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Unlocking reform and financial stability NHS payment mechanisms
References

Unlocking reform and financial sustainability: NHS payment mechanisms for the integrated care age

References

  1. Marmot, M et al (2020). Health Equity in England: The Marmot Review 10 Years On. Health Foundation. 
  2. NHS Confederation (2023). ‘NHS Confederation responds to the latest NHS performance statistics’. 
  3. NHS Employers (2023). ‘NHS Staff Survey 2022: analysis of the results’.
  4. Licchetta, M and Stelmach, M (2016). Fiscal sustainability analytical paper: Fiscal sustainability and public spending on health. Office for Budget Responsibility.
  5. Office for National Statistics (2022). UK health indicators: 2019 to 2020. 
  6. NHS England. Mental Health of Children and Young People Surveys.
  7. NHS Digital (2020). ‘Hospital admitted patient care activity’ 2019–20. 
  8. Baird, B et al (2016). Understanding pressures in general practice. King’s Fund.
  9. Vestesson, E et al (2022). English general practice, 2018 to 2022: a population-based study by deprivation. medRxiv.
  10. Watt, T et al (2023). Health in 2040: projected patterns of illness in England. Health Foundation.
  11. Office for National Statistics (2023). Public service productivity, UK: 1997 to 2022.
  12. Office for National Statistics (2023). Public service productivity, healthcare, England: financial year ending 2021’. 
  13. Warner, M and Zaranko, B (2022). NHS funding, resources and treatment volumes. Institute for Fiscal Studies. 
  14. Freedman, S and Wolf, R (2023).’The NHS productivity puzzle: Why has hospital activity not increased in line with funding and staffing?’. Institute for Government. 
  15. Nuffield Trust (2024). ‘Growing numbers of delayed discharges from community hospitals’. 
  16. NHS England (2023). NHS Long Term Workforce Plan.
  17. Stephen Rocks, Giulia Boccarini, Anita Charlesworth, Omar Idriss, Ruth McConkey, Laurie Rachet-Jacquet, ‘Health and social care funding to 2024/25’ (Health Foundation, 2021).
  18. Stephen, R and Richet-Jacquet, L (2021). ‘How has the productivity of UK health care changed between 1997 and 2019?’. Health Foundation.
  19. NHS England (2021). Integrated Care Systems: Design Framework.
  20. Larsson, S et al (2023). The Patient Priority (New York: McGraw Hill, 2023), p. xvi. 
  21. Gorham, B and Wood, M (2023). Unlocking the power of health beyond the hospital: supporting communities to prosper’. NHS Confederation.
  22. Department of Health and Social Care (2018). Prevention is better than cure: Our vision to help you live well for longer. 
  23. Finch, D et al (2021). ‘Why greater investment in the public health grant should be a priority’. Health Foundation. 
  24. The Economist (2023). ‘Why did 250,000 Britons die sooner than expected?’. 
  25. Martin, S and Lomas, J (2019). ‘Is an ounce of prevention worth a pound of cure? A cross-sectional study of the impact of English public health grant on mortality and morbidity’. York: University of York.
  26.  UK Parliament, ‘1946 National Health Service Act’. 
  27. NHS England. Digital productivity. 
  28. NHS England. Getting It Right First Time (GIRFT). 
  29.  Barber, S et al (2019). ‘Price setting and price regulation in health care: Lessons for advancing Universal Health Coverage’. WHO and OECD. 
  30.  Blakeley, P and Heitmueller A (2023). Sustainable NHS Providing Accessible and Personalised Care for All. Tony Blair Institute for Global Change. 
  31. Heitmueller, A (2022). ‘The NHS Refounded: Delivering a Health Service Fit for the Future’ All’. Tony Blair Institute for Global Change. 
  32. The Times (2024). Times Health Commission: A report into the state of health and social care in Britain today. 
  33. ICS Network (2023). The state of integrated care systems 2022/23: Riding the storm. NHS Confederation.
  34. Barron, J and Jones, E (2023). Investing to save: the capital requirement for a more sustainable NHS in England. NHS Confederation. 
  35.  NHS Confederation (2023). ‘Ambitious NHS Workforce Plan offers hope to staff working in the NHS’. 
  36.  NHS Confederation (2023). ‘Letter to the Prime Minister calling for a social care workforce plan’. 
  37.  Rt Hon Patricia Hewitt (2023), The Hewitt Review: an independent review of integrated care systems. Department of Health and Social Care. 
  38.  Glover, B et al (2023). The Preventative State: Rebuilding our local, social and civic foundations. Demos. 
  39.  Thomas, C et al (2023). Healthy people, prosperous lives: The first interim report of the IPPR Commission on Health and Prosperity. IPPR. 
  40.  Rt Hon Patricia Hewitt (2023). The Hewitt Review: an independent review of integrated care systems. Department of Health and Social Care. p. 81-82. 
  41. Ibid., p. 82. 
  42.  Barber, S et al (2019). ‘Price setting and price regulation in health care: Lessons for advancing Universal Health Coverage’. WHO and OECD. 
  43.  NHS England 2023/25 (2023). NHS Payment Scheme. 
  44.  NHS England (2019). NHS Long Term Plan.
  45.  Gorham, B and Wood, M (2023). Unlocking the power of health beyond the hospital: supporting communities to prosper. NHS Confederation. 
  46.  Office for National Statistics (2023). ‘Population changes and economic inactivity trends, UK: 2019 to 2026’. 
  47.  Department of Health and Social Care (2023). Major conditions strategy: case for change and our strategic framework. 
  48.  Ibid. 
  49.  Marmot, M et al (2010). Fair Society, Healthy Lives. Institute for Health Equity. 
  50.  NHS England. ‘Core20PLUS5’.
  51. Cavallaro, F et al (2023). ‘Longer hospital stays and fewer admissions: How NHS hospital care changed in England between 2019 and 2022’. Health Foundation. 
  52.  Care Quality Commission (2017). The state of care in mental health services 2014 to 2017. 
  53.  Han, T et al (2022). ‘Evaluation of the association of length of stay in hospital and outcomes’. International Journal of Quality Health Care 34(2). 
  54.  Health Foundation (2011). ‘Do quality improvements in primary care reduce secondary care costs?’. 
  55.  NHS Digital (2023).‘Appointments in General Practice, November 2023’, (2023).
  56.  Dr Claire Fuller (2022). Next steps for integrating primary care: Fuller Stocktake report. NHS Engand.
  57.  Lord Carter of Coles (2018).‘NHS operational productivity: unwarranted variations in Mental health services and community health services’. NHS England.
  58.  Lord Carter of Coles (2016).‘Operational productivity and performance in English NHS acute hospitals: Unwarranted variations’. Department of Health. 
  59.  Hakim, R (2023). Realising the benefits of virtual wards. NHS Confederation.
  60.  NHS Confederation (2023). Frimley frailty community response service’.
  61. NHS Confederation (2023).Getting frailty patients home earlier: virtual wards in North West Anglia. 
  62.  Mahmood, H (2022). ‘ Improving population health outcomes with integrated data sets’. NHS Confederation. 
  63.  Royal College of Occupational Therapists (2017). Living, not Existing: Putting prevention at the heart of care for older people in England. 
  64.  Royal College of Occupational Therapists (2018). Getting my life back: Occupational therapy promoting mental health and wellbeing in England. 
  65.  Europe Economics (2021). ‘The financial case for integrated mental health services and supported housing pathways’. Look Ahead. 
  66.  NHS Confederation (2023).‘Reducing the elective backlog: Guy’s and St Thomas’ NHS Trust’. 
  67. Marshall, L et al (2014). The NHS payment system: evolving policy and emerging evidence’. Nuffield Trust.
  68.  Appleby, J et al (2012). Payment by Results: How can payment systems help to deliver better care?. The King’s Fund. 
  69.  Ibid. 
  70. Freedman and Wolf (2023). ‘The NHS productivity puzzle’. Institute for Government. 
  71. Prendergast, T (2023). Healthcare expenditure, UK Health Accounts: 2021. Office for National Statistics. 
  72. Hicks, N and Bell, D (2016). ‘English Developments In Value-Based Care: The Beginnings Of A Revolution’. Health Affairs. 
  73. Wright, A et al (2017). Towards an effective NHS payment system: eight principles. Health Foundation.
  74. Healthcare Financial Management Association (2018). Making money work in the health and care system. 
  75. Bell, M et al (2021). The future of the NHS hospital payment system in England. Health Foundation. 
  76. Appleby, J and Dixon, A (2012). Payment by Results: How can payment systems help to deliver better care?’. 
  77. Wright et al (2017). Towards an effective NHS payment system: eight principles. Health Foundation. 
  78. Freedman and Wolf (2023). ‘The NHS productivity puzzle’. Institute for Government. 
  79. Marshall, L et al (2014). The NHS payment system: evolving policy and emerging evidence’. Nuffield Trust.
  80.  Baier, N et al (2019).‘Emergency and urgent care systems in Australia, Denmark, England, France, Germany and the Netherlands – Analyzing organization, payment and reforms’. Health Policy 123/1, pp. 1-10. 
  81. Gershlick, B (2016). Best Practice tariffs – Country Background Note: United Kingdom (England). OECD.
  82.  NHS England (2024). Quality and outcomes framework guidance for 2023/24. 
  83.  Dixon, A et al (2011). Impact of Quality and Outcomes Framework on health inequalities. The King’s Fund. 
  84.  Morales D R et al (2023).‘Estimated impact from the withdrawal of primary care financial incentives on selected indicators of quality of care in Scotland: controlled interrupted time series analysis’. BMJ.
  85.  Close, J et al (2018). ‘Quality after the QOF? Before dismantling it, we need a redefined measure of ‘quality’. British Journal of General Practice (68(672), pp. 314-315. 
  86.  Mant, J and Hicks, N (2023). ‘Detecting differences in quality of care: the sensitivity of measures of process and outcome in treating acute myocardial infarction’. PubMed 311/7008, pp. 793-796.
  87. NHS England (2023). Proposed amendments to the 2023/25 NHS Payment Scheme’. 
  88.  Blumenthal, D and Squires, D (2016). The Promise and Pitfalls of Bundled Payments. Commonwealth Fund.
  89.  McDonald et al (2012). A qualitative and quantitative evaluation of the introduction of best practice tariffs’. University of Nottingham and University of Manchester, Commissioning by the Department of Health and Social care.
  90.  Anderson, H (2023).Following the Money: ICS shuns ‘payment by results’ in favour of own model. HSJ. 
  91. Ibid. 
  92. Shih, T et al (2015).‘Will Bundled Payments Change Health Care? Examining the Evidence Thus Far in Cardiovascular Care’, Circulation (2015), 131(24), pp. 2151–2158. 
  93. Ibid. 
  94.  Larsson et al (2022). The Patient Priority, pp. 155-157. 
  95.  Monitor and NHS England (2015). Developing a capitated payment approach for mental health. 
  96. Larsson (2022). The Patient Priority, pp. 148-9. 
  97. Monitor (2014). Local payment example: capitation. 
  98. Charlesworth, A et al (2014). NHS payment reform: lessons from the past and directions for the future. Nuffield Trust.
  99. Monitor (2014). Local payment example: capitation. 
  100.   Larsson et al (2022). The Patient Priority, pp. 140-141. 
  101. . OECD iLibrary, ‘OptiMedis, regionally based integrated care model’; OptiMedis
  102.  ChenMed (2017). Patient Centered Care for Medicare Advantage Patients Better Medicare Alliance Spotlight on Innovation. 
  103. . Chen, C (2020). The Full-Risk Capitation Model: Why Make the Change? 
  104. .  NHS England (2018). NHS RightCare Diabetes Pathway. 
  105. .  Freedman and Wolf (2023). ‘The NHS productivity puzzle’. Institute for Government. 
  106. . NHS Employers (2023). Latest NHS workforce and vacancy statistics.
  107. .  Barron, J and Jones, E (2023). Investing to save: the capital requirement for a more sustainable NHS in England. NHS Confederation.
  108. . Local Government Association (2023). Funding gap growing as councils “firmly in eye of inflationary storm”’. 
  109. . Barber, S et al (2019). ‘Price setting and price regulation in health care: Lessons for advancing Universal Health Coverage’. WHO and OECD. 
  110. . NHS England (2023). NHS Provider Selection Regime.
  111. NHS England, Whole population models of provision: Establishing integrated budgets, p. 50. 
  112.  Curry, N and Ham, C (2010). Clinical and service integration: The route to improved outcomes. The King’s Fund.
  113.  Alderwick, H and Buck (2015). Population health systems Going beyond integrated care.
  114.  Kaiser Permanente Washington Population Health Program Description (2020). 
  115.  KPMG (2017). Moving the needle on payment reform: Designing policies that incentivize the shift to value-based models. 
  116.  Ministry of Health Saudi Arabia. Healthcare Transformation Strategy.
  117.  ResPublica (2020). ‘How to improve the health and wellbeing of the UK population: devolution and reform of health and social care’.

 

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