Intentional whole health system redesign

"This case study has been written to offer inspiration for commissioners and providers in the English NHS, in particular the vanguards in the NHS’s new care models programme, embarking on system redesign. It aims to provide a description of Southcentral’s transformation journey as well as a snapshot of its service and organisational model, focusing on issues that are likely to be of most relevance to local NHS systems developing new care models"

Intentional whole health system redesign: Southcentral Foundation’s ‘Nuka’ system of care
Ben Collins
The King's Fund
November 2015

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Experience based co-design reduces formal complaints on an acute mental health ward

"An acute mental health triage ward at Oxleas NHS Foundation Trust was attracting high levels of formal service user and family complaints. The Trust used experience based co-design to examine the issues and redesign procedures. This resulted in an immediate eradication of formal complaints for a period of 23 months."

Experience based co-design reduces formal complaints on an acute mental health ward
N Springham, G Robert
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u209153.w3970

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Reimagining Quality Measurement

"quality measurement should be integrated with care delivery rather than existing as a parallel, separate enterprise; it should acknowledge and address the challenges that confront doctors every day — common and uncommon diseases, patients with multiple coexisting illnesses, and efficient management of symptoms even when diagnosis is uncertain; and it should reflect individual patients' preferences and goals for treatment and health outcomes and enable ongoing development of evidence on treatment heterogeneity"

Reimagining Quality Measurement
EA McGlynn, EC Schneider, EA Kerr
New England Journal of Medicine 2014; 371:2150-2153

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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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Adult social care in England

"This report, the first in a series on adult care, describes the care system. It highlights the main risks and challenges as the system is changed radically, some of which will be covered in more detail in future years."

Adult social care in England: overview
A Morse, Comptroller and Auditor General
Department of Health and Department for Communities and Local Government
National Audit Office
March 2014

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Improving patient flow across organisations and pathways

"This scan compiled research about the methods used to improve patient flow across organisations or pathways."

Improving patient flow across organisations and pathways
D de Silva
The Health Foundation
November 2013

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