Health inequalities: place-based approaches to reduce inequalities

Health inequalities: place-based approaches to reduce inequalities: Guidelines to support local action on health inequalities.
PHE 29 July 2019 updated 3 August 2021

• This guidance aims to reinforce a common understanding of the complex causes and costs of health inequalities and provide a practical framework and tools for place-based approaches to reduce health inequalities.
• Includes 
• A guide to using national and local data to address health inequalities
• Tool A: Guide to place-based action for health inequalities
• Place-based approaches to reducing health inequalities: evaluation report
• Place-based approaches to reducing health inequalities: evaluation toolkit for local areas
• Visual analogue scale (VAS) tool PBA for local areas
• See slideset Place based approaches to reduce inequalities - summary of examples

Stronger Together: A Co-production Toolkit from Ageing Better

Stronger Together: A Co-production Toolkit from Ageing Better
Ageing Better July 2021

• An introduction to co-production, its benefits and links to a collection of resources.

Implementation Outcome Repository

Implementation Outcome Repository 

• A free online resource for implementation stakeholders, including researchers and healthcare professionals, wishing to quantitatively measure implementation outcomes. 
• Developed by researchers in the Centre for Implementation Science at King’s College London, King's Improvement Science and the Behavioural and Implementation Science research group at the University of East Anglia.

Inclusion Health Self Assessment Tool for Primary Care Networks

Inclusion Health Self Assessment Tool for Primary Care Networks
Friends, Families and Travellers

• This online tool will help PCNs to assess their engagement with Inclusion Health groups. These are the groups identified as experiencing the worst health inequalities in the UK. The tool consists of five sections and takes around 10 minutes to complete and provides with a unique and tailored guide which will help the PCN to embed action on tackling health inequalities into its everyday activities.

Evaluating digital health products

Evaluating digital health products
PHE updated 22 December 2020

• A collection of resources to help anyone developing or running a digital health product to conduct an evaluation.
• Step-by-step guide
• Evaluation during the coronavirus (COVID-19) pandemic
• Methods library including
Analysis of routinely collected data: descriptive studies
Behaviour change techniques review: descriptive studies
Clinical audit: descriptive studies
User feedback study: descriptive studies
Before-and-after study: comparative studies
N-of-1 study: comparative studies
Randomised controlled trial: comparative studies
Crossover randomised controlled trial: comparative studies
Factorial randomised controlled trial: comparative studies
A/B testing: comparative studies
Ethnographic study: qualitative studies
Focus group study: qualitative studies
Interview study: qualitative studies
Usability testing: qualitative studies
Cost benefit analysis: health economic studies
Cost consequence analysis: health economic studies
Cost effectiveness analysis: health economic studies
Cost utility analysis: health economic studies
Economic evaluation: health economic studies
Ecological momentary assessment
Feasibility study
Interrupted time series study
Mixed methods study
Multiphase optimization strategy (MOST)
Patient-reported outcomes and experiences study

Six step approach to commissioning services for people with learning disabilities/autism

Ordinary and unique lives for adults with a learning disability and /or autism: a six steps approach
IPC, Oxford Brookes University September 2020

• This paper sets out good practice in the approach to commissioning services for people with learning disabilities and/or autism. It is aimed at commissioners, working primarily within health and social care settings, who are responsible for the strategic design and development of local services for people with learning disabilities and/or autism and their families and whose role involves driving innovation and practice change.

Whole Systems Integrated Care toolkit

Whole Systems Integrated Care toolkit
RCGP
A toolkit developed by NorthWest London Collaboration of CCGs (launched 2014) to support commissioners, providers and communities across health and social care to work towards the vision of integrated care.

Evaluation reports include

Evaluating the design and implementation of the whole systems integrated care programme in North West London: why commissioning proved (again) to be the weakest link.
BMC Health Serv Res. 2019 Apr 15;19(1):228.
Findings indicate that commissioning has significant limitations in enabling large-scale change in health services, particularly in engaging providers, supporting implementation, and attending to both its transactional and relational dimensions.

North West London Whole Systems Integrated Care: a case study.  [conference abstract]
International Journal of Integrated Care. 2016;16(6):A246. DOI: http://doi.org/10.5334/ijic.2794

Putting integrated care into practice: the North West London experience

Nuffield Trust and LSE, October 2015
Evaluation report of the early stages (February 2014 - April 2015) of the Whole Systems Integrated Care (WSIC) programme in North West London.

Wider Impacts of COVID-19 on Health (WICH) monitoring tool

Wider Impacts of COVID-19 on Health (WICH) monitoring tool
PHE updated 16 July 2020

• The WICH monitoring tool collates metrics across a range of wider impacts to provide stakeholders with a single point of access. This will enable stakeholders to monitor changes over time or against an agreed point in time; make timely, informed decisions; intervene early to mitigate against poor outcomes; and understand the wider context on population health.
• The tool will be updated weekly, this may include the addition of new metrics as they become available or data updates to metrics already included in the tool.

New Models of Care Programme Resources FutureNHS

New Models of Care Programme Resources
FutureNHS

• The Health and Care Wiki has been created to maximise the sharing of learning and dissemination of knowledge resources that have been amassed by the New Care Models programme between 2015 and 2017; providing access to Collaborative Learning Guides, Case studies and Resources developed from the programme.

Long-term condition support - tools and resources

Long-term condition support - tools and resources
UCL 9 June 2020

• This site contains tools and resources designed to enable primary care teams to continue to effectively manage patients with long-term conditions. Includes:
• Search and risk stratification tools that can be used with EMIS (and SystmOne to follow),  accompanied by user guidance.
• Education and training resources including protocols, guidance, videos and virtual training sessions to upskill the breadth of primary care team members to proactively support patients.
• Digital tools - A selection of a clinically appraised digital tools to support patient activation and self-management in the home setting.
• See blog Support for long-term condition management during and after COVID-19 

Ready Set Go A Step-by-Step Toolkit for Getting Telepsychiatry Ready, Set & Go.

A Step-by-Step Toolkit for Getting Telepsychiatry Ready, Set & Go
CWTCH: Connecting with Telehealth to Communities and Hospitals in Healthcare

• The CWTCH (Connecting with Telehealth to Communities and Hospitals in Healthcare) project was funded by the Health Foundation to implement telepsychiatry in the CAMHS in Gwent, South Wales. The initial pilot in Aneurin Bevan UHB offered young people who self-harm, or who live with an eating disorder, the option of remote assessment through a virtual online clinic, in the company of family members. 
• The Toolkit is intended to provide a systematic way of approaching telepsychiatry, regardless of the video consultation platform used, in order to overcome potential barriers and enable successful implementation in the mental health setting in the United Kingdom. The purpose of this toolkit is to support mental health professionals to implement telepsychiatry in their own settings.

NHS Premises Assurance Model

NHS Premises Assurance Model
NHS Improvement 10 February 2020

• This model supports boards, directors of finance and estates and clinical leaders to make more informed decisions about the development of their estates and facilities services and provides assurances that the estate is safe, efficient, effective and of high quality.

RCGP Person-Centred Care Toolkit

Person-Centred Care Toolkit
RCGP ongoing

• The Person-Centred Care Toolkit has been developed with NHS England to support GPs and primary care teams deliver person-centred care. The person-centred care approach gives people more choice and control in their lives by providing an approach that is appropriate to the individual's needs. 
• Includes The conversations, social prescribing, health literacy, shared decision making, health coaching, personal health budgets, the consultation. Also a short evidence listing to support PCP.

Atlas of Variation

The Atlas of Variation
NHS RightCare, PHE updated September 2019

• The Atlas of Variation comprises a series of publications documenting variation in health and heathcare across a range of themes, including palliative care, liver diseases, diagnostics.
• The data on variation shown in the atlases can be triangulated with data from other sources such as PHE’s National Intelligence Networks, Health Profiles and Spend and Outcome Tools.
• It also includes a CCG Opportunity Locator.
• September 2019- 2nd Atlas of variation in risk factors and healthcare for respiratory disease
• Includes Risk Factors, COPD, Asthma, Pneumonia, Bronchiolitis, All Respiratory Disease Health Service Provison, Tuberculosis, Lung Cancer, Lung Transplantation, End of Life, Case Studies
• Interactive Respiratory Atlas 2019

Loneliness: a reading list

Loneliness: a reading list
House of Commons Library 5 August 2019

• This reading list provides links to various publications considering the causes and impact of loneliness, as well as possible interventions to deal with the issue in society. It can be read in conjunction with the Library paper, Tackling loneliness (CBP 8514), which considers some of the research in this field as well as the UK Government's loneliness strategy. Includes 
• Age-related studies
• Disabled persons
• Migrants, refugees and BAME
• LGBT persons
• Links to health and mental health
• Costs of loneliness
• Loneliness interventions

Patient Safety Essentials Toolkit

Patient Safety Essentials Toolkit
Institute for Healthcare Improvement, USA, May 2019

• This Toolkit includes documents on improving teamwork and communication, tools to help you understand the underlying issues that can cause errors, and valuable guidance about how to create and maintain reliable systems. Each of the nine tools includes a short description, instructions, an example, and a blank template. [Free registration required]

Sustainable Improvement Impact Framework

Impact Framework
NHS England 24 May 2019

• The Sustainable Improvement team has developed a framework to systematically capture the impact of large scale change programmes of work. The Sustainable Improvement Impact Framework has been developed based on approaches used by others in the field of developmental evaluation, tailored to support improvement work in complex systems. ​
• This online guide provides a practical resource for anyone who may be looking to apply the Impact Framework to their own work.

Working Well Together - co-production in mental health commissioning

Working Well Together
Royal College of Psychiatrists May 2019

• A service that has been commissioned based on the principles of co-production is more likely to be cost-effective, responsive and have high satisfaction and health outcome rates from people using it. This resource provides the evidence and tools to enable co-production in mental health commissioning. 
• Six key principles were selected as fundamental to supporting co-production in mental health commissioning, based on people’s views and experiences.

Reducing health inequalities in mental illness [Guidance]

Health matters: reducing health inequalities in mental illness [Guidance]
PHE 18 December 2018

• Data and the best evidence of what works in removing health inequalities experienced by people living with mental illness. 
• The report focuses on some of the available tools and actions that local areas can take to reduce these health inequalities, so that people with mental illness can achieve the same health outcomes and life expectancy as the rest of the 
• Includes data tools and resources to support the JSNA development process and inform local decision making.

Palliative and end of life care for Gypsies and Travellers, LGBT people and people experiencing homelessness.

Care committed to me: Delivering high quality, personalised palliative and end of life care for Gypsies and Travellers, LGBT people and people experiencing homelessness.
Hospice UK December 2018

• Set within the context of relevant research, this practical resource shares the learning from projects and emerging practice in the support of quality, personalised end of life care for Gypsies and Travellers, people experiencing homelessness and LGBT people.
• Report is listed on Hospice UK Publications page.