NHS Reforms: Have your say

Right patient, right treatment, right price: the challenges of introducing new medicines to the NHS

The National Institute for Health and Clinical Excellence (NICE) regularly reviews new drugs which may benefit patients. When it issues guidance recommending a specific treatment, the NHS is required to provide funding for it within three months. Yet the implementation and adoption of new medications is often slow, primarily due to the complexities of discussions between clinicians and commissioners.

With clinical needs having to be balanced with ever-tighter budgets - and the responsibility for commissioning moving to clinical leads at CCGs - those conversations are liable to become even more complex in the next 12 months.

This HSJ webinar, organised and funded by AstraZeneca, will bring together Dr Anthony Brzezicki, GP and chair of Croydon clinical commissioning group and Dr Joseph Mills, Consultant Cardiologist, Liverpool, to consider these challenging issues. The debate will draw on the specific example of ticagrelor, approved by the European Commission in late 2010 and recommended by NICE a year later, with varied use across the UK.

Key elements of the webinar will include:
*How should commissioners and clinicians plan for the implementation of a new medicine?
*When should planning for a new medicine begin?
*What evidence do commissioners and clinicians need when they are considering a new medicine?
*Have the changes in NHS commissioning had an impact on the planning for new medicines?
*How is the commissioning of primary and secondary preventative strategies balanced?
*How can cost effectiveness be balanced with clinical need?

HSJ invites you to watch an exclusive webinar, in association with UpToDate, highlighting the benefits of using CDS (Clinical Decision Support) technology in medical training, CME and revalidation for Trusts.

The webinar will examine research findings and offer practical recommendations for maximizing the educational and training benefits of CDS in hospitals.

Chaired by HSJ, panelists include Sarah Sutton, Clinical Librarian, University Hospital of Leicester and CDS Experts from UpToDate

Key elements of the webinar will include:

Published research which proves CDS plays an important role in training and continuing education

Recommendations for ensuring CDS is used in training and education by trainees and clinicians


University Hospitals of Leicester NHS Trust case study on how clinicians have used UpToDate for pain-free CPD

Essential viewing for Clinical Directors, Medical Directors, Medical Librarians, Training and Education Managers and Healthcare IT Managers, make sure you register to watch it today.

We look forward to welcoming you to HSJ TV.

HSJ invites you to participate in an interactive webcast on the challenges and benefits of introducing OFSTED-style ratings to the NHS.

(Please be aware that for some viewers time may show up as 4.30am, this is an issue we are working on, THE CORRECT TIME IS 12.30PM)

The Nuffield Trust has been commissioned by the Secretary of State for Health to consider whether aggregate ratings of provider performance should be used in health and social care. This webinar will discuss emerging evidence, challenges/benefits and diverse views from heath, social care and beyond around introducing aggregated ratings to the NHS and social care. The final Nuffield report will be presented to the Secretary of State in March 2013.

Achieving better care at lower cost is the 'sweet spot' for managers trying to deliver their QIPP programmes.

But doing this requires the active involvement of clinicians and an appreciation of some of the challenges they face in their working lives.

With the ever-growing volume of medical research and guidance it can be hard for even the most senior doctors to stay on top of their specialism and take every possible factor into account. And for juniors it can be more than a little daunting - especially when senior staff are thin on the ground, such as at night.

Offering them support in providing appropriate and safe care is a priority for many trusts - and software designed to help them in deciding on diagnosis and best treatment is one way to do it.
There is a growing body of evidence that this can reduce unnecessary tests, speed up diagnosis and treatment, and can avoid harm to patients.

This free HSJ webinar will look at the impact clinical decision support software can have in hospitals, featuring real-world examples and cases

It will cover:

How decision support software can support trusts in delivering some of their QIPP goals through better and more timely care

The evidence case for using clinical decision support software in clinical practice and how it can contribute to reducing unnecessary diagnostic tests, help clinicians deliver the right care, first time, and lead to reduced lengths of stay

The role it can play in helping doctors – especially juniors - ‘on the ground’

How doctors in the North West have seen positive outcomes from using support software

How to build a business case for investment in clinical support software

Who should watch?


Clinical and Medical Directors
Chief Executives
Finance Directors
Managers with responsibility for QIPP programmes
Healthcare IT Managers


This webinar will only be available to registered HSJ TV users through the HSJTV stream, so make sure you register today.

HSJ invites you to view an exclusive webinar on innovation and knowledge sharing in the NHS, supported by NHS North West.

There is never a shortage of ideas on how to improve the efficiency and efficacy of the NHS. Each year, individuals from both inside and outside the service come up with ways that healthcare providers could provide better care. Some of those ideas will get implemented in one department or ward. A few may get introduced throughout a hospital or trust. Very few will spread any further.

Why is innovation and best practice slow to spread in the NHS? How can knowledge gained in one department be shared with another, and then with other departments in other organisations? Might it then be possible to share knowledge with colleagues in other countries?

This HSJ webinar, supported by NHS North West, will bring together an expert panel drawn from both industry and healthcare to debate these issues.

Panelists include John Saxby, Chief Executive, Pennine Acute Hospitals NHS Trust, Dr Linda Magee, Chief Operating Officer, Manchester Academic Health Science Centre (MAHSC), Elaine Darbyshire, Director of Strategic Communications for NHS North of England and Trevor Dale, Managing Director of Attrainability

Key questions for discussion will include:

Why does the NHS struggle to spread knowledge, innovation and good practice?

How can healthcare trusts more effectively share their knowledge with colleagues in other organisations?

What impact will ‘Innovation, health and wealth’ have on the spread of knowledge in the NHS?

What can the NHS learn from industry about innovation and knowledge sharing?

What are the potential commercial benefits of more effective knowledge sharing within the NHS and beyond?

HSJ invites you to view an exclusive webinar, sponsored by McKinsey Hospital Institute, looking at how hospitals will need to change over the next few years.

Chaired by Pam Garside, panellists include Sue James, Chief Executive of Derby Hospitals Foundation Trust, Ian Renwick, Chief Executive of Gateshead Health Foundation Trust, Jennifer Dixon, Director of the Nuffield Trust and John Drew, Partner at the McKinsey Hospital Institute.

No one in the health service expects hospitals to look the same in 10 years time. The challenges of improving productivity and quality, while also saving money, would be enough to prompt massive change in the sector.

But the demands of commissioners who want to see more services moved closer to home and growing evidence to back centralisation of some services mean that this change is likely to be even more significant.

This HSJ webinar will look at how some hospital trusts have started to transform themselves to cope with this, and ask what else needs to be done. It will be essential viewing for chief executives and board members who are keen to learn from the experiences of other trusts.

Some of the key elements of the webinar will include:


Hearing from trusts which have started to transform the way they deliver services

Examining some of the major challenges hospitals will face

Getting the views of experts on what needs to be done and where the good examples are.

HSJ invites you to view and participate in an exclusive webinar on the growing importance of clinical decision support systems in association with UpToDate.

Quality, cost and the rise in long term conditions are forcing all healthcare providers around the world to reassess how services can be delivered more efficiently and effectively. Most have concluded that whilst technology is not the only answer, it is invariably part of the solution.

One key area is becoming increasingly clear – clinical support systems. Whilst healthcare provision has always striven to deliver the right care at the right time, it is now more crucial than ever that the clinical decision making process results in the best outcome for the patient in the shortest possible timescale.

In addition, recent changes to the regulatory environment (such as non-payment for patient readmission within 30 days of treatment) look set to increase the pressure even further.

Some of the key questions our webinar will explore include:
- The economic impact of adopting clinical decision support systems.

-Can clinical decision support systems contribute to reduced complications, length of stay and re-admission rates?

-How can IT-enabled clinical support systems work to improve patient care?

-Who is currently using clinical decision support systems and how are they measuring outcomes?

-In what ways can the health service use technology to transform patient management?

-Do clinical decision support systems really change clinical decision-making?

HSJ invites you to view and participate in an exclusive “Innovations in Healthcare” webinar, in association with the Healthcare Advisory Forum and sponsored by Oracle.

Quality, cost and the rise in long term conditions are forcing all health and care providers around the world to reassess how services can be delivered more efficiently and to consistently higher standards. Most have concluded that whilst technology is not the only answer, it is invariably part of the solution.

The NHS faces additional cost pressures – the “Nicholson Challenge” to find £20bn of savings over the next four years. Many believe this can be achieved only by “reimagining the front door” to healthcare and enabling patient involvement and decision-making.

Some of the key questions our debate will explore include:

•The existing system – where are we now, how did we get here, and what are the challenges as we move forwards?
•Can technology contribute to the greater integration of healthcare services? What are the potential gains and challenges?
•How can IT-enabled care support patient empowerment and allow patients to take control of their own care?
• How are assistive technologies being used at the moment and what would be the best-case scenario?
• In what ways can the health service use technology to transform the management of long-term conditions?
• What are the budget implications to all of this? Can innovation be ignored as a game changer?

Panellists:
Alastair McLellan – Editor - Health Service Journal
Jim Easton – Director of Improvement – Department of Health
Charles Alessi – GP and Chair – National Association of Primary Care
Rosemary Cook – Director – Queens Nursing Institute

Healthcare organisations are entering a new era where financial pressures and new operational models need to be balanced with the need to provide quality care.
How can organisations best manage as the changes outlined in the Health Bill come into force and they need to protect services whilst striving to meet its challenging targets?

Making efficient use of existing resources - whether those are staff or expensive facilities and equipment - will be crucial for organisations, whether NHS or independent, in this new, more commercial environment which will demand a flexible response to an unpredictable future.

Effective use of the workforce can significantly help all healthcare organisations to rise to the challenge; to deliver improved productivity and higher quality services in an increasingly competitive environment.

Planning how you deploy your workforce - and making certain you have staff with the right skills - is essential to meet the financial challenges within the healthcare sector and deliver patient centred care.

Workforce planning has traditionally been seen as the role of human resources; however this is changing. Understanding the importance of planning the workforce to deliver service for today’s requirements and for the future is essential whether you are in a service, clinical, financial or planning role.

Training your workforce for the future – how best to manage your resources whilst training budgets are being sliced and deal with the restrictions on the length of the working week

This webinar will look at how you can plan and deploy the workforce you need.

Social enterprise: a viable option for service delivery

Pathology services are set to transform over the next few years - but what shape will they take and what practical problems will organisations encounter?

A recent HSJ round table debate delved into the maelstrom of issues organisations will face as they try to bring about change. These included

getting the right workforce in place to deliver the services needed
how to retain the crucial input of pathologists into clinical care, while reducing costs through economics of scale for the basic processing tasks
the challenges of providing pathology services for different customers with different needs such as GPs and acute trusts
working with commercial partners so that everyone benefits
how quality can be defined, measured and ensured.
Now an HSJ online question and answer sessions, in association with Roche Diagnostics, will enable you to put your questions to a panel of experts.

Sharing Skills, building expertise.

Pfizer

The NHS has to make unprecedented efficiency savings over the next three years, while undergoing the biggest reform programme since its inception in 1948. This debate will try to define what we mean by quality health services and which aspect of quality are being prioritised. It will also look at how we can ensure that the quality of care that patients experience not only does not suffer during this difficult period, but continues to improve.

Who should watch:
•chief executives;
•governance leads;
•risk managers;
•commissioners;
•directors and managers of provider services;
•clinicians.
Issues addressed will include:
•What are the key elements of quality?
•How quality ranks in the NHS reform agenda – do the Heath Bill and QIPP agenda support and drive improvement?
•What are the barriers to quality?
•What drivers commissioners can use to ensure services are high quality.
•How to ensure quality is driven upwards and how it should be prioritised, what is the impact of performance targets on this?
•Which organisations will have the greatest impact on the development of quality health services?

As the Government’s ‘listening exercise’ continues – have your say on how the NHS reforms should be altered. Will more changes simply alienate a different group of stakeholders – or is there hope that this pause will allow the Healthcare Bill to be improved? Put your questions and opinions to our panel. How will your job be affected? Is this really about improving patient services or is there another agenda? Join the discussion and have your say.

Presenter: Sharon Alcock, Indepdent Health Journalist
PANEL:
Dr Clare Gerada, Chair Royal College of General Practitioners
Prof Lindsey Davies, President of the UK faculty of Public Health
Sir Richard Thompson, President of the Royal College of Physicians

The launch of the final report from the King’s Fund independent Inquiry into the Quality of Care in General Practice in England. This event was streamed live from the King's Fund on Thursday 24 March.

The launch of the final report from the King’s Fund independent Inquiry into the Quality of Care in General Practice in England. This event was streamed live from the King's Fund on Thursday 24 March.

The launch of the final report from the King’s Fund independent Inquiry into the Quality of Care in General Practice in England. This event was streamed live from the King's Fund on Thursday 24 March.

The launch of the final report from the King’s Fund independent Inquiry into the Quality of Care in General Practice in England. This event was streamed live from the King's Fund on Thursday 24 March.

The launch of the final report from the King’s Fund independent Inquiry into the Quality of Care in General Practice in England. This event was streamed live from the King's Fund on Thursday 24 March.