Analysis of patterns in preventable emergency admissions

Focus on preventable admissions: Trends in emergency admissions for ambulatory care sensitive conditions, 2001 to 2013. Ian Blunt, QualityWatch October 2013.

This QualityWatch  study examined the pattern of admissions across England for people with ACS conditions over the 12-year period from 2001 to 2013 as an indicator of how well primary and preventive care were working to reduce emergency admissions.

It is part of the work of preventable admissions being carried out under the QualityWatch banner by Nuffield Trust and Health Foundation to provide independent scrutiny into how the quality of health and social care is changing over time. Follow their activities via the QualityWatch website

  • This report has been added to the Urgent Care page of the Commissioning Handbook for Librarians

Consultation rates in General Practice

According to Trends in consultation rates in General Practice 1995-2009, the average patient had 3.9 consultations each year in 1995 rising to 5.4 consultations each year by 2008,  and over the same time the estimated number of consultations for a typical practice in England rose from 21,100 to 34,200.

Sadly there is no more recent data available. This publication is the last in a series based on analysis of a sample of general practices in  England. It includes analysis by age and sex, the number of consultations for the typical general practice, consultations by  health profession (eg GP or nurse) and on where the consultation took place.

Hospital activity by General Practice on the NHS IC Indicator portal

The NHS IC Indicator portal includes a section around GP Practice activity data – describing their  “Impact on NHS resources”  extracted from  Hospital Episode Statistics (HES) and covers 6 areas:

  1. Accident and emergency attendances
  2. Elective admissions
  3. Outpatient appointments
  4. Follow-up activity
  5. Total admissions
  6. Inpatient admissions

You can drill down to individual practices level. Current data is all pre April 2013 ie using old trust configurations.

Don’t forget to send us your suggestions for the Handbook.

Planning for health emergencies – government policy and publications

Planning for health emergencies – This page outlines the DH and Cabinet Office policy around emergency planning and sets out responsibilities of different bodies. There is also a list of the publications relating to the policy – eg winter planning and vaccinations.

  • This resource has been added to the Risk management  page of the Commissioning Handbook for Librarians.

A new resource centre to support self care and informed decision making

The Person-centred care resource centre is a new resource from the Health Foundation  designed to help healthcare professionals implement a more person-centred healthcare service, helping people to manage their condition more effectively and make informed decisions about their own health and care.  Current focus is on supporting people to more effectively manage and informed decision making.

  • This resource has been added to the Long Term Conditions section of the Commissioning for specific diseases or conditions   page of the Commissioning Handbook for Librarians.

News and case studies from Pulse

The GP magazine Pulse publishes news and articles on a number of commissioning topics including – Community services; Emergency admissions; Long-term conditions; Referrals and Urgent care. The pages include RSS feeds.

These topics have been added to appropriate pages across the Commissioning Handbook including

Commissioning for LKS staff workshop, 18 October 2013

The presentations given at the Commissioning for LKS staff workshop in London on 18 October are available on the  Commissioning Handbook. They include:

  • Keynote paper by Sue Lacey-Bryant – helping to understand the context and what the commissioners need from LKS
  • Engagement with commissioners – insights from MIke Rodham
  • Understanding the relationship between LKS and Commissioners– from Kieran Lamb and Lis Edwards (Cheshire & Merseyside CSU)
  • Corporate Memory for Commissioning – what it means for LKS led by Louise Goswami
  • The Commissioning Handbook past present and future – An overview of the development, transition and benefits of the Handbook from Anne Gray

Code of governance for CCGs

NHS clinical commissioning groups code of governance  (ICSA, November 2013)

“A concise governance code, to support clinicians in developing good governance arrangements and to help build and maintain public trust in clinicians and the NHS.”

Understanding value for money and QALYs

Money well spent – assessing the cost effectiveness and return on investment of public health investments – a briefing from the LGA for councillors and officers explaining the importance of assessing value for money in helping local authorities fulfil their public health responsibilities. Includes useful examples of the use of QALYs.

This resource has been added to the Commissioning cycle – Deciding priorities page of the Commissioning Handbook for Librarians.

Don’t forget to send us your suggestions for the Handbook.

British Thoracic Society resources added

The British Thoracic Society (BTS) website includes a collection of BTS guidelines and links to NICE Quality standards around respiratory conditions,  and a collection of implementation tools for the delivery of respiratory care.

This resource has been added to the Commissioning resources for diseases and conditions- Respiratory conditions page of the Commissioning Handbook for Librarians.

Don’t forget to send your suggestions for the Handbook.