Are more black, Asian and minority ethnic people dying with Covid-19 than might be expected? #covid19rftlks

Amid worrying recent media reports that a disproportionate number of BAME people are dying from Covid-19, Theo Georghiou and John Appleby of the Nuffield Trust take a look at how the demographics of the areas worst hit by the coronavirus can affect attempts to assess the extent of the problem.

Full detail at Nuffield Trust

See also:

 

 

Nuffield Trust: Achieving scale and spread: Learning for innovators and policy-makers

Nuffield Trust |April 2020 | Nuffield Trust: Achieving scale and spread: Learning for innovators and policy-makers

In recent years, a significant number of innovators have forged ways to scale and spread innovation in the NHS. However, despite some existing work in this area, less is known about how to achieve greater scale and spread beyond early adopters. The Nuffield Trust was commissioned by the NHS Innovation Accelerator to help fill this knowledge gap.

This research has been produced primarily as a practical resource for innovators working with the NHS. The Nuffield Trust has conducted a review of the existing literature and semi-structured interviews with a range of innovators and adopters, this was to determine:

  • the proactive tactics that could support more comprehensive adoption of innovation in England
  • the factors affecting NHS organisations’ decision-making, motivations and experiences when adopting innovation.

We then developed a conceptual framework and used a workshop with innovators and a policy roundtable to draw out considerations for policy-makers.

The majority of the considerations we have identified are primarily directed at innovators; however, we also identified some national policy implications.

Click to access achieving-scale-and-spread-report-final.pdf

Alternatively, download from the Nuffield Trust

Long-term conditions

Nuffield Trust | March 2020 | March 2020 | Long-term conditions

The Nuffield Trust has produced its latest update on long-term conditions, it looks specifically at the quality of care for people with long-term conditions.

The long-term conditions included in the update are:

Care for heart attack patients

Stroke care

Care for COPD patients

Cancer survival rates

Further details from the Nuffield Trust 

Related:

Supporting patients to manage their long-term condition(s)

 

Adult social care in the UK

The Nuffield Trust has published Adult social care in the four countries of the UK. This explainer looks at key themes in social care around funding, eligibility and ‘offer’ in each of the four UK countries, while considering the direction of current reform efforts.

Full detail: Adult social care in the four countries of the UK.

See also: Social care across the four countries of the UK: what can we learn?| Nuffield Trust blog

Quality and inequality

How have inequalities in the quality of care changed over the last 10 years? | QualityWatch | The Health Foundation | Nuffield Trust

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The NHS aims to provide high quality care for everyone that needs it. But inequalities in health care persist. The recent NHS Long Term Plan made it a priority to address ‘unwarranted’ differences in the care people receive.

QualityWatch has been looking across a whole range of services and performance measures to find out how inequalities in health care have changed over the last decade.

There are different types of inequalities in health care that might arise from the region of the country you live in, your ethnicity, gender, or socio-economic status. This data story takes a closer look at the association between deprivation in the area that a patient lives and quality of care.

The analysis finds people living in the most deprived areas of England experience a worse quality of NHS care and poorer health outcomes than people living in the least deprived areas. These include spending longer in A&E and having a worse experience of making a GP appointment.

Full detail: Quality and inequality | QualityWatch

See also: Poorest get worse quality of NHS care in England, new research finds | Nuffield Trust

Patient experience of NHS and social care services

Nuffield Trust | August 2019| Patient experience of NHS and social care services

The Nuffield Trust has published its latest indicator which considers how patient experience of NHS and social care services has changed over time.

Overall experience

  • Parents with a child who had been admitted to hospital tended to rate their child’s overall experience highly, with over 80% of respondents rating their child’s experience as ‘8’, ‘9’ or ‘10’ (very good).
  • Only 52% of Community Mental Health Survey respondents rated their overall experience of NHS mental health services in the last 12 months as ‘8’, ‘9’ or ‘10’ (very good), and 10% rated their experience as ‘2’, ‘1’ or ‘0’ (very poor).
  • Adult inpatients’ overall experience has improved over time, with the proportion of survey respondents rating their experience as ‘8’, ‘9’ or ‘10’ (very good) increasing from 67% in 2012 to 73% in 2017. However, overall experience declined slightly to 71% in 2018.
  • The proportion of GP Patient Survey respondents who had a good overall experience (‘very good’ or ‘fairly good’) decreased from 88% in 2012 to 85% in 2017. In 2018, 84% of patients had a good overall experience and this declined slightly to 83% in 2019.*
  • Service users’ satisfaction with adult social care services has remained stable over time, with 65% of respondents ‘extremely or very satisfied’ in 2017-18.
  • Between 2012 and 2019, the proportion of patients who had a good overall experience (‘very good’ or ‘fairly good’) of NHS dental services increased from 83% to 85%.

The patient experience indicators include:

  • Confidence and trust in clinicians
  • Respect and dignity
  • Patients’ involvement in decisions
  • Medication side effects
  • Access to GP services
  • Carers’ views of social quality
  • Mixed-sex accommodation breaches (Source: Nuffield Trust)

Full details are available from the Nuffield Trust 

Why a “risk pool” must underpin a social care system

Nuffield Trust | July 2019 | Why a “risk pool” must underpin a social care system

A new publication from the Nuffield Trust looks at the social care system, in the one-page document the think-tank explains why it thinks relying on individual funding options is unlikely to provide a viable basis for the system. 

Read the briefing  Why a “risk pool” must underpin a social care system

Achieving a digital NHS: Lessons for national policy from the acute sector

Nuffield Trust | June 2019 | Achieving a digital NHS: Lessons for national policy from the acute sector

With the creation of NHSX, which will unite digital leaders from NHS England, NHS Improvement, and the Department of Health and Social Care to lead on setting standards for technology use, championing and developing digital training and ensuring NHS systems can talk to each other across the health and care system, the Nuffield Trust wanted to know:

  • How national policy impacted on a trust’s approach to digitisation
  • How national policy was helping and hindering digital progress
  • What national policy could do differently to better support digitisation on the ground

 

nuffieldtrust.org.uk
Image source: nuffieldtrust.org.uk

To this end the Nuffield Trust spoke to 72 senior digital leaders in national organisations and NHS trusts as well as frontline health care professionals. Now the Nuffield Trust have published Achieving a digital NHS, which is based on discussion with 72 senior digital leaders in national organisations and NHS trusts as well as frontline health care professional national policy for digitisation, is working from the perspective of acute trusts. This  report seeks to understand how national policy for digitisation is working from the perspective of acute trusts (Source: Nuffield Trust).

Achieving a digital NHS: Lessons for a national policy from the acute sector