Use of technologies that enable risk stratification, early detection, appropriate intervention and remote monitoring are key to improving patient outcomes, finds a progress report of ‘vanguard’ sites published more than a year after the introduction of the programme.
The vanguard programme was developed as part of the Five Year Forward View, which aims to change the commissioning landscape and take advantage of scientific and technological advances.
The objective is for the sites to come up with creative, ambitious and innovative solutions to address health and social care needs locally, and trial them, as well as developing plans for long-term investment to improve population health and reduce pressure on services.
The progress report from NHiS Commissioning Excellence draws on the experiences of an advisory panel of eight participating sites, representing health and care provision across different settings, who shared their insights in March 2016, a year on from the formation of many vanguards.
NICE has published new guidance Sepsis: recognition, diagnosis and early management (NG51). This guideline covers the recognition, diagnosis and early management of sepsis for all populations. The guideline committee identified that the key issues to be included were: recognition and early assessment, diagnostic and prognostic value of blood markers for sepsis, initial treatment, escalating care, identifying the source of infection, early monitoring, information and support for patients and carers, and training and education.
The UK Sepsis Trust will support release of the NICE Clinical Guideline on sepsis with tools and resources including screening and action tools to aid with early identification and management of sepsis in children and adults (including in pregnancy) across community-based, prehospital and acute clinical environments.
This quality standard covers the diagnosis and management of type 1 and type 2 diabetes in children and young people aged under 18.
Around 26, 400 children and young people have type 1 diabetes and 500 have type 2 diabetes. The NICE quality standard states that children and young people with suspected diabetes should be referred to immediately and seen the same day by a multidisciplinary paediatric diabetes team.
Highlights of the Kings Fund annual Digital Health and Care Congress
The 2016 Digital Health and Care Congress provided a key opportunity to explore how the better use of technology and data can support and enable the developments needed to transform outcomes for patients and citizens.
Mustafa Suleyman: New ways for technology to enhance patient care
This report from The Health Foundation recommends the creation of a single, coherent and compelling quality strategy for the NHS in England.
A clear road ahead sets out a practical and feasible set of actions for policymakers to safeguard and improve care within current priorities, as well as support the development of the NHS for years to come. It recommends that national bodies undertake coordinated action to:
articulate a single set of quality goals and common definition of quality
provide unified national leadership for quality
build on experience and evidence
update a set of core quality metrics
articulate a shared understanding of how improvements in quality and costs are linked – and pursue both in tandem
Workforce profile and trends in the English NHS | The Health Foundation
Staffing matters; funding counts examines the profile and features of the NHS workforce in England, including; health labour market trends; relevant international data and comparisons from other countries.
General practice and nursing workforces in particular are examined in detail – two key components that have been the subject of much recent policy analysis and media scrutiny – as areas that continue to need a strong policy focus. There is also a supplement giving more detailed information about the profile and recent trends of the workforce of the NHS in England.
Mismatches between funding and staffing levels, along with repeated reorganisation, have led to a ‘boom and bust’ approach to the NHS front line.
The less costly, reactive and short-term solutions – being used by national and local leaders to tackle current problems – are quick fixes, and will only put a sticking plaster on deep-seated and systemic problems for the NHS.
Effective use of temporary staff and international recruitment will help to buy time while a more long-term, sustainable approach is introduced.
Investment in current staff should not be downplayed by an over-emphasis on new roles; some new roles are necessary but will not have a major impact unless there is significantly more central support for scale up.