Health and Safety Executive Staff's Books

Financial Management in the NHS

[and] NHS (England) Summarised Accounts 2003-2004

By: Great Britain: National Audit Office,Audit Commission for Local Authorities and the National Health Service in England and Wales,Great Britain: NHS Executive

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Financial Management in the NHS

[and] NHS (England) Summarised Accounts 2003-2004

By: Great Britain: National Audit Office,Audit Commission for Local Authorities and the National Health Service in England and Wales,Great Britain: NHS Executive

This joint report was prepared by the National Audit Office and the Audit Commission, and contains the findings from the NAO's audit of the NHS summarized accounts and the Audit Commission's appointed auditors' work on the 2003-04 accounts of individual NHS organizations. The report outlines the financial issues facing individual NHS organizations, with an overview of the effects of these issues at national level and how this will affect the national health economy. In 2003-04 the NHS spent a total of £63 billion, with expenditure costs in the NHS rising by 7.3 per cent each year. This will increase the costs to £76 billion for the 2005-06, and £93 billion for 2007-08 periods. Alongside this increasing expenditure, the Government has set out various reform plans, including the establishment of the NHS Foundation Trusts, new staffing contracts, the development of the information technology infrastructure, and the way hospitals are funded. In the Summary of the financial performance for 2003-04 period, the number of bodies failing to achieve a financial balance had increased, along with an increase in the number of bodies with significant financial deficits. In all, 106 NHS bodies failed to achieve an in-year financial balance, and 14% of the Primary Care Trusts failed to keep expenditure within their resource limit, also a small number of NHS bodies are struggling to manage large deficits. The report advocates four key themes for the improvement of financial management: the role of the Board - who should display better oversight and improve their financial acumen; forecasting - NHS bodies should continually test whether cost savings programmes are realistic, and take account more effectively for risk factors in their financial planning, as well as set realistic budgets at the beginning of the year; earlier preparation of accounts - improvements in financial reporting, and the provision of financial information throughout the year should closely reflect the standard and range of information required in the annual accounts; transparency - that boards, managers, stakeholders would benefit from clarity in the way the accounts are organized, and that the amount of financial support received by the trusts should be clearly stated. With the introduction of Payment by Results and the use of independent healthcare providers the income received by NHS Trusts is no longer certain. So overall improvements in their financial forecasting and modeling, with NHS Trusts in particular developing their commercial financial skills, would be beneficial especially if they intend to become foundation trusts.

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Page Count

288

Publisher

The Stationery Office

Published Date

ISBN 10

0103285172

ISBN 13

9780103285177

Keeping Patients Safe

Transforming the Work Environment of Nurses

By: Institute of Medicine,Board on Health Care Services,Committee on the Work Environment for Nurses and Patient Safety

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Keeping Patients Safe

Transforming the Work Environment of Nurses

By: Institute of Medicine,Board on Health Care Services,Committee on the Work Environment for Nurses and Patient Safety

Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.

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Page Count

485

Publisher

National Academies Press

Published Date

ISBN 10

0309133270

ISBN 13

9780309133272

Learning report: Safer Patients Initative

By: The Health Foundation

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Learning report: Safer Patients Initative

By: The Health Foundation

One million people use the NHS every day . Making sure they receive safe and reliable care is a massive challenge for health services. While the majority of people are treated without incident, it is estimated that one in 10 people admitted to hospital in the UK will experience some sort of harm during their stay. In nearly every case the problem is caused by unreliable healthcare systems and processes. When the Health Foundation began the Safer Patients Initiative in 2004, there was a growing awareness of the level of harm in the NHS but no national support to the health service to reduce it. The Safer Patients Initiative was the first major improvement programme addressing patient safety in the UK. The initiative was ground-breaking with the first wave of four hospitals working from 2004¿2006 and the second wave of twenty hospitals working from 2006¿2008. The purpose of the Safer Patients Initiative was to test ways of improving patient safety on an organisation-wide basis within ...

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The Health Foundation

Published Date

ISBN 10

1906461236

ISBN 13

9781906461232

Smoking in Public Places

First Report of Session 2005-06

By: Great Britain: Parliament: House of Commons: Health Committee,Kevin Barron

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Smoking in Public Places

First Report of Session 2005-06

By: Great Britain: Parliament: House of Commons: Health Committee,Kevin Barron

The Government announced its intention to ban smoking from 2008 in enclosed public places in England, in its White Paper Cm 6374 (ISBN 010163742X) published in November 2004.

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132

Publisher

The Stationery Office

Published Date

ISBN 10

0215026721

ISBN 13

9780215026729

Best Care at Lower Cost

The Path to Continuously Learning Health Care in America

By: Institute of Medicine,Committee on the Learning Health Care System in America

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Best Care at Lower Cost

The Path to Continuously Learning Health Care in America

By: Institute of Medicine,Committee on the Learning Health Care System in America

America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.

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Page Count

437

Publisher

National Academies Press

Published Date

ISBN 10

0309282810

ISBN 13

9780309282819

Book's by Health and Safety Executive Staff

Financial Management in the NHS

Financial Management in the NHS

Keeping Patients Safe

Keeping Patients Safe

Learning report: Safer Patients Initative

Learning report: Safer Patients Initative

Smoking in Public Places

Smoking in Public Places

Best Care at Lower Cost

Best Care at Lower Cost

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