Market Intelligence

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  • The NHS in England is facing growing financial and service pressures at a time of rising demand. This paper proposes a new approach to tackling these challenges. It argues that NHS organisations need to move away from a ‘fortress mentality’ whereby they act to secure their own individual interests and future, and instead establish place-based ‘systems of care’ in which they collaborate with other NHS organisations and services to address the challenges and improve the health of the populations they serve.
  • This discussion paper reflects the work in progress from one third of STP areas, as captured in July and August 2016. It shows that the scale of the STP process is large and ambitious, and the speed with which plans are being pulled together is astonishing. So far, the plans are not sufficient to close the funding gap, but, if implemented well and combined with high-quality local efficiency improvement, they would go some way to doing so and would demonstrate the capability of the NHS and social care system to deliver. This paper points to some important trends, ideas to be explored and issues that need to be resolved in order to ensure success.
  • This guideline covers the recognition, diagnosis and early management of sepsis for all populations. The guideline committee identified that the key issues to be included were: recognition and early assessment, diagnostic and prognostic value of blood markers for sepsis, initial treatment, escalating care, identifying the source of infection, early monitoring, information and support for patients and carers, and training and education.
  • The NHS five year forward view (Forward View) highlighted ‘closing the care and quality gap’ as one of three strategic challenges facing the health service in England by 2020. This report considers how policymakers – the government and the main arm’s length bodies (ALBs) – can most effectively support the people and organisations actively engaged in delivering health care services to achieve high quality care for all within available resources. This report is the culmination of an eight-month programme of work by Professor Sheila Leatherman, working with a team at the Health Foundation, to try to find some answers.
  • Unaudited figures indicate that NHS commissioners (clinical commissioning groups and NHS England) and providers in aggregate ended 2015/16 in deficit for the second year running. Attention has so far largely focused on acute providers, and much less emphasis has been placed on the growing financial pressure on commissioners and on the impact of deteriorating NHS finances on other providers. This briefing provides an overview of the factors that have led to the NHS going into deficit. It goes on to outline some of the strategies being employed to restore financial balance, before drawing together our thoughts on the implications of these strategies for the NHS this year and in the longer term.