Where is the evidence for promoting integrated care?
There are a range of health and social care integration pilots currently active being encouraged by government initiatives. This HSJ article (12 February 2014 Subscription required) includes links to HSJ articles describing some of the key pilots.
The new outcomes based contracting model proposed in Oxford has been hitting the headlines recently – if someone asked you to find out about it where would you look?
See the new Hot Topic page on Provider Procurement Models in the Handbook to find out about the models described in the latest NHS Standard Contract including Lead Providers and the Oxford CCG case study.
- Got a suggestion for a Hot Topic? Contact us here.
Map of medicine provide a referral management function – their editorial paper Having it all: efficient and high quality referral management (Jan 2014) includes articles from guest contributors who share their perspectives on the referral process is available on request.
There are few good resources for commissioners around intermediate care. The National Audit of Intermediate Care from NHS Benchmarking is available to non subscribers to the service and includes case studies and a systematic review of the evidence around the relationship between different team characteristics and patient outcomes in intermediate care –
Exploring Differences between Different Intermediate Care Configurations – A Review of the Literature. Dr Tony Smith et al. NHS Benchmarking 2013.
This resource has been added to the Handbook on the Commissioning for specific service sectors page under Planned Care and Benchmarking
Public Health England Health Intelligence Networks have been developed to deliver information, data, best practice, evidence and predictive models to support strategic decision making.
The following have been added to the Commissioning Handbook page on specific diseases or conditions
A quick guide to local government for health commissioners and providers Local Government Authority (May 2013) – A clear and succinct guide to the role and scope of local government from what they do and how they work to spending and funding.
NHS National service frameworks and strategies
This page on NHS Choices outline the National Service Frameworks (NSFs) and strategies for care across a range of conditions – currently Cancer, CHD, COPD, Diabetes Quality Standards, Kidney Care, Long term conditions, Mental Health, Older People, and stroke.
I posted recently about the HSCIC publication “Trends in consultation rates in General Practice 1995-2009” and the fact that this data is no longer collected. However I have found a Centre for Health Economics (CHE) report which extrapolates data from the GP Patient survey to estimate the number of GP consultations for its publication on NHS Productivity from 2004 to 2011.
Reduction in unwarranted variation is one of the keys of the governments savings healthcare policies. RightCare have published a series of themed atlases in its Variation in Healthcare series, graphically presenting variation in health services across CCGs, (and former PCTs) and hospitals. Right Care has also published a series of themed atlases on a range of conditions or populations. They have just added a new atlas – Diagnostic Services – to the series.
- The Diagnostic services atlas has been added to the Analysis of Variation section of the Deciding Priorities page of the Commissioning Handbook for Librarians
Better Health briefing papers are written by experts to provide the latest evidence on the health experiences of black and minority ethnic communities. The papers identify good practice examples, and include detailed references to help practitioners explore the evidence further.
Topics to date include dementia, dental health, tobacco use and organ donation.