health and health care

Preventing infection in care: safe management of waste

Care homes for older people produce many different types of waste some of which requires special handling and disposal. This would include waste such as sharps, used continence products, wound dressings from individuals and waste generated from people who have or may have an infection, particularly during an outbreak of diarrhoea and vomiting.

This video resource documents the safe disposal of all waste by those involved in the handling, transporting and processing of it.

Quest for quality: an inquiry into the quality of healthcare support for older people in care homes - a call for leadership, partnership and improvement

Report that describes current NHS support for care homes. It tells a story of unmet need, unacceptable variation and often poor quality of care provided by the NHS to the estimated 400,000 older people resident in UK care homes.

Getting better?: improving outcomes for children and young people (Part 2)

Briefing paper produced to highlight the key research messages from the Centre for Excellence and Outcomes in Children and Young People’s services (C4EO) for general practitioners (GPs) and other commissioners and providers of health services, across a number of thematic areas. The messages help to illustrate some of the interventions that have been proven to have a positive impact and make a difference in people’s lives.

Positioning turnaround services for older people: discussion paper

Paper that advocates a model for targeting health and social care provision in older old age called ‘Turnaround’.

Turnaround is advocated in the context of older population changes which make it imperative that authorities limit the need for high cost provision such as residential care and intensive home care support.

The approach would aim to develop provision that lessens the likelihood of admission to hospital or care, or demand for high intensity community provision, through a holistic approach which focuses on improvement, recovery and rehabilitation.

Individual patient budgets: background and frequently asked questions (Policy paper 1)

Following Lord Darzi’s pledge to pilot direct payments and individual budgets in health care, this paper provides a brief background to the concept and principles of these ways of working, before focusing in more detail on some frequently asked questions.

The paper is intended to help inform forthcoming pilots, and was initially commissioned by NHS West Midlands as part of their Investing for Health strategy.

Choice and competition in primary care: much ado about nothing? (Policy paper 2)

This report provides a snapshot in time of a rapidly changing primary care market. As PCTs conclude their procurement of new GP practices and GP-led health centres, there is a need for more systematic evaluation of the impact of choice and competition on the delivery and outcomes of primary medical care.

GP budget holding: lessons from across the pond and from the NHS (Policy paper 7)

Paper which draws on evidence from the US as well as on previous experience in the NHS of GP commissioning in different forms, to identify lessons for policy makers as they take this policy forward.

While the government is on the right lines in promoting GP budget holding, the paper suggests that there is a need for caution in promoting budget holding as a universal solution without regard to the capabilities of practices to manage a budget and the safeguards that need to be put in place to avoid the downside risks.

All in this together?: making best use of health and social care resources in an era of austerity (Policy paper 9)

Policy paper which seeks to contribute to an ongoing debate about how best to use health and social care resources to achieve the best possible outcomes in difficult financial circumstances.

The vanguard of integration or a lost tribe?: care trusts ten years on (Policy paper 10)

The description of care trusts as either the ‘vanguard’ of integrated organisations or a ‘lost tribe’ was made by the former Chief Executive of a care trust at an HSMC learning event soon after their creation. It nicely captures the mixed views of care trusts as either the cutting edge of integration between health and social care or as a band of individuals and organisations that have happened upon a clumsy structural solution as a way of shielding themselves from other agendas.