STRENGTH IN NUMBERS

Strength in Numbers dedicated to my late mother Kay

Making change possible: a Transformation Fund for the NHS

The Health Foundation and The King’s Fund both support the concept of a Transformation Fund for the NHS in England. The two organisations came together to undertake a programme of work detailing the key aspects of such a fund.

Making change possible: a Transformation Fund for the NHS draws on analysis conducted by the two organisations, in particular six case studies of funding transformation, in the health sector and beyond, along with examples of local NHS initiatives. We also captured the experience of NHS leaders and some of those organisations across the NHS that have been at the forefront of efforts to implement changes in the delivery of care.

Appendices to the report give more details of the work underpinning it.

  • Appendix 1 provides full information about the case studies.
  • Appendix 2 explains the methodology used to calculate the size of the Fund and gives details of the local NHS examples of change that we examined.
  • Appendix 3 looks at the potential for realising value from surplus NHS estate.

Click on the link to read more and download research reports

http://www.health.org.uk/publication/making-change-possible-transformation-fund-nhs

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Filed under: NHS, , , , ,

Is the NHS getting safer? This is one of a series of overviews, looking at key areas of quality: safety, waiting times, mental health, person-centred care and international comparisons. The Health Foundation, Authors John Illingworth

This overview considers how the NHS has performed over the current parliament in relation to patient safety. We look at data relating to reported incidents and harm, episodes of care free of certain types of harm, and patient and staff perceptions of safety.

  •  Harm caused by health care affects every health system in the world; the NHS is no exception. Research from the UK suggests that around 8-12% of admissions to hospitals will involve an adverse event, resulting in harm to the patient. Between half and one third of these adverse events are thought to be preventable. Similar figures are reported in international studies.
  • The NHS has made great progress in tackling some specific causes of harm in hospitals. The number of people developing infections such as MRSA as a result of their care has remained low during this parliament. The proportion of patients receiving care that is free of four common adverse events, including pressure ulcers, has increased from 91% in July 2012 to 94% in February 2015.
  • Staff reporting of hospital safety incidents continues to improve. There has been a sustained increase in the reporting of incidents during this parliament, while the percentage of staff saying they have witnessed an incident has remained roughly the same. This suggests that the proportion of hospital incidents going unreported has declined.
  • Some warning signs are emerging among the NHS workforce. During this parliament, the percentage of staff who say there is a blame culture in their organisation has risen, as has the percentage of staff who have reported feeling unwell because of work-related stress. Around 40% of patients feel there aren’t always enough nurses on duty to care for them.
  • We don’t know how safe health care services are outside of hospital. There is little published evidence from which to draw conclusions about levels of harm in primary and community care. Less than 1% of all reported incidents are in primary care, despite 90% of all patient contact taking place there, suggesting significant underreporting of harm in this care setting.

Click the PDF below to download the overview 

Swimming Against The Tide Briefing The Health Foundation

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http://www.health.org.uk/publications/is-the-nhs-getting-safer/

 

Filed under: GP's, Hospital, NHS, Uncategorized, , , , ,

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