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National Audit Office Report By The Comptroller And Auditor General Improving Health In Wales
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Book Synopsis Transforming NHS ambulance services by : Great Britain: National Audit Office
Download or read book Transforming NHS ambulance services written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2011-06-10 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Department of Health has until recently been focusing on speed of response as a measure of performance of the ambulance service, rather than on clinical outcomes for patients. The ambulance service achieves high levels of public satisfaction but there are wide variations in ambulance trusts' efficiency and the NAO concludes that the system has not delivered the best value for money to date. The 8-minute response target, intended for the most seriously ill patients, is one of the most demanding in the world. However, its application has skewed ambulance trusts' approach to performance measurement and management. The target is also applied to a much wider group of patients than intended. The report identifies various inefficiencies in the system, with cost per incident varying between £176 and £251. There is scope across the urgent and emergency care system to make more of different ways of responding to patients, such as clinical advice to callers over the phone and taking patients to minor injuries units rather than A&E departments. If all 11 trusts adopted the best practice currently being used in at least one trust, the NHS could save £165 million a year. The elements of the emergency care system are not yet fully integrated and this leads to delays in turnaround times at hospital A&Es. Over one-fifth of patient handovers take longer than the recommended 15 minutes. The new clinical quality indicators introduced from April offer the potential for a fuller measurement of performance based on outcomes.
Book Synopsis National Audit Office - Department of Health: Maternity Services in England - HC 794 by : Great Britain: National Audit Office
Download or read book National Audit Office - Department of Health: Maternity Services in England - HC 794 written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2013-11-08 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the Department's 2007 Maternity Matters strategy, there has been improvement in maternity services. However, there is wide variation between trusts in performance. The Department did not fully consider the implications of delivering its ambitions and has failed to demonstrate that it satisfactorily considered the achievability and affordability of implementing the strategy. Nor has it monitored national progress against it. In 2011, one in 133 babies was stillborn or died within several days of birth. The mortality rate has fallen over time, but comparisons with the other UK nations suggest scope for further improvement. Trusts paid £482 million for maternity clinical negligence cover in 2012-13, equating to around a fifth of spending on maternity services. The level of consultant presence has substantially improved but over half of maternity units (including all of the largest units) do not meet recommended levels. The NHS is also not meeting a widely recognised benchmark of one midwife to 29.5 births. The government has commissioned more places to study midwifery, but it is unclear whether these will be enough. Meeting the benchmark would require around 2,300 additional midwives nationally. In terms of choice of place of birth, 79 per cent of women are currently within a 30-minute drive of both an obstetric and midwifery-led unit, compared with 59 per cent in 2007. However, choice is restricted where units have to close because of a lack of physical capacity or midwives. Over a quarter of units closed for half a day or more between April and September 2012
Book Synopsis The Quest for Quality in the NHS by : Sheila Leatherman
Download or read book The Quest for Quality in the NHS written by Sheila Leatherman and published by CRC Press. This book was released on 2018-12-14 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: PUBLISHED IN ASSOCIATION WITH THE NUFFIELD TRUST Quality is an issue of central importance in the NHS and yet, despite a considerable number of initiatives, programmes and organisation that have focussed on improving quality in the NHS over recent years, there's no comprehensive, reliable balance and rigorous account of the strengths and weaknesses in healthcare delivery. This book provides an authoritative and accessible account of the state of quality in the NHS. Unless information on quality is properly gathered, organised, analysed and used, the health service will continue to lack a foundation on which sustained and systemic improvement can be based. The Quest for Quality in the NHS: a chartbook on quality of care in the UK is a comprehensive, rigorous and robust account of healthcare quality and will inform the public, managers, researchers and policymakers about gaps between what is possible, and what is delivered by the healthcare system.
Book Synopsis Fair Society, Healthy Lives by : Michael Marmot
Download or read book Fair Society, Healthy Lives written by Michael Marmot and published by Olschki. This book was released on 2013 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Major trauma care in England by : Great Britain: National Audit Office
Download or read book Major trauma care in England written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2010-02-05 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Care for patients who have suffered major trauma, for example following a road accident or a fall, has not significantly improved in the last 20 years despite numerous reports identifying poor practice, and services are not being delivered efficiently or effectively. Survival rates vary significantly, with a range from five unexpected survivors to eight unexpected deaths per 100 trauma patients, reflecting the variable quality of care. 450 to 600 lives could be saved each year in England if major trauma care was managed more effectively. For best outcomes care should be led by consultants experienced in major trauma; but major trauma is most likely to occur at night and at weekends, when consultants are not normally in the emergency department. Major trauma care is not coordinated and there are no formal arrangements for taking patients directly for specialist treatment or transferring them between hospitals. A significant number of patients that need a scan CT do not receive one. Not enough patients who need a critical care bed are given one. Access to rehabilitation services varies and patients are not always receiving the care that they need. The estimated annual lost economic output from deaths and serious injuries from major trauma is between £3.3 billion and £3.7 billion. Only 60 per cent of hospitals delivering major trauma care contribute to the Trauma Audit and Research Network (TARN). The performance of the 40 per cent of hospitals that do not submit data to TARN cannot be measured.
Book Synopsis Alexander's Nursing Practice by : Chris Brooker
Download or read book Alexander's Nursing Practice written by Chris Brooker and published by Elsevier Health Sciences. This book was released on 2013-03-20 with total page 996 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most comprehensive UK Adult Nursing core text, now in its fourth edition, for the next generation of nurses. This best-selling textbook has been fully revised by a team of experienced nurses for nurses focusing on the issues that are important to them. It provides a comprehensive source of the knowledge and skills required for competent, evidence-based nursing practice. High quality nursing care is patient-centred, knowledgeable and based on the best available evidence. This book will help you to achieve that. The new edition is now in full colour and offers an exciting companion website including: self-test quiz questions with full explanations with the answers ; critical-thinking questions with outline answers; full colour photographs, diagrams, tables and care plans; hyper-linked references and all the images from the book. Key nursing issues summarise each chapter and enable you to check your understanding Interactive Reflection and Evidence-based practice boxes help make links between theory and practice A Reflection and Learning feature in each chapter to help you consider your learning and professional development and how you can use it to enhance patient/client care An exciting companion website including: Self-test quiz questions with full explanations with the answers Critical-thinking questions with outline answers Full colour photographs, diagrams, tables and care plans Hyper-linked references All the images from the book
Book Synopsis Organization and Financing of Public Health Services in Europe by : Centers of Disease Control
Download or read book Organization and Financing of Public Health Services in Europe written by Centers of Disease Control and published by World Health Organization. This book was released on 2018-06-29 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: What are public health services? Countries across Europe understand what they are or what they should include differently. This study describes the experiences of nine countries detailing the ways they have opted to organize and finance public health services and train and employ their public health workforce. It covers England France Germany Italy the Netherlands Slovenia Sweden Poland and the Republic of Moldova and aims to give insights into current practice that will support decision-makers in their efforts to strengthen public health capacities and services. Each country chapter captures the historical background of public health services and the context in which they operate; sets out the main organizational structures; assesses the sources of public health financing and how it is allocated; explains the training and employment of the public health workforce; and analyses existing frameworks for quality and performance assessment. The study reveals a wide range of experience and variation across Europe and clearly illustrates two fundamentally different approaches to public health services: integration with curative health services (as in Slovenia or Sweden) or organization and provision through a separate parallel structure (Republic of Moldova). The case studies explore the context that explain this divergence and its implications. This study is the result of close collaboration between the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe Division of Health Systems and Public Health. It accompanies two other Observatory publications Organization and financing of public health services in Europe and The role of public health organizations in addressing public health problems in Europe: the case of obesity alcohol and antimicrobial resistance (both forthcoming).
Book Synopsis Principles for Best Practice in Clinical Audit by :
Download or read book Principles for Best Practice in Clinical Audit written by and published by Radcliffe Publishing. This book was released on 2002 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical audit is at the heart of clinical governance. Provides the mechanisms for reviewing the quality of everyday care provided to patients with common conditions like asthma or diabetes. Builds on a long history of doctors, nurses and other healthcare professionals reviewing case notes and seeking ways to serve their patients better. Addresses the quality issues systematically and explicitly, providing reliable information. Can confirm the quality of clinical services and highlight the need for improvement. Provides clear statements of principle about clinical audit in the NHS.
Book Synopsis Territorial Politics and Health Policy by : Scott L. Greer
Download or read book Territorial Politics and Health Policy written by Scott L. Greer and published by Manchester University Press. This book was released on 2004 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study identifies the different combinations of market, profession, management and civil society that England, Northern Ireland, Scotland, and Wales chose in their efforts to provide health services to all. It explains why these four health systems, despite facing similar pressures and opportunities, have developed dramatically different health policy trajectories.
Book Synopsis Alexander's Nursing Practice E-Book by : Chris Brooker
Download or read book Alexander's Nursing Practice E-Book written by Chris Brooker and published by Elsevier Health Sciences. This book was released on 2011-05-10 with total page 996 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most comprehensive UK Adult Nursing core text, now in its fourth edition, for the next generation of nurses... This best-selling textbook has been fully revised by a team of experienced nurses for nurses focusing on the issues that are important to them. It provides a comprehensive source of the knowledge and skills required for competent, evidence-based nursing practice. High quality nursing care is patient-centred, knowledgeable and based on the best available evidence. This book will help you to achieve that. Key nursing issues summarise each chapter and enable you to check your understanding Interactive Reflection and Evidence-based practice boxes help make links between theory and practice A Reflection and Learning feature in each chapter to help you consider your learning and professional development and how you can use it to enhance patient/client care An exciting companion website including: Self-test quiz questions with full explanations with the answers Critical-thinking questions with outline answers Full colour photographs, diagrams, tables and care plans Hyper-linked references All the images from the book
Book Synopsis Improving Lives by : Great Britain: Department for Work and Pensions
Download or read book Improving Lives written by Great Britain: Department for Work and Pensions and published by . This book was released on 2016-10-31 with total page 93 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dated October 2016. Print and web pdfs available at https://www.gov.uk/government/publications Web ISBN=9781474137805
Book Synopsis Managing Risks to Improve Public Services by : Great Britain: National Audit Office
Download or read book Managing Risks to Improve Public Services written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2004 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years a great deal of effort has been put into improving risk management in departments and in 2002 this was given further impetus when a two year risk programme was launched by the Prime Minister. This report looks at the progress made since the previous NAO report in 2000 (HC 864 1999-2000, ISBN 0105569488). It is based on a survey of the 20 main Whitehall departments, focus groups of 27 departmental risk managers, comparisons with the private sector, academic research and five case studies. The general conclusion is that significant improvement has been made but more needs to be done to make effective risk management a central part of general management processes. The ability to take risks and innovate, keep projects on track and handle complex service delivery needs to be further developed.
Book Synopsis The Role of the Comptroller and Auditor General by : Great Britain. Treasury
Download or read book The Role of the Comptroller and Auditor General written by Great Britain. Treasury and published by . This book was released on 1980 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Healthcare Across the UK by : Great Britain. National Audit Office
Download or read book Healthcare Across the UK written by Great Britain. National Audit Office and published by The Stationery Office. This book was released on 2012 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report highlights key trends and variations in the delivery of healthcare across the four nations of the UK. Life expectancy varies significantly across the UK - from 75.9 in Scotland to 78.6 in England for men, and from 80.4 in Scotland to 82.6 in England for women. Spending on health services in the UK more than doubled in cash terms in the last decade. In 2010-11, despite devoting a higher proportion of total public spending to health, England spent the least on health per person. NHS staff has also increased over the last decade. Scotland has the most GPs per person (80 per 100,000 people in 2009 compared with 70 in England and 65 per 100,000 in both Wales and Northern Ireland). Scotland also has the most medical hospital staff and nursing, midwifery and health visiting staff per person. Comparable data on the efficiency and quality of healthcare are patchy. In 2008-09, average hospital lengths of stay varied from 4.3 days in England to 6.3 days in Wales. Hospital waiting times have fallen in all four nations in recent years, although there are notable variations in how long patients wait for common procedures. In 2009-10 waiting times tended to be lower in England and Wales. There have been significant improvements in levels of healthcare associated infections with rates of MRSA infection dropping by a third or more in all nations. The NAO considers that there would be value in the health departments in the four nations carrying out further work to investigate the variations in performance and identify how they can learn from each other
Author :Great Britain: Department of Health Publisher :The Stationery Office ISBN 13 :9780101798525 Total Pages :104 pages Book Rating :4.7/5 (985 download)
Book Synopsis Healthy lives, healthy people by : Great Britain: Department of Health
Download or read book Healthy lives, healthy people written by Great Britain: Department of Health and published by The Stationery Office. This book was released on 2010-11-30 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Government recognises that many lifestyle-driven health problems are at alarming levels: obesity; high rates of sexually transmitted infections; a relatively large population of drug users; rising levels of harm from alcohol; 80,000 deaths a year from smoking; poor mental health; health inequalities between rich and poor. This white paper outlines the Government's proposals to protect the population from serious health threats; help people live longer, healthier and more fulfilling lives; and improve the health of the poorest. It aims to empower individuals to make healthy choices and give communities and local government the freedom, responsibility and funding to innovate and develop ways of improving public health in their area. The paper responds to Sir Michael Marmot's strategic review of health inequalities in England post 2010 - "Fair society, healthy lives" (available at http://www.marmotreview.org/AssetLibrary/pdfs/Reports/FairSocietyHealthyLives.pdf) and adopts its life course framework for tackling the wider social determinants of health. A new dedicated public health service - Public Health England - will be created to ensure excellence, expertise and responsiveness, particularly on health protection where a national response is vital. The paper gives a timetable showing how the proposals will be implemented and an annex sets out a vision of the role of the Director of Public Health. The Department is also publishing a fuller story on the health of England in "Our health and wellbeing today" (http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/dh_122238.pdf), detailing the challenges and opportunities, and in 2011 will issue documents on major public health issues.
Book Synopsis Who Decides Who Decides? by : John Spiers
Download or read book Who Decides Who Decides? written by John Spiers and published by CRC Press. This book was released on 2016-07-12 with total page 271 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book makes the case for 'ordinary' people to get the health and social care which the state has promised them for over 60 years but which has not been delivered. What is the case for choice? How can choice be made real for the individual? What impact can genuine, individually financially-empowered choice have on effective funding, purchasing, delivery, and outcomes? How can a genuine market grow and thrive? How can the quest for choice include the large numbers of NHS and social care staff on whom success depends? The book urges individual financial empowerment, through a life-long health savings account for all NHS and social services.
Book Synopsis Lewis and Buchan: Clinical Negligence – A Practical Guide by : Andrew Buchan
Download or read book Lewis and Buchan: Clinical Negligence – A Practical Guide written by Andrew Buchan and published by Bloomsbury Publishing. This book was released on 2019-10-25 with total page 1124 pages. Available in PDF, EPUB and Kindle. Book excerpt: Professional negligence cases are a minefield and clinical negligence cases are no exception. Providing invaluable advice from the leading experts in the field for each stage in a claim for clinical negligence. Full analysis of the relevant governing procedures and principles is provided, plus issues of funding and costs, including complaints procedures and procedures in the Court of Protection, as well as the interplay with human rights and the role of expert witnesses. The Eighth Edition ensures that practitioners maintain a progressive edge by providing useful precedents such as the latest model directions, instructions for experts and draft agendas for experts. It contains a new chapter on product liability and a separate Welsh chapter. It also includes coverage of the more than 250 reported cases concerning clinical negligence since the last edition. This includes: 2 in the Supreme Court 36 in the Court of Appeal - Civil Division 226 in the Queen's Bench Division 20+ in the county courts These cases cover a wide range of subjects from causation and breach of duty through to specifics relating to life expectancy and wrongful birth. An invaluable resource for all those involved in clinical negligence cases including personal injury and medical law solicitors, barristers and the judiciary. Medical doctors and legal advisors in NHS trusts will also find this a helpful guide. “This is a first class book, which provides a scholarly account of clinical negligence law”. Journal of Professional Negligence (Review of a previous edition)
