A guide to service design and productivity improvement for commissioners, clinicians and managers in primary care, secondary care and mental health.
health and health care
Paper that focuses on the experiences of older people with multiple health problems, and particularly on their experiences inside hospital. Continuity is especially important for these older patients because: they are more likely to spend time in hospital and to be in hospital for longer; if they are frail, a stay in hospital can be life-changing; and, regrettably, in some hospitals and some wards older patients are exposed to unacceptable standards of care.
Document of the final output of an evaluation of the 16 DH Integrated Care Pilots (ICPs). It provides an account of the evaluation activities conducted, the data collected and the analyses completed.
Based on this it identifies key findings and conclusions about the processes and outcomes seen within the pilots during the evaluation. The evaluation was conducted by a team from RAND Europe and Ernst and Young LLP, with additional statistical analysis provided by the RAND Corporation and The Nuffield Trust.
Paper that claims that there is more to choice reforms than an attempt to improve the efficiency of a health system. It argues that information imperfections in health care can undermine the case for a sole efficiency related driver in favour of other drivers such as modernization or middle class capture.
Discussion paper which explores personal health budgets for people receiving NHS Continuing Healthcare. It will be of interest to healthcare professionals whohave a role in NHS Continuing Healthcare or are considering the future implementation of personal health budgets.
This study aims to evaluate the different integrated approaches to health care services supporting older people in care homes, and identify barriers and facilitators to integrated working.
This topic is included in the EPPI-Centre knowledge library. The Knowledge Pages facility enables users to search for the key messages within specific subject areas to which EPPI-Centre reviews have contributed.
Evaluation report that looks at the early experiences of a small subsample of budget holders and their representatives. It reports in-depth interviews with 58 people from 17 PCTs, around three months after the offer of a personal health budget, about their experiences of personal health budgets so far.
Life checks have been proposed by the English Department of Health as a personalised service providing support and advice at key stages throughout the lifespan to help people to maintain and improve their health. For young people, the proposed key stage for a life check is the transition between primary and secondary school sat ages 11 to 12 years. This review was a scoping exercise to identify the size and scope of the available research evidence relevant to the life check proposal for young people. This systematic review was published by EPPI-Centre in 2007.
This report and the associated searchable database summarise schemes to promote healthy weight among obese and overweight children in England for which the EPPI-Centre were able to obtain data. In order to be included in the database, schemes needed a primary focus on tackling overweight or obesity in school-age children (4-18 years) who were already overweight or obese, through dietary, exercise or other means. Included interventions had to be structured and sustained over a period of time.This systematic review was published by EPPI-Centre in 2008.