Caroline De Brún

Caroline De Brún
Caroline has been a medical librarian in a variety of NHS and academic roles since 1999, working in academic, primary and secondary care settings, service improvement, knowledge management, and on several high profile national projects. She has a PhD in Computing and currently develops resources to support evidence-based cost and quality, including QIPP @lert, a blog highlighting key reports from health care and other sectors related to service improvement and QIPP (Quality, Innovation, Productivity, Prevention). She also delivers training and resources to support evidence identification and appraisal for cost, quality, service improvement, and leadership. She is co-author of the Searching Skills Toolkit, which aims to support health professionals' searching for best quality clinical and non-clinical evidence. Her research interests are health management, commissioning, public health, consumer health information literacy, and knowledge management. She currently works as a Knowledge and Evidence Specialist for Public Health England, and works on the Commissioning Elf in her spare time.

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Decisions about new health technologies must be evidence-based, says commentary

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Caroline De Brún
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People moving cogs

While this commentary is based on Canadian experiences, the authors do look at examples of health technology assessments elsewhere, applying the National Institute for Health and Care Excellence (NICE) as the gold standard for others to follow. Health technology assessments are “an evidence-based policy tool that helps inform decision-making on how to balance demand and [read the full story…]

Effective diabetes service models should be commissioned to reduce diabetes admissions

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Caroline De Brún
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Sphere full of words to do with diabetes and health care.

This document is aimed at clinical commissioning groups, health care planners, hospital senior managers, and clinical teams in primary and secondary care. It is an amalgamation of good practice examples where diabetes services have improved, with bed occupancy and costs being reduced. There is a specific focus on elderly, diabetic patients, and other similarly vulnerable [read the full story…]

“Voluntary and independent sectors can participate in the delivery of commissioning support”, says report

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Caroline De Brún
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Hand sharing love

This report is about how the voluntary and independent sectors can support the commissioning process, and is aimed at them, the clinical commissioning groups, and the commissioning support units. Key elements The key required commissioning support elements, as described in Figure 1 of this report, include: Health needs assessment, using the Joint Strategic Needs Assessment [read the full story…]

“The links between poor health and reoffending have been long understood” according to agreement

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Caroline De Brún
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Prisoner behind bars

This is a very important document, particularly for commissioners, prison health professionals, and prison workers because it is trying to overcome the vicious circle that faces offenders when they leave prison, which is finding housing and employment while maintaining their health and re-integrating back into society. Alcohol, drug misuse, other addictions, and mental health issues are [read the full story…]

“To fulfil its constitution, the NHS must continue to provide a comprehensive, excellent service, available to all”, says report

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Caroline De Brún
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Underground station sign saying mind the gap

The NHS faces an increasing funding gap and a conflict between supply and demand. The constitution says that the NHS must provide a high quality service for everyone. However, the population is growing, and people are living longer, so how can the NHS continue to do more with less? Monitor believes that getting better “health [read the full story…]

“NHS must be more responsive to the needs and wishes of the public”, says guide

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Caroline De Brún
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Broadcasting tower

Time and time again, research has shown that involving patients and carers in the treatment decision-making process is beneficial to all involved as it improves compliance, patient satisfaction and experience, and ultimately reduces cost for the service as a whole. So, it is crucial that commissioners take this into account when designing and procuring services. [read the full story…]

“Decision-makers need to think differently about how to commission long-term condition services” says study

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Caroline De Brún
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shutterstock_123055360

The aim of this paper, written for commissioners, managers, and health decision-makers, was to look at how commissioning works for people with long-term conditions such as dementia. The authors carried out a multisite mixed methods case study research, involving three ‘commissioning communities’ and using interviews, documents, and meeting observations to reach their conclusions. A commissioning [read the full story…]

“Commissioners should ensure sustained and effective delivery of children’s palliative care” says guide

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Caroline De Brún
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Hands holding across clouds

Clinical Commissioning Groups, hospices, patients, carers, and all staff who provide palliative care to children. This short guide has been written for Clinical Commissioning Groups, hospices, patients, carers, and all staff who provide palliative care to children. Commissioners need to be aware that palliative care for children is very different to palliative care for adults, [read the full story…]

“Carers can help commissioners meet financial targets”, according to report

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Caroline De Brún
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Hands holding hands protectively

Carers are integral to health care improvement. This report highlights evidence that shows “the economic value of the contribution they make is £119bn per year”. However, without support, carers can feel isolated, depressed, and may be living in poor financial circumstances, which can lead to poor health for the carer too. The problem health and [read the full story…]

Framework to help commissioners make fair resource allocation decisions

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Caroline De Brún
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Wooden framework for a house

This paper describes the development of a framework to help commissioners make effective decisions with regards to local resource allocation decisions. The aim is to reduce variation in prescribing patterns across England, also known as the ‘postcode lottery.’ While the framework was originally developed by the former National Prescribing Centre, which is now the Medicines [read the full story…]