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Could schemes aiming to increase the availability of primary care health care access out of hours improve the overall quality of services and patient experience in outer east London? The Nuffield Trust was commissioned by Barking, Havering and Redbridge CCGs to evaluate the impact of access programmes in these boroughs.
Drawing on a seminar held at the Nuffield Trust and on evidence and experience from the UK and internationally, this briefing identifies opportunities for local organisations and systems to make better use of health data, and recommends ways that national policy could promote the collaboration and greater use of analytics which underpin the 'learning health system' concept. We focus on lessons for the NHS – but many of the same actions could be taken across the wider health and care system.
This briefing looks at differences in basic pay between men and women employed by the NHS in England, based on data from the NHS electronic staff record for one month. As well as drawing on previous analyses to describe the extent of overall pay differences by staff group, pay band, age and ethnicity, it also identifies factors that drive those differences.
Comprehensive geriatric assessment improves outcomes for frail older people at risk in acute hospitals, but toolkits aimed at enhancing its delivery by non-specialists require prolonged geriatrician support.
The aim of this project is to understand trends and patterns in the vital signs of patients on admission to hospital, with a particular focus on patients who have been admitted in an emergency. We hope that this work will provide insights into the scope for safely reducing patients’ length of stay.
The workforce challenges currently facing the health service pose a threat to the delivery and quality of care over the next 10 years. In advance of the NHS's workforce implementation plan later this year, the Nuffield Trust has joined forces with the Health Foundation and The King's Fund to outline a detailed and costed set of solutions for overhauling how the NHS recruits and keeps its staff, provided this can be backed by £900m a year in investment.
Nuffield Trust and The King's Fund present results and analysis from the annual British Social Attitudes survey. This year's data shows that the British public’s satisfaction with the NHS is at its lowest level in over a decade.
Adolescents and young adults make up around a fifth of the UK population, yet the significance of this age group is sometimes overlooked in health policy-making. So how does the UK fare when compared internationally on a range of outcomes measuring the health and wellbeing of this age group?
Age UK commissioned the Nuffield Trust to conduct a detailed evaluation of a scheme providing personalised care for older people. Given the severe pressure on health and care services across England, could this scheme help local systems by reducing the numbers of people being admitted to hospital in an emergency?
It is generally acknowledged that small, rural NHS health care providers face higher costs than larger, urban areas. For a number of years the NHS has adjusted financial allocations to account for these unavoidable variations in costs in different parts of the country. However, our review for the National Centre for Rural Health and Care suggests these adjustments may not be compensating enough to avoid some rural trusts facing increased difficulties.