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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

Review of the National Autism Strategy ‘Think Autism': call for evidence

In April 2014 the government published Think Autism, a strategy for meeting the needs of autistic adults in England. This year the Department of Health and Social Care, working with the Department for Education, will review the strategy and extend it to cover children as well as adults. The closing date for comments is 16 May 2019.

Department of Health and Social Care

Government response to the Independent Breast Screening Review recommendations

The Independent Breast Screening Review looked into an incident in the breast screening programme in England that resulted in thousands of women aged between 68 and 71 not being invited to their final breast screening. The review published its report in December 2018. This document sets out the government’s response to each recommendation made in the report. The government has accepted all the recommendations.

Guidance, innovation and tools

Public Health England

NHS Right Care toolkit

Physical ill-health and CVD prevention in people with severe mental illness. This toolkit defines the core components of an optimal service for people with SMI who are at risk of developing CVD. It provides a national case for change and a set of resources to support local health systems to address variation in practice and improve population health.

Predict Prostate

The appropriate treatment option for men with prostate cancer is not always apparent

This online tool has been designed to help predict an individual’s prognosis following a prostate cancer diagnosis. This tool could help prevent unnecessary treatment and related side effects.

Practice examples and case studies

Housing LIN

Tackling social exclusion at Grand Union Housing Group

Jan Davies of Grand Union Housing writes about how recent new developments in digital technologies and adopting modern new ways of care and support can ensure their older customers continue to live happy, healthy, engaged and independent lives.

Social Care Institute for Excellence

Care resources for Northern Ireland

On World Social Work Day, SCIE launched a new digital home for the Northern Ireland social work and social care community to share, celebrate and promote local good practice.

Reports, commentary and statistics

Children's Commissioner

Early access to mental health support

This report illustrates the findings of a data collection exercise to understand spending on low-level children's mental health services across England. While the total reported spend on low-level mental health services across all areas in England increased by 22 per cent between 2016/17 and 2018/19 in cash terms, and by 17 per cent in real terms, over a third of areas around the country still saw a real-terms fall in spending – with nearly 60 per cent of local authorities seeing a real-terms fall.

Department of Health and Social Care

Quality Matters summary action plan: second edition

Quality Matters is an initiative to improve the quality of adult social care, led jointly by the Department of Health and Social Care and partners from across the adult social care sector. This action plan sets out four areas for improvement: supporting collaborative commissioning; collecting and using data; strengthening the feedback culture in the sector; and providing support for quality improvement.

European Observatory on Health Systems and Policies

Averting the antimicrobial resistance crisis: what are the avenues for policy action for countries in Europe?

This policy briefing summarises some of the key policy avenues for tackling antimicrobial resistance (AMR). Following the widely accepted ‘One Health’ approach to combating AMR, the brief aims to support the implementation of national action plans on AMR, drawing on numerous examples of effective policies implemented by European Union member states and involving the human, animal and environmental health sectors.

Health Foundation

Watch: What makes us healthy?

‘To understand what makes us healthy, we need to look at the bigger picture.’ An introduction to the social determinants of health. This infographic series explores how different social determinants influence our health, with supporting blogs and interviews to capture both expert insights and the lived experience of people.


Charter to strengthen relations between the Helpforce programme and staff in the National Health Service England

This charter shows how volunteers can make a valuable contribution to the NHS in England, without undermining paid staff or affecting patient safety. Its aim is to ensure that the tens of thousands of people who give up their time to provide comfort and help to patients are given guidance about their roles.

Office of Health Economics

How should we measure quality of life impact in rare disease?

Recent learnings in spinal muscular atrophy. The measurement of quality of life in the context of spinal muscular atrophy (SMA) is challenging. This is because the disease is experienced by children and is rare, which makes data collection difficult. This briefing reports on a symposium that outlined some lessons that can be learnt from the SMA context that might be more widely applicable to other rare diseases.

Office of Health Economics

The future of global health procurement: issues around pricing transparency

This research paper focuses on the role that price transparency may play in the efficient and effective procurement of medicines by middle- and low-income countries. It discusses whether making prices publicly available makes procurement more efficient and cost-effective medicines more accessible.

Royal College of Physicians

Fracture Liaison Service Database: commissioner's report 2019

This report provides CCGs with a summary of the audit’s national key findings, recommendations and results for fracture liaison services (FLSs) within their locality. The report explains what an FLS is and how FLSs could help CCGs not only reduce the number and cost of unplanned admissions but also make a significant reduction in morbidity and mortality for older people.

Public Accounts Committee

NHS financial sustainability: progress review

This report finds that, while the NHS did balance its overall budget in 2017/18, there is a disparity in financial health and patient experience at a local level. It concludes that the top-level picture hides warning signs that the NHS's financial health is getting worse: increasing loans to support trusts in difficulty; raids on capital budgets to cover revenue shortfalls; and the growth in waiting lists and slippage in waiting times do not indicate a sustainable position.

Women and Equalities Commission

Tackling inequalities faced by Gypsy, Roma and Traveller communities

This report says there has been a persistent failure by national and local policy makers to tackle long standing inequalities facing Gypsy, Roma and Traveller communities in any sustained way. It finds that Gypsy, Roma and Traveller people have the worst outcomes of any ethnic group across a huge range of areas, including education, health, employment, criminal justice and hate crime. The report of this two year inquiry makes 49 recommendations for change.

World Health Organization Europe

Can people afford to pay for health care?: New evidence on financial protection in Europe

The evidence in this report shows that some people face barriers to access and forego treatment due to the cost involved; some pay and experience financial hardship as a result; and some are affected in both ways, even in Europe’s richest countries.

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