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The current social care system in England is widely regarded as unfair, complex, confusing and failing to meet growing care needs in the population. Germany was in a similar situation 24 years ago, but successfully brought about far-reaching reform. As the UK government promises to fix our social care system, what can England learn from Germany's experience of reform?
Study to determine long-term outcomes of older people discharged from hospital following short (<72 hours) and longer hospital admissions compared by frailty status.
Three years after Rafael Bengoa’s blueprint for improving the Northern Irish health service, this report uses interviews with health service leaders in Northern Ireland as well as outside experts and clinicians to assess which factors are helping or hindering Northern Ireland's efforts to change its health and social care system, finding that the political vacuum and culture of centralisation are impeding reform.
As a new body, NHSX, becomes established to lead national policy for technology, digital and data, and with the Secretary of State firmly behind plans to create a fully digital NHS, this report seeks to understand how national policy for digitisation is working from the perspective of acute trusts. Do digital leaders feel the commitment to digital over the last two decades is helping to move things forward? And what could be done differently to support digitisation on the ground?
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.