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  • supporting improvement in general practice?, Clinical commissioning groups

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    Abstract:
    The King's Fund and the Nuffield Trust are working together to assess the implementation and impact of clinical commissioning groups. Between 2012 and 2015, we are following the evolution of clinical commissioning in six case-study sites and will publish the findings annually. This first report is based on fieldwork conducted ...

  • Better value in the NHS, the role of changes in clinical practice.

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    Abstract:
    This report looks back at past trends in NHS productivity to help us to understand how this has been done in the past and also identifies a number of opportunities for the future. The authors consider three areas - generic prescribing, length of stay and day case surgery – in ...

  • Quality improvement in general practice.

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    Abstract:
    This paper was commissioned by The King’s Fund to inform the GP Inquiry panel. The views expressed are those of the authors and not of the panel. and Over the past 20 years there has been a growing awareness of the need to improve quality across health care and general practice, driven by a need to reduce inequalities in health care and the need to effectively translate evidence into practice and by the changing expectations of patients and ...

  • Improving the quality of commissioning GP services.

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    Abstract:
    This paper was commissioned by The King’s Fund to inform the Inquiry panel. The views expressed are those of the authors and not of the panel. and This paper assesses the challenges commissioners face, identifies the factors and tools that are particularly relevant to commissioning effective general practice, and suggests what can be done to address weaknesses in general practice commissioning.

  • Reconfiguring hospital services.

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    Abstract:
    NHS hospitals face mounting financial and workforce pressures. Reconfiguration of hospital services can provide a powerful means of improving quality in an environment where money and skilled health care workers are scarce. In some places, reconfiguration is needed urgently, in order to protect patient safety. However, the current reconfiguration process ...

  • developing and diversifying opportunities., Volunteering in ambulance services

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    Abstract:
    Commissioned by the Office for Civil Society, this report explores the role and value of volunteering within ambulance services in England and identifies examples of different ways in which volunteering opportunities are being developed.

  • assessing the Getting It Right First Time (GIRFT) programme., Tackling variations in clinical care

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    Abstract:
    The Getting It Right First Time (GIRFT) programme aims to bring about higher-quality care in hospitals, at lower cost, by reducing unwanted variations in services and practices. It uses national data to identify the variations and outcomes, shares that data with all those concerned with a service – not only ...

  • 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 ...

  • who is responsible?, Organising care at the NHS front line

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    Abstract:
    This report looks at the reality of caring for acutely ill medical patients at the NHS front line and asks how care in hospitals can be improved. It comprises a series of essays by frontline clinicians, managers, quality improvement champions and patients, and provides vivid and frank detail about how ...

  • Embedding a culture of quality improvement.

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    Abstract:
    This report is based on a roundtable event and interviews with key stakeholders and NHS provider chief executives who have already engaged with quality improvement as a routine way of working. It identifies practical lessons and focuses on how to create the right conditions for quality improvement to emerge and ...