Knowledge @lert for Wednesday 20th August
What makes midwife led units work? – Health Service Journal
Jennifer Trueland looks at the problems facing midwife led units and finds out how some trusts have managed to stay open despite struggling to stay financially viable.
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Monitor’s pricing tariff independence under scrutiny – Health Service Journal
The Foundation Trust Network has urged to Monitor to stay independent when setting the national pricing tariff, despite pressures on the NHS budget.
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A trust’s success or failure is about more than its leadership – Health Service Journal Article
There are many factors that play into a trust’s performance, with leadership only being one aspect.
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Keeping knowledgeable: how NHS chief executive officers mobilise knowledge and information in their daily work, Health Services and Delivery Research, Vol:2, Iss:26
Evidence-based decision-making and evidence-based practice, which were originally the domain of clinical staff, now permeate professional life in different sectors beyond medicine, establishing themselves as powerful norms and sets of expectations. The phenomenon has come to have particular purchase in the context of the UK NHS, where it has become an imperative not only for clinicians, but increasingly also for managers, to pursue the goal of operating in an evidence-based or evidence-informed way. The resulting movement of evidence-based management’ is premised on the presumed positive consequences of ensuring that practising managers develop into experts who make organisational decisions informed by research, rather than by personal experience alone.
Update on Urgent and Emergency Care Review – NHS England
NHS England has published an update on the Urgent and Emergency Care Review, which builds on NHS England’s future vision for urgent and emergency care in Transforming urgent and emergency care services in England. Urgent and Emergency Care Review End of Phase 1 Report. This work will make it easier for patients to get the right care, in the right place, first time. The vision is simple: firstly, for those people with urgent but non-life threatening needs we must provide highly responsive, effective and personalised services outside of hospital – as close to people’s homes as possible, minimising disruption and inconvenience for patients and their families. Secondly, for those people with life threatening needs we should ensure they are treated in centres with the very best expertise and facilities.
Emergency medic recruitment hits highest ever level – Health Service Journal
The number of trainee doctors recruited to work in England’s A&E departments has increased to its highest ever level, Health Education England has revealed.
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Reimbursement of urgent and emergency care: discussion document on options for reform – Monitor
In this paper, Monitor and NHS England set out their current thinking on options for reforming the urgent and emergency care payment approach. It outlines preliminary options for implementing a new payment approach to support improved delivery of urgent and emergency care, as well as the way forward for NHS England and Monitor.
Healthier together – NHS Leadership Academy » Blog
The 8th July saw the official launch of the public consultation period for Healthier Together in Greater Manchester. Healthier Together is an ambitious programme to re-organise how health care is organised across Greater Manchester and put’s into place explicit standards in terms of what commissioners want to see in place around clinical standards and outcomes for a number of different clinical services. One of the interesting aspects of the Healthier Together programme is that a very large part of it is talking about how primary care and community services need to work differently, and that only by improving the support that we offer in the community and outside of hospitals are we to stand any chance of putting the NHS onto a sustainable footing for the future. However where is all of the media attention focused? Yes you guessed it, on the hospital element! But can we really blame the media for this when so much of our own attention is focused on the hospital element of the NHS?