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  • Mental health and new models of care, lessons from the vanguards.

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    Abstract:
    This report draws on recent research with vanguard sites in England, conducted in partnership with the Royal College of Psychiatrists. It finds that where new models of care have been used to remove the barriers between mental health and other parts of the health system, local professionals saw this as ...

  • improving quality and the value for money., Mental health and the productivity challenge

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    The NHS is facing a significant financial challenge and needs to make substantial improvements in productivity if it is to provide high-quality services without additional funding. Spending on mental health accounts for around ten per cent of the overall health budget and so the mental health sector has a key ...

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

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    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 ...

  • Workforce planning in the NHS.

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    The NHS workforce is the primary driver of future health costs. Given the substantial changes in population demographics and health care needs, the workforce needs to be fit for purpose. That means responding to immediate needs and financial pressures while adapting to deliver the future care models outlined in the ...

  • a plan of action for London., Transforming mental health

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    The government’s mandate for achieving parity of esteem between physical and mental health has put the spotlight on mental health provision. In London, meeting the mental health needs of the large and diverse population poses major challenges, and the London Health Board has identified improving the mental wellbeing of Londoners ...

  • Service transformation, lessons from mental health.

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    Abstract:
    This report takes mental health services for adults in England as a case study and examines the relevance of this experience to current policy. It focuses on understanding the dramatic changes to mental health services and the factors that enabled that change to happen.

  • Oxleas Advanced Dementia Service, supporting carers and building resilience.

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    Abstract:
    Age-related chronic and complex medical conditions account for the largest and growing share of health care budgets in all industrialised nations. However, people living with multiple health and social care needs often experience a highly fragmented service leading to sub-optimal care experiences, outcomes and costs. To address this, strategies of ... and .

  • Bringing together physical and mental health, a new frontier for integrated care.

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    Until now, most efforts to promote integrated care have focused on bridging the gaps between health and social care or between primary and secondary care. But the NHS five year forward view has highlighted a third dimension – bringing together physical and mental health. This report makes a compelling case ...

  • Sustainability and transformation plans in London, an independent analysis of the October 2016 STPs (completed in March 2017).

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    Abstract:
    Sustainability and transformation plans (STPs) are key to the future of health and care services. This report, commissioned by the Mayor of London and based on work completed in March 2017, looks at the five STPs in London, their contents and common themes. The authors, from The King’s Fund and ...

  • Quality improvement in mental health.

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    Abstract:
    A growing number of mental health providers (in the UK and beyond) are beginning to embed quality improvement across their organisations, with some encouraging results. The approach is based on the concept that sustained improvement is best achieved by empowering frontline teams, service users and carers to design, implement and ...