Tag Archives: Reduced Gaming of the System

NHS Payment Reform (Nuffield Trust)

Posted on February 23, 2014 by Dementia and Elderly Care News

Summary The NHS payment system has evolved over years into a complex mix of methods, prices, incentives and penalties. It is the product of over a decade of reforms to different components. Aspects of NHS payment systems may act as … Continue reading →

Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, National, NHS, NHS England, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Standards, Systematic Reviews, UK, Universal Interest | Tagged 2012/13 Reference Costs, 2014/15 Tariff, 2015/16 National Tariff Payment System, Access to Services, Additional Payments, Alternative Payment Systems, Assessing and Meeting Needs and Payments, Attention Shift, Barriers to Integration, Best Practice Tariffs (BPTs), Beyond Institutional Boundaries, Block Budgets, Budget Management, Budgets, Calculating National Prices, Capitation, Care in Appropriate Settings, Care Settings, Case-Based Payments, Challenges of Reconfiguration, Clinical Negligence Scheme for Trusts (CNST), COBIC Consortium, Commissioning Acute Care Services, Commissioning for Quality and Innovation (CQUIN), Commissioning Landscape in England, Commissioning Local Services, Community Health Services, Community-Based Services, Competition and Markets Authority (CMA), Configuration of Services, Cost Benchmarking, Cost Uplifts, CQUIN Incentive Payments, Diagnosis-Related Payments, Differential Efficiency Factors, Direct Enhanced Service (DES) Payments, Disincentives, DRG Payments in European Countries, Efficiency, Efficiency Factor (Costings), Efficiency Savings, Emergency Services, Evolution of Payment by Results in the NHS, Extrinsic Motivation, Fee-For-Service, Fragmentation of Services and Commissioning, Funding GP Practices in England, Funding Reform, Gaming the System, HCHS: Hospital and Community Health Services Needs Index, Health and Social Care Act (2012), Health and Social Care Configuration, Health and Social Care Reform, Health Care Purchased by PCTs (2012/13), Health Reform, Healthcare Resource Groups (HRGs), Hospital Activity, Hospital and Community Health Services (HCHS), Hospital and Community Health Services (HCHS) Needs Index, Hospital Reconfiguration, Inappropriate Care Settings, Incentive Payments, Increasing Efficiency, Institutional Boundaries, Integrated Services, Integrated Whole System Services for People With Dementia, Intrinsic Motivation, Leakage (Efficiency), Length of Stay (LoS), Linking Payment to Quality, Loss of Motivation, Market Forces Factor (MFF), Mental Health and Community Services, Mental Health Services, Modelled Prices, Monitor, Monitoring, National Prices Methodology Discussion Paper, National Tariff Payment System Consultation, NHS Budget, NHS Efficiency Savings, NHS Health and Social Care Act (2012), NHS Hospital and Community Health Service (HCHS) Workforce, NHS National Prices Methodology Discussion Paper: 2015/16, NHS National Tariff Payment System (The Tariff), NHS Payment Reform, NHS Payment System, NHS Payments System, NHS Productivity, NHS Reform, NHS Service Reconfiguration, Openness and Transparency, Organisational Boundaries, Oxfordshire CCG, Patient-Level Information and Costing System (PLICS), Pay-For-Performance Schemes, Pay-For-Performance Schemes in NHS Hospitals, Paying Lower (or Zero) Prices for Activity Above a Specified Level, Payment by Results, Payment by Results (PbR), Payment for Outcomes Not Outputs, Payment Mechanisms, Payment Reform, Payment System for Hospital Activity, Payments to Incentivise Service Transformation, Policy Objectives for DRG Payments, Potential NHS Provider Productivity improvements, Practice by Rote, Price-Setting Principles, Primary and Secondary Care, Primary Care Trusts and Weighted Capitation Formula, Priority Setting (Commissioning), Productivity, Productivity Improvements, Public Service Reform, Quality and Outcomes Framework (QOF) Payment, Quality Payments in the NHS, Reconfiguration of Emergency Care System, Recovery Rehabilitation and Reablement (RRR), Redesigning Services, Reduced Gaming of the System, Reference Costs, Reform, Seamless Care Between Settings, Secondary Care, Service Development Costs, Service Transformation, Setting Objectives, Short Stay Emergency (SSEM) Bandings, SSEM Bandings, Supplier-Induced Demand, Transparency, Transparency and Accountability, Treatment Function Codes (TFCs), Unintended Consequences, Working Across Boundaries, Working the System and Unintended Consequences | Leave a comment

Government’s Care Bill 2013-14 (HM Government / Department of Health)

Posted on May 12, 2013 by Dementia and Elderly Care News

Summary The Care Bill aims to modernise the law and put people’s wellbeing at the heart of the care and support system. The first reading of this bill took place in the House of Lords on May 9th 2013. There are three … Continue reading →

Posted in Acute Hospitals, Community Care, Department of Health, 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, Patient Care Pathway, Quick Insights, Standards, UK, Universal Interest | Tagged Adult Social Care, Adult Social Care Funding, Adult Social Care: Market Oversight, Assessing and Meeting Needs and Payments, Assessments, Asset Protection, Capacity and Capability, Capping Care Costs, Care Account, Care and Support Bill, Care and Support White Paper, Care and Support White Paper 2012, Care Bill 2013-14, Care Costs: Cap and Means Test, Care Funding, Care Integration, Caregiving (Carers), Carer Support, Carers, Caring for Our Future, Caring for Our Future: Progress Report on Funding Reform, Caring for Our Future: Reforming Care and Support, Clause 57: the Duty to Promote Research, Coalition Government, Collaboration, Collaborative Care, Commission on Funding of Care and Support, Commissioning Education and Training, Commissioning Research, Consequences of the Francis Inquiry Report, Continuing Care, Cooperation, Decision-Making Capacity, Deferred Payments, Dementia Tax (Alzheimer's Society), Dilnot Commission and Government’s Response, Dilnot Commission Recommendations, Dilnot Commission Report on Funding of Care and Support, Direct Payment, Direct Payments, Discharge of Hospital Patients With Care and Support Needs, Discharge Planning, Discharge Support, Draft Care and Support Bill, Education and Training, Eligibility Criteria for Social Care, Extra Care Housing, Fairer Care Funding, Family Carers, Financial Services Products, Francis Inquiry, Francis Inquiry Report, Funding of Care and Support (Dilnot Commission), Funding Reform, Future Funding Models, Gaming the System, Health and Housing Partnerships, Health and Social Care Integration, Health Care Reform, Health Education England, Health Research Authority, HEE: Health Education England, Hospital Discharge, House of Commons Joint Committee on the Draft Care and Support Bill, Housing, Housing and Health Partnerships, Housing for Older People, Housing Policy, Housing Services for People With Dementia, HRA: Health Research Authority, Human Rights Act (UK Parliament 1998), Immigration Control, Implications of the Francis Inquiry Report, Independent Living Fund, Independent Personal Budget, Information and Advice, Integrated Commissioning, Integrated Home and Community Care Services, Integrating Health and Social Care Personal Budgets, Integration, Integration of Housing Care and Support, Local Authorities, Local Authorities (LAs), Local Education and Training Boards, Local Education and Training Boards (LETBs), Market Oversight, Market Oversight in Adult Social Care, Means Test, Mental Capacity, Mid-Staffordshire NHS Trust, Needs Analysis, Needs Assessments, Needs of Carers, NHS Continuing Care, Parliament, Personal Budgets, Personal Budgets (PBs), Personal Well-Being, Preventative Care, Prevention, Prime Minister's Challenge on Dementia, Public Bodies Act 2011, Public Health Funding, Public Service Reform, Reactions to the Francis Inquiry Report, Reduced Gaming of the System, Reform, Reforming Social Care, Repercussions From the Francis Inquiry Report, Responses to the Francis Inquiry Report, Retirement Housing, SAB: Safeguarding Adults Boards, Safeguarding, Safeguarding Adults Boards, Safeguarding Adults Boards (SABs), Service Integration, Social Care, Social Care Funding, Social Care Reform, Social Housing, Social Well-Being, Support for Carers, UK Parliament, Unpaid Caregivers (Carers), Unpaid Carers, Well-Being, Young Carers | Leave a comment

Patients First and Foremost: Government Response to the Mid Staffordshire NHS Public Inquiry Report (Department of Health)

Posted on March 26, 2013 by Dementia and Elderly Care News

Summary The government’s official response to the Francis Inquiry report, entitled “Patients first and foremost” was published today. It defines the Department of Health‘s commitment and action plan for the health and care system. The main recommendations / resolutions include: Ofsted-style ratings for hospitals … Continue reading →

Posted in Acute Hospitals, 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, Management of Condition, National, NHS, NHS Confederation, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Accountability, Acute Care, Acute Hospitals, Allied Health Professionals (AHPs), Ban on Clauses Intended to Prevent Public Interest Disclosures, Barbara’s Story: Increasing Awareness of Dementia, Barring System, Barring System for Healthcare Assistants, Berwick Review, Blame Culture, Burdett Trust, Bureaucracy, Candour, Care, Care Assistants, Care in General Hospitals, Care Quality Commission (CQC), Chief Inspector of Social Care, Clinically-Led Commissioning, Code of Conduct and Minimum Training for Health and Care Assistants, Commissioning for Quality and Innovation (CQUIN) Indicators, Commitment, Communication, Compassion, Competence, Contractual Duty of Candour, Courage, CQUINs, Creating Time to Care, Creating Time to Lead, Criminal Sanctions, Cultural Care Barometer, Culture, Culture Change, Delivering Dignity, Detecting Problems Quickly, Dignity, Dignity and Respect, Disclosure and Barring Service (DBS), Everyone Counts, Expert Inspectors, Foundation Trust Status, Foundation Trust Status Distractions, Francis Inquiry, Francis Inquiry Report: Executive Summary, Francis Report, Friends and Family Test (NHS), Fundamental Standards, Gagging Clause Culture, Gagging Orders, Gaming the System, General Hospitals, General Medical Council, Health and Social Care Act (2012), Health and Social Care Information Centre (HSCIC), Healthcare Assistants, Healthwatch, Healthwatch England, House of Commons Library, Human Rights and Nursing, Increasing Awareness of Dementia, Independent Chief Inspector of Hospitals, Informatics Services Commissioning Group (ISCG), Leadership, Leadership in the NHS, Local HealthWatch, Mandate to the NHS Commissioning Board, Measuring Culture, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, Mid-Staffordshire NHS Trust, NHS Confederation Review of Bureaucratic Burdens, NHS Constitution, NHS Constitution and Whistleblowing, NHS Constitution: Updated 2013, NHS Culture, NHS Friends and Family Test, NHS Health and Social Care Act (2012), NHS Mandate, NHS Outcomes Framework, NHS Safety Thermometer, Nurse Education, Nursing and Midwifery Council (NMC), Ofsted-Style Inspections, Ofsted-Style Ratings for Care Homes, Ofsted-Style Ratings for Hospitals, Openness, Patient and Public Involvement Forums (PPIFs), Patient and Staff Feedback, Patient Safety, Patients First and Foremost, Patients Not Heard, Penalties for Disinformation, Perverse Incentives, Poor Governance, Positive Culture, Proactive Professional Regulation, Problem Detection, Problem Prevention, Professional Disengagement, Professional Regulation, Public Interest Disclosures, Putting Patients First, QSGs: Quality Surveillance Groups, Quality Improvement, Quality Surveillance Groups (QSGs), Reduced Gaming of the System, Report of Mid Staffordshire NHS Foundation Trust Public Inquiry, Restorative Supervision, Revalidation for Nurses, Royal United Hospital Bath NHS Trust, Schwartz Rounds: Royal Free London NHS Foundation Trust, See It My Way, Shaping Culture, Sir Robert Francis QC, Six C’s of Nursing, Staff Motivation, Staff Training, Staffing Levels, Standards To Avoid Perverse Incentives, Statutory Duty of Candour, Supervisory Nurse Ward Managers, Supporting Staff to Care, Teaching Agency: Barring Scheme, The 6Cs, Tick Box Culture, Time Limited Failure Regime, Transparency, Transparency and Accountability, Whistleblowing, Zero Harm | Leave a comment

Social Care Reform Plans in England (Department of Health / NHS Choices)

Posted on February 15, 2013 by Dementia and Elderly Care News

Summary The Government has announced new arrangements for the funding of care for the elderly, with a view to at least partially avoiding individuals having to incur unlimited costs. The plan is based loosely on the recommendations made by the … Continue reading →

Posted in Community Care, Department of Health, For Carers (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Management of Condition, National, NHS Digital (Previously NHS Choices), Person-Centred Care, Quick Insights, SCIE, Standards, UK, Universal Interest | Tagged Adult Social Care Funding, Care Costs: Cap and Means Test, Care Funding, Coalition Government, Dementia Tax (Alzheimer's Society), Dilnot Commission and Government’s Response, Dilnot Commission Recommendations, Dilnot Commission Report on Funding of Care and Support, Draft Care and Support Bill, Fairer Care Funding, Financial Services Products, Funding of Care and Support (Dilnot Commission), Future Funding Models, Gaming the System, Health Care Reform, Means Test, Public Service Reform, Reduced Gaming of the System, Reform, Reforming Social Care, Social Care, Social Care Funding, Social Care Reform | Leave a comment

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