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Publication of the week
Here we highlight, and link to, an important or interesting recent publication that is of relevance to the health service. Some of the previous highlighted publications can be seen below.

The fact that we are highlighting these publications does not mean that University Hospitals of Leicester NHS Trust agree with or share the views expressed within them.

Never Events policy and framework

NHS Improvement has revised the Never Events policy and framework and Never Events list 2018.  The policy and framework explains what Never Events are, how staff providing and commissioning NHS-funded services should identify, investigate and manage the response to them. These documents will become active upon initiation of the update to the 2017-2018 NHS Standard Contract on 1 February 2018.

Royal commission on the NHS

The Centre for Policy Studies has published A Royal Commission on the NHS: the remit.  This document sets out how the setting up of a Royal Commission could ensure the NHS delivers the best outcomes on a sustainable financial basis over the coming years.  A Royal Commission would examine the structure, organisation and funding of the health service, taking evidence and making policy recommendations.

Delayed transfers of care

The King’s Fund has published Delayed transfers of care: a quick guide.  This article defines delayed transfers of care and looks at how they are measured, why they occur and their impact on the wider health system.

Dignity in health care for people with learning disabilities

The Royal College of Nursing has published Dignity in health care for people with learning disabilities. This guidance aims to improve dignity in health care for people with learning disabilities.  It is designed particularly to support the nursing workforce but other health care and social care staff may find this useful.

Ready and resilient? How NHS trusts have prepared for winter

This briefing by NHS Providers sets out what has been done locally and nationally to ensure safe, high quality care for patients over the winter period.   It also highlights continuing difficulties and pressures that could impact on trusts’ ability to cope. 

Safer maternity care
The Department of Health has now published Safer Maternity Care: the National Maternity Safety Strategy progress and next steps.  This document reports on progress and next steps with implementation of the safer maternity care action plan and sets out measures for further and quicker improvement. 

Nutritional care tool report
The BAPEN Quality and Safety Committee has published Nutritional Care Tool Report 2017. It provides organisational-level data on how nutritional care is organised and patient-level data on the quality of nutrition in hospitals, care homes and community organisations.

EU doctor survey 2017

The British Medical Association has published the results of the EU doctor survey 2017.  The results show that nearly half of all EU doctors working in the UK are considering leaving the UK, with almost one in five having solid plans to relocate elsewhere. 

Embedding a culture of quality improvement
The King’s Fund has published a new report which includes learning from organisations that have adopted quality improvement approaches.  It focuses on how senior leaders can create the right conditions for quality improvement to flourish within health care. 

Improving patient access to breakthrough technologies and treatments in a cost-effective model
The Department of Health and Department for Business, Energy & Industrial Strategy  have announced a new fast-track route into the NHS for “breakthrough” medicines and technologies. This will speed up the time it takes for patients to benefit from ground-breaking products for conditions such as cancer, dementia and diabetes. This Policy paper is a joint response to the Accelerated Access Review (AAR), setting out how government will improve patient access to breakthrough treatments.

Thriving at work

The Department of Work and Pensions and the Department of Health have published Thriving at work: the Stevenson/Farmer review of mental health and employers.  This independent review sets out what employers can do to better support all employees to remain in and thrive through work.  The review quantifies how investing in supporting mental health at work is good for business and productivity and makes a series of recommendation for employers, the government and other bodies.

The State of Care

The Care Quality Commission has published The state of health care and adult social care in England 2016/17.  This report provides an analysis of the quality of health and social care in England based on the first full round of rated inspections covering nearly 29,000 services. 

What happens when people leave hospital and other care settings? 
This briefing from Healthwatch brings together a summary of the experiences over 2000 people have shared with local Healthwatch during the last two years relating to leaving hospital and other care settings.  Although there are many positive experiences, the briefing highlights there is still significant work to be done to ensure discharge is a good experience for everyone.

Engineering better care

The Royal Academy of Engineering, the Academy of Medical Sciences and the Royal College of Physicians have published Engineering better care: a systems approach to health and care design and continuous improvement.  This report explores how an engineering approach could be applied in health and social care to develop systems that meet the needs of patients, carers and NHS staff. 

Health Service Safety Investigations Bill

The Department of Health has published a bill proposing setting up a new independent healthcare safety investigation body to improve patient safety. 

Partnerships for improvement: ingredients for success
This report by The Health Foundation discusses NHS organisational partnerships. It focuses on five different partnering arrangements, as well as interviews with national leaders, and draws learning to help inform and guide policymakers and providers.   

The bottom line:  Understanding the NHS deficit and why it won’t go away
This briefing by The Nuffield Trust reveals the true underlying state of the NHS’s finances today, and outlines prospects for the next three to four years.

Improving older people's oral health
The Royal College of Surgeons Faculty of Dental Surgery has published 'Improving older people’s oral health'.  This report raises concerns about the impact that poor oral health is having on older people’s general health and quality of life.

Work related mental health problems
New survey results from Mind show that men are twice as likely to have work-related mental health problems compared to problems outside of work. 


Influence of surroundings on health
The Health Foundation has published an infographic and commentary on Our surroundings.  It aims to demonstrate how health is influenced by how places, spaces and buildings make us feel, and the opportunities they provide.  It illustrates how good surroundings can enable people to: be more physically active; feel safe and secure; use facilities and services and socialise and play.

National Audit of Dementia Care in General Hospitals 2016-2017: third round of audit report
This report commissioned by the Healthcare Quality Improvement Partnership presents the results of the third round of the National Audit of Dementia (NAD) with collected data between April and November 2016.  The audit measures the performance of general hospitals against criteria relating to care delivery which are known to impact upon people with dementia while in hospital.

Spatial planning for health: an evidence resource for planning and designing healthier places.  
Public Health England have published this report presents the findings from an evidence review examining the links between health and the built and natural environment to help inform policy and support local action. The review explores neighbourhood design; housing; access to healthier food; natural and sustainable environment; and transport.

Tackling variations in clinical care: assessing the Getting It Right First Time (GIRFT) programme.
Published by the King's Fund, the Getting It Right First Time (GIRFT) programme aims to bring about higher-quality care in hospitals, at lower cost, by reducing unwanted variations in services and practices. This paper sets out what the programme is, why it is needed, what is different about it, what it has achieved, what challenges it faces and what potential it has. It also contains vignettes illustrating hospitals’ experiences of the programme.

Perinatal mortality surveillance report: UK perinatal deaths for births from January to December 2015.
Published by MBRRACE-UK this report examines rates of stillbirth and neonatal death across the UK for babies born at 24 weeks of gestation or more. It found that in 2015 the stillbirth rate was 3.87 per 1,000 total births, a fall from 4.20 per 1,000 total births in 2013. However this is still high compared to many similar European countries and there remains significant variation across the UK.
Election analysis: what does the new government mean for health and care?
Published by the NHS Confederation -This briefing is an initial assessment of the main takeaways for the NHS and the wider health and care system. It identifies areas of alignment and disagreement between the Conservatives and the Democratic Unionist Party in Norther Ireland, and the NHS Confederation’s priorities for the new government.
International profiles of health care systems
Published by The Commonwealth Fund, this publication presents overviews of the health care systems of Australia, Canada, China, Denmark, England, France, Germany, India, Israel, Italy, Japan, the Netherlands, New Zealand, Norway, Singapore, Sweden, Switzerland, Taiwan, and the United States.
What’s the hold up?
Produced by the NHS Confederation, this infographic provides data on delayed discharge of care, and details the most common factors for delayed days in 2016.
Occupational health: the value proposition.
Published by The Society of Occupational Medicine, this report highlights the value that occupational health services can give in reducing long term sickness and promoting a healthy workplace culture. This report is aimed at policy makers and commissioners of services.
Quality of care in the NHS – in the balance
Published by The Health Foundation, this briefing provides a high level view of how the quality of some NHS services has changed over the past few years in England.  The four aspects of quality covered are waiting times for hospital treatment; care for patients with diabetes; psychological therapy for common health conditions; and speed and use of the most effective best-practice treatments.
Caring to change: how compassionate leadership can stimulate innovation in health care.
Published by The Kings Fund, this paper looks at compassion as a core cultural value of the NHS and how compassionate leadership results in a working environment that encourages people to find new and improved ways of doing things. The paper includes case studies of how compassionate leadership has led to innovation.
BLOCKS: tools and methodologies to access integrated care in Europe
Health Systems Performance Assessment from The European Commission’s Expert Group. Drawing on insights from experts from seventeen European countries, the report looks at the factors behind successful integrated care models including stakeholder engagement, patient empowerment and the use of information and communications technology.
Physical Inactivity Report 2017
This report from The British Heart Foundation provides an overview of the levels of physical inactivity and sedentary behaviour in adults across the UK. The data in this report suggests that large numbers of people in the UK are failing to meet government recommendations for physical activity, putting them at greater risk of heart and circulatory disease.
women NHS Women on Boards by 2020.
Published by NHS Employers  - This report examines the steps the NHS needs to take to reach the target of equal gender representation on boards by 2020. It summarises demographic data from 452 organisations, including arms-length bodies, NHS trusts and clinical commissioning groups. 
How health care is funded.
This briefing from The Kings Fund looks at the way that health care funding models vary between different countries. It explains the main models used to finance health care: taxation, private health insurance and social health insurance. It outlines how each model works in its purest form, while recognising that most countries typically pay for health care using a combination of methods.
NHS reality check: delivering care under pressure.
This report from The Royal College of Physicians (RCP) summarises the experiences of RCP members on the front line of care delivery.  The report suggests that all doctors providing care across the medical spectrum are struggling to cope, not just those in urgent and emergency care.
Shifting the balance of care: great expectations.
Published by the Nuffield Trust, this report is based on a literature review assessing the evidence for moving care out of hospital and the assumption that it will save money.  It explores five key areas: elective care, urgent and emergency care, admission avoidance and easier discharge, at risk populations, and self-care.  The report is intended to help inform local strategies and STPs.
The state of care in NHS acute hospitals: 2014 to 2016
Published by The Care Quality Commission. Findings from the end of CQC’s programme of NHS acute comprehensive inspections. The report has been derived from three years’ worth of CHC inspections into the quality of care being provided by NHS acute hospitals. It finds that most hospitals are delivering good quality care and looking after patients well, however, some trusts have blind spots about the quality of care they are delivering in a particular core service, even in some trusts rated good overall.
NHS Employers - Tackling cyberbullying in the NHS: what you need to know.
This guide has been developed to help HR and communications teams in the NHS tackle the issue of cyberbullying. It includes practical steps and tips as well as providing a template policy on cyberbullying which can be adapted to suit local needs.
Understanding Society - A healthy understanding? Global attitudes to health
Published by Ipsos MORI, this report examines the state of health at both a national and global level covering patient experience and expectations, behavioural interventions, the importance of health literacy, exporting healthcare, the opportunities and challenges of ageing populations and sustainable development goals. of evidence looks at what works in supporting older people to maintain a healthy diet and reduce the risk of malnutrition. It includes details of promising practice, to see what others are doing and the impact their work is having.
fruit Helping older people maintain a healthy diet: a review of what works
Published by Public Health England, this review of evidence looks at what works in supporting older people to maintain a healthy diet and reduce the risk of malnutrition. It includes details of promising practice, to see what others are doing and the impact their work is having.
Confidentiality: good practice in handling patient information.
The General Medical Council (GMC) has published revised, expanded and reorganised guidance on confidentiality for all doctors practising in the UK. This guidance clarifies the public protection responsibilities of doctors; the importance of sharing information for direct care; the circumstances in which doctors can rely on implied consent to share patient information for direct care; and the role that those close to a patient can play in providing support and care. (January 2017)
data My data, my care: how better use of data improves health and wellbeing
Published by The Richmond Group of Charities, January 2017 - This report uses case studies to show why data is critical for good healthcare and the tangible benefits which can be gained from its use. The report also highlights the barriers to good data use including: technological barriers, uncertainty around information governance, and a lack of public trust.
A & E NHS England Indicators - January 2017
Published by The House of Commons library - This briefing on demand and performance covers areas such as: A&E, waiting lists, delayed transfers of care, staffing levels, and demand for hospital services. Key trends from the most recent NHS data in England are presented.
Nurse Priorities for the NHS and social care in 2017.
Published by The Kings Fund, the report describes the need for a continuing focus on operational performance and renewed efforts to transform the delivery of care at a time when frontline staff are working under intense pressure.
consultant Learning, candour and accountability: a review of the way NHS trusts review and investigate the deaths of patients in England.
Published by The Care Quality Commission, this report presents the findings of a review into how NHS trusts identify, investigate and learn from the deaths of people under their care. It concludes that many carers and families do not experience the NHS as being open and transparent and that opportunities are missed to learn across the system from deaths that may have been prevented.

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