This briefing looks at what the vanguards have been doing to improve the way people experience and interact with health and care services, and shares the lessons that other organisations and partnerships can take from the vanguards’ experiences | NHS Providers
This final briefing in the Learning from the new care models series highlights how the vanguards are improving the experiences of people using services and their families.
The briefing looks at the work of the vanguards in the following areas:
Coordinating care around peoples’ needs
Ensuring people receive high-quality care wherever they are
Specialist care closer to home
Reducing the need to travel
Directing people to the right care, faster
Supporting people to manage long-term conditions
Supporting people to develop self-confidence
Tailoring care for people with the greatest needs
Making access to urgent care as simple as possible
Promoting health and wellbeing among people and communities
Helping people connect
Supporting carers to stay well
Working with people to design services that work for them
This report describes the findings of our independent review of the system of services that support children and young people’s mental health | Care Quality Commission (CQC)
This CQC report indicates that many children and young people experiencing mental health problems don’t get the kind of care they deserve; the system is complicated, with no easy or clear way to get help or support.
The report makes a number of recommendations to organisations responsible for making sure that the problems with mental health services are dealt with, including:
The Secretary of State for Health and Social Care should make sure there is joint action across government to make children and young people’s mental health a national priority, working with ministers in health, social care, education, housing and local government
Local organisations must work together to deliver a clear ‘local offer’ of the care and support available to children and young people
Government, employers and schools should make sure that everyone that works, volunteers or cares for children and young people are trained to encourage good mental health and offer basic mental health support
Ofsted should look at what schools are doing to support children and young people’s mental health when they inspect
This guideline covers the care and support of adults receiving social care in their own homes, residential care and community settings | National Institute for Health and Care Excellence (NICE)
This NICE guideline aims to help people understand what care they can expect in residential and community settings, and to improve their experience by supporting them to make decisions about their care.
The guideline has been developed by a committee of people who use services, and carers and professionals. It has used information from a review of research evidence about people’s experiences of care and support, and from expert witnesses. The committee also gave consideration to the potential resource impact of the recommendations. The recommendations are considered to be aspirational but achievable.
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.