Socio-economic inequalities in coronary heart disease
There are substantial differences in mortality rates from cardiovascular disease between socio-economic groups. Our new tool provides an overview, for ICBs, of the points on the care pathway where inequalities emerge and are amplified
Evaluating and embedding social values in procurement at East London NHS Foundation Trust
This report presents emerging findings from the early development stages of a social value approach to procurement by East London NHS Foundation Trust (ELFT). These findings provide insights for other organisations beginning to explore how to use procurement to contribute to improving health and…
Less noise and more light: using criteria-driven analysis to tackle inequalities
Reducing health inequality is a long-standing aim of health policy. Yet the gap between policy aim and population outcome has grown in recent years: on most measures health inequalities have got worse.
Health service use in the last two years of life
Health and care services get just one opportunity to support people at the end of their life. When this support is compassionate and appropriate, unnecessary suffering can be avoided and grieving can be eased. When this is not the case, harm and distress can result. The difference in these…
The Status of Electronic Palliative Care Coordination Systems in the West Midlands
Commissioned by NHS England, this report describes the state of electronic palliative care coordination systems in the West Midlands. It draws on a review of the literature, interviews with local NHS staff and responses to information requests. As people approach the end of their lives…
Horizontal or Vertical: Which way to integrate?
In 2011, Primary Care Trusts faced a difficult choice. The Transforming Community Services policy required a complete break of commissioner and provider functions. But what should PCTs do with the community health services they delivered; vertically integrate with an acute trust, horizontally…
Palliative and End of Life Care Report for Children and Young People
Commissioned by NHS England, this report describes the the characteristics and levels of resource required by children and young people (CYP) (0-25 years) with life limiting conditions and/or life threatening conditions (LLC). The scope of this report does not attempt to explain or address the…
Palliative and End of Life Care in the West Midlands
Commissioned by NHS England, this report describes the status and context of palliative and end of life care services in the six Sustainability and Transformation Partnerships in the West Midlands. The report contains data on trends and forecast numbers of deaths, place of death, palliative…
Changes in Dementia Incidence, Prevalence, Severity and Mortality
Dementia is a key priority for NHS England and is estimated to affect around 676,000 people in the country. Our analysis is intended to help understand the need for future dementia diagnosis and treatment services in a specific area and to help commissioners to identify and…