The Royal College of Nursing (RCN) have published the results of a consultation with nurses and midwives on how nursing can participate in the digital transformation of health care. The RCN argue that until the NHS takes full advantage of the expertise and views of nurses – the largest single staff group in the health service – it won’t be able to realise all the benefits digital technology can bring for patients and staff.
The General Medical Council (GMC) have published the initial findings of their National Training Survey. The survey is a UK-wide poll of more than 70,000 doctors in training and doctors who act as trainers. For this report new questions were added that highlight the extent of burnout amongst doctors in training and trainers. Despite this the majority of trainees remain satisfied with their overall educational experience.
The GMC have also published a report looking at the reasons, motivations and experiences of doctors who choose to take a break during their training. The report found the three main reasons for taking a break in training were the doctors’ health and wellbeing – including their work-life balance – uncertainty about their choice of specialty and career direction, and dissatisfaction with their training environment.
A joint report from World Health Organization (WHO), Organisation for Economic Co-operation and Development (OECD), and the World Bank Group on ‘Delivering health services‘ has highlighted that poor quality health services are holding back progress on improving health in countries at all income levels. The report considers that providing access to health services is not sufficient to achieve improvement in healthcare and that improving care quality is also necessary. Alongside recommending improvement in low and middle-income countries, the report highlights that around 15% of hospital expenditure in high-income countries is due to mistakes in care or patients being infected while in hospitals.
Research, commissioned by the Scottish Government and carried out by Ipsos MORI, on the contribution of non-UK EU workers in the social care workforce in Scotland provides estimates of the number of non-UK EU workers in specified adult social care and childcare sub-sectors, and insights into the specific roles and contributions of those workers. The research is based on a survey which ran in early-2018. Overall it is estimated that the percentage of people employed within adult social care and childcare in Scotland that are non-UK EU nationals is 5.6%. The research identified that Brexit appeared to have had a limited impact on the sector to date but there are concerns that it could prove more of a challenge in the future.
The Scottish Public Health Network (ScotPHN) have a report into ‘Approaches to prioritisation for health and social care integration: scoping the involvement of local public health teams‘. The report looks at how public health teams can provide prioritisation guidance for health and social care integration, and whether a ‘once-for-Scotland’ approach would be viable.
NHS England are carrying out consultations on plans to change GP services. They are inviting views on documents reviewing the Quality and Outcomes Framework and proposals for potential payment reform to reflect emerging digital models of primary care. Both consultations are intended to feed into the development of a GP contract for NHS England.
The Department of Health and Social care have also issued a call for evidence ahead of a review to examine the GP partnership model. The independent review will examine the challenges currently facing the partnership model, and look for solutions to support the transformation of general practice.
The National Audit Office have produced a report into the health and social care interface. The report is concerned with health and social care services in England and presents 16 challenges to improved joint working and highlights some ongoing work and progress to meeting those challenges.
The National Audit Office have also produced a report into the ‘vanguard’ model of developing new care models in NHS England. The programme was intended to develop local pilots of care models that would be replicated across England and that would lead the integration of health and social care. The report identifies short-term financial pressures as compromising the programme and that the long-term impact and sustainability of vanguards is still not proven.