‘We need to move beyond arguing for integration to making it happen’ asserted the NHS Future Forum back in 2011. The King’s Fund and the Nuffield Trust have come together to promote the argument that ‘Integrated care is essential and can be delivered without further legislative change or structural upheaval.’ The report argues that improving [read the full story…]
An independent evaluation of the use of performance measures for accountability and quality improvement from RAND Corporation reports on how these are being used by a wide array of organizations in the USA. The availability of data from which to construct measures was the single most important factor cited as either facilitating or impeding their [read the full story…]
Urgent or unplanned care consumes more than half the cost of the NHS, and represents about a third of the overall activity within it. This practical guide for commissioners builds on thinking emerging from reviews and innovative work by the Primary Care Foundation for the Department of Health over recent years. Without proposing a blueprint [read the full story…]
This report on Phase 1 of work by the QIPP Right Care Team looks at emerging views of commissioners and surgeons on the issue of commissioning policies on “low value” procedures. The studies were commissioned by Professor Sir Bruce Keogh, NHS medical director. Background Recent years have seen the emergence of several listings of procedures [read the full story…]
People with profound and multiple learning disabilities (PMLD) are some of the most excluded in society. The recent guidance from the Department of Health (Raising our sights) suggested that services could do much better in involving people with PMLD in decision making. The Involve Me project (a partnership between the Renton Foundation, Mencap and BILD) [read the full story…]
The Equality and Human Rights Commission have just published the report of their enquiry into disability-related harassment – “Hidden in Plain Sight” The report shows harassment as a commonplace experience for disabled people and uncovers a culture of disbelief and systemic institutional failures which prevent it from being tackled effectively. The report includes a series [read the full story…]
This National Development Team for Inclusion (NDTi) report highlights the challenges in supporting and encouraging change to private sector learning disability hospitals. The project ran for 18 months and set out to encourage private sector providers to change their services to reflect national policy as set out in the Mansell report. This included reducing the [read the full story…]
Shared decision-making is a process in which clinicians and patients work together to select tests, treatments, management or support packages, based on clinical evidence and the patient’s informed preferences. It involves the provision of evidence-based information about options, outcomes and uncertainties, together with decision support counselling and a system for recording and implementing patients’ informed [read the full story…]
A new report published by the Social Care Institute for Excellence shares findings from research, policy and practice on prevention in adult safeguarding and presents a wide range of approaches that can help prevent abuse. The key messages are: • Prevention of abuse has not always been high on the adult safeguarding agenda, but there is [read the full story…]
A new report published by the Social Care Institute for Excellence shares findings from research, policy and practice on prevention in adult safeguarding and presents a wide range of approaches that can help prevent abuse. The key messages are: Prevention of abuse has not always been high on the adult safeguarding agenda, but there is [read the full story…]
