Category Archives: Policy Briefing

GP Partnership Review: Final Report

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? This report outlines the challenges that GPs are facing with increasing workloads and the rising complexity of patients resulting in clinical risk challenges.

  • LKS could support GP partnerships with the evidence base and current awareness services to support complex care.
  • LKS could approach local CCGs / GPs to make them aware of the services available or see if they wish to take up the offer where provision doesn’t exist.
  • Libraries serving GPs or organisations in partnership with GPs may wish to review resources and collections to offer leadership resources for staff looking to develop leadership skills.

Source: Department of Health and Social Care

Link to main document https://www.gov.uk/government/publications/gp-partnership-review-final-report

Date of publication: January 2019

Summary of driver: This review considers the challenges that currently face GP partnerships and makes the following recommendations to revitalise and transform the partnership model:

  • There are significant opportunities that should be taken forward to reduce the personal risk and unlimited liability currently associated with GP partnerships.
  • The number of General Practitioners who work in practices, and in roles that support the delivery of direct patient care, should be increased and funded.
  • The capacity and range of healthcare professionals available to support patients in the community should be increased, through services embedded in partnership with general practice.
  • Medical training should be refocused to increase the time spent in general practice, to develop a better understanding of the strengths and opportunities of primary care partnerships and how they fit into the wider health system.
  • Primary Care Networks should be established and operate in a way that makes constituent practices more sustainable and enables partners to address workload and safe working capacity, while continuing to support continuity of high quality, personalised, holistic care.
  • General practice must have a strong, consistent and fully representative voice at system level.
  • There are opportunities that should be taken to enable practices to use resources more efficiently by ensuring access to both essential IT equipment and innovative digital services.
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A vision for population health: Towards a healthier future

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? 

  • Monitor where accountability lies and new roles in managing population health so that library services can be directed appropriately.
  • Library staff may need to work with various health and care services to provide evidence.
  • Capture and share information from other countries e.g. Scotland and Wales who have successfully tackled health inequalities.

Source: The King’s Fund

Link to main document

Date of publication: November 2018

Summary of driver: England lags behind many other countries on key health outcomes, life expectancy improvements have stalled and health inequalities widen. Population health aims to improve physical and mental health outcomes, promote wellbeing and reduce health inequalities across an entire population. This report outlines The King’s Fund’s vision for population health, their reasoning and the steps to achieve it.

Impact of the Care Quality Commission on provider performance. Room for Improvement?

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? An increased focus on the need for systemic transformation and improvement following CQC inspections  may provide further opportunities to support organisations. Libraries should understand the areas in which their organisations require improvement and develop services to support these.

Source: The King’s Fund

Link to main document 

Date of publication: September 2018

Summary of driver: This report summarises the findings of the first major evaluation of the CQC’s approach to inspecting and rating healthcare providers. The King’s Fund and Alliance Manchester Business School developed framework outlining 8 ways that regulation can affect provider performance, which was used to evaluate the first cycle of CQC inspections in acute, mental health, general practice and adult social care in 6 areas of England.

Budget 2018: What it means for health and social care

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?  The budget applies directly to NHS funded services but not education and training tariffs where a large proportion of library funding is derived from. It is useful for library staff to understand the priorities and pressures in order to support the organisations they serve.

Source: The Health Foundation, The King’s Fund, The Nuffield Trust

Link to main document

Date of publication: November 2018

Summary of driver: The budget outlined an increase to the NHS England budget (not capital, public health or education and training) of £20.5bn at estimated 3.4% increase per year by 2023/24. However, higher inflation will mean the increase is less than 3.4%; the real terms increase will be confirmed by the 2019 spending review. A long term plan about how the money will be spent is expected by the end of the year. Funds will be allocated to mental health, social care, disabilities grant and staff salary rises. The document considers where the funds will come from and what this means for NHS funding.

Sustainability and transformation partnerships in London: An independent review

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? 

  • Understanding the challenges for STPs in London may provide opportunities to work collaboratively across the patch and link with senior management to provide evidence to progress STPs.
  • Consideration of bigger footprints for specialist services could have implications for library services in London.
  • Identifying leaders to promote services such as current awareness and LKS evidence searches and showcase LKS support for innovation and change, through running simple KM events to encourage knowledge sharing, e.g.  randomised coffee trials and knowledge cafes.

Source: Kings Fund

Link to main document 

Date of publication: October 2018

Summary of driver: This report was commissioned by the Mayor of London to report on the progress of the 5 STPs in London. It identifies key developments, highlights examples of integrated working and barriers to progress and makes practical suggestions for dealing with these challenges.

Gosport War Memorial Hospital: The Report of the Gosport Independent Panel

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 report has no direct impact on LKS, this is an important document to be aware of and to circulate within organisations.

Source: The Gosport Independent Panel

Link to main document 

Date of publication: June 2018

Summary of driver:

This Report is an in-depth analysis of the Gosport Independent Panel’s findings into the concerns raised by families over a number of years about the initial care of their relatives in Gosport War Memorial Hospital.

How is the NHS performing? June 2018

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 services under great pressure, there is a greater need for library and knowledge services to support effective and efficient healthcare. As well as making health care provision safer, K4H impact case studies demonstrate that LKS can help make cost savings, and can support health service transformation.

Source: King’s Fund

Link to main document

Date of publication: July 2018

Summary of driver:

This is the 26th quarterly report by the King’s Fund, and as well as looking back at what has happened over the past three months, considers the recently announced funding offer for the NHS.

  • Services remain under substantial pressure – there are 4.2m waiting for consultant-led care
  • There is little optimism that current A&E performance targets can be met
  • Some NHS organisations are spiralling further into deficit while others are seeing their surpluses bolstered by centrally-released funding
  • There are some positive signs of increased joint working between local providers and commissioners of care
  • The recent announcement of a five-year funding offer for the NHS provides an opportunity to make good on previous attempts to deliver out-of-hospital services, including social care
  • By March 2018 2,755 people had been waiting more than a year for treatment – the highest number since 2012/13
  • The time by which 92% of patients are seen after a referral is now 22 weeks; the highest since March 2009
  • GP referrals are growing at a slower rate than before but are still increasing
  • Hospital-bed occupancy is at its highest level for eight years
  • Emergency admissions in May 2018 were 5.6% higher than the year before
  • 44% of CCG finance leads are considering extending waiting lists or reducing activity for certain elective specialties
  • In March 2018 only 9 of 137 Trusts with major A&E departments me the 95% standard
  • The overall 95% standard has not been achieved since July 2015
  • By the end of the 2017/18 financial year the provider sector had a deficit of £960m
  • The commissioning sector had an underspend of £955m due to underspending in central NHS England budgets
  • Nearly two-fifths of CCGs are expecting to overspend their budgets next year
  • 80% of CCGs are considering extending the number of low-value treatments and prescriptions that will no longer be funded
  • 42% of Trust finance directors are expecting to end 2018/19 in deficit
  • 51% of finance directors and 21% of CCG finance leads feel patient care has worsened in their area over the past year
  • However, closer working through STPs and ICSs is starting to pay some dividends
  • Acute Trusts account for 87% of Trusts in deficit
  • The long-term NHS funding settlement, a Green Paper on social-care reform and a 10-year health and care workforce strategy – taken together – might provide the best opportunity in a decade for health and social-care services to both find some stability and use that stability as a base for more fundamental transformation and improvement.