PFI and PF2: HM Treasury – National Audit Office

National Audit Office briefing on the rationale, costs and benefits of the Private Finance Initiative; the use of and impact of PFI, and ability to make savings from operational contracts; and the introduction of PF2. There are currently over 700 operational

Sustainability and transformation in the NHS: Department of Health and Social Care – National Audit Office

Report from the National Audit Office that finds that the NHS has received extra funding, but this has mostly been used to cope with current pressures and has not provided the stable platform intended from which to transform services. Despite

Thinking on its own: AI in the NHS – Reform

This report from the Reform thinktank illustrates the areas where artificial intelligence (AI) could help the NHS become more efficient and deliver better outcomes for patients. It also highlights the main barriers to the implementation of this technology and suggests

Winter pressures in the NHS: Briefing for opposition day debate – NHS Providers

Ahead of an opposition day debate in Parliament, NHS Providers has produced a briefing on NHS winter pressures. It includes: NHS Providers key messages on NHS winter pressures Analysis of NHS England’s weekly winter performance data How staff are going

Accountable Care Organisations: (Briefing Paper Number CBP 8190)

An Accountable Care Organisations (ACO) is a model of healthcare organisation where a provider, or group of providers, takes responsibility for the healthcare provision of an entire population. There is no fixed definition of an ACO, but the organisation usually receives an annual,

Leading Large Scale Change: a practical guide: A guide to leading large scale change through complex health and social care environments – NHS England

Leading Large Scale Change: a practical guide has been produced by the NHS England Sustainable Improvement Team and the Horizons Team, NHS England, to help all those involved in seeking to achieve transformational change in complex health and care environments.

Framework for maximising the use of care homes and use of therapy-led units for patients medically fit for discharge – NHS England

This best practice framework aims to address two models and the implementation approach that needs to be taken by sustainability and transformation partnerships (STPs) and their provider organisations with ensuing threats to patient safety, during the winter months.  In using this

NHS efficiency map: redesigning services: Enhanced supportive cancer care – Healthcare Financial Management Association

Case study of the transformation of existing palliative care services into enhanced supportive care (ESC). . The multi-disciplinary ESC team covered all patients’ needs. It had strong financial support and worked with the oncology team, so that patients could access the ESC team at any stage

NHS efficiency map: redesigning services: Modelling the need for mental health beds – Healthcare Financial Management Association

Revised case study many trusts are exploring options for moving care into the community. This case study demonstrates how one mental health has achieved this, and as a result improved patient care and reduced costs.

NHS efficiency map: redesigning services: Modernising sexual health services – Healthcare Financial Management Association

Case study of how Chelsea and Westminster Hospital NHS FT have made great strides in taking sexual health services online. This provides an innovative and lower cost method of delivering services in response to resource pressures.  

NHS efficiency map: redesigning services: Scanning for efficiency and safety – Healthcare Financial Management Association

This case study covers the use of scanning (of products, places and patients) to improve efficiency and safety. It initially arose from a procurement strategy, but has now gone wider than that, addressing the wider NHS issue of having information readily available to make the right decisions.

Seven day hospital services: challenges and solutions – NHS Improvement

Report that identifies challenges to delivering 7 day hospital services, for each challenges it offers a range of solutions: Implementing Clinical Standard 2 – time to first consultant review Understanding Clinical Standard 2 – time to first consultant review Job planning Winning hearts and

Falling short: Why the NHS is still struggling to make the most of new innovations – Nuffield Trust

Nuffield Trust report on the slow adoption of innovations by the NHS that finds it is due to: An overly supply-driven and top-down approach to innovation. Shifts towards the co-production of solutions between clinicians and industry are encouraging, but initiatives

The impact of redesigning urgent and emergency care in Northumberland Health Foundation consideration of findings from the Improvement Analytics Unit

The report highlights that reconfiguring NHS services takes time to generate the intended results and that robust, repeat evaluation can help to inform decisions and improvement.  To do this it considers the case of the early impact of changes to urgent

Delivering change: how city partnerships make the most of public assets – Centre for Cities

To better use public assets, and do so through collaboration with local partners, based on in-depth interviews, the report outlines the five key ways to ensure success and overcome common challenges. These are: Know your assets and share that knowledge

Funding and financing inclusive growth in cities – Centre for Cities

This report explores the funding and finance options available to cities, seting out are four approaches that cities could potentially take to fund and finance inclusive growth policy: Taxes and fees – raising or retaining income from taxes, charges and fees Partnerships

Ambulance Response Programme (ARP) Impact Assessment – South, Central and West Commissioning Support Unit

The Ambulance Response Programme (ARP) aims to improve patient outcomes and increase the operational efficiency of ambulance service provision.  This impact assessment provides evidence that the Ambulance Response Programme (ARP) delivers operational efficiency, financial efficiency in terms of cost avoidance

Addressing ambulance handover delays: actions for local accident and emergency delivery boards – NHS England and NHS Improvement

Advice for ambulance trusts and A&E delivery boards on what action to take during busy periods and should ambulances begin to queue. This aims to help reduce delays in handover of patients from ambulance services to emergency departments. It draws

Saving General Practice – British Medical Association

Report from the BMA that identifies the following measures are required to save general practice. Recurrent and sustainable funding and resources A workforce strategy that is recurrently funded to enable an expansion A sustainable, long-term indemnity package for general practice Enabling practices

Challenging Health Inequalities: Support for CCGs – NHS England

This guide has been created to help identify areas of variation in emergency admissions in more and less deprived CCGs and to promote a discussion where variation occurs.