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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

A review of the fit and proper person test

This independent review, led by Tom Kark QC, investigates how effectively the test prevents unsuitable staff from being redeployed or re-employed in health and social care settings. It sets out seven recommendations including: developing competencies for directors; making a central database of directors’ qualifications, training and appraisals; and expanding the definition of serious misconduct.

Department of Health and Social Care

Research and development work relating to assistive technology: 2017–18

This report sets out government-funded projects supporting the development, introduction and evaluation of assistive technology. This technology aims to increase the independence or wellbeing of disabled and older people.

Healthcare Quality Improvement Partnership

National Prostate Cancer Audit: Annual Report 2018

This report presents results for men diagnosed with prostate cancer between 1st April 2016 and 31st March 2017 in England and Wales. It reports on specific diagnostic, staging and treatment information as well as core performance indicators in order to compare diagnostic specialist MDTs or treatment centres.

Healthcare Quality Improvement Partnership

National Lung Cancer Audit: Clinical Outcome Publication Report 2018

This is the fifth report on the individual activity of surgeons and their contribution to lung cancer care. The data relate to patients diagnosed with lung cancer who underwent surgery during the period between 1 January and 31 December 2016.

Guidance, innovation and tools

Digital Health

Call for tech solutions to meet NHS needs in North East and Cumbria

The Academic Health Science Network (AHSN) for the North East and North Cumbria is calling for innovators to come up with solutions to address challenges faced by front-line NHS staff. The first is a handheld device that measures kidney function, specifically serum potassium and creatine, that can be used by patients or carers at home.

Digital Health Age

Healthtech startup receives Innovate UK grant for rare disease solution

Healthtech startup Mendelian has received a grant from Innovate UK to build solutions aiming to assist GPs in identifying NHS patients who potentially have rare or hard to diagnose conditions and diseases. The grant is being used to implement the company’s screening system, which provides augmented intelligence and data analysis to deliver automated identification of patients who may fit the rare disease or difficult to diagnose categories.

Med-tech Innovation News

Call for innovators to develop devices needed by NHS

As part of its Innovation Exchange initiative, AHSN NENC is calling on innovators to come up with solutions to measure renal function. Development of a device to enable patients to safely and accurately self-test their own kidney function at home could have benefits for both patients and the NHS.

NHS England

Older patients spared dementia and falls by NHS tech roll-out

New tools to improve the care of older people include digital checks that can detect dementia and prevent falls in older people, and save lives through diagnosis of sepsis, are among a range of tools being made available in hospitals across the country.

Practice examples and case studies

NHS Employers

Dorset HealthCare University NHS Foundation Trust: staff voice at the heart of organisational change

This case study explores how Dorset HealthCare University NHS Foundation Trust has worked to improve its NHS Staff Survey results through a range of staff engagement actions. It demonstrates how the trust focused on these three areas of staff engagement: advocacy, involvement and motivation.

Reports, commentary and statistics

Asthma UK

The reality of asthma care in the UK

Young people with asthma are more likely to have uncontrolled asthma and the least likely to get life-saving basic care. Millennials in the UK are also more likely to be at high risk of having an asthma attack and the least likely to get life-saving basic asthma care than any other age group.

BBC News

Dementia risk factors not known by half of population

Half of UK adults cannot identify any key risk factors for dementia, according to a study by Alzheimer's Research UK. The charity surveyed 2,361 people and found that only 1% were able to name the seven known risk or protective factors for dementia.

Department of Health and Social Care

UK CMO commentary on screen time and social media map of reviews

In 2018, the UK Chief Medical Officers commissioned independent researchers at University College London to map published research on screen time, social media, and children and young people’s mental health. This report includes their advice for parents and carers, and their recommendations for other stakeholders.

Guardian

Anxiety on rise among the young in social media age

The number of young people in the UK who say they do not believe that life is worth living has doubled in the last decade, amid a sense of overwhelming pressure from social media which is driving feelings of inadequacy, new research suggests.

Healthcare Improvement Studies Institute

Involving NHS staff in research

This report highlights the role of NHS staff in research and explores how the full potential of their involvement could be better realised. It describes the ways NHS staff are making their mark on the research process – from designing studies, to collecting data, to disseminating and implementing research findings. It identifies some of the key reasons NHS staff get involved in research and looks at some of the barriers to active involvement.

Health Foundation

A critical moment: NHS staffing trends, retention and attrition

This report highlights that NHS staff numbers are failing to keep pace with demand and that there is ongoing deterioration in workforce numbers in critical areas such as primary and community care, nursing and mental health.

National Audit Office

Investigation into the management of health screening

This report finds that the proportion of eligible adults receiving health screening is inconsistent across different areas in England and that services are not operating to the ‘agreed standards’. The investigation focused on: delivery of health screening programmes; performance of health screening programmes; oversight of health screening programmes; and progress in implementing change in screening programmes.

NHS Clinical Commissioners

Governance and accountability for integrated health and care

This explainer for the NHS and local authorities, produced in association with the Centre for Public Scrutiny, outlines potential solutions to some of the key governance and accountability challenges that these organisations may face when seeking to work more collaboratively. It also highlights some of the key enablers from those systems and what is needed to support further integration.

NHS Employers

Dorset HealthCare University NHS Foundation Trust: staff voice at the heart of organisational change

This case study explores how Dorset HealthCare University NHS Foundation Trust has worked to improve its NHS Staff Survey results through a range of staff engagement actions. It demonstrates how the trust focused on these three areas of staff engagement: advocacy, involvement and motivation. This work resulted in improved survey response rates and year-on-year improvement to its staff engagement scores.

NHS England

NHS to rollout lung cancer scanning trucks across the country

Lung cancer scanning trucks that operate from supermarket car parks are being rolled out across the country in a drive to save lives by catching the condition early. Around £70 million will fund 10 projects that check those most at risk, inviting them for an MOT for their lungs and an on the spot chest scan that include mobile clinics.

NHS Improvement

Operating theatres: opportunities to reduce waiting lists

This report provides the insight to support clinicians, managers and hospital leaders to improve how care is delivered and theatre resources and clinical expertise are used. To assess the scale of the opportunity to improve theatre productivity, NHS Improvement commissioned Deloitte to analyse theatre productivity across England.

Nuffield Trust

Age UK’s Personalised Integrated Care Programme: evaluation of impact on hospital activity

Age UK’s Personalised Integrated Care Programme (PICP) aims to improve the lives of older people through practical support, underpinned by a change in the way that the health and care system works together for these people locally. This report analyses the hospital use of older people who had received a service from PICP in eight areas of England.

Public Accounts Committee

Local government spending

This report finds that local authority finances continue to deteriorate amid rising demand for vital services. The Public Accounts Committee is dismayed by the government’s view of what it constitutes as sustainability in the sector. It states that short-term cash injections are not good value and the government must instead plan for the future.

Public Health England

Cervical screening: implementation guide for primary HPV screening

This guidance is to aid local providers of the NHS Cervical Screening Programme in implementing high-risk human papillomavirus testing. It includes information on: roles and responsibilities; service reconfiguration; screening tests; quality assurance; training; protocols for screening; protocols for colposcopy referrals and centralisation of screening laboratories.

Public Health England

Suicide prevention profile

This profile has been produced to help develop understanding at a local level and support an intelligence driven approach to suicide prevention. It collates and presents a range of publically available data on suicide, associated prevalence, risk factors, and service contact among groups at increased risk.

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