New publications from the NHS Confederation Mental Health Network

The NHS Confederation Mental Health Network has published two papers looking at the mental health workforce

The Future of the mental health workforce

The NHS Confederation Mental Health Network has published The future of the mental health workforce.  This discussion paper presents data on the current picture of the mental health workforce and looks at emerging findings from research to identify the challenges and opportunities that lie ahead for the mental health workforce. A final report will be published later in 2017.

Mental health and integrated care

Also published is Mental health and community providers: lessons for integrated care.  This briefing looks at how mental health and community provider organisations are exploring the multi-speciality provider model and how it can drive the delivery of integrated mental and physical healthcare.  The briefing presents key points and lessons learned.

Integrated care

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The European Commission’s Expert Group on Health Systems Performance Assessment has published BLOCKS: tools and methodologies to access integrated care in Europe.

Drawing on insights from experts from seventeen European countries, the report looks at the factors behind successful integrated care models including stakeholder engagement, patient empowerment and the use of information and communications technology.

Health and social care integration

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The Department of Health has published Social work: essential to integration.  This document is intended to support and inform local and regional health and social care integration initiatives.  It explains the contribution that social workers make to integrated services; how social work is essential to the whole system; and the necessity of support to ensure integration succeeds in providing the services people need.

It also includes ‘top tips’ for directors of adult social services and for principal social workers to assist in progressing the integration agenda.

It was developed in collaboration with the Association of Directors of Adult Social Services, the Principal Social Workers’ Network and the Department of Health.

The document can be downloaded here

Total transformation of care and support

The Social Care Institute for Excellence has published Creating the five year forward view for social care: how transformed and integrated health and care could improve outcomes and cost-effectiveness.

This updated paper explores the potential for scaling up the most promising examples of care, support and community health services, initially using data from Birmingham City Council, modelling their outcomes and costs.  Originally published in November 2016, it has been updated to include additional models.

The report contains the following chapters:

Vision for transformed care: Re-shaping services around the needs and strengths of individuals, families and communities.

Key messages and summary: Outcomes can be improved, and costs reduced, if the sector scales up promising practice.

Case studies: Six models of care and their potential impact on costs and outcomes.

Models of care: Overview of promising practice that support transformative change in health and social care.

Conclusions and next steps

The paper is available to download here

Health and social care integration

The National Audit Office has published Health and social care integration

This report highlights that progress with integration of health and social care has been slower and less successful than envisaged and has not delivered all of the expected benefits for patients, the NHS or local authorities.  As a result, the government’s plan for integrated health and social care services across England by 2020 is at significant risk.

Full report available here

Additional links:

integration

Image source: http://www.nao.org.uk

 

 

Value-Based Approaches for Emergency Care in a New Era

Medford-Davis, L. et al. Annals of Emergency Medicine. Published online: January 5 2017

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Although emergency departments (EDs) play an integral role in the delivery of acute unscheduled care, they have not been fully integrated into broader health care reform efforts. Communication and coordination with the ambulatory environment remain limited, leaving ED care disconnected from patients’ longitudinal care.

In a value-based environment focused on improving quality, decreasing costs, enhancing population health, and improving the patient experience, this oversight represents a missed opportunity for emergency care. When integrated with primary and subspecialty care, emergency care might meet the needs of patients, providers, and payers more efficiently than yet realized.

This article uses the Merit-Based Incentive Payment System from the Medicare Access and CHIP Reauthorization Act as a framework to outline a strategy for improving the value of emergency care, including integrating quality and resource use measures across health care delivery settings and populations, encouraging care coordination from the ED, and implementing robust health information exchange systems.

Read the full abstract here

Care for older people with frailty

The Royal College of General Practitioners and the British Geriatrics Society have published Integrated care for older people with frailty: innovative approaches in practice.

This report focuses on how GPs and geriatricians are collaborating to design and lead innovative schemes to improve the provision of integrated care for older people with frailty. It highlights 13 case studies from across the UK including schemes to help older people remain active and independent, provide better services in the community and support patients in hospital.