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Tag Archives: Inspection of GP Out-of-Hours Services
Recent Report on the State of Care (CQC / DHSC / BBC News / NHS England / SCIE)
Summary The Care Quality Commission (CQC) recently released their annual State of Care report, which examines the performance and effectiveness of health and social care in England, on every front. It appears that patients’ experiences of care tend to depend on how well the components … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, 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), In the News, Integrated Care, Management of Condition, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, SCIE, Standards, Statistics, UK, Universal Interest
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Tagged Acute Hospital Care, Acute Hospitals, Adult Safeguarding, Adult Social Care, Adult Social Care Provision (CQC), Adult Social Care Services, Adult Social Care Staff Vacancy Rates, Adult Social Care Workforce, Air Ambulances, Allied Healthcare, Ambulance Services, Asset-Based Approaches, Asset-Based Approaches to Health and Wellbeing, Autumn Budget (2018), Barriers to Joined-Up Care, BBC Health News, BBC Politics News, BBC Reality Check Team, Bed Occupancy, Beyond Alternative Approaches to Performance Management, Beyond Barriers Report: Alternative Approaches to Performance Management, Beyond Barriers Report: Local System Reviews, Beyond Barriers: Birmingham, Beyond Barriers: Bracknell Forest, Beyond Barriers: Bradford, Beyond Barriers: Coventry, Beyond Barriers: CQC Report (2018), Beyond Barriers: Cumbria, Beyond Barriers: East Sussex, Beyond Barriers: Halton and. Hampshire, Beyond Barriers: Hartlepool, Beyond Barriers: Liverpool, Beyond Barriers: Manchester, Beyond Barriers: Northamptonshire, Beyond Barriers: Oxfordshire, Beyond Barriers: Plymouth, Beyond Barriers: Sheffield, Beyond Barriers: Stockport, Beyond Barriers: Stoke-on-Trent, Beyond Barriers: Trafford, Beyond Barriers: Wiltshire, Beyond Barriers: York, Budget 2018: Key Points At-a-Glance, Care Quality Commission (CQC), Caring (CQC Inspection Question), Case Tracking, Chancellor Philip Hammond, Collaborative Working, Community Assets, Community Health Services, Comprehensive Model of Personalised Care, CQC Challenge to Health and Adult Social Care System, CQC Inspection Questions (Safe Effective Caring Responsive Well-Led), CQC Inspections of GP Surgeries, CQC Review of NHS Radiology Services (Planned), Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Dementia Care in the Acute Hospital, Deprivation of Liberty Safeguards (DoLS), Digital Interoperability, East London NHS Foundation Trust, Effective (CQC Inspection Question), End to Silo Working, Everett McKinley Dirksen (Quotation: Apocryphal?), Extended Access to Primary Care, Future of Care Report: Number 8 (SCIE), General Practice Workforce, Geographical Variations, GP Cooperatives and Out-of-Hours Services, GP Out-of-Hours Services, GP Practices, High Impact Change Model, High Impact Change Model (HICM), Hospital Bed Capacity, Hospital Beds, Improved Better Care Fund (iBCF), Improvements Following Re-inspection, Improving Patient Safety, Incentivising Better Joint Working, Independent Ambulance Services, Inspection of GP Out-of-Hours Services, Inspection of GP Practices, Institutional Silos, Joined-Up Care, Joint Commissioning, Joint Workforce Planning, Leadership, Local Community Assets, Local System Reviews, Local Systems Reviews Report (CQC), Local Variations, Mental Health Crisis Care, Mental Health Crisis Centres in Every Accident and Emergency Unit, Mental Health Crisis Hotline, Mental Health Services, Multi-Disciplinary Working, New Settlement for Health and Social Care, NHS Budget, NHS Community Health Services, NHS Hospital Bed Numbers, NHS Mental Health Services, NHS Sustainability, Number of Nursing Home Beds, Nursing Home Beds, Older People: Moving Between Health and Social Care Services, Paradigm Shift: From Service Silos to Systems Outcomes, Patient Safety, Prevention Green Paper, Primary Medical Services, Quality and Sustainability, Quality Improvement, Reablement, Recruitment and Retention, Responsive (CQC Inspection Question), Responsiveness, Risk Sharing: Sharing Risks and Rewards Between Health and Social Care Organisations, Safe (CQC Inspection Question), Safeguarding, Safeguarding Adults at Risk, Safeguarding Vulnerable Adults, Silo Working, Single Point of Access (SPA), Social Care Green Paper, Social Care Institute for Excellence (SCIE), Social Care Workforce, Staff Shortages, Staffing, State of Care 2017/18 (CQC), State of Care 2017/18 Report, State of Care 2017/8. Care Quality Commission (CQC): 2018, State of Care Report, State of Health Care and Adult Social Care in England 2017/18, Step Down, Sustainability, Training and Competency, Transforming Care and Support: Future of Care Report (SCIE), UK Homecare Association (UKHCA), UKHCA: UK Homecare Association, Unacceptable Variations, Urgent and Emergency Care (UEC), Variations in Quality of Care, Well-Led (CQC Inspection Question), Well-Led Indicators (CQC), Workforce Challenges, Workforce Issues
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The Latest CQC State of Care Report (BBC News / CQC / File on Four)
Summary The Care Quality Commission (CQC) annual State of Care report assesses the overall status of health and social care in England. The head of the CQC has alleged that parts of the NHS and social care may soon be … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, CQC: Care Quality Commission, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Local Interest, Management of Condition, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Acute Hospital Care, Acute Hospitals, Adult Safeguarding, Adult Social Care, Adult Social Care Provision (CQC), Adult Social Care Services, Adult Social Care Staff Vacancy Rates, Ambulance Services, Barriers to Joined-Up Care, BBC Health News, BBC News Hampshire and Isle of Wight, BBC Radio Four’s “File on Four” Programme, Bed Occupancy, Care Quality Commission (CQC), Caring (CQC Inspection Question), Collaborative Working, Community Health Services, CQC Challenge to Health and Adult Social Care System, CQC Inspection Questions (Safe Effective Caring Responsive Well-Led), CQC Inspections of GP Surgeries, CQC Review of NHS Radiology Services (Planned), Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Dementia Care in the Acute Hospital, Deprivation of Liberty Safeguards (DoLS), East London NHS Foundation Trust, Effective (CQC Inspection Question), Embedding Equality, File on Four (BBC Radio 4), Geographical Variations, GP Cooperatives and Out-of-Hours Services, GP Out-of-Hours Services, GP Practices, Hospital Bed Capacity, Hospital Beds, Improvements Following Re-inspection, Improving Patient Safety, Independent Ambulance Services, Inspection of GP Out-of-Hours Services, Inspection of GP Practices, Joined-Up Care, Leadership, Local Variations, London Ambulance Service NHS Trust, Lung Cancer: False Negatives, Medicines Optimisation, Mental Health Care, Misdiagnosis of Chest X-Rays, Missed Lung Cancer, Multi-Disciplinary Working, NHS Community Health Services, NHS Future Precarious (CQC Allegation), NHS Hospital Bed Numbers, NHS Mental Health Services, NHS Radiology Services, NHS Sustainability, Northamptonshire Healthcare NHS Foundation Trust, Number of Nursing Home Beds, Nursing Home Beds, Patient Safety, Portsmouth Hospitals NHS Trust, Primary Medical Services, Quality and Sustainability, Quality Improvement, Queen Alexandra Hospital, Queen Alexandra Hospital (Portsmouth), Responsive (CQC Inspection Question), Responsiveness, Safe (CQC Inspection Question), Safeguarding, Safeguarding Adults at Risk, Safeguarding Vulnerable Adults, Staff Shortages, Staffing, State of Care 2016/17 (CQC), State of Care 2016/17 Report, State of Care Report, Sustainability, Tipping Point in Sustainability of Adult Social Care (Alleged), Training and Competency, Unacceptable Variations, Variations in Quality of Care, Well-Led (CQC Inspection Question), Well-Led Indicators (CQC)
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An Exploration of the Many Aspects of Safeguarding (CQC / RCN / BMA / LGA / ADASS / NHS Confederation / NIHR SDO)
Summary As the title suggests, this contribution is an exploratory “work in progress” towards better understanding of the issues, rather than a definitive review. Updates will be added here, or referenced and linked to elsewhere, as they appear in future. … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS Confederation, NHS England, Non-Pharmacological Treatments, Northern Ireland, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, RCN, SCIE, Scotland, Standards, UK, Universal Interest, Wales
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Tagged 24/7 Advice From Mental Health Professionals, Abuse, Abuse of Vulnerable Adults, Access to Mental Health Services, ACPO: Association of Chief Police Officers, Acts of Omission, Acute Hospitals, Adult Prisons and Young Offender Institutions, Adult Safeguarding Improvement Tool, Adult Social Care, Adults at Risk of Harm, Adults Lacking Capacity, Ann Norman: RCN Professional Lead for Criminal Justice and Learning Disabilities, Assessing Mental Capacity, Assessing Risk of Harm (Not Just Past Harm), Association of Chief Police Officers, Association of Directors of Adult Social Services (ADASS), Association of Police and Crime Commissioners, BAME Challenges, BAME Experiences, Best Interests, Birmingham Children’s Hospital, Birmingham Children’s Hospital (BCH), Birmingham Children’s Hospital NHS Foundation Trust, Black and Minority Ethnic (BME), Black Asian and Minority Ethnic (BAME), Black Mental Health UK, Blaming, BMA: British Medical Association, BME Communities, British Medical Association (BMA), Care Act 2014, Care of Vulnerable Adults, Care Quality Commission (CQC), Care Quality Commission’s Inspection Framework, Care Quality Commission’s Inspection Regime, Care Quality Commission’s Key Lines of Enquiry (KLOEs), Child Protection, Children Looked After and Safeguarding Inspections (CLAS), Children’s Services Team (CQC), Clinical Pragmatism and Proportionality, Coercion, Community Health Services, Complaints and Raising Concerns, Complex Best Interests Decision Making, Controlling, Counter Terrorism and Security Act 2015, CQC Requirements Notices, CQC Warning Notices, CQC Working With Other Inspectorates, CQC’s Intelligent Monitoring, Crisis Care Concordat, Crisis Intervention and Prevention, Crisis Planning, Crisis Response, Crisis Support, Cyber Bullying, Data Protection Act, Dawne Garrett: Older People and Dementia Care at Royal College of Nursing, Deprivation of Contact, Deprivation of Liberty Safeguards, Deprivation of Liberty Safeguards (DoLS), Disclosure and Barring Scheme, Discriminatory Abuse, Domestic Servitude, Electronic Cause for Concern Referral Form, Electronic Reporting (Situation Background Assessment and Recommendation), Emergency Services, Emergency Support, Emotional Abuse, Empowerment, Enforcement and Intelligent Monitoring (CQC), Equalities Protected Characteristics (Age Disability Gender Reassignment Marriage and Civil Partnership Pregnancy and Maternity Race Religion and Belief Sex Sexual Orientation), Equality Act 2010, Equality and Human Rights, Factors Contributing to Vulnerability, Financial Abuse, Financial or Material Abuse, Fiona Smith: RCN Professional Lead for Children and Young People, Forced Labour, Fundamental Standard(s) on Safeguarding, Fundamental Standards of Safety and Quality (2015), GP Out-of-Hours Services, GPs and Safeguarding, Harassment, Health and Justice Team (CQC), Health and Social Care Act 2008 (Relating to CQC), Health Services and Delivery Research, Human Rights, Human Rights and Nursing, Human Rights Approach to Regulation (CQC), Human Rights Culture, Human Rights in Care Homes, Human Trafficking, Humiliation, Ian Hulatt: RCN Professional Lead for Mental Health, Immigration Removal Centres (IRCs), Inadequate Responses to Complex Needs, Inadequate Staffing, Inappropriate Medication, Independent Healthcare, Independent Mental Capacity Advocates (IMCAs), Information and Intelligence Sources on Safeguarding, Information Shared Between CQC and PPGs, Information Sharing, Information Sharing by Mental Health Services, Inspection of GP Out-of-Hours Services, Insufficient Knowledge Base Within Services, Intelligent Monitoring, Intimidation, Isolation, KLOEs: Key Lines of Enquiry, Knowledge Sharing in Safeguarding, Liaison Psychiatry Services, Local Authorities, Local Crisis Care Concordat Groups, Local Government Association: LGA, Local Partnerships, Local Safeguarding Adults Boards, Local Safeguarding Adults Boards (LSABs), Local Safeguarding Children Boards (LSCBs), Local Safeguarding Children’s Boards (LSCBs), Long Term Abuse (Patterns of Abuse and Harm), Mental Capacity Act (MCA), Mental Capacity Act 2005, Mental Capacity and Best Interests, Mental Health and the Criminal Justice System, Mental Health Awareness, Mental Health Care and Treatment, Mental Health Crisis, Mental Health Crisis Care Concordat, Modern Slavery, Multi-Agency Child Protection Inspections, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Risk Assessment Conferences (MARACs), Multi-Agency Safeguarding, Multi-Agency Working, National Institute for Health Research (NIHR), National Institute for Health Research (NIHR) Service Delivery and Organisation (SDO), Neglect, Neglect (Patterns of Abuse and Harm), Neglectful Care, NHS Clinical Commissioners, NHS Confederation, NHS GP and Out-of-Hours Services, NHS Patient Safety Paradigm, NHSCC: NHS Clinical Commissioners, NIHR Health Services and Delivery Research Programme, North Manchester General Hospital, Nottingham University Business School: University of Nottingham, Opportunistic Abuse (Patterns of Abuse and Harm), Organisational Abuse, Other Inspectorates: CQC Work With HMI Constabulary, Other Inspectorates: CQC Work With HMI Prisons, Other Inspectorates: CQC Work With HMI Probation, Other Inspectorates: CQC Work With Ofsted, Over-Medication, Patterns of Abuse and Harm, Pennine Acute Hospitals Trust, Pennine Package, Police Custody, Poor Care Standards, Poor Professional Practice, Precautionary Principle, Prevent Strategy (2011), Preventing Radicalisation, Protected Characteristics (Age Disability Gender Reassignment Marriage and Civil Partnership Pregnancy and Maternity Race Religion and Belief Sex Sexual Orientation), Protecting Adults from Abuse or Neglect, Psychological Abuse, Raising Concerns, RCN Older People’s Forum, Reducing the Use of Police Cells, Responding to People With Mental Ill Health, Restraint, Restraint in Health and Adult Social Care, Rigid Routines, Royal College of Nursing (RCN), SAB: Safeguarding Adults Boards, Safeguarding Adult Review, Safeguarding Adults, Safeguarding Adults and Children, Safeguarding Adults at Risk, Safeguarding Adults Boards, Safeguarding Adults Boards (SABs), safeguarding Adults Reviews, Safeguarding Adults Reviews (SARs), Safeguarding Between Hospital Services and Children’s Social Care, Safeguarding Children and Young People, Safeguarding Committee (CQC), Safeguarding of Vulnerable Adults (SOVA), Safeguarding Vulnerable Adults, SBAR (Situation Background Assessment Recommendation), School of Medicine Pharmacy and Health: University of Durham, School of Social Policy: University of Birmingham, Seclusion (Supervised Confinement), Secure Training Centres (STCs), Self-Neglect, Sense-Making in Safeguarding, Serial Abuse (Patterns of Abuse and Harm), Serious Case Review, Serious Case Reviews, Serious Case Reviews (SCRs), Sexual Abuse, Situation Background Assessment and Recommendation, Situational Abuse (Patterns of Abuse and Harm), Special Reviews of Child Safeguarding, Specialist Mental Health Services, Supporting Vulnerable People, Systems and Processes, Threats of Harm or Abandonment, University of Birmingham, University of Durham, University of Nottingham, Unreasonable / Unjustified Withdrawal of Services, Unreasonable / Unjustified Withdrawal of Supportive Networks, Urgent and Emergency Services, Use of Police Custody as a Place of Safety for People with Mental Health Needs, Verbal Abuse, Vulnerable Adults, Whistleblowing, Whistleblowing Guidelines, Withholding of Necessities of Life (Medication Nutrition Hydration and and Heating), Working Together to Safeguard Children (2015), Young Offender Institutions (YOIs), Youth Offending Teams (YOTs)
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Broad Overview: the State of Health and Adult Social Care Report (CQC)
Summary The Care Quality Commission (CQC) review of the quality of care provided by hospitals, care homes and GP practices in England, published earlier this month, discloses information about the persistence of unjustifiable variations in quality and safety. Safety, safeguarding and … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, CQC: Care Quality Commission, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Person-Centred Care, Quick Insights, SCIE, Standards, UK, Universal Interest
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Tagged Acute Hospital Care, Acute Hospitals, Adult Safeguarding, Adult Social Care, Adult Social Care Provision (CQC), Adult Social Care Services, Care Quality Commission (CQC), Care Skillsbase, Caring (CQC Inspection Question), Community Health Services, CQC Challenge to Health and Adult Social Care System, CQC Challenge to Providers, CQC Inspection Areas Mapped to SCIE Products and Services, CQC Inspection Questions (Safe Effective Caring Responsive Well-Led), CQC Inspections of GP Surgeries, CQC Royal Berkshire Hospital inspection Report (June 2014), Dementia Care in the Acute Hospital, Effective (CQC Inspection Question), GP Cooperatives and Out-of-Hours Services, GP Out-of-Hours Services, GP Practices, Homerton University Hospital NHS Foundation Trust, Hope House Children’s Hospice, Improving Patient Safety, Independent Ambulance Services, Inspection of GP Out-of-Hours Services, Inspection of GP Practices, Leadership, Local Variations, Medway Maritime Hospital, Mental Health Care, Multi-Disciplinary Working, NHS Community Health Services, NHS Mental Health Services, Patient Safety, Primary Medical Services, Quality Improvement, Responsive (CQC Inspection Question), Responsiveness, Safe (CQC Inspection Question), Safeguarding, Safeguarding Adults at Risk, Safeguarding Vulnerable Adults, SCIE's Support Tools for Care Providers on Care Quality Improvement, Social Care Institute for Excellence (SCIE), Staffing, State of Care 2013/14 (CQC), Training and Competency, Unacceptable Variations, Well-Led (CQC Inspection Question), Well-Led Indicators (CQC)
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Helping People to Live Well for Longer (Department of Health, Public Health England and NHS England)
Summary This policy paper, released jointly by the Department of Health, Public Health England and NHS England, explains how the health and care system aims to become amongst the best in Europe in terms of reducing avoidable mortality. It includes … Continue reading →
Posted in Commissioning, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Mental Health, National, NHS, NHS England, Patient Care Pathway, Practical Advice, Public Health England, Quick Insights, Standards, Stroke, UK, Universal Interest
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Tagged Adult Social Care Outcomes Framework (ASCOF), Age-Standardised Mortality Rate (ASMR), Alcohol, Alcohol Consumption, Alcohol Network, Any Town Toolkit, ASCOF: Adult Social Care Outcomes Framework, Asset Based Community Development Institute, Asset Based Community Development Institute (Northwestern University: Chicago), Avoidable Mortality, Avoidable Premature Mortality, Awareness and Campaigns, Be Clear on Cancer (BCOC), Behaviour Change Opportunities, Better Care Fund (BCF), Better Care Fund Modelling Tool, Bikeability, Blood Pressure, Body Mass Index (BMI), Broadening Access to Primary Care, Burden of Disease, Cancer, CCG Outcomes Indicator Set, Celia Ingham-Clark: National Director for Avoidable Mortality, Clincal Leadership, Clinical Commissioning Groups (CCGs), Co-Morbidities, Commissioning for Outcomes, Commissioning for Quality and Innovation (CQUIN), Commissioning for Value Packs, Commissioning Support, Community Alcohol Partnerships, Community for Action (CfA), Developing a Community for Action, Early Diagnosis, Emergency Care, Every Contact Counts, Excess Mortality, Fair Society, Fair Society Healthy Lives, Food Network, Fruitables (Harrow), Global Burden of Disease (GBD), GP Out-of-Hours Services, Green Bus Fund, Hard Truths, Health and Wellbeing Boards (HWBs), Health and Wellbeing Strategy, Health at Work Network, Health Commissioners, Health Inequalities, Health Inequalities in England, Health Trainers, Healthy Behaviours, Healthy Living Pharmacies (HLPs), Heart Disease, Improving Outcomes, Increasing Wellbeing, Inspection of GP Out-of-Hours Services, Inspection of GP Practices, Institute for Health Metrics and Evaluation: University of Washington, Institute of Health Metrics and Evaluation, Jane Ellison MP: Parliamentary Under Secretary for Public Health, JHWSs: Joint Health and Wellbeing Strategies, Joint Health and Wellbeing Strategy (JHWS), Joint Strategic Needs Assessments, JSNAs: Joint Strategic Needs Assessments, Lester Resource, Lifelong Health and Wellbeing, Liver Disease, Liver Disease Mortality, Living Well for Longer, Local Authorities (LAs), Local Authority Directors of Public Health, Local Authority Mortality Comparisons, Local Commissioning, Local Health and Wellbeing Boards, Local Sustainable Transport Fund, Local Wellbeing, Longer Lives (PHE), Lung Disease, Making Every Contact Count, Making Every Contact Count (MECC), Marmot Review, Mental Health Co-Morbidities, More Living More, Mortality, Mortality Morbidity and Wellbeing, Mortality Morbidity and Wellbeing: Cancers, Mortality Rates, Mortality Statistics, Moving More Living More: Physical Activity Commitments, National Clinical Directors (NCDs), National Drug Strategy, National Framework for Quality Improvement, National Wellbeing, NHS England (Formerly the NHS Commissioning Board), NHS England’s Support for CCGs, NHS Health Check, NHS Mandate, NHS Outcomes Framework (NHSOF), NHSOF: NHS Outcomes Framework, Northwestern University: Chicago, Obesity, Outcomes, Outcomes Framework, Parity of Esteem, Patients First and Foremost, PHE Longer Lives Website, PHE: Public Health England, PHOF: Public Health Outcomes Framework, Physical Activity, Physical Activity Commitments, Physical Activity Network, Physical Activity Programmes, Physical Wellbeing, Population-Wide Interventions, Premature Death, Premature Mortality, Premature-Death Rates, Preventable Mortality, Prevention, Prevention Programmes, Primary Care’s Role in Early Diagnosis, Prime Minister Challenge Fund Pilots, Protecting the Public’s Health, Public Health, Public Health England (PHE), Public Health England's Longer Lives Website, Public Health Outcomes Framework (PHOF), Redbridge TB Partnership, Reducing Avoidable Premature Mortality, Reducing Health Inequalities, Refreshing the NHS Mandate, Responsibility Deal, Rethink Integrated Physical Health Care Pathway, Screening Programmes, Smoking, Smoking Cessation Services, Smoking-Related Mortality, Social Deprivation, Standardised Packaging of Tobacco, Stroke, Supporting Local Delivery, Symptom Awareness and Campaigns, Targeting Resources on Vulnerable Populations, Transparency and Accountability, Unhealthy Behaviours, Unlicensed Drugs, Voluntary and Community Sector, Wellbeing Outcome Measures, Wellbeing Services, Whole System Integration, Whole Systems Approach, Whole Systems Redesign
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