The death of QOF?

The death of QOF? | BMJ Talk Medicine Podcast

The Quality and Outcomes Framework (QOF) is one of the most ambitious pay-for-performance schemes introduced into any health system. It’s now being scrapped by bits of the NHS, and is under reform elsewhere.

Martin Marshall, GP and professor of Health Improvement at University College London, thinks it’s time to rethink the experiment. This BMJ Talk Medicine podcast discusses how we got here, what we’ve learned, and what will replace QOF.

Full editorial: The future of the Quality and Outcomes Framework in England

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Integrating physical and mental health care

This article provides an overview of The King’s Fund ‘Integrating physical and mental health care learning network’ and how it helps translate a policy ambition to new models of care. It looks at the following questions:

  • Who comes to the network and how does it work?
  • What are the main challenges network members have in integrating physical and mental health care?
  • How has the network helped them to deal with these challenges?
  • What areas are people in the network focusing on to develop new models of care that integrate physical and mental health?

Find out more about the Integrating physical and mental health care learning network

‘Data revolution’ crucial to transformation

A ‘data revolution’ across health and care services in England is vital if local areas are to transform the way care is delivered | NHS Confederation

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The NHS Confederation has launched a new series of guides to help board members to better understand data across the healthcare system and its role in transforming care.

Produced in association with healthcare intelligence provider CHKS, the guides for non-executive directors (NEDs) aim to kick start a ‘data revolution’ by looking at how data can be used to drive improvement, provide effective oversight and support the transformation of care. The first guide is aimed at NEDs in acute care, and examines activity in both primary and secondary care settings and considers the role of data sharing in bringing about efficiency savings.

Full document: The non-executive director’s guide to NHS data. Part one: Hospital activity, data sets and performance

 

Accountable care

Accountable care: policy fad or step forward on the journey towards integrated care? | Nicola Walsh |The Kings Fund

Accountable care is under discussion almost everywhere in the NHS. Groups of NHS providers (sometimes with the local commissioner) are exploring how they can work more closely together to take on the responsibility for the health and care of a given population within a given budget. Currently, we are seeing emerging accountable care arrangements adopting various forms according to local needs and preferences: in some areas the focus is on creating a single organisation; in others, organisations are keen to use the words ‘system’ or ‘partnership’ – to reinforce the notion of working together.

In this Kings Fund blog, Nicola Walsh looks in more detail at Accountable Care Systems and partnerships.

Care Quality Commission regulating health and social care

Care Quality Commission regulating health and social care | The National Audit Office .

The report found that the Commission has completed its inspection and rating programme comprising more than 28,000 provider locations, which provides a benchmark of the quality of health and social care services. It has significantly reduced staff vacancies and is increasing its focus on cost savings. In addition, the Commission has improved how it measures its performance, and takes action to correct poor performance.

The report found that the Commission can secure further improvement, if it continues its current direction of travel. Its main challenge now is to develop its digital systems and capabilities to support its move to a more intelligence driven and risk based approach to regulation.

CQC State of Care report

State of Care is the Care Quality Commission’s annual assessment of health and social care in England. The report looks at the trends, highlights examples of good and outstanding care, and identifies factors that maintain high-quality care.

This year’s report shows that the quality of care has been maintained despite a number of challenges. Most people are receiving good, safe care and many services that were previously rated inadequate have made the necessary changes and improved.

The CQC stress that the fact that quality has been maintained in the face of a number of challenges is testament to the hard work and dedication of staff and leaders. However, as the system continues to struggle with increasingly complex demand, access and cost, future quality is precarious.

The report makes the following points:

  • Health and care services are at full stretch
  • Care providers are under pressure and staff resilience is not inexhaustible
  • The quality of care across England is mostly good
  • Quality has improved overall, but there is too much variation and some services have deteriorated
  • To put people first, there must be more local collaboration and joined-up care

 

See also Health Foundation response to CQC State of Care Report

 

STP governance arrangements

The Healthcare Financial Management Association (HFMA) has published Sustainability and transformation partnerships: developing robust governance arrangements.

This document examines governance arrangements within Sustainability and Transformation Partnerships, accountable care systems and new models of care. It includes a diagnostic tool which can help highlight where robust arrangements are already in place and where more work is required.