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Tag Archives: System Re-Design
Quick Animation on How the NHS in England Works (King’s Fund / CreativeConnection)
Summary The King’s Fund has produced an animated video, and a brief accompanying slide-set, which provide a quick overview of how the NHS “works”, in terms of evolving structure and the functional inter-relationships between the many component parts. Full Text Link Reference Mantell, K. … Continue reading
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, King's Fund, Local Interest, National, NHS, NHS England, NHS Improvement, Quick Insights, UK, Universal Interest
Tagged Accountable Care Organisations (ACOs), Accountable Care Systems (ACSs), Acute Care Collaboration (ACC) Vanguards, Adult Social Care, Ageing Population, Animation on How the NHS in England Works, Care Closer to Home, CCGs: Clinical Commissioning Groups, Clinical Commissioning Groups (CCGs), CreativeConnection, Five Year Forward View (NHS England), Forward View Into Action: Support For Vanguards, Greater Manchester, Greater Manchester Reform, Hospital Chains, Hospitals Collaboration Vanguards, How the NHS in England Works, Integrated and Community-Based Care, Integrated Primary and Acute Care Systems (PACS), Integration, Integration of Health and Social Care, Integration of Primary Secondary and Community Care, Local Authorities, Local Service Design, Local Sustainability and Transformation Plans (STPs), Multihospital Chains, Multispeciality Community Providers (MCPs), Multispecialty Community Providers (MCPs), New Care Models: Support for Acute Care Collaboration (ACC) Vanguards, New Models of Care, New Models of Care Vanguards, NHS Organograms, NHS Providers, NHS Providers: Regulation and Commissioning, NHS Sustainability, Public Health England (PHE), Service Design, Sustainability, Sustainability and Transformation Plans (STPs), System Re-Design, Urgent and Emergency Care (UEC) Vanguards
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Challenges in the Creation of a Seven-Day NHS: Leaked Update (BBC News)
Summary A confidential Department of Health review of government plans for a seven-day NHS in England, “leaked” to the Guardian newspaper and Channel 4 News, identifies 13 potential risks; including concerns over staff-shortages, workforce overload and the general lack of … Continue reading
Posted in BBC News, 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, National, NHS, NHS England, Quick Insights, Standards, UK, Universal Interest
Tagged 7 Day Services Governance Group, Audit and Risk, Audit and Risk Assurance Committee, £10 Billion of Investment in NHS, Building the Evidence Base: Regarding How 7-day Services Impact on GPs Hospitals and Urgent and Emergency Care, Care Seven Days a Week, Channel 4 News, Consequences of the Francis Inquiry Report, Culture Change in the NHS, Culture of Safety, Diane Abbott (Labour), Diane Abbott: Labour Shadow Health Secretary, Doctors and Nurses (Demand Versus Capacity), Dr Mark Porter: Chair of Council at British Medical Association, Elevated Weekend Hospital Mortality, Erroneous or Simplistic Misinterpretations of the Weekend Effect, Extra Doctors and Nurses Recruited, Financial Sustainability in the NHS, Five Year Forward View, Five Year Forward View (NHS England), Former Health Secretary Jeremy Hunt, Guardian, Guardian (Newspaper), Joanne Shaw: Audit and Risk Assurance Committee Chair, Joanne Shaw: Non-Executive Director and Chair of Audit at National Audit Office, Money Well Spent, News Manipulation and Intransigence, NHS Culture, Patient Safety, Patient Safety in the NHS, Repercussions From the Francis Inquiry Report, Risk Register for 7 Day Services Programme, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Service Redesign, Seven Day Care in England, Seven Day NHS Pledge: Potential Problem of Delivering Against Plan Without Achieving Desired Change, Seven Day NHS Pledge: Potential Problem of Missing the Point (Not Reducing Unacceptable Variations in Care Quality), Seven Day NHS Pledge: Potential Problem of Missing the Point (Some Statisticians Now Claim Weekend Effect Does Not / Did Not Exist), Seven Day NHS Pledge: Problem of Resources, Seven Day NHS Pledge: Problem of Staff Shortages, Seven Day NHS Pledge: Problem of Unwillingness or Incapacity for Doing More With Less, Seven Day NHS Pledge: Problem of Workforce Overload, Seven Day NHS Pledge: Problems Identified in Leaked Confidential Department of Health Review, Seven Day Services, Seven-Day GP Access, Seven-Day Hospital Services, Seven-Day NHS Services, Seven-Day Opening, Seven-Day Working, Statistical Epiphenomena, Sustainability, Sustainable Funding, Sustainable Health and Care Services, System Re-Design, Thinking Like a Patient and Acting Like a Taxpayer, Unspoken Political Context: Weaponising the NHS (Speculative Construct), Weekend Effect, Weekend Mortality Rates, Weekend Services, Weekend Working
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Murky Evidence? Murkier Politics (BBC News)
Summary Trust no-one. Believe nothing. Use your own judgement. Back to renaissance values? Full Text Link Reference Bloch, S. (2016). Hunt ‘misrepresented’ data on 7-day NHS. London: BBC Health News, February 24th 2016.
Posted in BBC News, Commissioning, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, NHS England, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged Acute Care, Acute Hospital Care, Ageing Population, BBC Health News, BMA Shambolic Mishandling and Calculated Misinformation (Political Rebound to Earlier Hunt Allegations), British Medical Journal (BMJ), Care in General Hospitals, Culture Change in the NHS, Day-of-the-Week Effect, Deborah Williams: NHS England's Seven Day Services Forum Project Manager, Elevated Weekend Hospital Mortality, Emergency Admissions, Emergency Hospital Treatment, FOI: Freedom of information, Former Health Secretary Jeremy Hunt, Heidi Alexander: Former Labour Shadow Health Secretary, Hospital Mortality, Hospital Mortality Rates, Jeremy Corbyn (Labour Party Leader), Junior Doctors: Contract Dispute of 2016, Junior Doctors’ Morale Wellbeing and Quality of Life, Medical Director of NHS England: Professor Sir Bruce Keogh, Medical Directorate: NHS England, Misinformation, Misinformation: Conflation and Skewed Interpretations Behind Junior Doctors' Dispute, Monday to Friday Culture, Mortality, Mortality Associated With After Hours and Weekend Admissions, Mortality at the Weekend, Mortality by Day of the Week, Mortality Rates, Mortality Statistics, Mythology of the Times, NHS England’s Seven Days a Week Forum, NHS Services: Seven Days a Week Forum, NHS Seven Days a Week Forum, Orchestrated Intransigence, Patient Safety, Patient Safety Improvement, Potted Weekend Effect Synopsis (Department of Health), Preventable Hospital Mortality, Professor Sir Bruce Keogh, Quality Improvement, Quality of Care, Quality of Care at Weekend, Reform, Resistance to Change, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Seven Day Services Forum, Seven-Day Hospital Services, Seven-Day Working, Stuff Their Mouths With Gold (History of How Aneurin Bevan Placated the BMA), System Re-Design, Thinking Like a Patient and Acting Like a Taxpayer, UK Statistics Authority, Unspoken Political Context: Weaponising the NHS (Speculative Construct), Variations in Quality of Care, Weekend Effect, Weekend Hospitalisation and Additional Risk of Death, Weekend Mortality for Emergency Admissions, Weekend Working
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Seven-Day Health Service Commitment, Plus Focus on Prevention, Care Redesign and Efficiency Linked to Investment (NHS England / BBC News / RCN / HSJ)
Summary On the same day that David Cameron / Jeremy Hunt renewed pledges to maintain NHS funding, recruit 5,000 new GPs and create an NHS health service operating seven-days a week, Simon Stevens has spoken of action in pursuit of … Continue reading
Posted in BBC News, Commissioning, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Integrated Care, Mental Health, National, NHS, NHS England, Person-Centred Care, Quick Insights, RCN, Standards, UK, Universal Interest
Tagged 5000 More GPs by 2020 and Surgeries Open Seven Days Per Week ("Surreal Obsession" BMA Claim), 5YFV: NHS Five Year Forward View, AbbVie, Access to GP Services, Advanced Nurse Practitioners, Agency Staff (Exorbitant Waste of NHS Funding), Better Procurement, BMA's "Surreal Obsession" Attack on 5000 More GPs by 2020 and Surgeries Open Seven Days Per Week, Bureaucracy and Burnout, Care Seven Days a Week, Centralised Procurement (Economies of Scale), Clampdown on Staffing Agencies, Clinical Nurse Specialists Nurse Practitioners, Consultancy Contracts Over £50k: Clampdown, Crowd Herding and Social Media, David Bennett: Chief Executive of Monitor, David Cameron, Dr Chaand Nagpaul: British Medical Association, Dr Peter Carter: Chief Executive and General Secretary at Royal College of Nursing, Economic Sustainability, Efficiency, Efficiency Savings, Finance and Procurement, Foreign Nurses, Former Health Secretary Jeremy Hunt, GP Recruitment, GP Scorecard: Quality Improvement, GP Scorecard: Transparency, Health Economics, Health Service Journal (HSJ), HSJ, Immigration Controls, Immigration Rules, Jane Cummings: Chief Nursing Officer for England, Management Consultants, Migrant (Non-European) Workers, Migrant Salary Rules, Migration Advisory Committee, Monday to Friday NHS Culture, Monitor, Monitor’s Provider Sustainability Directorate, National Conversation: Obesity the New Smoking, National Institute for Health and Care Excellence (NICE), NHS Confederation Annual Conference 2015, NHS Efficiency Savings, NHS England’s Five Year Forward View, NHS Five Year Forward View (5YFV), NHS Funding, NHS Pay Review Body (NHSPRB), NHS Procurement, NHS Services Seven Days a Week, NICE Safe Staffing Programme (Suspension), Non-European Nurses, Non-European Workers, Nurse Consultants, Nurse Staffing Levels, Obesity is the New Smoking, Obesity Risk Factor, Over-Reliance on Agency Staff, Prevention, Procurement, Provider Sustainability Directorate (PSD), Quality and Sustainability, RCN Congress 2015, RCN Position on Seven Day Care, Redesigning Care Pathways, Redesigning Services, Reduction in Bureaucracy, Review Body on Doctors’ and Dentists’ Remuneration (DDRB), Royal College of Nursing (RCN), Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Safe Staffing Letter (June 2015), Safe Staffing Levels, Senior Nurses in the NHS, Service Redesign, Seven Day Care in England, Seven Day Services, Seven-Day GP Access, Seven-Day NHS Services, Seven-Day Opening, Seven-Day Services for Emergency Hospital Admissions: Costs Versus Benefits, Seven-Day Services in Hospital, Seven-Day Services in the Community, Seven-Day Working, Shortages of Senior Nurses, Simon Stevens: Chief Executive of NHS England, Staffing Agencies Charging NHS Extortionate Rates, Staffing Levels, Staffing Levels and Skill Mix, Sustainability, Sustainable Funding, Sustainable Health and Care Services, System Re-Design, Twitter Campaigns: Crowd Herding, Ward Staffing Levels, Working Evenings and Weekends
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