Health Management and Policy Alert

Review of health and social care leadership in England: terms of reference

Department of Health and Social Care - 

The government announced a review of leadership in health and social care, to be led by former Vice Chief of the Defence Staff General Sir Gordon Messenger and supported by Dame Linda Pollard, Chair of Leeds Teaching Hospital Trust. The terms of reference outline the scope for the leadership review to consider what is needed to improve how health and social care is led and managed in England. The review will consider how to foster and replicate the best examples of leadership. It aims to reduce regional disparities in efficiency and health outcomes across the country.

• Terms of reference
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Payment models for multi-indication therapies

Office of Health Economics (OHE) - 

For the growing number of multi-indication medicines, access may be delayed or even denied due to challenges in linking payment with a medicine’s value across those indications. The OHE assembled a broad range of stakeholders to work toward consensus on the challenges and solutions which promote better patient access and sustainable health care and innovation.

• Report
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Gendered experiences of obesity: narrowing gender gaps in prevention and treatment

Social Market Foundation - 

This report explores gendered experiences of obesity in the UK , examining how obesity rates differ between men and women, the drivers of these trends and the extent to which policy aimed at reducing obesity rates needs to be gender specific.

• Report
• Press release

NICE impact: people with a learning disability

National Institute for Health and Care Excellence (NICE) - 

Having a learning disability can affect how a person learns new things during their lifetime. They may need a range of extra support throughout life, depending on the complexity of their learning disability. This report, reviewing the impact of NICE guidance, highlights the lack of progress made in many areas. Data shows high levels of health inequality and limited positive change over time.

• Report
• More detail

The future of NHS human resources and organisational development

NHS England and NHS Improvement - 

This report outlines the ten-year strategy for the human resources (HR) and organisational development (OD) services in the NHS. It is aimed at HR and OD directors, chief people officers, HR and OD practitioners, managers, leaders and anyone with an interest in HR and OD.

• Report
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Towards true universal care: reforming the NHS charging system

Institute for Public Policy Research - 

The system of charging migrants for healthcare in England has become increasingly stringent in recent years. Since the introduction of the new rules, there is a growing body of evidence highlighting their adverse impacts. Through interviews with people with direct experience of NHS charging, healthcare workers and policy professionals, this study found further evidence of systemic problems with the current charging system. Other countries in Europe operate fairer systems to provide healthcare for residents without immigration status. Drawing on these examples alternatives to the current system were tested out with the expert interviewees. Based on these interviews, a shortlist was drawn up of five alternatives to the current charging system.

• Report
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Making homes fit for ageing and caring

Care & Repair England - 

This report  reviews the consequences of Covid-19 and associated ‘lockdowns’ for older people in England with particular reference to their housing, health and well-being, and considers the post-pandemic housing policy implications.

• Report
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Crowding and its consequences

Royal College of Emergency Medicine - 

Against the backdrop of long ambulance delays experienced across the UK, high levels of crowding in emergency departments (EDs), and record-breaking numbers of patients experiencing the longest waits, this report examines crowding and its consequences. It finds that at least 4,519 patients have died as a result of crowding and twelve hour stays in EDs in England in 2020-2021. The report urges governments, NHS England and devolved equivalents, integrated care systems, and trusts to take a system wide approach to tackling the problem.

• Report
• Press release

Nowhere else to turn: exploring high intensity use of accident and emergency services

British Red Cross - 

People who frequently attend accident and emergency (A&E) a make up less than one per cent of the population, but account for a significant proportion of all A&E attendances, ambulance journeys and hospital admissions. It is estimated they cost the NHS at least £2.5bn per year. This report explores the profile and experiences of people who frequently attend A&E and considers what needs to be done to ensure that more people can be supported in the community, before they reach a crisis that leads to the door of the emergency department. It shows the clear link between high intensity use and wider inequalities.

• Report
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Understanding vaccine hesitancy through communities of place

Institute for Community Studies - 

This UK-US collaborative study highlights the importance of tapping into local knowledge and leadership in efforts to improve Covid-19 vaccine take-up. Produced together with the Institute for Community Research and Boston University in the United States, the study explores levels of vaccine engagement in four locations: Oldham and Tower Hamlets in the UK, and the cities of Boston and Hartford in the US. In all four localities, the survey finds the authorities’ ‘top-down’ approach to vaccine distribution and education has been ineffective, and that applying a ‘community engagement approach’ instead –involving community groups and trusted leaders in vaccine distribution and education – can improve take-up rates.

• Report
• Press release