The King’s Fund | June 2018 | How do you engage clinicians in your digital change programme?
In a new guest post on The King’s Fund blog, Dr Robert Fearn, a clinician from Homerton University Hospital NHS Foundation Trust, explores the important relationship between technology and user engagement.
For Fearn, “Digital transformation projects are as complex as the health care systems they are being implemented within. There is plenty that can go wrong, and as clinicians we are often too ready to oppose change, rather than play our role in making it work.”
NHS Improvement have created Making data count, a practical, interactive guide suitable for those working at all levels in the NHS, from ward to board, to make better use of their data to inform judgements and decisions for action.
Quality Improvement Series | BMJ | Health Foundation
The BMJ, in partnership with and funded by the Health Foundation, are launching a joint series of papers exploring how to improve the quality of health care delivery. The quality improvement series will discuss the evidence for systematic quality improvement, provide knowledge and support to clinicians and ultimately will aim to help improve care for patients.
A further £3 million will be made available to establish seven intensive support sites in areas that have struggled most to retain GPs. Details on these sites and plans for retention efforts there will be announced next month.
The fund will support local health services focussing on supporting newly qualified GPs or those within their first five years of practice, who are seriously considering leaving general practice or who are no longer clinically practising in the NHS in England but remain on the National Performers List (Medical).
The King’s Fund | May 2018 | Using data in the NHS: the implications of the opt-out and GDPR
A new ‘long read’ from the King’s Fund focuses on the use of data in the NHS and considers the implications of opt-out and GDPR. It looks at the system for protecting patient data, how the way the NHS handles patient data is changing and the implications of these changes. The key messages are given below:
Patient data is not only vital for managing an individual’s care, it also plays an important role in other ways: planning health services, improving diagnosis and treatment and evaluating the effectiveness of policy. These ‘secondary uses’ of data offer significant opportunities to improve care, especially if advances in technology and data analysis can be harnessed.
Public confidence in data-sharing has been tested by several high-profile breaches of data security and confidentiality, while the NHS is still recovering from the controversy associated with the care.data programme. Nevertheless, the public trust NHS organisations to manage patient data, and there is strong support for data being shared to improve care and for further research.
Safeguards governing the secondary use of patient data have been strengthened in recent years and will be bolstered by the implementation of a new national data opt-out alongside the introduction of the General Data Protection Regulation (GDPR) on 25 May 2018.
These changes will not have any impact on depersonalised datasets, so most secondary analysis and research will be unaffected. However, analysis that relies on using confidential patient information – including some of the national patient surveys and specific efforts to evaluate NHS services and conduct research – may be affected.
The consequences will depend on opt-out rates. If large numbers of people opt out of allowing confidential patient information to be used for research, this could affect the quality and validity of the data on which this research depends, potentially undermining important work to improve services and treatments.
National policy has to keep a balance between responding to legitimate public concern about the security and confidentiality of data and enabling data to be shared and used by NHS organisations and third parties. It is also essential that NHS national bodies are transparent with the public about how patient data is used.
NHS England and NHS Digital must ensure that opt-out levels are kept under review and put in place a long-term plan to promote the benefits of NHS organisations and third parties being able to access and use patient data. At the same time, NHS organisations must ensure they are beyond reproach in the way they use patient data (The King’s Fund).
NHS Employers | May 2018 | NHS Health and Wellbeing Framework NHS England has worked with twelve NHS organisations to create a new Health and Wellbeing Framework and accompanying diagnostic tool to help NHS organisations plan and implement their own approach for improving staff health and wellbeing. This framework has been developed by NHS Employers, NHS England and NHS Improvement with support from partners across the NHS, voluntary sector and government to bring best practice, research and insights together in one accessible place for the first time for NHS organisations.
The Health and Wellbeing Framework in an interactive document that makes the case for staff health and wellbeing, sets out clear actionable steps for each of the 14 areas and includes guidance on how organisations can plan and deliver a staff health and wellbeing plan.
The framework and diagnostic tool have been designed to be used in a flexible way to meet the needs of your organisation. You can use these resources in total or in part to start, revise or re-launch a programme. The framework is divided into two sections, organisational enablers and health interventions.
Aimed at both employers and doctors, the guidance sets out ways in which good rostering practice can be used to develop rotas. It aims to support and create an effective training environment that also meets the needs of the service, while enabling flexibility for doctors and employers, both of whom have a stake in the process.