NHS Improvement | Approved Costing Guidance: standards | April 2018
NHS England has produced costing standards for acute, ambulance, mental health and community services. It includes the refreshed ambulance costing standards, ambulance technical document, acute costing approaches and acute technical document. The development version of the mental health costing standards was published on 6 April.
For each sector there are up to four different types of standard:
information requirements: describe the information you need to collect for costing
costing processes: describe the costing process you should follow
costing methods: focus on high volume and high-value services or departments
costing approaches: focus on high volume or high-value procedures and procedures that can be difficult to cost well
The documents available are:
mental health costing standards, technical document, costing manual template and information and standards gap analysis templates
ambulance costing manual template and refreshed costing standards and technical documents
refreshed acute costing approaches and technical document
NHS Improvement has written to the chief executives of all trusts providing community services setting out actions they must implement to reduce delayed transfers of care over winter. | NHS Improvement | HSJ
NHS Improvement chief executive Jim Mackey has said trusts must help improve delayed discharges over winter and listed six actions they need to carry out in the next six months:
Facilitate the sharing of patient data with acute and social care partners and from 7 November ensure daily situation reports are completed “to enable better understanding of community services at a national level”.
Jointly assess discharge pathways with local partners including “being an active participant in the local acute provider’s discharge and hosting operational discussions daily where necessary to discharge patients in community settings”.
Develop “discharges hubs” over the next six months and beyond, designed to be a single point of access for patients moving between acute and community services.
Ensure a “robust patient choice policy” is implemented.
Clarify to partner organisations what services the trust offers to patients.
Ensure collection of patient flow data and data on plans to improve patient flow.
Full detail is given by NHS Improvement who have produced the following report to help improve flow into and out of community health services:
Report finds that though representation of women on NHS boards has shown improvement, women are still not being sufficiently represented in key leadership roles. | University of Exeter Business School | NHS Employers | NHS Improvement.
This report, written by Professor Ruth Sealy of the University of Exeter Business School, examines the steps the NHS needs to take to reach the target of equal gender representation on boards by 2020. It summarises demographic data from 452 organisations, including arms-length bodies, NHS trusts and clinical commissioning groups.
The report reveals that of 245 NHS trusts and arms-length bodies (ALB), the percentage of female chief executives was found to be encouraging at 42.6%. But the representation of women in other key roles within these organisations was disappointing, as only 26.3% of finance directors and 24.6% of medical directors are women.
The HFMA and NHS Improvement have worked in partnership to update and revise the NHS efficiency map.
The map is a tool that promotes best practice in identifying, delivering and monitoring cost improvement programmes (CIPs) in the NHS. The map contains links to a range of tools and guidance to help NHS bodies improve their efficiency.
The national focus on improving efficiency and productivity will mean taking local action to deliver savings remains a priority for all NHS organisations. Aimed at NHS finance directors and their teams and other NHS staff with an interest in the delivery of CIPs, the purpose of the NHS efficiency map is to highlight existing resources on eliminating waste, increasing efficiency and at the same time improving quality and safety.
The map is split into three sections: enablers for efficiency, provider efficiency and system efficiency. The map highlights the successes some NHS providers have had in delivering specific efficiency schemes and provides sign-posts to existing tools and reference materials. It also includes updated definitions for different types of efficiency.
The map will be updated as new tools and case studies are produced.