017.

Further comment / analysis of this potential breakthrough:

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Reference

Diabetes drug may be helpful for Parkinson’s disease. London: NHS Choices; Behind the Headlines, August 4th 2016.

This relates to:

Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

Athauda, D. Maclagan, K. [and] Skene, SS. [et al] (2017). Exenatide once weekly versus placebo in Parkinson’s disease: a randomised, double-blind, placebo-controlled trial. Lancet. August 3rd 2017. [Epub ahead of print].

Posted in BBC News, Commissioning, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, International, Management of Condition, National, NHS Choices, NICE Guidelines, Non-Pharmacological Treatments, Parkinson's Disease, Person-Centred Care, Pharmacological Treatments, Quick Insights, Standards, UK | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Recommendations For Cognitively Stimulating Activities to Promote Lasting Brain Health (BBC News / GCBH)

Summary

The Global Council on Brain Health (GCBH) has released a report which summarises evidence-based recommendations for the public on adopting cognitively stimulating activities which may help to minimise cognitive decline.

Brain training games appear to provide few of the benefits sometimes suggested. The GCBH report instead recommends “seeking out new activities that challenge the way you think and are socially engaging, while leading a healthy lifestyle”.

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Reference

Playing brain games ‘of little benefit’, say experts. London: BBC Health News, August 2nd 2017.

This relates to:

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Reference

Global Council on Brain Health (2017). Engage your brain: GCBH recommendations on cognitively stimulating activities. Washington [USA]: Global Council on Brain Health (GCBH) / American Association of Retired Persons (AARP), August 2017.

Posted in Age UK, BBC News, Charitable Bodies, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, International, Mental Health, Models of Dementia Care, Person-Centred Care, Quick Insights, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Person-Centred Approaches in Healthcare: a Framework (HEE / Skills for Health / Skills for Care)

Summary

Health Education England, Skills for Health and Skills for Care have produced a framework which is designed to help staff (at every level) communicate effectively, both verbally and non-verbally, in order to better tailor the care and advice they provide to peoples’ varying needs. This framework aims to help support individuals to manage their own health and wellbeing more effectively, through bespoke care and support, collaborative planning and shared decision-making.

“The framework begins with a description of values – which build upon the values set out in the NHS Constitution (2015) and the value statements developed during the Realising the Value programme”. (p.9).

Behaviours, knowledge and skills for person-centred approaches are described in three steps:

  • Step 1: Conversations to engage with people.
  • Step 2: Conversations to enable and support people.
  • Step 3: Conversations with people to collaboratively manage highest complexity and significant risk.

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Reference

Person-Centred Approaches. [Online]: Health Education England, July 26th 2017.

This relates to:

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Reference

Fagan, P. de Iongh, A. [and] Harden, B. [et al] (2017). Person-centred approaches: empowering people in their lives and communities to enable an upgrade in prevention, wellbeing, health, care and support. A core skills education and training framework. London: Health Education England, Skills for Health and Skills for Care, July 2017.

Posted in Commissioning, End of Life Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Dementia Care: Implementation Guide and Resources (NHS England / NHS RightCare)

Summary

NHS England has published an implementation guide / information pack, and other resources, on dementia care. The guide covers the assessment, diagnosis and post-diagnostic care of people living with dementia (and their carers), drawing together advice from NICE and other sources.

The resource pack, taken as a whole, is said to support NHS England’s operational and contracting guidance, with the following aims:

  1. Increasing the proportion of patients diagnosed with dementia who will actually start treatment within six weeks from the date of their referral.
  2. Improving the quality of post-diagnostic support / treatment for people with dementia, and for their families or carers.
  3. Helping to transform dementia care, by clarifying the relevance of the guidance supplied here for commissioners, service providers and local Sustainability and Transformation Partnerships (STPs).

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Reference

Implementation guide and resource pack for dementia care. [Online]: NHS England, July 2017.

This relates to:

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Reference

Implementation guide and resource pack for dementia care. London: NHS England, July 19th 2017.

This guide is supported by two previously published guides:

Good Care Planning

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Reference

NHS England Dementia. Good Care Planning: information for primary care providers and commissioners. London: NHS England, February 2017.

Getting the Dementia Pathway Right

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Reference

Getting the dementia pathway right: Tom and Barbara’s story: Dementia. London: NHS RightCare / NHS England, April 2017.

Posted in Commissioning, Community Care, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Guidelines, Integrated Care, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment