Results for 'patients'
CAPER Kathleen, PLUNKETT James
Drawing on the results of interviews with 824 general practitioners (GPs) in England carried out in 2015, this briefing looks at the amount of time and money GPs spend dealing with non-health issues. GPs responding to the survey report spending almost a fifth of their time on social issues that are not principally about health, including relationship problems, housing, unemployment and social isolation. This time has an implied cost to the health service of almost £400 million a year. Although approximately half the GPs surveyed said that time spent on non-health issues helped them understand their local community, this can leave less time for other patients' health care needs. In addition, many issues raised with GPs, require specialist knowledge that many GPs do not have. Whist the report acknowledges that discussion of non-health issues can be helpful in developing GP-patient relationships, it concludes that finding other ways to meet some of the non-health demand facing GPs would free up time and money to be reinvested in patient care. Possible suggestions put forward include the co-locating of non-health services and advice services in GP surgeries and ensuring GPs know how to best signpost patients to other local services in the community.
NHS ENGLAND, et al
This quick guide provides practical advice to help local health and social care systems reduce the time people spend in hospital when they no longer need acute care, but are delayed whilst making decisions about or making arrangements for their ongoing care. The guide covers: providing people with information about their choices after hospital discharge, providing support to allow patients to make choices about their ongoing care, the availability of care homes and care packages at home, a patients refusal to leave hospital, and use of interim packages and placements. Each section includes a checklist of actions to consider to help identify areas for improvement and examples of practical solutions to common problems, including links to useful resources. A template policy and template patient letters that can be customised and used locally are also included.
A guide for primary care commissioners in NHS England and Clinical Commissioning Groups (CCGs) on how to involve patients, service users, carers and the public in the commissioning of primary care services. This includes involving throughout the commissioning process in the planning, policy making, buying and monitoring primary care services such as general practice, community pharmacy, dental, and eye health services. The Framework looks at how NHS England involves people in commissioning at national and local levels; co-commissoning with CCGs; and individual responsibilities as a policy or commissioning manager in primary care. It also includes short case study examples, provides details of additional sources of information, and key partner organisations and networks with an interest in public participation. It has been co-designed with members of the Working Group for Patient and Public Participation in Primary Care Commissioning and also incorporates feedback received from key stakeholders. The document will also be of interest to patients and the public, the voluntary sector, and providers of health and social care services. It is designed to be read with the NHS England Patient and Public Participation Policy and the Statement of Arrangements and Guidance on Patient and Public Participation in Commissioning.
MUIR Rick, QUILTER-PINNER Harry
This report argues that giving citizens greater control over their health and care can both promote the redesign of services, so that they are developed around citizens needs and aspirations, and also save money by supporting people to manage their conditions themselves. The report begins by looking at what empowerment in health and care means and the benefits it can bring in terms of autonomy, better health outcomes, patient satisfaction, and reductions in cost. It then describes previous programmes and initiatives which aimed to give citizens and communities greater power and why these approaches have not been entirely successful. It then describes five models of care which actively empower citizens and communities and address the deficiencies of previous initiatives. The models described are: social prescribing; brokerage and integration; peer support; asset-based community development; and technology-enabled care plans, which provide people with the tools to better manage their condition themselves. The final chapter identifies five enablers of systems change to help encourage the development and wider adoption of these new models of care: finance, devolving power and integration, recruitment and training workforce, the adoption new technology, empowering citizens to have greater control of their health and care.
TREADGOLD Paul, GRANT Carol
This research report highlights how providing information to patients and their carers improves outcomes, reduces costs and gives people a better experience of care. Consumer health information (CHI) is defined as information and support provided to help patients and carers understand, manage and/or make decisions about their health, condition or treatment. High quality means effective information, which meets the needs of users and empowers them to make choices and take control of their health and wellbeing. The Patient Information Forum (PiF) commissioned research to identify the benefits of investing in health information. The project, which looked at over 300 studies, found that there are good business reasons to justify the investment of more time, money and training in health information provision and support. These include positive impacts on service use and costs, substantial capacity savings, and significant returns on investment by increasing shared decision-making, self-care and the self-management of long-term conditions.