University of Birmingham: HSMC
July 2017 - Focus on Decommissioning
In a report published last week, researchers at HSMC have identified best practice in decommissioning health care. The study suggests that decommissioning is now being attempted to a degree that is unprecedented within the NHS, with one of the main drivers being financial pressure. The researchers found that decommissioning should be considered as the last step in a process after the case for change had been shared and argued widely.

HSMC provides research-based contributions to debates over the financial challenges facing the NHS and its partners, and to similar discussions taking place around the world. In our latest update we highlight recent work in this area, as well as general news on forthcoming research, appointments and events.
Anita Charlesworth appointed as Honorary Professor
HSMC welcomes Anita Charlesworth CBE, Director of Research and Economics at the Health Foundation as an Honorary Professor in the College of Social Sciences at the University. Professor Charlesworth will work with HSMC colleagues on research into the pressing financial challenges facing the NHS.
Graduation honours
Congratulations to all our recent graduates who took their degrees with us this year. HSMC and Alliance Manchester Business School are proud to have awarded the 1000th Masters in Healthcare Leadership on the flagship NHS Leadership Academy Elizabeth Garrett Anderson programme. The Chief Executive of the Birmingham Women's and Children’s NHS Foundation Trust, Sarah-Jane Marsh, received an honorary degree from the University of Birmingham in recognition of her outstanding leadership of women and children’s health services in Birmingham. As a former trainee on the NHS Graduate Management Scheme programme, she has a longstanding relationship with the University and HSMC.
New project to critically appraise primary care innovation in Wales
HSMC has been commissioned by the Primary Care Hub of Public Health Wales, to undertake a critical appraisal of the Pacesetter programme – a new model for primary and community care.
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Our latest viewpoint draws on recent research at the University of Birmingham into ‘inappropriate’ hospital admission of older patients. Professor John Glasby argues for the importance of drawing on the lived experience of older people and the practice wisdom of front-line staff.
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Decommissioning: best practice
HSMC has published research into best practice in decommissioning in the NHS. The full study report is available on the NIHR website.

The research identifies high rates of decommissioning in the NHS including relocation, removal and replacement of services, medicines and organisations. It also notes huge challenges in establishing the legitimacy required to make and implement these highly controversial decisions. For this reason the authors argue that decommissioning should be considered as the last step in a process in which the case for change and the absence of alternatives has been shared and argued widely. They also put forward key recommendations - for example relating to change management and implementation, evidence and information, and relationships and politics – for those seeking to lead decommissioning processes.

These themes were discussed by HSMC's Director of Research, Dr Iestyn Williams, and others at a recent event hosted by the Kings Fund and NHS Clinical Commissioners. They will also be the focus of a further HSMC event to be held on 13 September.
HSMC key partner in mental health research
HSMC is a key partner in research funded by the Health Foundation to look at mental health care provision. The project will assess organisational factors which drive improvements in cost and quality of mental health care, and analyse how mental health trusts can reallocate resources in order to improve their efficiency and cost effectiveness.
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Workshop: Making tough decisions
This workshop will discuss findings from the recent NIHR-funded study on decommissioning in the NHS led by HSMC academics. The event is geared especially to senior managers implementing STPs and will draw on international examples of decommissioning practice to inform decision-making in the domestic health and care sector. This session is the first in a three-part series of workshops on contemporary issues in health management.
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Aspiring Directors programme
We are delighted to announce that recruitment is now underway to the 2017/18 cohort of the Aspiring Directors programme. The programme is designed for people who aspire to be a Director in Public Health, Adult Social Care, Children's Services, Housing and other services working to improve public health within the next 3 years. To be eligible, applicants must have at least 2 years' senior management experience at Tier 2 level or equivalent.
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Recent Publications
Baltussen, R., Mitton, C., Danis, M., Williams, I., and Gold, M. (2017) Global developments in priority setting in health. International Journal of Health Policy and Management, 6(3): 127.

Braithwaite, J., Mannion, R., Matsuyama, Y., Shekelle, P., Whittaker, S., et al. (2017) Health systems improvement across the globe: success stories from 60 countries. Abingdon: Routledge.

Hunter, D.J., Kieslich, K., Littlejohns, P., Staniszewska, S., Tumilty, E., Weale, A., and Williams, I. (2016) Public involvement in health priority setting: future challenges for policy, research and society. Journal of Health Organization and Management, 30(5): 796-808

Mannion, R. and Exworthy, M. (2017) (Re) Making the procrustean bed? Standardization and customization as competing logics in healthcare. International Journal of Health Policy and Management, 6(6): 301-304

Williams, I., and Dickinson, H. (2016) Going it alone or playing to the crowd? A critique of Individual Budgets and the personalisation of health care in the English National Health Service. Australian Journal of Public Administration, 75(2): 149-158.

Williams, I. (2016) The governance of coverage in health systems: England’s National Institute for Health and Care Excellence (NICE). In: Greer, S.L., Wismar, M. and Figueras, J. (eds) Strengthening health system governance. Maidenhead, Open University Press. pp. 159-172

Williams, I. and Bryan, S. (2016). Using Economic Evaluation in Priority Setting: What Do We Know and What Can We Do?. In: Nagel, E. and Lauerer, M. (eds) Prioritization in Medicine. Springer International Publishing. pp. 261-271
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