measurement of needs and the spatial allocation of NHS hospital resources

by M. S. Butts

Publisher: University of Glasgow, Centre for Urban and Regional Research in Glasgow

Written in English
Published: Downloads: 656
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Edition Notes

Statementby M.S. Butts, K.E. Hancock and J.K.Swales.
SeriesCURR discussion paper -- no.38
ContributionsHancock, K. E., Swales, J. K., University of Glasgow. Centre for Urban and Regional Research.
ID Numbers
Open LibraryOL14867525M

  Posted in Analytics, Clinician Engagement and Outcomes Improvement. Becoming an agent of change in healthcare is not easy. Over the past decade, it has been my good fortune to encounter many clinicians and healthcare operational leaders across the U.S. In these encounters, two trends have become apparent. First, many of the discussions are. INTRODUCTION. The geography of health care comprises the analysis of spatial organization (number sizes, types, and locations) of health services, how and why spatial organization changes over time, how people gain access to health services, and the impacts on health and well-being ().Recent decades have seen dramatic changes in the health care landscape in the United States and other countries. 1. Health service delivery. 2 Health service delivery Health service delivery Health service delivery research and dialogue on what and how to measure it is in the early stages. If resources are limited and do not allow for visiting all health facilities in a country (or sub-nationally in a.   Abstract. Boulanger C, Toghill M () Ensuring best practice in observation to detect and report on patient g Times; 47, early online publication.. This article aims to provide knowledge, skills and practical advice for registered nurses, to improve the assessment, recording and reporting of patient observations.

  From to , studies found that about only one-fifth of the people with ASD functioned in the "normal range" of intelligence, according to a review. 14 But years later, in , a U.S. study found that almost half of the children with ASD had average or above average intelligence, that is, an IQ score above Less than a third of /5.   The term "Geographic Information Systems" (GIS) has been added to MeSH in , a step reflecting the importance and growing use of GIS in health and healthcare research and practices. GIS have much more to offer than the obvious digital cartography (map) functions. From a community health perspective, GIS could potentially act as powerful evidence-based practice tools for early . Average (median) gross weekly earnings by Welsh local areas and year (£) Ethnicity by area and ethnic group. Welsh Index of Multiple Deprivation by rank, decile and quintile, Lower-layer Super Output Area (LSOA) Patients in mental health hospitals and units in Wales with a mental illness. Rough Sleepers by local authority. The normal NHS waiting time for the treatment had been used as a threshold, but the Court said that this could not be the sole determinant of what constitutes ‘undue delay’. The fact that a waiting time is normal (in the UK) does not necessarily mean that it is reasonable. Where decisions about allocation of resources have been made on.

However, if your needs change – making the wheelchair you have bought unsuitable – you will be eligible for a reassessment of your needs. You cannot exchange the voucher for cash. Also, if you buy a wheelchair privately from a commercial company or individual, you cannot ‘claim back’ the money from the NHS Wheelchair Service. based allocation and the actual level of health system expenditure on mental health, particularly in those areas with a high level of socio-economic deprivation. They suggest that some health authorities failed to spend resources in line with the underlying grant allocation formula because they.   Over the past few decades, in OECD countries there has been a general growing trend in the prevalence of out-of-hospital healthcare services, but there is a general lack of data on the use of these services. We defined a list of indicators related to primary and community healthcare services in collaboration with 13 Italian Local Health Authorities (LHAs).Cited by: 4. It calls for NHS staff to work in a more ‘joinedup’ way. With the NHS moving to an Integrated Care System by , the creation of ICSs will bring together local organisations in a pragmatic way to deliver the triple integration of primary and secondary care, physical and .

measurement of needs and the spatial allocation of NHS hospital resources by M. S. Butts Download PDF EPUB FB2

The measurement of needs and the spatial allocation of NHS hospital resources By M.S. Butts, K.E. Hancock, J.K Swales and Glasgow Univ. (United Kingdom). Centre for Urban and Regional Research. The NHS needs around a 4% rise in its overall budget every year to meet growing and anticipated demand over the next 15 years, health service leaders have told peers.

Abstract. The removal of spatial and social inequalities in, and barriers to, access to health care, was a fundamental aim of the NHS. There remains considerable debate over the efficacy of the NHS, notably because of the persistent class inequality in health status (Townsend and Davidson, ), but the issue of spatial inequality in service provision is still very much on the by: 2.

4 Summary Health Resource Allocation Summary 1 This short briefing has been prepared for the Members of the Health Committee to support the Committee’s examination of health resource allocation.

The NHS White Paper, Equity and excellence: Liberating the NHS, sets out the Coalition Government’s long-term vision for the future of the NHS. Resource allocation and rationing strategies in the NHS. Christopher Stone January 1.

Introduction When a treatment funding decision is appealed by an individual patient, the lawfulness of that decision must be tested for its compliance with UK law, European law or Convention Size: KB.

ECC 3 CONTRIBUTION: • STATE GOVERNMENT –% • CENTRAL GOVERNMENT –% • THIRD PARTY INSURANCE & EMPLOYERS –% • MUNICIPAL GOVERNMENT –% • India –3 to 5% of Total Population • 12% penetration in top 20 cities • Developed Countries –75% of Total Population MEDICAL INSURANCE SCHEME: INVESTMENT: • PRIMARY HEALTH CARE –% • File Size: 2MB.

Resource. allocation in mental health. within the NHS and mental health services in particular, which while they were not developed to promote personalisation directly, may be able to Rules for Allocation Needs Costs Constrain & Inform 6 Principles of File Size: KB.

needs to consider the opportunities to improve people’s environment and life chances. The role of the NHS The NHS is held close to the hearts of people across Wales and the rest of the UK. When first set up inthree principles were laid out: 3 • it would meet the needs of everyone •.

PRIVATE HOSPITAL GUIDELINES iii TABLE OF CONTENTS B Spatial Distribution of Illumination B Discomfort Glare B Radiant Heat B Mechanical B Mechanical Acoustics B Vibration B6 ENVIRONMENTAL DESIGN B General B References B Specific Considerations B Access and Use B Planning B Parking B Lifts.

Allocation of NHS Resources Vol: 3 Executive Summaries of the Reports of the Group budgets may need to be dispensing based and not prescription needs based.

Consequently, a mechanism would need to be in place to recognise NHS resources. No area will receive less than their current level of resourcesFile Size: KB.

AssemblyÕs National Steering Group on the Allocation of NHS Resources Introduction As a result of discussions within the Health and Social Services Committee on the distribution of money to the NHS Wales I commissioned a major resource allocation review in Februarywith the objective of ensuring more equitable access for the entireFile Size: 50KB.

The allocation of NHS resources increased in real terms in the most deprived areas: by £ (€; $)/head, from £/head in to £/head inrepresenting an. Objective To investigate whether the policy of increasing National Health Service funding to a greater extent in deprived areas in England compared with more affluent areas led to a reduction in geographical inequalities in mortality amenable to healthcare.

Design Longitudinal ecological study. Setting lower tier local authorities in England, classified by their baseline level of by:   A particular purpose of healthcare needs assessment is the spatial allocation of resources.

Geographical equity of regions, districts, and even localities (such as housing estates) can be addressed by global and surrogate measures of health, particularly deprivation indices and standardised mortality by: The ethical justification for developing and providing the means to reduce the burden of disease in developing countries is self-evident.

Nevertheless, those who pursue these laudable ends encounter ethical dilemmas at every turn. The development of new interventions requires testing with human subjects, an activity fraught with controversy since the dawn of scientific medicine and especially Cited by: NHS England is responsible for determining allocations of financial resources to Clinical Commissioning Groups (CCGs).

Total annual budgets given to CCGs cover the majority of NHS spending. The allocations process uses a statistical formula to make geographic distribution fair and objective, so that it more clearly reflects local healthcare.

The New NHS white paper requires primary care groups to contribute to health authorities’ health improvement programmes, “helping to ensure that they reflect the perspectives of the local community and the experiences of local patients.” 3 More general practitioners will therefore face the dilemmas that needs assessment is intended to by:   The Technical Guide to Allocation Formulae and Pace of Change for to revenue allocations to Clinical Commissioning Groups and commissioning areas has now been published.

The technical guide sets out the methodology and actual calculation of the allocations which were agreed at the 17 December NHS England Board meeting and published on 8 January We first outline the spatial inequities that the NHS inherited, the work of the Resource Allocation Working Party (RAWP), and its new redistributive formula.

We then introduce the ACF approach, analyzing the RAWP's prehistory and formation in advocacy coalition terms, focusing particularly on the rise of health by: 3. A particular purpose of healthcare needs assessment is the spatial allocation of resources. Geographical equity of regions, districts, and even localities (such as housing estates) can be addressed by global and surrogate measures of health, particularly 6deprivation indices and standardised mortality ratios.

Measuring relative deprivation is a step. – Rights, Rationing and Resources in the NHS 2nd ed. (Oxford: Oxford University Press), pp., ISBN: This book-length research text, published by the leading UK academic publisher for law, is recognised as ‘the standard reference on the law of the National Health Service’ (Journal of Medical Ethics,).

SOUTHEND UNIVERSITY HOSPITAL NHS FOUNDATION TRUST DOC: ISSUE: 1 Human Resources Strategy DATE: January PAGE: 3 of 14 1 Introduction Staff at Southend University Hospital are our most valuable asset and are essential to the hospital building a reputation for excellence, innovation and high quality patient Size: KB.

A variety of approaches have been used to contain escalating hospital costs. One approach is intensifying price competition. The increase in price based competition, which changes the incentives hospitals face, coupled with the fact that consumers can more easily evaluate the quality of hotel services compared with the quality of clinical care, may lead hospitals to allocate more resources Cited by: Strategies for Hospital Leadership – Identifying Strengths, Allocating Hospital Resources and Focusing on Profitable Niche Leadership | Page 2 Boston Consulting Group Matrix The hospital leadership should combine the mix of looking at the business lines through the BCG matrix, and also assess such questions as Porter would set Size: KB.

Human Resources for Health Development Journal (HRDJ) Vol. 3 No. 3 September - December, Original Article Determining Hospital Workforce Requirements: A Case Study Serpil Ozcan1, Peter Hornby2 (1) World Bank Health Project, Ministry of Health, Ankara, Turkey and Centre for.

While the principles behind resource allocation in the English NHS have changed little since the mids, the NHS has changed considerably. This paper argues that the resource allocation system needs to change accordingly.

NHS England gets serious about allocations. This content relates to the following topics: Public health; and it acknowledges the need to focus on better measurement and allocation for unmet need.

Improving the allocation of health resources in England How to decide who gets what. Nurses can then use NSIs to link the data with patient outcomes to ensure staffing is sufficient to give the best care.

NSI data is converted into a rate per 1, occupied bed days, allowing comparison between wards and trusts. If NSIs are poor, senior nurses should review staffing, checking for other local factors that might compromise care.

Objective The WHO has argued that adolescent-responsive health systems are required. Developmentally appropriate healthcare (DAH) for young people is one approach that could underpin this move. The aim of this study was to explore the potential for DAH to become normalised, to become a routine, taken-for-granted, element of clinical practice.

Design Qualitative ethnographic study. Cited by: 1. Instead, there will be commissioning of NHS services locally involving GPs, hospital doctors and nurses. PCTs will be abolished in NICE will still provide info, but it will be the board that will make commissioning guidance for local commissioning groups.

There will be a national tariff which will specify the price of NHS health services. Person-based Resource Allocation: New approaches to estimating budgets for GP practices, provides an outline of PBRA, why it was developed, and how.

The report is aimed primarily at GP and commissioning leaders, policy-makers, and senior managers in the NHS.only improve future measurement of NHS output but would also be of value in managing the NHS.

5. We have constructed a new index of labour input in the NHS. It combines data from a range of sources to calculate a volume measure of total hours worked and includes an adjustment to take account of increases in the skills of the workforce. by:   Objective To investigate whether the daily workload per nurse (Oulu Patient Classification (OPCq)/nurse) as measured by the RAFAELA system correlates with different types of patient safety incidents and with patient mortality, and to compare the results with regressions based on the standard patients/nurse measure.

Setting We obtained data from 36 units from four Finnish by: 8.