Dementia Assessment and Improvement Framework (NHS Improvement)

The Dementia Assessment and Improvement Framework supports ongoing quality improvement towards the provision of “outstanding care” for people living with dementia during their stay in acute, community or mental health settings.

There are eight constituent framework standards:

  1. Diagnosis.
  2. Person-centred care.
  3. Patient and carer information and support.
  4. Involvement and co-design.
  5. Workforce education and training.
  6. Leadership.
  7. Environment.
  8. Nutrition and hydration.

The table of contents comprises the following headings:

  • Summary.
  • The framework.
  • References and other resources.
  • Acknowledgements.
  • Appendix 1: Review of 104 CQC reports published before December 2016 and relating to dementia care.
  • Appendix 2: Review of national policy relating to dementia care in England.
  • Appendix 3: Review of best practice guidance relating to dementia care.

Full Text Link

Reference

Dementia assessment and improvement framework. London: NHS Improvement, October 17th 2017.

There is also an MS Word version available for local modification and use.

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Posted in Acute Hospitals, Community Care, Diagnosis, Enhancing the Healing Environment, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Nutrition, Pain, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Mental Health Research: Official Framework (Department of Health)

Summary

The Department of Health has published a framework covering intended mental health research in the UK over the next decade. This is another response to recommendations in the independent Mental Health Taskforce’s Five Year Forward View for Mental Health for the NHS in England report.

Full Text Link

Reference

A framework for mental health research. London: Department of Health, December 2017.

Posted in Commissioning, Community Care, Department of Health, 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, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

National Audit of Intermediate Care 2017 (NAIC)

Summary

The National Audit of Intermediate Care (NAIC)’s latest annual report attempts to provide comprehensive data on intermediate care services. It supplies a refreshed audit of intermediate care services delivering care and support to “older people living with complex conditions; including frailty, multi-morbidity and reduced functional abilities”.

Full Text Link

Reference

National Audit of Intermediate Care. Summary Report – England 2017: Assessing progress in services aimed at maximising independence and reducing use of hospitals. London: NHS Benchmarking Network, November 2017.

Posted in Charitable Bodies, Commissioning, Community Care, 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, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Physiotherapy, Quick Insights, RCN, Royal College of Physicians, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Septicaemia Associated with Increased Dementia Risk (Oncotarget)

Summary

There appears to be a statistically significant association between septicemia and a subsequent increased risk of developing dementia (of the non-Alzheimer’s Disease varieties).

Full Text Link

Reference

Chou, CH. Lee, JT. [and] Lin, CC. [et al] (2017). Septicemia is associated with increased risk for dementia: a population-based longitudinal study. Oncotarget. September 15th 2017; 8(48): 84300-84308.

Posted in Statistics, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Much Wants More: Reflex or Reason? (BBC News)

Summary

This week’s Budget announced a further £2.8 billion of funding over the next three years for the NHS, comprising:

  • An additional £350 million this year, up-front, to cover anticipated Winter pressures.
  • An additional £1.6 billion for 2018-19.
  • An additional £850 million in 2019-20.

All of this is on top of the government’s increased spending agreements with the NHS from 2015, which injected £9 billion in cash terms.

One might have expected these announcements to have been met with a reaction of optimism. Or gratitude, even? Apparently not. This situation (and the underlying collective mind-set) deserves ongoing investigation.

Full Text Link

Reference

Triggle, N. (2017). NHS Budget plan not enough, say bosses. London: BBC Health News, November 22nd 2017.

What sort of things can go wrong when the NHS is believed to have “bottomless pockets” – in the sense of limitless funds – by suppliers, contractors and NHS employees? An indicative example (picked almost at random):

Full Text Link

Reference

NHS overcharged by millions for key drug, says watchdog. London: BBC Health News, November 21st 2017.

Adult Social Care

The situation regarding social care funding is different and more pressing; but a consultation paper is expected soon:

Full Text Link

Reference

Schraer, R. (2017). Have there been two decades of failure to reform social care? London: BBC Health News, November 24th 2017.

The Distraction of Politics?

Talk of battle lines? More might be achieved for patients and tax payers if people were to continue prioritising “working together” for the common good, within recognised financial constraints. (The old platitudes are the best).

Full Text Link

Reference

Pym, H. (2017). NHS prepares for financial showdown. London: BBC Health News, November 24th 2017.

Warnings About Rationing and NHS Waiting Time Targets

Rationing of routine and “low value” medicines available over-the-counter for non-serious conditions may well be realistic. An open debate over waiting times is also eminently sensible; but may (in part?) be spun deliberately into a contrived political football.

“A Department of Health official said the government was supporting the NHS with extra resources ‘to make progress on A&E and waiting-time performance, including £335m this year to help with winter pressures’.”

Full Text Link

Reference

Pym, H. (2017). ‘Not enough funding to hit waiting time targets’. London: BBC Health News, November 30th 2017.

Posted in Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Re-Examining the Potential of Brain Training for Reducing Risk of Developing Dementia (NHS Choices / Alzheimer’s & Dementia)

Summary

There appears to be some evidence that brain training (cognitive stimulation) using computer-based memory training games may assist in the preservation of cognitive functioning in older adults, aged 65 or above, and might have some limited potential to help reduce dementia risk.

The following NHS Choices Behind the Headlines critical appraisal provides a due sense of perspective by discussing some potential limitations in this particular research.

Full Text Link

Reference

Still no evidence brain training protects us against dementia. London: NHS Choices; Behind the Headlines, November 17th 2017.

This relates to:

Full Text Link

Reference

Edwards, JD. Xu, H. [and] Clark, DO. [et al] (2016).  Speed of processing training results in lower risk of dementia. Alzheimer’s and Dementia: Translational Research and Clinical Interventions. November 7th 2017. [Epub ahead of print].

Posted in For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, International, NHS Choices, Non-Pharmacological Treatments, Quick Insights, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Recent Information on Restraint in Mental Health Trusts, Plus Statistics on Other Safeguarding Topics (BBC News / NHS Digital)

Summary

Freedom of information requests made by the Liberal Democrats have revealed that the use of restraint by mental health trusts in England has increased yearly since 2013, despite repeated calls over recent years for restraint to be minimised. It may be that improvements in the recording and reporting on the use of restraint could have contributed to this apparent increase.

Use of face-down restraint has fallen:

“ …the most extreme restraints, where patients are forced to the ground, fell 9% across 33 trusts”.

Full Text Link

Reference

Greenwood, G. (2017). Mental health trusts restrain patients ‘every 10 minutes’. London: BBC Health News, November 16th 2017.

Possibly also of interest, NHS Digital’s report provides more general information about adult safeguarding issues and related enquiries during the 2016/17 financial year, with analyses by type, location, source of risk and outcomes.

Full Text Link

Reference

Safeguarding Adults Collection (SAC), Annual Report, England 2016-17. London: NHS Digital, November 15th 2017.

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, Mental Health, National, NHS, Person-Centred Care, Quick Insights, Standards, Stroke, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment