How to Structurally Reform the National Health Service to Improve Patient Outcomes

2018 ◽  
Author(s):  
Kristian Peter Niemietz
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Patient Outcomes ◽  
National Health ◽  
Improve Patient

scholarly journals Barriers to Working With National Health Service England’s Open Data (Preprint)

2019 ◽  
Author(s):  
Seb Bacon ◽  
Ben Goldacre
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Patient Outcomes ◽  
National Health ◽  
Open Data ◽  
Online Tools ◽  
Research Findings ◽  
Open Datasets ◽  
The Many ◽  
Improve Patient

UNSTRUCTURED Open data is information made freely available to third parties in structured formats without restrictive licensing conditions, permitting commercial and noncommercial organizations to innovate. In the context of National Health Service (NHS) data, this is intended to improve patient outcomes and efficiency. EBM DataLab is a research group with a focus on online tools which turn our research findings into actionable monthly outputs. We regularly import and process more than 15 different NHS open datasets to deliver OpenPrescribing.net, one of the most high-impact use cases for NHS England’s open data, with over 15,000 unique users each month. In this paper, we have described the many breaches of best practices around NHS open data that we have encountered. Examples include datasets that repeatedly change location without warning or forwarding; datasets that are needlessly behind a “CAPTCHA” and so cannot be automatically downloaded; longitudinal datasets that change their structure without warning or documentation; near-duplicate datasets with unexplained differences; datasets that are impossible to locate, and thus may or may not exist; poor or absent documentation; and withholding of data for dubious reasons. We propose new open ways of working that will support better analytics for all users of the NHS. These include better curation, better documentation, and systems for better dialogue with technical teams.

scholarly journals Barriers to Working With National Health Service England’s Open Data

10.2196/15603 ◽  
2020 ◽  
Vol 22 (1) ◽  
pp. e15603 ◽  
Author(s):  
Seb Bacon ◽  
Ben Goldacre
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Patient Outcomes ◽  
National Health ◽  
Open Data ◽  
Online Tools ◽  
Research Findings ◽  
Open Datasets ◽  
The Many ◽  
Improve Patient

Open data is information made freely available to third parties in structured formats without restrictive licensing conditions, permitting commercial and noncommercial organizations to innovate. In the context of National Health Service (NHS) data, this is intended to improve patient outcomes and efficiency. EBM DataLab is a research group with a focus on online tools which turn our research findings into actionable monthly outputs. We regularly import and process more than 15 different NHS open datasets to deliver OpenPrescribing.net, one of the most high-impact use cases for NHS England’s open data, with over 15,000 unique users each month. In this paper, we have described the many breaches of best practices around NHS open data that we have encountered. Examples include datasets that repeatedly change location without warning or forwarding; datasets that are needlessly behind a “CAPTCHA” and so cannot be automatically downloaded; longitudinal datasets that change their structure without warning or documentation; near-duplicate datasets with unexplained differences; datasets that are impossible to locate, and thus may or may not exist; poor or absent documentation; and withholding of data for dubious reasons. We propose new open ways of working that will support better analytics for all users of the NHS. These include better curation, better documentation, and systems for better dialogue with technical teams.

scholarly journals Bed management in psychiatry: ensuring that the patient perspective is not forgotten

2021 ◽  
pp. 1-3
Author(s):  
Tejas Kotwal ◽  
Thomas Fluck ◽  
Koravangattu Valsraj
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Patient Outcomes ◽  
National Health ◽  
Real World ◽  
Patient Perspective ◽  
Clinical Care ◽  
Psychiatric Services ◽  
Management Systems ◽  
Bed Management

SUMMARY Bed management and the transfer of patients is an area of clinical care that is frequently overlooked. Often, the lack of discussion leads to the patient perspective being ignored and to transfers to new hospitals without appropriate handovers, both to the detriment of patient outcomes. This article reflects on the real-world consequences of the bed management systems used within the UK's National Health Service (NHS), using the example of a patient in psychiatric services.

Litigation claims relating to venous thromboembolism in the NHS

2014 ◽  
Vol 30 (6) ◽  
pp. 389-396 ◽  
Author(s):  
Victoria White ◽  
Alexander Nath ◽  
Gerard Stansby
Keyword(s):  
Patient Outcome ◽  
Venous Thromboembolism ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Financial Burden ◽  
Clinical Excellence ◽  
Improve Patient Outcome ◽  
Vein Thrombosis ◽  
Improve Patient

Aim Litigation costs for clinical negligence in the management of venous thromboembolism have escalated in the last five years. The National Health Service Litigation Authority estimates these claims have cost in excess of £112 million. Our aim is to identify the areas of practice where these claims are most likely to arise to help improve patient outcome. Methods The National Health Service Litigation Authority provided de-identified data on individual medical negligence claims against the NHS since 2007. We subcategorised the data into (a) the nature of the venous thromboembolism event, (b) the area of specialist practice and (c) the damages incurred. Inter-group differences were evaluated using ANOVA, Kruskal–Wallis test and Mann–Whitney U Test. Results Failure to prevent and to diagnose pulmonary emboli and deep vein thrombosis occurs across the spectrum of clinical specialties. In the study period 189 claims were made. The majority of claims were in surgical specialties and the financial burden was significantly greater than in the medical specialities (£3,257,394 vs. £1,532,996). The amounts paid out by specialty was not significantly different but had significant variance ( p < 0.0001). Conclusions The National Institute of Clinical Excellence provides comprehensive guidelines on venous thromboembolism risk assessment. Poor compliance has contributed to morbidity and mortality while the cost has continued to escalate. A multimodal approach to education is needed to improve patient outcome. Improved venous thromboembolism prevalence data are also needed.

Litigation in English rhinology

2015 ◽  
Vol 129 (3) ◽  
pp. 244-249 ◽  
Author(s):  
A S Harris ◽  
S J Edwards ◽  
L Pope
Keyword(s):  
Patient Satisfaction ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Financial Burden ◽  
Annual Number ◽  
Improve Patient Satisfaction ◽  
Cent Increase ◽  
Improve Patient ◽  
Average Annual Number

AbstractObjective:Litigation is a rising financial burden on the National Health Service. This study aims to show if litigation is increasing in rhinology and which procedures lead to the most claims.Methods:Ten years of data were obtained from the National Health Service Litigation Authority. Rhinology claims were examined for cost, injury, diagnosis and operation type.Results:Of the 123 rhinology claims identified, 52 per cent were successful. There was a 56 per cent increase in the average annual number of claims between the first half of the study period and the second (p = 0.0451). The commonest reasons for a claim were poor cosmesis (15.6 per cent) and lack of informed consent (14 per cent).Conclusion:The number of claims in rhinology increased over the study period. Most claims resulted from poor cosmetic outcome, lack of consent or recognised complications. It is suggested that enhanced communication and management of patient expectations could reduce litigation and improve patient satisfaction.

NHS Modernisation Programme: A Guide with Links to Government NHS Web Sites for Further Information

2004 ◽  
Vol 5 (1) ◽  
pp. 12-15
Author(s):  
Pat Smedley
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
Patient Experience ◽  
National Health ◽  
Web Sites ◽  
Waiting Times ◽  
Rapid Pace ◽  
The Uk ◽  
Improve Patient

The rapid pace of change in the National Health Service (NHS) over the last five years has resulted in significant alterations to the way health care is, and will be delivered in the UK. The essential aims are to cut down waiting times, put more money into the system &C use it more effectively to improve patient experience through setting practice standards/maximising on staff potential/empowering patients/funding more beds and much more.

Advanced Nursing Practice in Großbritannien – eine persönliche Schilderung

Pflege ◽  
2010 ◽  
Vol 23 (6) ◽  
pp. 417-423
Author(s):  
Elke Keinath
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Nurse Practitioner ◽  
Nursing Practice ◽  
Advanced Nursing Practice

Im Artikel werden persönliche Erfahrungen als Advanced Nurse Practitioner (ANP) in der Thoraxchirurgie im National Health Service (NHS) in Großbritannien geschildert. Die tägliche Routine wurde von sieben Kompetenzdomänen bestimmt, nämlich: Management des Gesundheits- und Krankheitszustandes des Patienten, Beziehungen zwischen Pflegeperson und Patient, Lehren und Unterrichten, professionelle Rolle, Leitung und Führung innerhalb der Patientenversorgung, Qualitätsmanagement sowie kulturelle und spirituelle Kompetenzen. Diese Elemente wurden durch die Zusatzqualifikation, selbstständig Medikamente verschreiben und verordnen zu dürfen, erweitert, was dazu beitrug, eine nahtlose Erbringung von Pflege- und Serviceleistungen zu gewähren. Die Position wurde zur zentralen Anlaufstelle im multi-professionellen Team und stellte eine kontinuierliche Weiterführung der Pflege von Patienten und ihren Familien sicher – auch über Krankenhausgrenzen hinweg.

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