Welcome to
the latest overview of key papers and publications from the past month that
impact on the NHS and healthcare service delivery.
Please
click on the title of the articles below and enter your OpenAthens username and password to
download the full text or contact the library at esth.hirsonlibrary@nhs.net to request the full text.
Abstract: This report shares the findings from a project
commissioned by NHS Improvement to evaluate current leadership arrangements for
AHPs. The evaluation summary and self-assessment report will enable trust
boards to improve leadership arrangements for their allied health professions
(AHPs).
Source: NHS Improvement; 2019 [Freely
available online]
Abstract: HEE
commissioned the National Workforce Skills Development Unit at the Tavistock
and Portman NHS Foundation Trust to develop this resource. The framework
encourages employers to take a closer look at the systems they currently have
in place for managing staff wellbeing, challenges them to give greater
consideration to the impact workforce stress has on staff and look at the
role they can play in providing better support to staff who may need it.
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Source: Health Education England (HEE); 2019 [Freely available online]
Abstract: The
people performance management toolkit encourages NHS managers to make time to
talk about all aspects of performance with staff. Whether you are a new or
experienced people manager, the toolkit provides practical support and aims to
help you develop the skills needed to deal with key management situations
confidently and consistently.
Source: NHS Employers; 2019 [Freely available online]
Abstract: This review examines the current
and emerging challenges for health leadership and workforce management in
diverse contexts and health systems at three structural levels, from the
overarching macro (international, national) context to the meso context of
organisations through to the micro context of individual healthcare managers.
Source: BMC Health Services Research 2019; 19(1): 239
Abstract: Aimed at employers in the NHS,
the guide has been developed from work which began during 2016/17 and continued
in partnership with NHS Improvement in 2018/19. During this time, NHS Employers
has engaged with a large number of NHS organisations to help understand their
retention challenges and equip them with tools and resources to shape and
implement effective workforce retention plans. This guide showcases the work
developed as a result of working with these organisations.
Source: NHS Employers;
2019 [Freely
available online]
Abstract: This report is a practical guide to developing an organisation-wide
approach to improvement. It summarises the benefits of such an approach and
outlines the key elements and steps that NHS trust leaders should adopt when
pursuing this agenda.
Source: The Health Foundation; 2019 [Freely available online]
Abstract: The NHS in England employs 1.5
million people. It is the country’s biggest employer and one of the largest
employers globally. Despite the huge scale of its labour force, it is
increasingly apparent that the NHS doesn’t have enough staff to meet demand.
This report lays out the facts on size and structure of the current NHS
workforce. It highlights the extent of current shortages and their effect, and
outlines some of the workforce pressures that lie ahead.
Source: Nuffield Trust; 2019 [Freely available online]
Abstract: This report finds that, while the NHS did
balance its overall budget in 2017/18, there is a disparity in financial health
and patient experience at a local level. It concludes that the top-level
picture hides warning signs that the NHS's financial health is getting
worse: increasing loans to support trusts in difficulty; raids on capital
budgets to cover revenue shortfalls; and the growth in waiting lists and
slippage in waiting times do not indicate a sustainable position.
Source: Public
Accounts Committee; 2019 [Freely available online]
Abstract: This guidance sets out how changes to charging
regulations will affect how NHS organisations recover costs from overseas
visitors and migrants if the UK leaves the European Union with no deal.
Source: Department of Health and Social Care; 2019 [Freely available online]
Abstract: The Home Office holds information on people living, working, visiting or
studying in the UK and who are subject to visa control. The NHS is legally
obliged - through the Department of Health and Social Care - to inform the Home
Office of a relevant unpaid debt for NHS care. Debts may be a ground to refuse
an application for a new visa, or extension of stay for a person subject to
immigration control. This privacy notice explains overseas patients’ rights and
sets out the information they are entitled under the Data Protection Act 2018
and the General Data Protection Regulation 2016/279.
Source: Department of
Health and Social Care; 2019 [Freely available online]
Abstract: This NHS patient guidance
explains why immigration status checks are required and what happens when they
are made.
Source: Department of Health and Social Care; 2019 [Freely available online]
Abstract: The National
Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017
currently determine the rules over charging ‘overseas visitors’ for NHS care in
England. The British Medical Association has been consistently critical of the
regulations, which they believe have a negative impact on both patients and
doctors and have conducted a survey of their membership to gain greater insight
into how the regulations affect doctor’s daily work. They state this survey
provides clear evidence that the regulations are deterring vulnerable groups
from accessing NHS treatment, threatening public health, and taking vital
clinical time away from patient care.
Source: The King’s Fund; 2019 [Freely available online]
What does
the NHS England review of waiting times mean for accident and emergency (A&E)
departments?
Abstract: The current
review of the main NHS performance targets, led by the NHS England National
Medical Director Professor Steve Powis, published an interim report in March
2019. The report proposes substantial changes to how waiting times for A&E,
routine hospital, cancer and mental health services will operate in future. Our
long read runs through some of the issues the review raises for A&E
departments.
Source: The King’s Fund;
2019 [Freely available online]
Abstract: This report
assesses the progress that Great Britain has made towards improving social
mobility. It highlights that inequality is entrenched in Britain, from birth to
work and discusses the links between poverty and health. It also finds that
being born privileged means you are likely to remain privileged,
while being born disadvantaged means you may have to overcome barriers to
improve you and your children’s social mobility. It concludes that
urgent action needs to be taken to help close the privilege gap.
Source: Social Mobility Commission; 2019 [Freely available online]
Abstract: This report uses
NHS England figures to examine the performance of the NHS during recent winters
and over the long term. The report finds that winter 2018/19 saw the NHS once
again under pressure, with A&E attendances and emergency admissions up,
high bed occupancy, cancer waiting times growing and 4.3 million people now
waiting for treatment. Many doctors worked extra hours and morale suffered.
Source: British Medical
Association; 2019 [Freely available online]
Abstract: This report
presents two years of workforce race equality data and enables organisations to
compare their performance with others providing similar services, with the aim
of encouraging improvement by learning and sharing good practice.
Source: NHS England; 2019 [Freely available online]
