Category Archives: Policy Briefing

Spending on and Availability of Health Care Resources: Policy Briefing

A policy briefing is available for LKS staff to share in their organisations.  Produced by the JET Library at Mid Cheshire Hospitals NHS Foundation Trust.  Feel free to reproduce it (with acknowledgement).

What does this mean for libraries?

With health care spending at lower levels than other countries, it is imperative that the best use is made of resources, and library and knowledge services should have a key role in ensuring health care practice and commissioning is evidence-based and effective.

Unfortunately, the potential understaffing identified in this report may make it more difficult for health care staff to always make effective use of the evidence base. Library and knowledge staff can support this by providing value-added and time-saving services such as evidence searches, current awareness alerts, point of care tools and more.

Source: King’s Fund

Link to main document

Date of publication: May 2018

Summary of driver:

  • The King’s Fund compared health spending in the UK to other OECD countries (excluding the U.S.)
  • The UK has 2.8 doctors per 1,000 population – below the OECD average of 3.6
  • The UK has 7.9 nurses per 1,000 population – also fewer than average. Germany has 13.3 and Switzerland 18
  • The UK has 2.6 beds per 1,000 population compared to an average of 4.4. This is similar to Canada and New Zealand but far below Germany and Austria
  • The UK has fewer residential beds for long-term care than average. We are just ahead of Spain and just behind Canada. The Netherlands and Switzerland have the most
  • We have the fewest CT scanners per 1,000,000 population. Australia and Denmark are top
  • We also have the fewest MRI scanners per 1,000,000 population
  • Spending on drugs – outside drugs in hospital – makes up about a sixth of spending
  • We spend £500 per person per year – below the average amount but this might be due to more efficient purchasing
  • Some companies finance their health service via taxation – the Beveridge model. These include the UK, Australia, Canada and New Zealand
  • Others have compulsory health insurance, the Bismarck model e.g. Germany and France
  • Since 2008 most countries have tried to contain health expenditure to some extent
  • Social care spending is now included in our health spending meaning the spending as a percentage of GDP has gone up from 8.7% to 9.8%
  • This is about average. Germany, France and Sweden spend about 11%
  • There are around 100,000 vacancies for clinical staff in the English NHS
  • Nearly half of nurses do not think there are enough staff to let them do their job properly
  • The UK is one of the best systems in the world at using cheaper, generic medicines
  • Thanks to more efficient use the number of hospital beds has halved in the last 30 years
  • BUT more than 90% of hospital beds are now occupied, higher than the recommended 85% level
  • Budgets for adult social care fell by 8% in real terms between 2009/10 and 2015/16
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The Government’s Serious Violence Strategy: Policy Briefing

policy briefing is available for LKS staff to share in their organisations.  Produced by the JET Library at Mid Cheshire Hospitals NHS Foundation Trust.  Feel free to reproduce it (with acknowledgement).

What does this mean for libraries? 

Whilst this driver will be implemented at a national level, there are some things libraries can do to support it

  • The opportunity to deliver evidence and knowledge to teams experiencing issues with the impact of serious violence
  • Opportunity to link in with other sectors to raise awareness of the strategy

Source: HM Government

Link to main document 

Date of publication: April 2018

Summary of driver:  This document illustrates the Government’s approach to address the rise in serious violent crime in the UK. It outlines proposals with education, health, social services, housing, youth services and victim support in order to achieve this. The overarching message in this strategy is that tackling serious violence is not a law enforcement issue alone and it requires cross sector working involving a range of partners. In particular, it needs the support of communities thinking about what they can themselves do to help prevent violent crime happening in the first place and how they can support measures to get young people and young adults involved in positive activities.

Making sense of integrated care systems

Title: Making sense of integrated care systems, integrated care partnerships and accountable care organisations in the NHS in England

A policy briefing is available for LKS staff to share in their organisations.  Produced by the JET Library at Mid Cheshire Hospitals NHS Foundation Trust.  Feel free to reproduce it (with acknowledgement).

What does this mean for libraries? 

  • Share this resource with colleagues who are involved in the creation of integrated care systems, integrated care partnerships, accountable care systems and accountable care organisations.
  • There may be an opportunity to deliver evidence and knowledge to managers, commissioners and transformation teams as health care services undergo this change.
  • As organisational boundaries blur and take a ‘whole population’ approach, LKS may be required to adapt their service delivery models accordingly.
  • If healthcare moves away from a competitive structure and towards a collaborative one, there will be many opportunities relating to knowledge management that could support the sharing and dissemination of good practice, innovation and organisational knowledge.
  • LKS will have to consider how the negotiation and procurement of resources needs to adapt to reflect the changes in organisational structures.
  • There is a clear role for technology in supporting the emergence of integrated care systems and Accountable Care Organisations that presents an opportunity for digitally enabled LKS.

Source: King’s Fund

Link to main document 

Date of publication: February 2018

Summary of driver:  Crucially, this document indicates that the first wave of 10 “shadow accountable care systems” being supported by NHS England have been renamed Integrated Care Systems. This name describes more accurately the work being carried out. The long read outlines that integrated care is being tackled differently in different places and a variety of terms are being used. For the purpose of this document, the following are defined as being the main 3 approaches to integrated care:

  • Integrated care systems (ICSs)
  • Integrated care partnerships (ICPs)
  • Accountable care organisations (ACOs)

The document also outlines the new care models, provides an update on the 10 integrated care systems, discusses the controversy around ACOs and privatisation, future developments and concludes by providing support for the approach.

The Future of Jobs: Employment, Skills and Workforce Strategy for the Fourth Industrial Revolution

A policy briefing is available for LKS staff to share in their organisations.  Produced by the JET Library at Mid Cheshire Hospitals NHS Foundation Trust.  Feel free to reproduce it (with acknowledgement).

What does this mean for libraries? 

  • LKS teams may be affected by changes to organisational structures.
  • The way LKS teams work may change
  • LKS staff need to ensure they are up to speed with new technology and utilise it when appropriate

Source: World Economic Forum

Link to main document 

Date of publication: January 2016

Summary of driver: This report provides an insight into how technology is moving towards a Fourth Industrial Revolution. Changing shifts and workforce trends are likely to produce new challenges. Governments need to ensure that education is supporting and preparing people for work via reskilling and upskilling

Rising pressure: the NHS workforce challenge

A policy briefing is available for LKS staff to share in their organisations.  Produced by the JET Library at Mid Cheshire Hospitals NHS Foundation Trust.  Feel free to reproduce it (with acknowledgement).

What does this mean for libraries? 

  • There may be an opportunity to deliver evidence and knowledge to teams experiencing issues with recruitment
  • Opportunity to link in with GP surgeries to support staff
  • Support transformations teams with evidence on staff retention/recruitment

Source: The Health Foundation

Link to main document 

Date of publication: October 2017

Summary of driver: This report looks at the trends of the NHS workforce and concludes that the NHS workforce has a high staff turnover. Issues of concern include the drop in GP recruitment and the impact of the removal of the NHS bursary on student nurse numbers. Other key themes around the issues of staff retention include the following:

  • Workforce stability is falling in NHS Trusts down to a median of 85% in 2016/17 from 89% in 2010/11
  • There needs to be a sustained and nationally-focused approach to workforce policy and planning
  • There is an ongoing disconnect between identified staffing-groups’ needs and funding decisions

The Department of Health and Social Care mandate to Health Education England

Optional wording for policy briefings ONLY: A policy briefing is available for LKS staff to share in their organisations.  Produced by the JET Library at Mid Cheshire Hospitals NHS Foundation Trust.  Feel free to reproduce it (with acknowledgement).

What does this mean for libraries? 

  • Increase in community and primary care staff provides opportunities for library services to deliver services to these staff.
  • Greater integration may mean libraries working across organisational boundaries.
  • Providing services to ensure that improvement, innovation and learning opportunities are enhanced.
  • Ensure that the entire workforce has access to the right evidence at the right time.

Source: Department of Health and Social Care

Link to main document 

Date of publication: 17 January 2018

Summary of driver: This mandate from the Department of Health and Social Care sets out their objectives for Health Education England to deliver health education and training. The mandate also discusses workforce planning requirements to provide compassionate healthcare for patients. The mandate includes the following 6 key objectives:

  • Develop the workforce to improve out of hospital care
  • Create the safest, highest quality health and care services
  • Deliver value for money
  • Prevent ill health and support people to live healthier lives
  • Build the workforce for the future
  • Improve services through the use of digital technology, information and
    transparency

Quality Improvement in Mental Health: Policy Briefing

A Policy Briefing is available for LKS staff to share in their organisations.  Produced by the JET Library at Mid Cheshire Hospitals NHS Foundation Trust.  Feel free to reproduce it (with acknowledgement).

What does this mean for libraries? 

  • LKS can provide the evidence and knowledge for quality improvements
  • Service user involvement in mental health will present an opportunity for LKS to support health literacy and critical thinking skills

Source: The Kings Fund

Link to main document 

Date of publication: July 2017

Summary of driver: This report describes the quality improvement journey of three mental health organisations (two in England and one in Singapore). It provides key insights and lessons for others considering embarking on a similar journey.