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Recent Posts
- Dementia-Friendly Communities Provision, Viewed as a Social Determinant of Health (JGCR / NHS England / WHO)
- International Perspectives on the Possible Impact of the COVID-19 Pandemic and Lockdown on Abuse of the Elderly (JGCR / American Journal of Geriatric Psychiatry / JAGS)
- Updates Relating to the Lancet Commission on Dementia Prevention, Intervention, and Care (Lancet / Alzheimer’s Research and Therapy / Alzheimer’s and Dementia)
- A Brief Review of How the COVID-19 Pandemic Relates to Elderly Care and Research (JGCR)
- Some Speculated / Potential Benefits of COVID-19 (JGCR / BBC Radio 4’s Rethink / BGS)
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Tag Archives: Financial Performance
Progress Towards Achieving Better Value / Reducing Waste in the NHS (King’s Fund / NHS Providers)
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, NHS Improvement, 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 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
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Examining Alternative Visions of Funding Social Care for Older People in England (King’s Fund / Health Foundation)
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
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More Spent on the NHS Than Previously Thought (BMJ / BBC 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
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Sustainability and Transformation Plans: Reviewing Details (BBC News / King’s Fund / Red Cross)
Summary A recent King’s Fund report explores the content of the Sustainability and Transformation Plans (STPs) for reform of health and care services in England. According to BBC News 28 of these 44 proposals involve closures or downgrading of hospital … Continue reading
Posted in BBC News, Commissioning, In the News, Integrated Care, King's Fund, Local Interest, Mental Health, National, NHS, NHS England, Non-Pharmacological Treatments, UK
Tagged 5YFV: NHS Five Year Forward View, Abolition of the Purchaser/Provider Split, Accountability and Transparency, Accountable Care Organisations (ACOs), Achieving Better Value, Acute Care, Acute Hospital Care, Acute Stroke Care, Ageing Population, Ageing Society, Bath Swindon and Wiltshire STP Footprint, BBC Health News, Better Value in the NHS, Birmingham and Solihull STP Footprint, Bristol North Somerset and South Gloucestershire STP Footprint, British Red Cross, Buckinghamshire Oxfordshire and Berkshire West STP Footprint, Cambridgeshire and Peterborough STP Footprint, Casualty Ward Closures Overnight, Challenges of Reconfiguration, Cheshire and Merseyside STP Footprint, Coast Humber and Vale STP Footprint, Collaboration, Collaborative Commissioning, Collaborative Working, Cornwall and the Isles of Scilly STP Footprint, Coventry and Warwickshire STP Footprint, Derbyshire STP Footprint, Devon STP Footprint, Dorset STP Footprint, Durham Darlington Tees Hambleton Richmondshire and Whitby STP Footprint, Economic Sustainability, Efficiency Opportunities, Efficiency Savings, Emergency Care Improvement Programme (ECIP), Estimates of Social Care Funding Gap (Health Foundation), Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Financial Planning, Financial Position of NHS Trusts, Financial Pressure in the NHS, Financial Pressure on Hospitals, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Five Year Forward View (NHS England), Frail Older People, Frail Older People With Complex Needs, Frimley Health STP Footprint, Funding Challenges, Funding Deficits, Funding Gap in Secondary Care, General Hospitals, Gloucestershire STP Footprint, Greater Manchester STP Footprint, Hampshire and the Isle of Wight STP Footprint, Health and Social Care Configuration, Herefordshire and Worcestershire STP Footprint, Hertfordshire and West Essex STP Footprint, House of Commons Library, House of Commons Library Briefing Paper CBP-8093, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integration of Health and Social Care, Kent and Medway STP Footprint, Lancashire and South Cumbria STP Footprint, Leicester Leicestershire and Rutland STP Footprint, Lincolnshire STP Footprint, Local Health and Care Services, Local Health Economies, Mid and South Essex STP Footprint, Milton Keynes Bedfordshire and Luton STP Footprint, NHS Challenges and New Solutions, NHS Efficiency Savings, NHS England’s Five Year Forward View, NHS Five Year Forward View (5YFV), NHS Funding, NHS Health Check, NHS Health Check Series: BBC News (2017), NHS Spending, NHS Sustainability, Norfolk and Waveney STP Footprint, North Central London STP Footprint, North East London STP Footprint, North West London STP Footprint, Northamptonshire STP Footprint, Northumberland Tyne and Wear STP Footprint, Nottinghamshire STP Footprint, Overnight A&E / Casualty Ward Closures, Policy Context, Population Health, Population Health Systems, Population Healthcare, Prevention, Prevention Agenda, Prevention in Action (Red Cross), Provider Collaboration, Purchaser/Provider Split, Red Cross, Redesigning Local Healthcare Systems, Shropshire and Telford and Wrekin STP Footprint, Simon Stevens: Chief Executive of NHS England (2014-), Social Care Funding Gap, Somerset STP Footprint, South East London STP Footprint, South West London STP Footprint, South Yorkshire and Bassetlaw STP Footprint, Staffordshire STP Footprint, STP Footprints, Stroke Care, Suffolk and North East Essex STP Footprint, Surrey Heartlands STP Footprint, Sussex and East Surrey STP Footprint, Sustainability, Sustainability and Transformation Plans (STPs), Sustainability and Transformation Plans: Content and Implementation, Sustainability and Transformation Plans: Questions Over Opaque Development Practices, System Leadership, The Black Country STP Footprint, Thinking Like a Patient and Acting Like a Taxpayer, Transformation Footprints, Triple Definition of Prevention, Unmet Needs, Voluntary and Community Sector, Voluntary and Community Sector Organisations, West North and East Cumbria STP Footprint, West Yorkshire STP Footprint, Weston Area Health NHS Trust, Weston General Hospital
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Care Funding Omitted From Autumn Statement (BBC News / NAO)
Summary The chancellor has offered no additional resources for the NHS or for social care in the Autumn Statement, much to the surprise of many commentators. Existing departmental spending plans announced last year hold firm, meaning now has to be … Continue reading
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, National, National Audit Office, NHS, NHS England, Quick Insights, Standards, UK, Universal Interest
Tagged Ageing Population, Andrew Lansley (Former Health Secretary), Association of Directors of Adult Social Services (ADASS), Autumn Statement (2016), Chancellor’s Autumn Statement (2016), Delayed Transfers of Care, Ed Humpherson: UK Statistics Authority, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Financial Pressure in the NHS, Financial Pressure on Hospitals, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Financial Sustainability of NHS Bodies, Former Prime Minster: Rt Hon Theresa May MP, Funding Challenges, Funding Deficits, Interdependencies, Jeremy Corbyn (Labour Party Leader), Lady Ros Altmann, LGA: Local Government Association, Local Government Association, Lord Lansley, Making Our Care and Health Systems Fit for An Ageing Population, National Audit Office (NAO), NHS Expenditure, NHS Financial Leadership, NHS Funding, NHS Funding and Rationing, NHS Funding Gap, NHS Overspends, NHS Performance, NHS Performance Indicators, NHS Sustainability, Open Letter From Sarah Wollaston of Commons Health Select Committee to Rt Hon Philip Hammond MP (October 2016), Professor Jane Dacre: President of Royal College of Physicians, Rt. Hon. John McDonnell: Shadow Chancellor, Siva Anandaciva: Head of Analysis at NHS Providers, Submissions Ahead of Chancellor Philip Hammond's Autumn Statement (2016) - Ignored, Sustainability, Sustainable Care, Sustainable Funding, Sustainable Health and Care Services, Sustainable Local Funding, Sustainable Social Care Programme, Thinking Like a Patient and Acting Like a Taxpayer, Upward Spending Pressures
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An Emerging Consensus on the State of NHS and Social Care Funding? (BBC News / Health Foundation / King’s Fund)
The Health Select Committee, chaired by Dr Sarah Wollaston, have addressed the much-debated question about whether the NHS has enough funding for sustainability. The main concern is about cuts to local authority budgets for social care (and public health). The … Continue reading
Posted in Acute Hospitals, Age UK, Alzheimer's Society, BBC News, Charitable Bodies, Commissioning, Community Care, Department of Health, 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, National, NHS, NHS England, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged Ageing Population, Alan Johnson MP, Alastair Campbell, Andrew Mitchell MP, Anita Charlesworth: Director of Research and Economics at the Health Foundation, Anita Charlesworth: Health Foundation, BBC Health News, Commons Health Select Committee, Elderly Failed By Shameful Care System (Allegation From Age UK and Alzheimer’s Society), Equality 4 Mental Health, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Financial Pressure in the NHS, Financial Pressure on Hospitals, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Funding Challenges, Funding Deficits, Health Select Committee (HSC), House of Commons Health Select Committee, Liberal Democrat MP Norman Lamb: Former Health Minister (Coalition Government), Litigation Risks For Councils: Failure to Meet Statutory Duties Under Care Act, Mental Health Funding, Mental Health Services, NHS Expenditure, NHS Financial Leadership, NHS Funding, NHS Funding and Rationing, NHS Funding Gap, NHS Mental Health Services, NHS Overspends, NHS Performance, Open Letter From Sarah Wollaston of Commons Health Select Committee to Rt Hon Philip Hammond MP (October 2016), Rationing, Rationing Care, Rationing: Limiting the NHS, Richard Murray: Director of Policy at the King’s Fund, Rt Hon John Reid MP, Rt Hon. Alan Milburn, Rt Hon. Frank Dobson MP, Rt Hon. Kenneth Clarke QC MP, Rt Hon. Patricia Hewitt, Rt Hon. Stephen Dorrell: Former Secretary of State for Health (1995-1997), Sarah Wollaston: Chair of the House of Commons Health Select Committee, Submissions Ahead of Chancellor Philip Hammond's Autumn Statement (2016), Thinking Like a Patient and Acting Like a Taxpayer, Upward Spending Pressures
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