Tag Archives: Financial Resilience

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 →

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 →

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, NHS Improvement, 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 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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 Care Waits, 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, NHS Tracker Service (BBC), 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

Sustainability and Transformation Plans: Reviewing Details (BBC News / King’s Fund / Red Cross)

Posted on February 22, 2017 by Dementia and Elderly Care News

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 | Leave a comment

Uncertain Reactions Concerning Changes to the Social Care Precept (BBC News)

Posted on December 18, 2016 by Dementia and Elderly Care News

Summary While social care budgets are widely claimed to be on a tipping-point of unsustainability, reactions to this week’s announcements have been ambivalent at best. Many commentators talk disparagingly of recent proposals for increases to the social care precept as … Continue reading →

Care Funding Omitted From Autumn Statement (BBC News / NAO)

Posted on November 24, 2016 by Dementia and Elderly Care News

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 | Leave a comment

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