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Tag Archives: Staff Engagement
More on Sustaining Quality Improvement (CQC / PHSO)
Summary The Care Quality Commission (CQC) has published further findings about sustaining improvement, based on the positive examples from four case studies, including: Cambridge University Hospitals NHS Foundation Trust. East Lancashire Hospitals NHS Trust. North Staffordshire Combined Healthcare NHS Trust. … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, CQC: Care Quality Commission, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, National, NHS, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Accountability and Assurance, ACOMHS: Royal College of Psychiatrists Accreditation for Community Mental Health Services, Advancing Quality Improvement Alliance (AQuA)., Assurance, Behrens R. CBE: Ombudsman and Chair of Parliamentary and Health Service Ombudsman, Cambridge University Hospitals NHS Foundation Trust, Cambridge University Hospitals NHS Foundation Trust (CUHFT), Care Quality Commission (CQC), Clinical Leaders, Clinical Leadership, Collaboration, Collaborative Care, Complaint Standards Framework, Complaint Standards Framework: Summary of Core Expectations (PHSO 2020), Complaint Standards Framework: Summary of Core Expectations for NHS Organisations and Staff, Complaint Themes, Complaints, Complaints About Acute Trusts in England, Complaints Advocacy, Complaints Handling, Complaints Support Services, Consumer Experiences of Health and Social Care, Continuous Improvement, Continuous Learning Culture, Cultural Leadership, Culture, Culture Change, Culture of Candour, Culture of Raising Concerns, Cumberlege Review (July 2020), Customer Contact & Complaints, Driving Improvement: Case Studies From 10 GP Practices, Driving Improvement: Case Studies From Eight Independent Hospitals, Driving Improvement: Case Studies From NHS Trusts (CQC), Driving Improvement: Case Studies From Nine Adult Social Care Services, Driving Improvement: Case Studies From Seven Mental Health NHS Trusts, East Lancashire Hospitals NHS Trust, Effective Complaints Handling, End-User Experience, Experiences, First Do No Harm: Report of the Independent Medicines and Medical Devices Safety Review, Formal Complaints, Formal Complaints Process, Future for Health and Social Care Complaints Handling, Governance, Health and Social Care Complaints System, Healthier Lancashire and South Cumbria Integrated Care System (ICS), Hospital Complaints, House of Commons Select Committee on Public Administration and Constitutional Affairs (PACAC), Improving Patient Safety, Independent Medicines and Medical Devices Safety Review (July 2020), Inspection, Integrated Care Partnerships (ICPs), Integrated Care Systems (ICSs), Involvement and Participation, Joined-Up Care, Joint Working, Joint Working Between Health and Social Care, Leadership, Leadership Development, Leadership Vision, Learning Culture, Lincolnshire Partnership NHS Foundation Trust, Lincolnshire Partnership NHS Foundation Trust (LPFT), Making Complaints Count: Supporting Complaints Handling (PHSO 2020), Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments, Mental Health Crisis Centre: Harplands Hospital, Moving Away From RAG Ratings, NHS Governance and Accountability, NHS Governance in Complaints Handling (PHSO), NHS Governance of Complaints Handling, NHS Hospital Complaints, NHS Hospital Complaints System, North Staffordshire Combined Healthcare NHS Trust, North Staffordshire Combined Healthcare NHS Trust: Quality Improvement in Mental Health Trusts Case Study, Openness, Openness and Transparency, Organisational Culture, Parliamentary and Health Service Ombudsman, Parliamentary and Health Service Ombudsman (PHSO), Patient Complaints, Patient Complaints Handling, Patient Experience, Patient Experiences of Complaints Handling, Patient Involvement, Patient Involvement in Quality Improvement, Patient Safety, Pennine Lancashire ICP, Principles of Good Complaint Handling, Professor Ted Baker: Chief Inspector of Hospitals at Care Quality Commission (CQC), Public and Patient Involvement, Public Services Complaints, Quality and Experience, Quality Assurance, Quality Assurance and Accreditation Schemes, Quality Improvement, Quality Improvement in Hospital Trusts: Sharing Learning From Trusts on QI Journey, Raising Concerns, Raising Concerns Policy, Raising Standards, Recruitment and Retention, Responding to CQC Inspection Reports / Ratings, Review of CQC’s Impact on Quality and Improvement in Health and Social Care, Self-Evaluation, Staff Empowerment, Staff Engagement, Staff Engagement in the NHS, Staff Motivation, Statistical Process Control (SPC) Principles, Sustaining Improvement (CQC), System Working, Systems Leadership, Transparency, Transparency and Accountability, Transparent Learning Culture, User Complaints, User Experience, User Participation, User-Led Vision of the Complaints System, Valuing Complaints, Vertical Integration, Vertical Integration (of Primary and Secondary Care), Ward Accreditation
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More on Organisational Approaches to Quality Improvement (Health Foundation / BMJ)
Summary The Health Foundation’s report investigates lessons derived from sponsoring and evaluating quality improvement, whether at team, organisation and / or system levels. Case studies covering three NHS trusts in England with a CQC rating of “Outstanding” and which implemented … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Health Foundation, Integrated Care, National, NHS, Person-Centred Care, Quick Insights, UK, Universal Interest
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Tagged AQuA’s QI Maturity Matrix, Barriers to Engagement, Barriers to Involvement, BMJ, BMJ Publishing Group Ltd, British Medical Journal (BMJ), Chamberlain’s QI Building Blocks Framework, Co-production in Quality Improvement, Compassionate Care, Compassionate Inclusive and Effective Leaders, Compassionate Leadership, Compassionate Leadership and Innovation, Compassionate Leadership: Cultural Elements, Culture and Environment, Culture of Compassionate Care, Delivering Safe and Compassionate Care, Department of Applied Health Research: University College London (UCL), East London NHS Foundation Trust, East London NHS Foundation Trust (ELFT), East London NHS Foundation Trust (QI), ELFT QI Method, Enablers of Organisational Improvement, GenerationQ, Getting It Right First Time (GIRFT), Health Foundation's Quality Improvement Reports, Improving Patient Safety, Infrastructure and Resources, Innovative Leadership, Intermountain Healthcare Delivery Institute, Intrinsic Motivation, Involvement and Participation, Jönköping County Council, Jönköping County Council: Sweden, Jönköping County Council’s QI Programme (Sweden), Johns Hopkins Medicine, Kaizen, Leaders Comfortable With More Autonomy at All Levels, Leadership, Leadership and Culture, Leadership and Governance, Leadership for Improvement Board Development Programme, Leadership Style, Lean and Quality Improvement, Lean Programme, Learning Culture, Learning-Based Approaches, Macro Meso and Micro Contributions to Quality Improvement, Macro Meso and Micro Contributions to Quality of Healthcare, Maximising Health Outcomes, Minimising NHS Costs, NHS Challenges and New Solutions, NHS Culture, NHS Culture Change, NHS Efficiency Savings, NHS Partnership with Virginia Mason Institute, Northumbria Healthcare NHS Foundation Trust, Open Culture, ORCA Tool, Organisation-Wide Approaches to Quality Improvement, Organisational Barriers to Improvement, Organisational Improvement, ORIC Measure, Outstanding Care, Overcoming Challenges to Improving Quality, Overcoming Inertia, Patient Safety, Patient-Centred Culture, People-Driven Approaches to Change, Positive Culture, Positive Inclusion and Participation, Problem-Solving and Innovation, QI Culture, QI: Quality Improvement, QSIR, Quality Improvement, Quality Improvement Approaches, Quality Improvement Culture, Quality Improvement Resources, Quality Service Improvement and Redesign (QSIR) Programmes, Redesigning Care Pathways, Redesigning Services, Reducing Waste in the NHS, Research Culture, Respect for Autonomy, Return on Investment From QI, RUBIS.Qi, Sheffield Teaching Hospitals NHS Foundation Trust: Microsystems Coaching Academy, Skills and Workforce, Staff Empowerment, Staff Empowerment in the NHS, Staff Engagement, Staff Engagement in the NHS, Staff Motivation, Tackling Barriers to Innovation, Thedacare Accountable Care, Transformative Culture, Transparent Learning Culture, UCL Department of Applied Health Research, University College London (UCL), Virginia Mason Institute Production System, Western Sussex Hospitals NHS Foundation Trust
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Contemplating the “Who” and “Why” in Quality Improvement: the Psychology of Change Framework (IHI / DHSC / FMLM / SCIE)
Summary The latest Institute for Healthcare Improvement (IHI) white paper presents a framework for the psychology of change in health care quality improvement. The aim is to increase the chances of successful change / service transformation, by addressing five domains … Continue reading →
Posted in Department of Health and Social Care (DHSC), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), International, National, NHS, NHS Improvement, Quick Insights, SCIE, UK, Universal Interest
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Tagged Adapt in Action (Motivational Experience), Authentic Relationships, Autonomy for Staff Innovation, Cambridge University’s Judge Business School, Clinical Executive Fast Track Scheme, Clinical Quality Improvement, Clinicians Moving Into Senior Leadership: Barriers and Enablers, Co-Design, Co-Design: People-Driven Change, Co-Production, Co-Production in Commissioning, Co-production in Quality Improvement, Co-Production: Authentic Relationships, Collaboration, Collaboration for Coordinated Care, Collaboration: Working Across Boundaries, Collaborative Leadership, Continuous Learning Culture, Cultural Leadership, Culture of Empowerment and Support, Deborah Davis: Managing Director of NHS North West Leadership Academy, Deborah Davis: National System Leadership Lead at NHS Leadership Academy, Delegated Decision Making, Distributed Leadership Structure, Distribution of Power, Diversity in Leadership, Diversity of Thought (Idris Elba), Embracing Emergence, Faculty of Medical Leadership and Management (FMLM), Failing Forward, Failure, Future of Care Report: Number 9 (SCIE), Growth Mindset, Healthcare Quality Improvement, Healthcare Value Improvement, IHI Psychology of Change Framework, IHI White Paper: Psychology of Change Framework (2018), IHI: Institute for Healthcare Improvement, Innovative Leadership, Inspiring Communicating Delegating Empowering Empathetic Leadership, Institute for Healthcare Improvement (IHI), Integrated Care Systems (ICSs), Intrinsic Motivation, Leaders Comfortable With More Autonomy at All Levels, Leaders in Healthcare Conference (November 2018), Leadership and Culture, Leadership in Integrated Care Systems, Leadership Style, Learning Culture, Matt Hancock: Secretary of State for Health and Social Care, Motivational Enhancement, NHS Change Model: Shared Purpose, NHS Graduate Management Training Scheme, NHS Leadership Academy, NHS Leadership Academy Contacts, NHS Leadership Academy Contacts: East of England Leadership Academy, NHS Leadership Academy Contacts: West Midlands Leadership Academy, NHS Leadership Academy: Moving to NHS Improvement, NHS North West Leadership Academy (NHS NWLA), Open Culture, People-Driven Approaches to Change, Psychology of Change, Psychology of Change Framework for Advancing and Sustaining Improvement, QI: Quality Improvement, Quality Improvement, Quality Improvement Culture, Redesigning Care Pathways, Redesigning Services, Respect for Autonomy, Rt Hon Matt Hancock MP, Service Redesign, Shared Purpose, Skillsets for Technological Revolution and Speed of Change, Skillsets Suitable for Meeting NHS Long-Term Plan, Social Care Institute for Excellence (SCIE), Staff College, Staff Empowerment, Staff Empowerment in the NHS, Staff Engagement, Staff Engagement in the NHS, Staff Motivation, Theory X Versus Theory Y (Basic Motivational Models), Transformative Culture, Transparent Learning Culture, Very Senior Manager (VSM) Level Diversity
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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
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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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Persistent Failings Versus Quality Improvement in Mental Health Care (PHSO / CQC)
Summary The Parliamentary and Health Service Ombudsman (PHSO) has published a report addressing failings in specialist mental health services in England, and their devastating impact on patients and their families. The complaints in this report predate the Five Year Forward … Continue reading →
Posted in Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, National, NHS, NHS England, Person-Centred Care, Personalisation, Quick Insights, SCIE, Standards, UK, Universal Interest
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Tagged Approved Mental Health Professionals Services, Calderstones Partnership NHS Foundation Trust: Quality Improvement in Mental Health Trusts Case Study, Care Quality Commission (CQC), Collaboration, Collaborative Care, Communication: Persistent Failings in Mental Health Services in England, Community and Mental Health Trusts, Complaints and Raising Concerns, Continuous Improvement, Continuous Learning Culture, Crisis Care Concordat, Culture of Raising Concerns, Diagnosis and Failure to Treat: Persistent Failings in Mental Health Services in England, Dignity and Human Rights: Persistent Failings in Mental Health Services in England, Driving Improvement in Mental Health Trusts: Seven Case Studies, Failings in Mental Health Care, Five Year Forward View for Mental Health, Five Year Forward View for Mental Health (2016), Five Year Forward View for Mental Health (5YFVMH), Governance, Improving Patient Safety, Inappropriate Discharge and Aftercare: Persistent Failings in Mental Health Services in England, Inspection, Involvement and Participation, Joined-Up Care, Joint Working, Joint Working Between Health and Social Care, Leadership, Learning Culture, Lincolnshire Partnership NHS Foundation Trust: Quality Improvement in Mental Health Trusts Case Study, Local Variations, Mental Health Care, Mental Health Care and Treatment, Mental Health Crisis Care Concordat, Mental Health Trusts, NHS Mental Health Services, NHS Mental Health Trusts in England, North Staffordshire Combined Healthcare NHS Trust: Quality Improvement in Mental Health Trusts Case Study, Organisational Culture, Oxleas NHS Foundation Trust: Quality Improvement in Mental Health Trusts Case Study, Parliamentary and Health Service Ombudsman (PHSO), Patient Involvement, Patient Involvement in Quality Improvement, Patient Safety, Persistent Failings in Mental Health Services in England: Parliamentary and Health Service Ombudsman, Public and Patient Involvement, Quality and Experience, Quality Improvement, Quality Improvement in Mental Health, Quality Improvement in Mental Health Trusts: Case Studies, Raising Concerns, Responding to CQC Inspection Reports / Ratings, Risk Assessment and Safety: Persistent Failings in Mental Health Services in England, SCIE Social Care Online, Sheffield Health and Social Care NHS Foundation Trust: Quality Improvement in Mental Health Trusts Case Study, Social Care Online, Somerset Partnership NHS Foundation Trust: Quality Improvement in Mental Health Trusts Case Study, South West Yorkshire Partnership NHS Foundation Trust: Quality Improvement in Mental Health Trusts Case Study, Staff Empowerment, Staff Engagement, Staff Engagement in the NHS, Staff Motivation, State of Health and Adult Social Care Report (2016), State of Health Care and Adult Social Care in England, State of Health Care and Adult Social Care in England 2015/16, Themes of Complaints (For PHSO Reflection), Transparent Learning Culture, Unexpected Deaths in Mental Health Trusts, User Participation
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Transformation of Health and Care in Wales: a Revolution from Within (BBC News / Welsh Government)
Summary The Parliamentary Review of Health and Social Care in Wales provides an inspiring vision of future directions in service provision, with proposals which are likely to be studied more widely. Dr Ruth Hussey the former Chief Medical Officer for … Continue reading →
Posted in BBC News, Commissioning, Community Care, Diagnosis, 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, Non-Pharmacological Treatments, Parkinson's Disease, Person-Centred Care, Personalisation, Quick Insights, SCIE, Standards, Statistics, Stroke, Telecare, Telehealth, UK, Universal Interest, Wales
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Tagged A Revolution from Within: Transforming Health and Care in Wales, Achieving Better Value, Adoption of Innovations, Aneurin Bevan University Health Board (ABUHB), Bangor University, Best Value for Taxpayers, Board of Community Health Councils (CHCs), Bureaucracy and Culture, Canterbury District Health Board: DHB (New Zealand), Capacity and Capability, Capacity to Care, Care Closer to Home, Carer Support, Carer Support in Wales, Carer Support Services, Carers Trust Wales, Carers Wales, Change Management, Change Management and Empowerment, Commissioning Carer Support Services, Commissioning for Value, Communities First, Community Health Councils (CHCs), Continuing Learning and Development, Continuous Quality Improvement, Coordinated Health and Social Care, Dementia Awareness Training, Dementia Screening, Dementia Training, Dementia-Friendly Hospitals, Digital Technology, Digital Technology and Innovation, Discharge From Hospital to Primary Care, Dr Chineze Ivenso: Chair of Old Age Faculty at Royal College of Psychiatrists in Wales, Dr David Bailey: Chairman of BMA Wales, Dr Jennifer Dixon CBE (Health Foundation), Dr Ruth Hussey: Former Chief Medical Officer for Wales, Early Diagnosis of Alzheimer's Disease, Early Diagnosis of Dementia, Eric Gregory: Chair of the Assembly Commission Audit and Risk Assurance Committee, Experience of Care, First 1000 Days Collaborative, Future Generation Goals, Global and National Perspective on Dementia (National Assembly for Wales), Good Governance, Great Place to Work, Health and Social Care Reform, Health Education and Improvement Wales (HEIW), Health Technology Wales (HTW, Helen Howson: Director of Bevan Commission (Think-Tank), Impact of Delayed Health Treatment in Wales (Our Lives on Hold: Report), Improving Population Health, Innovation, Innovation Technology and Infrastructure, Integration, Integration of Health and Social Care, International Consortium for Health Outcomes Measurements (ICHOM), Jönköping County Council, Jönköping County Council: Sweden, Joined-Up Care, Joined-Up Strategy to Improve Whole System Flow, Learning and Developing Continuously, Learning Culture, Life Sciences Hub Wales, Listening and Learning System, Listening to Patients, Listening to Patients Families and Staff, Long-Term Care (LTC), Long-Term Care and Support, Making Change Happen, Making Choices Together, Making Choices Together (Previously Choosing Wisely Wales), Moving Healthcare Closer to Home, My Health Text, National Assembly for Wales, National Transformation Programme (Wales), New Models of Care, New Models of Care Vanguards, New Models of Seamless Care, NHS 70 Celebrations, NHS Productivity, NHS Sustainability, NHS Wales Delivery Framework, NHS Wales Efficiency and Healthcare Value Improvement Group (NWEHVIG), NHS Wales Shared Services Partnership (NWSSP), NHS’s 70th Birthday, Nigel Edwards: Nuffield Trust, Nuka System, Nuka System of Care, Once for Wales Principles, Parliamentary Review of Health and Social Care in Wales, Parliamentary Review of Health and Social Care in Wales: Interim Report (2017), Partnership and Collaboration, Partnership Working, Patient Experience, People in Control, PET Scans, Population Health, Population Health and Prevention, Positron Emission Tomography (PET), Preventative Support for Adult Carers, Preventative Support for Adult Carers in Wales (SCIE Rapid Review), Preventative Support for Carers, Principles of Good Governance, Productivity, Professor Anne Marie Rafferty: Dean of Florence Nightingale School of Nursing and Midwifery at King's College London, Professor Chris Marshall: Wales Research and Diagnostic PET Imaging Centre, Professor Dame Carol Black DBE, Professor Don Berwick, Professor Keith Moultrie: Institute of Public Care at Oxford Brookes University, Professor Sir Mansel Aylward, Prosperity for All (Welsh Government), Prudent Health Care, Prudent Healthcare (Bevan Commission), Public Health Wales, Public Service Boards (PSBs), Quadruple Aim for All, Quality and Sustainability, Quality Improvement, Quality of Care, Reduction in Bureaucracy, Royal College of Psychiatrists in Wales, Screening for Dementia, Seamless Care Between Settings, Seamless System for Wales, Shared Decision-Making, Shared Lives Wales, Situational Analysis, Social Care Institute for Excellence (SCIE), Social Care Wales (SCW), Social Services and Wellbeing Act Principles, Staff Engagement, Staff Shortages, Systems for Change, Team Manager Development Programme for Wales, Technology and Infrastructure Development, Transforming Health and Care in Wales, Tredegar Workmen’s Medical Aid Society, University Hospital of Wales (UHW), Value for Money, Vanessa Young: Director of NHS Confederation, Vaughan Gething: Welsh Health Secretary, Wales Research and Diagnostic PET Imaging Centre, Wellbeing of Future Generations (Wales) Act, Wellbeing of the Health and Care Workforce, Welsh Community Care Information System (WCCIS), Welsh Government, Welsh Institute for Health and Social Care: University of South Wales, Welsh Language, WHO Global Action Plan on the Public Health Response to Dementia 2017-2025, Whole System Integration, Whole Systems Redesign, Whole-System Approaches
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Embedding a Culture for Quality Improvement (King’s Fund)
Summary Establishing quality improvement approaches which actually work has much to do with suitable leadership and organisational culture, according to a new King’s Fund report. Full Text Link Reference Embedding a culture of quality improvement. [Online]: King’s Fund, November 9th … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, King's Fund, National, NHS, NHS Improvement, Quick Insights, Standards, UK, Universal Interest
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Tagged Behaviour Change Opportunities, Clinical Quality Improvement, Co-production in Quality Improvement, Collaborative Quality Improvement, Continuous Learning Culture, Continuous Quality Improvement, Cultural Leadership, Culture and Behaviour Change, Culture and Leadership, Culture of Raising Concerns, Culture of Reflective Practice, Culture of Safety, Culture of Valuing Staff, Culture: Lack of Leadership Support for Innovation (Barriers to Innovation), Culture: Risk Aversion (Barriers to Flexibility or Innovation), Culture: Silo Thinking in System (Barriers to Innovation), Efficiency Opportunities, Embedding a Culture of Quality Improvement, Healthcare Quality Improvement, Innovative Leadership, Leadership for Culture Change, Literature Reviews in Quality Improvement, NHS Culture Change, Open Culture, Opportunities to Improve the Quality of Care and Increase Productivity, Organisational and Cultural Barriers, Organisational Culture, Organisational Culture and Climate, Patient Engagement, QI: Quality Improvement, Quality and Efficiency Opportunities, Quality Improvement, Quality Improvement Culture, Shaping Culture, Staff Engagement, Staff Engagement in the NHS, Transparent Learning Culture, Virginia Mason Institute, Virginia Mason Institute Partnership, Workplace Culture
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Some Implications of Seven Day Hospital Services Explored (Nuffield Trust)
Summary The Nuffield Trust’s “London Quality Standards” report evaluates recently introduced standards to improve acute and emergency care in London hospitals. London-wide experiments with Seven Day Services Standards are soon to feature in STPs elsewhere in the UK. These standards … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, 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, Nuffield Trust, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged 7 Day Hospital Services Self-Assessment Results (NHS England), Access to Urgent and Emergency Care, Acute Medical Units (AMUs), Barriers and Enablers to Implementation of LQS, Barriers to Engagement, Challenges of Reconfiguration, Clinical Engagement, Clinical Leadership, Costing Seven Day Services, Costs and Benefits of Seven-Day Services for Emergency Hospital Admissions, Disconnectedness Between Senior Level Staff and Clinicians, Disconnects in NHS Reform, Emergency Care, Employee Engagement, Hospital Reconfiguration, Local Sustainability and Transformation Plans (STPs), London Health Programmes (LHP), London Quality Standards, London Quality Standards (LQS), LQS Audit Process, NHS Service Reconfiguration, NHS Services Seven Days a Week, Out-of-Hours Urgent Care, Perceived Impact of Implementing the LQS in Hospitals, Perceived Strengths and Weaknesses of the LQS, Reconfiguration of Emergency Care System, Seven Day Care in England, Seven Day Services Standards, Seven-Day Consultant-Delivered Care, Seven-Day Hospital Services, Seven-Day Hospital Services Self-Assessment Results (NHS England), Seven-Day NHS Services, Seven-day Rounds and Supporting Services, Seven-Day Services for Emergency Hospital Admissions: Costs Versus Benefits, Seven-Day Services in Hospital, Seven-Day Working, Staff Engagement, Sustainability and Transformation Plans (STPs), Urgent and Emergency Care (UEC), Weekend Working, Workforce Issues, Workforce Issues (Feeling Undervalued)
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Reshaping the Workforce: More Thoughts on Staff Engagement (NHS England / Nuffield Trust / BBC News)
Summary A recent Nuffield Trust report, commissioned by NHS Employers, discussed providing NHS nursing, community and support staff with additional skills to deliver care, as a means to improving the system’s capacity to cope with increasing (and changing) patient demand. … Continue reading →
Posted in BBC News, Commissioning, 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 Employers, NHS England, Nuffield Trust, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Advanced Clinical Practitioners (ACPs), Advanced Nurse Practitioners (ANPs), Advanced Roles, Ageing Population, Assistant Practitioners (APs), Associate Practitioners, Barriers to Engagement, BBC Health News, Beyond Institutional Boundaries, Building Trust, Calderdale Framework: Seven Stages, Candace Imison: Director of Policy at the Nuffield Trust, Care Closer to Home, Clinical Engagement, Collaboration: Working Across Boundaries, Community Care, Cross-Sector Partnerships, Culture and Behaviour Change, Culture Change, Dudley, Dudley Multispecialty Community Provider, Efficiency and Effectiveness, Efficiency Opportunities, Employee Engagement, Engagement, Engagement and Co-Production, Engagement on Quality, Extended Roles, Extending Roles, Financial Efficiency, Financial Sustainability in the NHS, Five Year Forward View (NHS England), Front Line Engagement, Haxby Group Practice, Health and Care Innovation Expo, Heart of England NHS Foundation Trust, Holistic Workers in Community Care, Institutional Boundaries, Integration of Health and Social Care, Integration of Primary Secondary and Community Care, Isle of Wight, Link Workers: Visiting Patients at Home, Long-Term Care (LTC), Long-Term Conditions (LTCs), MDTs: Multidisciplinary Teams, Models of Care Across Organisational Boundaries, Multidisciplinary Population-Based Teams, Multidisciplinary Team Care, Multidisciplinary Teams, Multidisciplinary Teamwork, Multimorbidities and Long-Term Conditions, My Life a Full Life (Isle of Wight) Vanguard, New Care Models, New Care Models Programme, New Care Models: Vanguard Sites, New Ways of Working, NHS Culture, NHS Culture Change, NHS Five Year Forward View (5YFV), NHS Health and Care Innovation Expo (2016), Non-Medical Workforce, Northumberland Accountable Care Organisation, Northumberland Accountable Care Organisation (PACS), Nurses and Midwives: Reducing Barriers / Boundaries Across Care Settings, Organisational Boundaries, Paramedic Practitioners, Pharmacy and Primary Care Practitioners, Physician Associates, Positive Engagement, Principles for Engagement, Provider Engagement, Quality and Efficiency Opportunities, Reshaping the Workforce (Nuffield Trust), Satisfaction, Shortages of NHS Front-Line Staff, Six Steps Model, Skill Flexibility, Speed of Trust Methodology, Staff Engagement, Staff Engagement in the NHS, Staff Satisfaction, Staff Training, Teams Without Walls, Terminology For New and Extended Roles, Vanguards: New Care Models Programme, Workforce Satisfaction, Workforce Training, Working Across Boundaries, Yorkshire and Humber: Toblerone Model
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Reducing Length of Stay in Hospitals (Nuffield Trust / Monitor)
Summary Variations in patients’ length of stay imply there should be significant opportunities to reduce length of hospital stay; whether through improvements to internal processes or development of alternative community-based services. This Nuffield Trust report explores which approaches to reducing … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Delirium, Diagnosis, End of Life Care, Falls, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Acute Hospital Care, Acute Hospitals, Acute Savings per Bed Day, Advance Planning, Alignment of Routine Follow-Up Intensity to Patient Risk Profiles, Assessment Before Discharge, Average Length of Stay (Hospitals), Bed Days, Bed Use (Acute Hospitals), Bed-Blockers, Bed-Blocking Patients (Non-Recommended Term), Blaylock Assessment, British Geriatrics Society (BGS), Bundled Approaches, Care Bundle Approach, Care of Frail Older People With Complex Needs, Care Seven Days a Week, Care Transitions, Care Transitions of Older People, Clinical Engagement, Communication During Handovers, Complex Discharge, Complex Needs, Comprehensive Geriatric Assessment (CGA), Consultant Led Ward Rounds, Continuous Improvement, Continuous Learning, Continuous Monitoring, Culture of Assumed Trust and Professionalism, Culture: Constantly Challenging Preconceptions That Patients Need to be in Hospital, David Bennett: Chief Executive of Monitor, Day-of-Surgery Admission, Delirium Superimposed on Dementia, Dementia Care in the Acute District General Hospital, Dementia Care in the Acute Hospital, Dementia Friendly Acute Hospitals, Dementia in the Acute Hospital, Devolved Decision-Making, Discharge, Discharge Coordination, Discharge Coordinators, Discharge Planning, Discharge Seven Days a Week, Discharge Support, Early Discharge Support, Emergency Care Intensive Support Team, End-of-Life Care in Acute Hospitals, Enhanced Recovery, Enhanced Recovery (ER) Pathways, Enhanced Recovery Care Pathways, Enhanced Recovery Programmes (ERPs), Frail Older People With Complex Needs, Frailty Units, Frailty Units and Services, Greater Manchester Commissioning Support Unit, Handover, Handover Records, Healthcare Closer to Home (Monitor), Hospital Discharge, Hospital-Acquired Infections, Identification of Patients At Risk of Complex Discharge on Admission, Immobility, Impact of Delirium on Length of Stay, Impact of Dementia on Length of Stay, Improving Patient Flow, Improving Productivity in Elective Care: Operational Opportunities, Information Systems, Inpatient Palliative Care, Integrated Care for Older People With Complex Needs, Integrated Care Pathways, Integrated Discharge Process, Integrated Out-of-Hospital Care, Lean Enterprise Academy, Length of Stay, Length of Stay (LoS), Managing Transitions, Mayo Audit Tool: Northumbria Healthcare NHS Foundation Trust, MDTs: Multidisciplinary Teams, Medical Care Assessment Protocol (MCAP), Monitor, Moving Healthcare Closer to Home, Multidisciplinary Patient Management, Multidisciplinary Team Care, Multidisciplinary Teams, National Patient Safety Agency (NPSA), Nine Areas of Operational Improvement in Elective Care: Alignment of Routine Follow-Up Intensity to Patient Risk Profiles, Nine Areas of Operational Improvement in Elective Care: Day-of-Surgery Admission, Nine Areas of Operational Improvement in Elective Care: Optimised Theatre Scheduling and Management, Nine Areas of Operational Improvement in Elective Care: Proactive management of infections and readmissions, Nine Areas of Operational Improvement in Elective Care: Specialisation and Extended Roles in Theatre or Outpatient Procedure Teams, Nine Areas of Operational Improvement in Elective Care: Standardisation of Ward Care and Enhanced Recovery, Nine Areas of Operational Improvement in Elective Care: Stratification of Patients by Risk, Nine Areas of Operational Improvement in Elective Care: Streamlined Outpatients and Diagnostics, Nine Areas of Operational Improvement in Elective Care: Surgical Teams Informed and Supported to Use Theatres Effectively, Northumbria Healthcare NHS Foundation Trust, Nutrition and Hydration, Oak Group and Greater Manchester Commissioning Support Unit, Optimised Theatre Scheduling and Management, Out-of-Hospital Care, Out-of-Hospital Services, Palliative Care, Patient Discharge, Patient flow, Patient Flow Within Hospitals, Patient Flows, Patient Handovers, Patient Transfer to Alternative Settings, Positive and Proactive Care, Pressure Ulcers: Prevention, Priorites Within Acute Hospitals, Proactive Care Plans, Proactive Case Management, Proactive management of infections and readmissions, Proactive Patient Management, Proactive Patient Rounds, Productivity in Elective Care, Quality Improvement, Reducing Catheter Associated Urinary Tract Infections, Reducing Immobility, Rehabilitation in Acute Hospitals, Separating Elective Surgical Admissions, Seven Day Consultant Led Multidisciplinary Ward Rounds, Seven Day Services, Seven-Day Hospital Services, Seven-Day NHS Services, Seven-day Rounds and Supporting Services, Seven-Day Services in Hospital, Seven-Day Working, Shared Decision-Making, Short Stay Units for Elderly Patients, Short-Stay Observation and Assessment Units, Short-Stay Units, Single Point of Access (SPA), Smoother Patient Flows, SPA: Single Point of Access, Specialisation and Extended Roles in Theatre or Outpatient Procedure Teams, Specialist Frailty Services, Specialist Frailty Units, Staff Engagement, Standardisation of Ward Care and Enhanced Recovery, Stratification of Patients by Risk, Streamlined Outpatients and Diagnostics, Surgical Teams Informed and Supported to Use Theatres Effectively, Targeted Care, Tracking Patient Progress, Transition Planning, Transitions, Trends in Acute Activity: Trends to 2022, Trends in Emergency Admissions in England, Understanding Patient Flow in Hospitals (Nuffield Trust), Urinary Tract Infections (UTIs), Ward Rounds, Weekend Ward Rounds, Whole System Patient Flows
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