Learn from historical deficits to prepare for future financial challenge, says new Nuffield Trust report

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This new report from the Nuffield Trust is the first output of a project developed with the Audit Commission and NHS Confederation.  This first output is the result of qualitative research to capture learning from earlier periods of financial deficit within the NHS, with a view to preparing for the financial challenges ahead.  The second [read the full story…]

“To fulfil its constitution, the NHS must continue to provide a comprehensive, excellent service, available to all”, says report

Underground station sign saying mind the gap

The NHS faces an increasing funding gap and a conflict between supply and demand. The constitution says that the NHS must provide a high quality service for everyone. However, the population is growing, and people are living longer, so how can the NHS continue to do more with less? Monitor believes that getting better “health [read the full story…]

“House of care” model can improve outcomes for long term conditions says new report

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A new report from the Kings Fund, Delivering better services for people with long-term conditions:  building the house of care, shares learning from the “house of care” model which was developed through the Year of Care programme and discussed in a recent workshop and series of interviews.  The “house of care” metaphor is used to [read the full story…]

“NHS must be more responsive to the needs and wishes of the public”, says guide

Broadcasting tower

Time and time again, research has shown that involving patients and carers in the treatment decision-making process is beneficial to all involved as it improves compliance, patient satisfaction and experience, and ultimately reduces cost for the service as a whole. So, it is crucial that commissioners take this into account when designing and procuring services. [read the full story…]

Integrated care for mental health needs new thinking, according to inquiry report

Good integrated care for people with mental health needs remains the exception rather than the rule

Integrated care is seen as critical to delivering better quality services for patients and service users  and a key element of health policies in the UK.  However, the evidence base suggests a fragmented picture, with variations in definitions and implementations limiting what can be learned and applied elsewhere.  This new report, Crossing Boundaries: Improving integrated [read the full story…]

“Decision-makers need to think differently about how to commission long-term condition services” says study

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The aim of this paper, written for commissioners, managers, and health decision-makers, was to look at how commissioning works for people with long-term conditions such as dementia. The authors carried out a multisite mixed methods case study research, involving three ‘commissioning communities’ and using interviews, documents, and meeting observations to reach their conclusions. A commissioning [read the full story…]

Challenges in implementing personal health budgets: lessons for commissioners

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A timely report from the Nuffield Trust details the background to the current policy on personal health budgets (due to become effective in April 2014) and some important learning for commissioners and policy makers.  From next year, clinical commissioning groups (CCGs) will be required to offer personal health budgets to patients receiving continuing health care [read the full story…]

“Commissioners should ensure sustained and effective delivery of children’s palliative care” says guide

Hands holding across clouds

Clinical Commissioning Groups, hospices, patients, carers, and all staff who provide palliative care to children. This short guide has been written for Clinical Commissioning Groups, hospices, patients, carers, and all staff who provide palliative care to children. Commissioners need to be aware that palliative care for children is very different to palliative care for adults, [read the full story…]

“Carers can help commissioners meet financial targets”, according to report

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Carers are integral to health care improvement. This report highlights evidence that shows “the economic value of the contribution they make is £119bn per year”. However, without support, carers can feel isolated, depressed, and may be living in poor financial circumstances, which can lead to poor health for the carer too. The problem health and [read the full story…]

Framework to help commissioners make fair resource allocation decisions

Wooden framework for a house

This paper describes the development of a framework to help commissioners make effective decisions with regards to local resource allocation decisions. The aim is to reduce variation in prescribing patterns across England, also known as the ‘postcode lottery.’ While the framework was originally developed by the former National Prescribing Centre, which is now the Medicines [read the full story…]