The effects of the NHS reforms on quality of care

Abstract

Usage of any items from the University of Cumbria's institutional repository 'Insight' must conform to the following fair usage guidelines.Any item and its associated metadata held in the University of Cumbria's institutional repository Insight (unless stated otherwise on the metadata record) may be copied, displayed or performed, and stored in line with the JISC fair dealing guidelines (available here) for educational and not-for-profit activities provided that• the authors, title and full bibliographic details of the item are cited clearly when any part of the work is referred to verbally or in the written form• a hyperlink/URL to the original Insight record of that item is included in any citations of the work • the content is not changed in any way• all files required for usage of the item are kept together with the main item file. You may not• sell any part of an item• refer to any part of an item without citation • amend any item or contextualise it in a way that will impugn the creator's reputation• remove or alter the copyright statement on an item.The full policy can be found here. Alternatively contact the University of Cumbria Repository Editor by emailing insight@cumbria.ac.uk. British Journal of Healthcare ManagementQuality of care provided by the Shelford Group of NHS trusts before and after the enactment of Health and Social Care Act of 2012 (HSCA2012).--Manuscript Draft-- Abstract: Health and Social Care Act of 2012 (HSCA2012) has altered the operational and business environment within which NHS trusts in England operate. Shelford group are the leading multi-specialty NHS trusts in England. The aim of this study was to assess the impact of HSCA2012 on the quality of care provided by the Shelford group. Annual quality of accounts produced by each of the Shelford group NHSTs for financial years FY 12-13, FY 13-14 and FY 14-15 were reviewed. The key performance indicators for each organization were collected and classified in line with NHS Quality Outcomes Framework (QOF). KPIs for the period just prior to enactment of HSCA2012 (FY12-13) were compared with the corresponding values for the period after the enactment of HSCA2012.The benchmarking model used in the study was validated against the Hospital Intelligent Monitoring Report (HIMR) used by the Care Quality Commission. The clinical services provided by the Shelford group increased year on year by 7.5%, 6.4% and 4% respectively . In the FY14-15 Shelford group collectively provided 14,735,000 patient care episodes There was no significant difference in the value of the KPIs before and after enactment of HSCA2012 along the 6 domains defined by the NHS-QOF. Good correlation was observed between the benchmarking method used in the study compared with the HIMR (r2=0.86).The quality of care provided by the Shelford group of NHS trusts did not change following enactment of HSCA2012.Suggested Reviewers:Response to Reviewers: Dear Sir/Madame This manuscript has been rewritten significantly to take the reviewers comments into account. The following change...