In Against the Odds: Successfully scaling innovation in the NHS, the Innovation Unit and The Health Foundation identity 10 different UK innovations. The authors look at various case studies to explore how these insights build on, and challenge, existing wisdom in the NHS.
The key findings of the report include:
The ‘adopters’ of innovation need greater recognition and support. The current system primarily rewards innovators, but those taking up innovations often need time, space and resources to implement and adapt an innovation in their own setting.
It needs to be easier for innovators to set up dedicated organisations or groups to drive innovation at scale. Scaling innovation can be a full-time job, and difficult to do alongside front-line service delivery. Dedicated organisations are often needed to consciously and strategically drive scaling efforts, including when innovators ‘spin out’ from the NHS.
System leaders need to take more holistic and sophisticated approaches to scaling. Targets and tariffs are not a magic bullet for scaling; while they can help, they don’t create the intrinsic and sustained commitment required to replicate new ideas at scale. Different approaches are needed, including articulating national and local health care priorities in ways that create strategic opportunities for innovators, and using commissioning frameworks to enable, rather than hinder, the sustainable spread of innovations.
One year on from the launch of the Developing People- Improving Care, this report highlights how leaders across health and social care have implemented the framework | NHS Improvement
In 2016, thirteen organisations from health, social care and local government came together to create the Developing People Improving Careframework, based on national and international research, and conversations held with people across the health and care system.
One year on, this publication highlights some of the work taking place, demonstrating the steps people are already taking to ensure systems of compassion, inclusion and improvement, are at the core of the health and care system. The report also sets out plans for the year ahead.
Hospitals in England are now seeing very high rates of patients with flu, according to Public Health England figures.
Seasonal flu levels have continued to increase in the last week across the UK according to figures published by Public Health England today. The statistics show over the last week there has been a 78% increase in the GP consultation rate with flu like illness, a 50% increase in the flu hospitalisation rate, and a 65% increase in the flu intensive care admission rate.
Seasonal flu usually circulates for several weeks each year. The intensity of circulation depends upon the underlying population immunity, the circulating viruses and external factors such as the weather. It is an unpredictable virus and it is not possible to anticipate how flu levels will progress.
Amongst other diseases like norovirus that normally increase during winter, seasonal flu puts extra pressure on the NHS every year.
A Royal Commission on the NHS: the remit | The Centre for Policy Studies
With the NHS facing another winter crisis, leading to the cancellation of tens of thousands of non-urgent operations in January, there has been a groundswell of support for a Royal Commission to safeguard its future.
This document sets out how the setting up of a Royal Commission could ensure the NHS delivers the best outcomes on a sustainable financial basis over the coming years. A Royal Commission would examine the structure, organisation and funding of the health service, taking evidence and making policy recommendations.
Pressures being experienced by front-line health and care services this winter “are a watershed moment for the NHS” | NHS Providers
In a letter to Jeremy Hunt, NHS Providers has outlined concerns over the pressures being experienced by frontline health and care services this winter. The letter warns that the government must accept that the service can no longer deliver what is required of it within current funding, and calls for urgent decisions on long-term funding for health and social care to be taken.
NHS Providers is also calling for a full review of how well the NHS handled this winter, looking at: adequacy of bed numbers and staffing levels; efficacy of the new national planning approach; adequacy, timing and allocation of extra winter funding; system resilience; process and impact of cancelled elective operations; and the role and availability of primary care and social care, and their involvement in winter planning.
NHS Providers said that despite the NHS planning for winter more thoroughly and extensively than before, this still hasn’t been sufficient as rising numbers of flu cases and more respiratory illness have placed ‘intolerable pressures’ on staff.
Read the full letter to health and social care secretary Jeremy Hunt.
The Healthcare Financial Management Association and NHS Improvement have added a case study to the NHS efficiency map Making savings on ambulance fuel. This document describes how East Midlands Ambulance Service is attempting to reduce spending on fuel for its ambulances. The project is aimed to complete in 2018.
Public Health England has published Tackling high blood pressure: an update. This action plan has been updated to outline the collective ambition for the next 3 years and to inspire new partners to join the action by signposting and supporting professional groups to the most up to date resources. This document also provides key highlights of progress since the last publication.
The House of Commons Library has published a briefing Accountable Care Organisations. This paper explores accountable care organisations (ACOs) the future roles of CCGs, legal challenges, private sector involvement, the role of GPs and rationing of services.