Engaging men earlier: a guide to service design

Engaging men earlier: a guide to service design
Samaritans January 2021

• A set of principles upon which wellbeing initiatives for men should be based, drawn from what men have said is important to them. It is aimed at anyone commissioning, designing, evaluating or delivering initiatives, services or activities aimed at improving the wellbeing of men.

‘Long Covid’: evidence, recommendations and priority research questions

‘Long Covid’: evidence, recommendations and priority research questions

Written evidence from the House of Lords’ COVID-19 Committee: Life beyond COVID Inquiry September 2020

• "Long Covid is a distinct condition affecting approximately 60,000 people in the UK ... Clinical guidance and local protocols for long Covid are currently highly variable. This is likely to be contributing to the patient experience of inconsistent and fragmented care."
• The paper recommends that a 4-tier clinical service be developed: a) Tier 1: resources and support for self-care. b) Tier 2: generalist care including a therapeutic relationship in general practice and a community-based interdisciplinary rehabilitation service led by allied health professionals. c) Tier 3: specialist care including system-based investigation, management and rehabilitation. d) Tier 4: specialist management of specific complications.

Commissioning for a better future: A starter for ten

Commissioning for a better future: A starter for ten

Social Care Innovation Network June 2020

• A framework for commissioning for the future that sets out how commissioning can practically support the development of asset-based areas. Sets out good practice examples and alternative approaches to commissioning care and support across England. Provides examples (with links) of how better outcomes have been achieved through alternative and positive approaches to commissioning.

Rethinking Integrated Care: A Systematic Hermeneutic Review of the Literature on Integrated Care Strategies and Concepts.

Rethinking Integrated Care: A Systematic Hermeneutic Review of the Literature on Integrated Care Strategies and Concepts.
Milbank Q. 2020;98(2):446-492. doi:10.1111/1468-0009.12459
"Those looking for universal answers to narrow questions about whether integrated care "works" are likely to remain disappointed. Models of integrated care need to be valued for their heuristic rather than predictive powers, and integration understood as emerging from particular as well as common contexts."

Abstract

Integrated Care Models and Child Health: A Meta-analysis

Integrated Care Models and Child Health: A Meta-analysis
Pediatrics January 2020, 145 (1) e20183747; DOI: https://doi.org/10.1542/peds.2018-3747

• Analysis of 23 studies (18 interventions) of the effects of integrated care models on child health, suggest that they may deliver cost savings and improved Quality of Life, but do not have an impact on A&E attendance.

Abstract

Establishing the evidence base for ‘multiple site single service’ (MSSS) models of care – systematic review

Establishing the evidence base for ‘multiple site single service’ (MSSS) models of care – systematic review
Public Health England (PHE) East Midlands in partnership with the East Midlands Clinical Senate and University of Sheffield 5 November 2019

• An evidence review on ‘multiple site, single service models of care’ (MSSS) has found evidence of 10 key enablers and barriers to implementation of MSSS models which will help NHS leaders better plan, articulate and deliver their MSSS models of care. 
• The review also identified shared characteristics which enabled the development of a descriptive Clinical Framework that for the first time can be used to support NHS systems develop their MSSS models of care.

Multi site single service: improving outcomes, reconfiguring services - systematic review

Multi site single service: improving outcomes, reconfiguring services
PHE 4 November 2019

• ‘Multiple site single service’ (MSSS) models of care describe a method of delivering care across more than one clinical site or location, often across a regional geography, through a single clinical service or team. This systematic review examines the published evidence around MSSS models.
• It also sets out a universal framework to categorise different MSSS models which may be employed in the reorganisation of secondary care services, and a suggested set of outcome measures to guide planning, implementation and evaluation of future clinical service reconfigurations to better understand the population impact of service change.

Provision of Interventional Radiology Services

Provision of Interventional Radiology Services, 2 ed
Royal College of Radiologists September 2019

• This document demonstrates the range of services offered by interventional radiologists and sets out the core requirements for the provision of an IR service both in district general hospitals and tertiary or teaching hospitals, advising on how services may be set up collaboratively within regions to offer the highest quality of care to patients.

Hyperacute neurology at a regional neurosciences centre: a 1-year experience of an innovative service model.

Hyperacute neurology at a regional neurosciences centre: a 1-year experience of an innovative service model.
Clin Med (Lond). 2019 Mar;19(2):119-126. doi: 10.7861/clinmedicine.19-2-119.
This paper reports the results from the first year of the St George's Hospital hyperacute neurology service (HANS). The outcomes include admission avoidance from ED, and a reduction in length of stay for non stroke patients and reduction in occupancy of stroke beds by non-stroke cases.

Abstract

GP partnership review: final report and business model case studies

GP partnership review: final report and business model case studies
DHSC 15 January 2019

• The review outlines the challenges and benefits of working in general practice and of the Partnership Model. These include workforce issues of recruitment, retention and education and training; workload, status and role of partnerships and primary care networks; and the emerging opportunities for primary care in terms of digital and technology.
• The review concludes that "the current model of care in the NHS is too dependent on hospital-based care. This model is not sustainable, and we cannot move forward without change that includes general practice and partnerships at its heart."
• A separate report presents case studies of different business models in general practice. 

Women’s Mental Health Taskforce report

The Women’s Mental Health Taskforce report
DHSC 19 December 2018

• This report sets out how women's experience of mental ill health can differ to men's and the strategic priorities for the future. It covers core themes in women’s mental health, the involvement of women with lived experience (co-production), principles for service design and future strategic priorities.

GP Partnership Review: interim report

GP Partnership Review: interim report
DHSC 4 October 2018

• The interim report describes progress so far and outlines the challenges facing the GP partnership model. It identifies areas where the review will look for solutions to reinvigorate the partnership model and support the transformation of general practice.
• GP Partnership Review: mythbuster - Common questions and issues raised about partnerships. 
• See the analysis from Mills & Reeve here

General practice collaboration Framework for London

Next Steps to the Strategic Commissioning Framework
Healthy London Partnership October 2018

• This guide sets out a vision for strengthening general practice collaboration across London.
• It outlines two main types of collaborative arrangements between practices:
• Larger scale general practice models (LGPOs). Multiple practices work via formal collaborative arrangements so they can develop and train a broad workforce, as well as create shared operational systems and quality improvement approaches.
• Primary care networks (PCNs). Practices come together with community providers and the voluntary sector to serve smaller populations. The vision is to create multidisciplinary and team-based care for people with enduring, complex health and care needs.

Housing First: tackling homelessness for those with complex needs

Housing First: tackling homelessness for those with complex needs
House of Commons Library briefing 17 July 2018

• Housing First (HF) is an alternative homelessness intervention strategy, aimed at people with complex needs, particularly rough sleepers. This House of Commons Library paper describes the principles behind Housing First and outlines some of the evidence behind it.

GP Partnership model review

GP Partnership Model review​
DHSC, NHS England, the BMA and the RCGPs 

• The independent review will examine the challenges currently facing the partnership model, and look for solutions to reinvigorate the model to support the transformation of general practice. 
• Chaired by Dr Nigel Watson (11 May 2018) 
• Terms of reference (2 July 2018) 
• A call for evidence (3 July 2018) sets out the current lines of thinking and describes 4 emerging themes: 
• workload issues 
• workforce issues 
• the role of general practice in the local healthcare system 
• the business model of general practice 
• Timescale - interim report autumn 2018, report to Secretary of State by end of 2018. 
• Updates see Twitter @gppartnershipr1

Innovative models of general practice

Innovative models of general practice
Kings Fund 7 June 2018

• This report looks at innovative models of general practice from the UK and other countries and identifies key design features which will be important in designing effective GP services in the future.
• The report sets out five attributes that underpin general practice: person-centred, holistic care; access; co-ordination; continuity and community focus.

NHS Community Services: taking centre stage

NHS Community Services: taking centre stage
NHS Providers 21 May 2018

• Examples of good practice where community service providers have successfully developed new ways of working, collaborating with other services to improve care for patients.

Building a business case for a Minor Ailment Service

Building a business case for a Minor Ailment Service
PSNC April 2018

• The Minor Ailment Services toolkit contains a number o resources to assist local pharmaceutical committees with the commissioning of a service, including a costing toolkit; a business case; service specification; implementation plan; and resources to notify local GP practices about the commissioning of a new service. This is the first of a series of template toolkits for a range of locally commissioned services.

Provider maturity model in primary care

Provider maturity model
Healthy London October 2017

• The provider maturity model is a development tool that was designed with primary care providers across London to support the development of at scale organisations.

Developing accountable care systems: lessons from Canterbury, New Zealand

Developing accountable care systems: lessons from Canterbury, New Zealand
Kings Fund, 24 August 2017

• Useful lessons for the NHS from the transformation of health care in Canterbury, New Zealand over the past 10 years. These changes were achieved through developing a number of new delivery models, which involve better integration of care across organisational and service boundaries, increased investment in community-based services, and strengthening primary care.
• Models implemented in Canterbury include:
• HealthPathways – primary care management and referral pathways 
• the acute demand management system 
• the electronic shared care record view