The Saturday Economist Bond Market SentinelJohn Ashcroft
This is the Bond Market Sentinel analysis available
to members of the Saturday Economist Club. We monitor ten year gilt and bond yields in the US and the UK together with a look along the yield curve.
For exchange rates check out our weekly exchange rate updates. For the outlook on copper and metals check out our weekly metals update.
The comments on markets should not be construed as the giving of investment advice. Markets do not always behave according to trend.
The Health and Social Care Act (2012) paved the way for far-reaching reforms to how patient care in the English NHS is organised, managed and delivered. The changes were formally implemented on 1 April 2013.
This slideshow outlines the main changes to management, accountability and funding structures resulting from the Act.
The first slides show the old and new structure in overview, together with a slide detailing the transitional arrangement. Further slides compare the earlier arrangements that were in place for funding, regulation and monitoring, advice and performance management, and patient and public participation, with the new system at both the national and local level. The final slide outlines the new medical education and training arrangements.
You are welcome to download and use individual slides in your own presentations providing suitable acknowledgement is given.
To find out more about our work on the NHS reforms, visit our dedicated project page. You can also access an interactive timeline showing the complete history of the NHS, putting the current reforms in historical context.
Candace Imison, Director of Healthcare Systems at the Nuffield Trust, presents on how we need the right workforce to transform the delivery system in healthcare.
Magnus Liungman: RCTs in complex settings Nuffield Trust
Magnus Liungman and Dr Gustaf Edgren present on the lessons learned from developing a healthcare prevention intervention for frequent emergency department visitors.
The Saturday Economist Bond Market SentinelJohn Ashcroft
This is the Bond Market Sentinel analysis available
to members of the Saturday Economist Club. We monitor ten year gilt and bond yields in the US and the UK together with a look along the yield curve.
For exchange rates check out our weekly exchange rate updates. For the outlook on copper and metals check out our weekly metals update.
The comments on markets should not be construed as the giving of investment advice. Markets do not always behave according to trend.
The Health and Social Care Act (2012) paved the way for far-reaching reforms to how patient care in the English NHS is organised, managed and delivered. The changes were formally implemented on 1 April 2013.
This slideshow outlines the main changes to management, accountability and funding structures resulting from the Act.
The first slides show the old and new structure in overview, together with a slide detailing the transitional arrangement. Further slides compare the earlier arrangements that were in place for funding, regulation and monitoring, advice and performance management, and patient and public participation, with the new system at both the national and local level. The final slide outlines the new medical education and training arrangements.
You are welcome to download and use individual slides in your own presentations providing suitable acknowledgement is given.
To find out more about our work on the NHS reforms, visit our dedicated project page. You can also access an interactive timeline showing the complete history of the NHS, putting the current reforms in historical context.
Candace Imison, Director of Healthcare Systems at the Nuffield Trust, presents on how we need the right workforce to transform the delivery system in healthcare.
Magnus Liungman: RCTs in complex settings Nuffield Trust
Magnus Liungman and Dr Gustaf Edgren present on the lessons learned from developing a healthcare prevention intervention for frequent emergency department visitors.
Laura Eyre and Martin Marshall: Researchers in residence Nuffield Trust
Laura Eyre, Research Associate and Martin Marshall, Professor of Healthcare Improvement at UCL give an inside perspective on moving improvement research closer to practice.
Do people support raising taxes to maintain the NHS? Do they think care has got better, worse, or stayed the same?
Our pack of infographics pulls out the take-home messages from recent polls on what the public really want from the NHS, ahead of the 2015 general election.
Ruth Thorlby: capturing patient and staff thoughts in evaluation Nuffield Trust
Ruth Thorlby, Acting Director of Policy at the Nuffield Trust, presents reflections on the challenges of capturing patient and staff thoughts in evaluations
Ipsos MORI Political Monitor April 2015: Election IssuesIpsos UK
Ipsos MORI's April 2015 Political Monitor looks at which issues British voters say will influence their choice in May's General Election, as well as which parties they think have the best policies on each issue.
Our series of organograms explain how the NHS is now structured, including how providers are regulated, who can influence the commissioning of services and where the money goes.
Laura Eyre and Martin Marshall: Researchers in residence Nuffield Trust
Laura Eyre, Research Associate and Martin Marshall, Professor of Healthcare Improvement at UCL give an inside perspective on moving improvement research closer to practice.
Do people support raising taxes to maintain the NHS? Do they think care has got better, worse, or stayed the same?
Our pack of infographics pulls out the take-home messages from recent polls on what the public really want from the NHS, ahead of the 2015 general election.
Ruth Thorlby: capturing patient and staff thoughts in evaluation Nuffield Trust
Ruth Thorlby, Acting Director of Policy at the Nuffield Trust, presents reflections on the challenges of capturing patient and staff thoughts in evaluations
Ipsos MORI Political Monitor April 2015: Election IssuesIpsos UK
Ipsos MORI's April 2015 Political Monitor looks at which issues British voters say will influence their choice in May's General Election, as well as which parties they think have the best policies on each issue.
Our series of organograms explain how the NHS is now structured, including how providers are regulated, who can influence the commissioning of services and where the money goes.
CIM Spring Marketing Conference 2015
From Segments to Fragments: Conflicting economic signals and their implications for marketers. Paul Flatters, Trajectory
Inspirational presentation from Nick Parsons,Head of Research, UK and Europe and Global Head FX Strategy | Wholesale Banking | National Australia Bank Limited
This presentation was made by at the 3rd Health Systems Joint Network meeting for Central, Eastern and South-eastern European Countries held in Vilnius, Lithuania, on 25-26 April 2019
Social Inequalities
Big Data, Small Area symposium to celebrate 30 years of the Small Area Health Statistics Unit (SAHSU)
Danny Dorling
November 15th 2017
How should policymakers respond to the new challenges and opportunities of ag...ILC- UK
Presentation by David Sinclair, Assistant Director of Policy and Communications at ILC-UK, at 'New perspectives on population ageing in Scotland', 4 November 2013 14.00-17.00 as part of the ESRC Festival of Social Science http://www.esrc.ac.uk/news-and-events/events/festival/festival-events/specific-2013/population-ageing.aspx
These slides were used to launch the Health Profile for England (and a separate Health Equity report). Health Profile for England brings together a range of data to tell a story about our health. Find out more: http://bit.ly/2ubZ1Uo
This is a video recording of a live AS macro revision webinar that looked at some examples of external demand and supply-side shocks that can affect countries such as the UK. In the video I explained six key "shock absorbers" - ways in which a country might be better placed to cope with the impact of world demand, supply and financial shocks to their economic systems.
Evaluation of the Integrated Care and Support Pioneers ProgrammeNuffield Trust
Nick Mays of the Policy Innovation Research Unit presents some conclusions from the early evaluation of the Integrated Care and Support Pioneers Programme.
Effectiveness of the current dominant approach to integrated care in the NHSNuffield Trust
Jonathan Stokes of the Greater Manchester Primary Care Patient Safety Translational Research Centre presents a systematic review of case management in integrated care.
Providing actionable healthcare analytics at scale: Understanding improvement...Nuffield Trust
Thomas Woodcock, Improvement Science Fellow at Imperial College London, talks about the various measurement approaches and processes when working at large scale to assess care quality improvements.
Ramani Moonesinghe, Associate National Clinical Director for Elective Care at NHS England, discusses the use of data for monitoring care quality at various levels within the system.
Paul Aylin, Co-Director of the Dr Foster Unit at Imperial College London, gives concrete examples of using a specific statistical model for monitoring care quality, cumulative sum (CUSUM).
Martin Utley, Director of the Clinical Operational Research Unit at University College London, reflects upon his involvement in the launch of specific tools to monitor care quality for paediatric cardiac surgery.
Evaluating new models of care: Improvement Analytics UnitNuffield Trust
Martin Caunt, Improvement Analytics Unit Project Director and NHS England and Adam Steventon, Director of Data Analytics at The Health Foundation share insights into how they have approached evaluating new models of care.
Lisa Annaly, Head of Provider Analytics at the Care Quality Commission, discusses lessons learned from the CQC as they have worked to monitor care quality over time.
Kate Silvester, a healthcare systems engineer, discusses the challenges of working with data and statistical techniques for real-time monitoring of care quality.
Monitoring quality of care: making the most of dataNuffield Trust
Chris Sherlaw-Johnson, Senior Research Analyst at the Nuffield Trust, introduced the Monitoring quality of care conference and gives an overview of some of the approaches that we've been using at the Trust to identify where care quality has been improving, especially for frail and older people.
Providing actionable healthcare analytics at scale: Insights from the Nationa...Nuffield Trust
Christopher Boulton, Falls and Fragility Fracture Audit Programme Manager at the Royal College of Physicians and Rob Wakeman, Clinical Lead for Orthopaedic Surgery at the National Hip Fracture Database talk about what they have learned by analysing the national hip fracture database.
Providing actionable healthcare analytics at scale: A perspective from stroke...Nuffield Trust
Benjamin Bray, Research Director and the Sentinel Stroke National Audit Programme, presents at the Monitoring quality of care conference about stroke care analytics.
New Models of General Practice: Practical and policy lessonsNuffield Trust
Nuffield Trust policy researchers Rebecca Rosen and Stephanie Kumpunen present findings from our upcoming report on large scale general practice models.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
QA Paediatric dentistry department, Hospital Melaka 2020
13 reasons to spend more on health and social care
1. John Appleby, Director of Research and Chief Economist, The Nuffield Trust
13 reasons to spend more on
health and social care
2. 3%
52%
Marks and Spencer
John Lewis
British busines
Houses of Parliament
Oxfam
BBC
Team GB
Royal Family
Armed Forces
NHS
1… because we love it!
2
Q: What makes Britain
great?
A: The NHS!
We may love the NHS, but is
this really a good enough
reason to spend more on it?
Perhaps it’s precisely the
things we don’t think make
Britain great which need
more money (education?) to
make us proud of them?
4. 3… because we’re getting richer
4
As we earn more, we
spend more on the
NHS
The past may be a guide to
the future… but then again…
And in any case, compared
to other countries the UK
seems to be spending about
as much as you’d expect
given its GDP0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
0 500,000 1,000,000 1,500,000 2,000,000
UKNHSspendas%ofUKGDP
UK GDP, 2010 prices (£ millions)
1970
2015
5. 4… because it’s a vote winner
5
Governments have
protected NHS
spending
On the other hand, these real
increases were way behind
what the NHS reckoned it
needed to cope with
increasing demand.-50 -40 -30 -20 -10 0 10 20 30
Work and Pensions
Justice
Busines
Culture, Media and Sport
Enviroment, Food, and Rural Affairs
Home Office
Defence
Education
Cabinet Office
Health
Transport
International development
Percentage real change in funding 2010/11 to 2019/20
6. 5… because we need to
6
The UK’s population of
over 75-year-olds will
increase by nearly
75% over the next 20
years
On the other hand, while
older people may be big
users of the NHS, the
average future 75 year old is
likely to be healthier than the
current 75 year old and
hence need less health care.
5.4
9.3
UK population aged over 75 (millions)
7. 6… because it costs more
7
The prices of things
the NHS buys tend to
rise faster than
inflation generally
Higher NHS-specific inflation
may have been a feature in
the past, but not so much
recently
-8%
-6%
-4%
-2%
0%
2%
4%
6%
8%
10%
12%
1975-76
1980-81
1985-86
1990-91
1995-96
2000-01
2005-06
2010-11
NHSinflationminusRPI(percentagepoints
difference)
NHS inflation higher than the RPI
NHS inflation lower than the RPI
8. 7… because it’s difficult to improve productivity
8
Less bangs per buck
in the NHS than the
rest of the economy?
In fact, the NHS has
managed to improve its
productivity over time, and
since 2002, average
increases have matched
other sectors of the UK
economy (although partly
due to the impact of the 2008
recession on productivity in
the economy).
90
95
100
105
110
115
120
125
130
135
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
Indexofproductivitygrowth(1995=100)
All market sectors in the
economy
UK NHS
9. 8… because we’re short of doctors
9
The UK lags behind
many countries in the
number of practising
doctors
Another way of looking at
these numbers is that we get
by with fewer doctors
because they are more
efficient than their German,
Swiss and Norwegian
colleagues.
2.22
2.79
5.05
Korea
Mexico
Poland
Japan
Canada
Slovenia
United Kingdom
Ireland
New Zealand
Luxembourg
Belgium
France
Latvia
Estonia
Hungary
Australia
Israel
Iceland
Spain
Italy
Germany
Switzerland
Norway
Austria
Practising physicians per 1000 population
10. 15% 10% 5% 0%
Luxembourg
United Kingdom
Italy
Greece
Spain
Finland
Portugal
Ireland
Austria
Belgium
Denmark
Germany
France
Netherlands
Sweden
20
-3% 2% 7% 12%
Luxembourg
Greece
Portugal
Italy
Spain
Finland
United Kingdom
Ireland
Austria
Belgium
Denmark
Netherlands
Germany
France
Sweden
201
4
Public Private
9… because other countries spend more
10
Are we spending less
on health care than our
European neighbours?
But when we started
comparing our spending on a
more like-for-like basis (in
2014) our health spending
jumped compared to 2012 so
that it’s about average
compared to countries we
consider our peers (such as
the old EU-14 countries).
Health spend as a percent of GDP
8.5%
6.7%
10.9% 10.9%
6.3%
9.9%
2012 2014
11. 10… because it contributes to the economy
11
(Days off) Sick of not
funding the NHS
properly?
There is a multiplier effect of
health and care spending,
but whether this is the most
cost effective way of
boosting the economy is
doubtful.0
20
40
60
80
100
120
140
160
180
200 1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
2015
Dayslostthroughsicknessabsence(millions)
12. 11… because lives could be saved
12
Good news: Deaths that
could have been avoided
through better health
care have fallen.
Bad news: they’ve
started to rise recently…
Of course my life (and yours)
is worth everything. Yet, as
individuals we take decisions
every day (getting out of bed,
crossing a busy road...) that
implicitly place a finite (and
actually quite small) value on
our lives. Why should
governments take a contrary
view?
0
20,000
40,000
60,000
80,000
100,000
120,000
140,000
160,000
0
50
100
150
200
250
300
350
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
Avoidabledeaths
Avoidabledeathsper100,000population
13. 8%
38%
Bottom 20% Top 20%
Percentageofhouseholdswithprivate
medicalinsurance
Household income quintile
12… because more spending on private care is inequitable
13
The wealthier you are
the more likely you are
to have private medical
insurance
14. 0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
0 0.5 1 1.5 2 2.5 3 3.5 4
Benefit
X
X = Point at which
we get more benefit
by stopping
spending on the
NHS and spending
on something else
'Benefit-spend' curve
Total ‘ideal’ spend
on the NHS
Actual spend on
the NHS
13… because we want more care than other things?
14
Spend more on care,
get more benefit (but
only up to a point)
The economist’s approach:
good in theory, next to
impossible to locate point ‘X’
in practice.