Friday, November 15, 2019

Health Management Bulletin: Autumn 2019


Welcome to the latest overview of key papers and publications from the past quarter 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 study proves that organizational attractiveness is vital for hospital managers to focus on, as it affects employees' perception of whether the organization is a great place to work. It reveals the need for those same managers to develop an internal market-oriented culture (IMOC) directed toward hospital frontline employees, as it has both a direct effect on organizational attractiveness and an indirect effect on employees' engagement, turnover intention, and service quality.
Source: BMC Health Services Research 2019; 19(1): 307

Abstract: This briefing looks at differences in basic pay between men and women based on NHS electronic staff record data for December 2017, revealed among other findings that the median gender pay gap for directly employed staff was 8.6% in favour of men – equivalent to an earnings gap of £207 over that month.
Source: Nuffield Trust; 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]

Abstract: This toolkit aims to educate and empower staff to improve professionalism within their workplace, helping organisations move towards making the NHS the best place to work. The toolkit is based on tried and tested work undertaken by Hull University Teaching Hospitals NHS Trust and is designed to help staff embed the PACT programme in their organisation. It contains practical information, advice and solutions to equip staff to deal with unprofessional attitudes and behaviours in the workplace.
Source: NHS Employers; 2019 [Freely available online]

Abstract: In this article and video, we'll look at why making personal and organizational change can be so difficult, and how to make it easier.
Source: Mind Tools; 2019 [Freely available online]

Abstract: This report examines the arrangements for the recruitment and appointment of chairs and non-executives within the NHS. As the report demonstrates, the progress and gains made in the early 2000s towards a more diverse board leadership in NHS trusts has gone into reverse or made no progress.
Source: NHS Confederation; 2019 [Freely available online]

Abstract: This interim plan, developed collaboratively with national leaders and partners, sets a vision for how people working in the NHS will be supported to deliver care and identifies the actions that NHS England will take to help them.
Source: NHS Improvement; 2019 [Freely available online]

Abstract: This report contains the observations of nine new NHS chief executives, with tenures from 18 months to 2.5 years. It outlines the views of the new NHS chief executives on the changes in leadership approach and culture that they believe will be required if the NHS is to meet the ambitions of the long-term plan.
Source: NHS Confederation; 2019 [Freely available online]

Abstract: Commissioned by Health Education England, this framework has been produced by Tavistock and Portman NHS Foundation Trust's national workforce skills development unit to help organisations minimise the impact of workforce stress.
Source: Health Education England (HEE); 2019 [Freely available online]

Abstract: This briefing offers some top tips for maximising use of data from the NHS Staff Survey.
Source: NHS Employers; 2019 [Freely available online]

Abstract: No one has a fool proof vision of the future, and even if your instincts are good, the outcomes that you predict could be disrupted by a range of different factors. On the other hand, things may turn out far better than you expected! In this article, we explore how Scenario Analysis can bring these hopes and fears into the open, give you a rational framework for exploring them, and enable you to make the best possible choices.
Source: Mind Tools; 2019 [Freely available online]

Abstract: Our new report, supported by NHS Property Services, outlines the findings of research on the impact of technology on the NHS estate. The purpose of our work was to understand how technological developments in the NHS are affecting the estate currently, and to identify opportunities for planning technology and the estate together in future.
Source: The King’s Fund, 2019 [Freely available online]
  
Abstract: The NHS treats more and more people each year, and patients have a right to expect to receive treatment within the timescales set out by the NHS Constitution. This report finds that increasing numbers of patients are being let down by the NHS’s failure to meet deadlines for waiting times. The percentage of patients treated within waiting times standards continues to get worse for both elective (non-urgent care) and cancer treatment. The report finds that less than half of trusts meet the 18-week waiting time’s standard for elective treatment, and only 38 per cent meet the 62-day standard from referral to treatment for cancer patients.
Source: Public Accounts Committee, 2019 [Freely available online]

Abstract:  What was the real story of winter for trusts, their patients, and hard-pressed frontline staff? This briefing examines winter 2018/19 for the provider sector. It urges health leaders not to draw false comfort from the noticeable absence of stories about ‘winter pressures’ in the media earlier this year.
Source: NHS Providers, 2019 [Freely available online]

Abstract: Following the publication of the NHS long-term plan, NHS England and NHS Improvement committed to publishing an implementation framework, setting out further detail on how it would be delivered. Local systems are developing their five-year strategic plans, which will describe the population needs and case for change in each area, then propose practical actions that the system will take to deliver the commitments set out in the NHS long-term plan. The framework summarises these commitments alongside further information to help local system leaders refine their planning and prioritisation. This includes detail about where additional funding will be made available to support specific commitments and where activity will be paid for or commissioned nationally.
Source: NHS England, 2019 [Freely available online]

Abstract: This report looks into how the private hospital sector uses financial incentives to attract NHS consultants to work for them. It argues that this could result in a potential conflict between consultants' income and patients’ best interests. The report was compiled between May 2018 and May 2019 using publicly available data from the websites of private hospitals, NHS trusts and Companies House.
Source: Centre for Health and the Public Interest, 2019 [Freely available online]

Abstract: Patient safety is about maximising the things that go right and minimising the things that go wrong. It is integral to the NHS’s definition of quality in health care, alongside effectiveness and patient experience. This strategy sets out what the NHS will do to achieve its vision to continuously improve patient safety.
Source: NHS England, 2019 [Freely available online]

Abstract: This guidance highlights the need for the NHS to involve users of care services and staff in safety investigations. It aims to help the NHS to create an environment to better support staff when things go wrong and to encourage learning from incidents. Key challenges include fear, equity and fairness, and bullying and harassment.
Source: NHS Resolution, 2019 [Freely available online]

Healthcare for people leaving an immigration removal centre: guidance for NHS providers Abstract: This guidance is for NHS providers, including immigration removal centre (IRC) health care staff. It explains the entitlements and access to NHS care for people who are leaving an IRC and moving into the community.
Source: Department of Health and Social Care, 2019 [Freely available online]

Abstract: This report argues that action must be taken in the next ten years to prevent the collapse of ecosystems, to recover and regenerate nature, and to restore people’s health and wellbeing. It looks at the costs of diet-related illness to the NHS, and in lost work and benefits.
Source: Food, Farming and Countryside Commission, 2019 [Freely available online]

Abstract: This briefing, compiled by the NHS Confederation and its networks, sets out seven key challenges for the NHS in 2019 and beyond including funding, social care and the NHS in a post-Brexit world.
Source: Nuffield Trust, 2019 [Freely available online]

Abstract: This briefing provides an analysis of UK health care spending relative to comparable countries, such as the G7 group of large developed economies or member nations of the Organisation for Economic Co-operation and Development (OECD). It finds that the UK spends an average of £2,989 per person on health care, which is around the median for OECD countries
Source: Office for National Statistics, 2019 [Freely available online]

Abstract: The guidance accessing health care after Brexit has been updated. It covers access to health care for UK residents visiting or living in the EU and Norway, Iceland, Liechtenstein and Switzerland after Brexit.
Source: Department of Health and Social Care, 2019 {Freely available online]

Abstract: In an open letter to MPs, The King's Fund, the Health Foundation and Nuffield Trust summarise the four major areas where the impact of a no deal Brexit could be felt most sharply in health and care.
Source: The King’s Fund, 2019 [Freely available online]

Abstract: This report shows that once the UK is outside the Article 50 framework it will be far harder, and take far longer, to get a deal with the EU. It discusses how health care will be affected, including how the co-ordination of social security will immediately cease. Cross-border health care rests on this, which means planned treatment in other member states will be disrupted. In addition to this, the European Health Insurance Card for emergency treatment will no longer function.
Source: The UK in a Changing Europe, 2019 [Freely available online]

Abstract: This report ranks which services have been outsourced successfully and which need reform. It also shows that consecutive governments have overstated the benefits of outsourcing. Senior politicians regularly claim outsourcing can still deliver 20–30 per cent savings, but there is no evidence to support this.
Source: Institute for Government, 2019 {Freely available online]
  
Abstract: According to this report, if the global health care sector were a country it would be the fifth-largest greenhouse gas emitter on the planet. The report finds that health care’s footprint is equivalent to 4.4 per cent of global net emissions and that fossil fuel combustion makes up well over half of health care’s global climate footprint. The report makes the case for a transformation of the health care sector that aligns it with the Paris Agreement goal of limiting climate change to 1.5 degrees Celsius.
Source: Health Care Without Harm, 2019 [Freely available online]

Abstract: This report draws on the experience and expertise of BMA members across all branches of medical practice in the UK. It outlines where the BMA believes changes are needed to ensure patient care is safe, to make the NHS a great place to work and to transform services for the better.
Source: British Medical Association (BMA), 2019 [Freely available online]

Abstract: This report reviews the Department of Health and Social Care’s (DHSC’s) preparations to make sure the UK has a steady flow of supplies for the health and social care sector when it leaves the EU. It finds that of the 12,300 medicines used in the UK, DHSC estimates that around 7,000 come from or via the EU. The report examines the progress made – working with other government departments, NHS and social care providers, and with private sector suppliers – in implementing the Continuity of Supply Programme. It sets out the DHSC’s plan and records the progress made.
Source: Department of Health & Social Care, 2019 [Freely available online]