Learning from vanguards

The NHS Confederation has published the following briefings sharing learning from vanguards:

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Image source: http://www.nhsconfed.org

 

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Developing People – Improving Care

One year on from the launch of the Developing People- Improving Care, this report  highlights how leaders across health and social care have implemented the framework | NHS Improvement

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Image source: improvement.nhs.uk

In 2016, thirteen organisations from health, social care and local government came together to create the Developing People Improving Care framework, based on national and international research, and conversations held with people across the health and care system.

One year on, this publication highlights some of the work taking place, demonstrating the steps people are already taking to ensure systems of compassion, inclusion and improvement, are at the core of the health and care system.  The report also sets out plans for the year ahead.

Full report: Developing People- Improving Care

Urgent and emergency care: best practice

This CQC report offers practical examples of how leading emergency departments are meeting the challenges of managing capacity and demand, and managing risks to patient safety .

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This report from the Care Quality Commission details the good practice identified following the Commission’s work with consultants, clinical leads, senior nursing staff and managers from leading emergency departments in 17 NHS acute trusts.

This resource identifies:

  • strategies staff use to meet the challenge of increased demand and manage risks to patient safety
  • positive actions to address potential safety risks and to manage increased demand better
  • how working with others can manage patient flow and ensure patients get the care they need
  • that rising demand pressures in emergency departments are an issue for the whole hospital and local health economy.

Full report: Sharing best practice from clinical leaders in emergency departments

Reducing delayed transfers of care over winter

NHS Improvement has written to the chief executives of all trusts providing community services setting out actions they must implement to reduce delayed transfers of care over winter. | NHS Improvement | HSJ

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NHS Improvement  chief executive Jim Mackey has said trusts must help improve delayed discharges over winter and listed six actions they need to carry out in the next six months:

  1. Facilitate the sharing of patient data with acute and social care partners and from 7 November ensure daily situation reports are completed “to enable better understanding of community services at a national level”.
  2. Jointly assess discharge pathways with local partners including “being an active participant in the local acute provider’s discharge and hosting operational discussions daily where necessary to discharge patients in community settings”.
  3. Develop “discharges hubs” over the next six months and beyond, designed to be a single point of access for patients moving between acute and community services.
  4. Ensure a “robust patient choice policy” is implemented.
  5. Clarify to partner organisations what services the trust offers to patients.
  6. Ensure collection of patient flow data and data on plans to improve patient flow.

Full detail is given by NHS Improvement who have produced the following  report to help improve flow into and out of community health services:

Flow in providers of community health services: good practice guidance

Related HSJ article: Trust chiefs given new instructions to tackle winter DTOCs

Future of health and healthcare in England

RAND Europe | Future of Health: Findings from a survey of stakeholders on the future of health and healthcare in England

This report presents findings from a survey to gather and synthesise stakeholder views on the future of health and healthcare in England in 20 to 30 years’ time. The aim of the research was to generate an evidenced-based picture of the future health and healthcare needs in order to inform strategic discussions both about the future priorities of the National Institute for Health Research and the health and social care research communities more broadly.

Key trends and changes which emerged from the survey included: an ageing population that lives longer but not necessarily in better health; rising health inequalities; the increasing influence of unhealthy lifestyle choices; increases in the burden of mental health, especially for children and older people and; the future threat of changing patterns of infectious and respiratory disease, in part due to antimicrobial resistance (AMR) and air pollution.

Full document can be downloaded here

Developing accountable care systems

Developing accountable care systems: lessons from Canterbury, New Zealand | The Kings Fund

This report examines how the Canterbury health system  in New Zealand has moderated demand for hospital care, particularly among older people, by investing in alternative models of provision and community-based services.  The transformation has taken more than a decade and required significant investment; this report considers the lessons that the NHS can learn.

New model of Primary Care provision

New report from the Nuffield Trust evaluates an initiative called the Primary Care Home (PCH) model developed by the National Association of Primary Care (NAPC).

The primary care home model was developed by the National Association of Primary Care as a response to workforce challenges, rising demand and opportunities to shape transformation in local health and care systems across England.

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Image source: nuffieldtrust.org.uk

This report from the Nufield Trust suggests that the new models of primary care provision are showing early signs of success but will need more resources and support for these models to work well on a permanent basis.

The evaluation found that participating in the primary care home programme had strengthened inter-professional working between GPs and other health professionals while also stimulating new services and ways of working, tailored to the needs of different patient groups.

It was judged to be too early in the scheme’s development for the Nuffield Trust to quantify impacts on patient outcomes, patient experience or use of wider health services.

Full report: Primary Care Home. Evaluating a new model of primary care.

Related: New primary care model needs resources, say experts | OnMedica