Logic model for integrated care

Logic model for integrated care
SCIE September 2020

• The logic model for integrated care describes what good looks like, providing a visual depiction of how a fully integrated health and care system might be structured and function, and the outcomes and benefits it should deliver for those who use services and their carers. It describes:
• the enablers of integration
• the key components of integrated care
• the outcomes for people who use services, for the integrated services and for the wider health and care system
• the long-term impacts and benefits.

Older adults: cost-effective commissioning: Return on Investment resources

Older adults: cost-effective commissioning
PHE 28 January 2020

• Return on investment resources to help local commissioners in designing and implementing services to support older people's healthy ageing. The tool can be adapted to local conditions, presents results showing the economic benefits of each intervention and has a built-in user guide.

Comprehensive Investment Appraisal (CIA) Model and guidance

Comprehensive Investment Appraisal (CIA) Model and guidance
DHSC updated 30 December 2019

• The Comprehensive Investment Appraisal (CIA) Model and guidance on how it should be used to support economic appraisals in business cases in the NHS. It replaces the Generic Economic Model (GEM).

Musculoskeletal Health in Local Authority areas

Musculoskeletal Health Bulletin
PHE, Versus Arthritis on the LG Inform platform

• Designed to support health and wellbeing boards and their partners in understanding the local needs and service provisions for people with these conditions, this report presents a collation of existing indicators relevant to musculoskeletal health. This includes modelled prevalence estimates for osteoarthritis, back pain, and rheumatoid arthritis from the Versus Arthritis Musculoskeletal Calculator, and key risk factor indicators from Public Health England, Sport England, Ministry of Housing, Communities & Local Government, and NHS Digital.
• Users can select a local authority area and see how they compare to similar areas using the CIPFA comparison groups provided and consider the suggested actions for commissioners and providers.

Demand and capacity models – high complexity model

Demand and capacity models – high complexity model
DHSC 8 November 2018

• The high complexity model is intended for services that have more complex pathways e.g. chronic (more than one year) services in acute, mental health or community services, where patients may return for several follow up appointments at intervals which may change depending on how their condition progresses.

Health and Care statistics landscape for England

Health and Care statistics landscape for England
English Health Statistics Steering Group, Government Statistical Service

• Links to key official health and social care statistics in a central place.
• The landscape is intended to help all users find relevant statistics and associated information on specific health topics and cross-cutting themes.

Health equity impact plane – a simple visual tool

How do we include health inequality impacts in economic analysis of policy options?
CHE's latest Policy Briefing 31 October 2019

• This briefing introduces the health equity impact plane – a simple visual tool for clarifying the relationship between cost-effectiveness (total health impact) and equity impact (health inequality reduction). 
• The equity impact plane can be used to compare policy options based on these two key policy objectives. It can also be used to clarify thinking about policy trade-offs and compromises, and to re-design policies to reduce health inequality in cost-effective ways that do not sacrifice large potential health gains

Comprehensive geriatric assessment: needs assessment tool

Comprehensive geriatric assessment: needs assessment tool
Nuffield Trust 6 September 2018

• The Nuffield Trust has developed a tool to help providers and commissioners of care in England assess the needs of frail older people being cared for in hospital.
• Indicators have been developed for each local authority and NHS acute trust to describe populations, hospital costs and hospital usage for people aged 75 years and over using Hospital Episode Statistics (HES) and Office for National Statistics datasets. These are presented alongside HES-based measures of frailty by different types of hospital activity. Additional indicators on patient outcomes (mortality and emergency readmissions) for NHS acute trusts are also inlcuded.

Forecasting the care needs of the older population in England over the next 20 years

Forecasting the care needs of the older population in England over the next 20 years: estimates from the Population Ageing and Care Simulation (PACSim) modelling study.
Lancet DOI:https://doi.org/10.1016/S2468-2667(18)30118-X 30 August 2018

• This study models the growing need for social care in older people using PACSim, a dynamic microsimulation model. It find that, in the next 20 years, the English population aged 65 years or over will see increases in the number of individuals who are independent but also in those with complex care needs. This increase is due to more individuals reaching 85 years or older who have higher levels of dependency, dementia, and comorbidity.

Modelling the growing need for social care in older people [Editorial]
Lancet DOI:https://doi.org/10.1016/S2468-2667(18)30143-9, 30 August 2018

Comprehensive geriatric assessment: needs assessment tool

Comprehensive geriatric assessment: needs assessment tool
Nuffield Trust 21 August 2018

• The Nuffield Trust has developed a tool to help providers and commissioners of care in England assess the needs of frail older people being cared for in hospital.
• Indicators have been developed for each local authority and NHS acute trust to describe populations, hospital costs and hospital usage for people aged 75 years and over using Hospital Episode Statistics (HES) and Office for National Statistics datasets. These are presented alongside HES-based measures of frailty by different types of hospital activity. Also includes additional indicators on patient outcomes (mortality and emergency readmissions) for NHS acute trusts.
• The Hospital Frailty Risk Score - accompanying blog
• "We found that the score was able to identify a relatively small proportion of people over 75 years old in hospitals who were at the greatest risk of harms. The group of people with the highest HFRS were 1.7 times more likely to die in hospital, had a six-fold increase in staying more than 10 days in hospital, and were 1.5 times more likely to be readmitted following discharge."

A tool to estimate healthcare costs of air pollution of COPD, Stroke, Asthma, Lung Cancer and Dementia.

Air pollution: a tool to estimate healthcare costs [in relation to COPD, Stroke, Asthma, Lung Cancer and Dementia]
PHE 22 May 2018

• A downloadable tool to help local authorities estimate the burden of air pollution on the health care system in relation to primary care costs, prescription costs, secondary inpatient costs, secondary outpatient costs, and social care costs in relation to COPD , Stroke, Asthma, Lung Cancer and Dementia.
• Appendix 5 outlines the data sources used in the microsimulation for each condition.

Making data count

Making data count
NHS Improvement 16 May 2018

• A page of resources around management of data and statistical tools including:
• Making data count -  An interactive guide for people responsible for analysing, interpreting and presenting data to others (known as analysts) and decision-makers (managers and clinicians) who need data to answer questions. Uses Statistical process control (SPC) approach.

DTOC Improvement tool

Delayed transfer of care (DTOC) improvement tool
NHS Improvement 12 April 2018

• This tool has been developed to enable trusts, CCGs and local authorities to understand where delayed transfers of care are in their area or system. It brings together data already submitted by NHS organisations and local authorities into an easy to use dashboard which as well as showing where their biggest delays are, also allows them to track the progress of any actions.

Sexual and reproductive health: Spend and Outcome Tool (SPOT)

Sexual and reproductive health: Spend and Outcome Tool (SPOT)
PHE 25 January 2018

• This guidance is a step by step guide on how to use Spend and Outcome Tool (SPOT) for Local Authorities to compare spend data on sexual and reproductive health with sexual and reproductive health outcomes.

New ways for Primary Care in Wessex

The Wessex Primary Care Project: A Lifeline for Patients and General Practice: new ways for Primary Care in Wessex
NHS Wessex Clinical Senate, NHS Health Education England, July 2017

• An examination of the problems facing general practice across Wessex through population demographics, demand for services and the workforce.
• A summary of the current problems and possible approaches which have been used to support increasing activity in general practice, in particular through workforce development. 
• The project has developed three tools - a RAG tool to highlight likely workforce changes, a Skills Matrix tool and workforce estimation tool – which are available to practices outside Wessex.

Logic model for integrated care

Logic model for integrated care
SCIE November 2017

• The logic model for integrated care describes what good looks like, providing a visual depiction of how a fully integrated health and care system might be structured and function, and the outcomes and benefits it should deliver for those who use services and their carers.

Simul8 Long Term Conditions Financial Modelling Tool

Long Term Conditions Financial Modelling Tool

Simul8

• A LTC Modelling Tool, produced by SIMUL8 Corporation and Datalytics Technology, with the support of Kings Health Partners & NHS England, which allows you to test the financial impact of person-centred care interventions for people living with multiple long term conditions.

Realising the Value - economic modelling tool

Realising the Value economic modelling tool
NESTA 15 November 2016

• The Realising the Value economic modelling tool allows commissioners to assess the potential impact of commissioning person- and community-centred approaches in their local area.

The ‘Preventonomics’ Unit Cost Calculator (PUCC)

The ‘Preventonomics’ Unit Cost Calculator (PUCC)
PSSRU January 2017

• The PUCC is a simple, free-to-download Access database which can help you estimate costs of new – and existing –health and social care services.