The multispecialty community provider (MCP) emerging care model and contract framework

"This document defines what being a multispecialty community provider (MCP) means by assembling features from the 14 MCP vanguards into a common framework. In turn, the 14 will be adopting or adapting the framework for their diverse local communities, as they progress from their current status as aspirant MCPs towards full maturity."

The multispecialty community provider (MCP) emerging care model and contract framework 
NHS England
July 2016

Read more here.

CQC New Care Models: Information for providers

"The purpose of this Q&A is to provide advice and guidance to health and care organisations that already are, or thinking of becoming, involved in delivering a new care model. It talks through a number of common questions about regulatory considerations of new care models, and how CQC is aiming to support providers through this process."

New Care Models: Information for providers
CQC
July 2016

Read more here.

Oversight of new care models: your questions answered

"The new care models programme is delivering a key element of the Five Year Forward View and we're working to support innovative change. With our national partners and a number of vanguards, we're identifying potential issues and developing and testing solutions for providers."

Oversight of new care models: your questions answered
NHS Improvement
August 2016

Read more here.

NHS England New care models – FAQs

NHS England have released a new FAQ answering questions about the new care model (vanguard)

Access them here.

The state of maternity services in England

"Improving people’s experiences of maternity care therefore requires providers to hear and respond to user feedback, and to ensure that staff feel supported to provide the best quality care."

The state of maternity services in England: Policy briefing
G Paparella
Picker Institute
July 2016

Read more here.

Under the scan: patients’ views of X-rays and scans in the UK

"The survey findings highlight the current lack of capacity in UK radiology services to deliver X-ray and scan results for all patients within 28 days."

Under the scan: patients’ views of X-rays and scans in the UK

The Patients Association and The Royal College of Radiologists

August 2016

Read more here. 

Understanding pressures in general practice

"This report looks at patient factors, system factors and supply-side issues to see what lies behind this increasing pressure on general practice. It finds that despite GPs being at the heart of the health care system, a lack of nationally available, real-time data has made their changing workload largely invisible to commissioners and policy-makers."

Understanding pressures in general practice
B Baird, A Charles, M Honeyman, D Maguire, P Das
The King's Fund
May 2016

Read more here.

Strategic quality improvement

"The King’s Fund was commissioned by Oxleas NHS Foundation Trust to work with their Quality Board to facilitate an assessment of its existing approaches to quality improvement and to develop a strategy for future work. This case study details the approach and philosophy behind this work, which involved working with the trust’s five directorates to develop their ability to appraise their own approach to quality improvement with a view to improving performance, achieving better clinical outcomes and building further on the trust’s capacity as a learning organisation."

Strategic quality improvement: An action learning approach
V Nath
The King's Fund
May 2016

Read more here.

NHS finances outside the EU

"In this briefing we explore what the UK leaving the EU might mean for funding of the NHS in England. We then outline the current state of finances for NHS providers in 2015/16, what this implies for the total Department of Health budget, and the scale of the financial challenge facing the health service for the near future."

NHS finances outside the EU: Health Foundation analysis of the impact on NHS finances of the UK leaving the European Union
The Health Foundation
July 2016

Read more here.

A healthier life for all: The case for cross-government action

"Health experts and politicians have come together in A healthier life for all: the case for cross-government action to call on the government to tackle the drivers of poor health by making health improvement an objective in all policy areas – in recognition that it is fundamental to a prosperous and sustainable society."

A healthier life for all: The case for cross-government action
The Health Foundation and the All-Party Parliamentary Health Group
July 2016

Read more here.

Hooked on Health Care: Designing Strategies for Better Health

"As dependency on health care services continues to grow in developed nations, there is an increased need to examine the prevailing model and its focus on treatment rather than the wider determinants of health. With participants from a range of disciplines, including, public health policy, business, and urban planning, Salzburg Global Fellows explored the value of wellbeing, the roles of businesses, government and civil society actors in promoting health, and health justice."

Hooked on Health Care: Designing Strategies for Better Health
E Spencelayh
The Health Foundation, Salzberg Global Seminar
July 2016

Read more here.

A clear road ahead: Creating a coherent quality strategy for the English NHS

"A clear road ahead sets out a practical and feasible set of actions for policymakers to safeguard and improve care within current priorities, as well as support the development of the NHS for years to come."

A clear road ahead: Creating a coherent quality strategy for the English NHS
A Molloy, S Martin, T Gardner, S Leatherman
The Health Foundation
July 2016

Read more here.

Staffing matters; funding counts

"Policymakers need to look at how targeted and aligned policies covering the effective use of temporary staff, retention of existing employees and international recruitment can be used to address current shortages in staffing and skills in order to buy time, while a more long-term sustainable approach is introduced."

Staffing matters; funding counts: Workforce profile and trends in the English NHS
J Buchan, I Seccombe, A Charlesworth
The Health Foundation
July 2016

Read more here.

Improving physical health monitoring for patients with chronic mental health problems who receive antipsychotic medications

Improving physical health monitoring for patients with chronic mental health problems who receive antipsychotic medications
N Abdallah, R Conn, A Latif Marini
BMJ Quality Improvement Reports 2016;5: doi:10.1136/bmjquality.u210300.w4189

Read more here.

Reducing inpatient falls in a 100% single room elderly care environment

"The nurse training programme on falls risk assessment has improved nurse knowledge of falls risk and actual completion of Falls Risk Assessments. This is especially in areas of cognition, environmental hazard, osteoporosis risk. The collaborative quality improvement work has led to a reduction of inpatient falls by 34% in a high-risk 100% single room environment." 

Reducing inpatient falls in a 100% single room elderly care environment: evaluation of the impact of a systematic nurse training programme on falls risk assessment (FRA)
I Singh, J Okeke
BMJ Quality Improvement Reports 2016;5: doi:10.1136/bmjquality.u210921.w4741

Read more here.

Improving Clinical Remission Rates in Pediatric Inflammatory Bowel Disease with Previsit Planning

"PVP [previsit planning] for management of a chronic disease in pediatrics is feasible, even in a high volume practice. Initiation of this process at MGHfC has resulted in the improvement of care provided to children and adolescents with IBD. The primary goal of increasing clinical remission rate from 77% to greater than 80% within one year of initiating PVP was achieved."

Improving Clinical Remission Rates in Pediatric Inflammatory Bowel Disease with Previsit Planning
JR Savarino, JL Kaplan, HS Winter, CJ Moran, EJ Israel
BMJ Quality Improvement Reports 2016;5: doi:10.1136/bmjquality.u211063.w4361

Read more here.

Patients and families as teachers: a collaborative learning model for medical error disclosure and prevention

"An educational paradigm that includes patients as teachers and collaborative learners with clinicians in patient safety is feasible, valued by clinicians and P/F and promising for P/F-centred medical error disclosure and prevention training."

Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention
T Langer, W Martinez, DM Browning, P Varrin, B Sarnoff Lee, SK Bell
BMJ Quality and Safety 2016;25:615-625 doi:10.1136/bmjqs-2015-004292

Read more here.

Progressing patient and public involvement in healthcare improvement

"Our findings point to a need to re-evaluate methods and approaches for involving patients and the public in all aspects of healthcare and in healthcare improvement. Partnership working has long been the explicit stated goal of involvement. However, current involvement practices at a national and local level often involve a narrow group of individuals in involvement activities, with little consideration given to including a broader demographic of the population."

From tokenism to empowerment: progressing patient and public involvement in healthcare improvement
J Ocloo, R Matthews
BMJ Quality and Safety 2016;25:626-632 doi:10.1136/bmjqs-2015-004839

Read more here.

Radiologist-initiated double reading of abdominal CT

"A 14% rate of clinically important changes made during double reading may justify quality assurance of radiological interpretation. Using expert second readers and a targeted selection of urgent cases and radiologists reading outside their specialty may increase the yield of discrepant cases."
Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports
PM Lauritzen et al.
BMJ Quality and Safety 2016;25:595-603 doi:10.1136/bmjqs-2015-004536

Read more here.

Plans to accelerate innovation in health systems are less than IDEAL

"An adapted IDEAL framework offers a pathway for prospective longitudinal evaluation of the Vanguard test bed sites and similar complex and emergent innovations. Adopting a common analytical framework will encourage iterative development, reporting and evaluation of innovations from the outset and before more widespread and rigorous testing is pursued."
Plans to accelerate innovation in health systems are less than IDEAL
PM Wilson, R Boaden, G Harvey
BMJ Quality and Safety 2016;25:572-576 doi:10.1136/bmjqs-2015-004605

Read more here.