Tuesday, 27 June 2017

Improving the capabilities of CCGs to use evidence

Improving the capabilities of NHS organisations to use evidence: a qualitative study of redesign projects in Clinical Commissioning Groups
Health Serv Deliv Res 2017;5(18)
  • NHS commissioning groups use multiple forms of evidence when making decisions about service redesign and need particular capabilities, identified in this research, to best access and apply available evidence.
  • Based on the  findings, a learning tool (an online resource for self-assessment) aimed at supporting commissioning organisations in developing their own capabilities to use evidence when redesigning services is presented.
Abstract:

Clinical Commissioning Groups (CCGs) comprise managers, doctors, nurses, consultants and other health-care professionals. These groups make decisions about health-care services in local areas. Because the NHS needs to improve care and spend less money, CCGs must design the best possible services. Evidence use is one means to achieve this, but this is far from straightforward. Often, the needs of evidence users are not met or understood by evidence producers.

To inform evidence-based CCG work, we conducted research at eight CCGs across England. Through case studies at each CCG, we found that decisions are based on a range of different evidences, including those produced in scientific research, local data, expertise and experiences and examples from elsewhere. We also found that certain conditions and practices (capabilities) increase the chances of evidence use, particularly those that encourage and manage stakeholder engagement and collaboration. We also visited a producer of evidence for use by NHS commissioners. We found that they hold varied ideas about how other people pick up and use evidence.

We suggest that it is important to support NHS commissioners in understanding and identifying different categories of evidence relevant to their work and in using these together. We also identify specific capabilities that, our findings suggest, help enable the use of evidence.

Based on our findings, we designed a learning tool (an online resource for self-assessment) aimed at supporting commissioning organisations in developing their own capabilities to use evidence when redesigning services.

Monday, 26 June 2017

Personalised Health and Care Framework

Personalised Health and Care Framework
NHS England June 2017

  • The framework provides advice and practical guides for the NHS and local government to support progress with Integrated Personal Commissioning and personal health budgets. 
  • It updates the personal health budgets toolkit, building on learning from implementation since 2012 and from the Integrated Personal Commissioning programme.
  • See all of the Integrated Personal Commissioning documents here.

Friday, 23 June 2017

Community indicators project - NHS Improvement

Community indicators project
NHS Improvement 6 June
  • A new scorecard based on routinely collected data, that can be used to compare community trusts to peers on patient and staff experience, and the effectiveness and responsiveness of their services.
  • See HSJ analysis of the data for community trust staffing levels here. (Subscription required)

Sustainability Model and Guide

Sustainability Model and Guide
NHS Institute for Innovation and Improvement published by NHS Improvement June 2017
  • The Sustainability Model is a diagnostic tool that will identify strengths and weaknesses in an implementation plan and predict the likelihood of sustainability for any  improvement initiative.

Thursday, 22 June 2017

Social prescribing and health and well-being

Social prescribing and health and well-being
NHS Confederation Wales, 22 June 2017
  • The important role that social prescribing has on the health and well-being of the population, the social prescribing initiatives already in place across Wales and the evidence that already exists which highlights the effectiveness of social prescribing.