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Patient choice, patient outcomes and nurse staffing
Discussion paper developed after a number of patient organisations were invited to a seminar about the impact of financial deficits, particularly on the nursing workforce, the implications for service users and patient choice.
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GUIDANCE: Safe Nurse Staffing Levels in the UK
Staffing levels have always been an issue. “What is the optimal level and mix of nurses required to deliver quality care as cost-effectively as possible?” is a perennial question. This report sets out the range of different factors that influence the total demand for staff and highlights the variety of methods for planning or reviewing staffing levels.
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Frontline First: Congress 2011 update
The RCN believes that when trusts are planning reductions or changes to NHS services these plans must be accompanied by robust risk and impact assessments to explicitly demonstrate that quality and safety of patient care will not be detrimentally affected.
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Social enterprise and mutual organisations in the delivery of NHS funded healthcare
This paper provides an overview of the current policy context around the role of social enterprise, including mutuals or employee-led organisations, in delivering NHS-funded healthcare.
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Competition in the NHS in England
This policy briefing provides an update on key Department of Health guidance which affects competition in the NHS in England.
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New Foundations: the future of NHS trust providers
In February 2010 the Royal College of Nursing surveyed members in England working in NHS foundation trusts. The aim was to build a snapshot picture of our members’ opinions about their trusts to help us understand how foundation trusts are performing in the following areas: engaging with patients, local communities and staff to design services and shape strategy: using their greater independence; and helping nurses to deliver the highest quality of care. This briefing contains the results of this survey.
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Social care reform in England
On the 30 March 2010, the White Paper Building the National Care Service (NCS) was unveiled. Described as ‘an historic reform’, the White Paper is the Government’s blueprint for fundamental reform of the social care system in England to build a comprehensive NCS, free at the point of use. It follows the consultation Green Paper Shaping the Future of Care Together. In recent years, the issue of social care reform has gathered momentum and a clear consensus has emerged that reform is both necessary and urgent. Nursing has a critical relationship with social care, in delivering frontline care and providing healthcare for unmet social care needs, and social care reform is crucial for high quality care provision. However, in light of the current changing political, and challenging economic context the future of the White Paper is uncertain, and so too its vision. This briefing provides an overview of the case for reform of and recent developments in the social care system in England and, examines the key points of the White Paper.
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The independent sector in health and social care in England in 2009 and prospects for the future
This briefing provides an overview of the diverse non-NHS sector that is playing an increasingly important role in shaping and delivering health and social care in England. It provides a definition of the sector; basic facts about the range and extent of IS activity in health and social care in England; and a look forward at the sector and the implications for patients and nursing.
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An independent NHS board: What will it mean for nursing and nurses
Proposed in the Conservative Party’s 2007 White paper on health 'NHS Autonomy and Accountability', on the 20th May 2010 the Coalition Government announced its intention to “establish an independent NHS board to allocate resources and provide commissioning guidelines”. Details of the independent board’s composition, scope and role are expected in the Government’s forthcoming health White Paper this summer. In the absence of specific details about the independent board at this stage, the Conservatives’ 2007 health white paper is the best indication of the board’s future design and scope. Using the Conservative’s vision for the independent board as a basis, this paper seeks to begin a discussion on what an independent board will mean for Nursing and nurses. It will consider what are the important questions and issues likely to arise from its creation, and discuss what the Government should consider when developing and implementing its decision.
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NHS White Paper
This is the factual briefing of the key themes in the NHS White Paper.
