By The Cochrane Library (2018)
You may be interested in an upcoming free online course from the Scottish Improvement Science Collaborating Centre. The Tackling Inequalities Through Health and Social Care Design course will launch on the 19th of February 2018.
This is a free online course that’s available to staff across health and social care organisations and will support personal and professional development for staff working across all disciplines.
The trailer provides an overview, and those interested may sign up for the course now, on FutureLearn:
Dropkin, G. Journal of Public Health, https://doi.org/10.1093/pubmed/fdx136
Published: 03 November 2017
Click here to view this article
NHS RightCare is an NHS England programme describing itself as ‘a proven approach that delivers better patient outcomes’. It identifies opportunities for savings and quality improvements, comparing each Clinical Commissioning Group (CCG) with the ‘Best 5’ of a fixed set of ‘Similar 10’ CCGs chosen using equally weighted demographic and deprivation indicators. This article tests whether these indicators are sufficient and equal weighting is appropriate, and evaluates significance.
Robust public data on lung, colorectal, and breast cancer mortality is modelled using the indicators and incidence. Peers chosen using the preferred models are compared with the Similar 10. Confidence intervals are obtained for comparator group averages. RightCare significance is simulated.
Preferred models have unequally weighted covariates. Incidence is the strongest predictor of lung cancer mortality. The ‘Similar 10’ are inappropriate comparators. RightCare significance ignores variability of comparator outcomes, causing 12% Type I errors. Whilst RightCare shows 1842 annual avoidable lung cancer deaths in 80 CCGs, only 168 deaths in 8 CCGs appear exceptional using appropriate peers and CIs.
CCGs cannot expect to match the average performance of the RightCare ‘Best 5’. Until the methodology is examined with data of known quality, claims that RightCare is a ‘proven approach’ are unsubstantiated.
By The Stroke Association (2017)
This report estimates that the current cost of stroke to the UK is £26 billion every year, a threefold increase from the previous estimated cost of £9 billion. The figures also predict that a growing and ageing population, increasing numbers of stroke survivors, and rising care costs are crucial factors behind the increasing financial burden of stroke over the next 20 years.
Click here to view this report
by NHS Providers (2017)
NHS Providers has published Public health: everyone’s business? This second report in the Provider Voices series uses 12 interviews with health leaders from across the NHS and local government, as well as academics, to help gain an understanding of NHS providers’ role in shaping and delivering public health and care
Click here to view this website