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Welcome to the Health Management online newsfeed. Here you’ll find all the latest research, news stories, policy updates and guidelines. View our other newsfeeds for more subject-specific news.

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How much has the NHS saved by holding down pay?

Pay restrictions meant £2.6 billion less for NHS staff last year | Nuffield Trust

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With the NHS in England in recent years on a savings drive, this comment from Mark Dayan of The Nuffield Trust asks how much staff have contributed through freezes and caps on their pay packets. But the question is a tricky one. To answer, we need to be able to compare what has actually happened to pay with what would have happened if the NHS hadn’t been trying to make any savings. This data blog explores further and puts a figure on it.

Read the full blog post here

“Important improvements” for race equality in health service workforce

The Chief Executive of NHS England has welcomed signs of progress in tackling discrimination among health service staff, but warned of “hard work still ahead” in improving equality for all its workers.

NHS Equality and Diversity Council has published its latest annual report into race equality. The audit provides a comprehensive assessment of the experience of NHS employees from black and minority ethnic (BME) backgrounds, including whether or not they have equal access to career opportunities and receive fair treatment at work.

The 2017 Workforce Race Equality Standard (WRES) shows that an increasing proportion of senior nursing and midwifery posts is being filled by people from BME backgrounds, and that there has been a rise in senior BME leaders. The report confirms that an increasing number of trusts has more than one board member from a BME background, with 25 trusts being represented at board level by three or more people from BME communities.

However, the report highlights areas where the NHS needs to make further progress. Despite significant improvements in board and senior management representation, the overall number of BME background leadership positions is still not proportionate to the number of BME workers at other levels in the organisation.

Full report: NHS Workforce Race Equality Standard: 2017 Data Analysis Report for NHS Trusts

Health & Care workforce strategy

This draft strategy sets out the current workforce landscape, what has been achieved since 2012, and describes an approach to shaping the face of the NHS and social care workforce for the next two decades.

Facing the Facts, Shaping the Future – a health and care workforce strategy for England to 2027 condenses and considers the outputs of major workforce plans for the priorities laid out in the Five Year Forward View – cancer, mental health, maternity, primary and community care and urgent and emergency care.

The consultation starts 13 December 2017 and finishes on Friday March 23, 2018.
To take part in the consultation, click on the website link below and complete the survey.
consultation.hee.nhs.uk

Related: Health Foundation responds to new workforce strategy

Supporting transformational change

Supporting Change In Your NHS: The Non-Executive Community In Transformational Change | NHS Clinical Commissoners | NHS England |  NHS Improvement

This joint publication with NHS England and NHS Improvement summarises discussions held at two events earlier this year that brought together more than 200 CCG lay members and trust non-executive directors. These events focused on how lay members and NEDs can contribute to the integration and transformation of their local health communities.

Full document available here

What does the Autumn Budget mean for the NHS and social care?

In the budget this week, the Chancellor committed around £2 billion extra for the NHS next year. Nigel Edwards of the Nuffield Trust said this will bring respite for patients and staff, but is only around half of what’s needed.

In a Q&A about the budget, Tom Moberly, The BMJ’s UK editor, met with John Appleby (Nuffield Trust), Anita Charlesworth (Health Foundation) and Siva Anandaciva (King’s Fund) to discuss what it all means for the NHS and social care. You can watch the discussion below:

Does hospital competition improve efficiency?

Does hospital competition improve efficiency? The effect of the patient choice reform in England | The Centre for Health Economics

This report examines whether the introduction of patient choice of hospital has resulted in greater efficiency by stimulating hospital competition.  The results show that competition has had mixed effects on efficiency.  Greater competition encourages hospitals to increase efficiency by increasing admissions per bed and proportion of day cases, and by reducing the proportion of untouched meals.  However, hospitals appear less efficient in terms of cancelled elective operations.

Full report: Does Hospital Competition Improve Efficiency? The Effect of the Patient Choice Reform in England