Thursday, 16 November 2017

Impact Analysis of Social Prescribing on London

Impact Analysis of Social Prescribing on (London) local Health Economies
Healthy London Partnership
  • This impact analysis of social prescribing for London was presented to the London STP leads in May 2017 to support development of an interactive dashboard for London social prescribing and expert patient programmes. 
  • The dashboard is a collection of localised population health analysis tools, including heat maps, developed to support planning, implementation and potential savings resulting form of social prescribing in London. 

Wednesday, 15 November 2017

Does hospital competition improve efficiency?

Does hospital competition improve efficiency? The effect of the patient choice reform in England
Centre for Health Economics, University of York, 15 November 2017
  • An analysis of the impact of relaxation of constraints on patient choice of hospital in 2006 found it had mixed effects on efficiency. 
  • An additional equivalent rival increased admissions per bed and the proportion of day cases by 1.1 and 3.8 percentage points, and reduced the proportion of untouched meals by 3.5 percentage points, but it also increased the number of cancelled elective operations by 2.6%. There are no statistically significant effects on the other five efficiency indicators (bed occupancy, cleaning services costs, laundry and linen costs, and RCI for all admissions and for elective admissions)

Friday, 10 November 2017

Health at a Glance 2017: UK

Health at a Glance 2017: OECD Indicators for the UIK
OECD 10 November 2017

  • Health at a Glance provides the latest comparable data and trends on the performance of health systems in OECD countries. This report provides an overview of health system performance in the United Kingdom.

Thursday, 9 November 2017

Embedding a culture of quality improvement

Embedding a culture of quality improvement
Kings Fund 9 November 2017
  • This report explores the factors that have helped organisations to launch a quality improvement strategy and sustain a focus on quality improvement.
  • Key enablers for embedding a culture of quality improvement included: developing and maintaining a new approach to leadership; allocating adequate time and resources; ensuring there is effective patient engagement and co-production; maintaining staff engagement.

Wednesday, 8 November 2017

Patient smartphone app pilots in London

NHS England picks Babylon for flagship patient app pilot
HSJ 8 November 2017 [Subscription required]
  • NHS England has picked two private digital services to pilot a new universal NHS Online patient app that provides access to health records, NHS 111 and privacy preferences through their smartphones.
  • Babylon Health’s technology will support one of the pilots in north central London. The pilot is expected to start by the end of the year.
  • A second NHS Online pilot will begin on 15 November with 240,000 patients in Bexley, south east London, using eConsult, a competing app developed and promoted by GPs involved in the Hurley Group
  • See commentary from Nuffield Trust here.

Tuesday, 7 November 2017

An eight step guide to accountable care

Accountable care – the art of the possible An eight step guide to accountable care
NHS Providers, Aldwych Partners, Hempsons 7 November 2017
  • Update a of a previous report which suggests eight steps  by which NHS provider organisations might respond to proposals for the evolution of STPs into Accountable Care Systems (ACSs) and in some areas eventually into Accountable Care Organisations (ACOs). 
  • The eight steps are Phasing, Partners, Governance, Contracting, Funding, Organisational form, Enablers and Competition.

Friday, 3 November 2017

Testing the RightCare model

RightCare: wrong answers
Journal of Public Health, 03 November 2017 https://doi.org/10.1093/pubmed/fdx136
  • The RightCare model of identifying opportunities for savings and quality improvements benchmarks CCGs against the "Best 5" of "Similar 10" CCGs. The author tests this model using public data on cancer mortality and concludes that the ‘Similar 10’ are inappropriate comparators and CCGs cannot expect to match the average performance of the RightCare ‘Best 5’.