New from the NHS Institute
New and improved Better Care, Better Value indicators
The NHS Institute’s Better Care, Better Value indicators which identify potential areas for improvement in efficiency have been updated. Provider indicators include: reducing length of stay; outpatient appointment DNA; managing first follow up; pre-procedure elective bed days and sickness absence.
Productives Module Impact Framework: phase two – organisational reporting - now available
This Impact Framework helps NHS organisations understand the impact that The Productive Series has on productivity, efficiency, staff experience, and skills development. Using the framework in this initial partial release will facilitate organisations to get a head start in putting data in to the tool in order to capture baseline data, ready for analysis once the framework is fully launched.
Using IT to improve healthcare
IT can be used to improve the quality of healthcare:
Using health IT: eight quality improvement stories - projects demonstrating how health IT can be used to improve health care delivery, the quality of care, and access to health care.
An Information Revolution: a consultation on proposals - consultation document from the DoH is about transforming the way information is accessed, collected, analysed and used.
Healthcare without walls: a framework for delivery telehealth at scale - looks how treating people with long term conditions can be improved by telehealth technology.
Costs and benefits of health information technology: an updated systematic review - aims to gather the lessons learnt on the effects of HIT to costs and benefits that might be of use to organisations looking to develop and implement HIT programmes.
Organisational and behavioural barriers to medical technology adoption - describes the key challenges that face managers in deciding whether or not to adopt innovative technologies, and suggests ways of working to overcome them.
eQIPP website
NHS Improvement’s website dedicated to QIPP. Featured this month: Lung
Good Practice in Respiratory Services
Transforming Acute Care – details of National Priority Projects
NICE draft chronic obstructive pulmonary disease quality standard (consultation version)
Quality and Productivity Case Studies
NHS Evidence has published these examples of innovative practices so that organisations can learn from one another. These examples range from one-off studies to robustly tested large scale changes that have been replicated in multiple organisations and have had results published in academic journals. Some recent case studies include:
Ambulatory breast surgical care: day case/23-hour breast care
Statins for the treatment of dementia
This month’s tool: Lean/Six sigma/5S
This tool helps you to match capacity with demand for a service. The NHS has several lean tools, including:
DNAs - Reducing Did Not Attends
Flow - Reduce Unnecessary Waits
Mapping The Last Ten Patients
Reduce Things That Do Not Add Value to Patients
You may also find these articles and systematic reviews useful:
Going lean in the NHS: how lean thinking will enable the NHS to get more out of the same resources
Lean thinking in healthcare: a realist review of the literature
The current state of lean implementation in health care: literature review
The Institute of Healthcare Improvement and No Delays Scotland also has information on lean.
This bulletin is brought to you by Library and Knowledge Services. It aims to keep you up-to-date with clinical governance issues. At the beginning of each month, a librarian will update the bulletin with relevant information published in the preceding month. If there are areas you think we also need to cover, please let us know