Governance needs balance of trust, challenge and workarounds

balancing different elements

In this blog, Alison Turner considers research on governance and commissioning practices in England, highlighting constraints on commissioner influence over local provider markets.

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Improving shared decision making in mental health

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Martin Webber critiques a US study capturing service user views on shared decision making in mental health care and discusses possible implications for social work.

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Novel commissioning of NHS stop smoking services

Person breaking a cigarette in half

Caroline De Brun presents the results of a study looking at commissioning policies which support payment incentives to improve care and encourage innovation. This research examines the impact of the novel commissioning of NHS stop smoking services.

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How do policy makers use research evidence?

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Mike Clark, a man who’s in the business of research and evidence based practice, looks at an Australian study about policy makers’ use of research evidence. He discovers what some of the cultural and practical barriers are and thinks about the UK context.

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QVC or CQC? How people make choices about social care

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Martin Webber takes on a systematic review about choice and decision-making in health and social care by people with disabilities and long term conditions and, among other things, finds relevant evidence for personalisation and inspection.

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Challenges in respecting autonomy in end-of-life care of people with learning disabilities

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Autonomy is defined as the freedom to determine one’s own actions or behaviour. It is a value at the heart of health and social care support and those supporting people with learning disabilities are constantly striving to maintain and indeed increase the autonomy of those they provide help to. The authors of this Netherlands based [read the full story…]

Decisions about new health technologies must be evidence-based, says commentary

People moving cogs

While this commentary is based on Canadian experiences, the authors do look at examples of health technology assessments elsewhere, applying the National Institute for Health and Care Excellence (NICE) as the gold standard for others to follow. Health technology assessments are “an evidence-based policy tool that helps inform decision-making on how to balance demand and [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…]

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…]

New CCGs need a variety of information sources in order to make effective decisions, according to survey

Weighing scales

The authors of this paper found that the way people search for evidence relating to commissioning decisions varies, depending on their professional background. That is why this paper is particularly pertinent to commissioners, policy decision-makers, health managers, and medical librarians, who have the necessary skills to help staff working in commissioning to find the best [read the full story…]