Knowledge @lert for Monday 11th November
Integrated Care Systems Network
The NHS Confederation is are supporting emerging systems and helping local areas on the journey to becoming integrated care systems by April 2021. They have established a national network for STP and ICS leaders to encourage greater collaboration, partnerships and system working.
Painkiller use in childbirth drops six percentage points in a decade
NHS Digital has published a report based on the NHS Maternity Statistics, 2018-19 . It brings together detailed information on hospital care received before, during and after delivery from the Hospital Episodes Statistics (HES) database.
People with a learning disability
NHS Improvement has published an improvement tool and user manual relating to reducing deaths of people with a learning disability in NHS acute hospitals (see section headed Self-improvement tool). These documents are intended to bring people together to facilitate discussion on how well people with a learning disability are supported in acute trusts.
Improving care for autistic people and people with learning disabilities
Health Education England has announced two new frameworks to improve care and support for autistic people and people with learning disabilities. The frameworks describe the skills, knowledge and behaviours needed by health and social care staff, and will be used to inform the development and planning of the current and future workforce.
NHS Choices Framework
The Department of Health and Social Care has published The NHS Choice Framework: what choices are available to me in the NHS? This document, aimed at patients, sets out patients’ rights to choice in healthcare, where to find information to help choose, and how to complain if choice isn’t offered. The entitlements to choice set out in this guide reflect those in the NHS Constitution. The constitution establishes the principles and values of the NHS in England.
National quality measures
The Health Foundation has published The measurement maze. This briefing takes a snapshot of national quality measures in three clinical areas – breast cancer, children and young people’s mental health and renal care. The analysis suggests there is untapped potential for making better use of national quality measures to support local clinical teams to improve services.
165 new antibiotic resistant infections every day in England
Public Health England (PHE)’s latest English Surveillance Programme for Antimicrobial Utilisation and Resistance (ESPAUR) report shows that there were an estimated 61,000 antibiotic resistant infections in England during 2018 – a 9% rise from 2017. Public Health England has relaunched the Keep Antibiotics Working campaign, urging people to always take their doctor’s, pharmacist’s or nurse’s advice on antibiotics. The campaign provides effective self-care advice to help people and their families feel better if they are not prescribed antibiotics. The campaign includes TV, radio and digital advertising.
Key areas of work for the 2020 national tariff
NHS Improvement has published the document Key areas of work for the 2020 national tariff. This document forms a key part of the engagement work that they have been undertaking since the summer on the 2020 national tariff and sets out some of the most notable policy areas that are currently being considered, with a particular focus on blended payments for Outpatient attendances, maternity and adult critical care. The document also reflects updates to policies that were presented in the tariff engagement workshops and webinars in August and September 2019, primarily changes to the blended payment approaches for maternity and outpatients and moving to pilot an approach for adult critical care, rather than proposing to mandate it.
Nice Guidance
The Health Foundation has published a report “A descriptive analysis of health care use by high cost, high need patients in England” exploring the distribution and concentration of both primary and secondary health care costs across the population. It found that the top 5% of patients accounted for around 50% of the total health care budget for primary care, secondary care and GP-prescribed drug therapy. This meant that more money was spent overall for the top 5% of patients (£147m) than all other patients (£139m).
Statistics
- General pharmaceutical services in England 2008/09 – 2018/19
- Abortion statistics for England and Wales 2018
- Friends and Family Test data – September 2019
- Dementia assessment and referral data collection – August 2019
- Dental Commissioning Statistics, England – September 2019
- Prescribing for Diabetes in England 2008/09 – 2018/19
- Substance misuse treatment for adults: statistics 2018 to 2019