Counties Manukau Health Library
3.9K views | +0 today
Follow
Counties Manukau Health Library
A clearinghouse of knowledge, expertise and innovation supporting better health outcomes for the people of South Auckland http://cmdhb.ovidds.com/portal
Your new post is loading...
Your new post is loading...
Scooped by Counties Manukau Health Library
Scoop.it!

The challenge and potential of whole system flow | The Health Foundation

The challenge and potential of whole system flow | The Health Foundation | Counties Manukau Health Library | Scoop.it

Whole system flow is the coordination of all systems and resources, across a health and social care economy, to deliver effective, efficient, person-centred care in the right setting at the right time and by the right person.


Improving flow is seen by both practice leaders and policymakers as having a crucial role to play in driving up service quality and productivity, as well as improving the experience of care for patients and service users.


The challenge and potential of whole system flow introduces methods that local health and social care leaders can use to improve whole system flow. It also describes steps policymakers and regulators can take to create an environment conducive to change at this scale.

more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Whole System Measures 2.0: A Compass for Health System Leaders

Whole System Measures 2.0: A Compass for Health System Leaders | Counties Manukau Health Library | Scoop.it

This white paper presents Whole System Measures 2.0, a set of 15 measures to help health care system leaders and boards better understand their organization’s current (and desired) performance across three (Triple Aim) domains population health, experience of care, and per capita cost.

more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Managing doctors, doctors managing | Nuffield Trust

The significant efforts made by many managers and doctors at local level to make these important relationships work may not be enough to counter the effects of the increasingly hostile external context that informs these relationships. If improving working relationships between doctors and managers is an important strand of building a strong service for the future (as we believe it is), then NHS managers – both medical and non-medical – need to be valued, equipped with the necessary skills and resources and provided with a context that enables them and the clinical services that they manage to flourish. Evidence from the medical and non-medical managers in this study suggests that there is a long way to go.
more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Integrated care for older people with frailty: innovative approaches in practice | British Geriatrics Society



GPs and geriatricians are uniquely suited to lead the response to the challenges of caring for this group. As generalist disciplines, general practice and geriatrics look at the whole person and consider care within the context of the patient’s family, carers and the wider community. They take continuity of responsibility for care across many disease episodes and over time, and coordinate care across organisations. These shared holistic values provide opportunities for collaboration between the two specialisms, and this should be at the forefront of the future design and delivery of care for older people.


However, in the past, service development has all too often taken place in isolation, leading to the creation of services in silos. Not only does this fragmentation have a detrimental impact on patient experience and outcomes, there are also negative consequences for service efficiency and effectiveness. This has been particularly true at a national level and, in this respect at least, little has changed.


However, improvements are being made at a local level where GPs and geriatricians are providing clinical leadership in spite of the organisational barriers they face. This report has been designed to showcase examples of these new approaches that are putting the positive talk around integration of care into practice.


The case studies were all selected as examples of collaboration between GPs and geriatricians that provide innovative and interesting ideas about the care of older people. They were also chosen to cover a range of locations across the UK, including urban and rural populations, and a range of settings, including services based in the community, in GP practices, in care homes and in hospitals. While the majority are led by GPs or geriatricians, the initiatives were selected to illustrate the vital role that many other professionals play, including nurses, therapists, pharmacists and social workers.

more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Frontline pharmacists: making a difference for people with long term conditions | Royal Pharmaceutical Society

The Royal Pharmaceutical Society (RPS) believes that pharmacists have a crucial role to play in the support of people with long term conditions. The management of long term conditions represents a significant strain on an already overstretched primary care system and an unnecessary burden on secondary care resources through avoidable hospital admissions. The RPS believes that the expertise and clinical knowledge of pharmacists must be fully utilised to support people with long term conditions and help them to achieve the desired outcomes from their medicines, thereby making more efficient use of National Health Service (NHS) resources.
more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Kaupapa Māori models of Psychological Therapy and Mental Health Services

‘Kaupapa Māori models of Psychological Therapy and Mental Health Services’ is a literature review funded by the Health Research Council, which focuses on identifying gaps in the current knowledge around the frameworks and application of kaupapa Māori based psychological therapy. Authored by medical student Acacia Wratten-Stone as part of her HRC Māori Summer studentship, the rationale for the report is based on the high incidence of poor mental health outcomes among Māori and low rates of service utilisation.


The research also focused on the current lack of understanding of whether current services are, in fact, providing culturally appropriate care, and if so, what this looks like. Even less investigated are the specific needs of urban Māori, and how the current existing literature might inform the development of appropriate mental health strategies and services by a health and social service provider such as Te Whānau o Waipareira.

more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Long term conditions and their impacts in Counties Manukau

Long term conditions and their impacts in Counties Manukau | Counties Manukau Health Library | Scoop.it

summary of insights

1. Long term conditions are a major cause of death and disease in Counties Manukau

2. Long term conditions are increasing and are felt most by Māori, Pacific and older people

3. People often experience multiple conditions and mental health challenges

4. The impacts of long term conditions are felt by individuals, whānau and the wider community

5. There are lots of things individuals can do to manage their health

6. Taking control and changing health behaviours can be challenging
7. Family or whānau support inspires and motivates people with long term conditions

8. Focus on people’s strengths, not what they are doing ‘wrong’

more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Interactive tool to promote health and safety in a healthcare setting | WorkSafe NZ

This engaging interactive tool designed to help small and medium sized businesses in the health sector understand and manage some of the health and safety risks associated with their work and how to manage them.

more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

How is my DHB performing? Health targets – 2016/17 quarter 1 – results summary

How is my DHB performing? Health targets – 2016/17 quarter 1 – results summary | Counties Manukau Health Library | Scoop.it
Reports for the year 2016/17 on district health board performance against the health targets.
more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Barriers to support: Uptake of the Child Disability Allowance in Otara • Child Poverty Action Group

Barriers to support: Uptake of the Child Disability Allowance in Otara • Child Poverty Action Group | Counties Manukau Health Library | Scoop.it

Child Poverty Action Group, New Zealand


Barriers to support: Uptake of the Child Disability Allowance in Otara is a new report CPAG, and is co-authored by CPAG’s co-convenor Alan Johnson and researcher Jessica Suri of Otara Health.


Barriers to support reports findings from a survey of more than 1000 households in the south Auckland suburb of Otara, and was undertaken by a partnership of CPAG, Disability Connect and Otara Health Charitable Trust. The survey looked at the extent of children with disabilities or chronic illness in Otara households and whether or not these households were gaining access to their Child Disability Allowance (CDA) entitlements.


Findings included that only a small proportion of households who were possibly eligible for the CDA were receiving it, and that most people did not know about the CDA or found the process of applying for it too difficult to negotiate. Others may have had their applications declined and were put off from reapplying. The difficulties encountered including being able to understand the application procedure itself, unpleasant interactions with Work and Income staff and difficulties in getting supporting documents for their application.

more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

The Office of the Director of Mental Health Annual Report 2015

The Office of the Director of Mental Health Annual Report 2015 | Counties Manukau Health Library | Scoop.it
This is the eleventh Annual Report of the Office of the Director of Mental Health. It presents information and statistics that serve as indicators of quality for our mental health services. 
more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Efficiency opportunities through health and social care integration: Delivering more sustainable health and care

Efficiency opportunities through health and social care integration: Delivering more sustainable health and care | Counties Manukau Health Library | Scoop.it

Care that is better integrated is a priority for most health and care partners, driven by increasing demand, greater complexity of needs and the drive to develop a more financially sustainable model for the future. Over the last few years there have been a range of government policies and national initiatives to promote integrated care. The most significant of these have been the Care Act, Integrated Care Pioneers, the Better Care Fund, the Five Year Forward View, devolution and Vanguards. Local areas have made progress in developing integrated models of care, frequently based on pooled budgets, multi-disciplinary teams, integrated commissioning or the development of new organisations providing integrated services.


A number of insights and lessons have emerged from these initiatives, the more recent reports coming from the Department of Health (DH) Integrated Care and Support Pioneers Programme and the LGA’s ‘The Journey to Integration’8.


Whilst there is now evidence to show that greater integration and personalisation improves user experience and outcomes, there remains little evidence to demonstrate how financial savings will be delivered. In order to address this lack of evidence, the LGA has been working with Newton, councils and partners in five areas to undertake a robust assessment of the efficiency opportunities of integration across the health and social care system, to contribute to the developing understanding of what a truly sustainable model for health and care might look like and how this can be achieved.

more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Realising the value | The Health Foundation

Realising the value | The Health Foundation | Counties Manukau Health Library | Scoop.it

This final report from the Realising the Value programme draws together key learning and recommendations. It puts forward ten key actions - focused both on what should be done and how people need to work differently - to put people and communities at the heart of health and wellbeing.

more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Active Older People 2016-2020: a discussion document | Sport New Zealand

Active Older People 2016-2020: a discussion document | Sport New Zealand | Counties Manukau Health Library | Scoop.it
Sport NZ, in conjunction with Sport Bay of Plenty, has developed the document to start a conversation on the needs, wants and aspirations of older people in relation to participation in community sport and active recreation.
more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Being a junior doctor

Being a junior doctor | Counties Manukau Health Library | Scoop.it

This report explores the challenges that face the NHS from the perspective of junior doctors, and it is drawn directly from their experiences.


The Report concludes that "The system must be properly resourced so that all staff are able to provide safe and effective care for patients, and to protect their own wellbeing. This means increasing health and social care funding and training more doctors"

more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Developing People - Improving Care | NHS Improvement

Developing People - Improving Care | NHS Improvement | Counties Manukau Health Library | Scoop.it
Evidence-based national framework to guide action on improvement skill-building, leadership development and talent management for people in NHS-funded roles.
more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Building capacity: realising the potential of community pharmacy assets for improving the public's health | RSPH

Building capacity: realising the potential of community pharmacy assets for improving the public's health | RSPH | Counties Manukau Health Library | Scoop.it

Through this joint report, the Royal Society for Public Health and Public Health England sought to look in greater depth at the role of community pharmacy in promoting the public’s health, particularly exploring what makes pharmacy an appropriate location for health promoting interventions, the opportunities for further utilisation and also the challenges experienced by pharmacy teams.

more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Health & Disability Commissioner - Annual Report for the year ending 30 June 2016

In the report’s forward, commissioner Anthony Hill emphasises that culture goes to the very core of the quality of care provided to New Zealand patients.
more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

NZ Asthma Guidelines

NZ Asthma Guidelines | Counties Manukau Health Library | Scoop.it
The asthma guidelines are designed to aid health professionals in delivering asthma care in the community and in emergency departments, providing simple, practical and evidence-based guidance.
more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Health system design and integration at Counties Manukau Health | Innovate Change

Health system design and integration at Counties Manukau Health | Innovate Change | Counties Manukau Health Library | Scoop.it

What did we do? Over three years, we worked in partnership with the senior leadership team at Counties Manukau Health on service redesign, organisational change, governance, programme planning and communications. Throughout our work, we helped senior leaders and other health professionals to wade through some of the complexity and identify pragmatic steps toward improved health service delivery. As part of this work, we led the design of a new youth health model of care that acts as a framework for commissioning $12 million of youth health services. In partnership with Curative, we developed an engagement plan for system integration with insights and personas to support meaningful and accessible communication with health professionals. We also co-designed a social marketing programme to support people with long term conditions to positively manage their health.

more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

The future of child health services: new models of care | The Nuffield Trust

The future of child health services: new models of care | The Nuffield Trust | Counties Manukau Health Library | Scoop.it
'The future of child health services: new models of care' sets out examples of emerging new ways of delivering care for children and young people. The report describes the current state of child health and quality of care in the UK, including problems around increasing use of hospitals to treat conditions that could be dealt with in other settings; capacity issues in primary care; and the often disjointed care provided between hospitals and the community. It then looks some examples of new models of care – which have been emerging both within the Vanguard scheme and inspired by it – and how they are responding to these issues.
more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Access to and Affordability of Health Care - New Survey of 11 Countries (incl. NZ)

Access to and Affordability of Health Care - New Survey of 11 Countries (incl. NZ) | Counties Manukau Health Library | Scoop.it

Asking people directly about their experiences with the health care system can reveal valuable information about how well a country is meeting the needs of its population. A new Commonwealth Fund study in Health Affairs examines patients’ experiences based on responses to a 2016 survey of adults in 11 countries: Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States.

more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

The digital patient: transforming primary care? | The Nuffield Trust

The digital patient: transforming primary care? | The Nuffield Trust | Counties Manukau Health Library | Scoop.it

The report finds that patient-facing technology is already showing promise that it can improve care for patients and reduce strain on the stretched health service – particularly for people with long-term conditions such as diabetes or COPD.


However, this rapidly evolving market comes with risks. Many apps, tools and devices have not been officially evaluated, meaning that their effectiveness is unknown. In some cases, technology can increase demand for services, disengage staff and have the potential to disrupt the way that patients access care. Moreover, the report warns that policy-makers and politicians should avoid assuming that self-care-enabling technology will produce significant savings, at least in the short term.


The report also presents a series of lessons and recommendations to NHS professionals, leaders and policy-makers about how best to harness the potential of technology and avoid the pitfalls.

more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

Tier 1 statistics 2015/16: New Zealand Health Survey

Tier 1 statistics 2015/16: New Zealand Health Survey | Counties Manukau Health Library | Scoop.it
This publication includes online tables for the most important indicators from the 2015/16 New Zealand Health Survey (NZHS). These are self-rated health, smoking (current), past-year drinking, hazardous drinking, obesity, mental health status (psychological distress), unmet need for GP due to cost and unfilled prescriptions due to cost.
more...
No comment yet.
Scooped by Counties Manukau Health Library
Scoop.it!

The Real People Real Data Toolkit

The Real People Real Data Toolkit | Counties Manukau Health Library | Scoop.it

Bringing consumer experience to evidence-based decision-making Collecting, analysing and using consumer stories to improve healthcare

more...
No comment yet.