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  • Whittington respiratory service.

    Publication date:
    Abstract:
    This case study is one of six, which form part of a project undertaken by The King’s Fund to investigate the different ways in which consultants are working beyond their traditional boundaries. The King’s Fund’s staff reviewed relevant documentation and interviewed staff to help identify the key characteristics of this ...

  • Leeds interface geriatrician service.

    Publication date:
    Abstract:
    This case study is one of six, which form part of a project undertaken by The King’s Fund to investigate the different ways in which consultants are working beyond their traditional boundaries. The King’s Fund’s staff reviewed relevant documentation and interviewed staff to help identify the key characteristics of this ...

  • The reconfiguration of clinical services, what is the evidence?

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    Abstract:
    This paper aims to help those planning and implementing major clinical service reconfigurations ensure that change is as evidence-based as possible. It investigates the five key drivers – quality, workforce, cost, access and technology – across 13 clinical service areas, and summarises the research evidence and professional guidance available in ...

  • Understanding quality in district nursing services, learning from patients, carers and staff.

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    Abstract:
    This report investigates what ‘good’ district nursing care looks like from the perspective of people receiving this care, unpaid carers and district nursing staff and puts forward a framework for understanding the components involved. It also looks at the growing demand–capacity gap in district nursing and the worrying impact that ...

  • integration of health and social care in progress., Developing community resource teams in Pembrokeshire, Wales

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    Abstract:
    This case study looks at integrated teams of health and social care professionals, known as community resource teams (CRTs), who work to co-ordinate care for people living at home in the largely rural county of Pembrokeshire. This model of care is one aspect of a wider strategic programme of integrated ...

  • exploring variation., Older people and emergency bed use

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    Abstract:
    This paper explores factors that might be driving the significant variation in use of hospital beds by patients over 65 admitted as an emergency. It considers the contribution made by patient-based (demand-side) factors, hospital (supply-side) factors, the availability of community services and resources, and broader system relationships (how care systems ...

  • emerging innovations in governance and organisational form., New care models

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    Abstract:
    The 23 vanguard sites chosen to develop the multispecialty community provider (MCP) and primary and acute care system (PACS) new care models have been working to pool budgets and integrate services more closely. Some are continuing to use informal partnerships, but others are opting for more formal governance arrangements. Commissioners ...

  • Managing quality in community health care services.

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    Abstract:
    Community health care services provide vital care out of hospital for millions of people. From children’s services to care for older people and end-of-life support, the community sector plays a key part in meeting the challenges facing our health and care system. This report presents findings from a small-scale study ...

  • Community services, how they can transform care.

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    Abstract:
    This paper looks at the changes needed to realise the full potential of community services for transforming care. The Transforming Community Services policy, launched in 2008, was mainly concerned with structural changes. While the emphasis on moving care closer to home has resulted in some reductions in length of hospital ...

  • from hospitals to health systems., Acute hospitals and integrated care

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    Abstract:
    A core part of the vision in the NHS five year forward view is a fundamentally different role for acute hospitals. Hospitals in England and elsewhere face significant challenges as a result of rising demand and the changing needs of the population, and they will not be able to meet ...