Trends in Life Expectancy: International Comparisons (BBC / Lancet)

Summary

Researchers at Imperial College London and the World Health Organization (WHO) have analysed lifespan projections in 35 industrialised countries, partly with a view to informing the debate(s) regarding future challenges for pensions and elderly health and social care. They predict that all countries are likely to have people living longer in 2030. The life expectancy gap between men and women is expected to reduce in most countries. Interesting international health inequalities are exposed, with some surprises.

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Reference

Gallagher, J. (2017). Life expectancy to break 90 barrier by 2030. London: BBC Health News, February 22nd 2017.

This relates to:

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Reference

Kontis, V. Bennett, JE. [and] Mathers, CD. [et al] (2017). Future life expectancy in 35 industrialised countries: projections with a Bayesian model ensemble. The Lancet. February 21st 2017. [Epub ahead of print].

Posted in BBC News, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, International, National, Quick Insights, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Sustainability and Transformation Plans: Reviewing Details (BBC News / King’s Fund)

Summary

A recent King’s Fund report explores the content of the Sustainability and Transformation Plans (STPs) for reform of health and care services in England. According to BBC News 28 of these 44 proposals involve closures or downgrading of hospital care in one form or another. Planned changes include the centralisation of certain services, such as A&E, trauma and stroke care. The planned advantages of these changes, and the main challenges in implementing STPs, are discussed.

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Reference

Triggle, N. [and] Schraer, R. (2017). Hospital cuts planned in most of England. London: BBC Health News, February 21st 2017.

This relates to:

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Reference

Ham, C. Alderwick, H. Dunn, P. [and] McKenna, H. (2017). Delivering sustainability and transformation plans: from ambitious proposals to credible plans. London: King’s Fund, February 21st 2017.

Posted in BBC News, Commissioning, In the News, Integrated Care, King's Fund, Local Interest, Mental Health, National, NHS, NHS England, Non-Pharmacological Treatments, UK | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Health and Social Care Integration: a Tale of Over-Optimism? (NAO / BBC News)

Summary

A recent National Audit Office (NAO) report warns that progress towards the integration of health and social care has been slower and less successful than expected. It has not yet delivered the efficiencies and savings that the Department of Health had been hoping to achieve. It has not yet delivered many of the expected benefits for patients, the NHS or local authorities. The Better Care Fund has not particularly achieved better value for money, better outcomes for patients or reductions in hospital activity. The government’s plans for integration of health and social care services across England by 2020 are in question.

As usual, the problems lie in the implementation rather than the theory. The general idea of more integrated care remains worthy and worthwhile, few would disagree.

“So far, benefits have fallen far short of plans, despite much effort. It will be important to learn from the over-optimism of such plans when implementing the much larger NHS sustainability and transformation plans”.

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Reference

Health and social care integration [Press Release]. London: National Audit Office (NAO), February 8th 2017.

This relates to:

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Reference

The Comptroller and Auditor General of the National Audit Office: Morse, A. (2017). Health and social care integration. Department of Health, Department for Communities and Local Government and NHS England. National Audit Office Report (HC 1011). Session 2016-17. London: The Stationery Office [Department of Health / Department for Communities and Local Government / NHS England / National Audit Office (NAO)], February 8th 2017.

There is also an Executive Summary.

A related BBC News item:

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Reference

Pressure on hospital beds ‘not improved by extra money’. London: BBC Health News, February 8th 2017.

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, 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, National Audit Office, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Statistics, UK | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

People With Dementia Living Alone in the Community (Journal of Alzheimer’s Disease)

Summary

Research, based on experiences and outcomes concerning people with dementia living alone (with and without help from an informal caregiver) in Germany, indicates that it is possible – provided adequate support services are available – to survive without significant unduly increased health risks.

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Reference

Eichler, T. Hoffmann, W. [and] Hertel, J. [et al] (2016). Living alone with dementia: prevalence, correlates and the utilization of health and nursing care services. Journal of Alzheimer’s Disease. May 10th 2016; 52(2): pp.619-29.

Posted in Commissioning, Community Care, Depression, Falls Prevention, For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, Management of Condition, Models of Dementia Care, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Statistics, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Elderly Major Trauma Patients: Guidelines (London Major Trauma System / Emergency Medicine Journal)

Summary

The 11.5 million people aged 65 and older is the fastest growing age group in the UK They comprise 18% of the population today, and this figure is projected to rise to 25% of the population by 2040. According to the Trauma Audit Research Network (TARN), major trauma patients in England and Wales increasingly involve the elderly, with falls being a main cause of severe injury.

The London Major Trauma System has published clinical guidance on the management of elderly major trauma patients. This covers the needs of injured elderly patients admitted to major trauma centres (MTCs) and trauma units (TUs).

The main section headings comprise:

  • Clinical guidance for care of elderly trauma patients.
    • Admission policy for elderly trauma patients (MTCs).
    • Admission policy for elderly trauma patients (TUs).
    • Neurotrauma.
    • Spinal injuries.
    • Pelvic injuries.
    • Complex limb injuries.
    • Chest injuries.
    • Anticoagulation / reversal of the DOAC effect.
    • Falls prevention.
    • Key principles for the early management of elderly trauma.
    • Psychosocial elements.
  • Commissioning guidance for care of elderly trauma patients.
    • Clinical commissioning standards.

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Reference

Management of elderly major trauma patients. London: London Major Trauma System, 2017.

Possibly of interest:

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Reference

We must help our NHS adapt in order to keep it healthy – Professor Keith Willett. [Online]: NHS England, February 14th 2017.

Background information for context:

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Reference

Kehoe, A. Smith, JE. [and] Edwards, A. [et al] (2015). The changing face of major trauma in the UK. Emergency Medicine Journal. December 2015; 32(12): 911-5.

Posted in Acute Hospitals, Commissioning, Falls, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Hip Fractures, In the News, Integrated Care, Management of Condition, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Pharmacological Treatments, Quick Insights, Standards, UK | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

More Questions About the Sustainability of Elderly Home Care / Social Care (BBC News / Age UK / Unison)

Summary

An Age UK review indicates that cuts to social care in England mean that hundreds of thousands of vulnerable older people may be left to struggle routinely with inadequate home-based help and care.

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Reference

Triggle, N. (2017). Frail, elderly people ‘left to struggle alone’. London: BBC Health News, February 16th 2017.

Adult Social Care More Generally

Meanwhile, research from the Local Government Information Unit shows that adult social care is the biggest immediate priority / pressure-point for more than half of all councils.

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Reference

Adult social care is the biggest pressure on councils. London [Online]: Unison / Local Government Information Unit, February 10th 2017.

Further background information from the BBC:

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Reference

Reality Check: Who gets social care and who pays for it? London: BBC Health News, February 8th 2017.

Posted in Age UK, BBC News, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, National, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Statistics, UK | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment