Protecting resources, promoting value: a doctor’s guide to cutting waste in clinical care

"This report provides a framework for a way in which doctors can think critically about waste from a clinical perspective and provides examples of doctors improving the value of health care by reducing waste."

Protecting resources, promoting value: a doctor’s guide to cutting waste in clinical care
Academy of Medical Royal Colleges
November 2014

Read more here.

"I should have discharged him but I felt guilty"

"Clinicians‘ emotions about practice are a potentially powerful yet largely overlooked factor in implementation of good-quality care. The present paper expands the current, limited evidence about clinicians‘ emotions by (i) describing clinician-reported examples of emotions about practice and (ii) identifying the clinical situations in which, according to clinicians, emotions emerge and influence practice."

“I should have discharged him but I felt guilty”: a qualitative investigation of clinicians’ emotions in the context of implementing occupational therapy
N Kolehmainen, J McAnuff
Implementation Science 2014, 9:141

Read more here.

NHS National Tariff Payment System 2015/16 consultation

"Monitor and NHS England’s long-term aim is to develop a transparent, flexible and accountable NHS payment system that rewards good-quality, efficient care that delivers the best possible outcomes for patients.

The proposed changes to the 2015/16 National Tariff Payment System are designed to help maintain financial discipline while promoting quality high-quality care for patients in tough economic conditions.

Healthcare providers and commissioners are encouraged to respond to these proposals in order to influence the final national tariff which will be published later in the year."
Access the consultation documents here.

Putting quality on the global health agenda

"Although there is no single definition of high-quality care, the Institute of Medicine describes it as having six key features: it is safe, effective, patient-centered, efficient, timely, and equitable. All these features are important, but there is recent evidence of particularly substantial deficiencies in the first three."

Putting quality on the global health agenda
KW Scott, AK Jha
New England Journal of Medicine, 2014; 371: 3-5

Read more here.

Friends and Family Test guidance

"NHS England has published new guidance to support the introduction of the NHS Friends and Family Test (FFT) to NHS funded services and GP practices."

Friends and Family Test: guidance
NHS England
July 2014

Find out more and access the guidance here.

Medical engagement: a journey not an event

"This report has specifically focused on the importance of medical engagement as part of the cultural change needed within the NHS. The case studies highlight what can be achieved if there is a sustained and collective vision and will to create the organisational culture where all staff, particularly doctors, are motivated to share in delivering the highest quality care."

Medical engagement: a journey not an event
J Clark, V Nath
The King's Fund
July 2014

Read more here.

Well-led framework for governance reviews

"Monitor, CQC and NHS TDA have committed to developing an aligned framework for making judgements about how well led NHS providers are. By ‘well led’ we mean that the leadership, management and governance of the organisation assure the delivery of high quality care for patients, support learning and innovation and promote an open and fair culture." 

Well-led framework for governance reviews: guidance for NHS foundation trusts 
Monitor
May 2014

Read more here.

Developing collective leadership for health care

"Collective leadership cultures are characterised by all staff focusing on continual learning and, through this, on the improvement of patient care. It requires high levels of dialogue, debate and discussion to achieve shared understanding about quality problems and solutions."

Developing collective leadership for health care
M West, K Steward, R Eckert, B Pasmore
The King's Fund, Center for Creative Leadership
May 2014

Read more here.

A guide to nursing, midwifery and care staffing capacity and capability

"Nursing, midwifery and care staff, working as part of wider multidisciplinary teams, play a critical role in securing high quality care and excellent outcomes for patients. There are established and evidenced links between patient outcomes and whether organisations have the right people, with the right skills, in the right place at the right time." 

How to ensure the right people, with the right skills, are in the right place at the right time: A guide to nursing, midwifery and care staffing capacity and capability
NHS England
November 2013

Read more here. 

Factors affecting physician professional satisfaction

"We found that, when physicians perceived themselves as providing high-quality care or their practices as facilitating their delivery of such care, they reported better professional satisfaction."

Factors affecting physician professional satisfaction and their implications for patient care, health systems, and health policy
MW Friedberg, et al
RAND Corporation
2013

Read more here.