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.
A more holistic or ‘joined-up’ systems approach to health and social care provision could help transform the way these essential services are delivered and address the needs of a changing patient population | Royal College of Physicians
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. It presents a framework to support ongoing work in service design and improvement in health and care. It found that more widespread application of a rigorous systems approach to health and care improvement, has the potential to have a transformative effect on health and care.
New care models: harnessing technology | NHS Confederation
This report explores how five vanguards are implementing innovative digital technology solutions. It suggests that the starting point for the introduction of any new technology should always be from the perspective of the end user and that end-users should always be involved in the co-production of technological solutions.
We’ve produced this policy in response to requests from providers and wider health systems for guidance and support in producing their own elective access policies | NHS Improvement
The purpose of this policy is to ensure all patients requiring access to outpatient appointments, diagnostics and elective inpatient or day-case treatment are managed in line with national waiting time standards and the NHS Constitution.
is designed to ensure the management of elective patient access to services is transparent, fair, equitable and managed according to clinical priorities
sets out the principles and rules for managing patients through their elective care pathway
applies to all clinical and administrative staff, and services relating to elective patient access at the trust
New report from the Nuffield Trust evaluates an initiative called the Primary Care Home (PCH) model developed by the National Association of Primary Care (NAPC).
The primary care home model was developed by the National Association of Primary Care as a response to workforce challenges, rising demand and opportunities to shape transformation in local health and care systems across England.
This report from the Nufield Trust suggests that the new models of primary care provision are showing early signs of success but will need more resources and support for these models to work well on a permanent basis.
The evaluation found that participating in the primary care home programme had strengthened inter-professional working between GPs and other health professionals while also stimulating new services and ways of working, tailored to the needs of different patient groups.
It was judged to be too early in the scheme’s development for the Nuffield Trust to quantify impacts on patient outcomes, patient experience or use of wider health services.
Moorfields Eye Hospital NHS Foundation Trust is one of the 13 acute care vanguards which aim to “link hospitals together to improve their clinical and financial viability, reducing variation in care and efficiency” | Institute of Healthcare Management
The Moorfields vanguard team has spent the past year exploring whether the longer-term sustainability of single speciality services can be strengthened by entering into a networked care partnership, and the other benefits that the model might bring.
The team was keen to understand what makes the biggest difference for patients, staff and partner organisations in getting things right first time when establishing a networked care partnership; and to identify the best way to sustain services so that specialist care can continue to be offered locally.
The team’s findings are shared in the toolkit, an online resource with evidenced-based learning that other trusts can use to evaluate whether networked care could help their smaller clinical services. It has practical advice on how organisations can establish their own network in the way for them.
The toolkit also includes recommendations on how to:
ensure consistent quality of care at multiple sites