Increasing general practitioners’ confidence and self-efficacy in managing obesity

Sturgiss, E. et al. (2017) BMJ Open. 7:e014314

tape-403592_960_720.jpg

Objectives: Internationally, general practitioners (GPs) are being encouraged to take an active role in the care of their patients with obesity, but as yet there are few tools for them to implement within their clinics. This study assessed the self-efficacy and confidence of GPs before and after implementing a weight management programme in their practice.

Conclusions: A structured management tool for obesity care in general practice can improve GP confidence and self-efficacy in managing obesity. Enhancing GP ‘professional self-efficacy’ is the first step to improving obesity management within general practice.

Read the full article here

Advertisements

Commissioning for Value mental health and dementia packs

NHS RightCare has published new data packs for a range of mental health and dementia services for each CCG.

NHS RightCare has published new Commissioning for Value mental health and dementia packs for each CCG. The packs contain data across a range of mental health and dementia services, and include a number of new indicators not included in previous packs. The information is intended to support discussions about mental health care in local health economies to improve the value and utilisation of resources.

 Rotherham CCG Commissioning for Value Mental health and dementia pack:

Quality improvement: learning from innovations in the vanguards

The King’s Fund Blog | By Don Berwick

arrows-1836570_960_720.jpg

I have recently returned from an exciting, whirlwind tour of another set of new care models sites. This was my fourth such tour. My goal for these visits, which I make as an International Visiting Fellow for The King’s Fund, is to attempt to understand what the vanguard organisations are trying to do, how well they are faring, and how they might progress even better and faster. On this trip, the additional question was: ‘How can these lessons and models be spread more widely across the NHS?’

Read the full blog post here

Preventing falls and fractures

Public Health England has published Falls and fracture consensus statement: supporting commissioning for prevention.

grey-1868864_1280

The guidance is aimed at local commissioning and strategic leads with a remit for falls, bone health and healthy ageing.  This document outlines approaches to interventions and activities helping prevent falls and fractures to improve health outcomes for older people.

The Royal College of Physicians has published Look out! Bedside vision check for falls prevention.

This guide aims to help ward staff assess a patient’s eyesight in order to help prevent them falling or tripping while in hospital.

Nearly 200 GP practices closed in 2016 alone NHS data suggest

Up to 181 GP practices closed in the 12 months to January 2017, official data show | GP Online

6015396482_9ab293f906_z

Image source: Nick Papakyriazis – Flickr // CC BY-NC-SA 2.0

Data on GP practice populations released by NHS Digital this month list just 7,532 GP practices – down 181 from the total a year earlier in January 2016.

Part of the drop in GP practice numbers in the NHS Digital data is likely to be driven by mergers, which could mean that some of the practice locations no longer listed in official figures remain open, but under the wing of a larger group.

However, BMA leaders have warned that closures are at ‘record levels’ and the latest figures suggest that the trend is not slowing down as GPs wait for government pledges of investment through the GP Forward View to take effect.

Read the full news story here

Early benefits of delegated commissioning

NHS England have produced a series of Delegated commissioning case studies to show how CCGs are using delegated commissioning to improve care for local people. 

arrow-984952_1280

CCGs have reported that delegated commissioning is leading to:

  • The development of clearer, more joined up visions for primary care, aligned to wider CCG and STP plans for improving health services;
  • Improved access to primary care;
  • Improved quality of care being delivered to patients;
  • Improved CCG relationships with member practices, including greater local ownership of the development of primary care services;
  • Increased clinical leadership in primary care commissioning, enabling more local decision making;
  • Greater involvement of patients in shaping services;
  • A more sustainable primary care system for the future.

NHS England have produced a series of case studies to show how CCGs are using delegated commissioning to improve care for local people:

Faulty by design: The state of public-service commissioning

How public services are commissioned underpins their success in healthcare, criminal justice, employment services and beyond | Reform

reform-com

Image source: Reform

reform-com-1

Image source: Reform

This report reveals that commissioning bodies are not delivering value for money in three key areas.

  • Commissioners are failing to focus on outcomes that matter to service users.
  • Fragmented commissioning bodies stand in the way of integrated services that meet users’ needs most effectively.
  • Devolution of commissioning to local areas is not happening in practice, with a one-size-fits all approach creating a postcode lottery across in healthcare, welfare-to-work and probation services.

Watch the interview about the report below:

Read the full report overview here

Read the full report here