Tag Archives: Financial Difficulties

Progress Towards Achieving Better Value / Reducing Waste in the NHS (King’s Fund / NHS Providers)

Posted on October 6, 2018 by Dementia and Elderly Care News

Summary A King’s Fund report investigates recent work on the value agenda, i.e. efforts aimed at reducing unnecessary costs while maintaining or improving the quality of care. This is based mostly on experience at three diverse NHS acute hospital trusts: … Continue reading →

Posted in Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, King's Fund, NHS, Person-Centred Care, Quick Insights, UK, Universal Interest | Tagged Achieving Better Value, Acute Care, Acute Hospital Care, Ageing Population, Allocative Efficiencies, Allocative Value, Better Procurement, Better Value, Better Value Healthcare, Better Value in the NHS, Better-Value Services, Bolton NHS Foundation Trust, Bradford Teaching Hospitals NHS Foundation Trust, Centralised Procurement, Centralised Procurement (Economies of Scale), Choosing Wisely, Choosing Wisely Campaign, Choosing Wisely in the NHS, Choosing Wisely in the UK, Clinical and Corporate Leadership, Clinical Leadership, Clinical Practice Groups (CPGs), Clinical Quality Improvement, Collaboration, Collaboration for Coordinated Care, Collaboration: Working Across Boundaries, Community Virtual Wards, Consultant-Led Services in the Community, Cost Reductions, Culture and Leadership, Delegated Decision Making, Devolved Budgets, Devolved Decision-Making, Economic Sustainability, Efficiencies and Productivity Gains, Efficiency, Efficiency Agenda, Efficiency Opportunities, Efficiency Savings, Empowerment, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Funding Challenges, Funding Deficits, Funding Gap in Secondary Care, General Hospitals, Getting It Right First Time (GIRFT), Health and Social Care Configuration, Healthcare Quality Improvement, Healthcare Value Improvement, Hospital Productivity, Hospital Reconfiguration, IHI Triple Aim, Innovative Leadership, Leadership, Lean and Quality Improvement, Local Health and Care Services, Local Health Economies, Lord Carter Review, Low-Value Care, Maximising Health Outcomes, Minimising NHS Costs, Model Hospital, Model Hospital: Template for Standardisation, NHS Challenges and New Solutions, NHS Efficiency Savings, NHS England’s Ten-Point Efficiency Plan, NHS Funding Gap, NHS Improvement, NHS Inappropriate Care: Overuse Underuse and Misuse, NHS Performance, NHS Productivity, NHS Providers, NHS RightCare, NHS Sustainability, Personalised Value, Practical Approaches to Delivering Better Value in NHS Clinical Services (King’s Fund), Productivity, Productivity in the NHS, QI: Quality Improvement, Quality and Efficiency Opportunities, Quality Improvement, Quality Improvement Culture, Redesigning Care Pathways, Redesigning Services, Reducing Drains on the NHS, Reducing Overuse Underuse and Misuse, Reducing Waste in the NHS, Royal Free NHS Foundation Trust, Service Cost Reductions, Service Redesign, Service Redesign for Productivity, Service Redesign for Value Agenda, Shared Clinical Pathways, Staff Empowerment, Staff Empowerment in the NHS, Staff Engagement, Staff Engagement in the NHS, Strategic Leadership, Sustainability, System Efficiencies, Targeting Low-Value Care, Technical Value, Thinking Like a Patient and Acting Like a Taxpayer, Triple Aim Initiative, Triple Aim: (1) Improved Health and Wellbeing (2) Redesigned Care and (3) Wise Financial Stewardship, Troubled NHS Foundation Trusts, Unacceptable Variations, Unwarranted Variations, Use of Resources Assessments (NHS Improvement), Value Agenda, Value Improvement, Variations in Care, Virtual Ward Approaches, Virtual Wards, Virtual Wards to Reduce Readmissions, Workforce Engagement | Leave a comment

More on the Tipping-Point for Sustainability of Adult Social Care: a Solution Expected This Autumn? (BBC News / Lancet Public Health)

Posted on August 31, 2018 by Dementia and Elderly Care News

Summary Estimates of the rising demand for round-the-clock home care, from Newcastle University / the London School of Economics and Political Science and published in Lancet Public Health, suggest that the number of people aged 85 and over requiring 24-hour … Continue reading →

Posted in Universal Interest | Tagged Adult Social Care, Ageing Population, Ageing With Multimorbidity, BBC Health News, Burden of Dementia, Care Funding, Caroline Abrahams: Director of Age UK, CFAS II Study, Chronic and Severe Illness, Chronic Conditions, Cognitive Function and Ageing Studies (CFAS) Collaboration, Cognitive Function and Ageing Studies (CFAS) Project, Cognitive Function and Ageing Study II, Cognitive Functioning and Ageing Study (CFAS), Commissioning Home Care, Commissioning Home Care for Older People, Commissioning of Domiciliary Care, Commissioning of Homecare Services, Community Care, Comorbidity and Dementia, Coordinated Health and Social Care, Costs and Cost Pressures, Council Tax, Cross-Party and Public Consensus On Sustainable Funding, Delivering Home Care for Older People, Dementia and Homecare, Dementia and Multimorbidity, Dementia and the Management of Other Long-Term Conditions, Dementia Incidence, Domiciliary Care, English Local Authorities, English Longitudinal Study of Ageing, English Longitudinal Study of Ageing (ELSA), Epidemiology, Epidemiology and Statistics, Financial Constraints, Financial Context, Financial Difficulties, Financial Pressures, Financial Resilience, Forecasting The Care Needs Of Older Population In England, Funding of Adult Social Care, Future Financial Sustainability, Future of NHS and Social Care, Health and Social Care, Health and Social Care Configuration, Health and Social Care in the Community, Health and Social Care Integration, High Dependency, Home Care, Home Care Needs of Older Population in England, Home Care Packages (HCP), Home Care Services, Home Care Standards, Home Care Support, Home Care Workers, Independence at Home, Independent Living With Care, Integration of Health and Social Care for Older People, Late-Life Dependency, LGA: Local Government Association, Local Authorities, Local Government Association: LGA, Long Grass: No More Long Grass Remaining For Social Care Funding Gap, Long-Term Conditions (LTCs), Long-Term Funding of Adult Social Care, Medical Research Council's Cognitive Function and Ageing Studies (CFAS) Project, Modelling the Outcome and Cost Impacts of Interventions for Dementia Project (MODEM), MODEM (Modelling the Outcome and Cost Impacts of Interventions for Dementia) Project, MODEM Project, MRC Cognitive Function and Ageing Studies (CFAS), Mutual Care Between Older Spouses With Physical Disabilities, Newcastle University Institute for Ageing, Nick Forbes: Senior Vice-Chair of Local Government Association, Older Adults Higher Levels of Dependency Dementia and Comorbidity, Older Adults With Medium or High Dependency and Dementia, Population Ageing and Care Simulation (PACSim) Modelling Study, Prevalence of Dementia, Professor Louise Robinson: Director Newcastle University Institute for Ageing, Projections of Multi-Morbidity in Older Population in England to 2035, Social Care, Social Care Expenditure, Social Care Funding, Social Care Funding Shortfalls, Social Care Needs of Older Population in England, Social Epidemiology, Staying Independent, Sustainability, Sustainable Long-Term Funding of Adult Social Care, Tipping Point in Sustainability of Adult Social Care (Alleged), Trends in Disability and Life Expectancy in England and Wales, Unpaid Care, Upward Spending Pressures | Leave a comment

Proposals for a Social Care Premium: Grasping the Nettle or Another Modest Proposal? (BBC News / House of Commons)

Posted on June 29, 2018 by Dementia and Elderly Care News

Summary If social care is to become free at the point of delivery, with a definite cap on the burden to be carried by individual families, the Government’s Green Paper planned for Autumn 2018 has to solve a funding gap … Continue reading →

Examining Alternative Visions of Funding Social Care for Older People in England (King’s Fund / Health Foundation)

Posted on February 22, 2018 by Dementia and Elderly Care News

The Kings Fund and the Health Foundation have produced a report on “Approaches to social care funding”. It considers the various advantages and disadvantages of a variety of proposed approaches to funding social care for older people, which include (quotation): … Continue reading →

Posted in Charitable Bodies, Commissioning, Community Care, Department of Health and Social Care (DHSC), For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, In the News, Integrated Care, King's Fund, Management of Condition, Models of Dementia Care, National, NHS, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged 2017 General Election, Access to Health and Social Care Support, Adult Social Care Workforce, Care Costs: Cap and Means Test, Care Tax (So-Called Dementia Tax), Conservative Party’s 2017 Election Manifesto, Consultation on Adult Social Care Workforce (2018), Continuing Healthcare Framework (NHS CHC), Coordinated Health and Social Care, Dementia Tax, Department of Health and Social Care Green Paper on Care and Support for Older People, Economic Sustainability, English Local Authorities, Entitlements to Health and Social Care, Facing the Facts Shaping the Future: Adult Social Care Workforce Consultation, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Funding Social Care for Older People in England, Health and Social Care Integration, Hypothecated Tax for Health and Social Care, Hypothecated Tax for Social Care, Hypothecated Taxes, Hypothecation, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Intergenerational Cohesion, Intergenerational Fairness, Intergenerational Inequality, Intergenerational Relations, Local Authorities (LAs), Means Test, Skills for Care (SfC), Social Insurance, Sustainability, Sustainable Care, Sustainable Funding, Sustainable Health and Care Services, Sustainable Local Funding, Thinking Like a Patient and Acting Like a Taxpayer, Upward Spending Pressures | Leave a comment

More Spent on the NHS Than Previously Thought (BMJ / BBC News)

Posted on August 14, 2017 by Dementia and Elderly Care News

Summary Previous estimates concerning the proportion of UK GDP spent on the NHS were probably on the low side: Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access). Reference Appleby, J. … Continue reading →

Posted in BBC News, Charitable Bodies, Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Health Foundation, In the News, International, National, NHS, Nuffield Trust, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Accountability and Integration, Achieving Better Value, BBC Health News, BMJ Publishing Group Ltd, British Medical Journal (BMJ), Closing the Finance and Efficiency Gap, Closing the Funding and Efficiency Gap, Commissioning for Value, Duty of Best Value, Economic Sustainability, Efficiency and Effectiveness, Efficiency Savings, Evidence Versus Mythology, Finance, Financial Constraints, Financial Context, Financial Difficulties, Financial Issues, Financial Management, Financial Performance, Financial Planning, Financial Pressure in the NHS, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Financing of Health Care, Finland, France, Funding Challenges, Funding Deficits, Funding of Care and Support, Funding Reform, Germany, Health and Social Care, Health and Social Care: Delivering a Secure Funding Future, Health Care Spending as a Percentage of GDP, Health Spending in EU (15 Countries), Italy, Myth-Busting, Mythology of the Times, NHS Financial Leadership, NHS Funding, NHS Funding and Rationing, NHS Funding Gap, Office for National Statistics (ONS), Organisation for Economic Co-operation and Development (OECD), Organisation for Economic Cooperation and Development (OECD), Spain, Sustainability, Sweden, Thinking Like a Patient and Acting Like a Taxpayer, Upward Spending Pressures | Leave a comment

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

Posted on August 6, 2017 by Dementia and Elderly Care News

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 … Continue reading →

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 American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP), Anatomy of the Model Hospital, £22 Billion Efficiency Savings by 2020-21, BBC Health News, Bedford Musculoskeletal Disorders (MSK) Referral Management Centre, Bedford Referral Management Centre (RMC), Better Together Vanguard, Birmingham and Solihull United Maternity and Newborn Pathway (BUMP) Early Adopter, BMJ Publishing Group Ltd, British Journal of Surgery, British Medical Journal (BMJ), BUMP: Birmingham and Solihull United Maternity and Newborn Pathway, Chris Hopson: Chief Executive of NHS Providers, Closing the Finance and Efficiency Gap, Closing the Funding and Efficiency Gap, Consumer Experiences of Health and Social Care, Continuous Learning Culture, Cumbria CCG’s Pain Management Service, Delayed Transfers of Care (DTOC), Diabetes and Obesity, Durham and Darlington Children’s and Young Person’s Mental Health Services Crisis and Liaison team (CYPMHS), Duty of Best Value, East and North Hertfordshire CCG Vanguard, Economic Sustainability, Efficiency and Effectiveness, Efficiency Frontiers, Efficiency Opportunities, Efficiency Savings, End-User Experience, Enhanced Health in Care Homes, Estates and Technology Transformation Fund, Exemplar Clinical Pathways, Failing Services (NHS and Social Care), Financial Constraints, Financial Context, Financial Difficulties, Financial Issues, Financial Management, Financial Performance, Financial Planning, Financial Pressure in the NHS, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Financial Sustainability of NHS Bodies, Financing of Health Care, Future Financial Sustainability, Future of NHS and Social Care, Fylde Coast Local Health Economy, General Surgery: GIRFT Programme National Specialty Report (August 2017), Geographical Variations, Getting it Right First Time, Getting It Right First Time (GIRFT), GIRFT and Other Improvement Initiatives, GIRFT Programme, GIRFT Programme National Specialty Report (August 2017), Global Health and Development Group: Imperial College London, Governance-Related Waste: Abuse, Governance-Related Waste: Administration Costs, Governance-Related Waste: Corruption, Governance-Related Waste: Fraud, Governance-Related Waste: Integrity Violations, Governance-Related Waste: Managerial Self-Interest, Governance-Related Waste: Managerial Spin and Self-Deception, Governance-Related Waste: Self-Regulation vs. Integrity Violations, Health and Social Care, Health and Social Care Costs, Health and Social Care Integration, Health and Social Care Services, Healthcare Quality Improvement Partnership (HQIP), Healthy New Towns, Imperial College London, Improvement Initiatives, Inappropriate Use of Antimicrobials, Institute of Global Health Innovation: Imperial College London, Integrated Personal Commissioning (IPC), Integrated Personal Commissioning (IPC) Programme, John Abercrombie: GIRFT Clinical Lead for General Surgery, Learning Culture, Learning from Data, Learning From Peers, Length of Stay (LoS), Local Health Services: Variations, Local Variations, Low-Value General Surgical Procedures, Mental Health and Dementia, Model Hospital: Template for Standardisation, National Innovation Accelerator, NHS and Social Care Spending, NHS Efficiency Challenge, NHS Efficiency Savings, NHS England (Formerly the NHS Commissioning Board), NHS England Annual Report and Accounts (2016/17), NHS Funding, NHS Funding Gap, NHS Improvement, NHS North Kirklees CCG, NHS Providers, NHS Stockport CCG, NHS Sustainability, NHS Waltham Forest CCG, NHSI: NHS Improvement, North East London Choice and Personalisation Pioneer, Operational Productivity and Performance (Carter Report), Operational Waste: Hospital Care, Operational Waste: Pharmaceuticals, Organisation for Economic Cooperation and Development (OECD), Overdiagnosis and Overtreatment, Overtreatment (Speculative Concept), Patient Experiences, Patients Waiting More Than Four Hours For Hospital Beds (Trolley Waits), Paul Baumann: Chief Financial Officer at NHS England, Personalised Medicine, Potential NHS Provider Productivity improvements, PPIB: Purchasing Price Index Benchmark and Benchmark Tool, PricewaterhouseCoopers LLP, Productivity, Professor Sir Malcolm Grant, Professor Tim Briggs: GIRFT Programme Chair, Professor Tim Briggs: National Director for Clinical Quality and Efficiency at NHS Improvement, Public Opinion, pwc, Quality and Sustainability, Reducing Delayed Transfers of Care, Reducing Waste in the NHS, Renal e-clinics in Tower Hamlets, Right First Time, Road to Recovery: Delivering Financial Sustainability in NHS (PwC), Royal College of Surgeons (RCS), Royal College of Surgeons of England (RCSENG), Royal National Orthopaedic Hospital, Royal National Orthopaedic Hospital NHS Trust, Science and Innovation, Simon Stevens: Chief Executive of NHS England, Sir Malcolm Grant: Chair of NHS England, Sustainability, Sustainable Care, Sustainable Funding, Sustainable Health and Care Services, Tackling Barriers to Innovation, Tackling Variation, Thinking Like a Patient and Acting Like a Taxpayer, Tower Hamlets Together, Transformational Commissioning, Transformational Technologies, Transparency, Unacceptable Variations, Unwarranted Variations, Upward Spending Pressures, Urgent Response Assess at Home Pathway, Variation in General Surgery, Variations in Care, Variations in Procurement, Variations in Quality of Care, Variations in Spending, Wasted Resources, Wasteful Clinical Care, Winter Pressures Beyond Winter (Winter Re-Defined?), World Health Organisation (WHO) | Leave a comment

Getting the Dementia Care Pathway Right (NHS RightCare / NHS England)

Posted on June 21, 2017 by Dementia and Elderly Care News

Summary NHS RightCare has produced a scenario which throws into contrast an optimal dementia care pathway as distinct from the possibly more common “sub-optimal” pathway alternative(s). Costings for an ideal pathway are presented, compared with those for an example sub-optimal … Continue reading →

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