Networked care – a toolkit for practice

Moorfields Eye Hospital NHS Foundation Trust is one of the 13 acute care vanguards which aim to “link hospitals together to improve their clinical and financial viability, reducing variation in care and efficiency” | Institute of Healthcare Management


The Moorfields vanguard team has spent the past year exploring whether the longer-term sustainability of single speciality services can be strengthened by entering into a networked care partnership, and the other benefits that the model might bring.

The team was keen to understand what makes the biggest difference for patients, staff and partner organisations in getting things right first time when establishing a networked care partnership; and to identify the best way to sustain services so that specialist care can continue to be offered locally.

The team’s findings are shared in the toolkit, an online resource with evidenced-based learning that other trusts can use to evaluate whether networked care could help their smaller clinical services.  It has practical advice on how organisations can establish their own network in the way for them.

The toolkit also includes recommendations on how to:

  • ensure consistent quality of care at multiple sites
  • ensure a sustainable workforce
  • maintain effective partnerships
  • develop sustainable specialist care
  • provide a standardised quality of care

Commissioning for Value: Where to Look pack

NHS RightCare | Published online: October 2016

Image Source: NHS RightCare

Refreshed ‘Where to Look’ packs: October 2016

These packs are a refresh of the Commissioning for Value Where to Look packs, last published in January 2016. Updates to this version include: Many indicators now using 2015/16 data; an additional three pathways on a page for gastro-intestinal; and updated complex patients information. Please note that there are a number of reasons why a programme that was identified as a headline opportunity in January 2016 may no longer be identified as such in October 2016.  CCGs involved in Wave One of the RightCare programme will be proactively contacted by their Delivery Partner to discuss any major changes and the rationale for them.

Read the full report here

Four tools to enhance significant event analysis in primary care

The Health Foundation | Published online 25 August 2016

Significant event analysis (SEA) is a collective learning technique used to investigate patient safety incidents (circumstances where a patient was or could have been harmed) and other quality of care issues.

The project developed a framework and then a series of practical tools, which aim to help people working in primary care to apply the approach.

1. E-learning module

This short ‘read and click’ e-learning module is available as a PDF from the Quality Improvement Hub. It explains and illustrates the principles which underpin the enhanced SEA approach, including sections on: Basic error theory; Human factors principles; Taking a systems-centred approach; and the Enhanced SEA method.

2. Enhanced SEA booklet

The enhanced SEA booklet (PDF), developed by the project team, gives a clear, readable overview of the approach, including the basics of human factors theory and an example story. It aims to help individuals reflect on the potential emotional impacts of a significant event by using these principles to gain a clearer understanding of all of the contributory factors involved.

Image source: The Health Foundation

3. Deskpad

In addition to individual reflection, it’s important that teams reflect together on events and analysis. Each sheet of this enhanced SEA deskpad (PDF) contains instructions and prompts to help guide a team in taking this approach to event analysis, and to take notes on what was agreed.

4. Reporting template

The project team also designed and developed a new report format (PDF) for writing up SEAs, which accommodates this approach. This format is recommended for GP specialty training and medical appraisal, as well as for practice manager and nurse vocational training and appraisal.  It is also being used in community pharmacy and dental practice in Scotland.

Read the full project overview here


Getting to Outcomes Guide for Teen Pregnancy Prevention

Chinman, M. et al. Rand Corporation. Published online: August 2016

Image source:

Getting To Outcomes (GTO) is a ten-step process that guides community organizations through the key tasks needed to make any prevention program a success. GTO is supported by training, technical assistance, and written guides, such as this Getting To Outcomes Guide for Teen Pregnancy Prevention.

Research has shown that organizations that use GTO in TPP programs carry out programs with greater fidelity and achieve more positive outcomes compared with organizations that do not use GTO. Following the GTO ten steps, this guide offers tools and instructions to help users assess the need for and select a teen pregnancy prevention (TPP) program, identify specific goals and outcomes, determine whether there is sufficient fit and capacity to carry out a selected TPP program, create a detailed plan, identify and use process and outcome evaluation measures, use the evaluation data for program improvement, and plan for program sustainability.

The guide also includes an outcome survey and an Excel workbook already set up to receive data from the outcome survey and calculate change scores and graphs. Designed for anyone planning, running, or overseeing TPP programs, carrying out the GTO activities outlined in this guide will help organizations meet the needs of the youth and demonstrate effectiveness to funders, consumers, and other stakeholders.

Read the full report here

Find related resources here

Tools for assessing value for money for alcohol and drug treatment

Public Health England Blog. Published online: 25 July 2016

In 2014-15 there were 295,244 adults in alcohol and drug treatment services across England.

The latest official statistics on drug-related deaths in England showed the highest number of substance misuse related death since these records began and highlights a worrying rise in the number of older, more vulnerable drug users dying from heroin overdose.

Image source: Sean Stephens – Flickr // CC BY-NC 2.0

PHE economic tools

PHE produces several tools to help Local Authorities and public health commissioning teams understand and inform their spending. Different tools are useful for different purposes and it’s important to know which one to use to get the most out of them.

For example, the SPOT (Spend and Outcome Tool) provides a broad overview of spend against a selection of relevant outcomes, allowing local authorities to make comparisons across some public health interventions.

Whilst is if often used by Health and Wellbeing boards and councillors, providing a high-level overview of spend and outcomes, it does not estimate value for money or return on investment.

The alcohol and drugs Value for Money tools bring together a range of tools to support local authorities, specifically alcohol and drugs commissioners, to explore ways in which the existing substance misuse budget can be spent to maximise cost-effectiveness.

Alcohol and Drugs Commissioning Tool

Developed by our Drugs and Tobacco team, this tool supports areas in understanding and improving cost-effectiveness. The Cost Calculator helps commissioners estimate local spend and unit costs, while the cost-effectiveness section helps answer a variety of questions on treatment interventions and the use of existing resources.

The Tool compares spend on the treatment system with outcomes of different types of treatments accessed by opiate users, non-opiate users and alcohol only (i.e. leaving treatment free of substance(s) of dependency).

Read the full blog post here

Transition from children’s to adult services toolkit

The Yorkshire and Humber Strategic Clinical Network for Children has published Transition from Children’s to Adult Services – Provider Toolkit and Commissioners Guidance.

The aim of this portal is to ensure that providers and commissioners have a single point of access to a pathway, resources and key guidance.  The resources in this toolkit and guidance will help service providers and commissioners, develop, improve, implement and embed good practice for children, young people and their families moving from children’s to adult services.