Should mental health service user-led organisations adapt to management culture to bring about meaningful change?

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Lucy Simons considers the findings of an ethnographic study led by Diana Rose that observed in-depth how service user-led organisations work to change mental health services.

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Stratify, specialise, standardise, analyse: maximising quality and efficiency in elective care

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Our resident Elf Economist Chris Sampson summarises a recent report from Monitor (England’s health services regulator), which looks at how NHS providers can improve productivity in elective care.

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CQC State of Care Report and research for quality improvement: Elves mine the archive

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Sarah Carr takes a look at CQC’s State of Adult Social Care Report 2014/15 and corrals the elves in to mine the Social Care Elf archive for some research blogs to help adults social care providers improve services quality.

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Can competition improve management quality in the NHS?

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Chris Sampson reports on a discussion paper produced by the Centre for Economic Performance, which looks at the impact of competition on management quality in hospitals.

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An integrated leadership approach needed to improve care

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In this blog, Caroline De Brún considers the latest research evidence on leadership in health care and key characteristics required for effective leadership, published in a new report by the King’s Fund.

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Evidence for the effectiveness and cost effectiveness of dental auxiliaries in improving oral health outcomes limited

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Access to oral health care is difficult in many parts of the world.  One way of improving this is by delegating tasks traditionally undertaken by dentists to other members of the dental team.  The question addressed by this review by Wright et al was: – In populations where non-dentists conduct diagnostic, treatment planning, and/or irreversible/surgical [read the full story…]

Clinical guidelines for the diagnosis, assessment and physiotherapy management of contracted (frozen) shoulder

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Have you ever had a painful shoulder? Did it get better on its own? I have a friend, not another Elf, who had bilateral frozen shoulders. It was a most functionally limiting and painful problem. Fortunately intra-articular steroid injections saved the day and made a huge difference to both pain and function. If you have [read the full story…]

keratocystic odontogenic tumour recurrence rates

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The keratocystic odontogenic tumour (KCOT, odontogenic keratocyst (OKC)) was first described in the literature in 1956 and is classified by the World Health Organization classified as a benign odontogenic tumour. It is generally accepted that they arise from the remnants of the dental lamina and are benign but locally aggressive and tend to reoccur.  They [read the full story…]