Updated Official Statistics on Dementia Prevalence and Improvements to Dementia Diagnosis, Care and Research (House of Commons Library)

Summary

This recently updated House of Commons Library briefing paper summarises the government’s, the NHS’s and other statutory bodies’ work to improve dementia diagnosis, care and support and research. This document presents statistics and maps on rates (and the expected increase) of dementia prevalence across the UK, including local prevalence level data for English Parliamentary constituencies.

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Reference

Blow, E. [and] Baker, C. (2015). Dementia: statistics on prevalence and improving diagnosis, care and research. Briefing paper no. 07007, 23 July 2015. London: House of Commons Library, July 27th 2015.

Posted in National, NHS, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Universal Interest, Standards, Acute Hospitals, Community Care, Local Interest, UK, Statistics, Patient Care Pathway, Diagnosis, For Social Workers (mostly), Scotland, Quick Insights, Management of Condition, Non-Pharmacological Treatments, Models of Dementia Care, Person-Centred Care, Commissioning, Integrated Care, Northern Ireland, NHS England, Wales | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Review of Progress on Services for People With Neurological Conditions (NAO / BMJ)

Summary

This National Audit Office (NAO) report indicates mixed progress against the House of Commons Public Accounts Committee’s (2012) recommendations for improving services and achieving better outcomes for people with neurological conditions. The three recommendations against which progress has been poorest are:

  1. Use of the CCG Outcomes Indicator Set (CCGOIS), JSNAs and health and wellbeing boards to ensure appropriate access to services for people with neurological conditions.
  2. Joint health and social care commissioning of neurological services.
  3. Offering people with long-term neurological conditions personal care plans for health and social care.

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Reference

Services for people with neurological conditions: progress review. London: National Audit Office (NAO), July 10th 2015.

This relates to:

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Reference

Services for people with neurological conditions: progress review. Report by the Comptroller and Auditor General. Department of Health and NHS England. HC 301. Session 2015-16. London: National Audit Office, July 10th 2015.

There is also an Executive Summary.

Possibly also of interest:

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

Reference

Morrish, PK. (2015). Inadequate neurology services undermine patient care in the UK: action is required to restore balance and ensure fair access. BMJ (Clinical research ed.), June 18th 2015, 350, h3284.

Posted in Acute Hospitals, Commissioning, Community Care, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, National, National Voices, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

New Models of Care Vanguards: Vanguard Support Package (NHS England)

Summary

A support package for the new models of care vanguards has been created by the NHS Five Year Forward View partners. The 29 local NHS and care consortiums (known as Vanguard Sites), are exploring alternative models / better ways of providing care in the NHS and social care.

The support package for 2015/16, involves workstreams in eight areas:

  1. Designing new care models.
  2. Evaluation and metrics.
  3. Integrated commissioning and service provision.
  4. Empowering patients and communities.
  5. Harnessing technology: the potential of digital technology to deliver care and share patient information.
  6. Workforce redesign: development of a modern, flexible workforce organised around patients and their local populations.
  7. Local leadership and delivery.
  8. Communications and engagement: demonstrating best practice and engaging with staff, patients and local people.

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Reference

Vanguard support package launched. London: NHS England, July 31st 2015.

See also:

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Reference

Supporting the vanguards. London: NHS England, July 2015.

This relates to:

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Reference

The Forward View Into Action. New Care Models: update and initial support. London: NHS England, July 2015.

Posted in National, NHS, For Doctors (mostly), For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Universal Interest, Standards, Acute Hospitals, Community Care, UK, Patient Care Pathway, For Social Workers (mostly), In the News, Quick Insights, Management of Condition, Non-Pharmacological Treatments, Models of Dementia Care, Person-Centred Care, Telehealth, Mental Health, Commissioning, Telecare, Integrated Care, NHS England | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Investigating Simplified Approaches to Diagnosis / Screening of Dementia (British Journal of General Practice)

Summary

This article reports on research to discover a simplified, quick and easy method of dementia diagnosis, where clinical assessment has already suggested possible dementia. The aim is to reduce the need for specialist referrals and more expensive detailed, time-consuming assessments. This study reveals three simple questions which appear to be useful when diagnosing dementia in men who are cognitively screened; the best of which (for ruling-out likely dementia) is a self-reported declaration of “no problems learning to use new gadgets”.

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

Reference

Creavin, S. Fish, M. [and] Gallacher, J. [et al] (2015). Clinical history for diagnosis of dementia in men: Caerphilly Prospective Study. The British Journal of General Practice: the journal of the Royal College of General Practitioners. August 2015, Vol.65(637), pp.e489-99. (Click here to view the PubMed abstract).

Posted in Community Care, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Models of Dementia Care, Quick Insights, UK, Universal Interest, Wales | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Recovery, Rehabilitation and Reablement: National Audit Report 2015 (NHS IQ)

Summary

The “Unbundling Recovery: Recovery, Rehabilitation and Reablement National Audit Report”, from NHS Improving Quality, investigates the use of an audit methodology (used earlier for surgical conditions) to assess how to improve the rehabilitation in acute hospitals.

This report describes the potential role of a locally-derived tariff for recovery, rehabilitation and reablement in supporting service improvements.

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Reference

Unbundling recovery: recovery, rehabilitation and reablement national audit report. Implementing capitated budgets within long term conditions for people with complex needs. London: NHS Improving Quality, June 2015.

Posted in Acute Hospitals, Commissioning, 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, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Physiotherapy, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Benefits of Alteplase Outweigh Risks (BBC News / MHRA)

Summary

The Medicines and Healthcare Products Regulatory Agency (MHRA) review into the safety of alteplase, the thrombolytic (clot-busting) drug for the treatment of strokes, has concluded that alteplase is “safe and effective”. The expert working group of the UK’s Commission on Human Medicines (CHM) asserts that alteplase is safe and effective for use up to 4.5 hours after the onset of symptoms.

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Reference

Clot-busting stroke drug safe, says expert review. London: BBC Health News, July 24th 2015.

This relates to:

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Reference

Independent expert review concludes alteplase is safe and effective for use within existing treatment guidelines. London: Medicines and Healthcare Products Regulatory Agency, July 24th 2015.

Posted in Acute Hospitals, BBC News, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, National, Pharmacological Treatments, Stroke, UK, Universal Interest | Tagged , , , , , , , , , , , | Leave a comment

NICE Consultation on Draft Guidelines for Care of the Dying Adult (BBC News / NICE)

Summary

The National Institute for Health and Care Excellence (NICE) has released draft guidelines concerning the care of adults potentially entering the last days of their lives while in the care of the NHS. The guideline covers people dying from chronic diseases, such as cancer, heart or lung disease or dementia (and people whose condition has deteriorated). The consultation closes on September 9th 2015.

There were concerns that the previous system, i.e. the abandoned Liverpool Care Pathway, was sometimes misused and could result in patients being deprived of water and food.

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Reference

Mundasad, S. (2015). Dying care: ‘Improved’ guidelines proposed. London: BBC Health News, July 29th 2015.

This relates to:

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Reference

Care of the dying adult: draft guideline consultation. London: National Institute for Health and Care Excellence (NICE), July 29th 2015.

There is also a shorter Guideline Summary and a huge review of the evidence.

Posted in National, NICE Guidelines, NHS, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Universal Interest, Standards, Acute Hospitals, Community Care, UK, Patient Care Pathway, End of Life Care, For Social Workers (mostly), In the News, Quick Insights, Management of Condition, Non-Pharmacological Treatments, Models of Dementia Care, Nutrition, Person-Centred Care, BBC News, Integrated Care, Personalisation | Tagged , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment