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Recent Posts
- Dementia-Friendly Communities Provision, Viewed as a Social Determinant of Health (JGCR / NHS England / WHO)
- International Perspectives on the Possible Impact of the COVID-19 Pandemic and Lockdown on Abuse of the Elderly (JGCR / American Journal of Geriatric Psychiatry / JAGS)
- Updates Relating to the Lancet Commission on Dementia Prevention, Intervention, and Care (Lancet / Alzheimer’s Research and Therapy / Alzheimer’s and Dementia)
- A Brief Review of How the COVID-19 Pandemic Relates to Elderly Care and Research (JGCR)
- Some Speculated / Potential Benefits of COVID-19 (JGCR / BBC Radio 4’s Rethink / BGS)
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Tag Archives: Acute Care
More Statistics on Dementia Care in Acute Hospitals (The Pharmaceutical Journal)
Summary Data, obtained from a Freedom of Information (FOI) request, indicates that 17% of acute trusts (there were 87 that did respond) offer the full range of non-pharmaceutical therapies suggested by NICE guidance, while less than 45% offer one or … Continue reading
Posted in Acute Hospitals, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged Acute Care, Acute Hospital Care, Alternatives to Antipsychotic Drugs, Alternatives to Antipsychotic Medication, Behavioral and Psychological Symptoms of Dementia (BPSD), Behavioural and Psychological Symptoms of Dementia (BPSD), Dementia Care in Acute General Hospitals, Dementia Care in Acute Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Dementia Care in the Acute Hospital, Dementia Friendly Acute Hospitals, Dementia in General Hospital Inpatients, Distressed Behaviour, FOI: Freedom of information, Managing Distress, Managing Psychological and Behavioural Distress in People with Dementia, Non-Pharmacological Management of Symptoms, Non-Pharmacological Treatments, Non-Pharmacological Treatments for BPSD, Pharmaceutical Journal, Psychological Symptoms of Dementia (BPSD), Psychotropic Drug Cessation, Reducing Agitation and Distress, Reducing Avoidable Harm, Reducing Inappropriate Polypharmacy, Reducing Inappropriate Use of Antipsychotics in Dementia, Statistics on Dementia Care in Acute Hospitals
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National Audit of Dementia Care in General Hospitals: Spotlight Audit on Psychotropic Medication (HQIP / RCP)
Summary The Healthcare Quality Improvement Partnership (HQIP) and Royal College of Psychiatrists have published a spotlight audit on the use of psychotropic medicines in the care of people with dementia in general hospitals in England and Wales. Psychotropic medication may … Continue reading
Posted in Acute Hospitals, Antipsychotics, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Person-Centred Care, Pharmacological Treatments, Quick Insights, Royal College of Psychiatrists, Standards, Statistics, UK, Universal Interest
Tagged Acute Care, Acute Hospital Care, Alternatives to Antipsychotic Drugs, Alternatives to Antipsychotic Medication, Anticonvulsants: as Mood Stabilisers, Antidepressants, Avoidable Harm, Avoidable Harm: Psychotropic Dosages and Drug Interactions, Behavioral and Psychological Symptoms of Dementia (BPSD), Behavioural and Psychological Symptoms of Dementia (BPSD), Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Dementia Care in the Acute Hospital, Dementia Friendly Acute Hospitals, Dementia in General Hospital Inpatients, Dementia Medications, Discharge Medicines Review Service, Drugs for BPSD, Falls Prevention, Healthcare Quality Improvement Partnership (HQIP), Hypnotics and Anxiolytics, Medicines Optimisation, Medicines Reconciliation, National Audit of Dementia (Care in General Hospitals), National Audit of Dementia (NAD), National Audit of Dementia Care in General Hospitals: Spotlight Audit on Psychotropic Medication (2020), National Audit of Dementia Care in Hospitals, National Audit of Dementia: Spotlight Report on Psychotropic Medication, National Falls Prevention CQUIN, Patient Discharge, Patient Discharge Summaries, Patient Notes, Patient Records, Patient Safety, Patterns of Psychotropic Prescriptions, Potential Harms of Antipsychotic Use, Potentially Inappropriate Medications (PIMs), Potentially Inappropriate Medicine Combinations, Potentially Inappropriate Prescribing, Potentially Inappropriate Prescribing (PIP), Potentially Inappropriate Prescribing in Older People With Dementia, Prescribing of Antipsychotic Drugs For People With Dementia, Prescription of Psychotropic Drugs, Prescription of Psychotropic Medication Initiated in Hospitals for BPSD, Prescriptions Reviewed on Discharge, Prevalence of Potentially Inappropriate Prescribing of Antipsychotic Drugs, Psychological Symptoms of Dementia (BPSD), Psychotropic Drug Cessation, Psychotropic Drug Use (Antipsychotics Antidepressants Hypnotics Anxiolytics Anticonvulsants Antidementia Drugs), Psychotropic Drugs, Psychotropic Medication, Psychotropic Prescribing, QI: Quality Improvement, Quality Improvement, Reducing Antipsychotic Prescriptions in Dementia, Reducing Avoidable Harm, Reducing Inappropriate Polypharmacy, Reducing Inappropriate Use of Antipsychotics in Dementia, Regular and PRN Prescriptions, Royal College of Psychiatrists, Royal College of Psychiatrists (RCP), Royal College of Psychiatrists Centre for Quality Improvement (CCQI), Royal College of Psychiatrists: National Audit of Dementia Care in General Hospitals, Royal College of Psychiatrists’ Centre for Quality Improvement, Use of Antipsychotics for BPSD in UK Hospitals
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SPACE Principles in the Care of People Living With Dementia (RCN)
Summary The Royal College of Nursing (RCN) has produced a report outlining five principles (SPACE principles) underpinning the commitment to improve care for people with dementia and their families. This report is intended for use across a wide range of … Continue reading
Posted in Acute Hospitals, Commissioning, Community Care, Delirium, Depression, Diagnosis, End of Life Care, 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, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, RCN, Standards, UK, Universal Interest
Tagged About Me Document, Activities, Activity Room, Acute Care, Acute Care Pathway, Acute Hospital Care, Acute Hospitals, Addenbrookes Hospital, Advance Care Planning, Association for Dementia Studies: University of Worcester, Availability of Space (Day Rooms), Basildon and Thurrock University Hospitals NHS Foundation Trust, Bay Nursing for Patients With Dementia, Bed/Ward Moves, Best Practice in Dementia Care (Triangle of Care), Betsi Cadwaladr University Health Board, Cambridge University Hospital NHS Foundation Trust, Care and Support Plan, Care and Support Planning, Care and Support Plans (CSP), Care of Older Adults in Acute NHS Trusts, Care of People with Dementia in General Hospitals: and SPACE Principles, Care Planning, Care Planning and Proxy Decision Making, Care Planning in Dementia, Carers’ Passport, Commissioning Acute Care Services, Compassionate Care in Acute Hospital Settings, Creating Dementia Friendly Hospitals, Dementia Awareness Training, Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Dementia Care in Hospitals, Dementia Care in the Acute District General Hospital, Dementia Care Mapping (DCM), Dementia Care Mapping in General Hospitals, Dementia Case Finding, Dementia Case Finding Scheme, Dementia Friendly Acute Hospitals, Dementia Friendly Indoor Environments, Dementia Nurse Specialist, Dementia Nurse Specialists in Acute Care, Dementia Nursing Care, Dementia Nursing Specialists, Dementia Training for NHS Staff, Dementia-Friendly Care and Support for People With Learning Disabilities, Dementia-Friendly Care Homes, Dementia-Friendly Environments, Dementia-Friendly Hospitals, Dementia-Friendly Organisations, Dignity in Dementia, Dining Environment, Early Diagnosis, Early Identification of Dementia, Enabling Staff, Family Carers, Hospice Care Planning, Hospital Liaison Psychiatry Services, Minimal Moves, Nottingham University Hospitals NHS Trust, Nursing Practice, Nursing Workforce, Pain Assessment in Advanced Dementia (PAINAD), Pain Assessment Tool for Patients With Dementia, PAINAD (Pain Assessment in Advanced Dementia) Tool, Partnership Working, Patient and Public Involvement, Patient Passports, Personalised Care Planning, Personalised Space, Post-Diagnostic Support, Princess Royal Hospital and Shrewsbury and Telford Hospital, Profile of Dementia Care, Queen Elizabeth Hospital King's Lynn NHS Foundation Trust, RCN, RCN Dementia Care Project, RCN Dementia Project, RCN Development Programme, RCN Foundation, RCN SPACE Principles, Reduction of Ward Moves, Royal College of Nurses, Royal College of Nursing (RCN), Royal Devon & Exeter Foundation Trust (Wonford Hospital), Salford Royal NHS Foundation Trust, Shrewsbury and Telford Hospital NHS Trust, Sit and See Tool, SPACE (Staff Partnership Assessment Care Environments) Principles, SPACE Commitment (RCN), SPACE Principle 1: Staff Who are Skilled and Have Time to Care, SPACE Principle 2: Partnership Working With Carers, SPACE Principle 3: Assessment Early Identification of Dementia and Post-Diagnostic Support, SPACE Principle 4: Care and Support Plans Which are Person-Centred and Individual, SPACE Principle 5: Environments Which are Dementia Friendly, SPACE Principles, SPACE Scores, Specialist Dementia Nurses, Staff Education, Staff Skill Development, Staff Training, Strategy for Transforming Dementia Care, Tag and Bay Nursing, Transforming Dementia Care for Hospitals (RCN Project), Transforming Dementia Care in Hospital, Transforming Dementia Care in Hospital Conference 2014, Transforming Dementia Care in Hospitals Evaluation Report, Transforming General Hospital Care, Triangle of Care for Dementia, University of Worcester, University of Worcester: Association for Dementia Studies, University of Worcester; Institute of Health and Society, Walsall Healthcare NHS Trust, Worcester, Worcester University, Workforce Development, Workforce Training, Working With Carers, World Café Event, Ysbyty Glan Clwyd
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Dementia-Friendly Hospital Wards (NHS England)
Summary Alistair Burns, National Clinical Director for Dementia and Older People’s Mental Health at NHS England and NHS Improvement has issued comments about dementia-friendly design for hospital wards, and various steps towards delivering dementia-related priorities outlined in the NHS Long Term … Continue reading
Posted in Acute Hospitals, Commissioning, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, NHS Improvement, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, UK, Universal Interest
Tagged 1950s Style Reminiscence Rooms, Achieving Dementia Friendly Acute care, Acute Care, Acute Hospital Care, Acute Hospitals, Acute Medical Ward for Dementia, Ageing Population, Airedale Hospital, Alistair Burns: NHS England’s National Clinical Director for Dementia, Alistair Burns: NHS England’s National Clinical Director for Older People’s Mental Health, Butterfly Tea Rooms, Care Closer to Home, Colour Coding, Contrast, Creating Dementia Friendly Hospitals, Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Dementia Friendly Acute Hospitals, Dementia Virtual Wards, Dementia-Friendly Adaptions, Dementia-Friendly Cities, Dementia-Friendly Design, Dementia-Friendly Environmental Design, Dementia-Friendly Environments, Dementia-Friendly Hospitals, Dementia-Friendly Specifications, Dementia-Friendly Wards, Early Supported Discharge (ESD), Emma Bould: Alzheimer’s Society, Environmental Design, Interactive Wall Features., Long Term Plan (LTP), Making Buildings Easier for People With Dementia, Memories Pubs, Moving Healthcare Closer to Home, NHS Long Term Plan (2019), NHS Long Term Plan: Implementation, Patient Harms and Harm Free Care, Pop-Up Cinema Boothes, Pop-Up Pubs, Professor Alistair Burns, Reducing Agitation and Distress, Reducing Avoidable Harm, Reducing Harm, REM Pods, Reminiscence, Reminiscence Pods, Reminiscence Rooms, RemPods (Trade Mark), Shop Front Wall Murals, Vintage Memorabilia
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Latest Dementia Assessment and Referral Data for 2018 (NHS England)
Summary NHS England has published dementia assessment and referral statistics, as of November 2018. These statistics aim to monitor and improve (i) the identification of older patients with dementia and delirium, (ii) assessment and appropriate referral and (iii) follow-up after people have been … Continue reading
Posted in Acute Hospitals, Commissioning, Community Care, Delirium, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged Acute Care, Acute Hospitals, Acute Trusts, Acute Trusts: Find and Assess/Investigate Measures, Assessment, Assessment and Referral, Case Finding, Case Finding for Patients with Dementia, Checks for Dementia at Age 75 Years, Clinical Commissioning Group (CCG): Refer/Inform Measures, Clinical Commissioning Groups (CCGs), Community and Mental Health Trusts, Community Service Providers, Community Service Providers (Community and Mental Health Trusts), Community Services, Community Services Providers, Dementia Assessment and Referral 2015-16, Dementia Assessment and Referral Data, Dementia Assessment and Referral Data Collection, Dementia Assessment and Referral Statistics, Dementia Care in Acute General Hospital, Dementia Care in Acute Settings, Dementia Care in Emergency Departments, Dementia Care in General Hospitals, Dementia Case Finding, Dementia Case Finding Scheme, Dementia Commissioning for Quality and Innovation (CQUIN), Dementia CQUIN, Dementia CQUIN: FAIR (Find; Assess and Investigate; Refer), Dementia Diagnostic Assessment, Dementia Friendly Acute Hospitals, Dementia Liaison Services, Dementia Statistics, Diagnosis and Referral, Discharge Planning, Early Diagnosis, FAIR (Find; Assess and Investigate; Refer), FAIRI: Find Assess/Investigate Refer/Inform, FAR: Find Assess Refer, General Hospitals, General Practice, General Practice Performance Data, Identification and Referral, Incentive Payments, Liaison Mental Health Services, Liaison Psychiatry Services, Liaison Services, Mental Health and Community Services, National Commissioning for Quality and Innovation (CQUIN) Payment Framework, National Commissioning for Quality and Innovation “CQUIN” Payment Framework (Department of Health), National Dementia CQUIN, Performance Incentives, Referral and Assessment, Referrals, Timely Diagnosis
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Progress Towards Achieving Better Value / Reducing Waste in the NHS (King’s Fund / NHS Providers)
Summary A King’s Fund report investigates recent work on the value agenda, i.e. efforts aimed at reducing unnecessary costs while maintaining or improving the quality of care. This is based mostly on experience at three diverse NHS acute hospital trusts: … Continue reading
Posted in Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, King's Fund, NHS, NHS Improvement, Person-Centred Care, Quick Insights, UK, Universal Interest
Tagged Achieving Better Value, Acute Care, Acute Hospital Care, Ageing Population, Allocative Efficiencies, Allocative Value, Better Procurement, Better Value, Better Value Healthcare, Better Value in the NHS, Better-Value Services, Bolton NHS Foundation Trust, Bradford Teaching Hospitals NHS Foundation Trust, Centralised Procurement, Centralised Procurement (Economies of Scale), Choosing Wisely, Choosing Wisely Campaign, Choosing Wisely in the NHS, Choosing Wisely in the UK, Clinical and Corporate Leadership, Clinical Leadership, Clinical Practice Groups (CPGs), Clinical Quality Improvement, Collaboration, Collaboration for Coordinated Care, Collaboration: Working Across Boundaries, Community Virtual Wards, Consultant-Led Services in the Community, Cost Reductions, Culture and Leadership, Delegated Decision Making, Devolved Budgets, Devolved Decision-Making, Economic Sustainability, Efficiencies and Productivity Gains, Efficiency, Efficiency Agenda, Efficiency Opportunities, Efficiency Savings, Empowerment, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Funding Challenges, Funding Deficits, Funding Gap in Secondary Care, General Hospitals, Getting It Right First Time (GIRFT), Health and Social Care Configuration, Healthcare Quality Improvement, Healthcare Value Improvement, Hospital Productivity, Hospital Reconfiguration, IHI Triple Aim, Innovative Leadership, Leadership, Lean and Quality Improvement, Local Health and Care Services, Local Health Economies, Lord Carter Review, Low-Value Care, Maximising Health Outcomes, Minimising NHS Costs, Model Hospital, Model Hospital: Template for Standardisation, NHS Challenges and New Solutions, NHS Efficiency Savings, NHS England’s Ten-Point Efficiency Plan, NHS Funding Gap, NHS Inappropriate Care: Overuse Underuse and Misuse, NHS Performance, NHS Productivity, NHS Providers, NHS RightCare, NHS Sustainability, Personalised Value, Practical Approaches to Delivering Better Value in NHS Clinical Services (King’s Fund), Productivity, Productivity in the NHS, QI: Quality Improvement, Quality and Efficiency Opportunities, Quality Improvement, Quality Improvement Culture, Redesigning Care Pathways, Redesigning Services, Reducing Drains on the NHS, Reducing Overuse Underuse and Misuse, Reducing Waste in the NHS, Royal Free NHS Foundation Trust, Service Cost Reductions, Service Redesign, Service Redesign for Productivity, Service Redesign for Value Agenda, Shared Clinical Pathways, Staff Empowerment, Staff Empowerment in the NHS, Staff Engagement, Staff Engagement in the NHS, Strategic Leadership, Sustainability, System Efficiencies, Targeting Low-Value Care, Technical Value, Thinking Like a Patient and Acting Like a Taxpayer, Triple Aim Initiative, Triple Aim: (1) Improved Health and Wellbeing (2) Redesigned Care and (3) Wise Financial Stewardship, Troubled NHS Foundation Trusts, Unacceptable Variations, Unwarranted Variations, Use of Resources Assessments (NHS Improvement), Value Agenda, Value Improvement, Variations in Care, Virtual Ward Approaches, Virtual Wards, Virtual Wards to Reduce Readmissions, Workforce Engagement
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