Health service review: Shropshire (Future Fit)

Future Fit is a programme overseeing plans for service improvement for health services across Shropshire. They have compiled rapid reviews of the evidence for planned care, long term conditions and frailty, and acute and episodic care, all of which can be viewed here.

Health service review - Dorset Vision

Dorset Clinical Commissioning Group have a website detailing the extensive review of their services which have been taking place.

It can be access at: www.dorsetsvision.nhs.uk

Two particular documents of note on the website are:

• The Compendium of clinical evidence combines quality standards and clinical evidence to form recommendations for changes in practice and service delivery.
• The Case examples on models of care outlines examples of models of care which are delivering improved services.

Implementation of improvement strategies in palliative care

"This review is one of the first to provide an overview of the available literature in relation to strategies used to improve the organisation of palliative care. Since most studies reported positive results, further research is needed to identify and improve the effects of strategies aiming to improve the organisation of palliative care."

Implementation of improvement strategies in palliative care: an integrative review
J van Riet Paap et al.
Implementation Science 2015, 10:103  doi:10.1186/s13012-015-0293-2

Read more here.

Unbundling recovery: Recovery, rehabilitation and reablement

"This report describes how an audit methodology used previously for surgical conditions can be used to assess whether the rehabilitation aspects of a patient's acute hospital stay could be better provided.

It shows how, with some further evidence, a locally derived tariff for recovery, rehabilitation and reablement could be developed to support service improvements."

Unbundling recovery: Recovery, rehabilitation and reablement national audit report
NHS Improving Quality
June 2015

Read more here.

Multiple sclerosis outpatient future groups: improving the quality of service improvement activities

"The Multiple Sclerosis Outpatient Future Group study aimed to explore how analogies and props can be used to facilitate rich interactions between staff and patients within these activities. This paper will consider how these interactions supported participants to share experiences, generate ideas and suggest service improvements."

Multiple sclerosis outpatient future groups: improving the quality of participant interaction and ideation tools within service improvement activities
A Thomson, C Rivas, G Giovannoni
BMC Health Services Research 2015, 15:105  doi:10.1186/s12913-015-0773-8

Read more here.

An ethnographic study of patient perceptions and influence on quality improvement

"When including patient voices in measuring and defining ‘quality’, governments and public health practitioners need to be aware of how neoliberal rationalities at the heart of the policy and services context could prevent patients from seeing themselves as subjects of rights to quality care and as actors “with ‘the right to claim rights” to quality care."

Developing patient-centred care: an ethnographic study of patient perceptions and influence on quality improvement
A Renedo, C Marston
BMC Health Services Research 2015, 15:122  doi:10.1186/s12913-015-0770-y

Read more here.

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

Read more here.

Compliance of monitoring side effects of medication in the treatment of ADHD

"The audit was carried out to determine compliance of monitoring side effects of medication in the treatment of ADHD/ADD in children and young people as recommended by NICE Clinical Guideline 72. The audit was deemed necessary to provide a basis on which to carry out future audits and to improve the service."

To determine compliance of monitoring side effects of medication in the treatment of ADHD in children and young people as recommended by NICE CG72
NICE Shared Learning example
South Eastern Health and Social Care Trust
March 2015

Read more here.

Improving mental health services for young people

"The report sets out how much of this can be achieved through better working between the NHS, local authorities, voluntary and community services, schools and other local services. It also makes it clear that many of these changes can be achieved by working differently, rather than needing significant investment."

Improving mental health services for young people
Department of Health
March 2015

Read more here.

The Handbook: an end to 'I wish I had known that before I started'

"Through a junior doctor led service improvement initiative we created an intranet-based, updateable, easily accessible, and secure resource to assist junior doctors during this transition period."

The Handbook: an end to 'I wish I had known that before I started'

M Davies, S Panchal, N Misra
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u203210.w1579

Read more here.

Room for improvement: noise on a maternity ward

"Noise and disruptions are a significant problem during postpartum hospital stay. Healthcare institutions are responsible for patient-centered care; a quiet time intervention promises to contribute to a safe, healing environment in hospitals."

Room for improvement: noise on a maternity ward
S Adatia, S Law, J Haggerty
BMC Health Services Research 2014, 14:604  doi:10.1186/s12913-014-0604-3

Read more here.

How does context influence collaborative decision-making for health services planning, delivery and evaluation?

"Collaboration among researchers (clinician, non-clinician) and decision makers (managers, policy-makers, clinicians), referred to as integrated knowledge translation (IKT), enhances the relevance and use of research, leading to improved decision-making, policies, practice, and health care outcomes. However IKT is not widely practiced due to numerous challenges. This research explored how context influenced IKT as a means of identifying how IKT could be strengthened."

How does context influence collaborative decision-making for health services planning, delivery and evaluation?

AR Gagliardi, F Webster, MC Brouwers, NN Baxter, A Finelli, S Gallinger
BMC Health Services Research 2014, 14:545  doi:10.1186/s12913-014-0545-x

Read more here.

How to commission better mental health and wellbeing services for young people

"In this guide, we will consider how commissioners can add value at each stage of the commissioning process to ensure that the most appropriate services are procured to address the mental health needs of young people aged 16–25."

How to commission better mental health and wellbeing services for young people
Right Here (Mental Health Foundation, Paul Hamlyn Foundation)
October 2014

Read more here.

Service user involvement: impact and participation: a survey of service user and staff perspectives

"The findings have shown that there is a high level of participation in service user involvement activity and a general endorsement that involvement has a positive impact. The percentage of service users and professionals who reported positive outcomes from activities they have been involved with was high, regardless of the type of activity they had experienced and their level of engagement in user involvement work."

Service user involvement: impact and participation: a survey of service user and staff perspectives
E Omeni, M Barnes, D MacDonald, M Crawford, D Rose
BMC Health Services Research 2014, 14:491  doi:10.1186/s12913-014-0491-7

Read more here.

Improving the accuracy and turn-around time of controlled drug prescribing for patients being discharged home for end-of-life care

"Re-audit after a pilot period showed a significant improvement in both error rate and dispensing time of these medications. This then allowed for better use of staff time within the pharmacy department, and a smoother and safer discharge for our patients going home for end of life care."

Improving the accuracy and turn-around time of controlled drug prescribing for patients being discharged home for end-of-life care

S Daniel, J Patel, D Benson
BMJ Quality Improvement Reports 2014;3: doi:10.1136/bmjquality.u203589.w1595

Read more here.

MediDial cards: a quick win for service improvement

"Through the introduction of our MediDial cards we not only reduced the frequency junior doctors needed to contact the switchboard on a daily basis, but also the length of time spent waiting to speak to an operator. The MediDial cards were also found to be time saving and more useful than the previous intranet based database."

MediDial cards: a quick win for service improvement
Mike Davies, Sonia Panchal
BMJ Quality Improvement Reports 2014;3

Read more here.

Consensus on quality indicators to assess the organisation of palliative cancer and dementia care

"International experts selected a set of 23 QIs for the organisation of palliative care. Although we particularly focused on the organisation of cancer and dementia palliative care, most QIs are generic and are applicable for other types of diseases as well."

Consensus on quality indicators to assess the organisation of palliative cancer and dementia care applicable across national healthcare systems and selected by international experts
J van Riet Paap, M Vernooij-Dassen, R Dröes, L Radbruch, K Vissers,Y Engels
BMC Health Services Research 2014, 14:396

Read more here.

Patient and Family-Centred Care toolkit

"Patient and Family-Centred Care (PFCC) is a simple, step-by-step method for understanding what a care experience is like, what needs to change, and which small improvements can make a big difference to patients, families and staff alike. Across the country, teams have implemented the approach to improve services, ranging from paediatric accident and emergency to the care of frail older people, with measurable results." 

Patient and Family-Centred Care toolkit
The King's Fund, The Health Foundation

Find out more and access the toolkit here.

New NICE website

A new version of the NICE website was launched last month, with improvements in usability. Information about the NICE quality standards and  the Quality and Outcomes Framework can now all be found on the one page at: www.nice.org.uk/standards-and-indicators

A list of NICE Quality Standards can be found here.

The Into Practice webpage contains links to Commissioning Support, Audit and Service Improvement tools, and more.

NICE are welcoming your feedback on the new site - leave your comments here.

Proactive care programme: CCG support for implementation

"This document is supporting guidance for CCGs for the Avoiding Unplanned Admissions enhanced service (ES) which is designed to help reduce avoidable unplanned admissions by improving services for vulnerable patients and those with complex physical or mental health needs, who are at high risk of hospital admission or re-admission."

Proactive care programme: CCG support for implementation
NHS England
May 2014

Read more here.