All posts by Laura Sims

Acute and emergency care: prescribing the remedy – College of Emergency Medicine

Joint report from College of Emergency Medicine, the NHS Confederation, the Royal College of Surgeons and the Royal College of Paediatrics and Child Health that provides a synthesis of the key points raised in discussions at the summit. It sets out 13 recommendations for government, national bodies, commissioners, providers, professional bodies and clinicians to take forward at local, regional and national levels. Implementing these measures will help build an urgent and emergency care system that is resilient, fit for purpose and sustainable. Recommendations cover key areas such as access and alternatives, closer system collaboration, workforce, training, funding and technology.

Key recommendations include ensuring that out-of-hours GP services should be available in hospitals alongside emergency departments to try to stem the “overwhelming” number of patients seeking urgent care, leading doctors have said. There should also be other health and social care workers physically located in emergency departments to bridge the gap between GP, hospital and social care services in order to support vulnerable patients.

Improving NHS care by engaging staff and devolving decision-making – Kings Fund

An independent review for the government has concluded that more NHS organisations should be encouraged to become public service mutuals. The review, led by Chris Ham, Chief Executive of The King’s Fund, found compelling evidence that NHS organisations with high levels of staff engagement – where staff are strongly committed to their work and involved in decision-making – deliver better quality care. While staff engagement levels have increased across the NHS in recent years, the review found significant variations between organisations. It calls on all NHS organisations to make staff engagement a key priority in order to improve care at a time of unprecedented financial and service pressures.

NHS into the red? – Nuffield Trust

 The NHS is poorly placed to deal with continuing austerity and could experience a funding crisis before the 2015 General Election, our latest study reveals. This research provides the most comprehensive look yet at how the finances of the hospitals and commissioning groups that make up the NHS in England have held up under austerity between 2010 and 2014.

Selecting Health Technology for the Triple Aim – Institute for Healthcare Improvement

 

The trend of investing in digital health technology is growing – over $1.4 billion was invested in 2012, and 2013 saw a 25 percent increase in investment over a comparable period in the prior year. Last summer, IHI’s Innovation Team conducted a project to scan for health technology innovations that would provide the greatest value for organizations seeking to achieve the IHI Triple Aim – better care, better health for populations, and lower per capita costs. A new report stemming from that project is now freely available on IHI.org. The report offers an analysis and a Digital Health Selection Framework to guide patients, providers, and payers through the assessment of technology. Both the analysis and framework reveal multiple trends that suggest a failure by developers to adequately address market demand for evidence-based technology that supports organizations pursuing the Triple Aim.