Specialised Commissioning Alert: tool

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15 May 2018

Tools to address the three key elements that contribute to improved waiting times for patients and better performance against the 62-day standard - reduced number of pathway steps, reduced time to first appointment and reduced overall size of patient tracking list.

This study compared the effect of adding a clinician-delivered bedside pain assessment and management tool (Edinburgh Pain Assessment and management Tool [EPAT]) to usual care (UC) versus UC alone on pain outcomes in inpatients in cancer centres (n=1,795). Results demonstrate that the EPAT tool demonstrated a significant improvement in worst pain without increasing opioid adverse effects.
Study: Two-arm, parallel group, cluster randomised (1:1) trial in 19 cancer centres in the United Kingdom involving 1,795 patients. Primary outcome - change in the percentage of study participants in each centre with a clinically significant (≥ 2 point) improvement in worst pain (using the Brief Pain Inventory Short Form) from admission to 3 to 5 days after admission. Secondary outcomes included quality of analgesic prescribing and opioid-related adverse effects.

In April 2017 the Moorfields vanguard team published a e-toolkit sharing findings from the research into best practice for single specialty networked care. (www.networkedcaretoolkit.org.uk)
This report shares findings from semi-structured interviews with more than 35 strategic decision makers across the NHS (providers, commissioners and regulators), and other sectors, as well as a desktop literature review, on the benefits and challenges of scaling up networked care numerically and geographically.

Moorfields also published two other reports:

Experience and advice from replicating the National Orthopaedic Alliance (NOA) membership model across ophthalmology nationally.

A description of work with the independent charity, the POCF, to understand the best methods and tools to embed staff and patient co-design of services across the Moorfields network.

Networked Care http://www.networkedcaretoolkit.org.uk/

An online toolkit to share learning around developing sustainable single specialty services created by Mooorfields Vanguard Programme team. Includes practical advice, frameworks, guidance, and case studies resources.
(Registration required)

A tool to help local commissioners understand the economic case for early diagnosis of bowel cancer, colon cancer and rectal cancer.