Pseudomedicine and Potential Dementia Treatments? (JAMA)

Summary

A United States perspective covers the growing market for complementary interventions to promote brain health or minimise dementia risk and/or symptoms. Health professionals are requested to help the public understand commercial conflicts of interest and the market forces behind the promotion of unproven treatments.

A Due Sense of Context and Uncertainties?

A quick glimpse at the readers’ replies indicates that there is little room for dogmatic one-sidedness in this debate.

Full Text Link

Reference

Hellmuth, J. Rabinovici, GD. [and] Miller, BL. (2019). The rise of pseudomedicine for dementia and brain health. JAMA. January 25th 2019. [Epub ahead of print].

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Latest Dementia Assessment and Referral Data for 2018 (NHS England)

Summary

NHS England has published dementia assessment and referral statistics, as of November 2018. These statistics aim to monitor and improve (i) the identification of older patients with dementia and delirium, (ii) assessment and appropriate referral and (iii) follow-up after people have been discharged from hospital.

Full Text Link

Reference

Dementia assessment and referral data collection. London: NHS England, February 6th 2019.

“The Dementia Assessment and Referral collection was retired as a CQUIN collection at the start of April 2016 but has been retained in the standard contract as a mandatory submission for acute trusts. The desired level of performance is at least 90% on each part of the indicator. Data are not collected from community trusts or CCGs”.

Posted in Acute Hospitals, Commissioning, Community Care, Delirium, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Attitudes Towards Dementia Report (BBC News / Alzheimer’s Research UK)

Summary

Alzheimer’s Research UK (ARUK) have released a detailed report covering survey results about public attitudes towards dementia in the UK. Wave 1 of the Dementia Attitudes Monitor attempts to clarify the current state (using data from 2018) of the understanding and/or perceptions / misperceptions towards dementia.

Of the 2,361 people surveyed by Ipsos MORI just 1% were aware of the seven known risk or protective factors for dementia (reported to be excessive alcohol consumption, genetics, smoking, high blood pressure, depression, diabetes and inadequate levels of physical exercise).

Full Text Link

Reference

Dementia risk factors not known by half of population. London: BBC Health News, February 6th 2019.

This relates to:

Full Text Link

Reference

Stevens, J. Philp, N. [and] Phipps, L. [et al] (2019). Dementia Attitudes Monitor: Wave 1 2018. Cambridge: Alzheimer’s Research UK, January 2019.

The main section headings comprise:

  • Section 1
    • Executive Summary.
    • Background to this research.
    • Methodology.
    • Key findings of the research.
  • Section 2: Introduction
    • 2.1 Background and objectives.
    • 2.2 The structure of the report.
    • 2.3 Note about presentation and interpretation of the data.
  • Section 3: Awareness and understanding.
    • 3.1 Knowing someone with dementia.
    • 3.2 Perception of dementia and Alzheimer’s disease.
    • 3.3 Defining the effects of dementia and Alzheimer’s disease.
    • 3.4 Awareness of the physical and mental effects of dementia.
    • 3.5 Dementia as a cause of death.
    • 3.6 Dementia as an inevitable part of getting older.
  • Section 4: Stigma
    • 4.1 Engaging with people with dementia.
    • 4.2 Being personally affected by dementia.
  • Section 5: Risk
    • 5.1 Reducing the risk of developing health conditions.
    • 5.2 Increasing the risk of developing dementia.
    • 5.3 Personal risk of developing dementia.
  • Section 6: Diagnosis
    • 6.1 Being given a formal diagnosis of dementia.
    • 6.2 Undergoing tests for dementia.
    • 6.3 Attitudes to being tested for diseases that cause dementia.
  • Section 7: Treatment, prevention and research
    • 7.1 Efficacy of current dementia treatments.
    • 7.2 Awareness of dementia treatments.
    • 7.3 Priorities for medical research.
    • 7.4 Involvement in medical research for dementia.
  • Appendices: Technical details and bibliography
    • 8.1 Methodology.
    • 8.2 Referenced reports.
    • 8.3 Guide to statistical reliability.
    • 8.4 Guide to social classification.
    • 8.5 Topline results.
    • References.
Posted in Alzheimer’s Research UK, BBC News, Charitable Bodies, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, National, Quick Insights, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Support Workers for General Practice: Part of the NHS Comprehensive Personalised Care Model (BBC News / NHS England)

Summary

Over 20,000 physiotherapists, pharmacists, paramedics, physician associates, and social prescribing support workers will be recruited by NHS England to work with general practices. The aim is to help relieve workload pressures on GPs.

Full Text Link

Reference

GPs create 100,000 extra patient appointments through Primary Care Network model. [Online]: NHS England, February 1st 2019.

Further:

Full Text Link

Reference

Triggle, N. (2019). The GP substitute will see you now. London: BBC Health News, January 31st 2019.

“By 2023/24, the PCN contract is expected to invest £1.799 billion, or £1.47 million per typical network covering 50,000 people.  This will include funding for around 20,000 more health professionals including additional clinical pharmacists, physician associates, first contact physiotherapists, community paramedics and social prescribing link workers”.

Primary Care Networks (PCNs):

A new shared savings scheme will mean PCN GPs benefit from work to reduce avoidable A&E attendances, reduce hospital admissions, reduce delayed discharges, reduce avoidable outpatient visits and reduce over-medication through pharmacy reviews:

Full Text Link

Reference

GP contract five-year framework. [Online]: NHS England, February 1st 2019.

This relates to the five-year framework for GP services agreed between NHS England and the BMA General Practitioners Committee (GPC) in England. This covers the commitments in the NHS Long Term Plan regarding a five-year GP services contract.

Full Text Link

Reference

Investment and evolution: a five-year framework for GP contract reform to implement The NHS Long Term Plan. London: NHS England, January 31st 2019.

The Comprehensive Personalised Care Model

The new Comprehensive Personalised Care Model is designed to promote patients’ choice and control over their mental and physical health. The NHS Long Term Plan says personalised care will become business as usual across the health and care system via Universal Personalised Care.

Further information:

Full Text Link

Reference

Universal personalised care: implementing the comprehensive model. London: NHS England, January 31st 2019.

This relates to:

Full Text Link

Reference

Personalised health and care framework. [Online]: NHS England, 2017-2019.

There is an animation on YouTube.

Posted in BBC News, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Frailty: Core Capabilities Framework (Skills for Health)

Summary

Skills for Health have produced the Frailty Core Capabilities Framework. This framework was commissioned by Health Education England and NHS England, and aims to formalise the skills to provide high quality, holistic, compassionate care and support for persons with frailty as a long-term condition.

The Frailty Framework of Core Capabilities comprises 14 capabilities, grouped into four domains:

  • Domain A. Understanding, identifying and assessing frailty.
  • Domain B. Person-centred collaborative working.
  • Domain C. Managing frailty.
  • Domain D. Underpinning principles.

Full Text Link (Free registration with SfH may be required for access to this document).

Reference

Frailty: a framework of core capabilities. London: Skills for Health, January 2019. NHS England Publications Gateway Reference No. 08406.

Posted in Acute Hospitals, Age UK, Commissioning, Community Care, Diagnosis, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Guidelines, Integrated Care, Management of Condition, National, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Draft Quality Standard Update on Dementia: For Consultation (NICE)

Summary

The National Institute for Health and Care Excellence (NICE) has issued a draft quality standard on dementia prevention, and the assessment, management and health and social care support for persons living with dementia. It is expected to help drive improvements in terms of: dementia diagnosis rates; referral waiting times; reducing hospital admissions; alternative prescriptions for behavioural and psychological symptoms of dementia (BPSD); reducing avoidable care home admissions; reducing the length of hospital stay; and the quality of life post-diagnosis, both for patients and their unpaid carers.​ Quality statements comprise [quotation]:

Quality Statement 1: Adults accessing behaviour change interventions and programmes are informed that the risk of developing dementia can be reduced by making lifestyle changes.

Quality Statement 2: Adults with suspected dementia are referred to a specialist dementia diagnostic service.

Quality Statement 3: Adults with dementia have a named care coordinator.

Quality Statement 4: Adults with dementia are given a choice of activities to promote wellbeing, tailored to their preferences.

Quality Statement 5: Adults with dementia have a structured assessment before starting non-pharmacological or pharmacological treatment for distress.

Quality Statement 6: Adults with dementia have the opportunity to discuss advance care planning at diagnosis and at each care review.

Quality Statement 7: Carers of adults with dementia are offered education and skills training.

Full Text Link

Reference

Dementia: NICE quality standard. Draft for consultation. London: National Institute for Health and Care Excellence (NICE), January 29th 2019.

Posted in Acute Hospitals, Antipsychotics, Commissioning, Community Care, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NICE Guidelines, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Social Prescriber Link Workers: Part of a Universal Care Plan (BBC News / NHS England)

Summary

There are plans for NHS England to recruit around 1,000 social prescribing “link workers” by 2020-21 to facilitate social prescribing with a view to increasing patient involvement in social activities including exercise groups and art classes.

“Link workers are part of NHS England’s plans to personalise care for patients, so they can take greater control of their mental and physical health”.

The aim is to help reduce the workload on GPs, as featured in the NHS Long Term Plan.

“Link workers within primary care networks will work with people to develop tailored plans and connect them to local groups and support services. Over 1,000 trained social prescribing link workers will be in place by the end of 2020/21 rising further by 2023/24, with the aim that over 900,000 people are able to be referred to social prescribing schemes”. p.25.

Full Text Link

Reference

More ‘social prescribers’ to ease pressure on GPs. London: BBC Health News, January 28th 2019.

Further information:

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Reference

Army of workers to support family doctors. [Online]: NHS England, January 28th 2019.

An unofficial parody:

Full Text Link

Reference

Patterson, J. (2019). The link worker will see you now. [Online]: NHSNetworks, January 31st 2019.

Theoretical Context: the Comprehensive Model of Personalised Care

Background information:

Full Text Link

Reference

Comprehensive model of personalised care. [Online]: NHS England, accessed January 30th 2019.

An infographic on the Personalised Care Operating Model :

Full Text Link

Reference

Personalised Care Operating Model. [Online]: NHS England, updated January 2019.

Posted in BBC News, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Information, Person-Centred Care, Personalisation, Quick Insights, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment