Knowledge @lert for Wednesday 9th April
Winter pressures monies fund extra admissions
Performance against the four hour accident and emergency target did not improve in 2013-14, despite a huge political focus on the issue, as emergency admissions reached record levels, HSJ analysis has found.
- Contact the Library & Knowledge Service to request this HSJ article or Phn. 01704 704202
Framework agreement between the Department of Health and Health Education England (HEE)
The purpose of this document is to define the critical elements of the relationship between the Department of Health and HEE. It focuses on how the Department of Health and HEE work in partnership to serve patients, the public and the taxpayer; and how both HEE and the Department of Health discharge their accountability responsibilities effectively.
I don’t want to be a consumer, I’m happy to be a patient – Health Service Journal
“A consumer-driven health system is better than being finance driven, but I think I would prefer practice-led even over patient-led. Maybe doctor doesn’t know what’s best for me when it comes to independence, choice and risk but I am happy to defer on medical issues.
As for personalisation, it is well established in social care and has only a limited success: excellent for people with a disability who are articulate and assertive provided the budget is sufficiently generous to meet their needs in the way they desire; totally inappropriate for people with dementia and those offered a budget that is theirs to spend as they see fit but insufficient to meet basic needs.”
- Contact the Library & Knowledge Service to request this HSJ article or Phn. 01704 704202
Policy paper: Report on public expenditure on health and social care: response
This paper sets out the government’s response to the 18 conclusions and recommendations made in the House of Commons Health Select Committee report.
Stroke reconfiguration to be rolled out nationwide – Health Service Journal
NHS England is aiming to roll-out the London model of stroke reconfiguration on a nationwide basis, its updated business plan reveals. Outcomes for stroke patients have improved in London since specialist care was centralised in eight hyper-acute stroke centres in 2010.
- Contact the Library & Knowledge Service to request this HSJ article or Phn. 01704 704202
Testing accelerated experience-based co-design: a qualitative study of using a national archive of patient experience narrative interviews to promote rapid patient-centred service improvement – Health Services and Delivery Research
Measuring, understanding and improving patients’ experiences is of central importance to health care systems, but there is debate about the best methods for gathering and understanding patient experiences and how to then use them to improve care. Experience-based co-design (EBCD) has been evaluated as a successful approach to quality improvement in health care, drawing on video narrative interviews with local patients and involving them as equal partners in co-designing quality improvements. However, the time and cost involved have been reported as a barrier to adoption. This report finds that Accelerated experience-based co-design delivered an accelerated version of EBCD, generating a comparable set of improvement activities. The national film acted as an effective trigger to the co-design process. Based on the results of the evaluation, AEBCD offers a rigorous and effective patient-centred quality improvement approach.
The impact of new CQC powers on providers – Health Service Journal Article
Legislative changes to increase the CQC’s enforcement powers, which are due to come into force this October, will have a huge impact not just on NHS providers, but also on the directors running them.
This article examines four key areas of legislative and procedural change:
- The new criminal offences in respect of breaching fundamental standards;
- The duty of candour and the criminal offences for breaching this;
- The offence of criminal neglect in respect of those with mental capacity; and
- The new “fit and proper person test” for directors and the barring lists for those that fall short of the test.
- Contact the Library & Knowledge Service to request this HSJ article or Phn. 01704 704202
Care Quality Commission Inpatient survey 2013 – Care Quality Commission
The survey looked at the experiences of over 62,000 people who were admitted to an NHS hospital in 2013. It found there have been improvements for many questions, including questions asking about:
- information provision.
- communication with staff.
- cleanliness of hospital wards and bathrooms.
However, while improvements have been seen in some questions asking about respondents’ experiences of leaving hospital, this remains an area where further improvement is needed.Very few questions showed a decline. A number of questions have remained stable meaning scope for continued improvement remains in some key areas such as involving patients in their care and treatment, information provision and discharge arrangements. Additional Items: