Tag Archives: Avoidable Acute Hospital Admission in Older People

Dementia-Related Hospital Admissions (BBC News / Alzheimer’s Society)

Posted on January 23, 2020 by Dementia and Elderly Care News

Summary Patients with dementia are being admitted to hospitals at an increasing rate, often because of the lack of community care, according to the Alzheimer’s Society. “The Alzheimer’s Society analysed hospital records covering emergency admissions in the six years to … Continue reading →

Posted in Acute Hospitals, Alzheimer's Society, BBC News, Charitable Bodies, Community Care, 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, Mental Health, National, NHS, Quick Insights, Statistics, UK, Universal Interest | Tagged Acute Hospital Care, Ageing and Society, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Barriers: Inappropriate Hospital Admissions, Community Crisis Teams, Community Response Teams, Community Urgent Care Services, Community Urgent Care Services Accelerator Sites: Buckinghamshire Oxfordshire and Berkshire System, Community Urgent Care Services Accelerator Sites: Cornwall System, Community Urgent Care Services Accelerator Sites: Leicester Leicestershire and Rutland system, Community Urgent Care Services Accelerator Sites: Norfolk and Waveney System, Community Urgent Care Services Accelerator Sites: South East London System, Community Urgent Care Services Accelerator Sites: Warrington Together (Cheshire and Merseyside STP), Community Urgent Care Services Accelerator Sites: West Yorkshire and Harrogate Health and Care Partnership (Kirklees), Community Urgent Care Services: Accelerator Sites, Crisis Teams, Crisis Teams for the Management of Older People With Dementia, Dementia Crisis Teams, Dementia-Related Hospital Admissions, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Guaranteed Care Packages in Two Days for Hospital Patients Ready for Discharge (Proposed), Helen Childs: Chief Operating Officer at NHS Kernow Clinical Commissioning Group, HES: Hospital Episode Statistics, Hospital Admissions, Hospital Episode Statistics (HES), Inappropriate Hospital Admissions, Independence at Home, Jon Wilson: Director of Adult and Communities at Leicestershire County Council, Length of Stay (LoS), Long Term Plan (LTP), Matthew Winn: Chief Executive of Cambridgeshire Community Services NHS Trust, Matthew Winn: NHS Director of Community Health, NHS England’s Hospital Episode Statistics, NHS Long Term Plan (2019), NHS Long Term Plan: Implementation, Nursing Care, Occupational Therapy, Partnership Working, Physiotherapy, Preventable Hospital Admissions, Rapid Response Community Crisis Teams, Reablement and Rehabilitation, Reablement Services, Reasons for Short Stay Emergency Admissions, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Staying Put, Total Bed-Days in Hospital, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Urgent Community Response Teams, Urgent Response Standards | Leave a comment

Shaping Policy on the Dementia Care Crisis: Alzheimer’s Society Report in Advance of Government’s Green Paper (BBC News / Alzheimer’s Society)

Posted on May 29, 2018 by Dementia and Elderly Care News

Summary A report on inadequacies in the care system regarding dementia patients. The number of potentially unnecessary hospital admissions among dementia patients has risen by 73% across 65 hospital trusts, from 31,000 in 2012 to around 55,000 in 2017. Some … Continue reading →

Posted in Acute Hospitals, Alzheimer's Society, BBC News, Charitable Bodies, Commissioning, Community Care, Diagnosis, Falls Prevention, 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, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Northern Ireland, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest, Wales | Tagged Access to Care, Access to Funding, Access to Healthcare Services, Access to Services, Access to Social Services, Acute Care, Acute Hospitals, Admission Rates, Admission to Hospital, Ageing Population, Alternatives to Hospital Admission, Alzheimer's Society’s Fix Dementia Care Campaign, Alzheimer’s Society Ambassadors, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Awareness, Awareness Campaigns, Awareness Raising, Barriers to Older People Accessing Help and Support, Barriers to Support, BBC Health News, Capacity Pressures in the Health and Social Care System, Care and Support Reform, Care and Support Services: Choice and Control, Care for People with Dementia in the Community, Care in an Ageing Society, Care in the Community, Care Navigators, Caregiver Burden, Caregiving (Carers), Carer Awareness, Carer Isolation, Carer Quality of Life: Demands of Caring, Carer Stress, Carer Support, Carer Support Services, Carer's Needs, Carer’s Perspective, Carers, Carers and Families, Carers for People with Dementia, Choice and Control, Collaborative Working, Collaborative Working in Local Communities, Community Care, Community Support Services, Coordinated Health and Social Care, Daily Mail, Daily Mail’s End the Dementia Care Cost Betrayal Campaign, Dame Barbara Windsor, Dementia Action Plan for Wales: 2018-2022, Dementia Ambassadors, Dementia Tax, Dementia Tax (Alzheimer's Society), Dementia: Cost of Fixing Care Crisis (Alzheimer’s Society Report 2018), Department of Health and Social Care Green Paper on Care and Support for Older People, Department of Health Northern Ireland, Department of Health Northern Ireland: Expert Advisory Panel on Adult Care and Support, Discharge Coordination, Discharge Planning, Emergency Admissions, Emergency Readmissions to Hospital, End the Dementia Care Cost Betrayal Campaign (Daily Mail 2019), Fix Dementia Care Campaign, Free Personal Care (Proposal): Labour Party Conference (2019), Health and Care of Older People, Health and Care Suitable for an Ageing Population, Health and Social Care Reform, Holistic Care Assessments, Holistic Co-ordinated Care, Holistic Needs Assessment, Home Care, Home Care Services, Hospital Discharge, Inequity, Integrated Discharge Process, Integration, Integration of Health and Care, Integration of Health and Social Care, Joined-Up Care, Joined-Up Strategy to Improve Whole System Flow, Joint Health and Care and Support Plans, Labour Party Conference (2019), Named Clinician, Named Consultants, Named GPs, Named Nurses, New Settlement for Health and Social Care, NHS 70 (NHS 70th Birthday), Patient Experience, Power to People: Proposals to Reboot Adult Care and Support in Northern Ireland, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Primary Care Navigators (PCNs), Proactive Care, Re-Admission NHS Hospitals, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Responsible Consultants, Responsible GPs, Responsible Nurses, Scott Mitchell, Social Care Crisis, Social Care Crisis: Abandoned by the System, Social Care for Adults Aged 18-64: Health Foundation, Tipping Point in Sustainability of Adult Social Care (Alleged), Turning Up the Volume (Alzheimer’s Society), Workforce Development, Workforce Issues, Workforce Training | Leave a comment

Observations on Approaches to the Care of Persons With Dementia Who Have Had a Fall (Systematic Reviews)

Posted on February 26, 2018 by Dementia and Elderly Care News

Summary Falls are believed to occur for between 47% – 90% of people with dementia, and such falls are a common cause of hospital admissions / re- admissions. A recent narrative review examines the effectiveness of interventions intended to improve … Continue reading →

Posted in Acute Hospitals, Community Care, Falls, Falls Prevention, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Models of Dementia Care, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Systematic Reviews, UK, Universal Interest | Tagged Activities of Daily Living, Activities of Daily Living (ADLs), Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Care of Persons With Dementia Who Have Had a Fall, Defence R&D Organisation (Delhi), Dementia Research Collaborative: University of East Anglia, Department of Human Physiology with Community Health: Vidyasagar University, Department of Physiology: City College (Kolkata India), Emergency Care, Emergency Services, Ergonomics and Sports Physiology Division: Vidyasagar University, Ergonomics Group: Defence Institute of Physiology and Allied Sciences (DIPAS), Evidence-based Practice Center: Center for Health Research (USA), Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Fall-Related Outcomes, Falling Status Among Geriatric Population (India), Falls and Fracture Prevention, Falls in Cognitive Impairment and Dementia, Falls in Dementia, Falls Risk Factors, India, Institute of Health and Society: Newcastle University, Institute of Neuroscience: Newcastle University, Intravenous Zoledronic Acid, Journal of Geriatric Care and Research (JGCR), Kaiser Permanente Research Affiliates, NEADL: Nottingham Extended Activities of Daily Living Index, Newcastle University, Norfolk and Suffolk NHS Foundation Trust, Norwich, Norwich Medical School: University of East Anglia, Nottingham Extended Activities of Daily Living Index (NEADL), Pain Related Discomfort (PRD), Persons With Dementia Who Have Had a Fall, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention, Prevention Agenda, Proactive Falls Prevention Schemes, Re-Admissions to Hospitals, Readmission Rates, Realist And Meta-narrative Evidence Syntheses: Evolving Standards (RAMESES), Reasons for Short Stay Emergency Admissions, Recurrent Falls, Reducing Re-Admissions to NHS Hospitals, Reducing Recurrence of Fractures, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Systematic Reviews, Systematic Reviews and Meta-Analyses, United States, University of East Anglia, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, USA, Vidyasagar University (Midnapore West Bengal), Zoledronic Acid | Leave a comment

Alternative Approaches to Reducing Hospital Admissions / Re-Admissions (BBC News / British Red Cross / NESTA / King’s Fund)

Posted on February 8, 2018 by Dementia and Elderly Care News

Summary The British Red Cross has proposed that home assessments, and comparatively simple interventions, when discharging old and vulnerable people for hospitals would help to reduce avoidable but predictable hospital re-admissions (and prevent many hospital admissions in the first place). … Continue reading →

Posted in BBC News, Charitable Bodies, Commissioning, Community Care, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, King's Fund, Management of Condition, National, NHS, Person-Centred Care, Personalisation, Quick Insights, UK, Universal Interest | Tagged Acute Hospital Care, Age Friendly Homes, Age-Friendly Housing, Ageing and Society, Ageing Population, Assessment Before Discharge, Assisting Patients Inside Their Homes (Opportunity to Check Home Environment), Aston University, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, BBC Health News, Bed Occupancy Rates, Between Home and Hospital: With British Red Cross, Birmingham, British Red Cross, Community Service Volunteers (CSV), Community-Based Care, Community-Based Support, Community-Based Volunteering, Costs and Harms of Delays in Discharging Older Patients From Hospital, Crises Facing Independent Living Service Users, Crisis Prevention, Criteria Led Discharge, Delayed Discharge: Patient Awaiting Care Package in Own Home, Delayed Discharge: Social Care Delays, Discharge Checklists, Discharge Decisions, Discharge Planning, Discharge Support, Discharging Older Patients From Hospital, Dr Nick Scriven: Society of Acute Medicine, Early Discharge Support, Emergency Attendances, Emergency Care, Emergency Medicine Journal, Emergency Readmissions to Hospital Within 28 Days of Discharge, Emergency Readmissions Within 30 Days, Emergency Services, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Failed Discharges, Feeling Unsafe, Frail Patients on Discharge From Hospital, Future Healthcare Journal, Health and Housing, Health Volunteering, Heart of England NHS Foundation Trust (HEFT), Helping in Hospitals, Home Assessments (on Hospital Discharge), Home Assessments (Prior to Discharge), Hospital Discharge, Hospital Re-Admission Risks, Housing and Care for Older People, Housing Quality, Imelda Redmond: Healthwatch England, In and Out of Hospital (British Red Cross), In-Home Assessments, Inappropriate Discharge, Living Alone, MDTs: Multidisciplinary Teams, Mike Adamson: Chief Executive of British Red Cross, Missed Opportunities, Multidisciplinary Teams, National Data for Better Analysis of Emergency Readmissions (Proposal), National Endowment for Science Technology and the Arts (NESTA), NESTA: National Endowment for Science Technology and the Arts, NHS Winter Pressures (aka Winter Crisis 2017-2018), Overnight Effect, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention, Prevention Agenda, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Proactive Management of Home Conditions, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Proactive Falls Prevention Schemes, Re-Admissions to Hospitals, Readmission Rates, Reasons for Short Stay Emergency Admissions, Red Cross, Reducing Re-Admissions to NHS Hospitals, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, School of Health and Related Research: University of Sheffield, Social Prescribing, Solihull, Solihull Hospital, Solihull Metropolitan Borough Council, South Warwickshire Foundation Trust, South Warwickshire NHS Foundation Trust, Struggling and Caring For Others, Struggling With Everyday Tasks, Tackling Health Inequality Through Housing, University of Sheffield, University of Wolverhampton (Walsall), Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Vanguards: Solihull Together for Better Lives, Value of Volunteering, Voluntary and Community Sector (VCS), Volunteering in General Practice, Volunteering in Hospitals, Warmer and Safer Homes, Winter Pressures | Leave a comment

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

Posted on November 10, 2017 by Dementia and Elderly Care 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 … Continue reading →

Quality Improvement in Urgent and Emergency Care (NHS Improvement / NHS England / Department of Health)

Posted on August 18, 2017 by Dementia and Elderly Care News

Summary An earlier BBC News description of the problem: Full Text Link Reference Cawley, L. (2017). Four-hour accident and emergency waits rise 300% at some hospitals. London: BBC Health News, March 16th 2017. Further context and introductory analysis: Full Text … Continue reading →

Approaches to the Reduction of Preventable Hospital Admissions: a Systematic Review (BMJ Open)

Posted on August 10, 2017 by Dementia and Elderly Care News

Summary A recent systematic review examined the alternatives to hospital admission for older patients at risk of unplanned hospitalisation. The broad categories of interventions considered were (i) improved use of paramedic / emergency care practitioners, (ii) interventions based in emergency … Continue reading →

On the Unrealised Potential of Intermediate Care (SCIE / Nuffield Trust)

Posted on July 30, 2017 by Dementia and Elderly Care News

Summary The Social Care Institute for Excellence (SCIE)’s “SCIE Highlights No.1” briefing explores the largely untapped potential of intermediate care. It is asserted that intermediate care could deliver better outcomes for patients, while reducing the pressures of demand faced by … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, Non-Pharmacological Treatments, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, SCIE, Statistics, UK, Universal Interest | Tagged Accountable Care Systems (ACSs), Acute Hospitals: Bed-Based Services, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoidable Rehospitalisations, Bed Based Intermediate Care, Bed Based Services, Bed Occupancy, Bed-Based Intermediate Care Services, Bed/Home and Step Up/Down Provision, Better Care Fund (BCF), Capitated Budgets, Care Closer to Home, Communication and Information Sharing, Community Hospitals: Bed-Based Services, Community-Based Interventions, Community-Based Rehabilitation Services, Community-Based Services, Community-Based Support, Control and Independence, Cookson's Court (Yeovil), Crisis Home Treatment, Crisis Response Services, Crisis Support, Delayed Discharges, Delayed Transfers of Care, Demographic Time-Bomb, Dependency Levels, Destination on Discharge, Dignified Independent Living With Care, Discharge Destination, Discharge of Hospital Patients With Care and Support Needs, Discharge Planning, Economic Sustainability, Elderly Rehabilitation Services, Emergency Admissions, Emergency Readmissions, Emergency Readmissions to Hospital, Funding and Payment Mechanisms, Geographical Variations, Health and Social Care Integration, Health and Social Care Reform, Home Based Intermediate Care, Home Based Services, Hospital Discharge, Independence, Independence and Wellbeing, Independent Sector Facilities: Bed-Based Services, Information Resources on Intermediate Care: Social Care Institute for Excellence (SCIE), Information Sharing, Integrated and Community-Based Care, Integration, Intermediate Care, Intermediate Care - Draft Guideline: National Institute for Health and Care Excellence (2017), Intermediate Care Beds, Intermediate Care Capacity, Intermediate Care Teams, Intermediate Care: Elements of Effective Implementation, Intermediate Care: Evidence of Effectiveness, Intermediate Care: Return on Investment, Intermediate Care: SCIE Highlights No.1, Length of Stay, Length of Stay (LoS), Lessons and Challenges of Intermediate Care: Social Care Institute for Excellence (SCIE), Local Authority Facilities: Bed-Based Services, Local Sustainability and Transformation Plans (STPs), Local Variations, Maintaining Independence, Moving Healthcare Closer to Home, Multi-Disciplinary Case Management, Multi-Disciplinary Teams, Multi-Disciplinary Working, NHS Sustainability, Nursing Homes: Bed-Based Services, Other Bedbased Settings: Bed-Based Services, Partnership Working, Patient Flows, Policy Context and Models of Intermediate Care, Pooled Health and Social Care Budgets, Preventing Avoidable Emergency Admissions, Preventing Future Crises, Prevention, Prevention Agenda, Prevention and Wellbeing, Quality and Sustainability, Rapid Response Services: Intermediate Services, Re-ablement Services, Reablement, Reablement Services, Reablement: Stabilise and Make Safe (Trafford), Readmissions for Patients with Long Term Conditions, Recovery Rehabilitation and Reablement Services, Regaining Independence, Rehabilitation Services, Residential Care Homes: Bed-Based Services, Return on Investment, Services Maximising Independence, Services Reducing Use of Hospitals, Single Point of Access (SPA), Social Care Institute for Excellence (SCIE), Social Care Institute for Excellence (SCIE)’s SCIE Highlights No.1: Intermediate Care, Somerset Care, Somerset Care and Yeovil District Hospital: Cooksons Court, Somerset County Council, Stabilise and Make Safe (SAMS), Stabilise and Make Safe (Trafford), Standalone Intermediate Care Facilities: Bed-Based Services, Staying Independent, Supporting Health Wellbeing and Independence, Sustainability, Sustainability and Transformation Plans (STPs), Sustainable Care, Sustainable Health and Social Care, System Leadership, Theoretical Benefits of Intermediate Care, Tipping Point in Sustainability of Adult Social Care (Alleged), Trafford Council, Turning the Ship Around (Avoidance of NHS Unsustainability), Unacceptable Variations, Unwarranted Variations, Variations in Service, Waiting Times for Intermediate Care, Whole System Impact, Whole System Patient Flows, Whole System Performance, Whole-System Approaches, Year of Care Commissioning, Year of Care Funding Model, Yeovil District Hospital | Leave a comment

Pharmacist Involvement in Hospital Ward Teams and Rates of Hospital Readmission (European Journal of Clinical Pharmacology)

Posted on April 22, 2017 by Dementia and Elderly Care News

Summary A recent Swedish trial was conducted to assess whether comprehensive medication reviews performed by clinical pharmacists working on hospital wards as part of healthcare multidisciplinary team might reduce drug-related hospital readmission rates for people with dementia or cognitive impairment. … Continue reading →

Posted in Acute Hospitals, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, International, Management of Condition, Models of Dementia Care, Person-Centred Care, Pharmacological Treatments, Quick Insights, Statistics, Universal Interest | Tagged Acute Care, Acute Hospital Care, Adverse Drug Reactions (ADRs), Avoidable Acute Hospital Admission in Older People, Caring for People with Dementia on Hospital Wards, Clinical Pharmacists, Cognition Disorders, Collaboration for Coordinated Care, Comprehensive Medication Reviews, Dementia Care in the Acute Hospital, Dementia in the Acute Hospital, Department of Community Medicine and Rehabilitation: Umeå University, Department of Pharmacology and Clinical Neuroscience: Umeå University, Division of Clinical Pharmacology: Umeå University, Drug-Related Hospital Readmission Rates for People with Dementia or Cognitive Impairment, Drug-Related Hospital Readmissions, Drug-Related Problems (DRPs), European Journal of Clinical Pharmacology, Geriatric Medicine: Umeå University, Hospital Pharmacies, Hospital Pharmacists, Hospital Pharmacy Services, Hospital Re-Admission Rates, Hospital-Based Multi-Disciplinary Teams, Impact of Ward Pharmacist Involvement on Hospital Readmission, Inappropriate Drug Use, Inappropriate Medication, Inappropriate Prescribing, Interdisciplinary Teams, MDTs: Multidisciplinary Teams, Medication Reviews, Multi-Disciplinary Team (MDT), Multi-Disciplinary Teams, Multi-Disciplinary Working, Overprescription, Pharmacist Involvement in Hospital Ward Teams, Pharmacist Participation in Hospital Ward Teams, Pharmacist Participation in Ward MDTs, Pharmacist-Led Medication Reviews, Rates of Hospital Readmissions, Re-Admissions to Hospitals, Readmission Rates, Readmissions, Readmissions to Hospital, Reducing Inappropriate Polypharmacy, Reducing Readmission Rates, Reduction of Drug-Related Problems and Readmissions Among Old People With Dementia (NCT01504672), Skellefteå County Hospital, Sweden, Umeå (Sweden), Umeå University (Sweden), Umeå University Hospital | Leave a comment

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