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The mandate: a mandate from the Government to NHS England: April 2014 to March 2015; presented to Parliament pursuant to Section 13A(1) of the National Health Service Act 2006
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2013
- Pagination:
- 31
- Place of publication:
- London
This Mandate reaffirms the government’s commitment to an NHS that remains available to all, based on clinical need and not ability to pay; and that is able to meet patients’ needs and expectations now and in the future. Specifically, it reflects the priority to transform NHS care provision for older people and those with complex needs. It is structured around five main areas where the government expects NHS England to make improvements: preventing people from dying prematurely; enhancing quality of life for people with long-term conditions; helping people to recover from episodes of ill health or following injury; ensuring that people have a positive experience of care; and treating and caring for people in a safe environment and protecting them from avoidable harm. Further sections of the Mandate cover: freeing the NHS to innovate; the broader role of the NHS in society; finance; and assessing progress and providing stability. (Edited publisher abstract)
Integrated care: what is it? Does it work? What does it mean for the NHS?
- Authors:
- HAM Chris, CURRY Natasha
- Publisher:
- King's Fund
- Publication year:
- 2011
- Pagination:
- 8p.
- Place of publication:
- London
The author summarises the different forms of integrated care and their impact so far on the NHS. This short paper is based on a major review of integrated care published by The King’s Fund (Curry and Ham 2010). Integrated care takes many different forms and may involve whole populations, care for particular groups or people with the same diseases, and co-ordination of care for individual service users and carers. There is good evidence of the benefits of integrated care for whole populations, as seen in organisations such as Kaiser Permanente, the Veterans Health Administration and integrated medical groups in the United States. The evidence of the benefits of integrated care for older people, for example as seen in areas like Torbay, is good. However there is mixed evidence of the benefits of integrated care for people with long-term conditions like diabetes and those with complex needs. There is evidence of the benefits of care co-ordination for individual service users and carers, especially when multiple approaches are used together. The report concludes that integrated care in the NHS needs to be pursued at all levels to overcome the risks of fragmentation. Policy-makers need to act on the evidence not by promoting a preferred approach but by supporting clinical and managerial leaders to adapt the ingredients of integrated care discussed.
Briefing: understanding the health care needs of people with multiple health conditions
- Authors:
- STAFFORD Mai, et al
- Publisher:
- Health Foundation
- Publication year:
- 2018
- Pagination:
- 26
- Place of publication:
- London
This briefing paper reports on an analysis of data from 2014 to 2016 for 300,000 people in England to examine the number of people with multiple health conditions and what needs to be done to address their complex needs. The analysis found that one in four adults had 2 or more health conditions, equating to approximately 14.2 million people in England. Over half of NHS costs for hospital admissions and outpatient visits and over three quarters of the costs of primary care prescriptions were for people living with 2+ conditions. Those in the most-deprived areas were also more likely to experience multiple long term conditions at an earlier age than those in the less deprived areas. The report sets out six steps the NHS could take to improve care for people with multiple conditions: supporting those with multiple conditions to live well; developing new models of NHS care for those with multiple conditions; resourcing the vital role of primary care; designing secondary care around those with multiple conditions; using data and sharing information to improve care for those with multiple conditions; and evaluating what works. (Edited publisher abstract)
Ideas for the NHS long-term plan from the Centre for Ageing Better
- Author:
- CENTRE FOR AGEING BETTER
- Publisher:
- Centre for Ageing Better
- Publication year:
- 2018
- Pagination:
- 13
- Place of publication:
- London
Sets out the case for why NHS England should make bold commitments to healthy ageing in its long-term plan and suggests some ideas for actions it could take and some areas for action with others. It highlights the importance of prioritising prevention and early intervention; supporting people managing long-term conditions and living with disabilities to retain their skills and maintain their independence; and the role of the NHS in supporting health at work and to support those who have fallen out of work due to poor health or disability to return to work. It also highlights the importance of NHS services working in partnership with social care and housing providers to ensure that care is integrated and reaches people where they live. (Edited publisher abstract)
Evaluation of Southwark and Lambeth integrated care programme: report
- Authors:
- WOLFE Charles, et al
- Publisher:
- King's College London
- Publication year:
- 2016
- Pagination:
- 117
- Place of publication:
- London
Detailed evaluation of the Southwark and Lambeth Integrated Care (SLIC) project, which was set up as a partnership of commissioners and providers across health and social care, along with local people, to improve the value of care in Southwark and Lambeth. Its main aims were to identify and address care needs at an early stage; provide join up care around people and across providers and provide care in the most appropriate setting. The programme focused on older people and long term conditions and aimed to reduce emergency hospital admission and care home utilisation. The evaluation assesses the value of the £10.6 million spent on the project, looks at what worked and what didn’t in improving value and the reasons for this. It also highlights lessons learnt from the programme. Methods included an analysis of quantitative data to examine expenditure, documentary analysis, interviews with stakeholders and focus groups. It also provides a synthesis of the published evidence on integrated care, including evaluations of the Southwark and Lambeth Integrated Care project to date, and literature on governance. Successful outcomes of the project identified included: good integrated working by partners across health and social care; reduced admission to care homes and no increase in the rate of emergency admissions to hospital; citizen engagement and co-production; and a reported shift in investment from acute care towards community and primary care. (Edited publisher abstract)
Heatwave plan for England: protecting health and reducing harm from severe heat and heatwaves
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2015
- Pagination:
- 45
- Place of publication:
- London
The Heatwave Plan for England is intended to protect the population from heat-related harm to health. It aims to prepare for, alert people to, and prevent, the major avoidable effects on health during periods of severe heat in England. It recommends a series of steps to reduce the risks to health from prolonged exposure to severe heat for: the NHS, local authorities, social care, and other public agencies, professionals working with people at risk; and individuals, local communities and voluntary groups. The plan describes the Heat-Health Watch system which operates in England from 1 June to 15 September each year. The system comprises five main levels (Levels 0-4), from long-term planning for severe heat, through summer and heatwave preparedness, to a major national emergency. Each alert level triggers a series of appropriate actions which are detailed in the Heatwave Plan. (Edited publisher abstract)
Heatwave plan for England 2014: protecting health and reducing harm from severe heat and heatwaves
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2014
- Pagination:
- 44
- Place of publication:
- London
The Heatwave Plan for England is intended to protect the population from heat-related harm to health. It aims to prepare for, alert people to, and prevent, the major avoidable effects on health during periods of severe heat in England. It recommends a series of steps to reduce the risks to health from prolonged exposure to severe heat for: the NHS, local authorities, social care, and other public agencies, professionals working with people at risk; and individuals, local communities and voluntary groups. The plan describes the Heat-Health Watch system which operates in England from 1 June to 15 September each year. The system comprises five main levels (Levels 0-4), from long-term planning for severe heat, through summer and heatwave preparedness, to a major national emergency. Each alert level triggers a series of appropriate actions which are detailed in the Heatwave Plan. (Edited publisher abstract)
Integrated care for patients and populations: improving outcomes by working together: a report to the Department of Health and the NHS Future Forum
- Authors:
- GOODWIN Nick, et al
- Publisher:
- King's Fund
- Publication year:
- 2011
- Pagination:
- 20p., bibliog.
- Place of publication:
- London
The implementation of integrated care aims to transform the way in which care is provided for the ageing population and people with long-term conditions and complex health and social care needs. This report looks at the case for integrated care; existing barriers and how they can be overcome; how the Department of Health can support a framework to enable integrated care; and options for implementing integrated care, including approaches to evaluate its impact. The report also highlights three main priorities for the future: setting clear goals to improve the experience of patients and service users; offering patient with complex needs guaranteed levels of services, and implementing changes at both scale and pace. It has been written to inform the development of the Department of Health's integrated care strategy and to contribute to the work of the NHS Future Forum.
Telecare outcomes and mainstreaming: summary of responses by social care authorities to CSCI performance assessment 2008
- Author:
- DH CARE NETWORKS. Telecare Learning and Improvement Network
- Publisher:
- DH Care Networks. Telecare Learning and Improvement Network
- Publication year:
- 2009
- Pagination:
- 14p.
- Place of publication:
- London
It is only in the last 2-3 years that local authorities and primary care trusts in England have started to examine the possibilities of supporting people with long term conditions at home using remote monitoring support. Since the time of data collection (April/May 2008), a number of other Local Authority/Primary Care Trust partnerships have been developing telehealth programmes. These have not been included in this report but can be identified through updates in the telecare newsletters Some of the responses indicate that the service had not commenced at the time of the data collection but were planned for 2008 and beyond.
Telecare outcomes and mainstreaming: summary of responses by social care authorities to CSCI performance assessment 2008
- Author:
- DH CARE NETWORKS. Telecare Learning and Improvement Network
- Publisher:
- DH Care Networks. Telecare Learning and Improvement Network
- Publication year:
- 2008
- Pagination:
- 125p.
- Place of publication:
- London
It is only in the last 2-3 years that local authorities and primary care trusts in England have started to examine the possibilities of supporting people with long term conditions at home using remote monitoring support. Since the time of data collection (April/May 2008), a number of other Local Authority/Primary Care Trust partnerships have been developing telehealth programmes. These have not been included in this report but can be identified through updates in the telecare newsletters. Some of the responses indicate that the service had not commenced at the time of the data collection but were planned for 2008 and beyond. The responses generally relate to small pilots (between 5 and 50 users) at the time of data collection apart from Kent (over 200). The main disease areas covered include heart failure, COPD and diabetes. There are case study and local evaluation reports of positive benefits for individual users (increased re-assurance and improved quality of life) and some indications from professional judgment that hospital admissions may have been prevented.