Tag Archives: Financial Performance

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

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

NHS England’s Five Year Forward View: Next Steps On (NHS England)

Posted on April 1, 2017 by Dementia and Elderly Care News

Summary The latest official review of progress against the NHS Five Year Forward View, marking two and a half years since it was launched in October 2014, presents practical and realistic strategic steps intended to allow the NHS deliver better … Continue reading →

NHS Performance Targets: Something Had to Give? (BBC News / NHS England)

Posted on March 31, 2017 by Dementia and Elderly Care News

Summary NHS patients in England will experience longer waits for routine elective hospital operations, such as knee and hip replacements, as compliance with the 18-week performance target is “relaxed”, pragmatically, as a trade-off for achieving improved services in cancer care, … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Mental Health, National, NHS, NHS England, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged 62 Day Cancer Waiting Standard, 62 Day Cancer Waiting Standard: Breaches, Ageing Population, BBC Health News, Cancer Survival, Cancer Survival Rates in England, Cancer Waiting Times, Closing the Cancer Survival Gap, Closing the Finance and Efficiency Gap, Closing the Funding and Efficiency Gap, Duty of Best Value, Economic Sustainability, Efficiency Savings, Elective Waiting Times, Failure to Meet Patients’ Needs, 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, Five Year Forward View (FYFV) for Mental Health, Five Year Forward View (NHS England), Hospital Waiting Times, Long Waiting Times, Next steps on the NHS Five Year Forward View (2017), NHS England’s Five Year Forward View, NHS Five Year Forward View (5YFV), NHS Five Year Forward View: Two and a Half Years On, Patient Safety, Performance Targets, Planned Failure, Pragmatic Strategy (NHS England), Rationing, Rationing Care, Rationing: Limiting the NHS, Simon Stevens: Chief Executive of NHS England, Sustainability, Thinking Like a Patient and Acting Like a Taxpayer, UK Statistics Authority (UKSA), Upward Spending Pressures, Waiting Time Standards, Waiting Time Target Breaches | Leave a comment

More on NHS Funding and Expenditure: Questions of Balance Regarding Income Versus Outgoings (BBC News / King’s Fund / Health Foundation / BMJ)

Posted on March 28, 2017 by Dementia and Elderly Care News

Summary NHS England hopes to save between £100 – £400 million of spending annually, by no longer funding / prescribing products and services identified by NHS Clinical Commissioners as having little or no clinical value. Full Text Link Reference Triggle, … Continue reading →

Posted in BBC News, Charitable Bodies, Commissioning, Department of Health, Health Foundation, In the News, Integrated Care, King's Fund, National, NHS, NHS England, Nuffield Trust, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Accountability and Integration, Achieving Better Value, Acute Care, Acute Hospital Care, Ageing Population, Anita Charlesworth: Director of Research and Economics at the Health Foundation, Anita Charlesworth: Health Foundation, Barriers and Enablers to Value in Healthcare, BBC Health News, British Medical Journal (BMJ), Closing the Finance and Efficiency Gap, Closing the Funding and Efficiency Gap, Commissioning for Value, Consultant Delivered Care, Consultant Input, Consultant Productivity, Consultant Productivity n Acute NHS Hospitals, Dr Clare Gerada, Dr Peter Carter OBE, Duty of Best Value, Economic Sustainability, Efficiency Savings, 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, Forty Treatments With Little or No Benefit For Patients (Academy of Medical Royal Colleges), Funding Challenges, Funding Deficits, Funding of Care and Support, Funding Reform, Future Funding Models, Health and Social Care, Health and Social Care: Delivering a Secure Funding Future, Health and Social Care: Delivering a Secure Funding Future Panel: Clare Gerada, Health and Social Care: Delivering a Secure Funding Future Panel: Katherine Murphy, Health and Social Care: Delivering a Secure Funding Future Panel: Peter Carter, Health and Social Care: Delivering a Secure Funding Future Panel: Sir David Nicholson, Health: Financing, Hypothecated Tax for Health and Social Care, Hypothecated Taxes, Hypothecation, Independent Providers, Independent Sector, Integration of Health and Social Care, International Comparisons, Katherine Murphy: Chief Executive of the Patients Association, Low Value Prescription Items, Low-Value Care, Mythology of the Times, NHS Clinical Commissioners (NHSCC), NHS Expenditure, NHS Finances and Consultant Productivity, NHS Financial Leadership, NHS Funding, NHS Funding and Rationing, NHS Funding Gap, NHS Myths (King’s Fund Debunker): The NHS Always Needs More Money, NHS Myths (King’s Fund Debunker): The NHS Been Given the Extra Funding it Demanded of Politicians, NHS Myths (King’s Fund Debunker): The NHS is Inefficient, NHS Myths (King’s Fund Debunker): The NHS is Too Bureaucratic, NHS Myths (King’s Fund Debunker): The NHS is Too Slow to Change, NHS Sustainability, Office for Budgetary Responsibility (OBR), Office for National Statistics (ONS), Organisation for Economic Cooperation and Development (OECD), Patients Association, Patients' Association / Liberal Democrats Panel on Health and Social Care: Delivering a Secure Funding Future, Private Health Insurance (PHI), Rationing, Rationing Care, Rationing: Limiting the NHS, Sir David Nicholson, Sir Derek Wanless: Wanless Challenge, Social Health Insurance (SHI), Sustainability, Thinking Like a Patient and Acting Like a Taxpayer, Upward Spending Pressures, User Charges, Wanless Challenge (2002), Whole-System Approaches | Leave a comment

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