Monthly Archives: June 2019

New Dementia Quality Standard (NICE)

Posted on June 29, 2019 by Dementia and Elderly Care News

Summary National Institute for Health and Care Excellence (NICE)’s “Dementia Quality Standard (QS184)” is intended to improve: dementia diagnosis rates; the wait time between referral and diagnosis; reductions in hospital admissions, avoidable care home admissions and length of hospital stay; … Continue reading →

Ongoing Reflections on Social Care Sustainability (BBC News / ADASS / Health Foundation)

Posted on June 29, 2019 by Dementia and Elderly Care News

Summary Local authorities will spend £22.5 billion in 2019-20 on social services for older people and younger adults with disabilities, representing an increase of £400 million over spending in the previous year. An Association of Directors of Adult Social Services … Continue reading →

Posted in BBC News, Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, In the News, Integrated Care, Management of Condition, National, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Access to Care, Access to Funding, Access to Services, Access to Social Services, ADASS Budget Survey (2019), Adult Social Care Budgets, Adult Social Care Green Paper (Delayed Six Times), Adult Social Care Precept, Ageing Population, Association of Directors of Adult Social Services (ADASS), Barriers to Older People Accessing Help and Support, Barriers to Support, BBC Health News, Better Care Fund (BCF), Capacity Pressures in the Health and Social Care System, Care and Support Reform, Community Care, Community Support Services, Cost Pressures on Social Care Providers, Costs and Cost Pressures, Demographic Pressures, Dilnot-Style Means Test and Capped Cost Model, Economic Sustainability, Future Financial Sustainability, Home Care, Home Care Services, Integration of Health and Social Care, Joined-Up Care, Local Government Association: LGA, National Living Wage, National Living Wage in Social Care Sector, NHS-Related Pressures, Patient Experience, Provider Sustainability, Quality and Sustainability, Social Care Crisis, Social Care Crisis: Abandoned by the System, Social Care for Adults Aged 18-64: Health Foundation, Social Care Funding Gap, Social Care Green Paper, Social Care Precept, Social Protection Against Care Costs, Spending Per Person on Adult Social Care in England Scotland and Walesl, Spending Round (September 2019), Sustainability, Tipping Point in Sustainability of Adult Social Care (Alleged) | Leave a comment

More on the Association Between Anticholinergics and Dementia Risk (BBC News / JAMA Internal Medicine / Bazian / BJCP)

Posted on June 25, 2019 by Dementia and Elderly Care News

Summary Fresh research appears to confirm the association between the use of anticholinergic drugs (prescribed for the treatment of depression, epilepsy, Parkinson’s Disease and bladder problems) and an increased risk of developing Alzheimer’s Disease and related dementias (ADRD). Statistical research … Continue reading →

Posted in BBC News, In the News, NHS Digital (Previously NHS Choices), UK, Universal Interest | Tagged Acetylcholine, Adverse Drug Reactions (ADRs): Type A (Potentially Avoidable and Associated With Commonly Prescribed Medications), Alzheimer’s Disease and Related Dementias (ADRD), Anticholinergic Drugs, Anticholinergic Drugs and Dementia in Older Adults, Anticholinergic Drugs and Dementia Risk, Anticholinergics, Australia, Bazian, BBC Health News, Behind the Headlines, British Journal of Clinical Pharmacology, Center for Health Innovation and Implementation Science: Regenstrief Institute Inc, Centre for Big Data Research in Health: University of New South Wales, Centre for Education and Research in Ageing: Concord Hospital (Sydney), Centre of Public Health Sciences: University of Iceland, Charles Perkins Centre: University of Sydney, Choosing Wisely Australia, Clinical Pharmacy and Pharmacology, Concord Hospital (Sydney), Conflicting Recommendations in Prescribing Guidelines, Cumulative Anticholinergic Use (Dementia Risk Factor), Dementia and Cognitive Impairment, Dementia Risk Factors, Dementia Risk Reduction, Division of Primary Care: University of Nottingham, Division of Psychiatry and Applied Psychology: Institute of Mental Health (Nottingham), Drug Side-Effects, Epidemiology, Epidemiology and Statistics, Faculty of Medicine: University of Iceland, Iceland, Indiana University, Indiana University School of Medicine, Institute of Mental Health (Nottingham), JAMA Internal Medicine, Medicines Combinations, Menzies Centre for Health Policy: University of Sydney, National Institute for Health Research (NIHR), Neurology, Nuffield Department of Primary Care Health Sciences: University of Oxford, Pharmaceutical Benefits Scheme (PBS), Pharmaco-Epidemiology, Pharmacoepidemiology, Potentially Harmful Medications, Potentially Inappropriate Medications (PIM), Potentially Inappropriate Medicine Combinations, Potentially Inappropriate Medicines, Potentially Inappropriate Prescribing, Potentially Inappropriate Prescribing in Dementia, Prevention of ADRD by Deprescribing Anticholinergics (Speculation), Primary Care and Population Sciences: University of Southampton, Purdue University College of Pharmacy, QResearch, QResearch Database, Regenstrief Institute Inc (Indianapolis), Risk Factors, Risk Factors for Alzheimer's Diseease, Strong Anticholinergics Association With Incident Dementia, Sydney Medical School: University of Sydney, Sydney Pharmacy School: University of Sydney, University of Iceland, University of New South Wales, University of Nottingham, University of Oxford, University of Southampton Medical School, University of Sydney | Leave a comment

Statistical Process Control Applied to Delayed Transfers of Care (NHS Improvement)

Posted on June 22, 2019 by Dementia and Elderly Care News

Summary Delayed transfers of care (DToC) are widely recognised to be a significant cause of unnecessary harm to patients, and potentially avoidable financial costs to the taxpayer. NHS Improvement’s “Delayed transfer of care (DToC) improvement tool” incorporates the latest data from … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, National, NHS, NHS Improvement, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Acute Hospital Care, Adult Social Care, Adult Social Care Services, Ageing Population, Areas With the Highest Delayed Transfers of Care, Care for Vulnerable Older People, Clinical Commissioning Groups (CCGs), Cross-Sector Partnerships, Dashboards, Delayed Transfer of Care (DToC) Improvement Tool (NHS Improvement), Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Discharge From Acute and Mental Health Trusts, DToCs Dashboard, Efficiency Opportunities, English Local Authorities, Geographical Variations, Health and Adult Social Care Providers, Health and Social Care, Health and Social Care Integration, Hospital Discharge, Hospital Discharge and Transfers, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integration of Health and Social Care, Local Authorities (LAs), Local Health Services: Variations, NHS Improvement's Delayed Transfers of Care Improvement Tool, Patient Discharge, Patient Flows, Pivot Table Slicers (Excel Tool), Post-Discharge Support, QI: Quality Improvement, Quality and Efficiency Opportunities, Quality Improvement, Quality Improvement Approaches, Reducing Bed Days, Reducing Waste in the NHS, Regional Variations, Social Care Delays (Impact on Hospital Bed-Days and LoS), Social Care Providers, Statistical Process Control, Statistical Process Control (SPC) Principles, Statistical Process Control Methodology, Sustainability, Sustainable Health and Social Care, Thinking Like a Patient and Acting Like a Taxpayer, Transition Between Inpatient Hospital Settings and Community or Care Home Settings, Unacceptable Variations, Unwarranted Variations, Variation in Performance, Vulnerable Older People, Wasted Resources, Whole System Dashboards, Whole System Patient Flows | Leave a comment

Integrated Care Research and Practice: Everything You Ever Wanted to Know (SCIE / DHSC)

Posted on June 20, 2019 by Dementia and Elderly Care News

Summary The Integrated Care Research and Practice database, funded by the Department of Health and Social Care (DHSC), aims to provide regularly updated information on the planning, commissioning and delivery of person-centred integrated care. Section headings comprise: Enablers of Integrated … Continue reading →

Posted in Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, Person-Centred Care, Personalisation, Quick Insights, SCIE, Standards, UK, Universal Interest | Tagged Achieving Integrated Care, Asset-Based Approaches, Asset-Based Areas, Asset-Based Places, Care and Support in Crisis, Care Planning, Care Transitions, Collaborative Care Planning, Community Multidisciplinary Teams, Community-Based Care, Community-Based Integrated Services, Community-Based Integrated Support, Community-Based Services, Community-Based Support, Crisis Intervention and Prevention, Crisis Prevention, Crisis Support, Digital Care Records, Enablers of Integrated Care, Information Sharing, Information Sharing and Digital Care Records, Information Sharing: Care Plans, Innovation and Improvement, Integrated and Person-Centred Care, Integrated Care Research and Practice (SCIE / DHSC), Integrated Digital Care Records (IDCRs), Integrated Workforce, Joint Commissioning, Joint Needs Assessment and Care Planning, Joint Needs Assessments, Joint Strategic Needs Assessment (JSNA), Joint Strategic Needs Assessments, Local System Leadership, Logic Model for Integrated Care (SCIE): Components, Logic Model for Integrated Care (SCIE): Enablers, Logic Model for Integrated Care (SCIE): Impacts and Benefits, Logic Model for Integrated Care (SCIE): Outcomes, MDTs: Multidisciplinary Teams, Multi-Disciplinary Team (MDT), Multi-Disciplinary Teams, Multidisciplinary Population-Based Teams, Multidisciplinary Teams, NHS Social Care Interface Dashboard, Person-Centred Care and Support, Population-Based Budgets, Population-Based Care Person-Focused Care, Preventing Future Crises, Prevention, Prevention and Self Care, Proactive Care Planning, SCIE Logic Model for Integrated Care, SCIE's Logic Model (Integrated Care), Sector Led Improvement and Innovation, Self-Care, Self-Care Resources to Support Person Centred Care, Shared System Leadership, Social Care Institute for Excellence (SCIE), Support for Self-Care, Supporting Self-Care, System Leadership, Total Transformation of Care and Support: Logic Model(s), Transitions Between Health and Social Care, Transitions of Care, Understanding and Improving Transitions of Older People: User and Care Centred Approach, Whole Population Approachess | Leave a comment

Dementia Biomarkers Re-Explored? (General Psychiatry / JGCR)

Posted on June 17, 2019 by Dementia and Elderly Care News

Summary A recent systematic review examines biomarkers, as strictly defined, for neurodegenerative diseases. “Vast improvements in neuroimaging techniques have led to newly discovered biomarkers and diagnostics”. p.5 Behavioural biomarkers are mentioned hardly at all. Full Text Link Reference Maclin, JMA. … Continue reading →

Posted in Alzheimer’s Research UK, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, Mental Health, Personalisation, Quick Insights, Systematic Reviews, UK, Universal Interest | Tagged 18F-florbetaben, 18F-flutemetamol, 18Fflorbetapir, Alzheimer's Disease: Diagnosis, Alzheimer’s Disease, Alzheimer’s Disease and Dementia, Alzheimer’s Disease Biomarkers, Alzheimer’s Research UK (ARUK), Amyloid and Tau PET, APOE e4 (Apolipoprotein E e4), Apolipoprotein E (APOE) e4 Allele, Behavioural Biomarkers, Beta-Amyloid PET Imaging, Biomarker Development, Biomarkers, Biomarkers Predicting Cognitive Decline and Alzheimer's Disease, Canonical Syndromes of Primary Progressive Aphasia: Non-Fluent / Agrammatic Variant (nfvPPA), Canonical Syndromes of Primary Progressive Aphasia: Semantic Variant (svPPA), Carbon-11 Pittsburgh Compound-B (C-PIB) Radioisotope Tracer, Cerebral Metabolic Rate for Glucose (CMRgl), Cerebrospinal Fluid (CSF) Biomarkers, Cerebrospinal Fluid and Serum MHPG, CMRgl Decline, Corticobasal Degeneration (CBD), CSF 3-methoxy-4-hydrox-yphenylglycol (MHPG), Dementia With Lewy Bodies (DLB), Differential Diagnosis, DLB: Dementia with Lewy Bodies, Docosahexaenoic Acid (DHA), Early Diagnosis, Early Diagnosis of Alzheimer's Disease, Eicosapentaenoic Acid (EPA), Frontotemporal Dementia (FTD), α-Synuclein, Journal of Geriatric Care and Research (JGCR), Lewy Body Dementia (LBD), Magnetic Resonance Imaging (MRI), Medial Temporal Lobe Atrophy (MTA), Medial Temporal Lobes (MTL), Metabolic Syndrome (MetS), MRI Brain Imaging, Neurodegeneration, Neurodegenerative Disease Research, Neurodegenerative Diseases, Neuroimaging, Neuroimaging in Dementia Diagnosis, Non-Invasive Biomarkers, Pick’s Disease (Frontotemporal Dementia), Positron Emission Tomography (PET), Preclinical Alzheimer's Disease, Primary Progressive Aphasia (PPA), Progressive Supranuclear Palsy (PSP), Rapid Screening, Screening for Dementia, Sea Hero Quest (SHQ) Game, Sea Hero Quest VR, Tau PET, Timely Diagnosis, VaD: Vascular Dementia, Variants of Primary Progressive Aphasia (PPA), Vascular Dementia, [18F]THK5351 | Leave a comment

Unexpected Results From the Dementia and Physical Activity (DAPA) Trial? (Pharmacoeconomics Open / JAD)

Posted on June 15, 2019 by Dementia and Elderly Care News

Summary Previous research has suggested that physical exercise has the potential to slow the progression of dementia in people with pre-existing mild cognitive impairment through to moderate dementia. Evidence for the cost-effectiveness of structured physical activity programmes has been lacking, … Continue reading →

Dementia Care in Acute Hospitals: Comparisons Between Specialist Inpatient Dementia Units Versus Standard Ward Care (Aging Clinical and Experimental Research)

Posted on June 10, 2019 by Dementia and Elderly Care News

Summary A recent systematic review investigated the literature on the comparative effectiveness of Specialist Inpatient Dementia Units (SIDUs) in acute hospital settings versus that of standard ward care (SWC). Studies that scored poorly relating to possible bias were excluded from the … Continue reading →

Posted in Acute Hospitals, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Management of Condition, Models of Dementia Care, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Statistics, Systematic Reviews, UK, Universal Interest | Tagged Academic Geriatric Medicine: University of Southampton, Acute Care, Acute Hospital Care, Acute Hospitals, Acute Medical Ward for Dementia, Aging Clinical and Experimental Research, Carer Satisfaction, Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Department of Psychological Medicine: University Hospital Southampton NHS Foundation Trust, Discharge Destination, Do Not Attempt Cardiopulmonary Resuscitation Orders (DNACPR), Do Not Attempt Resuscitation (DNAR), History Taking, Medical Research Council Lifecourse Epidemiology Unit: University Hospital Southampton NHS Foundation Trust, Medicine for Older People: University Hospital Southampton NHS Foundation Trust, National Institute for Health Research Southampton Biomedical Research Centre: University Hospital Southampton NHS Foundation Trust, Patient History Taking, Patient Satisfaction, Rates of Hospital Readmissions, Readmission Rates, Readmissions to Hospital, Specialist Inpatient Dementia Units (SIDUs), Standard Ward Care (SWC), Systematic Reviews and Meta-Analyses, Treatment Decisions, University Hospital Southampton NHS Foundation Trust, University of Southampton, University of Southampton Faculty of Medicine: University Hospital Southampton NHS Foundation Trust | Leave a comment

Interim NHS People Plan (NHS Improvement / BBC News)

Posted on June 9, 2019 by Dementia and Elderly Care News

Summary The Interim NHS People Plan, formerly the Workforce Implementation Plan promised in the NHS Long Term Plan, covers staffing levels, recruitment and education issues. It also states a commitment to making the NHS the best place to work; to … Continue reading →

Posted in BBC News, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, National, NHS, NHS Improvement, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Acute and Community Service Provider Integration, Advanced Clinical Practice, Allied Health Professionals (AHPs), Barriers to Movement of Staff Between Organisations, BBC Health News, BBC Reality Check Team, BBC Reality Check: International Nurses and Doctors Recruitment, Culture and Leadership, Delivering 21st Century Care (Workforce Skills), Dentists, Digital Leaders, Digital Skills, Digital Skills of NHS Workforce, Digital Skills Training, Digital Workforce, Diversity in Leadership, Electronic Staff Record (ESR), Embedding Scientific and Technological Developments: Genomics Robotics and Artificial Intelligence (AI), Flexible Career Development, Flexible Workforce, Flexible Working, Flexible Working Arrangements, Future Medical Workforce, Future Workforce, GP Career Plus, GP Health Service, GP Recruitment, GP Retention, GP Retention Scheme, GP Workforce, Growing the Medical Workforce, Healthcare Scientists, ICS Maturity Framework, Improving Leadership Culture, Inclusive and Compassionate Leadership, Informaticians and Data Scientists, Integrated Care Systems (ICSs), Interim NHS People Plan. NHS Improvement (2019), Interim NHS People Plan: Future Allied Health Professions and Psychological Professions Workforce. NHS Improvement, Interim NHS People Plan: Future Dental Workforce. NHS Improvement, Interim NHS People Plan: Future Healthcare Science Workforce. NHS Improvement, Interim NHS People Plan: Future Medical Workforce. NHS Improvement, Interim NHS People Plan: Future Pharmacy Workforce. NHS Improvement, International Doctors Recruitment, International Medical Graduates, International Medical Graduates Recruitment, International Nurses Recruitment, Kark Report: Leadership in the NHS, Leadership and Talent Management, Leadership Styles for Integrated Care Systems (ICSs), Learning Support Fund (LSF), Local GP Retention Fund, Making the NHS the Best Place to Work, Merging the Interfaces of Primary and Secondary Care, Multi-Disciplinary Team (MDT), Multi-Disciplinary Teams, Multi-Disciplinary Working, Multidisciplinary Healthcare Teams, New Operating Model for Workforce re: ICSs, NHS Black and Minority Ethnic (BME) Staff (Experiences), NHS Digital Academy, NHS Graduate Management Training Scheme, NHS Improvement: Developing People Improving Care, NHS Improvement: Interim NHS People Plan, NHS Long Term Plan (2019), NHS Long Term Plan: GP Services, NHS Long Term Plan: Implementation, NHS People Plan, NHS Workforce, Non-Clinical Professionals, Nursing Associates, Nursing Workforce, Nursing: Changing Perceptions, Nursing: Stimulating Demand / Supply and Shifting Perceptions, Pharmacists, Physician Associates, Preparing the Healthcare Workforce for the Digital Future. Final Report (Topol Review), Prerana Issar: Chief People Officer for NHS England and NHS Improvement, Professional Integration, Professor Em Wilkinson-Brice: Deputy Chief People Officer for NHS England and NHS Improvement, Releasing Time for Care, Talent Management, Topol Programme for Digital Fellowships in Healthcare, Topol Review: Health Education England, Vertical Integration (of Primary and Secondary Care), Volunteers and Carers, Workforce Implementation Plan, Workforce Skills | Leave a comment

On the Influence of Primary Care Incentive Schemes Upon Care Home Admissions For People with Dementia: Exploring the Limits of Intervention (CHE / BJGP)

Posted on June 1, 2019 by Dementia and Elderly Care News

Summary A study by the Centre for Health Economics (CHE) investigated whether incentives offered to GPs to provide annual reviews for patients with dementia, under the Quality and Outcomes Framework (QOF), actually reduce the risk of admissions to care homes. … Continue reading →

Monthly Archives: June 2019

Dementia Biomarkers Re-Explored? (General Psychiatry / JGCR)

Dementia Care in Acute Hospitals: Comparisons Between Specialist Inpatient Dementia Units Versus Standard Ward Care (Aging Clinical and Experimental Research)

Interim NHS People Plan (NHS Improvement / BBC News)

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