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.

General Practice Forward View

What does this mean for libraries?

• Opportunities to provide evidence to support redesign of services
• Delivery of training for staff based in practices
• Developing SLAs / Contracts with CCGs to deliver services to GP practices
• Assisting with the spread of good ideas through current awareness and KM activities

Source: NHS England

Link to main document

Date of publication: 21 April 2016 (Updated: 19 May 2017)

Summary of driver: An extra £2.4 billion a year will support general practice services to 2020/21, enabling improved patient care, access, and innovation. £500 million is invested support GP practices to aid struggling practices, reduce workload, expand the workforce, investment in technology and transform services. The plan was developed with the Royal College of General Practitioners (RCGP) and Health Education England (HEE) and outlines steps to:

• Channel investment
• Grow and develop the workforce
• Streamline the workload
• Improve infrastructure
• Support practices to redesign services

Protected: Meeting 10-11am 19th October 2018

This content is password protected. To view it please enter your password below:

Password:

Key questions for the future of STPs and ICSs

What does this mean for libraries? 

This report is only concerned with the current situation regarding sustainability and transformation partnerships (STPs) and integrated care systems (ICSs), and doesn’t make recommendations. However, it shows that 14 of the 44 STPs have already progressed to become ICSs, and 49% of Trusts agree that ICSs should replace STPs, so it shows that the directions of travel is clearly towards ICSs.

MAP has already looked at the implications of ICSs for LKS in a policy briefing on Integrated Care Organisations.

Source: NHS Providers

Link to main document

Date of publication: August 2018

Summary of driver:

Summarises recent developments in system working, including the state of play of STPs and ICSs.

It also sets out the background to the focus on collaborative working, and looks at some of the models that are emerging. There is also a look at what factors make collaboration more successful.

 A useful infographic summarises the state of play of STPs and ICSs.

Learning from deaths Guidance for NHS trusts on working with bereaved families and carers

What does this mean for libraries?

Library and knowledge services can support staff and members of the public by signposting  to the various reports that informed this document. LKS staff could work with other LKS sectors to signpost to local and national support for bereaved families and carers.

Source: NHS England on behalf of the National Quality Board (NQB).

Link to main document

Date of publication: July 2018 

Summary of driver:

The NHS is committed to creating a learning culture and using patient and public experience to drive improvements. The CQC’s report ‘Learning, Candour and Accountability’ concluded that the way trusts engage with families required significant improvement.

Personal insights and experiences have shaped the guidance and will benefit all those involved following a death. In particular, supporting staff and families after an unexpected, avoidable or traumatic death in NHS care. It has the potential to break down the ‘them and us’ culture that families and carers have experienced.

It is about improving communication and engagement with families and how the NHS learns from its mistakes. It consolidates existing guidance and provides a perspective from family members, who have experienced bereavement within the NHS.

It will help trusts and commissioners to identify where they can make improvements in how they engage with families and carers. It is also a source of information for families and carers so they know what to expect following the loss of their loved one while in a trust’s care.

This information should supplement organisations own information and resources for bereavement support for families and carers.

Guidance breakdown:

• Guiding principles
• Family involvement before a death
• Immediate actions following a death
• Case note reviews
• Information and participation in an investigation
• Access to independent advice, information and advocacy
• Family and carer participation in trust training
• Involving families in action planning an assurance processes
• Action if a family is dissatisfied with an investigation or their involvement

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

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? 

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 26^th 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.