The state of health care and adult social care in England 2018/19 – Care Quality Commission

7 day hospital services self-assessment results – NHS England and NHS Improvement

This spreadsheet provides data on the results for individual NHS trusts against the four priority seven day hospital services clinical standards. These are: Clinical standard 2: Time to first consultant review Clinical standard 5: Diagnostics Clinical standard 6: Interventions/ key

Planning to Safely Reduce Avoidable Conveyance Ambulance Improvement Programme – NHS England

This document aims to support ambulance services, lead commissioners and Sustainability & Transformation Partnerships / Integrated Care Systems to safely reduce the number of people conveyed to an Emergency Department (ED).

HSC (2000) 004: Shaping the future NHS: long-term planning for hospitals and related services: consultation document on the findings of the National Beds Inquiry – NHS Executive

This circular covers the consultation document on the findings of the National Beds Inquiry, including the supporting analysis.

HSC (2000) 002: The management and control of hospital infection: action for the NHS for the management and control of infection in hospitals in England – NHS Executive

This Health Service Circular sets out a programme of action for the NHS to: strengthen prevention and control of infection in hospital; secure appropriate health care services for patients with infection; improve surveillance of hospital infection; and monitor and optimise

2018 adult inpatient survey: statistical release – Care Quality Commission

Care Quality Commission annual survey of people who stayed as an inpatient in hospital finds that most people had confidence in the doctors and nurses treating them and felt that staff answered their questions clearly. However, across the majority of

Designing integrated care systems (ICSs) in England: An overview on the arrangements needed to build strong health and care systems across the country – NHS England

This guide sets out the different levels of management that make up an integrated care system, describing their core functions, the rationale behind them and how they will work together.

Achieving a digital NHS: Lessons for national policy from the acute sector – Nuffield Trust

The establishment of a new organisation to lead national policy for NHS technology, digital and data has been announced. NHSX will bring together digital leaders from NHS England, NHS Improvement, and the Department of Health and Social Care to lead

Waiting Times and Attendance Durations at English A&E Departments – The Strategy Unit, Midlands and Lancashire Commissioning Support Unit

Provides a demand-side, supply-side, practice and emergent view of factors that lead to 4-hour breaches with a particular focus on changes that have taken place since 2010.  It scales the relative impact of each causal factor and aims to provide

Age UK’s Personalised Integrated Care Programme: Evaluation of impact on hospital activity – Nuffield Trust

Age UK’s Personalised Integrated Care Programme (PICP) is a scheme that aims to improve the lives of older people through practical support, underpinned by a change in the way that the health and care system works together for these people

Rural health care: A rapid review of the impact of rurality on the costs of delivering health care: Report prepared for the National Centre for Rural Health and Care – Nuffield Trust

It is generally acknowledged that small, rural NHS health care providers face higher costs than larger, urban areas. For a number of years the NHS has adjusted financial allocations to account for these unavoidable variations in costs in different parts

Winter 2018/19 in the NHS: The solutions – Society for Acute Medicine

Briefing that looks at the role of ambulatory emergency care (AEC) in alleviating winter pressures in the NHS. This is an alternative to hospital admission for patients with acute problems who might otherwise have spent at least one night in a hospital bed

Workforce briefing – winter 2018 – Royal College of Paediatrics and Child Health

This briefing document from the Royal College of Paediatrics and Child Health (RCPCH) reveals that patient demand is strongly outstripping the supply of doctors as the usual seasonal increase combined with a rise in children’s emergency admissions is placing unprecedented demand on

Clinical guidelines for major incidents and mass casualty events – NHS England

This guidance has been developed with the occasional trauma team in mind, for example, surgeons in a trauma unit who need to treat a deteriorating P2 patient, or a P1 patient who has been conveyed to the trauma unit, during

Filling the chasm: Reimagining primary mental health care – Centre for Mental Health

Report from the Centre for Mental Health exploring a number of local initiatives which are bridging the gap between primary care and secondary care services, supporting people who fall into this ‘grey area’ due to having more complex needs, not

Oral and Maxillofacial Surgery: GIRFT Programme National Specialty Report – GIRFT Programme

Report that finds Nearly two thirds of procedures were coded to the wrong specialty, meaning outcomes, treatment volumes and which units did what was hard to measure. The British Association of Oral and Maxillofacial Surgeons has pledged to start collecting

How Should Health Policy Respond To The Growing Challenge Of Multimorbidity?: We need patient-centred care, with more emphasis on generalist rather than specialist care and better integration between general practice, hospitals and social care: (Policy Report 39) – University of Bristol, Policy Bristol

The number of people with multiple long-term conditions, known as multimorbidity, is rising internationally, putting increased pressure on health care systems, including the NHS. Researchers from the 3D Study – the largest ever trial of a person-centred approach to caring

Estimating diversion ratios of hospital mergers: Economics Working Paper – Competition and Markets Authority

Understanding patient choice is vital in assessing the closeness of competition between hospitals. The standard technique used in the UK is to estimate substitution patterns based on historical GP referrals. This paper compares the results of the ‘GP referral’ methodology to a demand

2017-19 NHS Standard Contract provisions across primary and secondary care: Implementation toolkit for local systems – NHS England

This document sets out some practical ways in which organisations can collaborate locally to implement the NHS Standard Contract provisions relating to primary and secondary care.

Rethinking acute medical care in smaller hospitals – Nuffield Trust

Smaller hospitals are struggling with workforce shortages, spiralling costs and increasingly complex models of care for acutely ill patients. This Nuffield Trust report outlines a set of radical new approaches for running acute medical services in these institutions and suggests