Thursday, February 24, 2011

In this update:

  • regulatory impact
  • heatwaves
  • health cost drivers
  • public health expenditure
  • costing social care
  • aged care
  • primary health care
  • emergency departments
  • specialist hospitals
  • readmissions
  • preventable incidents
  • project evaluation
  • early years interventions
  • health indicators
  • personal budgets
  • workplace mental health
  • alcohol
  • youth alcohol services
  • naloxone
  • food allergy tests
  • HIV law
  • genital mutilation
  • domestic violence
  • family violence law
  • domestic violence referrals
  • adoption
  • child abuse assessment
  • child abuse quality assurance
  • child abuse data
  • residential care
  • sibling care
  • out of home care scrutiny
  • juvenile offenders
  • antisocial behaviour
  • young carers
  • national disability strategy
  • state disability policy
  • disability payments
  • boarding houses
  • social housing charter













Reviewing the effectiveness of the Regulatory Impact Statement (RIS) process in Victoria provides independent input to the public inquiry into Victoria's regulatory framework being conducted by the Victorian Competition and Efficiency Commission (VCEC)
Access Economics for DTF (Dec 2010)

Vulnerability to heatwaves and drought: adaptation to climate change Social vulnerability differs for heatwaves and drought: - People who live in poorly constructed homes in 'urban heat islands' (where built environments retain heat), work in hot conditions, suffer ill health, are older or very young, receive low incomes and/or are disconnected from social networks are more likely to be vulnerable to high temperatures...- Low-income households unable to reduce their water use are more vulnerable to differential water charging, particularly those who do not qualify for support schemes.
UK Joseph Rowntree (Feb 2011)

Research synthesis on cost drivers in the health sectors and proposed policy options Potential emerging cost pressures include a trend toward personalized medicine and the presence of direct-to-consumer advertising for diagnostic and genetic testing.. Shifting priorities for the allocation of funds within systems to support services, which reduce spending in higher cost areas, such as accelerating funding increases for community care ... Accelerating the implementation of coordinated health information technology systems  
Can CHSRF (Feb 2011)

Public health expenditure in Australia, 2008-09 expenditure on public health in Australia grew by 5.5% in 2008-09 to $2.3 billion, an increase of $120 million on what was spent the previous year...The largest areas of growth in 2008–09 were in selected health promotion which grew by 15.8% and screening programs (12.7%).
AIHW (Feb 2011)

Predicting social care costs: a feasibility study Predictive models are increasingly being used in health care to identify people at high risk of unplanned hospital admission, so that preventive care can be effectively targeted. This report presents the findings of research into whether predictive risk models could be used in social care to predict an individual person’s future need for intensive social care.
UK Nuffield (Feb 2011)

Caring Places: Planning for aged care & dementia 2010-2050 projects the future requirements for aged care places and packages at the jurisdictional level, Aged Care Planning Regions (ACPRs), and Commonwealth Electoral Divisions (CEDs). ..There will be a shortfall of 279,000 aged care places by 2050 ...Dementia is a key driver of this increased demand
Access Economics (Feb 2011)

Improving Primary Health Care for All Australians booklet explains why primary health care is important; why it needs to be improved and what the changes will mean. It also provides further details on Medicare Locals, and their central role in improving the primary health care system.
Aus Health (Feb 2011)

Coordination Between Emergency and Primary Care Physicians little attention has been paid to care coordination for patients treated in hospital emergency departments (EDs)...this examined emergency and primary care physicians’ ability—and willingness—to communicate and coordinate care, finding that haphazard communication and poor coordination often exist. This discontinuity undermines effective care through duplicative treatment and misapplied treatment.
US NIHCR (Feb 2011)

Estimating the costs of specialised care  In most sectors of the economy, specialisation is associated with lower costs. Yet some specialised hospitals claim to require more generous funding than general hospitals... Unless the basis for the claims that specialist hospitals require top-up payments can be established, the financial incentives introduced by prospective payment to encourage cost reducing behaviour will be diluted
UK CHE (Feb 2011)

Readmission Case Study Series Nearly one of five elderly patients who are discharged from the hospital in the United States is rehospitalized within 30 days. Evidence suggests that many of these readmissions are avoidable, caused by complications or infections from the initial hospital stay, poorly managed transitions to post-acute care, or recurrence or exacerbation of symptoms of their chronic diseases.
US Commonwealth Fund (Feb 2011)

The 'never events' list for 2011/12 “Never events” are defined as ‘serious, largely preventable patient safety incidents that should not occur if the available preventative measures have been implemented by healthcare providers’
UK Health (Feb 2011)

Measuring impact in health improvement: An accessible guide for health practitioners developed for practitioners working for councils and public health organisations who have been given the task of evaluating the impact of a project or initiative
UK Idea (Feb 2011)

Early Years Interventions to address Health Inequalities in London - the Economic Case demonstrates how early years interventions provide high returns on investment for individuals and society.
UK London (Jan 2011)


A Citizen’s Guide to Health Indicators an introduction to health indicators, what they are, where they come from, and how they can influence health care decisions and policies.
Can Health Council (Jan 2011)

Keeping personal budgets personal: learning from the experiences of older people, people with mental health problems and their carers Most people with mental health problems are able to manage their budgets themselves, but many would also welcome peer support...Carers play a central role in enabling many people to take up and manage their personal budget
UK SCIE (Feb 2011)

Promoting Mental Health and Well-being at Workplaces conference on the economic and public health case for investing into mental health and well-being at workplaces and, in particular, possibilities for health policy and the health sector to support such action at workplaces.
European Commission (Feb 2011)

Alcohol use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence evidence-based advice on the diagnosis, assessment and management of harmful drinking and alcohol dependence in adults and in young people aged 10–17 years.
UK NICE (Feb 2011)

Specialist drug and alcohol services for young people - a cost benefit analysis the benefit to society of providing such treatment is likely to significantly outweigh the cost of its provision. ...that the immediate benefits of treatment (i.e. until young people reach the age of 18) are sufficiently large alone to offset the cost of providing the treatment... the long term benefits of treatment (in terms of improved employment prospects and reduced likelihood or become an adult problematic drug or alcohol user) further increase the ratio of benefits to costs.
UK Education (Feb 2011)

Randomised trial of the effectiveness of naloxone details of a randomised trial of the heroin antidote naloxone in UK prisons.
UK Health (Feb 2011)

Diagnosis and assessment of food allergy in children and young people in primary care and community settings the first ever national guideline on food allergy in children which advises against the use of alternative tests, such as Vega testing, hair analysis and kinesiology.
UK NICE (Feb 2011)

AFAO (Feb 2011)

Female genital mutilation: multi-agency practice guidelines Awareness among healthcare practitioners across all sectors, but particularly in GP practices, and midwifery, gynaecology, neo-natal and anti-natal services, is crucial to creating the joined-up approach needed to safeguard girls and women from harm; and ensuring those affected receive the physical and mental health care they need
UK Health (Feb 2011)

Staying Home Leaving Violence: Listening to women’s experiences  the NSW Staying Home Leaving Violence Program... is an innovative and developing program which provides practical and emotional support to women leaving domestic violence, with the aim to support the victims to remain safely in their own home.
SPRC (Feb 2011)

Family Violence and Commonwealth Laws - Employment and Superannuation Law identifies a number of areas in which family violence and the needs—and ultimately the safety—of those experiencing family violence could be addressed
ALRC (Feb 2011)

Identification and Referral to Improve Safety (IRIS)  provides a staff training and support programme to bridge the gap between the voluntary sector and primary care, to harness the strengths of each, and to provide an improved domestic violence service.
UK Health Foundation (Feb 2011)

Revised UK adoption guidance Government to look at strengthening inspection of adoption services media release
UK Education (Feb 2011)

Working together to prevent child abuse and neglect — a common approach for identifying and responding early to indicators of need the Common Approach to Assessment, Referral and Support (CAARS) Taskforce final report ..seeks to promote the safety and wellbeing of children, young people and families by identifying and responding to early indicators of need – before problems escalate into crises.
ARACY (Feb 2011)

Developing a safeguarding quality assurance framework The primary focus of this framework is on the ‘child protection’ end of the safeguarding continuum, although relevant reference is made to the broader picture issues affecting child safety...The experiences of children, parents and frontline staff are an essential source of information for determining what outcomes have been achieved.
UK Idea (Feb 2011)

Scoping review to draw together data on child injury and safeguarding and to compare the position of England with that in other countries to scope the existing international data on safeguarding children from physical abuse, sexual abuse, emotional abuse, neglect and exposure to intimate partner violence and from child death and injury.
UK Education (Feb 2011)

Health promotion guidance for children and young people in residential care settings Supporting children and young people in residential care to develop the practical skills and knowledge to allow them to take responsibility for their lifelong health and wellbeing; also Children and Young People's Views and Experiences of Food and Nutrition in Residential Care
Scotland (Feb 2011)

All together now: research examining the separation of siblings in out of home care In Victoria more than four out of five children in foster care are separated from siblings...The Victorian figures are particularly stark in the face of international studies reporting entire sibling groups are kept intact in about 45 per cent of cases.
Anglicare (Feb 2011)

10 questions on scrutinising services for looked-after children Children in the care of a local authority are one of the most vulnerable groups in society.
UK Idea (Feb 2011)

What makes juvenile offenders different from adult offenders? Juvenile offenders often have more complex needs than adult offenders and require a higher duty of care
AIC (Feb 2011)

Antisocial behaviour: An examination of individual, family, and neighbourhood factors programs that aim to enhance parenting practices, including improving communication, supervision and monitoring of children, are important in reducing adolescent antisocial behaviour.
AIC (Feb 2011)

Improving support for young carers - family focused approaches explores some of the positive outcomes linked to taking a family focused approach and showcases good practice developed in this field.
UK Education (Feb 2011)

National disability strategy 2010-2020 sets out a ten year national plan for improving life for Australians with disability, their families and carers.
COAG (Feb 2011)

State Disability Policy for the Next Ten Years – What Should it Look Like? Proceedings of the Fifth Annual Roundtable on Intellectual Disability Policy
LaTrobe Uni (Dec 2010)

Social security payments for the aged, people with disabilities and carers 1901 to 2010 A series of chronologies setting out the changes over time to each of the major payments
Aus parliamentary Library (Feb 2011)

Marginal Tenures: A national picture – A Policy paper on boarding houses, caravan parks & other marginal housing tenures Approximately 75,000 Australians live in boarding houses and caravan parks, and the majority of these are highly disadvantaged.
Aus National Shelter (Feb 2011)

The Scottish Social Housing Charter Discussion Paper  there should be a single set of outcomes that all landlords, of any size, type, location or customer base, should be aiming to achieve for the full range of their tenants, for homeless people and for other customers.
Scotland (Feb 2011)

Thursday, February 17, 2011

In this update:

  • Vic audits
  • victims of crime
  • risk management
  • government ICT
  • social ventures
  • mental health rights
  • regulating health workers
  • assistant practitioners
  • nursing education
  • health reform
  • local hospital networks
  • hospital cost shifting
  • primary care
  • preventive care
  • chronic health
  • long term care
  • alcohol policy
  • practitioner regulation
  • mental health & justice
  • offender management
  • parenting & mental health
  • UK child abuse trends
  • vetting & barring
  • children in care
  • childrens' homes inspections
  • youth justice
  • juvenile reoffending
  • juvenile diversion
  • women's prisons
  • domestic violence strategy
  • sexual violence
  • GPs and domestic violence
  • CALD domestic violence
  • CALD gambling
  • research & policy
  • fuel poverty
  • disability & education
  • disability & play
  • housing & health
  • LGBT homelessness
  • affordable housing
  • poor neighbourhoods
  • housing complaints














Acquittal Report: Results of the 2009–10 Audits The average time taken by portfolio departments, public hospitals and water entities to finalise their financial statements substantially improved by one to three weeks and were finalised within eight weeks, on average, of balance date. ..Parliament can have confidence in the financial reporting by public hospitals because all 112 entities have finalised their 30 June 2010 financial reports and received clear opinions.
Vic Audit (Feb 2011)

Effectiveness of Victims of Crime Programs VSA does not have any agency objectives or key performance indicators, and does not audit service delivery. Consequently, it is unable to provide assurance that services are being delivered as intended.
Vic Audit (Feb 2011)

Effective Risk Management address by Australian Auditor general...Sadly, only risk management failures attract attention, and headlines.
Aus Audit (Feb 2010)

UK Information and Communications Technology in government. Landscape Review governance and getting better value for money from information and technology
UK Audit (Feb 2011)

Growing social ventures the UK has a diverse ecology of entrepreneurial activity aimed at meeting social goals...a social venture may be of any legal status (such as a charity, a company limited by shares, an industrial provident society or more), any business model, any scale and any profit distribution model, as long as it has as a primary purpose the meeting of social needs. related Growing the Social Investment Market: A vision and strategy
UK Young Foundation (Feb 2011)

ACT Health

Enabling Excellence: Autonomy and Accountability for Health and Social Care Staff sets out the UK Government strategy for reforming and simplifying the system for regulating healthcare workers in the UK and social workers and social care workers in England...recognises the need to provide a more effective system for assuring the quality of unregulated staff and we believe that assured voluntary registration will make an important contribution to improving standards for the unregulated workforce.
UK Health (Feb 2011)

The role of Assistant Practitioners in the NHS: factors affecting evolution and development of the role Assistant Practitioners occupy an intermediate position just below the level of professionally qualified staff but usually above Health Care Assistants.
UK Skills for Health (Feb 2011)

The development of a pre-registration nursing competencies assessment tool for use in universities across Australia pilot guidelines that seek to ensure robust and reliable clinically-based learning for pre-registration Bachelor of Nursing students, thus better preparing them for nursing registration, and the everyday challenges of work in a busy clinical environment.
ALTC (Feb 2011)

Using Microeconomic Reform to Deliver Patient-Centred Health Care  and Selected Facts and Statistics on Australia’s Healthcare Sector
Business Council Australia (Feb 2011)

A Local Hospital Network for the Australia Capital Territory - The way forward The ACT Government has opted for a LHN model in the ACT that is more flexible than the general model that might be implemented in other jurisdictions.
ACT Health (Feb 2011)

US veterans Affairs (Feb 2011)

Do quality improvements in primary care reduce secondary care costs? shows an association between achievement of the Quality and Outcomes Framework (QOF) indicators and a reduction in hospital costs and lives saved, particularly for stroke care...reinforces the importance of investing in primary care in order to improve the use of scarce resources in the acute sector.
UK Health Foundation (Feb 2011)

Disease management evaluation: A comprehensive review of current state of the art Many countries in Europe are experimenting with new, structured approaches to better manage the care of patients with chronic illness and so improve its quality and ultimately patient health outcomes. While intuitively appealing, the evidence such approaches achieve these ends remains uncertain.
US Rand (Feb 2011)

Because this is the rainy day: a discussion paper on home care and informal caregiving for seniors with chronic health conditions We need to use home care more strategically to provide seniors and their informal caregivers with care and support tailored to their needs as well as to help solve health system and sustainability problems.
Can Change Foundation (Feb 2011)

Residential Long-Term Care for Canada’s Seniors: Nonprofit, For-Profit or Does it Matter? for-profit facilities are likely to produce inferior outcomes. While the causal link between for-profit ownership and inferior quality of care does not imply that all for-profit facilities provide poor care, the evidence suggests that, as a group, such facilities are less likely to provide good care than nonprofit or public facilities. related NHS is failing to meet even the most basic standards of care for older people
Can IRPP (Jan 2011)

Making Alcohol a Health Priority argues that billions can be saved simply by introducing alcohol health workers in hospitals to help patients reduce their drinking
UK AlcoholConcern (Feb 2011)

Analysis report on the 2009 consultation on the statutory regulation of practitioners of acupuncture, herbal medicine, traditional Chinese medicine and other traditional medicine systems practised in the UK
UK Health (Feb 2011)

Diversion: the business case for action Diverting offenders with mental health problems from short prison sentences to community alternatives costs much less and is more likely to rehabilitate them...
UK RCP (Feb 2011)

A guide to working with offenders with personality disorders designed to provide practical, hands-on advice to other frontline staff working with offenders with highly complex needs. It will be particularly useful for people working with those who present a high risk of serious harm to others. more
UK Health (Feb 2011)

Parenting and mental illness: the early years  almost 3 in every 4 expectant mothers were offered no support or information on how to plan for the stresses pregnancy and parenthood could place on their mental health.
Aus Sane (Feb 2011)

Child cruelty in the UK 2011 - An NSPCC study into childhood abuse and neglect over the past 30 years  one in five 11-17 year olds have been abused or neglected during childhood...The early findings show some types of abuse have been in decline over the last 30 years
UK NSPCC (Feb 2011)

Vetting and barring scheme remodelling review - report and recommendations The UK government has now announced provisions to revise its vetting and barring arrangements, to ensure fair and proportionate regulation of those who want to work with vulnerable groups.
UK Home Office (Feb 2011)

Having corporate parents sets out what children and young people in care say about some of the things that those in care experience because the council is acting as their parent...the children we asked thought it was better to have a number of care professionals around them doing different things for them, rather than just one trying to do everything needed – but there should be no more professionals than the child needs. more: Children in care oppose media access to family courts
UK Children's rights Director (Feb 2011)

Framework for the inspection of Children’s Homes and Evaluation schedule and media release: New inspection system to improve outcomes for children living in children’s homes
UK Ofsted (Feb 2011)

The youth justice system in England and Wales: Reducing offending by young people There has been little improvement in the reoffending rate for those leaving custody, with three in four offending again within a year. ... 70% of young offenders suffer from significant communication difficulties, but current forms of assessment do not give this sufficient weight.
UK Parliament (Feb 2011)

Why is the juvenile re-offending rate higher than expected? the observed rate of re-offending among juvenile offenders convicted in 2006/7 was significantly higher than the predicted rate of re-offending...A higher than expected rate of reconviction among juveniles dealt with via a Youth Justice Conference.
NSW BOCSAR (Feb 2011)

Towards a Diversionary Framework in the ACT Discussion Paper outlines what is presently working well and areas where performance can be improved, in relation to diverting young people from the ACT criminal justice system.
ACT DHCS (Feb 2011)

Good practice in women’s prisons: A literature review it is essential to have prison practice models that support reintegration, facilitate personal development and reduce recidivism rates.
AIC (Feb 2011)

National Plan to Reduce Violence Against Women and their Children 2010-2022 a 12-year strategy endorsed by the Commonwealth and all states and territories.
FaHCSIA (Feb 2011)

Addressing ‘the ultimate insult’:  responding to women experiencing intimate partner sexual violence Policy and practice responses to women experiencing IPSV do not always recognise the importance of identifying and naming this experience. Subsequent support from the welfare, health and justice sectors is sometimes inconsistent, inaccessible or inappropriate to women’s needs.
ADFVC (Feb 2011)

Identification and Referral to Improve Safety of women experiencing domestic violence (IRIS) project   a case study about an innovative programme to help GPs to identify victims of domestic abuse and ensure that they get the support that they need.
UK Health Foundation (Feb 2011)

ACSSA (Feb 2011)

Correlates of reported gambling problems in the Culturally and Linguistically Diverse Communities (CALD) population of Australia the CALD population experience lower levels of negative life events (or life stressors) when compared to the non-CALD population and in fact the level of these events declined between 2002 and 2006 for the CALD population...Problem gambling within the CALD population when compared to the general population (2006) was at significantly lower levels.
GRA (Feb 2011)

Evidence-informed practice: Using research to improve services for children and young people Research has an important contribution to make to the development of services for children and young people...Researchers often despair that clear findings are overlooked or ignored when decisions are made about the direction and delivery of services.
UK RURU (2010)

Coping with Cold looks at the different ways people cope and asks if policy on fuel poverty needs to change to ensure that the basic need of a warm home is met...energy companies should ensure that customers likely to be in fuel poverty are made aware of the availability of social
tariffs and can access these tariffs.
Wales Bevan Foundation (Feb 2011)

Review of the Disability Standards for Education the numbers of funded school students with disability increased by more than 20 per cent in the four years from 2005 to 2009.
DEEWR (Feb 2011)

Fair Play for Disabled Children and Young People in Wales Despite many good intentions, play and leisure services for disabled children and young people are poor.  There is simply not enough to do, and the activities that are available are often not accessible or children's enjoyment is marred by negative attitudes.
Wales Bevan Foundation (Feb 2011)

Housing, loneliness and health loneliness is particularly high among people living in single person dwellings, public housing and private rental housing. This suggests that housing policy has a role to play in addressing this significant issue.
AHURI (Feb 2011)

Learning from the Field: Expert Panel on Youth who are LGBTQI2-S and Homeless It is estimated that between 20% and 40% of youth experiencing homelessness identify as lesbian, gay, bisexual, transgender, questioning, intersex, or two-spirit (LGBTQI2-S)
US Homelessness Resource Centre ( 2010)

2011-15 Affordable Homes Programme – Framework The majority of the homes built will be made available as Affordable Rent and with some for affordable home ownership. related: Affordable Housing definition: Consultation This change will mean affordable rent can be regarded as affordable housing for planning purposes.
UK Communities (Feb 2011)

Understanding Neighborhood Effects of Concentrated Poverty Neighborhoods of concentrated poverty isolate their residents from the resources and networks they need to reach their potential and deprive the larger community of the neighborhood’s human capital.
US HUD (Feb 2011)

Complaints Benchmarking Summary of findings 2009/10 the service enables landlords to measure and compare, on a like-for-like basis, the volume of complaints they receive, their performance in responding to them and the resultant outcomes... tenants complained about repairs and maintenance more than any other service with a median average of nearly six complaints per 1000 properties. Staff and customer service came second , followed by Tenancy Management
UK Housemark (Feb 2011)