Coproduction of healthcare service

"In our efforts to improve healthcare service, we have often inadvertently approached the work as though healthcare was a ‘good’ produced by healthcare professionals. Recognising that healthcare service is a ‘service’ coproduced by patients and health professionals invites four clusters of opportunity for action."

Coproduction of healthcare service
M Batalden, P Batalden, P Margolis, M Seid, G Armstrong, L Opipari-Arrigan, H Hartung
BMJ Qual Saf 2016;25:509-517 doi:10.1136/bmjqs-2015-004315

Read more 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.

Service user engagement and health service reconfiguration

"Patients and the public could be engaged through a wide variety of methods. In selecting which methods to employ locally, decision-makers should take into account the nature of the local population and of the proposed service changes. Problems often arose because decision-makers paid insufficient attention to issues considered important by the public."

Service user engagement and health service reconfiguration: a rapid evidence synthesis 
J Dalton, D Chambers, M Harden, A Street, G Parker, A Eastwood
Health Services and Delivery Research 2015;3(17)

Read more here.

Adolescents leaving mental health or social care services

"Given that, in this report, psychosocial outcomes of young people leaving any services is substantially sub-optimal very serious consideration should be given to holistic improvement of transition policies and young adult services across adolescent service providers. "

Adolescents leaving mental health or social care services: predictors of mental health and psychosocial outcomes one year later
J Memarzia, MC St Clair, M Owens, IM Goodyer, VJ Dunn
BMC Health Services Research 2015, 15:185  doi:10.1186/s12913-015-0853-9

Read more here.

King’s Fund report into dermatology services in the UK

"Our work exposed major concerns about the current quality of commissioning for dermatology services and the lack of specialist knowledge among commissioners. Commissioning should facilitate the new models of care with tariffs that reflect and encourage new patient-centred ways of working."

King’s Fund report into dermatology services in the UK
British Association of Dermatologists
April 2015

Read more here.

Mergers in the NHS

"We are not convinced that the evidence base is strong enough on the role of competition relative to other drivers of quality. We think that it is right that there is some external scrutiny of merger decisions and accept that competition should be part of that process. However, a broader test which explicitly considers a range of factors (including competition) and makes specific reference to the views of commissioners as well as the sector regulator might be an improvement on the current process."

Mergers in the NHS: Lessons from the decision to block the proposed merger of hospitals in Bournemouth and Poole
E Spencelayh, J Dixon
The Health Foundation
December 2014

Read more here.

The reconfiguration of clinical services

"This paper aims to help those planning and implementing major clinical service reconfigurations ensure that change is as evidence-based as possible. It investigates the five key drivers – quality, workforce, cost, access and technology"

The reconfiguration of clinical services: What is the evidence?
C Imison, L Sonola, M Honeyman, S Ross
The King's Fund
November 2014

Read more here.

Planning for the Better Care Fund

"The Better Care Fund is an innovative idea for joining-up care services locally for the benefit of patients. However, the quality of early planning and preparations did not match the scale of ambition."

Planning for the Better Care Fund
National Audit Office
November 2014

Read more here.

Children's and adolescents' mental health and CAMHS

"There are serious and deeply ingrained problems with the commissioning and provision of Children’s and adolescents’ Mental Health Services. These run through the whole system from prevention and early intervention through to inpatient services for the most vulnerable young people."

Children's and adolescents' mental health and CAMHS: Third Report of Session 2014–15
House of Commons Health Committee
October 2014

Read more here.

Health leaders' survey 2

"Ahead of the 2015 election, we will be regularly surveying a panel of 100 health and social care leaders for their views on a range of issues, including the state of the NHS and social care system and what they believe should be the priority areas for reform during the next Parliament."

Health leaders' survey two: the state of general practice
Nuffield Trust

Read more here.

Health Policy Implications of a Three-Generation Case Study

"Conventional wisdom holds that the redesign of health care requires stepping back from the issues of individual patients and analyzing patterns of outcomes and costs for large patient populations. As practicing primary care physicians, we think a useful, complementary perspective might result from doing the opposite: looking intensely at the health and health care of an individual but widening the lens through which that patient is viewed. "

Time after Time - Health Policy Implications of a Three-Generation Case Study
C Sayer, TH Lee
New England Journal of Medicine 2014; 371:1273-1276

Read more here.

Service redesign: early identification of patients at risk of developing end-stage kidney disease

"This initiative aims to reduce the rate of loss of kidney function in people with diabetes and chronic kidney disease, so that fewer people develop kidney failure and require dialysis."

Service redesign: early identification of patients at risk of developing end-stage kidney disease
Heart of England NHS Foundation Trust
QIPP Case Study
August 2014

Read more here.

Barriers to implementation of a redesign of information transfer and feedback in acute care

"Accurate communication is an important feature of seamless care and enhances patient safety. Information transfer and patient handovers are noted to be potentially hazardous areas for error in emergency care."

Barriers to implementation of a redesign of information transfer and feedback in acute care: results from a multiple case study
JE van Leijen-Zeelenberg, AJA van Raak, IGP Duimel-Peeters, MEAL Kroese, PRG Brink, D Ruwaard, HJM Vrijhoef
BMC Health Services Research, 2014, 14: 149

Read more here.

A new settlement for health and social care

"In our view, the weight of evidence makes it clear that the present settlement lacks transparency, is inefficient, puts too much weight on individual rather than collective responsibility, and raises a significant moral concern about the lack of equity of treatment for similar levels of need."

A new settlement for health and social care: Interim report
K Barker (Chair), Commission on the Future of Health and Social Care in England
The King’s Fund
April 2014

Read more here.

Accountable care organisations: Testing, evaluating and learning what works

"Now more than ever the NHS needs to be able to innovate at scale and pace and testing out a variety of ways of integrating care should be encouraged."

Accountable care organisations in the United States and England: Testing, evaluating and learning what works
Stephen Shortell, Rachael Addicott, Nicola Walsh, Chris Ham
The King's Fund
March 2014

Read more here.

Service redesign case studies

NHS Confederation is publishing a series of service redesign case studies:

• Healthier together - the Greater Manchester
• The Southern Health acquisition of Ridgeway

Get e-QIPP-ed for neurology

"This booklet illustrates examples of innovative service delivery, prevention of unnecessary interventions, and initiatives that simultaneously improve service efficiency and cost effectiveness alongside quality of patient care."

Get e-QIPP-ed for neurology: positive practice in service redesign
Neurological Commissioning Support Limited
March 2012

Read more here.

Cholecystectomy services redesign: reducing length of stay in hospital

"The benefit of reducing the length of stay by 1 day for patients undergoing laparascopic cholecystectomy saves more than 17,000 bed days across the NHS."

Cholecystectomy services redesign: reducing length of stay in hospital
NHS Institute for Innovation and Improvement
March 2012

Read more here.

Strengthening health systems through innovation

"The purpose of this white paper is to examine the progress made within the health systems of seven comparator countries so we may learn how they have been able to help meet population health needs more effectively and make progress in health system redesign and transformation."

Strengthening health systems through innovation: lessons learned
A Snowden, J Cohen
International Centre for Health Innovation

Read more here.