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.

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An Investigation Into NHS Services for Care Homes Residents (NIHR)

Summary

A highly detailed, multi-staged, investigation into which type(s) of NHS primary care services work best for care homes and their residents was conducted. Conclusions drawn are hard to summarise simply, without doing this research some injustice.

One thing is clear. Provision of age-appropriate care to help support residents with dementia would appear to be worthwhile.

“If NHS and care home staff have access to dementia expertise when addressing residents’ behaviours that they find challenging (context) then they have confidence and skills in providing care (mechanism) that reduces the need for antipsychotic prescribing and the distress of residents (outcome)”. (p.vii)

Full Text Link

Reference

Goodman, C. Davies, SL. [and] Gordon, AL. [et al] (2017). Optimal NHS service delivery to care homes: a realist evaluation of the features and mechanisms that support effective working for the continuing care of older people in residential settings. Southampton (UK): NIHR Journals Library; October 2017. Vol.5(29).

There is also an Executive Summary.

Posted in Antipsychotics, 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, National, NHS, NIHR, NIHRSDO, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, UK | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

National Self Care Week 2017: Embracing Self Care for Life (NHS England / Self Care Forum)

Summary

The Self Care Week (2017), organised by the Self Care Forum, occurs between November 13th – 19th 2017.​ This year’s theme is “Embracing Self Care for Life”. This is all about:

“ …engaging and empowering people to look after their own self-treatable conditions, long term conditions, or lifestyle choices to ensure better physical health and mental wellbeing”.

Full Text Link

Reference

Encouraging people to embrace self care for life. [Online]: NHS England, November 13th 2017.

This relates to:

Full Text Link

Reference

Self Care Week 2017. Online [Bradford; Yorkshire]: The Self Care Forum, 2017.

Posted in Charitable Bodies, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Information, Person-Centred Care, Personalisation, Quick Insights, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

UK “Health at a Glance 2017” Using OECD Indicators (BBC News / OECD)

Summary

The Organisation for Economic Co-operation and Development (OECD)’s Health at a Glance provides “the latest comparable data and trends on the performance of health systems in OECD countries”.

Britain appears to be the “most obese nation” in Western Europe, with 63% of UK adults being overweight. Obesity rates doubled over the last two decades.

Funding of the NHS appears to compare not unfavourably with that in other developed nations.

“Good access to treatment remains stable for patients, although the number of doctors and nurses is down per head by 18 and 12% respectively”.

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Reference

UK most overweight country in Western Europe says OECD. London: BBC Health News, November 11th 2017.

This relates to:

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Reference

Health at a Glance 2017: OECD Indicators. Paris: Organisation for Economic Cooperation and Development (OECD), 2017.

There is a highly detailed version of this report:

Full Text Link

Reference

Health at a Glance 2017: OECD Indicators. Paris: Organisation for Economic Cooperation and Development (OECD), 2017.

The NHS is relatively efficient in its use of resources (although this may not be saying much, when it is estimated that one fifth of healthcare spending across OECD countries is wasted). See further:

Full Text Link

Reference

Organisation for Economic Cooperation and Development; Berchet, C. Cecchini, M. [and] Couffinhal, A. [et al] (2017). Tackling wasteful spending on health. Paris: Organisation for Economic Cooperation and Development (OECD), 2017.

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

Embedding a Culture for Quality Improvement (King’s Fund)

Summary

Establishing quality improvement approaches which actually work has much to do with suitable leadership and organisational culture, according to a new King’s Fund report.

Full Text Link

Reference

Embedding a culture of quality improvement. [Online]: King’s Fund, November 9th 2017.

This relates to:

Full Text Link

Reference

Jabbal, J. (2017). Embedding a culture of quality improvement. London: King’s Fund, November 2017.

There is also an Executive Summary.

Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, King's Fund, National, NHS, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

UK’s First Dedicated A&E for Elderly Patients? (BBC News)

Summary

Norfolk and Norwich University Hospitals NHS Foundation Trust are to open the first specialist A&E department for patients over 80 years old. This hospital’s existing emergency department typically receives 350 people per day, of whom 50 may be aged over 80-years-old.

Full Text Link

Reference

Norfolk and Norwich Hospital creates A&E for elderly patients. London: BBC Health News / BBC Norfolk News, November 7th 2017.

Posted in Acute Hospitals, Age UK, BBC News, Commissioning, 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, National, NHS, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

NHS Funding and Expenditure: Joint Statement on Health and Social Care, Pre-The Autumn Budget (BBC News / King’s Fund / Health Foundation / Nuffield Trust)

Summary

A joint King’s Fund, Health Foundation and Nuffield Trust report reviews NHS funding and possible implications for NHS performance against targets, and the likely impact on future access to health and care services.

Full Text Link

Reference

The Autumn Budget: Joint statement on health and social care. [Press release]. [Online]: King’s Fund, November 8th 2017.

This relates to:

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Reference

The Autumn Budget: Joint statement on health and social care. London: King’s Fund / Health Foundation / Nuffield Trust, November 2017.

Further analysis of doom forecasting:

Full Text Link (Note: This article is available freely at present, but may soon require a suitable Athens password, a journal subscription or payment for access).

Reference

Hawkes, N. (2017). Winter crisis? What crisis? BMJ. November 13th 2017; 359: j5203.

Placing everything into political / lobbying context:

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Reference

Triggle, N. (2017). We want our Brexit cash boost – NHS boss. London: BBC Health News, November 8th 2017.

Further contextual analysis:

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Reference

Pym, H. (2017). NHS battle for money: Where will it end? London: BBC Health News, November 9th 2017.

Question: how might we bypass blatant partisanship and institutional / managerial self-interest?

“A new independent body – modelled on the OBR – should be established to identify the long-term health care needs of the population and the staffing and funding required to meet these needs”. (p.5)

Why would the Department of Health be unsuited to this task?

Possibly of interest, regarding cross-party attempts to secure the sustainability of NHS and social care:

Full Text Link

Reference

Pym, H. (2017). Social care: MPs seek cross-party group to ‘sustain’ NHS. London: BBC Health News, November 18th 2017.

The 2017 Budget

“Philip Hammond announced an immediate £350m boost for this winter followed by £1.6bn more next year for the front line above the rise already planned”.

An early, predictable, assessment:

Full Text Link

Reference

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

Possibly of interest:

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Reference

Triggle, N. (2017). NHS pay rise: Are there strings attached? London: BBC Health News, November 29th 2017.

Charity As a Welcome Top-Up?

Charity funding requests: a slippery slope?

Full Text Link

Reference

Norwich hospital begging to patients for donations, MP says. London: BBC Health News / BBC Norfolk News, November 23rd 2017.

Posted in Acute Hospitals, BBC News, Charitable Bodies, 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, Nuffield Trust, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment