Wednesday, December 22, 2010


In this update:

  • public/private
  • probity
  • grantmaking
  • digital business
  • public value
  • fire & rescue services
  • rural aged
  • temporary staff
  • workforce stability
  • joined up care
  • OECD AsiaPacific health
  • workplace clinics
  • health outcomes
  • hospital productivity
  • NSW health
  • surgical mortality
  • A&E quality
  • avoidable admissions
  • emergency dept staffing
  • health IT
  • paediatric surgery
  • public health outcomes
  • infant mortality
  • NSW youth health
  • alcohol workforce
  • mental health workforce
  • abortion & mental health
  • disease outbreaks
  • foodborne illness
  • flu in prison
  • Community Services & disability
  • Tas disability act
  • autism strategy
  • child protection
  • indigenous homelessness
  • personalisation & housing














Public policy and private agreements A recent High Court judgment clarifies the implementation of privatisations and public-private partnerships...private purchasers can demand compensation from the government for failing to bring about changes in policy.
APO (Dec 2010)

Improving probity standards for funded organisations focuses on the inconsistency of requirements relating to probity checking of prospective employees, board members and others involved in the planning or delivery of funded services to vulnerable people.
NSW Ombudsman (Dec 2010)

An Introductory Guide to Grantmaking for people who are new to grantmaking and will be involved directly with the process of assessing applications and making grants.
Philanthropy Aus (Dec 2010)

Digital business a new website the Department of Broadband, Communications and the Digital Economy to assist businesses and community organisations to establish an online presence
Aus DBCD (Dec 2010)

Tackling Tough Choices: Creating Public Value Toolkit: Public Value is created at the frontline ... places focuses on the responsibility of the public themselves to contribute to what is considered ‘valuable’ so that citizens are not just recipients and beneficiaries of public interventions but also co-designers of the public policy and enterprise.
UK NHS (Dec 2010)

Fire Futures, an independent review of the fire and rescue service in England review into the fire and rescue service in England that looks into its role, efficiency, accountability and work with other emergency services
UK Communities (Dec 2010)

Getting Involved in the Country: Productive ageing in different types of rural communities older people living in rural areas feel safer, have a high level of social connectedness, enjoy more social interaction and have a high sense of trust toward others.
National Seniors Australia (Dec 2010)

Flexible workforce: strategic planning to reduce costs and improve quality  high levels of poorly managed temporary staff can be costly and may adversely affect patient safety.
UK NHS (Nov 2010)

Reviewing the benefits of health workforce stability the very action of setting up a local working group to assess the costs of turnover can in itself give managers and staff a greater insight into the negative impacts of turnover, and can encourage them to work together to identify and implement stability measures.
Hum Resource Health (Dec 2010)

Guide to joined-up care Patients view the NHS as one service, they hope that services will work in a joined up way to meet their individual needs.  Healthcare professionals and patients know that the reality is often very different. includes a rapid review of the literature on joined up care
UK NHS (Dec 2010)

Health at a Glance: Asia/Pacific 2010 a set of key indicators of health status, the determinants of health, health care resources and utilisation, and health care expenditure and financing across 27 Asia/Pacific countries including Australia
OECD (Dec 2010)

Workplace Clinics: A Sign of Growing Employer Interest in Wellness while well-designed, well-implemented workplace clinics are likely to achieve positive, long-term returns for employers, it may be unrealistic to expect them to be an immediate game-changer in bending the overall health care cost curve.
US RWJF (Dec 2010)


NHS outcomes framework  sets out the outcomes and corresponding indicators for 1: Preventing people from dying prematurely 2: Enhancing quality of life for people with long-term conditions 3: Helping people to recover from episodes of ill health or following injury 4: Ensuring that people have a positive experience of care 5: Treating and caring for people in a safe environment and protecting them from avoidable harm
UK Health (Dec 2010)

Management of NHS hospital productivity Over the last ten years, there has been significant real growth in the resources going into the NHS, most of it funding higher staff pay and increases in headcount. The evidence shows that productivity in the same period has gone down, particularly in hospitals... If all hospitals performed at the level of the top 25 per cent in respect of staff costs, use of estate, control of emergency admissions and bed management, the NAO estimates that the NHS could save around £1.6 billion a year more
UK Audit (Dec 2010)

Healthcare in Focus: how NSW compares internationally  how the NSW health system compares to the rest of Australia and 10 other countries, using some 90 performance measures...Considering the health of NSW people ranks highly compared to other countries and that state health spending is mid-range compared to other nations’ spending, NSW does well in achieving health per dollar spent.
NSW BHI (Dec 2010)

Australia and New Zealand Audit of Surgical Mortality's first national report designed to highlight system and process errors and trends associated with surgical mortality
RACS (Dec 2010)

A&E clinical quality indicators: Implementation guidance and data definitions the new UK accident and emergency clinical quality indicators, which will be introduced in April 2011, replacing the four-hour standard. The measures will provide a comprehensive view of the quality of care across accident and emergency departments, including outcomes, clinical effectiveness, safety, experience and timeliness.
UK Health (Dec 2010)

Avoiding hospital admissions: what does the research evidence say? Which interventions work in:  – primary care  – social care  – emergency care – discharge from hospital.
UK Kings Fund (Dec 2010)

NSW Health (Dec 2010)

Realizing the Full Potential of Health Information Technology to Improve Healthcare for Americans: The Path Forward achieving the full potential of health information technology will require the development and adoption of a robust information-sharing infrastructure to facilitate the exchange of data among institutions...calls upon the Federal government to facilitate the widespread adoption of a “universal exchange language” that allows for the transfer of relevant pieces of health data while maximizing privacy. also: Efficiency and Technological Change in Health Care Services in Ontario finds that productivity growth occurred mostly through improvement in technology and in spite of declining efficiency.(Aus Uni Qld Nov 2010)
US President's Council of Advisors (Dec 2010)

General Paediatric Surgery: survey of service provision in district general hospitals in England Children who need common, general or urological operations face delays or long journeys to specialist centres for routine elective and emergency surgical care.
UK RCS (Dec 2010)

Healthy Lives, Healthy People: transparency in outcomes, proposals for a public health outcomes framework There are five domains: health protection and resilience, tackling the wider determinants of ill health, promoting healthy choices and healthy lifestyles, preventing ill health, and focusing on premature mortality and the health of the most vulnerable.
UK Health (Dec 2010)

Tackling health inequalities in infant and maternal health outcomes: report of the Infant Mortality National Support Team...closer working between health and housing agencies was crucial to reducing health inequalities in infant mortality;
UK Health (Dec 2010)

NSW Health (Dec 2010)
The role of VET in alcohol and other drugs workforce development (free registration required) uncovers concerns managers have around the training content, delivery and assessment of VET qualifications and finds an overall preference for higher education qualifications. NCVER (Dec 2010)

Mental Health Workforce-  NSW Health Performance audit - the Auditor was concerned that NSW Health could not tell him precisely how much the mental health workforce grew.
NSW Audit (Dec 2010)

Examining the association of abortion history and current mental health tested two competing frameworks: the abortion-as-trauma versus the common-risk-factors approach. .... When prior mental health and violence experience were controlled in our models, no significant relation was found between abortion history and anxiety disorders...Policy, practice, and research should focus on assisting women at greatest risk of having unintended pregnancies and having poor mental health—those with violence in their lives and prior mental health problems.
US Guttmacher (Dec 2010)

A high-resolution human contact network for infectious disease transmission results support the notion that graph-based immunization strategies could, in principle, help to mitigate disease outbreaks
US NAS (Dec 2010)

Foodborne Illness Acquired in the United States 1 in 6 Get Sick from Foodborne Illnesses Each Year...About 48 million Americans get sick, 128,000 are hospitalized, and 3,000 die each year from foodborne diseases...
US CDC (Dec 2010)

UK Health (Dec 2010)

Community and Disability Services Ministers’ Conference Melbourne 16 December 2010 communique key national reforms in community services, child protection and services for people with disability and their carers.
CDSM (Dec 2010)

Tasmania Disability Services Act: consultation on draft Bill
Tas DHHS (Dec 2010)

Implementing Fulfilling and Rewarding Lives: Statutory guidance for local authorities and NHS organisations to support implementation of the autism strategy
UK Health (Dec 2010)

Children In Need in England, including their characteristics and further information on children who were the subject of a child protection plan (2009-10) •In the year ending 31 March 2010, 44,300 children became the subject of a child protection plan. Of these 6,000 (13.4%) became the subject of a plan for the second or subsequent time. also Child Maltreatment 2009 (USA) (80.9% of duplicate perpetrators of child maltreatment were parents, and another 6.3 percent were other relatives of the victim and Adverse Childhood Experiences Reported by Adults --- Five States, 2009 59.4% of respondents reported having at least one ACE, and 8.7% reported five or more ACEs.
UK Education (Dec 2010)

Indigenous homelessness Those without housing will approach kinfolk for shelter first, and will usually be given a place to stay. This can conceal the rate of secondary homelessness among Indigenous people and result in permanent overcrowding.
AHURI (Dec 2010)

Viewpoint on Co-Production, Personalisation and Housing: Improving Outcomes for Individuals and Communities The traditional model for public services, in which professionals ‘deliver’ services to people who consume them, is coming to the end of its useful life...Changes currently taking place in the name of localism provide greater opportunity by removing some barriers, and co-production offers the possibility of better designed services – including housing and related health, care and support services.
UK Health (Dec 2010)

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