Developing care for a changing population: Learning from GP-led organisations

The way a health system is organized may influence the care this system provides. In this Nuffield Trust report some GP-led experiences are described, analyzing what are the internal characteristics and external context that have affected GP-led progress.

The intra-organizational characteristics listed are: (I) strong links between clinical leaders and GP member practices, (II) sophisticated strategic and operational management support, (III) use of multiple forms of peer-led improvement, (IV) organizations are both entrepeneurial and pragmatic, (V) linked data between the organization’s own services and other providers.

In what concerns to external context, the three characteristics listed are: (I) a ...

Person-centred care in Europe: a cross-country comparison of health system performance, strategies and structures

In February 2016, the international charity Picker Institute Europe published a policy briefing titled “Person-centred care in Europe: a cross-country comparison of health system performance, strategies and structures”. The document provides an overview of policy and practice relating to person-centred care in England, Italy, Spain, Germany and the Netherlands. The briefing focuses on both quality and efficiency of care and highlights recent innovations and adaptations driven by the rise of noncommunicable diseases and financial challenges. For example, in the Netherlands, models of care have shifted towards both prevention and an increased usage of primary care for handling patients with chronic ...

Integrated care – taking specialist medical care beyond the hospital walls

The Royal College of Physicians has published in 2016 a document titled “Integrated care -  taking specialist medical care beyond the hospital walls”.

In the first part of this document they are described some of the main topics about integrated care, how it is conceptualize and what it really implies for patients, professionals and for the whole system.

Afterwards, some study cases are shown as examples to go deeper into different dimensions of integrated care such as the need for sustainable models of integrated care, leadership, management and governance or self-management and care.

Finally, the document lists five key areas where ...

National Framework for Children and Young People’s Continuing Care

This Framework (reviewed) is intended to provide guidance for clinical commissioning groups (CCGs) when assessing the needs of children and young people whose complex needs cannot be met by universal or specialist health services. CCGs have a legal responsibility for securing to a reasonable extent the health care which an individual needs, and this guidance is about the process which should be followed for the equitable discharge of that responsibility for children and young people with complex needs. This revision takes account of the new structures of NHS commissioning created by the Health and Social Care Act 2012 and the ...

Inclusion Health: Education and Training for Health Professionals: END of STUDY REPORT

The concept of Inclusion Health is founded on the premise that not all UK citizens have access to the highest standards of healthcare. Meeting the health needs of a small group of socially excluded individuals and their communities remains a challenge. This population has poorer predicted health outcomes and a shorter life expectancy than the average population. The National Inclusion Health programme for England was launched in March 2010 as a cross-government programme led by the Department of Health. It provides a framework for driving improvements in health outcomes for socially excluded groups. The rationale for setting up this framework ...

The OECD Mental Health and Work Policy Framework - Integrated services for sustainable growth

Mental health is an important driver of labour market outcomes and thus affects economic growth and future development. If labour markets are to function well, it is important that policy makers address the interplay between mental health and work, as they are slowly coming to recognise that they have long neglected an issue that is critical to people’s well-being and for contributing to sustainable economic growth. This report discusses which aspects of mental health and employment interventions must be addressed to push policy making in the right direction, namely: when to intervene, how to intervene or what to do ...