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Archive for the ‘Department of Health’ Category

UK — NHS e-procurement strategy

May 12, 2014 Comments off

NHS e-procurement strategy
Source: Department of Health

This document provides details of actions to improve NHS data and information as part of the NHS Procurement Development Programme, which aims to help the NHS save £1.5 billion by the financial year 2015 to 2016.

The actions are to:

  • define standards to ensure NHS e-procurement systems work together
  • require the adoption of standards by the NHS (GS1 coding and PEPPOL messaging standards)
  • invest in technology solutions that will support e-procurement implementation by the NHS
  • establish a single NHS spend analysis and price benchmarking service

The document also sets out how e-procurement can better support the NHS procurement processes that manage transactions and pricing with suppliers.
 

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UK — Review Body on Doctors’ and Dentists’ Remuneration 42nd report: 2014

March 26, 2014 Comments off

Review Body on Doctors’ and Dentists’ Remuneration 42nd report: 2014
Source: Review Body on Doctors’ and Dentists’ Remuneration, Department of Health and Office of Manpower Economics

This report sets out the DDRB analysis of evidence given by relevant organisations and makes proposals on doctors and dentists’ pay from April 2014.

UK — Effective health care for vulnerable groups prevented by data gaps

March 13, 2014 Comments off

Effective health care for vulnerable groups prevented by data gaps
Source: Department of Health

This report, from the Data and Research Working Group of the National Inclusion Health Board (NIHB):

  • identifies where to find good data and the gaps in information and data where the burdens of ill health and untimely death are greatest for vulnerable groups (vulnerable migrants, gypsies and travellers, homeless people, and sex workers)
  • is for data providers, healthcare professionals, commissioners and others working to improve the health of the vulnerable groups

The report concludes that:

  • it is impossible to obtain a comprehensive picture of the vulnerable groups’ health
  • the health needs of some of the most vulnerable people in society continue to be invisible to health commissioners and the wider health system planners
  • the health needs of the vulnerable groups sometimes place heavy and unpredictable demands on the health service, which may result in multiple avoidable visits to hospital
  • the data gaps prevent effective monitoring of health care use and seriously undermine local efforts by NHS and local government to understand and prioritise the local needs of the vulnerable groups

UK — Psychological wellbeing and work: improving service provision and outcomes

February 6, 2014 Comments off

Psychological wellbeing and work: improving service provision and outcomes
Source: Department for Work & Pensions and Department of Health

This report by RAND Europe explores proposals to improve employment and health outcomes for people with common mental health problems. It was commissioned by the Department for Work and Pensions and the Department of Health through the Cabinet Office’s Contestable Policy Fund.

The report makes a number of recommendations. These include:

  • using evidence-based models to provide services that combine employment and mental health support
  • increasing integration between existing treatment and employment services to improve outcomes in both areas
  • applying evidence-based models in new ways or a using combination of approaches
  • providing timely access to coordinated treatment and employment support for a greater number of people with common mental health problems

The government is currently considering propsals in the report to improve support for people with common mental health problems and improve integration between employment and health services. These include:

  • developing the link between psychological therapies and employment support
  • enhancing support for those out of work to build resilience
  • providing access to a range of work and wellbeing assessments online, by telephone and face to face

Railway Suicides in the UK: risk factors and prevention strategies

November 13, 2013 Comments off

Railway Suicides in the UK: risk factors and prevention strategies (PDF)
Source: National Health Service and British Transport Police
From press release:

The lack of research on the gender and ethnicity of people who take their own lives on the UK railway system obscures an urgent need for more effective preventive strategies, a new report has claimed.

‘Railway Suicides in the UK: Risk factors and prevention strategies’, commissioned by NHS England, and produced by mental health charity Careif and the Cultural Consultation Service, reveals inconsistencies in how data on suicide is collected and the way emergency services, government agencies and the police collaborate.

In addition, the widely reported association between mental illness and railway suicide, believed to be due to a station’s proximity to in-patient psychiatric units and severe forms of mental illness such as schizophrenia, requires further research, according to the study.

Among the report’s recommendations is:
• The need for a standardised framework to collect information on suicide, including ethnicity and previous contact with care services
• Better coordination between emergency services to help prevent railway suicides
• More effective intervention in high-risk groups with steps to improve public awareness and public mental health and wellbeing in general
• Implementation of an emergency pathway across all agencies nationally to enable a consistent and coherent response.

UK — Independent report: Peer support networks and dementia advisers: evaluation

October 10, 2013 Comments off

Independent report: Peer support networks and dementia advisers: evaluation
Source: Department of Health

This report, commissioned by the Department of Health, provides evidence on the importance of post diagnostic support for people with dementia and their carers, and the role that dementia advisers and peer support networks can provide in this.

Important messages from the report are:

  • people with dementia and carers saw dementia advisers and peer support networks as having a positive impact on their wellbeing and quality of life
  • demonstrator sites provided evidence of both dementia advisers and peer support networks filling a gap in service provision that often occurs after diagnosis but before
  • there is a need for more intensive support
  • both initiatives were seen as having resource saving implications for the local health and social care economy

UK — Mapping 100,000 genomes: strategic priorities, data and ethics

July 9, 2013 Comments off

Mapping 100,000 genomes: strategic priorities, data and ethics
Source: Department of Health

Genomes of up to 100,000 patients or infections in patients will be sequenced over the next 5 years leading to better and earlier diagnosis and more personalised care. The Chief Medical Officer established 3 working groups to consider the strategic priorities, data and ethical implications of this work. The reports give the final recommendations of those groups.

UK — Infection prevention and control in care homes: information resource published

February 19, 2013 Comments off

Infection prevention and control in care homes: information resource published

Source: Department of Health (UK)

An information resource and summary for care workers on the prevention and control of infection in care homes has been published.

These aim to assist staff in taking all reasonable steps to protect residents and staff from acquiring infections and cross infection; and provide information and guidance on infection prevention and control that will assist managers undertaking risk assessments and in developing policies.

The steps taken in care homes to protect residents and staff from infection represent an important element in the quality of care. Therefore families and carers want to be assured that the care their relatives and dependants receive is provided in a clean and safe environment.

Infections acquired in care homes may be serious and, in some cases, life-threatening. These may worsen underlying medical conditions and adversely affect recovery. Infections may be caused by organisms resistant to antibiotics and the high media profile they generate may alarm residents, their relatives and carers.

UK — Waiting times for suspected and diagnosed cancer patients: quarter ending June 2011

August 31, 2011 Comments off

Waiting times for suspected and diagnosed cancer patients: quarter ending June 2011
Source: Department of Health

The key results for outpatient services and first definitive treatments show that, in England during the period April to June 2011:

  • Two week wait:
    o 95.4% of people were seen by a specialist within two weeks of an urgent GP referral for suspected cancer – (96.0% in Q4 2010-11)
    o 94.5% of people urgently referred for breast symptoms (where cancer was not initially suspected) were seen within two weeks of referral (95.5% in Q4 2010-11)
  • One Month (31-day) wait:
    o 98.3% of people began first definitive treatment within 31 days of diagnosis for all cancers – (98.3% in Q4 2010-11)
    o 99.0% of people began first definitive treatment within 31 days of diagnosis for breast cancer – (99.2% in Q4 2010-11
  • Two Month (62-day) wait:
    o 86.3% of people began first definitive treatment within 62 days of an urgent GP referral for suspected cancer, for all cancers – (86.3% in Q4 2010-11)
    o 97.4% of people began first definitive treatment within 62 days of an urgent GP referral for suspected cancer, for breast cancers – (97.4% in Q4 2010-11)
  • 31-day wait for second or subsequent treatment:
    o 97.5% of people began treatment within 31 days where the subsequent treatment was surgery – (96.7% in Q4 2010-11)
    o 99.7% of people began treatment within 31 days where subsequent treatment was an anti-cancer drug regimen – (99.6% in Q4 2010-11)
    o 98.2% of people began treatment within 31 days where subsequent treatment was a course of radiotherapy – (97.8% in Q4 2010-11)
  • 62-day wait extension:
    o 93.4% of people began first definitive treatment within 62 days of a consultant’s decision to upgrade a patient’s priority, for all cancers – (92.8% in Q4 2010-11)
    o 92.8% of people began first definitive treatment for cancer within 62 days of referral from an NHS screening service, for all cancers – (93.2% in Q4 2010-11).

UK — Making best use of medicines: Report of a Department of Health roundtable event hosted by The King’s Fund

August 19, 2011 Comments off

Making best use of medicines: Report of a Department of Health roundtable event hosted by The King’s Fund
Source: Department of Health

In response to the National Audit Office’s 2007 report Prescribing costs in primary care, the Department commissioned the York Health Economics Consortium and the School of Pharmacy at the University of London to carry out research to determine the scale, causes and costs of waste medicines in England. The report, Evaluation of the Scale, Causes and Costs of Waste Medicines, was published in November 2010

Following this, the Department facilitated a roundtable event hosted by the King’s Fund where representatives of patients, health professionals, the NHS and industry were invited to consider the findings of the research and identify practical next steps that might be taken to help reduce waste, optimise medicine taking and improved health outcomes.

The Department will now facilitate the establishment of a steering group to develop an action plan and report back by early 2012. It is expected that the group will take responsibility for developing and implementing the action plan.

+ Full Report (PDF)
+ Evaluation of the Scale, Causes and Costs of Waste Medicines

UK physical activity guidelines

August 5, 2011 Comments off

UK physical activity guidelines
Source: Department of Health

This UK-wide CMOs report presents new physical activity guidelines for all four UK home countries, covering early years; children and young people; adults; and older adults.

This is the first time UK-wide physical activity guidelines have been produced and will help to ensure consistent messaging across the four countries. This report also represents the first time guidelines have been produced in the UK for early years (under fives) as well as sedentary behaviour, for which there is now evidence that this is an independent risk factor for ill health.

Physical activity should be encouraged across the population. The risks of engaging in physical activity are low for most of the population, but the risks of poor health resulting from inactivity are high. There is a clear link between physical activity and chronic disease.

These scientifically informed guidelines will help policy makers and health professionals, as well as individuals themselves to understand how to reduce the risk of ill health associated with inactivity and sedentary behaviours.

UK — Department of Health business plan 2011-2015 (July 2011)

July 20, 2011 Comments off

Department of Health business plan 2011-2015 (July 2011)
Source: Department of Health

This revised Business Plan is a core part of the Department’s commitment to the Governments transparency agenda. It sets out the vision and priorities for the Department and the Structural Reform section of the Plan includes key commitments involved in delivering our reform programme up to 2015. The Transparency section of the Plan (which is supported by annexes) sets out the key indicators that we believe are most useful to the public in understanding the costs and outcomes of health and social care services, and also provides a wealth of additional data that the public will find useful

GP patient survey dental statistics, January to March 2011, England

June 20, 2011 Comments off

GP patient survey dental statistics, January to March 2011, England
Source: Department of Health

In the most recent quarter (January to March 2011), 1.4 million adults were asked about access to NHS dentistry in the previous 2 years. Participants were asked if they had tried to obtain an appointment with an NHS dentist and if so what was the type of appointment and had they been successful. Patients who hadn’t tried to obtain an NHS dentist in the previous 2 years were asked to select one reason why they hadn’t tried.

The results from the survey responses are presented here at national (England), Strategic Health Authority (SHA) and Primary Care Trust (PCT) level.

Main results

  • 515,000 responses, 37% of the 1.4 million people contacted
  • 60% of adults in the survey tried to obtain an appointment with an NHS dentist in the 2 year period before January to March 2011 quarter;
  • 94% of respondents who tried to obtain an appointment within the past 2 years were successful. 6% were unsuccessful (Success percentages exclude those who didn’t remember the outcome, unless stated otherwise).
  • Respondents who have tried more recently are more successful. 96% of respondents trying within the past three months and within the past six months stated they were successful.
    For 79% of adults the last appointment sought was for routine dentistry; 17% were seeking an urgent appointment, 3% other type of appointment and 1% could not remember.
  • 83% of the most recent appointments sought were with the dental practice previously attended.  In these cases, the successful percentage over the past 2 years was 96%1;
  • For the 14% of patients who sought appointments with a new dental practice in the last two years, 78% were successful, 21% were unsuccessful and 2% couldn’t remember the outcome;
  • North East SHA area had the largest percentage of the adult population seeking an NHS dental appointment in the last 2 years, at 66%, whilst South Central SHA had the smallest, where 52% sought an NHS appointment.
  • Success in getting an appointment. North East SHA had the largest percentage, with 96% successful over the last 2 years, followed by the East of England and the West Midlands both with 95%. London SHA had the lowest percentage with 92%.
  • For patients seeking an appointment in the last 2 years at a practice they had not been to before, North East had the largest percentage successful, with 86%1, North West and Yorkshire and Humber had the smallest (73% ).

UK — Optimising treatment and care for people for people with behavioural and psychological symptoms of dementia

June 13, 2011 Comments off

Optimising treatment and care for people for people with behavioural and psychological symptoms of dementia (PDF)
Source: Department of Health

This best practice guide has been designed to support health and social care professionals to determine the best treatment and care for people experiencing behavioural and psychological symptoms of dementia (BPSD).

UK — Assessment of Services to Reduce Diabetes-related Mortality

June 11, 2011 Comments off

Assessment of Services to Reduce Diabetes-related Mortality
Source: Department of Health

This workbook was developed by the Health Inequalities National Support Teams (HINST) with 70 local authorities covering populations in England. Local areas could use this approach when analysing whether a population level improvements could be achieved from a set of best-practice and established interventions. This is offered as useful resource for commissioners.

+ Full Document (PDF)

UK — Seasonal flu plan Winter 2011/12

May 26, 2011 Comments off

Seasonal flu plan Winter 2011/12
Source: Department of Health

The Seasonal Flu Plan sets out a coordinated and evidence based approach to planning for and responding to the demands of seasonal flu across England. It will provide the public and healthcare professionals with an overview of coordination of preparation for seasonal flu and signposts where further guidance and information can be found

+ Full Document (PDF)

UK — Statement of Government policy on adult safeguarding

May 18, 2011 Comments off

Statement of Government policy on adult safeguarding
Source: Department of Health

This document sets out the Government’s policy on safeguarding vulnerable adults. It includes a statement of principles for use by Local Authority Social Services and housing, health, the police and other agencies for both developing and assessing the effectiveness of their local safeguarding arrangements.

+ Full Document (PDF)

Evaluation of nurse and pharmacist independent prescribing in England – key findings and executive summary

May 12, 2011 Comments off

Evaluation of nurse and pharmacist independent prescribing in England – key findings and executive summary
Source: Department of Health

This is an independent report commissioned and funded by the Policy Research Programme in the Department of Health. The views expressed are not necessarily those of the Department.

The study carried out in England by the Universities of Southampton and Keele evaluates nurse and pharmacist independent prescribing in order to inform planning for current and future prescribers.

The report concludes that nurse and pharmacist independent prescribing is becoming a well-integrated and established means of managing patients’ conditions and providing them with the medicines they need. The research also reports that Nurse and Pharmacist Independent Prescribers are operating safely and prescribing appropriately and that there are high levels of satisfaction among patients being treated by them.

Commissioners of healthcare may wish to consider the findings of this study and potential use of nurse and pharmacist prescribing when commissioning services.

UK — Governance arrangements for research ethics committees: a harmonised edition

May 11, 2011 Comments off

Governance arrangements for research ethics committees: a harmonised edition
Source: Department of Health

This document is the policy of the UK Health Departments describing what is expected from the research ethics committees that review research proposals relating to areas of the UK Health Department’s responsibility. It also explains when review by these committees is required.

The policy covers the principles, requirements and standards for research ethics committees, including their remit, composition, functions, management and accountability. It also describes the Research Ethics Service in which the research ethics committees operate and the review they provide.

This harmonised edition comes into effect on 1 September 2011. It revises and replaces editions of the policy previously issued separately in England and Scotland in 2001. It also applies in Wales and Northern Ireland.

+ Full Document (PDF)

UK — The Good Practice Guidelines for GP electronic patient records – version 4 (2011)

April 29, 2011 Comments off

The Good Practice Guidelines for GP electronic patient records – version 4 (2011)
Source: Department of Health

The Good Practice Guidelines for GP electronic patient records v4 will act as a reference source of information for all those involved in developing, deploying and using general practice IT systems.

These latest guidelines, issued in March 2011, supersede version 3.1(2005).

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