Growing Consensus on NHS and Social Care Sustainability; and the Need for Tax Increases? (BBC News / Health Foundation / IFS / IPPR / King’s Fund)

Summary

The Institute for Fiscal Studies and the Health Foundation estimate that the NHS needs an additional 4% funding, per year, over the next 15 years (as opposed to the currently projected 2%). These estimates are timed in anticipation of the NHS’s 70th Birthday on July 5th 2018.

It is all about having a public debate about the choices, the health economists allege. Their analysis suggests that UK spending on healthcare would need to rise by 3.3% per year just to maintain NHS provision at current levels, but that the 4% rate would allow services to be improved. Social care funding may need to increase by 3.9% per year to meet levels of demand.

“The population is getting bigger and older, and expectations are rising along with the costs of meeting them… ”.

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Reference

Triggle, N. (2018). Tax rises needed ‘to prevent NHS misery’. London: BBC Health News, April 24th 2018.

This relates to:

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Reference

Kelly, E. Stoye, G. [and] Lee, T. [et al] (2018). Securing the future: funding health and social care to the 2030s. Report (R143). London: Health Foundation and Institute for Fiscal Studies, May 24th 2018. ISBN: 978-1-911102-99-1

There is also an Executive Summary.

An alternative, semi-surreal take on birthday parties and presents:

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Reference

Patterson, J. (2018). If the government did birthdays… London [Online]: NHSNetworks, May 24th 2018.

Room For Greater Efficiency, Still?

Sometimes it seems not enough is mentioned about improving NHS efficiency instead of raising taxes. Jeremy Hunt conceded in a recent Robert Peston TV interview on a proposed ten-year NHS funding plan:

“ … [people] want to know that every pound of that money is being spent wisely”.

What sort of things can go wrong, when the NHS is perceived by suppliers, contractors or managers to enjoy effectively limitless taxpayers’ funds? An indicative example (picked almost at random):

“ …the NHS paid various pharmacies £2,645 for basic sleeping pills that can cost £1 and £3,200 for arthritis painkillers that have been charged at less than £1 per pack”.

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Reference

Boots owner denies overcharging NHS for cancer mouthwash. London: BBC Health News, May 26th 2018.

Earlier Contributions to the NHS Funding Debate

A report, by Lord Darzi, Lord Prior and Norman Lamb with the Institute for Public Policy Research, estimates that the NHS in England will need £50 billion extra by 2030, and a further £10 billion will be required for social care.

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Reference

Triggle, N. (2018). NHS needs ‘£50bn extra by 2030’. London: BBC Health News, April 26th 2018.

Further BBC News commentary:

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Reference

Pym, H. (2018). The NHS needs more money – but how much?. London: BBC Health News, April 26th 2018.

This relates to:

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The Lord Darzi Review of Health and Care: interim report. London: Institute for Public Policy Research, April 2018.

Further political analysis:

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Reference

Kuenssberg, L. (2018). A cross-party solution to NHS pressures? London: BBC Politics News / BBC Health News, April 24th 2018.

Further Analysis Regarding the Rising Costs of Medicines

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Reference

Ewbank, L. Omojomolo, D. [and] Sullivan, K. [et al] (2018). The rising cost of medicines to the NHS: what’s the story? London: King’s Fund, April 2018.

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Posted in BBC News, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, In the News, Integrated Care, King's Fund, National, NHS, NHS Confederation, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Investigations Into the Early Signs, Symptoms and Family Experiences of Alzheimer’s Disease (BMJ Open / International Psychogeriatrics)

Summary

A literature review analyses the sequence / timing of the early signs and symptoms of Alzheimer’s Disease. The authors distinguish between the early signs of late-onset Alzheimer’s Disease (LOAD) and those of early-onset Alzheimer’s Disease (EOAD).

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Reference

Bature, F. Guinn, BA. [and] Pang, D. [et al] (2017). Signs and symptoms preceding the diagnosis of Alzheimer’s disease: a systematic scoping review of literature from 1937 to 2016. BMJ Open. August 28th 2017; 7(8): e015746.

Experiences of Family Members

A different review conducts a qualitative analysis of family members’ experiences of the pre-diagnostic phase of dementia, which aims to help inform:

“ …the foundation for developing theoretical frameworks that will ultimately assist with improving recognition of dementia onset, clinical communication with family members, and interventions to reduce family burden”.

Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

Rogers, K. Coleman, H. [and] Brodtmann, A. [et al] (2017). Family members’ experience of the pre-diagnostic phase of dementia: a synthesis of qualitative evidence. International Psychogeriatrics. September 2017; 29(9): 1425-1437.

Posted in Community Care, Depression, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), International, Mental Health, Models of Dementia Care, Quick Insights, Systematic Reviews, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Systematic Review of Falls Reduction Interventions for Older Adults Recently Discharged From Hospital (Age and Ageing)

Summary

A joint Australian and American review has examined the evidence concerning the effectiveness of falls prevention interventions for community-dwelling older adults discharged recently from hospitals. Twelve falls prevention interventions were considered.

Home exercise interventions were not found to be effective. Home hazard modifications were found to be effective, particularly for persons with a previous history of falls. It was found that nutritional supplementation is likely to be of benefit for malnourished individuals.

Full Text Link (Note: This article may require a suitable Athens password, a journal subscription or payment for access).

Reference

Naseri, C. Haines, TP. [and] Etherton-Beer, C., [et al] (2018). Reducing falls in older adults recently discharged from hospital: a systematic review and meta-analysis. Age and Ageing. March 23rd 2018. [Epub ahead of print].

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

Novel Approaches to Understanding Creativity and Artistic Appreciation in Dementia (BBC News / Wellcome Open Research)

Summary

The Created Out of Mind initiative comprises scientists, artists, musicians and writers, based at the Wellcome Collection’s “The Hub”, who are engaged in exploring the varied influences of dementia on the whole range of human creativity (and vice versa). This group hopes to further challenge the stigma of dementia, explore unanticipated dimensions of personal resilience in the face of the condition, and promote continued cultural engagement on the part of persons living with dementia.

“We are trying to enrich understanding of the dementias: not just the fact that there are over 100 types, but that people’s experiences will vary from person to person”. Professor Sebastian Crutch, Director of Created Out of Mind.

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Reference

Walsh, F. (2018). Exploring dementia through art and science. London: BBC Health News, May 17th 2018.

This relates to:

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Reference

Brotherhood, E. Ball, P. [and] Camic, PM. [et al] (2018). Preparatory planning framework for Created Out of Mind: shaping perceptions of dementia through art and science. Wellcome Open Research. November 6th 2017; 2: 108.

All Party Parliamentary Group on Arts, Health and Wellbeing

The All Party Parliamentary Group on Arts, Health and Wellbeing has written on the role of arts participation in dementia care. The APPG suggests, more broadly, that arts engagement can improve public health, help with self-management, tackle obesogenic environments, improve mental health, promote healthier ageing and help to reduce health inequalities.

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Reference

Creative health: the arts for health and wellbeing. London: All Party Parliamentary Group on Arts, Health and Wellbeing [Crown Publishers], July 1st 2017.

There is also an Executive Summary, and a briefing for Directors of Public Health.

Critical Gerontology Perspectives

Possibly also of interest:

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Reference

Zeilig, H. (2014). Dementia as a cultural metaphor. Gerontologist. April 2014; 54(2): 258-67.

Posted in BBC News, Charitable Bodies, 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, Mental Health, Models of Dementia Care, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, UK, Universal Interest, Wales | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Physical Activity for People With Dementia Fails to Slow Rate of Cognitive Impairment (BBC News / BMJ / NHS Choices)

Summary

It has long been widely believed that physical activity would have beneficial effects in the prevention of cognitive decline and dementia. Counter-intuitive results from the Dementia and Physical Activity (DAPA) trial suggest that moderate to high intensity exercise training for people with dementia does not delay or slow rates of cognitive impairment in people with pre-existing mild to moderate dementia (and may possibly even worsen outcomes, except for slightly improved physical fitness).

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Reference

Dementia exercise programmes ‘don’t slow brain decline’. London: BBC Health News, May 17th 2018.

This relates to:

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Reference

Lamb, SE. Sheehan, B. [and] Artherton, N. [et al] (2018). Dementia And Physical Activity (DAPA) trial of moderate to high intensity exercise training for people with dementia: randomised controlled trial. BMJ. May 16th 2018; 361: k1675.

An NHS Choices Behind the Headlines critical appraisal covers this research in detail.

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Reference

Exercise ‘doesn’t slow’ progression of dementia. London: NHS Choices, Behind the Headlines, May 17th 2018.

However, suitable levels of exercise at different times in life could reverse the ageing of the heart and blood vessels.

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Reference

Exercising regularly ‘can keep heart and arteries young’. London: BBC Health News, May 21st 2018.

Posted in BBC News, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Management of Condition, Models of Dementia Care, NHS Choices, Non-Pharmacological Treatments, Quick Insights, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Statistics on Life Expectancy and Healthy Life Expectancy (BBC News / Institute for Health Metrics and Evaluation)

Summary

The BBC has launched an interactive calculator to help people assess how long they might live typically. Life-style and demographic factors are covered briefly.

Full Text Link

Reference

How long are you going to live? London: BBC Health News, May 14th 2018.

See also:

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Reference

Calver, T. [and] Stylianou, N. (2018). Nine revealing facts about how long we live. London: BBC Health News, May 14th 2018.

Posted in BBC News, For Carers (mostly), For Nurses and Therapists (mostly), In the News, International, Northern Ireland, Patient Information, Quick Insights, Scotland, Statistics, UK, Universal Interest, Wales | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment