Two case studies from primary care have been added to NHS England’s suite of case studies:
Wokingham paramedic home visiting model The Wokingham General Practice (GP) Alliance has delivered a primary-care led integrated paramedic home visiting model. This model sees patients, who urgently need a home visit, being seen by a paramedic, rather than their GP. The paramedic provides holistic one-stop care. They seek to solve the immediate problem, and take steps to ensure it is rectified and does not recur, working closely with integrated health, social and voluntary services. The service has delivered exceptionally positive outcomes. As well as reducing demand on GP workload, it has improved patient experience, and led to better management of pressures on other parts of the local health and care system. Full details here
Barlow Medical Centre in South Manchester has 12 whole time equivalent GPs and 3.8 whole time equivalent nurses, serving a patient population of over 14,000.
The practice’s appointments system is set up to provide both ‘on the day’ and bookable appointments. To speak to a clinician (GP or nurse), or get an ‘on the day’ appointment, telephone triage is used. A large number of calls were being requested per day which was putting pressure on clinicians’ time. To find a way to ease the pressure the practice participated in the Productive General Practice (PGP) Quick Start programme delivered by NHS England’s Sustainable Improvement team. The programme is part of the support available through the General Practice Forward View. Read the case study in full from NHS England
BBC Radio 4| October 2018 | Transforming care is it working?
According to figures obtained and reported by BBC Radio 4, patients with learning disabilities are 50 per cent more likely to be physically restrained, despite ministers condemning their use. File on 4 finds that a key milestone to reduce inpatient beds by by March 2019 and to transform the lives of people who have been previously been ‘stuck’ in institutional settings is in danger of being missed (BBC Radio 4).
Radio 4 Transforming Care- Is it working? The full episode is vailable on the BBCiPlayer Radio
Researchers who are transforming great ideas into healthcare innovations that could have a significant impact on human health are eligible to apply for funding awards from the Wellcome Trust. The awards are up to £500,000, or up to £750,000 for multidisciplinary collaborations.
Individuals and teams from not-for-profit and commercial organisations can apply.
You can work in any scientific discipline, including a discipline outside life sciences. You can work on any type of technology. Examples of technologies include:
therapeutics (small molecules or biologics)
The work that you propose must be essential for developing your healthcare innovation (Source: Wellcome).
Full details available from Wellcome
NHS England | October 2018 | NHS England’s Research Needs Assessment 2018
NHS England have released NHS England’s Research Needs Assessment 2018. This publication summarises information and areas for research identified by NHS England’s six national priority programmes (Urgent & Emergency Care (UEC), Mental Health, Primary Care, Cancer, Diabetes and Specialised Commissioning), and the medical and nursing directorates (Source: NHS England).
NIHR | September 2018 | Women want a personalised birth experience, but safety is paramount
A review of studies that sought the views of 1800 women about what matters most to them about childbirth, found that having a health baby was the most important. This review considered what matters to women, rather than relying on surveys of women’s satisfaction after giving birth.
The high quality findings have already informed WHO recommendations on childbirth and so could be useful for commissioners of UK-based maternity services.
Skills for Care -Workforce Intelligence | September 2018 | The state of the adult social care sector and workforce in England
A new report offers comprehensive workforce characteristics about the entire adult social care workforce in England such as age, gender, ethnicity and specific job role information.
The report includes:
How many jobs and people work in social care, and associated trends
Number of organisations delivering care
Number of services/locations over which care is delivered
Workforce projections to 2035
Direct payment recipients employing staff and associated trends
The number of people working in adult social care was estimated at 1.47 million.
The number of adult social care jobs in England as at 2017 was estimated at 1.6 million – this has increased by around 1.2% (19,000 jobs) between 2016 and 2017.
The number of full-time equivalent (FTE) jobs was estimated at 1.13 million.
An estimated 21,200 organisations and 41,000 establishments were involved in providing or organising adult social care in England as at 2017.
Around 240,000 adults, older people and carers received direct payments from councils’ social services departments in 2016/2017. It is estimated that approximately 70,000 (29%) of these recipients were employing their own staff (Skills for Care).
NHS Confederation | September 2018 | Taking the value-based agenda forward: The five essential components of value-based approaches to health and care
A new paper from NHS Confederation explores how the adoption of value-based healthcare can be spread across all parts of the system and ensure that it maximises the benefits for those who use NHS and wider services.
It explores five key characteristics which NHS Confederation believe can support the wholesale adoption of value-based healthcare approaches . These are:
learning and adapting through
the adoption of innovation
making best use of data
thinking about pathways across the whole system
listening to patients (Source: NHS Confederation).
Care Quality Commission (CQC)’s ‘Ofsted-style’ inspection and rating regime is a significant improvement on the system it replaced, but it could be made more effective, according to the first major evaluation of the approach introduced in 2013 | The Kings Fund
This research, carried out by The King’s Fund and Alliance Manchester Business School between 2015 and 2018, examines how the CQC was working in four sectors – acute care, mental health care, general practice and adult social care – in six areas of England.
The approach was seen as a significant improvement on the system it replaced, which had been widely criticised following several high-profile failures of care.
The report, funded by the National Institute for Health Research, found that the impact of the inspection regime came about through the interactions between providers, CQC and other stakeholders not just from an individual inspection visit and report. It suggests that relationships are critical, with mutual credibility, respect and trust being very important.
The report highlights a number of areas for improvement in CQC’s approach to regulation. It cautions that the focus on inspection and rating may have crowded out other activity which might have more impact. It recommends that CQC focus less on large, intensive but infrequent inspections and more on regular, less formal contact with providers, helping to drive improvement before, during and after inspections.