Lessons for large-scale general practice

"This study examines the factors affecting the evolution and impact of large-scale general practice on staff, patients, the wider health economy and the quality of care. The study combines an extensive literature review and national surveys with an in-depth mixed-methods evaluation of contrasting, large-scale general practice organisations that includes detailed case studies."

Is bigger better? Lessons for large-scale general practice
R Rosen, S Kumpunen, N Curry, A Davies, L Pettigrew, L Kossarova
Nuffield Trust
July 2016

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Working in collaboration to improve patient outcomes in the treatment of ADHD

"Working systematically with a comprehensive ADHD service improvement toolkit developed and funded as a service to medicine by Shire Pharmaceuticals, the team were able to confirm and demonstrate the need for a local ADHD pathway."

Working in collaboration to improve patient outcomes in the treatment of ADHD
Shire Pharmaceuticals & East & North Hertfordshire NHS Trust
NICE Shared Learning
March 2015

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Mortality meetings in geriatric medicine: strategies for improvement

"Mortality meetings are an essential part of junior doctor training and hospital clinical governance. There is a tendency for these meetings to be poorly organised, poorly focused and poorly attended, especially by disciplines other than doctors. In this improvement project we were able to make our mortality meetings more multidisciplinary and a better learning experience for staff."

Mortality meetings in geriatric medicine: strategies for improvement
J Dunbar, J George
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u202625.w3247

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Identification of promising strategies to sustain improvements in hospital practice

"Joining a quality improvement collaborative may not be enough to achieve long-term normalisation of transformed care, and additional investments may be needed. The findings suggest that certain post-implementation strategies are valuable in sustaining implementation successes achieved after joining a quality improvement collaborative."

Identification of promising strategies to sustain improvements in hospital practice: a qualitative case study
SMC Ament, F Gillissen, A Moser, JMC Maessen, CD Dirksen, MF von Meyenfeldt, T van der Weijden
BMC Health Service Research, 2014; 14(1): 641. doi:  10.1186/s12913-014-0641-y

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Transforming mental health: a plan of action for London

"This report describes a vision for the future of mental health provision in London, generated through a process of engagement with key stakeholders in the capital. The vision is based on a collaborative, integrated approach towards mental health that is relevant in London and elsewhere."

Transforming mental health: a plan of action for London
H Gilburt, N Edwards, R Murray
The King's Fund
September 2014

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Networking between community health programs

"This case study demonstrates an example of a successful and effective network of community health programs. The development of relationships was seen to be to be an important part of promoting effective resource sharing, training opportunities, government networking and resource mobilisation and will be important for other health networks to consider."

Networking between community health programs: a team-work approach to improving health service provision
NJ Grills, R Kumar, M Philip, G Porter
BMC Health Services Research 2014, 14:297

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Health service redesign: from structure to function

"The findings suggest that large scale redesign projects are difficult to sustain because of changing circumstances, staff turnover, and the challenge of maintaining momentum. A more realistic approach centres on building teams, with local leadership, focussed on clinical/patient concerns and engagement with services provided outside hospital."

Theme 1: Health service redesign: from structure to function: the impact of change
A Hewison
Collaborations for Leadership in Applied Health Research and Care: Birmingham and Black Country
University of Birmingham, National Institute for Health Research
2014

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A review of support available for loss in early and late pregnancy

"The purpose of this work is threefold: 

1. To highlight with stakeholders the need to consider this patient group when commissioning services and quality monitoring processes
2. To identify gaps and opportunities to work in partnership across all sectors to improve the experience, quality and consistency of care provided
3. To acknowledge practitioners and practice, and in doing so, encourage others to reflect on their own service and practice and if needs be take action to move forwards."

A review of support available for loss in early and late pregnancy

NHS Improving Quality

February 2014

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NHS continuing healthcare

"This Briefing outlines for commissioners and providers the challenges and opportunities they will need to consider as the responsibilities change for assessing eligibility for and commissioning NHS continuing healthcare."

NHS continuing healthcare
NHS Confederation
November 2012

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