NHS Administration - patient expereince

Admin matters: the impact of NHS administration on patient care
Kings Fund 24 June 2021

• NHS Administration from the patient perspective and how it affects quality of care. A long read which looks at patient and staff perspectives on what it is like to use NHS admin to understand the impact it can have and where there are opportunities for improvement.

Paper Works: the critical role of administration in quality care
National Voices June 2021

• This report examines the experiences of people who have found administrative problems in the NHS have reduced their ability to access quality care.

Special measures for quality: a Q&A on the impact of improvement interventions in NHS trusts

Special measures for quality: a Q&A on the impact of improvement interventions in NHS trusts
Nuffield Trust 21 April 2021

• Conversation with Naomi Fulop and Chris Sherlaw-Johnson about their work evaluating improvement interventions in NHS trusts who were in special measures for quality.

Building healthier communities: the role of the NHS as an anchor institution

Building healthier communities: the role of the NHS as an anchor institution
Health Foundation August 2019

• Anchor institutions are large, public sector organisations that are unlikely to relocate and have a significant stake in a geographical area.
• This report identifies five ways in which NHS organisations act as anchor institutions: employment, procurement and commissioning for social value, use of capital and estates, environmental sustainability and as a partner in a place. 
• The conclusion sets out actions and opportunities for the NHS to harness its considerable influence to have an even greater impact on the health and wellbeing of communities.

NHS Long-term Plan: legislative proposals

NHS Long-term Plan: legislative proposals
Health and Social Care Select Committee 24 June 2019

• The Committee found that NHS England and NHS Improvement proposals  for legislative changes to the Health and Social Care Act 2012 in many cases continue the direction of travel towards a more integrated collaborative and placed-based system. It broadly supports NHS England and NHS Improvement’s proposals to:
• to promote collaboration and lessen the role of competition in the NHS, especially the proposal to repeal section 75 of the Health and Social Care Act 2012 and revoke the regulations made under it;
• remove the Competition and Market’s Authority’s role in mergers of foundation trusts;
• ease the burden procurement rules have placed on the NHS, ensuring commissioners have discretion over when to conduct a procurement process, with the inclusion of a ‘best value’ test; and
• allow greater flexibility locally over payment systems.
• However the Committee comments that the plans remains too NHS-centric rather than looking at the wider system with which it seeks to integrate and that the Department of Health and Social Care, NHS England and NHS Improvement should be clearer about the roles local government, the voluntary and community sector and independent providers should play in the future of the NHS.
• Themes of the report are competition, integrated care, NHS leadership, and Cross-party endorsement of legislative proposals

Hierarchical reconfiguration within the NHS in England as of 1 April 2019

2019 Hierarchical Reconfiguration
NHS Digital Organisation Data Service (ODS) 19 February 2019

• Details of organisational changes with the NHS in England as of 1 April 2019.
• Includes
• Regional changes to support joint working between NHS Improvement and NHS England
• Local Office name and boundary changes (eg Y55 Midlands & East splits into 2 -Midlands and East of England) 
• CCG mergers and membership changes

What makes successful innovation in the health service?

Innovation as a Driver of Quality and Productivity in UK Healthcare: Creating and Connecting Receptive Places—Emerging Insights

RAND Health Quarterly, 2018; 7(4):1

• Early findings from a study by RAND Europe and the University of Manchester examining the potential of innovation to respond to the challenges the NHS faces, and to help deliver value for money, efficient and effective services.
• Based on interviews and stakeholder workshops this article outlines insights related to skills, capabilities and leadership; motivations and accountabilities; information and evidence; relationships and networks; patient and public engagement; and funding and commissioning.
• For more information, see RAND RR-1845-DH 

Race at Work Charter

Race at Work Charter

DHSC 22 October 2018

• A new to goal to eliminate the ethnicity pay gap in the NHS has been announced, with black, Asian and minority ethnic (BAME) representation in senior leadership to match that across the
  rest of the NHS by 2028.
• Recent NHS ethnicity pay analysis revealed ethnicity pay gaps across the NHS.
• The Race at Work Charter will recognise organisations who sign up to the 5 calls to action from the McGregor-Smith review: one year on to:
• appoint an executive sponsor for race
• capture data and publicise progress
• commit at board level to zero tolerance of harassment and bullying
• make clear that supporting equality in the workplace is the responsibility of all leaders and managers
• take action that supports ethnic minority career progression
• DHSC arm’s length bodies, including NHS England, Public Health England and Health Education England, have signed up.
• In September 2020 the NHS became one of the first public sector organisations to publish breakdowns of pay for all staff by ethnic group, with some individual trusts already publishing their own data and taking action.

Lessons from the history of NHS reform

Doomed to repeat? Lessons from the history of NHS reform
Nuffield Trust 16 October 2018

• This essay collection brings together research and analysis of the key questions that should inform the new 10 year long term plan due for publication in November.
• Includes a timeline of NHS policy from 1980s to the present 

Key points 

The NHS at 70

The NHS at 70
King's Fund, the Health Foundation, Institute for Fiscal Studies, Nuffield Trust, 25 June 2018

• To mark the BBC's coverage of the NHS's 70th birthday in July 2018, a series of reports for the BBC will look at five key topics, covering the relative strengths and weaknesses of the health service, the state of social care, NHS funding, the public’s expectations of the NHS and the potential of technology to change things in future. 
• The reports are intended to inform the national conversation about the past, present and future of the NHS.

1. How good is the NHS?
2. What can we do about social care?
3. Does the NHS need more money?
4. Are we expecting too much from the NHS?
5. What dilemmas will new technology pose for the NHS?

• Part of The NHS at 70 from the Kings Fund