Training the future GP: enhancing delivery of GP specialty training
This report outlines ways to reform the delivery of education to GP trainees, better preparing them for future practice in different models of care - addressing health inequalities, improving technology and enhancing areas of clinical care such as mental health. The report details opportunities to move to a more flexible model of training that meets the needs, skills and experiences of the trainee, as well as the demands and nuances of local populations. It is based on extensive engagement with key national stakeholders, patients, doctors in training and educators, along with the results of a number of regional pilot progr...
Source: Health Management Specialist Library - March 20, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Workforce and employment Source Type: blogs

McCloud remedy part 2: proposed changes to NHS Pension Schemes Regulations 2023
Department of Health and Social Care - The Department of Health and Social Care is consulting on a draft Statutory Instrument making changes to NHS Pension Schemes Regulations necessary to implement the second part of the McCloud remedy. The remedy has two parts: to ensure equal treatment for all members within each of the main public service pension schemes by moving all members into the new schemes; and to remove the effect of transitional protection by offering eligible members a choice over the set of benefits. The closing date for comments is 6 June 2023.ConsultationConsultation response formDepartment of Health...
Source: Health Management Specialist Library - March 15, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Consultations Workforce and employment Source Type: blogs

Fit for the future: GP pressures 2023
This report, based on a survey of general practice staff, highlights the current workload and workforce pressures facing GPs and their teams, and the impact these are having on patients. GPs and their staff carried out 4.6 million (9 per cent) more appointments in December 2022 and January 2023 than in December 2019 and January 2020; however, the number of fully qualified full-time-equivalent GPs has dropped by 843 in the same period. The report sets out the RCGP's recommendations for the government to tackle the workforce and workload crisis in general practice, and support GPs and their teams to meet the health care ...
Source: Health Management Specialist Library - March 14, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Primary and community care Workforce and employment Source Type: blogs

How to abolish a public body: ten lessons from previous restructures
This report sets out ten practical lessons to help ministers and civil servants to decide when abolitions should happen and then to manage them well. It concludes that more careful analysis, including a proportionate business case, should be carried out in advance of an abolition decision. The report suggests that ministers and civil servants should prioritise positive communication, sensible deadlines and recruiting an experienced and skilled transition team if they want to maximise the benefits of change.ReportMore detail (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - March 13, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Regulation, governance and accountability Source Type: blogs

Productivity of the English National Health Service: 2020/21 update
Centre for Health Economics - This paper measures NHS England's productivity in 2020/21, covering the first year of the Covid-19 pandemic. This presented some challenges to how CHE calculated and interpreted their measure of productivity growth. The problems of accurately capturing the impact of the pandemic on both NHS inputs and outputs means that they would expect to find a negative growth in NHS productivity between 2019/20 and 2020/21 and this was found to be the case. It found that NHS productivity fell by around 24 per cent, on account of both a substantial decrease in outputs (16.05 per cent) and an incre...
Source: Health Management Specialist Library - March 13, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: NHS performance and productivity Source Type: blogs

Going swimmingly or treading water: is the elective recovery plan bringing down NHS waiting lists?
Lane Clark& Peacock LLP (LCP) - TheNHS Elective recovery plan (ERP), launched in February 2022, is intended to make a major contribution to reducing waiting lists. This paper sets out: how the national waiting list has changed over the year and the impact of the ERP; inequalities in the waiting list by speciality and geography and how the ERP has so far impacted regions differently; and LCP ’s projections past and future – how their previous projections compare to 2022’s waiting list and what their projections are to 2027 in light of over a years’ worth of new data being available.ReportPress release (Sou...
Source: Health Management Specialist Library - March 13, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: NHS performance and productivity Source Type: blogs

Pandemic preparedness for the real world: why we must invest in equitable, ethical and effective approaches to help prepare for the next pandemic
This report warns the global health community to think beyond vaccines and lockdowns, proposing investment in a five point action framework for pandemic preparedness which responds to people ’s experiences, knowledge and needs. The proposed five areas for investment are: health professionals; diverse knowledge, expertise and perspectives; reform of health, social and other systems and structures to support resilience to disease crises; people’s trust in politics; and ethics and soci al justice.ReportInstitute of Development Studies - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - March 10, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Covid-19 Public health and health inequalities Source Type: blogs

Racism is the root cause of ethnic inequalities in health
Race Equality Foundation -According to this briefing, racism is the cause of health inequity, from birth through to adulthood and into later life. It finds that racism is a key driver of ethnic inequalities in health, both directly and indirectly. It has an impact in childhood – with children from ethnic backgrounds being born at a lower birthweight and not hitting developmental milestones, to life-limiting long term illness, and mental illness in adulthood. It also finds that racism leads directly to poorer health through stress or worsening mental health; and indirect ly, by exposure to targeted marketing of harmful su...
Source: Health Management Specialist Library - March 10, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Public health and health inequalities Source Type: blogs

Productivity of the English National Health Service: 2020/21 update
Centre for Health Economics -NHS productivity compares growth in health care outputs and inputs: the more outputs produced with a given amount of inputs, the higher the productivity growth. This assumes that more health care – such as operations in hospitals – generates more health for society. However this report finds that this assumption did not necessarily apply during the pandemic because hospitals were told to cancel as much non-emergency care as possible to free up acute beds and reduce the risk of Covid-19 i nfection. It also describes how, at the same time, the overall cost of the health care inputs – such a...
Source: Health Management Specialist Library - March 9, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: NHS performance and productivity Source Type: blogs

NHS staff survey 2022
NHS Employers -The annual survey, carried out in autumn 2022, covers staff in all 215 NHS trusts in England, across all roles. This year ’s results demonstrate staff discontent on pay which is reflected in a fall in staff feeling well rewarded. However, many top-level indicators have stabilised this year, staying broadly the same as in 2021. The results also find an improvement in staff perception of support for learning and develo pment and an increase in feelings around positive teamworking and support from line managers.Survey resultsNHS Employers - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - March 9, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Workforce and employment Source Type: blogs

Why are delayed discharges from hospital increasing?: seeing the bigger picture
This report finds that in December 2022, more than 13,000 of a total of around 100,000 hospital beds in England were occupied by patients who were medically fit for discharge. This number has increased by 57 per cent over the last two years, representing an additional 6,000 people waiting in hospital who do not need to be there. This reduces the availability of hospital beds for newly admitted patients, contributing to longer A&E and ambulance waiting times. Delays can also have a significant impact on patients: longer hospital stays increase the risk of hospital-acquired infections and patients may lose mobility and c...
Source: Health Management Specialist Library - March 8, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Patient involvement, experience and feedback Source Type: blogs

NHS Pension Scheme: proposed amendments to scheme regulations - consultation response
Department of Health and Social Care -Starting in December 2022, the government consulted on proposals to amend NHS Pension Scheme regulations in line with the announcements made in Our plan for patients. Consultation respondents were broadly supportive of the measures proposed during the consultation process. This consultation response confirms that the government will proceed to implement the proposals.Consultation responseOur plan for patientsDepartment of Health and Social Care - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - March 8, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Workforce and employment Source Type: blogs

Progress with delivering the Emergency Services Network
National Audit Office -According to this report, plans for a new communication network for emergency services have fallen further behind schedule, with the Home Office spending almost £2 billion on it since the programme began in 2015. The new Emergency Services Network will enable every police, fire, and ambulance service across England, Scotland and Wales to continue to communicate by voice and data, between the field and control rooms.ReportNational Audit Office - press release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - March 8, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: NHS performance and productivity Source Type: blogs

Children ’s mental health services 2021
This report finds that the NHS estimates that 18 per cent of children aged 7 to 16 years and 26 per cent of those aged 17 to 19 have a probable mental health disorder, up from 17 per cent in 2021. It aims to assess children ’s ability to access timely treatment, and to understand how that has changed in recent years.ReportChildren's Commissioner - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - March 8, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Mental health Source Type: blogs

The state of local government finance 2023
Local Government Information Unit - To better understand the true picture of council finances in England, chief executives, directors of finance, and council leaders and cabinet members were surveyed on topics including: the sustainability of local government finance; steps councils are taking to balance their budgets; the state of local services; and the future of local government finance. The report reveals more than half of councils will be cutting spending on services, increasing commercial investments, or spending reserves to make ends meet in the year ahead. The report found that these measures are being taken ...
Source: Health Management Specialist Library - March 7, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Social care Source Type: blogs