Improving outcomes
Focus on outcomes to improve quality of patient care
The NHS Outcomes Framework is the first of its kind for the NHS, moving the focus on to the issues that patients care about most, and away from centrally driven process targets that get in the way of patient care. The framework follows the NHS White Paper and the consultation Transparency in outcomes – a framework for the NHS.
Enhanced Recovery Programme
The NHS Institute has developed this programme to help improve patient outcomes and speed up a patient's recovery after surgery. The programme focuses on making sure that patients are active participants in their own recovery process.
As outcome is related to patients getting the care they expect to receive, the Picker Institute’s position and discussion papers may be of interest. These include:
What Patients Want
What Patients Get
The core domains of inpatient experience
The key domains of the experience of hospital outpatients
Focus on: high volume care
By focusing on a limited range of high volume HRGs, the NHS can make the maximum impact in improving the quality and value of care for NHS patients. The Focus on series shows how:
Focus on: Acute Stroke
Focus on: Fractured Neck of Femur
Focus on: Heart failure
Focus on: Magnetic resonance imaging (MRI) in the management of low back pain - radiology
Focus on: Cholecystectomy - day surgery
eQIPP website
NHS Improvement’s website dedicated to QIPP. Featured this month: Cancer
Improving Outcome: A Strategy for Cancer
Ambulatory breast surgical care: day case/23hour breast care
Transforming inpatient care – quality winning principles 1-4
Quality and Productivity Case Studies
NHS Evidence has published examples of innovative practices so that organisations can learn from one another. These 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:
Clinical Assessment Service for Foot and Ankle Pathway
Cardiology Device Procurement
This month’s tool: Capacity and Demand
This tool helps you to match capacity, the resources available, to meet the demand for a service, and to eliminate bottlenecks. See the NHS Institute’s section on this topic, the NHS Improvement Leaders Guide to Matching Capacity and Demand and its selection of tools:
NHS Institute’s Capacity and Demand Tools
No Delays Scotland Demand and Capacity Tools
Institute for Healthcare Improvement
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.