Criteria for evaluating transferability of public health interventions

Criteria for evaluating transferability of health interventions: A systematic review and thematic synthesis.
Implementation Science. 2018;13(1):88

• This systematic review aims to develop model for the assessment of transferability of public health interventions through identification and systematization of influencing criteria, including facilitators and barriers. 
• Synthesis resulted in two related models: the conceptual PIET-T model explains the underlying mechanism of transferability of health interventions and the PIET-T process model provides practical guidance for a transferability assessment.

Kirkup report highlights failure of lead commissioner arrangements

Morecambe Bay Investigation report
Department of Health, 3 March 2015

• The Morecambe Bay Investigation looked at the maternity and neonatal services in University Hospitals Morecambe Bay NHS Foundation Trust.
• Covering January 2004 to June 2013, Kirkup Report concludes the maternity unit at Furness General Hospital (FGH) was dysfunctional with serious problems in 5 main areas:
• Clinical competence of a proportion of staff fell significantly below the standard for a safe, effective service.
• Poor working relationships between midwives, obstetricians and paediatricians. 
• Midwifery care became strongly influenced by a small number of dominant midwives whose ‘over-zealous’ pursuit of natural childbirth ‘at any cost’ led at times to unsafe care.
• Failures of risk assessment and care planning resulted in inappropriate and unsafe care.
• Grossly deficient response from unit clinicians to serious incidents with repeated failure to investigate properly and learn lessons.
• CCGs had not inherited a service specification from the PCTs and the absence of lead commissioning arrangements inherited from PCTs was found to have resulted in  lack of effective communication between commissioners and performance issues being missed.

How are PH teams settling down in LAs?

In Sickness and in Health: Assessing the transition to a more localist health system- the first step towards marriage between the NHS and local government,
Localis, 3 September 2013

• Informed by a survey of over 80 senior local government leaders, this report finds public health teams successfully working alongside their new local government colleagues to focus not just on the traditional big public health issues such as sexual health, obesity, smoking cessation but to explore new and innovative ways to tackle the wider social, cultural and environmental determinants of health. 
• Recommendations include a review of data sharing and a review of the operation of the new health system in 2015 to ensure that Health & Wellbeing Boards have real influence.

Early lessons from CCGs

Exploring the early workings of emerging CCGs: Final report
Policy Research Unit in Commissioning, November 2012

• Findings from a study of developing CCGs, early experiences of emerging CCGs moving towards authorisation and investigating the factors that had affected their development and lessons for the future.

Close down guidance

Handover and close down guidance for transition to the new health and care system
DH, 25 October, 2012

• The ‘handover and close down’ guidance is published primarily for SHAs PCTs transition directors, lead and governance leads. 
• This guidance fits with the transition communications planning for a secure transition to the new health and care system.

PHE structure

Public Health England structure 
DH, 26 July 2012

• The proposed structure for 1 April 2013, including organisational structures, which will be used as the basis for transition.

Public health advice service in transition

Healthcare Public Health Advice Service to CCGs: Guidance to support the provision of healthcare public health advice to CCGs

DH, 26 June 2012

• This report aims to help with local planning in the transition year before the new healthcare system goes live in April 2013.
• Includes examples of existing Memorandum of Understanding (MOU) and frequently asked questions 

Public health advice service

Public health advice service for clinical commissioning groups 

DH, 26 June 2012

• Guidance to help Directors of Public Health and NHS commissioners with local planning in the transition year before the new healthcare system goes live in April 2013.

Quality during transition

How to: maintain quality during the transition: Preparing for handover 
National Quality Board, 17 May 2012

• A guide to steps to be taken to ensure that any risk to quality is reduced and that business continuity is maintained during organizational transition.

Objectives of the NHS Commissioning Board

Strategic objectives for NHS Commissioning Board Authority
DH, 23 April 2012

• According to a letter from the Health Secretary to the NHS Commissioning Board Authority the Department of Health will hold the Authority to account for its performance against four strategic objectives, relating to:
• transferring power to local organisations
• establishing the commissioning landscape
• developing specific commissioning and financial management capabilities
• developing excellent relationships.
• According to the HSJ the letter follows concern the NHSCB may attempt to retain more control over CCGs than intended by the health secretary.

Public Health transition resources

From transition to transformation in public health 

LGA and Public Health England Transition Team of the DH, February 2012

• A resource to assist the transfer of public health to local authorities including resource sheets, case studies and useful links

PCT functions

List of PCT functions drawn up to aid formation of GP consortia (14pp)
PCT Network, September 2010

• A list of the functions of PCTs compiled by the PCT Network to aid discussions over the future transfer of commissioning powers with fledgling GP consortia.