Contents of the report
Click the section titles to go directly to that page of the PDF.
An overview of the findings of the report including lessons we can learn from past experience and an agenda for action in the future.
An outline of the contents of the report.
An analysis of three areas – generic prescribing, length of stay and day case activity – where significant and sustained improvements in productivity have been made in the past.
The impact of inappropriate care delivered in the NHS and its cost, including examples of overuse of low-value care, underuse of high-value care and preventable harm. Variations in clinical practice across the country are discussed.
Highlighting the opportunities available for delivering better value care for people with long-term conditions, older people, and people at the end of their lives.
Examples of better value care from Plymouth Hospitals NHS Trust (stroke pathway); Sheffield (older people); Alder Hey Children’s Hospital (children with abdominal pain); and Walsall (repeat prescribing).
An agenda for action calling on patients, clinical teams, providers, commissioners and national bodies to act to put the report’s recommendations into practice.
It is very clear that some 'groups' are getting more from the 'better care fund' than others! there should be a study of which groups these are, and who are 'missing' out?
My latest campaign is directed towards the MCA2005 code of practice particularly those subject to a COP 'Property and Finance' order.
The OPG have been contacted regarding my concerns with 'Safeguarding' where the LA/corporate Deputy's are not always applying the rules regarding Section 117 of the 1983 MHA and the Care Act 2014, they have accepted my concerns and now reviewing the OPG regulations.
No Monitoring takes place of the Corporate Deputies /LA and with no training in the latest Care Act 2014 or knowledge of the information in the MHA/mental Capacity Act code of practice it soon became very clear that the vulnerable were being exploited, particularly by the LA who are 'short of funds'.
My concerns above, has been identified and evidence provided that the system of protecting the vulnerable is 'not fit for purpose'. No Care Plans for the LTC patients subject to section 117 and the COP, this effects everything there is, that isn't right about the entire system of health and social care.
Until those attempting to make a difference know who can be involved in delivering 'GOOD' health and social care that is patient centred' nothing will every change.
I appear to be the 'lone ranger' trying to educate those attempting to put in a 'better system of health and social care' but you need to know what the old one is like first. Agree?