Internal transfer scheme to improve nurse retention: University College London Hospitals NHS Foundation NHS Trust – NHS Improvement and NHS Employers

Case study looking at an initiative involving an internal transfer process: a fast-track for nurses interested in a sideways move, reducing the complexity and time taken to fill vacancies. The process was piloted for band 5 nurses in one department, and basic principles were agreed for eligibility based on length of service, performance, and having passed probationary periods.  This was part of a wider strategy for nurse recruitment and retention which aimed to maintain and regulate the trust’s nursing workforce.

Internal transfer scheme to improve nurse retention: University College London Hospitals NHS Foundation NHS Trust
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Green Paper for Adult Social Care in England British Association of Social Workers: Initial Position Paper – British Association of Social Workers

This paper sets out the position of the British Association of Social Workers (BASW) about what the Green Paper needs to achieve, based on the social work perspective on social care and with particular reference to the role of social work. The Green Paper is focussed on social care for older people, their carers and families. However, it matters to all: to younger adults who also need social care and for whom the same principles of good social care apply; to all those who interact with and care about people who may need care and support; and to the whole of our society, since how we support people to have a dignified and hopeful life is a test of how ethical our society is. There are particular considerations around social care for older people because: they face particular complex needs and situations arising during the life course with its associated changes and transitions; inequalities persist, deepen and widen across the life course; and age discrimination (and its interaction with other areas of inequality) impacts on older people’s access to appropriate care and support.

Green Paper for Adult Social Care in England British Association of Social Workers: Initial Position Paper
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Digital change in health and social care – The Kings Fund

Report from the King’s Fund on the use of digital technology in health and social care can improve quality, efficiency and patient experience as well as supporting more integrated care and improving the health of a population. This report shares practical learning from a series of case studies where largescale digital change is happening.

Executive Summary

Ideas for the NHS long-term plan from the Centre for Ageing Better – Centre for Ageing Better

This paper sets out the case for why NHS England should make some bold commitments to healthy ageing in its long-term plan and suggests some ideas for actions it could take and some areas for action with others. It looks at:

  • Prevention
  • Supporting people managing long-term conditions and living with disabilities
  • Work and health
  • Housing and health
Ideas for the NHS long-term plan from the Centre for Ageing Better
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Fit for Work: scoping the feasibility of an impact evaluation – Department for Work and Pensions

Fit for Work was an occupational health assessment and advice service looking to address long-term sickness absence, defined as an absence of 4 weeks or more, for people in employment. It was designed to help employees who were on, or in danger of entering, long-term sickness absence to return to and stay in work. This is a feasibility study which examined whether it was possible to assess the impact of the service on employment outcomes.

Fit-for-work-scoping-the-feasability-of-an-impact-evaluation
Fit-for-work-scoping-the-feasability-of-an-impact-evaluation
fit-for-work-scoping-the-feasability-of-an-impact-evaluation.pdf
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Fit for Work: Final Report of a Process Evaluation – Department of Work and Pensions

Research to evaluate whether Fit for Work was implemented as designed and what the experiences of those that used the service were.  This is a process evaluation examining how the service was operated and whether it was working as intended.

Fit for Work: Final Report of a Process Evaluation
Fit for Work: Final Report of a Process Evaluation
fit-for-work-final-report-of-a-process-evaluation.pdf
2.2 MiB
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Fit for Work process evaluation: technical annex
Fit for Work process evaluation: technical annex
fit-for-work-process-evaluation-technical-annex.pdf
3.3 MiB
1 Downloads
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Fit for Work: Final report of a process evaluation:  Research Summary
Fit for Work: Final report of a process evaluation: Research Summary
fit-for-work-final-report-of-a-process-evaluation-summary.pdf
0.2 MiB
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How to fix the funding of health and social care – Institute for Government

The UK’s health and social care services face long-standing pressures. Successive governments have known about these challenges for years, but failed to adequately deal with them. As a result, there is a growing funding gap. This report examines how to enable politicians to promote answers for tackling the long-term funding challenge facing health and social care. Via a case studies supported by analysis and interviews, it identifies different approaches to policy-making on contentious issues, and how these could be applied to health and social care.

How to fix the funding of health and social care
How to fix the funding of health and social care
IFG_Funding_health_and_social_care_web.pdf
0.9 MiB
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Cost, Context and Decisions in Health Economics and Cost-Effectiveness Analysis: (CHE Research Paper 154) – University of York Centre for Health Economics

Cost in health economics is necessarily associated with a decision. It varies according to the contextof that decision: whether about inputs or outputs, the alternatives, its timing, the nature of the commitment to following a decision, who the decision maker is, and the constraints and discretion limiting or liberating the decision maker. Distinctions between short/long runs and between fixed/variable inputs are matters of choice, not technology, and are similarly context-dependent. Costs are not harms or negative consequences. Whether ‘clinically unrelated’ future costs and benefits should be counted in current decisions also depends on context. The costs of entire health programmes are context-dependent, relating to planned rates of activity, volumes and timings. The implications for the methods of Cost-Effectiveness Analysis and Health Technology Assessments are different in the contexts of low- and middle income countries compared with high-income countries, and further differ contextually according to budget constraints (fixed or variable).

Cost, Context and Decisions in Health Economics and Cost-Effectiveness Analysis: (CHE Research Paper 154)
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Dying on the streets: The case for moving quickly to end rough sleeping – St Mungo’s

Presents findings from a national street outreach survey showing that:

  • 79% of respondents said rough sleeping had risen in their area in the last five years, compared to just 3% who said it had fallen
  • Only 21% of respondents said their outreach service had seen a real terms increase in funding in the last five years. 31% reported a funding decrease, despite the rise in the number of people sleeping rough.
  • 63% of respondents were aware of someone who had died while sleeping rough in their local authority area in the last year. However, only 23% had any experience of a review being carried out in their area following the death of someone sleeping rough.
  • 64% of respondents said access to emergency accommodation for people sleeping rough had got harder compared to five years ago.
  • 70% of respondents said access to mental health services for people sleeping rough had got harder compared to five years ago, and 42% said the same for access to substance use services.

The report makes 10 recommentions for the forthcoming national rough sleeping strategy.

Dying on the streets: The case for moving quickly to end rough sleeping
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Living standards, poverty and inequality in the UK: 2018 – Institute for Fiscal Studies

This report examines changes in the distribution of household incomes in the UK, and the determinants and consequences of recent trends. This includes analysing changes not only in average living standards but also in household income inequality and measures of income poverty and deprivation.

Living standards, poverty and inequality in the UK: 2018
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Gosport War Memorial Hospital: The Report Of The Gosport Independent Panel – The Gosport Independent Panel

The Gosport Independent Panel was set up to address concerns raised by families over a number of years about the initial care of their relatives in Gosport War Memorial Hospital and the subsequent investigations into their deaths. The Report is an in-depth analysis of the Gosport Independent Panel’s findings. It explains how the information reviewed by the Panel informed those findings and illustrates how the disclosed documents add to public understanding of events at the hospital and their aftermath.  Key issues addressed:

  • The failure to act on the nurses’ concerns: what is revealed as to how no one at the hospital listened to those concerns and intervened
  • The response of individuals and organisations: what is revealed about healthcare organisations and their interaction with the police and regulatory organisations
  • The response of individuals and organisations: what is revealed about focusing on an individual ‘rogue doctor’ following Shipman
  • The response of the police: what is revealed about their approach and priorities
  • The response of individuals and organisations: what is revealed about wrongly relying on professional regulatory bodies
  • The response of individuals and organisations: what is revealed about the use of experts
Gosport War Memorial Hospital: The Report Of The Gosport Independent Panel
Gosport War Memorial Hospital: The Report Of The Gosport Independent Panel
070618_CCS207_CCS03183220761_Gosport_Inquiry_Whole_Document.pdf
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Diseases with multiple known causes, occupational injuries, and medical assessment – Department of for Work and Pensions

The Industrial Injuries Advisory Council (IIAC) recently completed its consideration of the assessment of disability in claimants of Industrial Injuries Disablement Benefit (IIDB). It has provided additional guidance to medical assessors where interpretations of regulations have in the past been inconsistent. This will allow a reduction in the number of appeals in certain cases of occupational disease and injury.  This report outlines the council’s final advice in a series of papers to clarify and simplify the decisions made in the diagnosis and assessment of disability from occupational disease and injury.

Diseases with multiple known causes, occupational injuries, and medical assessment
Diseases with multiple known causes, occupational injuries, and medical assessment
diseases-with-multiple-known-causes-occupational-injuries-and-medical-assessment-iiac-report.pdf
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Tackling fuel poverty, reducing carbon emissions and keeping household bills down: tensions and synergies – a research report by the Centre for Sustainable Energy (CSE) – Committee on Fuel Poverty

Committee on Fuel Poverty to the Centre for Sustainable Energy’s report Tackling fuel poverty, reducing carbon emissions and keeping household bills down: tensions and synergies.  The respond by stating:

  • Although helpful to the recipients, the Winter Fuel Payments and Warm Homes Discount policies are poorly targeted at fuel poor households and do not assist many of those most in need.
  • The e report highlights that a mixture of both financial help and improvements in dwellings are needed to address fuel poverty, but shows how the current policies are inefficiently weighted towards the former.
  • Modelling shows that refocussing Winter Fuel Payments could increase the number of energy efficiency measures installed in the homes of people on low incomes from 3.2 million to 5.1million, with the consequent reduction in energy bills, CO2 and improved comfort. The overall number of fuel poor households would not reduce significantly, but the reallocation of resources could result in a drop of 98,000 in those households living in the deepest levels of fuel poverty.
  • Current policies rely heavily on using welfare benefits as a proxy for eligibility.
  • There is an opportunity for the Government to use the learnings from this report to inform its consultation on Warm Homes Discount and ECO. However a cross -party political debate must be had to explore the refocussing of Winter Fuel Payments as modelled in the report.
Tackling fuel poverty, reducing carbon emissions and keeping household bills down: tensions and synergies – a research report by the Centre for Sustainable Energy (CSE)
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Tackling fuel poverty, reducing carbon emissions and keeping household bills down: tensions and synergies: Report to the Committee on Fuel Poverty – Centre for Sustainable Energy

Report that aims to better understand:

  • the synergies, tensions and trade-offs which exist in how household energy policies and programmes in England contribute to (or, potentially undermine) objectives to tackle fuel poverty, reduce carbon emissions and keep household energy bills affordable
  • whether there are policy changes which can increase synergies and reduce tensions and thereby optimise the outcome across the 3 objectives
  • high level principles which capture the nature of such ‘optimisation’ and which could be applied to future policy design
Tackling fuel poverty, reducing carbon emissions and keeping household bills down: tensions and synergies: Report to the Committee on Fuel Poverty
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Executive Summary

Tackling fuel poverty, reducing carbon emissions and keeping household bills down: tensions and synergies: Report to the Committee on Fuel Poverty: Executive Summary
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Evaluation of interventions in sexual health, reproductive health and HIV: list of standards and metrics – Public Health England

Spreadsheet detailing a list of standards and metrics for the evaluation of interventions in sexual health, reproductive health and HIV including links to relevant documentation.

Evaluation of interventions in sexual health, reproductive health and HIV: list of standards and metrics
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Sexual Health, Reproductive Health and HIV: Evaluation Framework Workbook – Public Health England

This tool has been developed to support the evaluation of sexual health, reproductive health and HIV (SH, RH & HIV) interventions at the local level. This workbook takes the user through the steps required to plan and carry out an evaluation and allows them to detail specifics about their intervention and planned evaluation. Applying the tool will help users to identify the areas of their intervention where more understanding is required and form an evaluation plan.

Sexual Health, Reproductive Health and HIV: Evaluation Framework Workbook
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Evaluation of interventions in sexual health, reproductive health and HIV services: An introductory guide – Public Health England

This guide provides an introduction to the evaluation of public health programmes and interventions. It is written primarily for practitioners interested in evaluation of interventions in sexual health, reproductive health and HIV services; however, it contains many general principles that may be applied to other public health areas.

Evaluation of interventions in sexual health, reproductive health and HIV services: An introductory guide
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The social determinants of young people’s health: Identifying the key issues and assessing how young people are doing in the 2010s – The Health Foundation

This paper provides an overview of evidence on the social determinants of young people’s health. Drawing on a model of social determinants that includes money and resources, living conditions, family factors, peers and social groups, ducation and work and worklessness. This report demonstrates that significant proportions of today’s young people aged 12-24 are experiencing disadvantage that is likely to be associated with long term health outcomes.  Key themes are:

  • Appropriate skills and qualifications
  • Personal connections
  • Financial and practical support
  • Emotional support
The social determinants of young people’s health The social determinants of young people’s health Identifying the key issues and assessing how young people are doing in the 2010s
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Norovirus and hepatitis A virus scheme: sample schedule 1 April 2018 to 31 March 2019 – Public Health England

This proficiency testing (PT) scheme is suitable for laboratories that examine viruses in food products or waters using molecular methods. This norovirus and hepatitis A virus scheme sample schedule is for the period 1 April 2018 to 31 March 2019.

Norovirus and hepatitis A virus scheme: sample schedule 1 April 2018 to 31 March 2019
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Rebuilding my body: Breast reconstruction in England – Breast Cancer Now

Research from Breast Cancer Now into the availability of breast reconstruction surgery, that finds some Clinical Commissioning Groups (CCGs) in England are restricting access to this surgery. Since 2012, 22.6% of CCGs have introduced official policies restricting breast reconstruction surgery while a further 4.3% have policies that are either informal or in draft form (at the time of writing). In each of these cases, breast reconstruction is being restricted in one of three ways:

  • A limit on the number of surgeries a patient can have to complete breast reconstruction.
  • A limit on the time in which breast reconstruction must be complete.
  • Denying access to balancing surgery on the unaffected breast for women who have breast reconstruction.

The report makes recommendations to CCGs to ensure that patients have access to the breast reconstruction surgery they need.

Rebuilding my body: Breast reconstruction in England
Rebuilding my body: Breast reconstruction in England
rebuilding_my_body_report_june_2018.pdf
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