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Tag Archives: Local Health Economies
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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More on the Persistence of Variations in Care and Health Inequalities (BBC News / MTG / King’s Fund)
Summary The Medical Technology Group’s analysis of data from the 209 Clinical Commissioning Groups (CCGs), concerning regional inequalities in patient access to treatments and assessments involving medical technology, discovered unacceptable variations (including inequalities between the North and South of England). … 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, Integrated Care, King's Fund, Local Interest, Management of Condition, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged 18 Week Wait and Patient Access, Acute Stroke Management, Acute Stroke Services, Assessment and Diagnosis, BBC Health News, BBC Panorama, BBC Panorama: Get Rich or Die Young, BBC Panorama: Stockton - England’s Most Unequal Town, Cataract Operations, CCG Performance Statistics, CCGs: Clinical Commissioning Groups, CLAHRC: Collaboration for Leadership in Applied Health Research and Care, CLAHRCs: NIHR Collaborations for Leadership in Applied Health Research and Care, Clinical Commissioning Groups (CCGs), Collaboration for Leadership in Health Research and Care (CLAHRC), Colonoscopy and CT Colonoscopy, Commissioning Task, CT Colonoscopies, DEMETRIQ Project, Diagnosis and Referral, Diagnostic Imaging, Diagnostic Services Atlas, Diagnostic Testing Rates, Diagnostic Waiting Times, English Health Inequalities Strategy, Geographical Health Inequalities, Geographical Variations, Getting it Right First Time, Getting It Right First Time (GIRFT), Health and Care of Older People, Health Inequalities, Health Inequalities in England, Hip Replacement, Hip Replacements, Imaging Services, Impact of English Health Inequalities Strategy, Improvement Opportunities in Local Commissioning, Life Expectancy by Neighbourhood, Limb Amputations, Local Commissioning, Local Health Economies, Local Health Profiles, Local Health Services: Variations, Local Variations, Medical Technology Access, Medical Technology Group (MTG), Mortality Rates Among Older People, National Institute for Health Research (NIHR): Collaboration for Leadership in Health Research and Care (CLAHRC), NHS Atlas of Variation, NHS Atlas of Variations in Diagnostic Services, NHS Atlases of Variation, NHS Clinical Commissioners (NHSCC), NHS Postcode Lottery, NHS Variations in Diagnostic Services, NHS Waiting Times, North-South NHS Divide, Postcode Lottery, Postcode Lottery in Access to Care, Postcode Lottery in Access to Treatment, Postcode Lottery in Standards of Healthcare, Quality Improvement, Reducing Variation, Regional Variations, Right First Time, RightCare’s NHS Atlas of Variation, Slope Index of Inequality, Slope Index of Inequality (SII) for Life Expectancy and Healthy Life Expectancy in England, Slope Index of Inequality in Life Expectancy, Specialist Stroke Units, Stockton, Stockton-on-Tees, Stockton: England’s Most Unequal Town, Stroke, Stroke Care Bundles, Stroke Units, Top Performing CCGs, Trends in NHS Outcomes Framework: Health Inequality Indicators, Trends in Public Health Outcomes Framework: Health Inequality Indicators, Unacceptable Variations, Unwarranted Variations, Unwarranted Variations in Diagnostic Testing Rates, Value Opportunities in Local Commissioning, Variation Analysis, Variation in Commissioning, Variations in Care, Variations in Quality of Care, Worst Performing CCGs
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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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Lord Carter’s Proposed Plans for NHS Efficiency Savings (BBC News / Department of Health)
Summary In his latest report on the potential of good leadership for providing NHS cost savings, high-quality patient care and more efficient use of resources, Lord Patrick Carter has released further plans as to how hospitals might collectively save up … Continue reading
Posted in Acute Hospitals, BBC News, 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, Management of Condition, National, NHS, NHS England, Patient Care Pathway, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged Atlas of Variations in NHS Hospitals Practice, Atlas of Variations in Procurement, BBC Health News, Behaviour Change Opportunities, Cancer Services: Hospitals Savings Targets, Cardiology: Hospitals Savings Targets, Carter Review of Operational Productivity in NHS Providers, Clinical Quality Improvement, Community Nursing: Hospitals / NHS Savings Targets, Continuous Improvement, Continuous Learning, Continuous Learning Culture, Emergency Medicine: Hospitals Savings Targets, Everett McKinley Dirksen (Quotation: Apocryphal?), Finance and Procurement, Former Health Secretary Jeremy Hunt, General Medicine: Hospitals Savings Targets, General Surgery: Hospitals Savings Targets, Healthcare Quality Improvement, High Cost Drugs: Hospitals Savings Targets, Hospital Pharmacy and Medicines Optimisation, Hospital Productivity, Hospitals Savings Targets, Intensive and Critical Care: Hospitals Savings Targets, Learning Culture, Learning for Improvement, Local Health and Care Economies, Local Health Economies, Lord Carter of Coles, Lord Carter Review, Lord Carter: Chair of NHS Procurement and Efficiency Board, Model Hospital: Template for Standardisation, NHS Efficiency Challenge, NHS eProcurement Strategy, NHS Estates, NHS Estates Efficiency Fund, NHS Finance, NHS Finances, NHS Financial Leadership, NHS Hospital Nurse Roster Analysis, NHS Procurement, NHS Procurement and Efficiency Board, NHS Productivity, NHS Reference Costs, NHS Trust Financial Deficits, NHS: Safest and Most Efficient Healthcare System in World (Ambition), NHS: Safest Healthcare System in the World (Ambition), Obstetrics and Gynaecology: Hospitals Savings Targets, Openness and Transparency, Operational Productivity in NHS Providers, Opportunities for Standardisation, Paediatrics: Hospitals Savings Targets, Pathology: Hospitals Savings Targets, Patient Safety, Professor Tim Briggs: National Director for Clinical Quality and Efficiency, Quality Improvement, Reducing Variations in Clinical Costs, Reducing Variations in Device and Procedure Selection, Reducing Variations in Infection Rates, Reducing Variations in Litigation Payments, Reducing Variations in Readmission Rates, Reducing Waste in the NHS, Trauma and Orthopaedics: Hospitals Savings Targets, Variations in Procurement, Variations in Spending, Waste of Prescription Medicines, Wasted Resources
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