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Nhs Waiting Times For Elective Care In England
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Book Synopsis NHS waiting times for elective care in England by : Great Britain: National Audit Office
Download or read book NHS waiting times for elective care in England written by Great Britain: National Audit Office and published by Stationery Office. This book was released on 2014-01-23 with total page 41 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this report the National Audit Office highlights the increasing challenge to the NHS of sustaining the 18-week waiting time standard for elective care and the importance for trusts of having reliable performance information and shared good practice. Value for money is being undermined by the problems with the completeness, consistency and accuracy of patient waiting time data; and by inconsistencies in the way that patient referrals to hospitals are managed. Published waiting time figures need to be treated with a degree of caution. The NAO has identified inconsistencies in the way trusts measure waiting time and errors in the waiting time recorded. Although the rules for applying the waiting times standards are set at a national level, the performances of individual trusts are not directly comparable owing to local variations in how and when each patient's waiting time 'clock' is started, paused or stopped. Sample investigations found some errors and misrecording in various trusts. But NHS England does not have sufficient assurance about how trusts are performing. The system of checks that NHS England uses should spot some errors and inconsistencies, as well as discrepancies between trusts' current and past reported performance. It will not, however, detect errors of the kind identified by the National Audit Office without independent validation of trusts' data. The report recommends therefore, that NHS England should seek additional assurance, possibly through a regime of test checking.
Author :Great Britain: Parliament: House of Commons: Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :0215071719 Total Pages :24 pages Book Rating :4.2/5 (15 download)
Book Synopsis NHS Waiting Times for Elective Care in England - HC 1002 by : Great Britain: Parliament: House of Commons: Committee of Public Accounts
Download or read book NHS Waiting Times for Elective Care in England - HC 1002 written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2014-04-29 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: NHS patients have the right to receive elective pre-planned consultant-led care within 18 weeks of being referred for treatment. In 2012-13, there were 19.1 million referrals to hospitals in England, with hospital-related costs of around £16 billion. The standards are that 90% of patients admitted to hospital, and 95% of other patients, should have started treatment within 18 weeks of being referred. In April 2013, NHS England introduced zero tolerance of any patient waiting more than 52 weeks. The Department of Health cannot be sure that the waiting time data NHS England publishes, based on information from NHS trust, is accurate. Trusts are struggling with a hotchpotch of IT and paper based systems that are not easily pulled together, which makes it difficult for them to track and collate the patient information needed to manage and record patients' waiting time. The National Audit Office (NAO) found that waiting times for nearly a third of cases it reviewed at seven trusts were not supported by documented evidence, and that a further 26% were simply wrong. Multiple organisations have a quality assurance role. However the external audit provided in the past by the Audit Commission has yet to be replaced and the Department acknowledged the need to do so, with regular spot checks being undertaken to ensure accuracy. But responsibilities have not been clearly defined.
Book Synopsis OECD Health Policy Studies Waiting Times for Health Services Next in Line by : OECD
Download or read book OECD Health Policy Studies Waiting Times for Health Services Next in Line written by OECD and published by OECD Publishing. This book was released on 2020-05-28 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: The report reviews a range of policies that countries have used to tackle waiting times for different services, including elective surgery and primary care consultations, but also cancer care and mental health services, with a focus on identifying the most successful ones.
Book Synopsis OECD Health Policy Studies Waiting Time Policies in the Health Sector What Works? by : OECD
Download or read book OECD Health Policy Studies Waiting Time Policies in the Health Sector What Works? written by OECD and published by OECD Publishing. This book was released on 2013-02-04 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a framework to understand why there are waiting lists for elective surgery in some OECD countries and not in others. It also describes how waiting times are measured in OECD countries and reviews different policy approaches to tackling excessive waiting times.
Book Synopsis Department of Health & Social Care and NHS England by : Great Britain. National Audit Office
Download or read book Department of Health & Social Care and NHS England written by Great Britain. National Audit Office and published by . This book was released on 2019 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :Great Britain: Department of Health Publisher :The Stationery Office ISBN 13 :9780101788120 Total Pages :64 pages Book Rating :4.7/5 (881 download)
Book Synopsis Equity and excellence: by : Great Britain: Department of Health
Download or read book Equity and excellence: written by Great Britain: Department of Health and published by The Stationery Office. This book was released on 2010-07-12 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: Equity and Excellence : Liberating the NHS: Presented to Parliament by the Secretary of State for Health by Command of Her Majesty
Book Synopsis Practical Operating Theatre Management by : Jaideep J. Pandit
Download or read book Practical Operating Theatre Management written by Jaideep J. Pandit and published by Cambridge University Press. This book was released on 2018-11-29 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical manual that focuses on theatre efficiency and time measurement, providing scheduling toolkits and problem solving approaches.
Book Synopsis Waiting Times and Socioeconomic Status by : Mauro Laudicella
Download or read book Waiting Times and Socioeconomic Status written by Mauro Laudicella and published by . This book was released on 2010 with total page 27 pages. Available in PDF, EPUB and Kindle. Book excerpt: Waiting times for elective surgery, like hip replacement, are often referred to as an equitable rationing mechanism in publicly-funded healthcare systems because access to care is not based on socioeconomic status. This study uses patient level administrative data from the Hospital Episode Statistics database in England to investigate whether patients with higher socioeconomic status (as measured by small area level income and education deprivation) wait less than other patients. The analysis focuses on the time waited for an elective hip replacement in 2001. Overall, it provides evidence of inequity in waiting times favouring more educated individuals and, to a lesser extent, richer individuals. The results from log-linear regression models and duration analysis bring evidence that inequalities occur within hospitals and over large part of the waiting time distribution. The inequality experienced by the lowest income group increases after controlling for hospital heterogeneity.
Download or read book The NHS At 75 written by Mark Exworthy and published by Policy Press. This book was released on 2023-10 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: In its 75th anniversary year, this book examines the history, evolution and future of the NHS.With contributions from leading researchers and experts across a range of fields, such as finance, health policy, primary and secondary care, quality and patient safety, health inequalities and patient and public involvement, it explores the history of the NHS drawing on narrative, evaluative and analytical approaches. The book frames its analysis around the four key axes from which the NHS has evolved: governance, centralisation and decentralisation, public and private, and professional and managerial. It will address the salient factors which shape the direction and pace of change in the NHS. As such, the book provides a long-term critical review of the NHS and key themes in health policy.
Download or read book Life Support written by Michael Aschroft and published by Biteback Publishing. This book was released on 2022-03-08 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: "A truly insightful tour d'horizon" – Rt Hon. Jeremy Hunt MP, Secretary of State for Health, 2012–18 "Insightful and thought-provoking" – Rt Hon. Matt Hancock MP, Secretary of State for Health, 2018–21 "Brilliant" – Sir Stephen Bubb, director of Charity Futures and the Oxford Institute of Charity "A tour de force" – Niall Dickson CBE, former chief executive of The King's Fund, the General Medical Council and the NHS Confederation *** How good is the NHS, really? That is the question this book seeks to answer, as the health service emerges from the gravest crisis in its history with more money – but greater challenges – than ever before. During the pandemic, voters made extraordinary sacrifices to save the NHS from collapse. Thanks to these efforts and the dedication and bravery of the NHS workforce, hospitals were able to treat patients with coronavirus, but millions of others lost out. Now an exhausted and depleted NHS workforce faces a huge backlog. The gap between supply and demand for publicly funded healthcare has never been so wide. With record numbers waiting for treatment, the politicians' answer has been to spend ever more taxpayers' money. The question is whether throwing cash at the problem will work. Every day, millions of patients receive care that is fair, good or outstanding. In keeping with Nye Bevan's founding principles, the same treatment is available to rich and poor, free at the point of need. Public support for the concept remains overwhelming. Yet for every positive NHS experience there are negatives: care that is substandard, disjointed and arrives too late. A cult of secrecy surrounds errors and failings. Politicians on all sides dissemble and lie. This book seeks to strip away the spin and uncover the true state of the NHS: the good, the bad and the ugly. It explores an increasingly urgent question: in an era of pandemics, can the NHS provide the quality of service patients deserve?
Book Synopsis High Quality Care for All by : Secretary of State for Health
Download or read book High Quality Care for All written by Secretary of State for Health and published by The Stationery Office. This book was released on 2008 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: This review incorporates the views and visions of 2,000 clinicians and other health and social care professionals from every NHS region in England, and has been developed in discussion with patients, carers and the general public. The changes proposed are locally-led, patient-centred and clinically driven. Chapter 2 identifies the challenges facing the NHS in the 21st century: ever higher expectations; demand driven by demographics as people live longer; health in an age of information and connectivity; the changing nature of disease; advances in treatment; a changing health workplace. Chapter 3 outlines the proposals to deliver high quality care for patients and the public, with an emphasis on helping people to stay healthy, empowering patients, providing the most effective treatments, and keeping patients as safe as possible in healthcare environments. The importance of quality in all aspects of the NHS is reinforced in chapter 4, and must be understood from the perspective of the patient's safety, experience in care received and the effectiveness of that care. Best practice will be widely promoted, with a central role for the National Institute for Health and Clinical Excellence (NICE) in expanding national standards. This will bring clarity to the high standards expected and quality performance will be measured and published. The review outlines the need to put frontline staff in control of this drive for quality (chapter 5), with greater freedom to use their expertise and skill and decision-making to find innovative ways to improve care for patients. Clinical and managerial leadership skills at the local level need further development, and all levels of staff will receive support through education and training (chapter 6). The review recommends the introduction of an NHS Constitution (chapter 7). The final chapter sets out the means of implementation.
Book Synopsis National Audit Office (NAO) - Department of Health: Emergency Admissions to Hospital: Managing the Demand - HC 739 by : Great Britain: National Audit Office
Download or read book National Audit Office (NAO) - Department of Health: Emergency Admissions to Hospital: Managing the Demand - HC 739 written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2013-10-31 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many emergency admissions to hospital are avoidable and many patients stay in hospital longer than is necessary. Improving the flow of patients through the system will be critical to the NHS's ability to cope with future winter pressures on urgent and emergency care services. At a time when NHS budgets are under significant pressure, the number of emergency admissions to hospitals is continuing to rise, albeit at a slower rate than in the past. More patients attending major A&E departments are now being admitted to hospital. In 2012-13, over a quarter of all patients attending major A&E departments were admitted, up from 19 per cent in 2003-04. The rise in emergency admissions is dominated by patients who stay less than two days (short-stay) in hospital. The main factors behind the increase in emergency admissions include the slowness with which the NHS has developed effective alternatives to admission to hospital. There are many local initiatives to prevent avoidable emergency admissions but limited evidence on what works. A lack of alignment between hospitals and community and local services in the hours they are open compromises efforts to avoid out-of- hours hospital admissions and prolongs the length of stay of inpatients. Among the NAO's recommendations is the need for both short-and long-term strategies to address staffing shortages in A&E. The Department and NHS England should also address barriers to seven-day working in hospitals, such as the consultants' contract, which gives consultants the right to refuse to work outside 7am to 7pm, Monday to Friday
Book Synopsis Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies by : OECD
Download or read book Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Book Synopsis NHS WAITING TIMES FOR ELECTIVE AND CANCER TREATMENT. by : NATIONAL AUDIT OFFICE.
Download or read book NHS WAITING TIMES FOR ELECTIVE AND CANCER TREATMENT. written by NATIONAL AUDIT OFFICE. and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 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
Book Synopsis Performance Measurement for Health System Improvement by : Peter C. Smith
Download or read book Performance Measurement for Health System Improvement written by Peter C. Smith and published by Cambridge University Press. This book was released on 2010-01-07 with total page 751 pages. Available in PDF, EPUB and Kindle. Book excerpt: In a world where there is increasing demand for the performance of health providers to be measured, there is a need for a more strategic vision of the role that performance measurement can play in securing health system improvement. This volume meets this need by presenting the opportunities and challenges associated with performance measurement in a framework that is clear and easy to understand. It examines the various levels at which health system performance is undertaken, the technical instruments and tools available, and the implications using these may have for those charged with the governance of the health system. Technical material is presented in an accessible way and is illustrated with examples from all over the world. Performance Measurement for Health System Improvement is an authoritative and practical guide for policy makers, regulators, patient groups and researchers.
