Progress Report on Transforming Care for People with Learning Disabilities (NHS England)

Summary

The Transforming Care Delivery Board, with the joint involvement of NHS England, the Local Government Association (LGA), the Association of Directors of Adult Social Services (ADASS), the Care Quality Commission (CQC), Health Education England (HEE) and the Department of Health, has published a progress report improvements to services for people with learning disabilities.

Full Text Link

Reference

Transforming care for people with learning disabilities – progress report. London: NHS England, July 3rd 2015.

This relates to:

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Reference

Transforming care for people with learning disabilities – next steps. Progress Report from the Transforming Care Delivery Board – 3 July 2015. London: NHS England, July 3rd 2015.

This report is an update on work towards achieving the ambitions defined in the earlier Transforming Care for People with Learning Disabilities – Next Steps report:

Full Text Link

Reference

Transforming care for people with learning disabilities – next steps. London: NHS England, January 28th 2015.

Posted in Acute Hospitals, Commissioning, Community Care, CQC: Care Quality Commission, 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, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Public Perceptions of the NHS and Social Care (Department of Health / IPSOS Mori)

Summary

This report presents the latest (Winter 2014) results from an IPSOS Mori survey of public perceptions and attitudes about the NHS and social care services.

It appears that the public remains generally positive about the care in the NHS:

“The public’s pride in the NHS is as strong as ever, with almost eight in ten (78%) agreeing that Britain’s National Health Service is one of the best in the world”. (p.2)

On the Latent Perceptions Gaps: Suspected Health and Treatment Inequalities

Opinions research reveals beliefs about interesting inequalities in NHS treatment (whether with a strictly factual basis or not). It is believed that some groups are better cared for than others. Perceptions of healthcare inequalities are summarised in the following gradient:

  • Local NHS care for children is viewed most positively; with 72% of survey respondents feeling they are well cared for by the NHS in their local area.
  • Local NHS care for people over 65 is viewed a little less positively; with 60% of survey respondents feeling they are well cared for by the NHS in their local area.
  • Local NHS care for people with long term conditions is viewed slightly less positively; with 57% of survey respondents feeling they are well cared for by the NHS in their local area.
  • Local NHS care for people with mental health conditions is viewed considerably less positively; with 31% of survey respondents feeling they are well cared for by the NHS in their local area.
  • Local NHS care for people with dementia is viewed to be the least positive; with only 29% of survey respondents feeling they are well cared for by the NHS in their local area.

This report covers many other dimensions of public satisfaction with NHS and social care services.

Full Text Link

Reference

Public perceptions of the NHS and social care. January 2015. An ongoing tracking study for the Department of Health, Winter 2014 Wave. London: Department of Health and Ipsos MORI, June 26th 2015.

Posted in Acute Hospitals, 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, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Nudge: Increasing Awareness of the Cost of Missed NHS Appointments (BBC News / Department of Health)

Summary

Over 12 million doctors’ appointments are missed each year in the NHS. Missed appointments are estimated to cost taxpayers £160 million annually. In future, patients missing appointments will be informed how much their appointment(s) actually cost the NHS.

Note: There are no plans to introduce charges for patients who miss GP appointments. The aim (at present) is simply to encourage citizens to take greater personal responsibility for how they use NHS resources.

Full Text Link

Reference

NHS to reveal cost of missed appointments to patients. London: BBC Health News, July 3rd 2015.

Possibly also of interest:

Full Text Link (Transcript of speech at the Local Government Association Annual Conference in Harrogate).

Reference

Personal responsibility. London: Department of Health and Rt Hon Jeremy Hunt MP, July 1st 2015.

Posted in Acute Hospitals, BBC News, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, National, NHS, Personalisation, Quick Insights, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Making Best Use of Data and Technology: Promises of Success and Some Failures (BBC News / NIB / NAO)

Summary

The National Audit Office has criticised the General Practice Extraction Service (GPES), i.e. the GP IT system intended to improve quality and planning in the NHS, for running over budget and behind schedule.

The big idea behind the GPES system was to facilitate the collection of information from GP surgeries, including data relating to the number of patients diagnosed with dementia or getting immunised. This was intended to improve NHS efficiency generally, determine how much doctors are paid, and help broad-ranging research and monitoring. GPES was intended to share data from GP systems in England with bodies across the health service, but has so far only provided information to NHS England.

The GPES system cost the Health and Social Care Information Centre (HSCIC) £40 million to develop, instead of the predicted £14 million. It became partially operational years later than expected.

“Mistakes in the original procurement and contract management contributed to losses of public funds, through asset write-offs and settlements with suppliers. The need for the service remains and further public expenditure is needed to improve GPES or replace it”. (NAO Executive Summary. p.5).

Full Text Link

Reference

IT system for GP records criticised. London: BBC Health News, July 2nd 2015.

This relates to:

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Reference

General Practice Extraction Service – Investigation. Report by the Comptroller and Auditor General. Ordered by the House of Commons to be printed on 30 June 2015. HC 265. Session 2015-16. London: National Audit Office, July 2nd 2015.

There is also an Executive Summary.

Big Picture Vision and Progress Update From the NIB

Meanwhile, the National Information Board’s plans to improve digital services in health and care are reported to be going well and have much to offer, not the least in supporting delivery of the Five Year Forward View. There are six priority areas, or domains:

  1. Enable me to make the right health and care choices: supporting digital services for patients and citizens.
  2. Transforming general practice.
  3. Out of hospital care and integration with social care.
  4. Acute and hospital services.
  5. Paper-free healthcare and system transactions.
  6. Data for outcomes and research.

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Reference

Implementing ‘Personalised Health and Care 2020’. London: National Information Board, June 25th 2015.

This relates to:

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Reference

Delivering the Five Year Forward View: Personalised Health and Care 2020. London: National Information Board, June 22nd 2015.

The NIB has published a set of work stream “roadmaps”:

A map to this roadmap information is accessible here:

Full Text Link

Reference

Plans to improve digital services for the health and care sector. London: National Information Board, June 19th 2015.

Posted in BBC News, Commissioning, Community Care, Department of Health, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, National, National Audit Office, NHS, NHS England, Quick Insights, Statistics, Telecare, Telehealth, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Professional Duty of Candour: Openness and Honesty When Things Go Wrong (NMC / GMC)

Summary

The General Medical Council (GMC) and the Nursing and Midwifery Council (NMC) have jointly published guidance explaining the standards expected of doctors, nurses and midwives in the UK when things go wrong during healthcare. Professionals, in turn, require the support of an open and honest working environment, which encourages learning from mistakes and the reporting incidents which have resulted in patient harm. The professional duty of candour complements the legal obligation of candour on organisations.

This standard is also expected to help patients know what to expect from healthcare professionals.

Full Text Link

Reference

Guidance on the professional duty of candour. Joint guidance with the General Medical Council. London: Nursing and Midwifery Council, June 29th 2015.

This relates to:

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Reference

Openness and honesty when things go wrong: the professional duty of candour. London: Nursing and Midwifery Council, June 24th 2015.

Possibly also of interest:

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Reference

The professional duty of candour: nursing case studies. London: Nursing and Midwifery Council, June 25th 2015.

Posted in Acute Hospitals, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), In the News, National, Northern Ireland, Person-Centred Care, Practical Advice, Quick Insights, Scotland, Standards, UK, Universal Interest, Wales | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | 1 Comment

Scotland’s Updated Care of Older People in Hospital Standards (Healthcare Improvement Scotland)

Summary

Revised Scottish standards concerning acute care of older people in hospital address all aspects of the patient care pathway, including initial assessment on admission, rehabilitation, care transitions and discharge planning. There are sixteen standards. Section headings comprise:

  • Standard 1: Involving older people: “What and who matters to me”.
  • Standard 2: Maintaining patient dignity and privacy.
  • Standard 3: Decision-making, consent and capacity.
  • Standard 4: Initial assessment on admission to hospital.
  • Standard 5: Comprehensive geriatric assessment.
  • Standard 6: Pharmaceutical care and medicines management.
  • Standard 7: Assessment and prevention of decline in cognition.
  • Standard 8: Delirium.
  • Standard 9: Dementia.
  • Standard 10: Depression.
  • Standard 11: Falls prevention management.
  • Standard 12: Rehabilitation.
  • Standard 13: Pre-discharge planning.
  • Standard 14: Care transitions.
  • Standard 15: Patient pathway and flow.
  • Standard 16: Skills mix and staffing levels.

Full Text Link

Reference

Care of older people in hospital standards. [Scotland]: Healthcare Improvement Scotland, June 2015.

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

English Longitudinal Study of Ageing Challenges Some Stereotypes About Older People and Sexuality (BBC News / Archives of Sexual Behavior)

Summary

A survey conducted by the University of Manchester indicates that 54% of men and 31% of women over the age of 70 are sexually active. Sexuality and the need for intimacy among older people have been overlooked previously. The English Longitudinal Study of Ageing (ELSA), Wave 6, has supplied data on sexual activity levels, problems with sexual functioning, and concerns about sexual health among older adults.

Full Text Link

Reference

The taboo of sex in care homes for older people. London: BBC Health News / BBC NewsMagazine, June 27th 2015.

This relates to:

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

Reference

Lee, DM. Nazroo, J. [and] O’Connor, DB. [et al] (2015). Sexual health and well-being among older men and women in England: findings from the English Longitudinal Study of Ageing. Archives of Sexual Behavior. January 2015. [Epub ahead of print]. (Click here to view the PubMed abstract).

Posted in BBC News, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, International, Management of Condition, Person-Centred Care, Personalisation, Quick Insights, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment