Wednesday, 22 March 2017

Six Steps to Managing Demand in Adult Social Care

Six Steps to Managing Demand in Adult Social Care - a performance management approach
Institute of Public Care (IPC) at Oxford Brookes University, March 2017
  • Critical steps for managing demand in social care, as well as a range of strategic objectives and suggested performance indicators and targets.
  • The steps are
  1. Managing demand through the front door of the Council 
  2. Managing demand from acute hospitals
  3. Effective short-term interventions for people in the community 
  4. Designing the care system for people with long term needs 
  5. Developing a workforce to manage demand
  6. Governance and management arrangements to sustain improvements

Monday, 20 March 2017

Guidance on senior appointments

Clinical commissioning group guidance on senior appointments, including accountable officer
NHS England March 2017
  • Updated policy and procedures for appointing a new accountable officer to a CCG.

NHS mandate 2017 to 2018

NHS mandate 2017 to 2018
20 March 2017
  • The mandate to NHS England sets out the government’s objectives for NHS England, as well as its budget.
  • Building on the previous multi-year mandate, which came into effect on 1 April 2016 and set long term objectives and goals to 2020, this mandate focuses on the same 7 high-level objectives. It sets out the main aims in each area for the financial year 2017 to 2018 to achieve the 2020 goals.
  1. Through better commissioning, improve local and national health outcomes, and reduce health inequalities.
  2. To help create the safest, highest quality health and care service.
  3. To balance the NHS budget and improve efficiency and productivity.
  4. To lead a step change in the NHS in preventing ill health and supporting people to live healthier lives.
  5. To maintain and improve performance against core standards.
  6. To improve out-of-hospital care.
  7. To support research, innovation and growth.

Wednesday, 15 March 2017

NHS efficiency map

NHS efficiency map
HFMA, NHS Improvement, updated 15 March 2017
  • A tool that promotes best practice in identifying, delivering and monitoring cost improvement programmes (CIPs) in the NHS. 
  • The map contains links to a range of tools and guidance to help NHS bodies improve their efficiency.
  • The map is split into three sections:
  • Enablers for efficiency
    • 1. Board capability and governance
    • 2. Management capability
    • 3. Best practice CIP management
    • 4. Controls and reporting
    • 5. System leadership
    • 6. Digital maturity
  • Provider efficiency
    • 7. Optimal use of workforce
    • 8. Clinical workforce
    • 9. Clinical support services
    • 10. Getting it right first time
    • 11. Procurement and non-pay
    • 12. Estates
    • 13. Corporate support
    • 14. Productive series
    • 15. The Model Hospital
    • 16. Commercial income
  • System efficiency
    • 17. Urgent and emergency care
    • 18. Chronic disease and frailty
    • 19. Integration with social care
    • 20. Commissioning for value and RightCare
    • 21. Prevention and self-care

Saturday, 11 March 2017

Spring Budget - social care green paper, A&E capital investment and STPs

Spring Budget, 8 March 2017
  • Amongst the announcements by the Chancellor of the Exchequer  in his Spring budget were an additional £2bn for social care over the next three years; £100m of capital investment for A&E improvements; and £325m over the next three years to implement STPs.
  • Extracts:
    • 5.6 In the longer term, the government is committed to establishing a fair and more sustainable basis for adult social care, in the face of the future demographic challenges set out in the OBR’s Fiscal Sustainability Report. The government will set out proposals in a green paper to put the system on a more secure and sustainable long term footing.
    • 5.7 Accident & Emergency (A&E) capital investment – Recognising the particular pressures in A&E, the government will provide an additional £100 million to the NHS in England in 2017-18 for capital investment in A&E departments. This will enable Trusts to invest in measures to help manage demand on A&E services and ensure that patients are able to access the most appropriate care as quickly as possible. For example, the funding will allow for better assessment of patients when they arrive at A&E and increase the provision of on-site GP facilities.
    • 5.8 Sustainability and Transformation Plans – The government recognises the progress that local NHS leaders have made, working collaboratively with partners, to develop local Sustainability and Transformation Plans. These local plans are an important part of the NHS’s commitment to deliver more effective services to patients. The government will invest £325 million over the next three years to support the local proposals for capital investment where there is the strongest case to deliver real improvements for patients and to ensure a sustainable financial position for the health service. In the autumn, a further round of local proposals will be considered, subject to the same rigorous value for money tests. Investment decisions will also consider whether the local NHS area is playing its part in raising proceeds from unused land, to reinvest in the health service

Monday, 6 March 2017

Exoskeleton - STPs and the Single Oversight Framework

Exoskeleton - STPs and the Single Oversight Framework
Mills & Reeve 6 March 2017
  • It is suggested that there is a mechanism for making Sustainability and Transformation Plans (STPs) part of the governance structure of NHS trusts and foundation trusts through the Single Oversight Framework (SOF) which replaced the Risk Assessment Framework on 1 October 2016. It is argued that this may remove the requirement of new legislation to give the STPs a statutory framework.

Understand how you use evidence in commissioning


Evidence Use in Healthcare Commissioning
Warwick Business School
  • Evidence use is far from straightforward however, particularly in clinical commissioning decisions. This resource, based on research by the School in CCGs, is intended to help commissioners understand and improve their evidence use. 
  • Watch the overview of the work of CCGs, and discussion of key topics related to evidence-based healthcare including 'knowledge mobilization', 'evidence use capabilities', and 'absorptive capacity'.
  • The self-assessment tool will help you understand how evidence is managed in your organisation.