Reforming the finances of the NHS

Source: The King’s Fund- Health Management and Policy Alert

It is a time of transition in NHS finance. The planned recovery from years of deficits and debts that plagued parts of the NHS in recent years has been hit by the enormity of the Covid-19 shock. Alongside this planned recovery, the NHS has been moving away from its decades-long journey toward competition between individual organisations and using market-like approaches to improve performance, to a design based on collaboration and improving population health. Before the Covid-19 pandemic, the NHS was working to restore financial health and deliver on fundamental reform; now, it must achieve these objectives with the added challenge of recovering from the damage of Covid-19.

A new financial architecture for the NHS requires coherence and balance, and a recognition that any national financial strategy will be heavily mediated by the quality of local relationships. The King’s Fund new long read discusses how lessons from the recent history of NHS finances can help the system plan for the future.

To read the article click here.

Guidance for the health and care sector

Brexit transition from the 1st January 2021

This is the guidance for information for industry and organisations involved in health and care on preparing for the end of the transition period on 31 December 2020. New guidance can be found for the following:

•Supply of medicines and medical products

•Nutrition legislation

•Substances of human origin

•Labelling of tobacco products

•Recognition of professional qualifications

Public Health

Current Awareness Updates

Hepatitis C in England and the UK.
Public Health England (PHE); 2020.

[Latest PHE hepatitis C virus (HCV) reports and supporting documents, for England and the UK. 14 December 2020: Added Hepatitis C in the UK: 2020 report and accompanying slide set and infographic.]

Drug misuse in England and Wales: year ending March 2020.
Office for National Statistics (ONS); 2020.

[This publication reports on trends in drug use across England and Wales for the year ending March 2020. This publication is largely unaffected by the coronavirus (COVID-19) pandemic as it mainly relates to the period prior to the lockdown. Overall drug use continued to remain stable, with around 1 in 11 adults aged 16 to 59 years having taken a drug in the past year.]

Whole systems approach to obesity.
Public Health England (PHE); 2020.

[A guide and set of resources to support local authorities with implementing a whole systems approach to address obesity and promote a healthy weight.
14 December 2020: Added ‘Opportunities to strengthen place-based systems approaches’ report and annexes.]

Coronavirus and the social impacts on Great Britain: 11 December 2020.
Office for National Statistics (ONS); 2020.

[One in five adults in Great Britain experienced some form of depression in November. This is similar to levels reported earlier in the year, but double that reported before the pandemic. Since late October, more adults say they believe life will return to normal within six months. However, a lower proportion of adults experiencing some form of anxiety and/or depression felt this was the case.]

The government’s approach to test and trace in England – interim report.
National Audit Office (NAO); 2020.

[This interim report provides an overview of test and trace services for addressing COVID-19 in England, including how the government’s approach has developed, and how it managed performance and capacity in the period from May to October 2020.]

A ‘new normal’? How people spent their time after the March 2020 coronavirus lockdown.
Office for National Statistics (ONS); 2020.

[During the first national coronavirus (COVID-19) lockdown, many people in Great Britain were forced to make changes to their lifestyles. But it appears that some of those changes may not have lasted long. On the whole, people returned to pre-lockdown behaviour in September to October 2020.]

Sexual and Reproductive Health Services, England (Contraception) 2019/20.
NHS Digital; 2020.

[This publication primarily covers contraceptive activity taking place at dedicated Sexual and Reproductive Health (SRH) services in England, as recorded in the Sexual and Reproductive Health Activity Dataset (SRHAD), a mandated collection for all providers of NHS SRH services. People attend SRH services for a variety of reasons, but the main focus of this report is contraception.]

National Diabetes Audit – Report 1 Care Processes and Treatment Targets 2018-19, Full Report.
NHS Digital; 2020.

[This report details the findings and recommendations relating to diabetes care process completion, treatment target achievement and structured education for the 2018-19 audit.]

Statistics on Smoking, England 2020.
NHS Digital; 2020.

[This report presents newly published information on smoking including:
Smoking-related hospital admissions from NHS Digital’s Hospital Episode Statistics (HES).Smoking-related deaths from Office for National Statistics (ONS) mortality statistics. Prescription items used to help people stop smoking from prescribing data held by NHS Prescription Services. Affordability of tobacco and expenditure on tobacco using ONS economic data.]

Guidance for the health and care sector

Brexit transition from the 1st January 2021

This is the guidance for information for industry and organisations involved in health and care on preparing for the end of the transition period on 31 December 2020.

New guidance can be found for the following:

Supply of medicines and medical products
Nutrition legislation
Substances of human origin
Labelling of tobacco products
Recognition of professional qualifications

Covid 19

Updates on the Covid 19 Pandemic

Update on COVID-19 pandemic.
BMJ Best Practice; 2020.

(Epidemiology: updated data on children and pregnant women; updated risk factors (solid organ transplant). Aetiology: updated data on viral shedding in immunocompromised people. Emerging: WHO Solidarity trial results published; NIH recommends against casirivimab/imdevimab as standard of care for patients with mild to moderate disease; UK trial starts investigating use of colchicine. Prevention: first vaccine authorised for use in the UK; WHO updates guidance on mask use in community settings.)

Mask use in the context of COVID-19.
World Health Organization (WHO); 2020.

(This document provides updated guidance on mask use in health care and community settings, and during home care for COVID-19 cases. It is intended for policy makers, public health and infection prevention and control professionals, health care managers and health workers. Updated 1 December 2020.)

COVID-19: vaccination programme guidance for healthcare practitioners.
Public Health England (PHE); 2020.

(Guidance for healthcare practitioners about the coronavirus (COVID-19) vaccination programme. 4 December 2020: Update report: details on page 3.)

COVID-19 vaccination: women of childbearing age, currently pregnant, planning a pregnancy or breastfeeding.
Public Health England (PHE); 2020.

(Information for all women of childbearing age, those currently pregnant, planning a pregnancy or breastfeeding on coronavirus (COVID-19) vaccination.)

Covid-19 Insight: issue 5.
Care Quality Commission (CQC); 2020.

(In this month’s report, we build on the learning about good practice in infection prevention and control that we discussed in the last issue by focusing on care homes. We also present the key findings from a survey to understand the experience of inpatients who were discharged from hospital from April to May 2020, when the first wave of the pandemic was at its height.)

King’s Fund Podcast

Can the NHS be a truly flexible workplace?

‘How is it possible for a newly qualified nurse to work flexibly? How is it possible for a junior doctor to work flexibly? That was the thinking behind Flex NHS.’ In the latest episode of The King’s Fund podcast, they sit down with Kate Jarman, Director of Communications and Corporate Affairs at Milton Keynes University Hospital and co-founder of Flex NHS to discuss what working flexibly means in practice, communicating during Covid-19 and activism in the health service.

To listen to the podcast, click the image above.

Improving the nation’s health

The future of the public health system in England

Source: King’s Fund Health Management and Policy Alert

In light of the impact of the pandemic and the government’s decision to abolish Public Health England (PHE), this briefing explores what needs to be put in place to make progress on the government’s commitments to improve the nation’s health. It looks at the role the government can play in improving the nation’s health before examining how England might transition to a new public health system and what the main priorities for any new system should be.

To find out more click here.

Joint Committee on Vaccination and Immunisation

Advice on priority groups for Covid-19 vaccination

Source: Gov.uk

This advice is provided to facilitate the development of policy on Covid-19 vaccination in the UK.

JCVI advises that the first priorities for any COVID-19 vaccination programme should be the prevention of COVID-19 mortality and the protection of health and social care staff and systems. Secondary priorities could include vaccination of those at increased risk of hospitalisation and at increased risk of exposure, and to maintain resilience in essential public services. This document sets out a framework for refining future advice on a national COVID-19 vaccination strategy.

To read the report click here.

Spending Review 2020

Policy paper

Source: Kings Fund

The Spending Review 2020 prioritises funding to support the government’s response to Covid-19, invest in the UK’s recovery and deliver on promises to the British people. It sets departmental budgets for 2021-22 and devolved administrations’ block grants for the same period.

For more information click here.

Creating community spaces for patient wellbeing

How could the NHS better use its facilities to support social prescribing, holistic care and community resilience?

Source: Kings Fund

The NHS long-term plan has pledged to refer at least 900,000 people to social prescribing by 2023/24 to help improve people’s wellbeing; the fitter, healthier and more socially connected people are, the less likely it is they’ll need to access local GP or other health professionals. This research, based on a survey conducted with more than 2,000 people in England, shows that there’s also a strong appetite from the public for these services.

To read the long term plan click here.