Week 1 Flashcards
What is the Marmot Review 2020?
The Marmot Review sets out an analysis of health inequalities in England and their causes, along with what needs to be done to address them.
The importance of social determinants of health throughout the lifespan are also addressed.
Name the six recommendations identified in the Marmot Review 2020:
1 - Recommendations for Giving Every Child the Best Start in Life
2 - Recommendations for Enabling all Children, Young People and Adults to Maximise their Capabilities and
Have Control over their Lives
3 - Recommendations for Creating Fair Employment and Good Work for All
4 - Recommendations for Ensuring a Healthy Standard of Living for All
5 - Recommendations to Create Healthy and Sustainable Places and Communities
6 - Recommendations For Taking Action
Expand on the following recommendation of care:
Recommendations for Giving Every Child the Best Start in Life:
- Increase levels of spending on early years and meet the OECD average and ensure allocation of funding is proportionately higher for more deprived areas as a minimum.
- Reduce levels of child poverty to 10 percent.
- Improve availability and quality of early years services.
- Increase pay and qualification requirements for the childcare workforce.
Expand on the following recommendation:
Recommendations for Enabling all Children, Young People and Adults to Maximise their Capabilities and
Have Control over their Lives
- Put equity at the heart of national decisions regarding education policy and funding.
- Increase attainment by reducing inequalities.
- Invest in preventative services to reduce exclusions and support schools to stop off-rolling pupils.
- Restore the per-pupil funding for secondary schools / sixth form.
Expand on the following recommendation:
• Invest in good quality active labour market policies and reduce conditionalities / sanctions in benefit
entitlement, particularly for those with children.
• Reduce in-work poverty by increasing the National Living Wage.
• Increase the number of post-school apprenticeships and support in-work training throughout the life course.
• Reduce the high levels of poor quality work and risky employment
Expand on the following recommendation:
Recommendations for Ensuring a Healthy Standard of Living for All
• Ensure everyone has a minimum income for healthy living through increases to the National Living Wage
and redesign of Universal Credit.
• Remove sanctions and reduce conditionalities in welfare payments.
• Put health equity and wellbeing at the heart of local, regional and national economic planning and strategy.
• Adopt inclusive growth and social value approaches nationally and locally to value health and wellbeing
as well as, or more than, economic efficiency.
• Review the taxation and benefit system to ensure it achieves greater equity and ensure effective tax rates are not regressive
Expand on the following recommendation:
Recommendations to Create Healthy and Sustainable Places and Communities
• Invest in the development of economic, social and cultural resources in the most deprived communities
• 100 percent of new housing is carbon neutral by 2030, with an increased proportion being either affordable
or in the social housing sector
• Aim for net zero carbon emissions by 2030 ensuring inequalities do not widen as a result
Expand on the following recommendation:
Recommendation For Taking Action
- Develop a national strategy for action on the social determinants of health aiming to reduce health inequalities
- Ensure proportionate universal allocation of resources and implementation of policies.
- Early intervention to prevent health inequalities.
- Develop the social determinants of health workforce.
- Engage the public.
- Develop whole systems monitoring and strengthen accountability for health inequalities
What is the NHS Plan 2000?
It highlights significant changes to how healthcare in England was to be organised, with the intent of modernizing the service.
Identify the six recommendations listed in the NHS Plan 2000
1 - Establishing a mandatory reporting scheme for adverse healthcare events by the end of 2001.
2 - Requiring all doctors employed by or under contract to the NHS to participate in annual appraisal and clinical audit from 2001.
3 - Requiring all doctors working in primary care to be registered with the health authority and subject to clinical governance arrangements, including annual appraisal and participation in clinical audit.
4 - Establishing a National Clinical Assessment Authority, providing a rapid and objective expert assessment of an individual doctor’s performance.
5 - Strengthening the regulation of the clinical professions. Self-regulatory bodies would be required to have greater patient and public representation, develop meaningful accountability arrangements, and have faster, more transparent procedures.
6 - Establishing a UK Council of Health Regulators to support increased coordination across different regulatory agencies.
What is the National Quality Board 2017?
It provides advice, recommendations and endorsement on matters relating to quality, and acts as a collective to influence, drive and ensure system alignment of quality programmes and initiatives.
Its aim is to support delivery of the Long Term Plan’s ambition for quality in the NHS, while encouraging high quality care for all across all of health, public health and social care.
Identify the recommendations listed in the National Quality Board
1 - The CQC will strengthen its assessment of providers learning from deaths.
2 - NHS England will develop guidance for bereaved
families / carers.
3 - Acute Trusts will receive training to use the Royal College of Physicians’ Structured Judgement Review case note methodology.
4 - NHS Digital is assessing how to facilitate the development of provider systems and processes so that providers know when a patient dies and information from reviews and investigations can be collected.
5 - The Department of Health is exploring proposals to improve the way complaints involving serious incidents are handled
What is the Casey Review 2016?
It is an extensive review of integration carried out by Dame Louise Casey in 2016.
It identifies high levels of segregation, isolation and inequalities in communities and makes detailed policy recommendation.
Identify the 12 recommendations listed in the Casey Review 2016
1 - Central government should support a new programme to help improve community cohesion
2 - Central and local government should develop a list of indicators of a potential breakdown in integration.
3 - Central government should work with
local government to bring together and disseminate a toolkit of approaches which have seen success
4 - More weight should be attached to a British Values focus and syllabus in developing teaching skills and assessing schools performance.
5 - The Government should consider whether additional integration support should be provided immediately post arrival, and how clearer expectations on integration could be
set, potentially in advance on application for a visa.
6 - The Government should look at what is required for British citizenship and separately consider an Oath of Integration with British Values and Society on arrival.
7 - The Government has included a social need criterion in the allocation of free schools funding and should now encourage a range of school provision and projects to ensure that children from different communities learn alongside those from different backgrounds.
8 - Making sufficient funding available for community-based English language classes, and through the adult skills budget for local authorities to prioritise English language where there is a need.
9 - To understand how housing and
regeneration policies could improve or inhibit integration locally.
10 - Development of classes 169 to tackle cultural barriers born out of segregation which are identified as a barrier to work.
11 - The Government should step up the safeguarding arrangements for children who are removed
from mainstream education.
12 - The Government should work with the Committee for Standards in Public life to ensure these values are enshrined in the principles of public life, including a new oath for holders of public office.
What is the KIng’s Fund Report 2017?
A collection of essays that explores hypothetical scenarios and their impact on the future of health and care.
Identify the 5 recommendations listed throughout the King’s Fund Report 2017
1 - Supporting new care models centred on the needs of patients.
2 - Strengthening and implementing sustainability and transformation plans.
3 - Improving productivity and delivering better value.
4 - Developing and strengthening leadership at all levels.
5 - Securing adequate funding for health and social care.
Expand on the following recommendation listed in the Kings Fund Report ( 2017 ):
- Supporting new care models centred on the needs of patients
- Patients more involved in their own healthcare and be offered the information and support to manage their medical conditions.
- More care should be delivered in people’s homes or closer to home, with greater investment in district nursing, general practice and social care.
- Plans to integrate care – encompassing health and social care, primary and secondary care, and physical and mental health services – should be accelerated
Expand on the following recommendation listed in the Kings Fund Report ( 2017 ):
- Strengthening and implementing sustainability and transformation plans
- To achieve much deeper and more meaningful engagement with stakeholders.
- STPs must also strengthen their leadership and staffing as they move from planning to implementation.
Expand on the following recommendation listed in the Kings Fund Report ( 2017 ):
- Improving productivity and delivering better value
- Reduce unwarranted variations in care and to improve care should be the priority for every NHS organisation.
- Ensuring that resources are made available to support implementation and developing the cultures in which improvement is supported and valued.
