New models of care

The Kings Fund has published presentations from its conference Mainstreaming primary and acute care systems and multispecialty community providers.  The event explored the learning from the multidisciplinary community providers and primary and acute care systems new care model vanguards. It looked at what is working well and what could be replicated in other areas.

Implementing a people powered approach to health

This report gathers a wide range of insights taken from three community sites on how to implement a people powered approach to health and wellbeing.

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These three main insights were found to be the most important to making a difference on the ground:

  • Helping people help themselves
  • Creating opportunities for people to help one another
  • Creating value between the professional and social spheres – helping health and care

Mobilising Communities was a short, experimental programme aimed at exploring the practical applications of the idea of ‘social movements’ in health in three communities in England.

The objective of the programme was to work with three sites to explore the opportunities to support effective ways of combining people power and community resources, together with publicly funded services, for better health outcomes across local communities.

The report goes into detail on how each of the three insights above can be developed to support a social movement in health for people and communities.

Download the full report: Mobilising Communities: Insights on Community Action for Health and Wellbeing 


NHS England, March 2017

As the NHS approaches its 70th anniversary the health service has today published the plan setting out how it will deliver practical improvements in areas prized by patients and the public – cancer, mental health and GP access – while transforming the way that care is delivered to ease pressure on hospitals by helping frail and older people live healthier, more independent lives.

These measures, probably the biggest national move towards integrated care currently underway in any Western country, will also help to put the service on a more sustainable footing for the future.

With the NHS under pressure this plan, Next steps on the NHS Five Year Forward View, also details an accelerated drive to improve efficiency and use of technology in order to deliver better care and meet rising demand within the constraints of available resources.

Two-and-a-half years on from the publication of the widely-welcomed NHS Five Year Forward View, the plan spells out what has been achieved and the changes which will take place across the health service in key areas:

  • Improved cancer care aimed at saving an extra 5,000 lives a year through new one-stop testing centres, screening programmes and state of the art radiotherapy machines.
  • Boosting mental health services by increasing beds for children and young people to cut out of area care, more beds for new mothers and more mental health professionals in the community and hospitals to prevent crisis admissions.
  • Better access to GP services with everyone benefiting from extended opening in the evenings and weekends, newly designated ‘Urgent Treatment Centres’ and an enhanced 111 service to ease pressure on A&Es.
  • Better care for older people by bringing together services provided by GPs, hospitals, therapists, nurses and care staff, cutting emergency admissions and time spent in hospitals.
  • Driving efficiency and tackling waste to make money invested in the NHS go further in delivering the services and staff that patients want, including the latest treatments and technology.

Displaying referral to treatment data

An example of how NHS staff can display referral to treatment (RTT) data to identify and predict performance issues, and react to them in a timely way. | NHS Improvement

The RTT standard is a key performance standard indicating how trusts are delivering on a patient’s right to receive treatment within 18 weeks of being referred to a consultant-led service. A significant proportion of patients are monitored against this standard leading to a large amount of data being generated to assist teams in managing their services to deliver this standard.

It is important that RTT data is presented in a user friendly way to enable it to be utilised effectively. Clearly presented data can help teams to identify and predict performance issues, and react to them in a timely way.

This example dashboard illustrates how RTT data can be presented to show trends and support effective monitoring of performance.

This is not a comprehensive suite of reports but presents a minimum set of key indicators to describe RTT performance and highlight potential issues.

Download the example RTT dashboard here


Organisation and quality of stroke services

New review brings together recent evidence relevant to those planning and delivering stroke services, those delivering treatments to people with stroke and to those living with stroke. | National Institute for Health Research

Recent years have seen huge improvements in the clinical management of people with stroke with early assessment, use of thrombolysis and better organisation of services into acute stroke units. Over the last twenty years, stroke mortality rates have halved.

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This themed review looks at the configuration of stroke services, identifying stroke and acute management, recovery and rehabilitation, and life after stroke.

It features:

  • 44 published studies
  • 29 ongoing studies
  • Questions to ask about your stroke services
  • Quotes from commissioners, clinicians and service users

Full document:
Roads to Recovery: Organisation and Quality of Stroke Services