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Quality improvement

Quality improvement processes and techniques

Highlighting developments in quality improvement.

Learn more about developments in quality improvement through content giving practice examples, describing tools, learning through innovation and case studies, commentary and statistics.

Audit, reviews, legislation, inspections and regulation

Department of Health and Social Care

Genomics and genome editing in the NHS

Government response to the House of Commons Science and Technology Committee’s third report of session 2017-19. This response report shows how the government is working in partnership to make sure the UK continues to realise the full potential of genomics for patient and public benefit.

Local Government Association

The lives we want to lead: the LGA green paper for adult social care and wellbeing

The Local Government Association (LGA) has launched its own green paper setting out how the adult social care system could be improved and the radical measures that it believes need to be considered given the scale of the funding crisis.

Public Health England

Learning disabilities and CQC inspection reports

In 2014 an interim analysis examined the main Care Quality Commission inspection reports of 63 trusts and reported relatively few mentions of people with learning disabilities in these reports. This report examines the inspection reports written since these questions were introduced to see if the changes have had an impact upon the information included about people with learning disabilities.

Guidance, innovation and tools

Doctors of the World UK

This website is an online tool for people working in primary care who want to learn about and discuss how to provide high-quality care for migrant patients, particularly those who might be in more vulnerable circumstances.

National Quality Board

New guidance for NHS trusts on working with bereaved families and carers

The National Quality Board (NQB) has published new guidance for NHS trusts on how they should support and engage with families whose loved one has died while in their organisation’s care.

NHS Choices

Could eye tests help screen for dementia?

New research that explored the link between the thickness of the retina and mental function such as memory. Researchers found that found that people with the thinnest retinas were 11% more likely to fail a series of tests designed to assess memory ability, reaction time and reasoning.

VCSE Health and Wellbeing Alliance

Inclusion health audit tool

This online tool hopes to help organisations to audit engagement with groups identified as experiencing the worst health inequalities in the UK. It aims to provide a tailored guide to help embed action on tackling health inequalities into everyday activities.

Practice examples and case studies

Care Quality Commission

Driving improvement – individuals who have made a difference

To celebrate 70 years of the NHS, the CQC has published 70 stories highlighting individuals who have gone ‘over and above’ and made a significant impact on the care people receive across health and social care services.

Oxford Academic Health Science Network

New films help care home staff keep residents happy, healthy and hydrated

A series of films which aim to help care home staff keep their residents happy, healthy and hydrated has been launched. The six short animations offer handy hints and link to additional resources available through the award-winning Good Hydration! initiative.

Reports, commentary and statistics

British Red Cross

Maintaining mobility: understanding the unmet need for short-term mobility aids

If someone needs a wheelchair for a ‘short-term’ ailment (officially, anything lasting less than six months), then hospitals are not obliged to help. There is no clearly defined duty for statutory provision of wheelchair loans for short term use in any country in the UK. This report identifies the need for short-term loans of mobility aids, particularly wheelchairs, and the effect of lack of provision.

Centre for Health Economics

The determinants of health care expenditure growth

This paper considers the detailed breakdown of hospital inpatient expenditures from 2007/08 to 2014/15. Authors unpick the observed rise in expenditure into a component due to a change in the distribution of characteristics - for example, greater prevalence of morbidity - and a component due to structural changes in the impact of such characteristics on expenditures (coefficient effects, for example, due to technological change).

Department of Health and Social Care

Matt Hancock: my priorities for the health and social care system

The Health and Social Care Secretary, Matt Hancock, spoke to hospital staff about his priorities: the workforce, technology and prevention.

Department of Health and Social Care

Statement on HPV vaccination: Joint Committee on Vaccination and Immunisation

This statement sets out the conclusions of the Joint Committee on Vaccination and Immunisation on extending the HPV vaccination programme to adolescent boys in the UK.

Department of Health and Social Care

Transforming children and young people’s mental health provision

The original consultation asked for views on a Green Paper setting out measures to improve mental health support for children and young people. This response sets out what was heard over the course of the consultation, the response to respondents’ views, and outlines the next steps for implementing the Green Paper’s proposals.

Environmental Audit Committee

Heatwaves: adapting to climate change

This report looks at the developing threat and risks of heatwaves. It describes the heat-health watch alert system and preparing the health care system for a heatwave. One chapter concentrates on protecting health and wellbeing and discusses overheating in hospitals, care homes and nursing homes.

Hospice UK

Building on the Best Evaluation Report

Building on the best was a 2-year partnership programme (March 2016 - March 2018) between Hospice UK, Macmillan Cancer Support and in Scotland the Scottish Partnership for Palliative Care aimed to enhance existing care in hospital settings across the UK by embedding compassion and choice for everybody at the end of life.

King’s Fund

The NHS at 70: blow out the candles and make a wish

As the NHS turns 70, what state is it in? What will it look like in another 70 years? Helen McKenna talks about how the NHS is changing with Don Berwick, International Visiting Fellow at The King’s Fund, Ceinwen Giles, Founding Director at Shine Cancer Support and Siva Anandaciva, Chief Analyst at The King’s Fund.

King’s Fund

The Montefiore Health System in New York

The Montefiore Health System has found ways of helping even the most deprived by stepping beyond the bounds of conventional health services. This report explores building primary and community care, managing patients with complex needs, supporting infrastructure, and elements of a high-performing system.


Flying high: shaping the future of drones in UK cities

This report focuses on a study that explored the possibility of using drones to carry medical deliveries between London hospitals. The findings highlighted quicker access to test results, cost and time savings and reduced traffic congestion as benefits to using drones for deliveries; however, it also uncovered several barriers including a current lack of regulation around using drones in London's airspace.

Nuffield Trust

Over the edge: a no deal Brexit and the NHS

With speculation growing about the possibility of no formal agreement being reached during Brexit negotiations between the UK and the EU, Mark Dayan explores what crashing out without a deal could mean for the NHS.

Office of Health Economics

Establishing a reasonable price for an orphan drug

The high cost of drugs for rare diseases (‘orphan drugs’) has generated considerable debate. This report addresses the question of what the price for such drugs should be.

Public Health England

Health matters: health economics - making the most of your budget

This guidance outlines how local authorities, NHS commissioners and health care providers can make better evidence-based commissioning decisions and get the most from their budget using easy to use health economic tools, resources and core principles.

Public Health England

Health and justice annual review 2017/18

This report outlines health trends in prisons and other prescribed places of detention. It focuses on some aspects of the work of PHE's National Health and Justice Team. This includes prison health care in England, people in prison with specific needs and protecting health, including responding to seasonal flu.

Public Health England

National child measurement programme: operational guidance 2018

The National Child Measurement Programme is part of the government’s commitment to dealing with the public health challenge of excess weight. This updated guidance is for local commissioners, providers and schools and contains advice on running the programme.

Public Health England

Making the case for preconception care: planning and preparation for pregnancy to improve maternal and child health outcomes

These resources aim to help health professionals in planning and preparation for pregnancy care, to improve outcomes for mothers and babies. It covers the impact of preconception health, ways to improve birth outcomes, and ways to reduce inequalities through embedding preconception care.

Royal College of Obstetricians and Gynaecologists

Each baby counts: themed report on anaesthetic care, including lessons identified from Each Baby Counts babies born 2015 to 2017

Launched in 2014, the Each Baby Counts programme aims to reduce the number of babies who die or are left severely disabled as a result of incidents occurring during term labour by 50 per cent by 2020. This special report is part of a wider set of findings and recommendations, to be published in autumn 2018.

University of Manchester

Evaluation of the implementation of the Saving Babies’ Lives Care Bundle in early adopter NHS trusts in England

This independent evaluation, commissioned by NHS England, shows clinical improvements such as better monitoring of a baby’s growth and movement in pregnancy, as well as better monitoring in labour, led to maternity staff helping to save more than 160 babies’ lives across 19 maternity units.

World Health Organization

Medicines reimbursement policies in Europe

This report examines the various policies that increase access to affordable medicines. Based on direct data collection from 45 of the 53 countries in the WHO European Region, it showcases diverse national practices and aims to identify key aspects of policy frameworks that protect vulnerable groups from unaffordable out-of-pocket payments for medicines.

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