End of life care for people with dementia living in care homes:
It aims to provide an overview of a range of issues important to care home residents, carers and providers. NHS Networks
Thursday, 14 June 2012
A&Es see rise in sports injuries
A&Es see rise in sports injuries: The number of people attending A&E units with sports injuries has jumped by 15% a year, official figures show. BBC News
'Stop opposing assisted dying' - BMJ
'Stop opposing assisted dying' - BMJ: The British Medical Journal has called on doctors' organisations to stop opposing assisted dying for terminally ill, mentally competent adults. BBC News
The Mental Health Act 2007: a review of its implementation
The Mental Health Act 2007: a review of its implementation:
This report examines key issues in the operation of the Mental Health Act five years on. It finds that while there have been some improvements in the treatment of people detained under the Act there remain major concerns about the use of compulsory powers and the availability of advocacy and support for the most vulnerable people. It argues that CCGs and local authorities must ensure that they uphold the rights of people detained under the Mental Health Act as they take up their new responsibilities.
This report examines key issues in the operation of the Mental Health Act five years on. It finds that while there have been some improvements in the treatment of people detained under the Act there remain major concerns about the use of compulsory powers and the availability of advocacy and support for the most vulnerable people. It argues that CCGs and local authorities must ensure that they uphold the rights of people detained under the Mental Health Act as they take up their new responsibilities.
The functions of CCGs: updated to reflect the final Health and Social Care Act 2012
The functions of CCGs: updated to reflect the final Health and Social Care Act 2012:
This updated guidance is a summary to which GPs and emerging CCGs can refer. It aims to be helpful in informing the planning and implementation of CCG responsibilities. It sets out the key responsibilities and statutory powers for CCGs.
This updated guidance is a summary to which GPs and emerging CCGs can refer. It aims to be helpful in informing the planning and implementation of CCG responsibilities. It sets out the key responsibilities and statutory powers for CCGs.
NICE launches free British National Formulary Smartphone App for NHS England
NICE launches free British National Formulary Smartphone App for NHS England: The National Institute for Health and Clinical Excellence (NICE) has today launched a free British National Formulary (BNF) Smartphone application for download by health and social care professionals who work for or who are contracted by NHS England. NICE
Lansley: Reforms not linked to NHS ratings fall - BBC News
Lansley: Reforms not linked to NHS ratings fall - BBC News:
 Daily Mail |
Lansley: Reforms not linked to NHS ratings fall
BBC News Health Secretary Andrew Lansley has rejected a Labour suggestion that his stewardship of the NHS in England prompted a record decline in public approval of how the service is run. At his departmental question session on 12 June 2012, shadow health ... Politics blamed for drop in NHS satisfactionPolitics.co.uk Stats show record fall in NHS satisfaction – but Lansley says it's at a highThe Independent Record slump in public satisfaction with NHSWebMD.Boots.com Financial Times -Marketing Week -Daily Mail all 169 news articles » |
Cash strapped councils strip £900m from elderly care
Cash strapped councils strip £900m from elderly care: Elderly and disabled care budgets have been slashed by £900 million this year alone as local councils struggle to balance the books, social services chiefs have disclosed.
The Daily Telegraph
The Daily Telegraph
Report – People with Learning DIsabilites in England 2011
Report – People with Learning Disabilities in England 2011:
This report summarises information collected by several government departments about people with learning disabilities. It estimates how many people with learning disabilities there are in England and summarises information about the health and social care services they use.
This report summarises information collected by several government departments about people with learning disabilities. It estimates how many people with learning disabilities there are in England and summarises information about the health and social care services they use.
Wednesday, 13 June 2012
The funding formula: age vs deprivation
The funding formula: age vs deprivation: Following recent press reports floating the suggestion that NHS funds in England should be distributed to local areas solely on the basis of the age of the local population, doing so would be a profoundly retrograde step, says Professor Peter C Smith. The Health Foundation
NHS Pension Scheme proposal – what it means for doctors
NHS Pension Scheme proposal – what it means for doctors:
The global economic situation has changed since 2008 and finances, both public and private, are under pressure. The Hutton Review said that current public service pensions are unsustainable. Reform is necessary as people live longer than previous generations.
Here we explain what the proposed NHS pension deal means for doctors:
The global economic situation has changed since 2008 and finances, both public and private, are under pressure. The Hutton Review said that current public service pensions are unsustainable. Reform is necessary as people live longer than previous generations.
Here we explain what the proposed NHS pension deal means for doctors:
- Pension reform is required because people are living longer. Today, a 60-year-old doctor retiring can expect to enjoy 29 years of retirement. This means drawing a pension for almost the same time as they worked for the NHS – 36 years. In contrast, a doctor retiring at 60 in 1984 could only expect to enjoy 20 years of retirement. Both would have paid similar amounts for their pension but the extra 9 years would cost approximately £440,000 and the extra cost is picked up by the taxpayer.
- The 2008 reforms to NHS pensions are not enough. Despite raising the pension age to 65 for future members, the 2008 reforms did not allow the costs of increases in longevity to be managed fairly or sustainably. The agreement allowed members to remain in their existing arrangements with a pension age of 55 or 60, despite the improvements in longevity from which they had benefited. Future generations of NHS workers and taxpayers would have to pay for the increasing time existing pension scheme members can expect to spend in retirement, with only a limited contribution made by members in the form of higher contributions before retirement.
- The current scheme is not financially sustainable. The Government pays pensions from the public finances. Currently, the contributions received into the NHS pensions scheme are greater than the cost of benefits paid out to retired members, creating a £2 billion positive cash flow that some describe as a ‘surplus’. All this means is that the cost of future pension entitlements being built up is greater than those being paid out at the moment. It reflects the fact that the size of the NHS workforce has been growing over the last decade. It does not mean that the scheme is financially sustainable. The current gap between contributions made and benefits paid out is set to disappear by 2016 as NHS workforce growth reaches a plateau and a generation of members reach retirement.
- The reforms still provide an excellent pension. The current NHS pension scheme provides the average full time consultant retiring at 60 with a pension of over £43,000 a year for life and a tax free lump sum of around £135,000. Compare this with a newly qualified doctor joining the reformed scheme after 2015. He can expect a pension of over £53,000 at age 65 (the normal pension age for new joiners) or a pension of around £68,000 a year at his state pension age of 68.
- Doctors’ pensions will still be amongst the highest in the public sector. They will also be significantly higher than the vast majority of the working population. The average NHS pension is around £7,300 a year.
- The NHS pension scheme will remain one of the best available. An inflation-proof pension of £68,000 a year would require a pension pot of nearly £2 million in the private sector. Most taxpayers will have to work longer and contribute more for their pensions with no hope of getting benefits as good.
- Most staff do not have to work until their state pension age in order to get the same level of pension expected under existing arrangements. For the same pension and lump sum, the average 40-year-old consultant would only need to work an extra two and a half years and a 24-year-old doctor starting out on their medical career a little after the age of 66. Those who can expect to live longer are being asked to work longer.
- Higher paid NHS staff do not pay an unreasonable amount for their pension. Doctors contribute a similar proportion of their salary as other NHS staff on much more modest incomes but usually achieve better benefits. Tax relief on pension contributions means that from April 2012, a consultant earning over £110,000 would contribute 6.54% of their salary after tax relief (9.9% before tax relief) whilst a nurse earning a quarter of that would pay 6.4% after tax relief.
- Those closest to retirement will see no change. All NHS staff within 10 years of their pension age will remain in the current scheme. Limited protection will be provided to staff who are outside this group but within 13.5 years of their pension age. This means around 35% of the NHS workforce will see no or little impact on their pension arrangements. All staff will have the pension that they have accrued by 2015 fully protected.
- Pension reform affects all public servants not just NHS staff. Pensions are one element of wider remuneration packages that, of course, vary between different sectors. For example, the average salary of a civil servant is around £23,000 a year, for a nurse it is around £31,000 and for a secondary school teacher £36,000. Civil servants pay a lower contribution rate towards their pension compared with other public servants. However, pay levels for civil servants have always taken this into account. Department of Health
Public satisfaction with the NHS and its services
Public satisfaction with the NHS and its services:
The King's Fund have published the topline results and trends of the British Social Survey 2011 relating to NHS and healthcare, ahead of the full survey being released later this year. Overall, the results show that public satisfaction with the NHS has fallen 12% between 2010 and 2011.
Responses and comments
The King's Fund have published the topline results and trends of the British Social Survey 2011 relating to NHS and healthcare, ahead of the full survey being released later this year. Overall, the results show that public satisfaction with the NHS has fallen 12% between 2010 and 2011.
Responses and comments
Enablers and barriers to integrated care and implications for Monitor
Enablers and barriers to integrated care and implications for Monitor:
A consortium, led by Frontier Economics, and including The King’s Fund, The Nuffield Trust and Ernst & Young, was appointed by Monitor to consider issues relating to the delivery of integrated care. This report sets out the evidence, analysis and findings. Monitor are seeking comments on the findings of this report and will be accepting comments until 13th July 2012.
A consortium, led by Frontier Economics, and including The King’s Fund, The Nuffield Trust and Ernst & Young, was appointed by Monitor to consider issues relating to the delivery of integrated care. This report sets out the evidence, analysis and findings. Monitor are seeking comments on the findings of this report and will be accepting comments until 13th July 2012.
Facilitating improvement in primary care: the promise of practice coaching
Facilitating improvement in primary care: the promise of practice coaching:
Practice coaching, also called practice facilitation, assists general practices with the desire to improve in such areas as patient access, chronic and preventive care, electronic patient record use, patient-centeredness, cultural competence, and team-building. This briefing clarifies the essential features of practice coaching and offers guidance for health system leaders and policymakers on how best to structure and design these programs in primary care settings.
Practice coaching, also called practice facilitation, assists general practices with the desire to improve in such areas as patient access, chronic and preventive care, electronic patient record use, patient-centeredness, cultural competence, and team-building. This briefing clarifies the essential features of practice coaching and offers guidance for health system leaders and policymakers on how best to structure and design these programs in primary care settings.
Elderly will be able to 'sue' the NHS
Elderly will be able to 'sue' the NHS:
Care Minister Paul Burstow has said elderly patients will be able to sue the health service if they experience discrimination because of age.He said that from October this year older patients who have been refused care as a result of their age can sue the NHS.The decision, which covers hospitals in England, Wales and Scotland, comes after a consultation on the subject by the Home Office.According to a re... Healthcare Today
Care Minister Paul Burstow has said elderly patients will be able to sue the health service if they experience discrimination because of age.He said that from October this year older patients who have been refused care as a result of their age can sue the NHS.The decision, which covers hospitals in England, Wales and Scotland, comes after a consultation on the subject by the Home Office.According to a re... Healthcare Today
NHS compensation rises to £98m
NHS compensation rises to £98m:
The amount of money paid out to patients as compensation by the health service has increased from £56 million in 2009-10 to over £98 million in 2010-11.The NHS payouts to people who did not have their illness detected or diagnosed revealed that one in 10 were related to cancer not being spotted.The information was released by the NHS Litigation Authority (NHSLA) after a Freedom of Information request.M... Healthcare Today
The amount of money paid out to patients as compensation by the health service has increased from £56 million in 2009-10 to over £98 million in 2010-11.The NHS payouts to people who did not have their illness detected or diagnosed revealed that one in 10 were related to cancer not being spotted.The information was released by the NHS Litigation Authority (NHSLA) after a Freedom of Information request.M... Healthcare Today
NHS satisfaction levels fall 'due to NHS bill'
NHS satisfaction levels fall 'due to NHS bill': As an annual survey finds that patient's happiness with the NHS has fallen by record levels, the lead author of the report by the King's Fund, John Appleby, describes what he thinks are the reasons for it.
The Daily Telegraph
The Daily Telegraph
Doctors' checks 'needed now to maintain trust in medics', says Patients Association
Doctors' checks 'needed now to maintain trust in medics', says Patients Association: Patients' trust in doctors will fall if doctors are allowed to hold up compulsory checks being brought in to ensure they are still competent, Andrew Lansley, the Health Secretary, has been warned.
The Daily Telegraph
The Daily Telegraph
Director-governor interaction in NHS foundation trusts: A best practice guide for boards of directors
Director-governor interaction in NHS foundation trusts: A best practice guide for boards of directors: Monitor, working in conjunction with PA Consulting, conducted a research project to identify the key factors for establishing strong director-governor interaction within foundation trusts. The findings are encapsulated in this best practice guide, which is aimed at existing foundation trusts and aspirant foundation trusts.
Monitor
Monitor
Tuesday, 12 June 2012
Public satisfaction with NHS plummets in 2011
Public satisfaction with NHS plummets in 2011: Why has the British public's satisfaction with the way the NHS runs taken a nose dive in 2011 – falling from 70 per cent (its highest ever level) to 58 per cent? (Blog, 12 Jun 2012) Kings Fund
Subscribe to:
Posts (Atom)