Integration in action: tackling the elective backlog

Integration in action: tackling the elective backlog
NHS Confederation 7 October 2021

• This report provides some early examples of how local systems are addressing this challenge. Based on interviews with healthcare leaders, it details how integrated approaches are enabling rapid improvement and innovation in service delivery. This includes using population health data to pinpoint people who may suffer more from waiting; using clinical harm tools to pinpoint those on the list who are deteriorating; and proactively seeking out people who may need treatment.

Progressing digital transformation in healthcare 2021

Progressing digital transformation in Healthcare 2021
BT June 2021

• Working with iGov Survey, BT surveyed decision-makers from 69 UK healthcare providers to find out what they see as the biggest opportunities and barriers to delivering improved digital healthcare in the wake of the pandemic.

Quality Improvement made simple

Quality improvement made simple: What everyone should know about health care quality improvement
Health Foundation updated April 2021

• A guide on quality improvement designed for health care staff leading fast and efficient service change as a result of the pandemic. The guide offers an explanation of some popular approaches used to improve quality, including where they have come from, their underlying principles and their efficacy and applicability within the healthcare arena. It also describes the factors that can help to ensure the successful use of these approaches and methods. to improve the quality of care processes, pathways and services.

Beyond Digital: Planning for a Hybrid World

Beyond Digital: Planning for a Hybrid World,
Select Committee on COVID-19, 21 April 2021

• In its report the Select Committee on COVID-19 warns that more needs to be done to ensure that we all benefit from our increasing reliance on digital technology post-pandemic and that it does not lead to increasing inequality and marginalisation.

THE COVID DECADE Understanding the long-term societal impacts of COVID-19

The COVID Decade: understanding the long-term societal impacts of COVID-19
The British Academy March 2021

• An independent review on the long-term societal impacts of COVID-19. 
• Chapter 2 Health and wellbeing p18-64.

The COVID decade: understanding the long-term societal impacts of COVID-19

The COVID decade: understanding the long-term societal impacts of COVID-19
British Academy 23 March 2021

• This report argues that the societal impacts of the pandemic have exposed several gaps in public policy-making that the government now has the opportunity to address. It suggests seven strategic goals for policy-makers to pursue: build multi-level governance; improve knowledge, data and information linkage and sharing; prioritise digital infrastructure; reimagine urban spaces; create an agile education and training system; strengthen community-led social infrastructure; and promote a shared social purpose.

Rest, recover, restore: Getting UK health services back on track,

Rest, recover, restore: Getting UK health services back on track,
BMA 19 March 2021

• The BMA argues that the pandemic has left the health service running on empty, with staff burnt out, disillusioned, and even considering leaving the NHS as a result of the intense pressures and stress of the past year.

The changing face of medical professionalism and the impact of COVID-19

The changing face of medical professionalism and the impact of COVID-19
The Lancet 23 February 2021 https://doi.org/10.1016/S0140-6736(21)00436-0

• In an article in The Lancet, Professor Andrew Goddard, president of the Royal College of Physicians, discusses the tensions that COVID-19 has placed on medical professionalism and physician wellbeing. He argues that there is an urgent need for a system-level approach to address the issues that COVID-19 has created to better protect and safeguard the medical workforce for the future. The wellbeing initiatives that have been introduced for clinicians need to be combined with organisational interventions including flexible working arrangements, enhanced teamwork, reductions in administrative burdens, and optimal use of technology.

What does the pandemic mean for health and health inequalities? [infographic]

What does the pandemic mean for health and health inequalities?
Health Foundation 18 February 2021

• An infographic which highlights areas of focus for the COVID-19 impact inquiry and some of the questions that it seeks to answer.

Mental health Surge Model

Mental Health Surge Model
The Strategy Unit November 2020

• The Strategy Unit has produced a model to help local services plan their response to the impact of the pandemic on the nation’s mental health.. Using this model, they estimate that:
• There will be around 11% more new referrals to mental health services, each year for the next three years; and
• Associated costs amount to an extra £1 billion a year. This is around 8% of annual NHS expenditure on mental health services.
• Includes a web-based interactive version of the model

Working together for a healthier post-Covid future

Working together for a healthier post-Covid future
The Strategy Unit October 2020

• This analysis, commissioned by the Healthier Futures Academy in the Black Country and West Birmingham, illustrates the effects that a Covid-driven recession could have on population health. Modelling undertaken by the Strategy Unit estimates that the socio-economic impacts alone could generate additional demand of up to 16% for physical health services and 27% for mental health services. It frames a discussion about how the NHS, with other local organisations, can more effectively address the causes as well as the effects of ill health.

COVID-19 and Inequalities: Levelling-up in our post-pandemic future

COVID-19 and Inequalities: Levelling-up in our post-pandemic future
NIHR 16 October 2020

• Recording of a one-hour seminar explores how existing health inequalities and social determinants of health are interacting with COVID-19 to create a Syndemic Pandemic effect – where we are witnessing closely intertwined and mutually enhancing health and social determinants combining to exacerbate the impact of COVID-19. 

How can we learn from changes in practice under COVID-19?

How can we learn from changes in practice under COVID-19? A guide for health and care teams to learn from innovations during the pandemic
Analytical Collaboration for COVID-19 October 2020

• This guide has been developed to help health and social care teams and their leaders learn from service changes put in place or accelerated during the COVID-19 response. Includes useful tools and resources eg learning frameworks, knowledge mobilisation, sharing learning, evaluation.
• Produced as part of the Analytical Collaboration for COVID-19 which brings together: the Health Foundation; King’s Fund; Nuffield Trust, Imperial College Health Partners and the Strategy Unit.

Accelerating Digital Healthcare: How the rapid uptake of digital services as a result of the pandemic can transform UK healthcare

Accelerating Digital Healthcare: How the rapid uptake of digital services as a result of the pandemic can transform UK healthcare
Public Policy Projects 3 October 2020

• This report discusses how digital technology creates the opportunity to reshape healthcare, and the frustration that the NHS has been slow to apply digital technology to its core objective of targeting resources it needs.

Shared Decision Making for patients on surgical waiting list

Shared Decision Making for patients on surgical waiting list Infographic
NHS England 1 October 2020

• Part of the Guidance: Clinical Validation of Surgical Waiting Lists: framework and support tools

London COVID-19 Deliberation Report

London COVID-19 Deliberation Report
NHS England/Improvement London Region September 2020

• Over six virtual workshops (18 hours in total) 60 Londoners deliberated in depth on the challenges and opportunities facing the NHS by the COVID-19 pandemic, supported by clinicians from across the NHS in London. The process, an inclusive approach which also involved people from marginalised communities and those worse hit by the pandemic, was supported by National Voices, Healthwatch and numerous advocacy groups. 
• The research has culminated in the development of Londoners’ expectations, a set of guiding statements that are not binding, but rather are intended to assist the NHS when making decisions about services during the next phase of the pandemic.

NHS Reset: a new direction for health and care

NHS RESET: a New Direction for Health and Care
NHS Confederation September 2020

• Five factors NHS Confederation believe will be fundamental to achieving a sustainable health and care system:

1. Honesty and realism
2. Extra funding
3. A lighter, leaner culture
4. Integrating health and care
5. tackling health inequalities

Modelling the impact of COVID-19 - Waiting List Model

Modelling the impact of COVID on waiting lists for planned care
The Strategy Unit July 2020

• Working with the national collaboration to coordinate COVID-related analysis, and the NHSE/I Midlands region, the Strategy Unit has produced a ‘systems dynamics’ model of waiting lists for planned care. The model is freely available for non-commercial use across the NHS.
• In producing the model, the team found that:
• Waiting lists did not increase in the few months after the lockdown
• Services are planning the dark. Modelled results are sensitive to factors we know little about
• Waiting lists may yet reach unprecedented levels
• Hope of a rapid return to pre-covid waiting lists is misplaced

Understanding and sustaining the health care service shifts accelerated by COVID-19

Understanding and sustaining the health care service shifts accelerated by COVID-19
Health Foundation 15 September 2020

• The pandemic has provided a new context that allowed previously long-held assumptions and norms about how care should be delivered to be urgently reexamined and, if necessary, changed.
• This gives rise to two questions. First, what has enabled the health and care system to respond so quickly to these new demands and overcome prior barriers to implementing change? Second, what will it take to ensure that beneficial changes are sustained as this context continues to change?

AHSN Network Digital & AI Reset Report; Lessons and Legacy from the COVID-19 Pandemic in Health and Care

Digital & AI Reset Report; Lessons and Legacy from the COVID-19 Pandemic in Health and Care
AHSN Network for NHS Confederation, 10 September 2020

• The findings underline the importance of a robust data infrastructure, data operability and common standards to facilitate data sharing within national policy and governance frameworks. This will help to empower people, communities and NHS and social care staff to serve local needs, thereby minimising health inequalities and rebuilding communities in line with the ‘levelling up’ agenda in a decentralised, distributed health resilience model.