Monthly Archives: March 2014

Commissioning and funding general practice: making the case for family care networks

By The King’s Fund (2014)

The pressure of a growing and ageing population (many of whom have long-term conditions, compounded by risk factors like obesity, smoking and alcohol misuse), is made all the more pressing by the well-documented financial challenges that the entire health system faces – but are keenly felt within general practice. For a number of years, we have been making the case for the central role that general practice should play in delivering integrated care, alongside colleagues in the community, social and acute care. We have recently worked with four groups of general practices across England that are already working in this way, adapting local contracting and funding streams to influence the way they work together with local providers to deliver services to better meet the specific needs of their population. However, the technicalities of these contracting and funding streams are complex and not well understood by many general practices across the country. This prevents many from innovating in a similar way.

In Commissioning and funding for general practice, we argue for a new approach to funding general practice, where GPs take control of a population-based capitated contract that enables them to either provide or ‘buy’ services for the patients on their registered list. Commissioners would build certain outcomes into this contract, but would not specify how they are to be delivered – practices would be responsible for finding ways to work together and in partnership with other providers to deliver care that achieves these outcomes. Over time, we see ‘family care networks’ emerging that provide forms of care well beyond what is currently available in general practices.

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Mental health crisis care concordat: improving outcomes for people experiencing mental health crisis

By Department of Health (2014)

The document sets out the principles and good practice that should be followed by health staff, police officers and approved mental health professionals when working together to help people in a mental health crisis. It follows the refreshed Mandate for NHS England, which includes a new requirement for the NHS that “every community has plans to ensure no one in mental health crisis will be turned away from health services”.

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Community services: how they can transform care

By The King’s Fund (2014)

This paper looks at the changes needed to realise the full potential of community services for transforming care. It finds that while the emphasis on moving care closer to home has resulted in some reductions in length of hospital stay, it is now time to focus on the bigger issue of how services need to change to fundamentally transform care.

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State of the sector 2013

By DrugScope (2014)

This report contains the findings from a survey of nearly 170 drug and alcohol services, from across England’s four PHE regions. Amongst its findings, it reports that the picture on engagement with health and wellbeing boards (HWBs) and Police and Crime Commissioners (PCCs) is mixed, with positive examples, but other services reporting a lack of engagement; 35 per cent of drug and alcohol services surveyed reported a decrease in funding, against 20 per cent reporting an increase and 33 per cent no change; and almost half reported that they were employing fewer frontline staff and 6 out of 10 services reported an increase in the use of volunteers.

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Time to #choosecycling: British cycling’s vision for how Britain can become a true cycling nation

By British Cycling (2014)

This report, commissioned by British Cycling from Cambridge University, finds that if people replaced 5 minutes of the 36 minutes they spend each day in the car with cycling, there would be an almost 5% annual reduction in the health burden from inactivity-related illnesses including heart disease, diabetes, stroke and some cancers. It also argues that if 10% of trips in England and Wales were made by bike, the savings to the NHS of the top inactivity related illnesses would be at least £250 million per year.

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Care and support reform implementation

By Local Government Association (2014)

Catering for the health and care needs of our growing and ageing population is a national priority. Reforming our care and support system is vital for us to be able to meet this challenge. The Local Government Association (LGA), Association of Directors and Adult Social Services (ADASS) and Department of Health are working in partnership to support local areas in implementation of the care and support reforms in the context of the other changes and challenges for local health and care systems, including the Better Care Fund.

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Wellbeing: why it matters to health policy

By the Department of Health (2014)

These documents contain evidence on why wellbeing matters to health throughout someone’s life, and what policy makers can do about it.

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