Use of Resources assessment framework

A framework for evaluating how providers are making use of resources, leadership and governance in order to provide high quality care that is efficient and sustainable | NHS Improvement

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Following sector-wide feedback, we’ve produced this framework, finalising our approach to the Use of Resources assessment. This will help us to better understand how effectively and efficiently providers are using their resources – including finances, workforce, estates and facilities, technology and procurement – to provide high quality, efficient and sustainable care for patients, and will help us to deliver tailored support to providers.

The Use of Resources assessment will also help us to identify providers’ support needs under the Single Oversight Framework (SOF), and deliver targeted support accordingly. We are now updating the SOF to reflect these and other changes in our oversight approach and will publish an updated version in October, following feedback.

Read the full overview here

The Responsive Leadership Intervention

The Responsive Leadership Intervention (RLI) is a multi-faceted intervention aimed at improving leadership and individualized care in long-term care | Geriatric Nursing

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We evaluated the influence of the RLI on

  1. Responsive leadership practices by team leaders
  2. Health care aides’ (HCAs) self-determination
  3. HCAs’ perceived ability to provide individualized care.

Change from baseline to 1-month post-intervention was greater in the intervention group than control group for Individualized Care (IC) (p = 0.001), but not for Self Determination (p = 0.26).

Perceived levels of responsive leadership was greater following the intervention among participants with baseline measures that were less than the median (p = 0.007), but not if greater.

At 3-months post-intervention, the intervention group retained 32% of the difference from control in IC, and 49% of the difference from control in responsive leadership; at 6-months post-intervention, 35% and 28%, respectively. The RLI is a feasible method for improving responsive leadership practices and individualized care.

Full reference: Caspar, S. et al. (2017) The Responsive Leadership Intervention: Improving leadership and individualized care in long-term care. Geriatric Nursing. DOI: 10.1016/j.gerinurse.2017.04.004

Leading Across The Health And Care System: Lessons From Experience

This paper offers those who are leading new systems of care some guidance on how to address the challenges they face| The King’s Fund

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Image source: The King’s Fund

As the NHS seeks to move away from competition towards integration and to develop new models of care, individuals and organisations across the health and care system need to learn to work together to make the best use of collective skills and knowledge.

Part of our Leadership in action series, this paper offers those who are leading new systems of care some guidance on how to address the challenges they face. It draws on the Fund’s work on the development of new care models, sustainability and transformation plans, and accountable care organisations. It is also informed by the experience of people who have occupied system leadership roles and draws on case studies from our research and organisational development work.

Read the full report here