Commissioning to prevent falls

Effective commissioning for falls and fracture prevention will reduce demand and improve quality and outcomes. A consensus statement published by PHE compiled by the National Falls Prevention Coordination Group –  Falls and fracture consensus statement: supporting commissioning for prevention  brings together proven approaches to interventions and activities which help to prevent falls and fractures but which are currently not always managed effectively.

Added to the Older People section of the Resources for Specific Populations page.

 

Integration resources and outcomes based contracting

In these days of increasing integration with the SPTs the Integration resource library from the LGA will be very useful. It includes definitions, FAQs, tools and resources to support the development of local integrated health and care services.

Also, I found a series of reports from Optimy Advisory on Outcomes Based Contracting, published in 2015 but potentially still useful. Topics include System Readiness, Business Case, Outcome Measures, Business Intelligence, Payment and Reimbursement and Governance. See the series here.

New End of Life / Palliative care knowledge hub

For those involved in end of life care/palliative care this new Knowledge Hub will be of interest:

Ambitions for Palliative and End of Life Care

“A knowledge hub where you can find resources, such as assessment tools, useful information, best practice examples and case studies, that will help you implement the Ambitions framework.” Many of the resources have been transferred from the NHS IQ and the End of Life Care Facilitators’ Network websites.

Now listed on the Specific Conditions page.

Commissioning Guidance from TVSCN

Thames Valley Strategic Clinical Networks publishes an annual compilation of Commissioning Guidance & Case Studies covering a wide range of specialisms including LTCs, end of life care, maternity, children, cardiovascular, cancer, neurological conditions and mental health. The Guidance bring national priorities and thought leadership to the local context, benchmarking systems and providing recommendations for action. It distills not only ‘what to do’ but also ‘how to do it’ with best practice examples and sources of help.

While the data and examples are taken from the Thames Valley area, the resources will be of general interest.

The 2016-17 Guidance is available here commissioninguidance.tvscn.nhs.uk.

Demand Management: Good Practice Guide

NHS England has published a Demand Management: Good Practice Guide  which gives a list of initiatives and actions that CCGs should implement locally to effectively manage the increasing demand for elective care services, in particular reduce unnecessary outpatient appointments.

The guide outlines the elements CCGs are expected to include in their approach to demand management:

  • Peer Review of Referrals
  • Shared Decision Making
  • Choice
  • Advice and Guidance
  • Alternatives to Outpatient Appointments
  • Consultant-to Consultant Referral Protocols
  • Direct Access to Diagnostics
  • Management and Monitoring of Outpatient
  • Follow up Appointments

This has been added to the Demand Management Hot Topic page.

Updated PHE Data and Knowledge Gateway

The Public Health England Data and knowledge gateway has been rebadged as PHE data and analysis toolsIt is a single point of access to data and analysis tools produced by organisations that are now part of PHE – including  public health observatories, the Health Protection Agency, and cancer registries. The resources cover a wide range of public health areas, including:

  • specific health conditions – such as cancer, mental health, cardiovascular disease
  • lifestyle risk factors – such as smoking, alcohol and obesity
  • wider determinants of health – such as environment, housing and deprivation
  • health protection, and differences between population groups, including adults, older people, and children.

See the Datasets page.

New Diabetes evidence collection

A new Dementia Evidence Toolkit  which brings together the key evidence around this important area is now available. It was  developed as part of the MODEM (Modelling the Outcome and Cost Impacts of Interventions for Dementia) project and includes:

This resource has been added the to Conditions page of the Handbook

Services that provide emergency care to older people in their own homes

A recent request on the LIS Medical mailing list asked people for examples of services that provide emergency care to older people in their own homes – and the group came up with a number of really useful examples. These have been added to our Hot Topic page – Acute Services in the Community under Case studies by Clinical Specialty – Frail Elderly.

This is a great example of collaborative work between medical librarians.