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Tag Archives: NHS Productivity
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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NHS Funding and Expenditure: Joint Statement on Health and Social Care, Pre-The Autumn Budget (BBC News / King’s Fund / Health Foundation / Nuffield Trust)
Summary A joint King’s Fund, Health Foundation and Nuffield Trust report reviews NHS funding and possible implications for NHS performance against targets, and the likely impact on future access to health and care services. Full Text Link Reference The Autumn … Continue reading
Posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, Community Care, 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, National, NHS, Nuffield Trust, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged A&E Four-Hour Wait Standard, A&E Quality Indicators, A&E Waiting Times and Activity, Access Targets, Access Times for Planned Treatments, Access to Hospital Care, Access to Urgent and Emergency Care, Accident & Emergency, Accident and Emergency Departments, Accident and Emergency: NHS Performance Indicators, Acute Care, Acute Hospital Care, Acute Hospitals, Acute Medical Care for Frail Older People, Acute Medical Care of Elderly People, Adult Social Care, Ageing and Society, Ageing Population, Autumn Budget (2017), Autumn Budget: Joint Statement on Health and Social Care (2017), BBC Data Team, BBC Health News, BBC Norfolk News, BBC's NHS Winter Project, Brexit Dividend of £350 Million a Week Extra for NHS (Democratic Deficit Allegation), British Medical Association (BMA), Cancer Care Waiting Time Target, Cross-Party and Public Consensus On Sustainable Funding, Four-Hour A&E Waiting Time Target, Fragility of Adult Social Care Provider Market, Health Spending in England, Key Performance Indicators, Mr Clive Lewis: Norwich South MP, NHS Capital Funding Limiting Opportunities to Modernise Services (Allegation), NHS Capital Funding: Impact on Patient Safety (Allegation), NHS Charity Funding Requests, NHS Confederation: NHS on the Brink (2017 Allegation), NHS England's Five Year Forward View (2014), NHS Expenditure, NHS Financial Leadership, NHS Five Year Forward View (5YFV), NHS Funding, NHS Funding Gap, NHS Funding Projections Versus Historic 4% Growth, NHS Heads For Winter on Knife Edge (King’s Fund Allegation), NHS in Winter (BBC News), NHS Performance, NHS Performance Indicators, NHS Productivity, NHS Providers, NHS Providers' Annual Conferenc (2017), NHS Spending, NHS Sustainability, NHS Tracker Service (BBC's NHS Winter Project), NHS Winter Crisis, NHS Winter Project (BBC News NHS Tracker Service), NHS Winter Project (BBC News), Norfolk and Norwich University Hospital, Norfolk and Norwich University Hospitals NHS Foundation Trust, November Budget (2017), Office for Budget Responsibility (OBR), Patient Safety, Performance Indicators, Performance Targets, Philip Hammond, Planned Operations Waiting Time Target, Planned Treatment, Quality and Sustainability, Quality of Health Care, Quality Standards, Sarah Wollaston: Chair of the House of Commons Health Select Committee, Simon Stevens: Chief Executive of NHS England, Sir Nick MacPherson (Former Permanent Secretary of Treasury), Social Care Provider Market, Spending Review, Spending Review 2015/16, State of Care Report, Sustainability, Sustainable Funding, Target Culture, Thinking Like a Patient and Acting Like a Taxpayer, Tipping Point in Sustainability of Adult Social Care (Alleged), Transformation Funding, Turning the Ship Around (Avoidance of NHS Unsustainability), Two Difficult Years for NHS Funding Ahead, Upward Spending Pressures, Waiting Time Standards, Waiting Time Target Breaches, Waiting Time Targets in the NHS in England, Waiting Times for Planned Treatments, Winter Preparedness, Winter Pressure Funding, Winter Pressures
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Broken NHS Promises: Democratic Deficits Versus Bottomless Pits (BBC News / BMA / King’s Fund / NHS England; NHS Improvement / NHS Providers)
Summary Simon Stevens has reminded the Government (and the voting public) of EU referendum claims that Brexit would deliver a further £350 million per week which could be spent on the NHS. This move appears to be part of a … Continue reading
Posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, King's Fund, National, NHS, NHS England, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged A&E, A&E Four-Hour Wait Standard, A&E Quality Indicators, A&E Waiting Times and Activity, Access Targets, Access Times for Planned Treatments, Access to Hospital Care, Access to Urgent and Emergency Care, Accident & Emergency, Accident and Emergency Departments, Accident and Emergency: NHS Performance Indicators, Acute Care, Acute Hospital Care, Acute Hospitals, Acute Medical Care for Frail Older People, Acute Medical Care of Elderly People, Ageing and Society, Ageing Population, Autumn Budget (2017), Bailouts and Rewards for Failure, BBC Data Team, BBC Health News, BBC's NHS Winter Project, Boris Johnson, Brexit Dividend of £350 Million a Week Extra for NHS (Democratic Deficit Allegation), British Medical Association (BMA), Cancer Care Waiting Time Target, Four-Hour A&E Waiting Time Target, Key Performance Indicators, Long A&E Waits, National Audit Office (NAO), NHS England's Five Year Forward View (2014), NHS Expenditure, NHS Financial Leadership, NHS Five Year Forward View (5YFV), NHS Funding, NHS Funding Gap, NHS Funding Projections Versus Historic 4% Growth, NHS Heads For Winter on Knife Edge (King’s Fund Allegation), NHS in Winter (BBC News), NHS Performance, NHS Performance Indicators, NHS Productivity, NHS Providers, NHS Providers' Annual Conferenc (2017), NHS Spending, NHS Sustainability, NHS Tracker Service (BBC's NHS Winter Project), NHS Winter Crisis, NHS Winter Project (BBC News NHS Tracker Service), NHS Winter Project (BBC News), Patient Safety, Performance Indicators, Performance Targets, Philip Hammond, Planned Operations Waiting Time Target, Planned Treatment, Quality and Sustainability, Quality of Health Care, Quality Standards, Short-Term Funding Impeding Necessary Change in NHS, Simon Stevens: Chief Executive of NHS England, Sir Amyas Morse: Head of National Audit Office, Sustainability, Sustainable Funding, Target Culture, Thinking Like a Patient and Acting Like a Taxpayer, Transformation Funding, Turning the Ship Around (Avoidance of NHS Unsustainability), Upward Spending Pressures, Waiting Time Standards, Waiting Time Target Breaches, Waiting Time Targets in the NHS in England, Waiting Times for Planned Treatments, Winter Preparedness, Winter Pressure Funding, Winter Pressures, Working on Edge of Safety (NHS Providers Allegation)
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A Tipping Point in the Sustainability of Health and Care? (BBC News / King’s Fund / Nuffield Trust)
Summary A King’s Fund / Nuffield Trust report identifies a 26% decline in the number of older people receiving social care, due largely to six years of cuts to local authority funding. Social care providers are found to be under pressure … Continue reading
Posted in Age UK, BBC News, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, King's Fund, Management of Condition, National, NHS, Non-Pharmacological Treatments, Nuffield Trust, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged Adult Social Care, Adult Social Care Funding, Adult Social Care in England, Adult Social Care Services, Ageing Population, Association of Directors of Adult Social Services (ADASS), BBC Health News, Bed Availability and Occupancy: NHS Performance Indicators, Bed-Blockers, Bed-Blocking Patients (Non-Recommended Term), Better Care Fund (BCF), Better Care Fund Plans, Care for Vulnerable Older People, Caroline Abrahams: Director of Age UK, Coordinated Health and Social Care, Costs and Cost Pressures, Cross-Sector Partnerships, Delayed Discharges, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Delayed Transfers of Care (DTOC), Delayed Transfers of Care: NHS Performance Indicators, Discharge, Discharge Programme Board, Efficiency Opportunities, Eldercare Vouchers, Elderly Failed By Shameful Care System (Allegation From Age UK and Alzheimer’s Society), Elderly People With Complex Health and Social Care Needs, Endless Winter in NHS (Allegation), Eternal Winter, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Fragility of Adult Social Care Provider Market, Health and Social Care, Health and Social Care Configuration, Health and Social Care in the Community, Health and Social Care Integration, Health and Social Care Providers, Health and Social Care Services, Home Truths: Social Care For Older People (2016), Integration of Health and Social Care, Integration of Health and Social Care for Older People, Interdependencies, Lady Ros Altmann, Length of Stay (LoS), Lost Beds Problem (sic), Making Our Care and Health Systems Fit for An Ageing Population, NHS Funding, NHS Funding Gap, NHS Overspends, NHS Performance, NHS Performance Indicators, NHS Productivity, Patient Flows, Population Winter Pressures, Quarterly Monitoring Report, Quarterly Monitoring Reports, Richmond Group of Charities, Social Care For Older People: Home Truths, Society of Acute Medicine: Meltdown Warning, Submissions Ahead of Chancellor Philip Hammond's Autumn Statement (2016), Sustainability, Sustainable Care, Sustainable Funding, Sustainable Health and Care Services, Sustainable Local Funding, Tax Breaks on Saving For Care, Thinking Like a Patient and Acting Like a Taxpayer, Transition Between Inpatient Hospital Settings and Community or Care Home Settings, UK Home Care Association, UK Homecare Association (UKHCA), Unacceptable Variations, Unwarranted Variations, Upward Spending Pressures, Variation in Performance, Variations in Quality of Care, Variations in Service, Variations in Spending, Vulnerable Older People, Waiting Time Standards, Waiting Time Target Breaches, Wasted Resources, Whole System Patient Flows, Winter Pressures, Winter Pressures Beyond Winter (Winter Re-Defined?), Winter Pressures: Role of Community Health Services
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NHS Reconfiguration + STPs = Cut-Backs?: Two Sides of Same Equation? (NHS England / King’s Fund / Nuffield Trust / BBC News)
Summary The “Keep calm and carry on”-style narrative from officialdom. Full Text Link Reference NHS England statement on Sustainability and Transformation Plans. [Online]: NHS England, August 26th 2016. Theoretical clarification concerning STPs, from the King’s Fund Full Text Link Reference … Continue reading
Posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, King's Fund, Management of Condition, National, NHS, NHS England, NHS Improvement, Nuffield Trust, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged 38 Degrees (Campaign Group), 5YFV: NHS Five Year Forward View, Accountability and Transparency, Achieving Better Value, Acute Care, Acute Hospital Care, Ageing Population, Ageing Society, £1.8 Billion One-Off NHS Trust Deficits Bailout, Better Care Fund (BCF), Better Care Together (BCT), Better Value, Better Value Healthcare, Better Value in the NHS, Challenges of Reconfiguration, Chorley and South Ribble Hospital, Chris Hopson: Chief Executive of NHS Providers, Collaboration, Collaboration for Coordinated Care, Collaboration: Working Across Boundaries, Councillor Izzi Seccombe: Local Government Association (LGA), County Hospital (Previously Stafford Hospital), David Pearson: Director of Adult Social Care of Nottinghamshire County Council - Nottinghamshire STP Footprint Lead, Deficits in the NHS 2016 (King’s Fund), Dr Clifford Mann: President of the College of Emergency Medicine, Economic Sustainability, Efficiency Opportunities, Efficiency Savings, Emergency Care Improvement Programme (ECIP), Emergency Preparedness Resilience and Response (EPRR), Faustian Pact: Trading £8 Billion in Extra Funding For £22 Billion in Efficiency Savings, Financial Constraints, Financial Context, Financial Difficulties, Financial Incentives Across Local Health and Social Care Systems (Proposals), 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, Funding Challenges, Funding Deficits, Funding Gap in Secondary Care, General Hospitals, Grantham and District Hospital, Health and Social Care Configuration, Honesty and Transparency, Hospital Productivity, Hospital Reconfiguration, House of Commons Health Committee’s Inquiry Into Winter Pressures (2016), How Things Went £3.7 Billion Wrong, Implications of Sustainability and Transformation Plans (STPs): Inadequate Public Consultation (King’s Fund Allegation), Implications of Sustainability and Transformation Plans (STPs): Pre-Determined Solutions, Improving Patient Flow, Incipient Negativism, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integration of Health and Social Care, Jeremy Taylor (Chief Executive of National Voices), Leeds Teaching Hospitals Trust, Leicester, Leicester Leicestershire and Rutland STP Footprint, LLR STP, Local Solutions: Place-Based Approaches, Medical Director of NHS England: Professor Sir Bruce Keogh, Midlands and East Commissioning Region, Midlands and East of England Commissioning Region, Multi-Agency Collaboration, Multisectoral Collaboration, NHS Challenges and New Solutions, NHS Efficiency Savings, NHS England Funding, NHS Expenditure, NHS Finances to 2020, NHS Financial Leadership, NHS Foundation Trust Performance, NHS Foundation Trusts, NHS Foundation Trusts (NHSFTs), NHS Funding, NHS Funding Gap, NHS Midlands and East, NHS Performance, NHS Performance Indicators, NHS Productivity, NHS Providers, NHS Safe Staffing, NHS Service Reconfiguration, NHS Spending, NHS Sustainability, NHS Timebomb [sic], Openness and Collaboration, Optimism Bias (In the Face of Difficulties), Partnership and Collaboration, Performance Indicators, Performance Targets, Policy, Policy Context, Population Health, Population Health Systems, Population Healthcare, Productivity, Productivity in the NHS, RDEL, Redesigning Care Pathways, Redesigning Services, Reducing Drains on the NHS, Reducing Overuse Underuse and Misuse, Richard Murray: Director of Policy at the King’s Fund, Richard Taylor Effect [sic], Rising Expectations, Safe Staffing, Sir Bruce Keogh (Former Chief Executive of the NHS Commissioning Board; now NHS England), Stevens Challenge, STP Footprints, STP Process Timeline Summary, Sustainability, Sustainability and Transformation Fund (STF), Sustainability and Transformation Leaders, Sustainability and Transformation Plan, Sustainability and Transformation Plan (STP), Sustainability and Transformation Plans (STPs), Sustainability and Transformation Plans: Questions Over Opaque Development Practices, System Control Totals (Financial Targets), System Leadership, Thinking Like a Patient and Acting Like a Taxpayer, Toby Sanders: Accountable Officer of West Leicestershire CCG - Leicester of Leicestershire and Rutland STP Footprint Lead, Toby Sanders: Chief Officer at NHS West Leicestershire CCG, Top-Down Policy (Masquerading as Collaboration), Towards Excellence in Adult Social Care Programme (LGA), Transformation Footprints, Transformation Funding, Transparency, Transparency Versus The Richard Taylor Effect, Troubled NHS Foundation Trusts, Turning the Ship Around (Avoidance of NHS Unsustainability), Unit Costs Up + Activity Up = Commissioners Go Bust, Upward Spending Pressures, Waiting Time Standards, Waiting Time Target Breaches, Weston Area Health NHS Trust, Weston General Hospital, Winter Pressures, Winter Pressures Beyond Winter (Winter Re-Defined?)
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Record Levels of NHS Trust Deficits (BBC News / King’s Fund)
Summary Hospitals and other NHS trusts have announced record combined financial deficits, well in excess of £2 billion. A whistleblower has alleged dubious accounting procedures, in the form of unorthodox “financial alchemy”, to disguise the true level of deficits. Full … Continue reading
Posted in Acute Hospitals, BBC News, Commissioning, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, King's Fund, National, NHS, NHS England, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged Acute Care, Acute Hospital Care, Ageing Population, Ageing Society, Agency Overheads, Agency Staff, Agency Staff Spending Capped, Ambulance Patients: Long A&E Handover Delays, Ambulance Quality Indicators, Ambulance Response Times, Ambulance Targets, Anita Charlesworth: Health Foundation, BBC Health News, Better Value in the NHS, Chris Hopson: Chief Executive of NHS Providers, Delayed Discharges, Difficult Headlines: Troubled Times in NHS, Financial Alchemy (Fiddling Books: Allegation), 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, Funding Challenges, Funding Deficits, General Hospitals, Government Response to the House of Commons Health Select Committee Report on the Spending Review (2016), Hospital Activity Rates and Funding, Key Performance Indicators, King’s Fund Quarterly Monitoring Report, Management Consultants, Monitor, NHS Ambulance Trusts, NHS Expenditure, NHS Financial Leadership, NHS Funding, NHS Funding Gap, NHS Overspends, NHS Performance, NHS Performance Indicators, NHS Productivity, NHS Spending, NHS Spending on Private Ambulance Providers, NHS Timebomb [sic], NHS Trust Development Authority, NHS Trust Development Authority (NHS TDA), NHS Trust Financial Deficits, NHS Trusts’ and Foundation Trusts’ Income and Expenditure, NHS Waiting Times, Operational Performance, Quarterly Monitoring Reports, Reducing Drains on the NHS, Reducing Waste in the NHS, Thinking Like a Patient and Acting Like a Taxpayer, Trends in Hospital Activity and Funding, Upward Spending Pressures, Waiting Time Standards, Waiting Time Target Breaches
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