scholarly journals Rapid Reconfiguration of Paediatric Services in a District General Hospital During COVID-19, Addressing Challenges, and Seeing Opportunities

2021 ◽  
pp. 82-87
Author(s):  
Ahmed Faraz Khan ◽  
Julie McConville ◽  
Suzanne Barr
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Hospital Care ◽  
District General Hospital ◽  
Healthcare Services ◽  
Medium Term ◽  
Effective Care ◽  
Vulnerable Families ◽  
Future Demands ◽  
Local Levels

The scale, speed, and impact of the coronavirus disease (COVID-19) pandemic disruption to healthcare services has been unprecedented, placing significant additional pressures on the National Health Service (NHS). COVID-19 presented exceptional challenges to vulnerable families and is placing increasing pressure on children’s services. The child population does not seem to have been severely impacted by COVID-19; however, some will require hospital care in addition to the current caseload. It is imperative that steps are taken to ensure continued delivery of urgent and emergency paediatric services and the associated maternity and neonatal services at local levels throughout the pandemic. A rapid reconfiguration of services was necessary when the pandemic reached the NHS. Healthcare services had to rethink how to deliver care in the short and medium term, better preparing them for future demands and ensuring that safe and effective care was maintained.

Measuring harm levels with the Global Trigger Tool

Clinical Risk ◽  
2010 ◽  
Vol 16 (4) ◽  
pp. 122-126 ◽  
Author(s):  
Michael Carter
Keyword(s):  
National Health Service ◽  
Health Service ◽  
General Hospital ◽  
National Health ◽  
District General Hospital ◽  
Trigger Tool ◽  
Hospital Governance ◽  
Global Trigger Tool

Over five years, the Global Trigger Tool (GTT) has been used to measure harm events on random case-notes at the Luton & Dunstable Hospital. The GTT has been adapted to a District General Hospital governance setting within the National Health Service. Overall, serious harm levels have diminished, though increased instances of more minor harm indicate that further improvements need to be made.

The Development of National Health Service Social Enterprises in England

2019 ◽  
pp. 95-108 ◽  
Author(s):  
Sebrene Margaret Maher
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Service Providers ◽  
Healthcare Services ◽  
Social Enterprises ◽  
Policy Framework ◽  
Public Healthcare ◽  
Health Service Providers ◽  
The Government

The purpose of this chapter is to examine government policy framework relating to the development of social enterprise within National Health Service providers. The number of social enterprises delivering public healthcare services is continually growing. This chapter discusses challenges and benefits for the government. Potential barriers to achieving this development are also evaluated. Although the focus is primarily upon the policy agenda in England, the chapter makes a useful contribution to the ongoing international debate on the development of social enterprises in primary and secondary care. This review identifies that National Health Service social enterprises responds to local needs, bring innovative, effective ways of managing heathcare in the community. It is clear from reviewing the literature that healthcare services are changing and being continually shaped by social enterprises providers.

Strictly come partnering: are health and wellbeing boards the answer?

2020 ◽  
pp. 67-82
Author(s):  
David J. Hunter
Keyword(s):  
Public Health ◽  
National Health Service ◽  
Young People ◽  
Health Service ◽  
Poor Performance ◽  
Local Authorities ◽  
Ageing Society ◽  
Health And Wellbeing ◽  
System Leaders ◽  
Local Levels

This chapter highlights the need for partnership working, which has been a long-standing objective of health and social policy. For many years, the National Health Service (NHS) and local authorities have been attempting to deal with 'wicked issues'. Issues such as homelessness, disaffection of young people, and the ageing society that have complex multiple causes require joined-up approaches by the statutory and third sectors at national and local levels. In 2012, at the time when Public Health responsibilities were transferred from the NHS to local authorities, health and wellbeing boards (HWBs) were established in England. With few exceptions, HWBs punch below their weight and are not the powerful system leaders that were hoped for. Evidence of their value and impact is negligible, with poor-performance indicators, and the difficulties in overcoming deep-seated departmentalism and a silo approach prevalent in government and public services, leaving 'wicked issues' as deep-seated as ever.

Legal support to gain access to medical treatment in the current healthcare system is unproductive

2019 ◽  
Vol 87 (2) ◽  
pp. 85-88 ◽  
Author(s):  
Sayantan Bhattacharya ◽  
Chandrima Ghosh ◽  
Iftikhar Khan ◽  
Milind Shrotri
Keyword(s):  
National Health Service ◽  
Financial Crisis ◽  
Health Service ◽  
Medical Treatment ◽  
National Health ◽  
Healthcare Services ◽  
Current State ◽  
Legal Perspective ◽  
Legal Challenges ◽  
Gain Access

The National Health Service in UK is facing grave financial crisis. Recently, 65% of Acute Trusts have reported a collective deficit of £2.5 billion. This financial crunch has had significant impact on patient care and sustenance of essential healthcare services. In order to thrive, the National Health Service has begun significant rationing of treatment which has become increasingly apparent in recent times, exposing the National Health Service to legal challenges. This article reviews the current state of the National Health Service from a legal perspective.

scholarly journals More Reform of the English National Health Service: From Competition Back to Planning?

2018 ◽  
Vol 49 (1) ◽  
pp. 5-16
Author(s):  
Richard Q. Lewis
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Competition Policy ◽  
Hospital Care ◽  
Policy Framework ◽  
Policy Initiatives ◽  
Planning Approach ◽  
English National Health ◽  
English National Health Service

The period of sustained financial austerity since 2009 has led to a shift in competition policy within the English National Health Service. Policymakers have directed their attention away from the preexisting priority to support quicker access to routine and planned hospital care and have focused instead on improving emergency, cancer, and general practitioner services. This has prompted the development of a new policy framework and, in particular, a desire to create collaborative health systems focused on specific populations. In addition, previous policy initiatives to engage the leadership of general practitioners in planning services have been revisited. The overall effect has been to shift emphasis away from competitive markets and back toward a planning approach.

scholarly journals Impact of COVID-19 on accident and emergency attendances and emergency and planned hospital admissions in Scotland: an interrupted time-series analysis

2020 ◽  
Vol 113 (11) ◽  
pp. 444-453 ◽  
Author(s):  
Rachel H Mulholland ◽  
Rachael Wood ◽  
Helen R Stagg ◽  
Colin Fischbacher ◽  
Jaime Villacampa ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Hospital Care ◽  
Hospital Admissions ◽  
National Level ◽  
Interrupted Time Series ◽  
Interrupted Time Series Analysis ◽  
Accident And Emergency ◽  
The Impact

Objectives Following the outbreak of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus and the subsequent global spread of the 2019 novel coronavirus disease (COVID-19), health systems and the populations who use them have faced unprecedented challenges. We aimed to measure the impact of COVID-19 on the uptake of hospital-based care at a national level. Design The study period (weeks ending 5 January to 28 June 2020) encompassed the pandemic announcement by the World Health Organization and the initiation of the UK lockdown. We undertook an interrupted time-series analysis to evaluate the impact of these events on hospital services at a national level and across demographics, clinical specialties and National Health Service Health Boards. Setting Scotland, UK. Participants Patients receiving hospital care from National Health Service Scotland. Main outcome measures Accident and emergency (A&E) attendances, and emergency and planned hospital admissions measured using the relative change of weekly counts in 2020 to the averaged counts for equivalent weeks in 2018 and 2019. Results Before the pandemic announcement, the uptake of hospital care was largely consistent with historical levels. This was followed by sharp drops in all outcomes until UK lockdown, where activity began to steadily increase. This time-period saw an average reduction of −40.7% (95% confidence interval [CI]: −47.7 to −33.7) in A&E attendances, −25.8% (95% CI: −31.1 to −20.4) in emergency hospital admissions and −60.9% (95% CI: −66.1 to −55.7) in planned hospital admissions, in comparison to the 2018–2019 averages. All subgroup trends were broadly consistent within outcomes, but with notable variations across age groups, specialties and geography. Conclusions COVID-19 has had a profoundly disruptive impact on hospital-based care across National Health Service Scotland. This has likely led to an adverse effect on non-COVID-19-related illnesses, increasing the possibility of potentially avoidable morbidity and mortality. Further research is required to elucidate these impacts.

scholarly journals Achieving high-quality universal health coverage: a perspective from the National Health Service in England

2018 ◽  
Vol 3 (6) ◽  
pp. e000944 ◽  
Author(s):  
Rocco Friebel ◽  
Aoife Molloy ◽  
Sheila Leatherman ◽  
Jennifer Dixon ◽  
Sebastian Bauhoff ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Universal Health Coverage ◽  
Low Income ◽  
Healthcare Services ◽  
Staff Retention ◽  
Health Coverage ◽  
High Quality ◽  
Universal Health

Governments across low-income and middle-income countries have pledged to achieve universal health coverage by 2030, which comes at a time where healthcare systems are subjected to multiple and persistent pressures, such as poor access to care services and insufficient medical supplies. While the political willingness to provide universal health coverage is a step into the right direction, the benefits of it will depend on the quality of healthcare services provided. In this analysis paper, we ask whether there are any lessons that could be learnt from the English National Health Service, a healthcare system that has been providing comprehensive and high-quality universal health coverage for over 70 years. The key areas identified relate to the development of a coherent strategy to improve quality, to boost public health as a measure to reduce disease burden, to adopt evidence-based priority setting methods that ensure efficient spending of financial resources, to introduce an independent way of inspecting and regulating providers, and to allow for task-shifting, specifically in regions where staff retention is low.

scholarly journals How critical cost analysis can save money in today’s NHS: a review of carpal tunnel surgery in a district general hospital

2018 ◽  
Vol 7 (2) ◽  
pp. e000115 ◽  
Author(s):  
Mark Williamson ◽  
Ranjit Sehjal ◽  
Mark Jones ◽  
Chris James ◽  
Andrew Smith
Keyword(s):  
Patient Satisfaction ◽  
National Health Service ◽  
Health Service ◽  
Carpal Tunnel ◽  
Cost Effective ◽  
District General Hospital ◽  
Annual Saving ◽  
Carpal Tunnel Surgery ◽  
Healthcare Profession ◽  
Effective Service

With today’s National Health Service (NHS) facing huge financial pressures the healthcare profession cannot afford to carry on spending at the current rate. Individual clinicians should be encouraged to critically appraise their own practices to bring about a more efficient and cost-effective service.The purpose of this project was to analyse the way that carpal tunnel surgery was being performed within our institution and bring about safe changes to practice that reduce expenditure.By critiquing our practices and applying simple changes based around sound evidence an annual saving of over £15 500 to the department was made. The changes instigated are simple, sustainable and safe to implement while providing improved patient satisfaction. They are also easily transferrable across institutions and to other minor hand surgical procedures to afford even greater ongoing savings to the NHS.

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