As public services budgets are cut, the ‘Payment by Results’ (or Pay for Success) model has become a popular choice in public sector commissioning. Social Impact Bonds are a variant of Payment by Results also promoted by proponents of social (or impact) investing. But how effective are these approaches? This short book asks whether the Payment by Results model is an efficient way to unlock new capital investment, help new providers to enter the ‘market’ and foster innovation, or whether the extension of ‘neoliberal’ thinking, complexity and the effects of managerialism undermine the effective delivery of social outcomes. Synthesising lessons from the UK and US for the first time, the book draws on published work in both countries together with insights from the authors’ own research and consultancy experience to offer a balanced and bipartisan overview of a field where the evidence has been weak and there are strong ideological agendas in play.
Drawing on the experience of the National Institute for Health and Care Excellence (NICE), Achieving High Quality Care is a practical guide on how to recognise and implement high quality evidence and guidance. This new title provides an overview of the evidence behind successful initiatives designed to change practice and improve the quality of health care. It provides an overall picture of change management, from understanding the barriers to change to how these barriers can best be overcome. It presents a concise summary of the evidence for change, plus examples of specific initiatives drawn from experience of putting NICE guidance into practice. The book includes a wide range of examples of positive change - plus key practical points highlighted throughout the text - to help readers achieve improvements in patient care. Finally, it shows how to measure change, assess improvement to agreed standards and to manage the ongoing process of change towards improving health care. Achieving High Quality Care is a helpful guide for busy health care professionals wanting to improve services and patient care. It is relevant to everyone involved in the organisation and provision of quality health care, including clinicians and health care managers, who are trying to lead change and improve care through implementing evidence-based guidance.
Personal health budgets are an important new tool to improve the lives of people living with long-term conditions and disabilities by giving them greater choice and control over their healthcare.This is the first step-by-step guide to their implementation. Using current evidence and best practice identified by pilot sites, Delivering personal health budgets contains everything there is to know about the purpose and history of personal health budgets, the evidence for their effectiveness and the challenges they pose to traditional healthcare systems. It describes the essential infrastructure needed for personal health budgets and includes implementation checklists.The book focuses on how personal health budgets can be implemented to achieve the best possible outcomes for individuals, while real life stories from personal health budget holders bring their potential vividly to life. Delivering personal health budgets is essential reading for commissioners, healthcare providers, clinicians and policy makers who are looking for an informative and authoritative guide.
This essential guide provides a lifeline to authoritative, reliable information on medical management, giving you all the skills you need whether managing a junior colleague as a lead doctor, or running multidisciplinary consortia in the NHS or private sectors.Learn key skills from leadership, managing change, quality control, and project managemen
The inappropriate use of antibiotics is a primary cause of the ongoing increase in drug resistance amongst pathogenic bacteria. The resulting decrease in the efficacy of antibiotics threatens our ability to combat infectious diseases. Rapid point-of-care tests to identify pathogens and better target the appropriate treatment could greatly improve the use of antibiotics. Yet there are few such tests currently available or being developed despite the rapid pace of medical innovation. Clearly something is inhibiting the much-needed development of new and more convenient diagnostic tools. This study delineates priorities for developing diagnostics to improve antibiotic prescription and use with the goal of managing and curbing the expansion of drug resistance. It calls for new approaches particularly in the provision of diagnostic devices and in doing so outlines some of the inadequacies in health science and policy initiatives that have led to the dearth of such devices. The authors make the case that there is a clear and urgent need for innovation not only in the technology of diagnosis but also in public policy and medical practice to support the availability and use of better diagnostic tools. This book explores the complexities of the diagnostics market from the perspective of both supply and demand unearthing interesting bottlenecks some obvious some more subtle. It calls for a multifaceted and broad policy response and an overhaul of current practice so that the growth of bacterial resistance can be stemmed.
This timely study analyzes social, economic, political, provider, and patient factors shaping collective patient involvement in European health care from the postwar period to the present day. Examining representative countries England, the Netherlands, Germany, and Sweden, it documents the roles of providers and legislatures in facilitating consumer involvement, and the varied forms of patient input into hospital operations. These findings are compared and contrasted against the intent and ideals behind patient involvement to assess the effectiveness of implementation policy, strengths and drawbacks of patient participation, and patient satisfaction and outcomes. The book’s conclusions identify emerging forms of patient participation and predict the impact of health policy on the future of European collective patient involvement. Included in the coverage: · Patient involvement: who, what for, and in what way? · The Netherlands: the legislative process to collective patient involvement · England: formal means of public involvement—a continuous story of discontinuity · Germany: Joint Federal Committee—the “Little Legislator” · Sweden: reasons for a late emergence of patient involvement · Lessons to be learned from implementing patient involvement The Evolution and Everyday Practice of Collective Patient Involvement in Europe will interest and inspire scholars and researchers in diverse fields, including social policy, sociology, political sciences, and nursing studies, as well as patient organizations, policymakers, and healthcare providers.
This second edition of Foundations of Nursing Practice has been revised and updated specifically to meet the needs of nursing students in all fields of practice The book explains how and why sensitive, safe, evidence-based holistic nursing care is carried out, including topics common to all fields of practice. Core nursing skills are emphasised to reflect the importance of clinical skills as well as the underpinning theory. Aids to learning in each chapter: - Learning outcomes - Interactive boxes for all age groups and fields of nursing practice - Key words and phrases for literature searching - Useful websites, references and further reading. This book provides a comprehensive introduction to nursing that will meet the needs of students, nurses returning to practice, mentors and other registered nurses. - Relevant to all branches of nursing settings: infants, children, adults, pregnant women, older people and people with a learning disability or mental health problems - Themes relevant to all stages and fields of nursing practice include safety, infection prevention and control, managing stress, communication, managing wounds and pressure ulcers, and dealing with loss - Scenarios develop the skills of evidence-based practice, critical thinking, reflection and health promotion, and encourage further learning - The areas of psychology, sociology, physiology and pathology are clearly related to nursing practice - Key principles of health promotion, the law and ethics, the human lifespan and development are explained in earlier chapters, then applied in later chapters - Cultural diversity information helps with understanding the needs of people from different backgrounds - Person-centred approach encourages problem solving and application to practice - Evidence-based practice is explicit throughout, and best-practice guidelines underpin exploration/explanation of nursing care. - Easy-reference Glossary at the back of the book. - Meets the requirements of the new pre-registration nursing curriculum including the NMC (2010) competencies and Essential Skills Clusters - Greater emphasis on safeguarding vulnerable people, maternal health and first aid - Self-test questions with answers available on accompanying website.
This review incorporates the views and visions of 2,000 clinicians and other health and social care professionals from every NHS region in England, and has been developed in discussion with patients, carers and the general public. The changes proposed are locally-led, patient-centred and clinically driven. Chapter 2 identifies the challenges facing the NHS in the 21st century: ever higher expectations; demand driven by demographics as people live longer; health in an age of information and connectivity; the changing nature of disease; advances in treatment; a changing health workplace. Chapter 3 outlines the proposals to deliver high quality care for patients and the public, with an emphasis on helping people to stay healthy, empowering patients, providing the most effective treatments, and keeping patients as safe as possible in healthcare environments. The importance of quality in all aspects of the NHS is reinforced in chapter 4, and must be understood from the perspective of the patient's safety, experience in care received and the effectiveness of that care. Best practice will be widely promoted, with a central role for the National Institute for Health and Clinical Excellence (NICE) in expanding national standards. This will bring clarity to the high standards expected and quality performance will be measured and published. The review outlines the need to put frontline staff in control of this drive for quality (chapter 5), with greater freedom to use their expertise and skill and decision-making to find innovative ways to improve care for patients. Clinical and managerial leadership skills at the local level need further development, and all levels of staff will receive support through education and training (chapter 6). The review recommends the introduction of an NHS Constitution (chapter 7). The final chapter sets out the means of implementation.
With chapters revolving around practical issues and real-world contexts, this Handbook offers much-needed insights into the ethics of primary healthcare. An international set of contributors from a broad range of areas in ethics and practice address a challenging array of topics. These range from the issues arising in primary care interactions, to working with different sources of vulnerability among patients, from contexts connected with teaching and learning, to issues in relation to justice and resources. The book is both interdisciplinary and inter-professional, including not just ‘standard’ philosophical clinical ethics but also approaches using the humanities, clinical empirical research, management theory and much else besides. This practical handbook will be an invaluable resource for anyone who is seeking a better appreciation and understanding of the ethics ‘in’, ‘of’ and ‘for’ primary healthcare. That includes clinicians and commissioners, but also policymakers and academics concerned with primary care ethics. Readers are encouraged to explore and critique the ideas discussed in the 44 chapters; whether or not readers agree with all the authors’ views, this volume aims to inform, educate and, in many cases, inspire. Chapter 4 of this book is freely available as a downloadable Open Access PDF at http://www.taylorfrancis.com under a Creative Commons Attribution (CC-BY) 4.0 license.
