Devolved powers 'the Manchester story' - Elderly care conference 2015, Jessic...Browne Jacobson LLP
The document outlines several workstreams and initiatives to transform primary care in Greater Manchester. It discusses establishing leadership and governance structures, devolving responsibilities and resources, and enabling strategies around areas like workforce, communications, and digital integration. Key priorities for primary care include developing multidisciplinary care teams, improving access through digital technology and increased services, and a focus on quality and joining up care between primary, community, and secondary services. Standards are being developed and implemented to provide same-day access to primary care seven days a week by the end of 2015.
Dr Penny Bevan CBE’s (Director of Emergency Preparedness, Department of Health, England) presentation from BSI's (British Standards Institution) launch of the standard for healthcare resilience - PAS 2015
Understanding the Disruptive Challenges facing the NHS
•An overview of disruptive challenges that may impact on patient care
•Health care resilience and the integration with the wider UK cross-government civil resilience agenda
•Linking the elements of emergency preparedness and business continuity management
Phil Storr’s (Head of NHS Resilience, Department of Health, England) presentation from BSI's (British Standards Institution) launch of the standard for healthcare resilience - PAS 2015
NHS Resilience Next Steps
• The importance of business continuity management and the responsibilities of category 1 and 2 responders
• The NHS Resilience Project
• Discuss the current tools, resources and guidance available to resilience planners, highlighting PAS 2015 and the benefits it offers to practitioners
• Maintaining momentum in resilience and preparedness during organisational changes.
Case Study - Making the PMO the heart of the NHS Change AgendaDavid Walton
This document discusses how program management offices (PMOs) can be at the heart of change programs in the NHS. It provides three case studies of PMOs: 1) planning strategic programs for clinical commissioning groups, 2) delivering local health programs, and 3) delivering cost improvement programs at an NHS foundation trust. The PMOs established governance processes, regular reporting cycles, and project/program management tools to provide oversight and ensure programs were on track to achieve outcomes and savings targets. Lessons included understanding stakeholder needs, having project owners responsible for data, establishing regular reporting rhythms, and taking a holistic approach to people, processes, and technology.
The document summarizes three joint working projects between the Greater Manchester Clinical Commissioning Strategic Clinical Network and Senate (GMCCSN) and pharmaceutical companies. The first project with Boehringer Ingelheim to map atrial fibrillation services was successful with a detailed agreement and shared goals. The deep vein thrombosis project with Bayer Healthcare did not proceed as a joint working due to historical suspicions. The door-to-balloon time project engaged Company A and Company B but was not truly joint working due to NHS reconfiguration and competition between companies. Overall results were varied, with success more likely when all partners agreed to pooled resources, clear plans, transparency, and shared patient-focused outcomes.
Matt Everitt, Business Intelligence & Insight Lead at Buckinghamshire County Council shares the impact of preventative interventions at the Pi Care and Health 2017 Masterclass.
Webinar on EUPATI Guidance on Patient Involvement in Regulatory ProcessesHibernia College
This document discusses guidance created by EUPATI for patient involvement in regulatory processes. It provides background on why such guidance is needed, as existing regulations only generally address collaboration and communication but not the specific processes. It describes the process used to develop the guidance, including extensive consultation. It then highlights some key points from the guidance, such as a history of patient involvement at regulatory agencies like the FDA and EMA. It also gives examples of patient involvement at national regulatory authorities in countries like France, Switzerland, and others. Finally, it lists some of the documentation and resources available on patient involvement in regulatory processes.
Devolved powers 'the Manchester story' - Elderly care conference 2015, Jessic...Browne Jacobson LLP
The document outlines several workstreams and initiatives to transform primary care in Greater Manchester. It discusses establishing leadership and governance structures, devolving responsibilities and resources, and enabling strategies around areas like workforce, communications, and digital integration. Key priorities for primary care include developing multidisciplinary care teams, improving access through digital technology and increased services, and a focus on quality and joining up care between primary, community, and secondary services. Standards are being developed and implemented to provide same-day access to primary care seven days a week by the end of 2015.
Dr Penny Bevan CBE’s (Director of Emergency Preparedness, Department of Health, England) presentation from BSI's (British Standards Institution) launch of the standard for healthcare resilience - PAS 2015
Understanding the Disruptive Challenges facing the NHS
•An overview of disruptive challenges that may impact on patient care
•Health care resilience and the integration with the wider UK cross-government civil resilience agenda
•Linking the elements of emergency preparedness and business continuity management
Phil Storr’s (Head of NHS Resilience, Department of Health, England) presentation from BSI's (British Standards Institution) launch of the standard for healthcare resilience - PAS 2015
NHS Resilience Next Steps
• The importance of business continuity management and the responsibilities of category 1 and 2 responders
• The NHS Resilience Project
• Discuss the current tools, resources and guidance available to resilience planners, highlighting PAS 2015 and the benefits it offers to practitioners
• Maintaining momentum in resilience and preparedness during organisational changes.
Case Study - Making the PMO the heart of the NHS Change AgendaDavid Walton
This document discusses how program management offices (PMOs) can be at the heart of change programs in the NHS. It provides three case studies of PMOs: 1) planning strategic programs for clinical commissioning groups, 2) delivering local health programs, and 3) delivering cost improvement programs at an NHS foundation trust. The PMOs established governance processes, regular reporting cycles, and project/program management tools to provide oversight and ensure programs were on track to achieve outcomes and savings targets. Lessons included understanding stakeholder needs, having project owners responsible for data, establishing regular reporting rhythms, and taking a holistic approach to people, processes, and technology.
The document summarizes three joint working projects between the Greater Manchester Clinical Commissioning Strategic Clinical Network and Senate (GMCCSN) and pharmaceutical companies. The first project with Boehringer Ingelheim to map atrial fibrillation services was successful with a detailed agreement and shared goals. The deep vein thrombosis project with Bayer Healthcare did not proceed as a joint working due to historical suspicions. The door-to-balloon time project engaged Company A and Company B but was not truly joint working due to NHS reconfiguration and competition between companies. Overall results were varied, with success more likely when all partners agreed to pooled resources, clear plans, transparency, and shared patient-focused outcomes.
Matt Everitt, Business Intelligence & Insight Lead at Buckinghamshire County Council shares the impact of preventative interventions at the Pi Care and Health 2017 Masterclass.
Webinar on EUPATI Guidance on Patient Involvement in Regulatory ProcessesHibernia College
This document discusses guidance created by EUPATI for patient involvement in regulatory processes. It provides background on why such guidance is needed, as existing regulations only generally address collaboration and communication but not the specific processes. It describes the process used to develop the guidance, including extensive consultation. It then highlights some key points from the guidance, such as a history of patient involvement at regulatory agencies like the FDA and EMA. It also gives examples of patient involvement at national regulatory authorities in countries like France, Switzerland, and others. Finally, it lists some of the documentation and resources available on patient involvement in regulatory processes.
The document discusses proposals to transform urgent and emergency care in England based on evidence from a review. It finds that emergency admissions have grown while A&E attendances have remained constant. The review envisions highly responsive urgent care outside hospitals and expertise and facilities concentrated in emergency centers. Key proposals include improving self-care information, clinical input to NHS 111, integrating pharmacies and ambulance services, and coordinating services through emergency care networks.
Creating successful partnerships in yorkshire and humberPM Society
The document discusses creating successful partnerships in Yorkshire and Humber through the Yorkshire and Humber Academic Health Science Network (YH AHSN). It outlines the AHSN's large membership network and the challenges in the region including health variations and economic pressures. The AHSN's 2013/14 work programme focuses on improving population health, transforming health services, increasing wealth and research participation through various partnership initiatives. Key to success is emphasizing collaboration, adding value to existing organizations, and closing gaps between industry, higher education and the NHS.
A very important result from the EUPATI project was the development, broad consultation and final release of guidances on the best approach to interaction of patients with pharmaceutical industry-led medicines R&D, regulatory authorities, ethics committees and HTA agencies. This webinar focuses on the Patient Involvement in Industry-led R&D guidance document
1. Two physician-led organizations in England are supporting people with complex needs through care planning and new service models.
2. Physician leadership and entrepreneurial energy have helped the organizations engage practices in change and realize growth, while external factors like funding and data have constrained progress.
3. Both organizations provide a range of services rooted in general practices, but targeting high-risk patients on practice lists poses challenges around standardization and efficiency compared to segmenting patients to new services.
New institutions, updates and evaluations - Phil Bowen, AustraliaOECD Governance
This presentation was made by Phil Bowen, Australia, at the 9th Annual Meeting of the OECD network of Parliamentary Budget Officials and Independent Fiscal Institutions held in Edinburgh, Scotland, on 6-7 April 2017.
The document outlines a 7-step framework for joint working between the NHS, academia, voluntary sectors, social care, and industry for the benefit of patients. The framework involves identifying a common goal, determining if resources can be pooled, investments made, agreements put in place, commitments to delivery, transparency of agreements, returns on investment measured, and tracking outcomes. An example is provided of applying this framework through the Greater Manchester Care and Support Network.
Moving forward with the greater manchester formularyPM Society
The document discusses the development and implementation of a joint formulary across Greater Manchester to standardize prescribing and reduce unwarranted variation.
Some key points:
- The GM joint formulary aims to create consistency in prescribing across primary and secondary care within the region to improve patient care and reduce costs.
- Developing the formulary required significant consultation, leadership support, and governance structures to align 12 CCGs and providers.
- Implementation includes developing formulary chapters, monitoring use at practice level, and establishing a "do not prescribe" list to prevent postcode prescribing variation.
- Future plans include the formulary being maintained by the CSU, expanding monitoring capabilities, and developing partnerships with industry within ethical frameworks
InTechnology provides a telehealth monitoring service for the NHS to help manage the increasing burden on healthcare. Telehealth allows remote monitoring of patients' vital signs at home, which clinical teams can then review to spot any deterioration early. Studies show telehealth can reduce A&E visits and mortality rates by up to 45%. InTechnology's service installs monitoring equipment in patients' homes and uploads the daily readings to a platform for clinicians to access. This helps the NHS provide more care outside hospitals in a sustainable way. InTechnology's approach is unique in offering telehealth as a full service rather than just equipment.
Rebecca Rosen: Trends in the organisation of hospital servicesNuffield Trust
In this slideshow Dr Rebecca Rosen, Senior Fellow, Nuffield Trust, explores recent trends and strategic choices in the organisation of hospital services in Europe.
Dr Rosen spoke at the Nuffield Trust European Summit 2014, supported by KPMG.
Mary Dunnion, Deputy Director of Regulation Health and Children's Services, HIQAInvestnet
This document outlines the journey of regulation in Ireland's healthcare system from 2007 to 2014. It discusses the national standards that were developed for various healthcare services over this period. It also notes the priorities of quality, safety, and patient experience that must be balanced with efficiency amidst austerity measures. Finally, it outlines the regulatory approach going forward from 2014 which includes risk-based inspections, quality improvement initiatives, and developing standards for general practice care.
Systems Strengthening Working group purpose is to strengthen the global, regional, and country systems
that are needed for effective and efficient delivery of
quality RH supplies and equipment.
My mHealth was formed in 2011 to develop mobile and digital solutions for patients with long-term conditions like COPD. Their apps have achieved medical device registration and are the only NHS-approved apps on the NHS app store. The apps empower patients to self-manage their condition through personalized education plans and monitoring. They also enable clinicians to remotely manage large patient populations to improve access to care. My mHealth plans to integrate their apps, clinician interface, and analytics platform by 2018 to create a comprehensive digital health solution for long-term condition management.
The document discusses the NHS Digital Academy, which will be responsible for ensuring international excellence in training and education for clinical information officers and other digital health leaders. The Academy will support leaders from exemplar NHS trusts and complement existing workforce development programs. It will include distance learning, partnerships with international organizations, and experiential learning through digital health projects at exemplar sites. The document also briefly mentions the MyNHS data visualization and customization tool, as well as new domains for conditions like dementia and diabetes. Finally, it outlines plans to launch an online triage service for NHS 111.
The document discusses plans for the Cheshire and Mersey Comprehensive Local Research Network (CLRN) and its transition to the North West Coast CLRN. It outlines objectives to double recruitment, increase commercial study participation, and reduce approval times. It also discusses merging over 100 networks into 15 Local Clinical Research Networks including the North West Coast CLRN covering Cheshire, Mersey, South Cumbria and Lancashire with an £18 million budget. The goal is to simplify structures while maximizing research delivery and protecting national priorities through close working with the Academic Health Science Network.
During this Insights webinar we discussed the topic of Patient Centered Medical Home (PCMH). This discussion will take you through the current landscape under the 2011 standards and also provide an overall look as a nation provides insight into states that are comprised of more Public PCMH status, as opposed to Private PCMH status.
The Innovation and Technology Tariff (ITT) aims to incentivize adoption of transformative innovations in the NHS by streamlining pricing and reimbursement. For 2017-19, the first year of the ITT, six themes have been identified that could provide innovation benefits to the NHS at scale. These themes include guided mediolateral episiotomy to minimize obstetric injuries, reducing medication errors, preventing ventilator-associated pneumonia, managing COPD remotely, treating C. difficile infection with frozen fecal transplants, and treating enlarged prostates as outpatients. The ITT operates under both an incentive-based pricing model and a zero-cost model where NHS England covers the cost of approved innovations.
This document discusses the patient-centered medical home (PCMH) model and the process for obtaining recognition as a PCMH. It outlines the core features of the PCMH model, including having a personal provider, care coordination, quality and safety, and payment reform. The origins and history of the PCMH model are also presented. The document notes that the Affordable Care Act provided funding to support PCMHs and health homes. It aims to discuss the benefits of PCMH certification for community health organizations and faith-based clinics.
The document outlines Kenya's Vision 2030 plan for improving the health sector. Some key strategies included establishing Kenya as a destination for medical tourism, increasing access to specialized care for Kenyans, promoting local production of health products, developing a human resources strategy to address staffing needs, implementing community-based health programs, increasing funding through a national health insurance scheme, upgrading facilities, and strengthening referral systems. The plan aims to improve healthcare access, quality, and financing across Kenya by 2030.
This document provides details about two nursing students, their registration numbers, class, and the institution they attend. It then summarizes Kenya's Vision 2030, which aims to transform Kenya into a prosperous middle-income country by 2030. The social pillar of Vision 2030 focuses on improving eight social sectors, including education, health, water and sanitation. This document specifically focuses on the health sector and outlines several flagship projects and strategies to improve healthcare, such as developing locally produced natural health products, modernizing major hospitals, implementing e-health systems, and improving access to referral services.
The document discusses proposals to transform urgent and emergency care in England based on evidence from a review. It finds that emergency admissions have grown while A&E attendances have remained constant. The review envisions highly responsive urgent care outside hospitals and expertise and facilities concentrated in emergency centers. Key proposals include improving self-care information, clinical input to NHS 111, integrating pharmacies and ambulance services, and coordinating services through emergency care networks.
Creating successful partnerships in yorkshire and humberPM Society
The document discusses creating successful partnerships in Yorkshire and Humber through the Yorkshire and Humber Academic Health Science Network (YH AHSN). It outlines the AHSN's large membership network and the challenges in the region including health variations and economic pressures. The AHSN's 2013/14 work programme focuses on improving population health, transforming health services, increasing wealth and research participation through various partnership initiatives. Key to success is emphasizing collaboration, adding value to existing organizations, and closing gaps between industry, higher education and the NHS.
A very important result from the EUPATI project was the development, broad consultation and final release of guidances on the best approach to interaction of patients with pharmaceutical industry-led medicines R&D, regulatory authorities, ethics committees and HTA agencies. This webinar focuses on the Patient Involvement in Industry-led R&D guidance document
1. Two physician-led organizations in England are supporting people with complex needs through care planning and new service models.
2. Physician leadership and entrepreneurial energy have helped the organizations engage practices in change and realize growth, while external factors like funding and data have constrained progress.
3. Both organizations provide a range of services rooted in general practices, but targeting high-risk patients on practice lists poses challenges around standardization and efficiency compared to segmenting patients to new services.
New institutions, updates and evaluations - Phil Bowen, AustraliaOECD Governance
This presentation was made by Phil Bowen, Australia, at the 9th Annual Meeting of the OECD network of Parliamentary Budget Officials and Independent Fiscal Institutions held in Edinburgh, Scotland, on 6-7 April 2017.
The document outlines a 7-step framework for joint working between the NHS, academia, voluntary sectors, social care, and industry for the benefit of patients. The framework involves identifying a common goal, determining if resources can be pooled, investments made, agreements put in place, commitments to delivery, transparency of agreements, returns on investment measured, and tracking outcomes. An example is provided of applying this framework through the Greater Manchester Care and Support Network.
Moving forward with the greater manchester formularyPM Society
The document discusses the development and implementation of a joint formulary across Greater Manchester to standardize prescribing and reduce unwarranted variation.
Some key points:
- The GM joint formulary aims to create consistency in prescribing across primary and secondary care within the region to improve patient care and reduce costs.
- Developing the formulary required significant consultation, leadership support, and governance structures to align 12 CCGs and providers.
- Implementation includes developing formulary chapters, monitoring use at practice level, and establishing a "do not prescribe" list to prevent postcode prescribing variation.
- Future plans include the formulary being maintained by the CSU, expanding monitoring capabilities, and developing partnerships with industry within ethical frameworks
InTechnology provides a telehealth monitoring service for the NHS to help manage the increasing burden on healthcare. Telehealth allows remote monitoring of patients' vital signs at home, which clinical teams can then review to spot any deterioration early. Studies show telehealth can reduce A&E visits and mortality rates by up to 45%. InTechnology's service installs monitoring equipment in patients' homes and uploads the daily readings to a platform for clinicians to access. This helps the NHS provide more care outside hospitals in a sustainable way. InTechnology's approach is unique in offering telehealth as a full service rather than just equipment.
Rebecca Rosen: Trends in the organisation of hospital servicesNuffield Trust
In this slideshow Dr Rebecca Rosen, Senior Fellow, Nuffield Trust, explores recent trends and strategic choices in the organisation of hospital services in Europe.
Dr Rosen spoke at the Nuffield Trust European Summit 2014, supported by KPMG.
Mary Dunnion, Deputy Director of Regulation Health and Children's Services, HIQAInvestnet
This document outlines the journey of regulation in Ireland's healthcare system from 2007 to 2014. It discusses the national standards that were developed for various healthcare services over this period. It also notes the priorities of quality, safety, and patient experience that must be balanced with efficiency amidst austerity measures. Finally, it outlines the regulatory approach going forward from 2014 which includes risk-based inspections, quality improvement initiatives, and developing standards for general practice care.
Systems Strengthening Working group purpose is to strengthen the global, regional, and country systems
that are needed for effective and efficient delivery of
quality RH supplies and equipment.
My mHealth was formed in 2011 to develop mobile and digital solutions for patients with long-term conditions like COPD. Their apps have achieved medical device registration and are the only NHS-approved apps on the NHS app store. The apps empower patients to self-manage their condition through personalized education plans and monitoring. They also enable clinicians to remotely manage large patient populations to improve access to care. My mHealth plans to integrate their apps, clinician interface, and analytics platform by 2018 to create a comprehensive digital health solution for long-term condition management.
The document discusses the NHS Digital Academy, which will be responsible for ensuring international excellence in training and education for clinical information officers and other digital health leaders. The Academy will support leaders from exemplar NHS trusts and complement existing workforce development programs. It will include distance learning, partnerships with international organizations, and experiential learning through digital health projects at exemplar sites. The document also briefly mentions the MyNHS data visualization and customization tool, as well as new domains for conditions like dementia and diabetes. Finally, it outlines plans to launch an online triage service for NHS 111.
The document discusses plans for the Cheshire and Mersey Comprehensive Local Research Network (CLRN) and its transition to the North West Coast CLRN. It outlines objectives to double recruitment, increase commercial study participation, and reduce approval times. It also discusses merging over 100 networks into 15 Local Clinical Research Networks including the North West Coast CLRN covering Cheshire, Mersey, South Cumbria and Lancashire with an £18 million budget. The goal is to simplify structures while maximizing research delivery and protecting national priorities through close working with the Academic Health Science Network.
During this Insights webinar we discussed the topic of Patient Centered Medical Home (PCMH). This discussion will take you through the current landscape under the 2011 standards and also provide an overall look as a nation provides insight into states that are comprised of more Public PCMH status, as opposed to Private PCMH status.
The Innovation and Technology Tariff (ITT) aims to incentivize adoption of transformative innovations in the NHS by streamlining pricing and reimbursement. For 2017-19, the first year of the ITT, six themes have been identified that could provide innovation benefits to the NHS at scale. These themes include guided mediolateral episiotomy to minimize obstetric injuries, reducing medication errors, preventing ventilator-associated pneumonia, managing COPD remotely, treating C. difficile infection with frozen fecal transplants, and treating enlarged prostates as outpatients. The ITT operates under both an incentive-based pricing model and a zero-cost model where NHS England covers the cost of approved innovations.
This document discusses the patient-centered medical home (PCMH) model and the process for obtaining recognition as a PCMH. It outlines the core features of the PCMH model, including having a personal provider, care coordination, quality and safety, and payment reform. The origins and history of the PCMH model are also presented. The document notes that the Affordable Care Act provided funding to support PCMHs and health homes. It aims to discuss the benefits of PCMH certification for community health organizations and faith-based clinics.
The document outlines Kenya's Vision 2030 plan for improving the health sector. Some key strategies included establishing Kenya as a destination for medical tourism, increasing access to specialized care for Kenyans, promoting local production of health products, developing a human resources strategy to address staffing needs, implementing community-based health programs, increasing funding through a national health insurance scheme, upgrading facilities, and strengthening referral systems. The plan aims to improve healthcare access, quality, and financing across Kenya by 2030.
This document provides details about two nursing students, their registration numbers, class, and the institution they attend. It then summarizes Kenya's Vision 2030, which aims to transform Kenya into a prosperous middle-income country by 2030. The social pillar of Vision 2030 focuses on improving eight social sectors, including education, health, water and sanitation. This document specifically focuses on the health sector and outlines several flagship projects and strategies to improve healthcare, such as developing locally produced natural health products, modernizing major hospitals, implementing e-health systems, and improving access to referral services.
Roadmap for Organisational excellence, from the bedside to management teamAlexFleming32
This document outlines the journey of Mayo University Hospital (MUH) in improving organizational excellence from 2011-2018. Key events include launching quality and safety initiatives, partnering with accreditation organizations, and embedding national standards for safer healthcare. In 2016, a new GM was appointed and launched a framework for quality improvement. This included restructuring governance, strengthening leadership, and fully engaging patients, families, and staff. Surveys now show improved patient perceptions of care across all stages compared to 2017. Moving forward, MUH aims to sustain these achievements through ongoing engagement, learning, and reviewing structures to ensure alignment with quality standards.
The role of the government in strengthening accreditation readySEJOJO PHAAROE
June 9, 2015 marks World Accreditation Day as a global initiative, jointly established by the International Accreditation Forum (IAF) and the International Laboratory Accreditation Cooperation (ILAC), to raise awareness of the importance of accreditation.
This year’s theme focuses on how accreditation can support the delivery of health and social care.
the day was celebrated across the world with the hosting of major national events, seminars, and press and media coverage, to communicate the value of accreditation to Government, Regulators and the leaders of the business community.
What international support for quality improvement is available to Lesotho national health care initiatives?
• To what extent do national governments around the world specify quality improvement in legislation and published policy?
• What are the distinguishing structures and activities of national approaches to quality improvement within countries?
• What resources (in the form of organizations, funding, training and information) are available nationally?
What maintenance or implementation pathways are available , to prove to the world that Lesotho health care services are of excellence???
Dr. Samuel Mwenda of the Christian Health Association of Kenya discusses the unique holistic aspect of church-based health systems, how public-private partnerships function in Kenya to deliver healthcare, and challenges faced by faith-based health services.
The document provides an overview of AYUSH Health and Wellness Centres being established under Ayushman Bharat. The key points are:
- 1.25 lakh centres will be set up by 2023-24 to provide comprehensive primary healthcare using AYUSH practitioners.
- They will be established by upgrading existing AYUSH dispensaries and sub-health centres using a standardized service delivery framework and digitization.
- The centres will be managed by a team led by an AYUSH practitioner and provide preventative and curative services for common illnesses.
Wonderfully authentic presentation on genuine co-design from the recent Health Issues Centre 'Fabulous Failures' Conference - shared by the Southern Melbourne Integrated Cancer Service.
Collaboration with Government for Ensuring Quality Nutrition Services Present...CORE Group
Theme 1: The experiences in Malawi and Nigeria showed that gaining buy-in from governments to test improved nutrition services approaches was achieved through advocacy, partnership development, and taking time to build relationships with local leadership. This allowed the approaches to be customized to each country context.
Theme 2: Initial implementation phases in both countries identified important lessons about integrating the approaches into health systems and scaling up. This included strengthening the health system beyond pilot sites and integrating indicators and guidelines.
Theme 3: Sustaining government ownership required strong political will, empowering communities, integrating services across sectors, defining roles and responsibilities, and ongoing capacity building. Future efforts should focus on sharing lessons learned, updating guidelines and training, and integrating quality
Elective Care Conference: keynote speech from Adam Sewell-JonesNHS Improvement
Outlining NHS Improvement's national priorities and how we'll support providers.The slides accompanied NHS Improvement's Executive Director of Improvement's keynote speech.
Community Health Services 2 (2).pptx for community healthchriskimeu103
This document outlines Kenya's community health strategy and governance structure. It discusses how community health is foundational to equitable healthcare and addresses disease burden. Kenya developed its community health strategy in 2006 to support primary health care and reverse declining health indicators. The strategy established a five-tiered health services delivery model with community health services at Tier 1. Governance involves Community Health Committees, Sub-County Health Management Teams, and County Health Management Teams coordinating services at each level respectively with support from the national government. The overall aim is for community health to aid realization of universal health coverage in Kenya.
2015 - Review of Adult Care Eligibility Threshold ChangesDavid Rose
This document provides a summary of a review conducted by Derbyshire County Council on changes made to eligibility thresholds for adult social care services. The review examined the impact of raising the threshold from "higher moderate" to "substantial" needs in 2014. It found both good practices by the adult care department and areas for potential development. The review concludes with 9 recommendations to improve information, advice and support provided to clients and their carers.
This document outlines Hertfordshire County Council's strategic approach to Health in All Policies (HIAP). HIAP is an approach that systematically considers the health implications of decisions across different policy sectors to improve population health. The key components of HIAP include establishing priorities, framing action, identifying supportive structures and processes, facilitating assessment and engagement, monitoring and evaluation, and building capacity. Hertfordshire's approach involves gaining support from public sector leaders, prioritizing issues like housing, mental health and prevention, using frameworks to guide implementation, and monitoring progress through its Public Health Board.
The Nsukka Health Services held a strategic planning meeting from May 4-6, 2015 to discuss goals for 2015-2020. Participants included administrators, physicians, nurses and staff from various hospital and clinical departments. The strategic plan aims to improve community health through education, make healthcare more accessible, strengthen organizational infrastructure and provide staff support. Key initiatives include increasing health outreach, prioritizing patient and staff needs, developing education programs, and ensuring financial resources and governance to support the goals.
Jon Rouse pc reform presentation west pennine lmc 21-02-17amirhannan
This document outlines a programme for primary care reform in Greater Manchester that aims to transform community-based care and support. It proposes establishing Local Care Organisations that integrate primary care services with community, social care, acute, mental health services and third sector providers. The programme seeks £41.2 million over four years to increase primary care capacity through new roles, expanded workforce, improved access to services 7 days a week, a resilience programme for practices, and investment in primary care estates and technology. It also includes a review of 24/7 urgent primary care provision to streamline services and improve patient navigation.
This document provides a summary of Kate Larson's professional experience and qualifications. She currently serves as the Nursing Supervisor for RN Care Coordination at Mayo Clinic Health System in Southeast Minnesota, where she manages the RN care coordinator program and supervises staff. Previously she worked as a registered nurse in various clinical roles at Mayo Clinic for over 15 years. She holds a Bachelor of Science in Nursing and a Master of Arts in Nursing, and has participated in many quality improvement projects, committees, and presentations throughout her career.
Training and Management Development Practices in Nepal.pptxSunita Poudel
Training is a short-term learning process that involves acquiring knowledge, sharpening skills, concepts, and rules, or changing attitudes and behaviors to enhance the performance of employees.
Training helps scaling up and strengthening the quality of health workforce to address the mismatch between the supply and need of skilled human resource for health.
National Health Training Center (NHTC) is the central body for human resource development in health sector of Nepal.
The PowerPoint includes: Introduction
Importance of training
Training practices in Nepal
HR development in health sector
Management development
Training and management development practices in Nepal
Issues: Strengths and challenges
Recommendations and way forward
There are different HR development practices in health sector.
The various trainings are classified as:
pre-service and
in-service training.
There are different training and management development practices in Nepal.
Similar to Supporting Health Sector Reforms and Policies (20)
The document discusses a reproductive health voucher program in Yemen that aims to increase access to maternal services for poor rural women. The program issues vouchers that can be used at contracted public or private health providers. It has operated since 2013 in 18 districts, targeting family planning and safe motherhood. The program works with the Ministry of Health and local authorities in provider selection, quality assessment, and data management. It has complemented public services by also contracting community midwives and private hospitals. Lessons learned include taking a total market approach, maintaining government stewardship, ensuring quality standards, and providing additional financing to reach the poor.
Can strategic purchasing of health services from the private sector drive val...Rebekah McKay-Smith
Can strategic purchasing of health services from the private sector drive value for money? Evidence from the Results Based Financing programme in Malawi
Engaging Communities through Community Scorecards to Improve Social Accountab...Rebekah McKay-Smith
Engaging Communities through Community Scorecards to Improve Social Accountability and Health Service Delivery: Lessons learned from MANI Project, Bungoma County, Kenya
The document describes a process mapping exercise conducted in Bangladesh to improve health financing for urban poor populations. The project mapped funding flows and the budgeting process across relevant government ministries and municipalities. By mapping institutions, actors, and complex financial interactions, key challenges were identified, such as fragmented responsibility and a lack of coordination among stakeholders. Lessons learned include the need for earlier integration of process mapping, linking it to ongoing analysis, and standardizing visual maps. Future efforts will focus on identifying specific processes for improvement and providing stakeholders with clearer objectives.
Systems Thinking: Getting Research into Policy and Practice through Embedded TARebekah McKay-Smith
This document summarizes the work of an embedded technical assistance (TA) programme in Malawi's health sector from 2018-ongoing. The key points are:
1) The embedded TA programme worked within the Malawi Ministry of Health to strengthen areas like performance monitoring, financial management, health service planning, and civil society accountability.
2) The TA programme embedded advisors in key departments to work on planning, budgeting, decentralization reforms, and health financing reforms.
3) Through working closely with government staff and stakeholders, the TA programme was able to provide evidence and recommendations that influenced policies around expanding service level agreements between districts and health facilities.
This document discusses stakeholder mapping that was conducted in Kenya to improve maternal and newborn health. It describes how a stakeholder analysis was performed, including identifying stakeholders, mapping their positions of support/opposition and power, and developing an engagement plan. Stakeholders were plotted on a map and different strategies were identified to engage them based on their position, power, and perceptions. The goal was to understand leverage points to enact reforms and move from evidence to action in improving health systems and outcomes.
The document outlines a 10-step method for participatory approaches in Malawi that strengthen community engagement and accountability. It discusses convening stakeholders to collectively brainstorm and conceptualize effects of using Health Centre Advisory Committees to address drug accountability and build sub-district capacity. The method then details adapting intervention design, determining indicators, choosing evaluation methods, selecting a design, developing a timeline and budget, and sourcing funding.
Systems thinking is important for health systems work because it recognizes complexity and dynamic interactions. It focuses on the whole system rather than individual parts. In practice, systems thinking can involve political economy analysis, participatory approaches, stakeholder mapping, and adaptive programming. Challenges include linear reporting mechanisms not capturing complex realities and limited program timelines for systems change. Theories of change help address these by illustrating change pathways and reflecting on the larger context beyond any one program. Opportunities exist in growing donor support for participatory, multi-sectoral, and adaptive approaches.
Don de Savigny: Systems Thinking Methodologies for Health Systems Research – ...Rebekah McKay-Smith
This document provides an introduction to systems thinking methodologies for health systems research. It discusses:
1) The need to consider the complexity of health systems rather than view them as simple linear models.
2) An overview of key concepts in systems thinking like complex adaptive systems, feedback loops, and leverage points for intervention.
3) Examples of applying systems thinking approaches to health systems research like network analysis, system dynamics modeling, and process mapping.
This document outlines a presentation on applying systems thinking to health systems research and programme implementation. It includes an introduction to systems thinking methodologies, examples of how systems thinking has been applied in Options' programmes through stakeholder mapping, participatory approaches, embedded technical assistance, and process mapping. The document also discusses challenges of applying systems thinking like linear reporting mechanisms and limited programme timelines, and how these challenges have been addressed through theories of change.
Enhancing District Council Financial Management and Democratic AccountabilityRebekah McKay-Smith
The document summarizes efforts to enhance financial management and accountability at the district level in Malawi. Support was provided to the National Local Government Finance Committee (NLGFC) through funding monitoring visits, peer support visits, and committee meetings. This support helped NLGFC fulfill its mandate to oversee financial management. Technical assistance was also provided through coaching and mentoring. Key outcomes included improved financial efficiency, compliance with regulations, and stronger oversight tools for NLGFC. Continued support was deemed necessary to sustain these gains.
Results of support to district planning, M&E and district-level partner coord...Rebekah McKay-Smith
This document summarizes the results of support provided to district planning, monitoring and evaluation, and district-level partner coordination in Malawi's health sector. Key achievements included supporting national and district-level planning workshops, reviewing district implementation plans, and improving data quality and use for decision making. As a result, new planning guidelines were developed, data quality indicators doubled or increased, and partner coordination improved in several districts. Moving forward, successful district practices could be shared, and greater focus on gender is still needed in planning.
Reclaiming local democracy: District Health and Environment Committees in MalawiRebekah McKay-Smith
The document discusses efforts to strengthen Health and Environment Committees (HECs) in Malawi. It provides context on decentralization and the winding down of a previous democracy and decentralization program. It describes how the Malawi Health Sector Programme - Technical Assistance Component (MHSP-TA) is supporting HECs through sensitization meetings, intensive support to pilot committees, and developing terms of reference and public health bylaws. The support has made HECs more informed of their roles and advocacy responsibilities, functional by improving meeting procedures, and effective by contributing to district health plans and budgets. Lessons learned include working through district council structures and processes, using a political economy approach, and applying action learning for capacity development. Next steps
This document discusses aid coordination issues in Malawi's health sector and efforts to address them. It notes mixed compliance with aid effectiveness principles and a focus on parallel funding over alignment. An Aid Coordination Unit was established in 2016 to improve harmonization and alignment. The unit oversees MOUs and acts as a focal point for major projects. It has supported strategy development, resource mapping, and standardizing MOU templates. Over 250 organizations providing aid lack MOUs. Moving forward, the document calls for assessing absorption capacity, properly establishing the ACU, institutionalizing tracking systems, and disseminating coordination guidelines.
Contributi dei parlamentari del PD - Contributi L. 3/2019Partito democratico
DI SEGUITO SONO PUBBLICATI, AI SENSI DELL'ART. 11 DELLA LEGGE N. 3/2019, GLI IMPORTI RICEVUTI DALL'ENTRATA IN VIGORE DELLA SUDDETTA NORMA (31/01/2019) E FINO AL MESE SOLARE ANTECEDENTE QUELLO DELLA PUBBLICAZIONE SUL PRESENTE SITO
RFP for Reno's Community Assistance CenterThis Is Reno
Property appraisals completed in May for downtown Reno’s Community Assistance and Triage Centers (CAC) reveal that repairing the buildings to bring them back into service would cost an estimated $10.1 million—nearly four times the amount previously reported by city staff.
1. Supporting Health Sector
Reforms and Policies
Malawi Health Sector Programme –
Technical Assistance Component
21st September 2018, Knowledge Café
2. Focus Support Areas
• Development of evidence based
policies, regulations and strategies
• Health Sector Reform: Central
Hospital Autonomy
3. Support development of evidence based policies,
regulations and strategies
Supported Malawi’s first ever National Health
Policy development, finalisation, cabinet
approval and launch
Result: Overall document to guide Malawi’s
health sector, support Malawi’s development
goals and Sustainable Development Goal
(SDG) towards achievement of Universal
Health Coverage
4. Health Sector Reform: Central Hospital
Autonomy
• Supported evidence-based consultative
process and facilitated submission of
reforms through government channels to
the cabinet level
• Central hospital autonomy was approved by
Cabinet
• 5 Central Hospitals – Kamuzu, Queens, Mzuzu,
Zomba, and Zomba Mental will soon attain
autonomy under Trustee incorporation
• Management and operational effectiveness of
Central Hospitals is expected to improve
5. Health Sector Reform: Central Hospital
Autonomy
• Operational modality paper for central
hospital autonomy developed
• Cabinet paper developed and approved
• Trust deed developed
• TOR for Board of Trustees
6. Way Forward
• Continue to support the evidence based
mechanisms for development of policies,
strategies and regulations
• Support the consultative and development
process of health sector reforms to
enhance buy-in and acceptability
• Counterpart approach to TA to enhance
capacity