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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: Avoidable Admissions
Dementia-Related Hospital Admissions (BBC News / Alzheimer’s Society)
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
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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
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NHS Operational Productivity: GIRFT Meets Mental Health and Community Health Services (Lord Carter / DHSC)
Summary Lord Carter’s latest report in the NHS Operational Productivity series shifts the attention to unwarranted variations in mental health and community health services. Potential savings of around £1 billion in efficiencies could be made by 2020/21, allegedly, if the … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, NHS, NHS England, NHS Improvement, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged 2gether NHS Foundation Trust, 5 Boroughs Partnership NHS Foundation Trust, Acute and Urgent Mental Healthcare Pathway, Average Length of Stay (Hospitals), Avoidable Admissions, Avoidable Hospital Admissions, Barnet Enfield and Haringey Mental Health NHS Trust, Birmingham Community Healthcare NHS Trust, Care Hours Per Patient Day (CHPPD), Carter Review of Operational Productivity in NHS Community Health Services, Carter Review of Operational Productivity in NHS Mental Health Services, Central and North West London NHS Foundation Trust, Central London Community Healthcare NHS Trust, Child and Adolescent Mental Health Services (CAMHS) Acute Care Pathway, CHPPD and Cost Per Care Hour, Clinical Engagement, Clinical Leadership, Clinical Quality Improvement, Clinically-Led Quality and Efficiency Project (GIRFT), Co-Morbidities and Dementia, Co-Morbidities In Older Patients, Co-Morbidities of Old Age, Community Hospitals, Community Mental Health Teams (CMHTs), Community Nursing, Continuous Improvement, Continuous Learning, Continuous Learning Culture, Cooperation, Corporate Services, Cost of Inpatient Care and Care Hours Per Patient Day, Cost Savings, Cost-Improvement Programmes (CIPs), Dashboards, Delayed Discharges, Delayed Transfers of Care, Derbyshire Community Health Services NHS Foundation Trust, Digital Technology, Digital Technology and Innovation, Duplication of Effort / Expense, e-Rostering, East London NHS Foundation Trust, Economies of Scale, Efficiency Opportunities, Efficiency Savings, Engagement Champions, Estates and Facilities Management, Example Patient Journeys, Facilities Management, Finance and Procurement, FP10 Prescriptions, Future Operating Model for Procurement and Supply Chain in NHS, Getting it Right First Time, GIRFT Approach, GIRFT Approach Applied to Community Health Services, GIRFT Approach Applied to Mental Health Services, Healthcare Continuum, Healthcare Quality Improvement, Healthy Workforce Framework, Hertfordshire Community NHS Trust, Hertfordshire Partnership University NHS Foundation Trust, Homecare and Community Pharmacy Dispensed FP10 Prescriptions, Improving People Policies and Practices, Integrated Performance Framework, Kent Community Health NHS Trust, Lancashire Care NHS Foundation Trust, Learning Culture, Learning for Improvement, Leeds Community Healthcare NHS Trust, Leicestershire Partnership NHS Trust, Length of Stay (LoS), Lifetime Healthcare Costs, Lincolnshire Partnership NHS Foundation Trust, Local Health and Care Economies, Local Health Economies, Lord Carter of Coles, Lord Carter Review, Lord Carter: Chair of NHS Procurement and Efficiency Board, Lower Leg Wounds (Ineffective Treatments / Delays), Management of Co-Morbidities, Meaningful Use of Standards and Incentives, Medicines Optimisation, Metrics, Metrics and Information, Model Hospital: Template for Standardisation, NHS Acute Hospitals, NHS England’s Five Year Forward View, NHS Estates, NHS Finance, NHS Finances, NHS Financial Leadership, NHS Operational Productivity, NHS Procurement, NHS Procurement and Efficiency Board, NHS Procurement Transformation Programme (PTP), NHS Productivity, NHS Sustainability, Norfolk Community Health and Care NHS Trust, Northumberland Tyne and Wear NHS Foundation Trust, Nottinghamshire Healthcare NHS Foundation Trust, Nursing Cost Per Bed, Openness and Transparency, Operational Productivity and Performance (Carter Report), Operational Productivity in NHS Providers, Opportunities for Standardisation, Optimising Clinical Resources, Optimising Non-Clinical Resources, Oxford Health NHS Foundation Trust, Patient Safety, Procurement Performance Metrics, Procurement Review, Procurement Transformation Programme, Productivity, Quality and Efficiency Opportunities, Quality Efficiency and Performance (Often Go Together), Quality Improvement, Reducing Delayed Transfers of Care, Reducing Hospital Length of Stay, Reducing Variations in Clinical Costs, Reducing Waste in the NHS, Rehabilitation and Complex Needs Pathway, Restricted Patients, Restricted Patients: Offenders Diagnosed with Mental Health Disorders, South West London and St George’s Mental Health NHS Trust, South West London and St. George’s NHS Mental Health Trust, Sussex Partnership NHS Foundation Trust, Sustainability, Tackling Variation, Torbay and South Devon NHS Foundation Trust, Unwarranted Variations, Variations in Procurement, Variations in Spending, Wasted Resources, Well-Led (CQC Inspection Question), Well-Led Framework for Governance Reviews, Well-Led Indicators (CQC), Wirral Community NHS Trust, Wound Care
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Shaping Policy on the Dementia Care Crisis: Alzheimer’s Society Report in Advance of Government’s Green Paper (BBC News / Alzheimer’s Society)
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
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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
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System to Measure and Prevent Medication Errors Under Development (Department of Health and Social Care / EEPRU / BBC News)
Summary The Department of Health and Social Care now has a system to help identify, monitor and prevent medication errors. The aim is to help ensure the NHS becomes the safest healthcare system in the world, as well as avoiding … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, National, NHS, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest, World Health Organization (WHO)
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Tagged Adverse Drug Reactions, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, Avoidable Admissions, Avoidable Harm, Avoidable Hospital Admissions, Avoidable Ill-Health, Avoidable Mortality, Avoidable Premature Mortality, Avoidable Rehospitalisations, Caroline Dinenage: Care Minister, Choosing Wisely, Choosing Wisely Campaign, Community Pharmacists, Continuous Learning Culture, Culture Change, Culture of Raising Concerns, Defences for Pharmacists: Accidental Dispensing Errors, Department of Health and Social Care (Formerly the Department of Health), Electronic Prescribing and Medicines Administration (EPMA), Electronic Prescribing Systems, ePACT2, Epidemiology and Statistics, Gastric Bleed Statistics, Global Patient Safety Challenge (WHO), Hospital Admissions, Hospital Electronic Prescribing and Medicines Administration (HePMA), Inappropriate Hospital Admissions, Learning Culture, Measurement and Prevention of Medication Errors, Medication Errors, Medication Errors and Adverse Drug Reactions, Medication Reviews, Medication Safety, Medication Safety Dashboard, Medication Without Harm (WHO), Medicines Optimisation, Medicines Optimisation Dashboard, Medicines Safety Programme (WHO), NHS Culture Change, NHS England Medicines Optimisation Intelligence Group, NHS Patient Safety Culture, NHS Specialist Pharmacy Service, NHS: Safest Healthcare System in the World (Ambition), No Harm Culture, Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) Without Gastro Protective Medicine, Openness and Honesty When Things Go Wrong, Openness and Transparency, Patient Safety, Patient Safety Improvement, Patient Safety Indicators, Patient Safety Strategies, Patients With Polypharmacy Risks, Pharmacist-Led Medication Reviews, Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU), Polypharmacy, Preventable Deaths in English Acute Hospitals, Preventable Hospital Admissions, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventable Mortality, Preventing Avoidable Emergency Admissions, Primary Care Adverse Drug Reactions, Putting Patients First, Quality Improvement, Quality Improvement Culture, Reducing Inappropriate Polypharmacy, Reducing Litigation Costs, Reducing Waste in the NHS, Regular Medication Reviews, Report of the Short Life Working Group on Reducing Medication-Related Harm, Reporting Culture, Reporting of Incidents, Research on Medication Error, Royal Pharmaceutical Society (RPS), ScHARR: University of Sheffield, School of Health and Related Research (ScHARR): University of Sheffield, Short Life Working Group on Reducing Medication-Related Harm, Stop the Over-Medication of People With a Learning Disability or Autism (STOMP) Campaign, Transparency, Transparency and Accountability, Transparent Learning Culture, Unnecessary Hospital Admissions
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Observations on Approaches to the Care of Persons With Dementia Who Have Had a Fall (Systematic Reviews)
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
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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
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Alternative Approaches to Reducing Hospital Admissions / Re-Admissions (BBC News / British Red Cross / NESTA / King’s Fund)
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
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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
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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 … Continue reading →
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
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Tagged A&E, Access to Urgent and Emergency Care, Acute Care Services, Acute Hospital Care, Acute Medical Care for Frail Older People, Acute Medical Care of Elderly People, Admission Transfer and Discharge (Improving Patient Flow in Urgent and Emergency Care), Ageing and Society, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, BBC Health News, BBC Norfolk News, Demand Management, Embedded Comprehensive Geriatric Assessment in Emergency Assessment Units (EAUs), Emergency Admissions, Emergency and Urgent Care Services, Emergency Assessment Unit (EAU), Emergency Assessment Units, Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Centres, Emergency Departments, Emergency Departments (Improving Patient Flow in Urgent and Emergency Care), Emergency Services, Evolving Demand, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Flow Within Hospitals, Geriatric Assessment and Care, Norfolk and Norwich University Hospital, Norfolk and Norwich University Hospitals NHS Foundation Trust, Preparations for Winter, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, 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 Services Dedicated to Elderly
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More Questions About NHS Sustainability and Service Quality: A Further Round in the Debate (BBC News / King’s Fund / BMA / RCEM / NHS Digital / Department of Health / NHS England / NHS Confederation)
Summary Professor Ted Baker, the new Chief Inspector of Hospitals for the Care Quality Commission (CQC) has voiced concerns about unsuitable antiquated models of care in the NHS (due to a historic 15-20 year mis-direction of funding), growing pressures for … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, CQC: Care Quality Commission, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, King's Fund, Local Interest, National, NHS, NHS Confederation, NHS England, Quick Insights, RCN, Royal Wolverhampton NHS Trust, Standards, UK, Universal Interest
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Tagged A&E, A&E Waiting Times and Activity, Access to Urgent and Emergency Care, Accident and Emergency Doctors, Acute Bed Capacity, Acute Care, Acute Care Collaboration, Acute Care Services, Acute Hospital Care, Acute Medical Care for Frail Older People, Acute Medical Care of Elderly People, Acute Medicine Units (AMUs), Ageing Population, Ambulance Handovers, Ambulance Handovers (Improving Patient Flow in Urgent and Emergency Care), Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Barking Havering and Redbridge University Hospitals NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), BBC Health News, Bed Occupancy, British Medical Association (BMA), Care Quality Commission (CQC), Chelsea and Westminster Hospitals NHS Foundation Trusts: Preparations Ahead of Winter 2017/8 (Extra Funding), Chris Hopson: Chief Executive of NHS Providers, Collaborative Provider Arrangements, David Behan: Chief Executive of Care Quality Commission, Demand Management, Dr Chaand Nagpaul: British Medical Association, Dr Taj Hassan: President of Royal College of Emergency Medicine, Economic Sustainability, Emergency and Urgent Care Services, Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Medicine and Urgent Care, Emergency Services, Evolving Demand, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Financial Sustainability in the NHS, Finished Admission Episodes (FAEs), Finished Consultant Episodes (FCEs), Flow Within Hospitals, Four-Hour A&E Waiting Time Target, Frailty, Frailty (Improving Patient Flow in Urgent and Emergency Care), Funding, Future Sustainability of NHS Trust, Hampshire Hospitals NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Homerton University Hospital NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Hospital Admitted Patient Care Activity (2016-17), Hospital Admitted Patient Care Activity: 2016-17 (NHS Digital), Hospital Bed Capacity, Hospital Beds, Hull and East Yorkshire Hospitals NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Humanitarian Crisis in NHS Hospitals and Ambulance Services (Allegation), Improving Patient Flow, Integrated Urent Care Comissioning Standards, Integrated Urgent Care Clinical Assessment Service (IUC CAS), Integrated Urgent Care Delivery Team, Integrated Urgent Care Service Specification, Integrated Urgent Care Services, Integrated Urgent Care Services in Wolverhampton, Integrated Urgent Care Services: National Service Specification, Intermediate Care, Intermediate Care Capacity, Isle of Wight NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Lobbying, Local Sustainability and Transformation Plans (STPs), London Ambulance Service NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), London North West Healthcare NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Medway NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), National Clinical Assessment Service (NCAS), National Service Specification for Integrated Urgent Care Services, New Care Models, New Models of Care, New Models of Service, NHS Confederation: NHS on the Brink (2017 Allegation), NHS Digital, NHS Digital (Formerly the Health and Social Care Information Centre), NHS Future Precarious (CQC Allegation), NHS Hospital Bed Numbers, NHS Providers, NHS Sustainability, North Manchester General Hospital: Preparations Ahead of Winter 2017/8 (Extra Funding), Northern Lincolnshire and Goole NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Parliamentarians, Patient Flows, Pennine Acute Hospitals NHS Trust (Fairfield General Hospital): Preparations Ahead of Winter 2017/8 (Extra Funding), Pennine Acute Hospitals NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Philip Dunne: Minister of State for Health, Preparations Ahead of Winter 2017/8 (Extra Funding), Preparations for Winter, Professor Ted Baker: Chief Inspector of Hospitals at Care Quality Commission (CQC), Provider Sustainability, Quality and Sustainability, rcem, Reducing Reliance on Hospital Care, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Royal College of Emergency Medicine (RCEM), Royal Hampshire County Hospital: Winchester: Preparations Ahead of Winter 2017/8 (Extra Funding), Royal Liverpool and Broadgreen University Hospitals NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Royal Wolverhampton NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Safety and Quality of Emergency Care (Letter From Ted Baker to NHS Trusts), South Tyneside NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), St George’s University Hospitals NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), STP Proposals to Reduce Bed Numbers, Sustainability, Sustainability and Transformation Plans (STPs), Sustainable Funding, Thinking Like a Patient and Acting Like a Taxpayer, University Hospitals Bristol NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), University Hospitals of North Midlands NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), West Middlesex University Hospital: Preparations Ahead of Winter 2017/8 (Extra Funding), Whittington Health NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Winter Preparedness, Winter Pressures
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Quality Improvement in Urgent and Emergency Care (NHS Improvement / NHS England / Department of Health)
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 →
Posted in Acute Hospitals, BBC News, Commissioning, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS Confederation, NHS England, NHS Evidence, NHS Improvement, Non-Pharmacological Treatments, Nuffield Trust, Person-Centred Care, Quick Insights, Royal Wolverhampton NHS Trust, Standards, UK, Universal Interest, Wolverhampton
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Tagged 2017-19 Integration and Better Care Fund Policy Framework, A&E, A&E Waiting Times and Activity, Access to Urgent and Emergency Care, Accident and Emergency Doctors, Accountable Care Organisations (ACOs), Acute Assessment (Improving Patient Flow in Urgent and Emergency Care), Acute Bed Capacity, Acute Care, Acute Care Collaboration, Acute Care Services, Acute Hospital A&E and Liaison Mental Health Teams, Acute Hospital A&E and Liaison Mental Health Teams: Transforming Mental Health Crisis Care (NHS England), Acute Hospital Care, Acute Medical Care for Frail Older People, Acute Medical Care of Elderly People, Acute Medical Unit Consultant Input, Acute Medicine Units (AMUs), Admission Transfer and Discharge (Improving Patient Flow in Urgent and Emergency Care), Ageing and Society, Ageing Population, Ambulance Handovers, Ambulance Handovers (Improving Patient Flow in Urgent and Emergency Care), Ambulance Response Programme (ARP), Ambulance Service Targets, Ambulance Services, Ambulatory Emergency Care (Improving Patient Flow in Urgent and Emergency Care), Association of Ambulance Chief Executives (AACE), Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Barts Health NHS Trust, BBC Health News, Bristol Royal Infirmary, British Geriatrics Society (BGS), British Medical Association (BMA), British Medical Journal (BMJ), Cambridgeshire and Peterborough NHS Foundation Trust (CPFT), Centrally Coordinated Patient Flow (Use of Data in Hospital’s Dashboard), Centre for Urgent and Emergency Care, Chris Hopson: Chief Executive of NHS Providers, Clinical Decision Units (CDUs), Clinical Decision Units (Improving Patient Flow in Urgent and Emergency Care), Cm, Commons Health Select Committee, Consultant Input, Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Demand Driven by Alcohol Consumption, Demand Management, Developing Trusted Assessment Schemes, Discharge and Out of Hospital Care, Dispatch on Disposition (DoD), Dysfunctional Patient Flow, Early Senior Assessment, Early Senior Review of Patients, Early Supported Discharge (ESD), East and North Hertfordshire Care Home Vanguard, ECIP, ECIP: Emergency Care Improvement Programme, Emergency Admissions, Emergency Ambulance Services, Emergency and Urgent Care Services, Emergency Assessment Unit (EAU), Emergency Assessment Units, Emergency Assessment Units (EAUs), Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Care ACP Curriculum, Emergency Care Improvement Programme (ECIP), Emergency Care Intensive Support Team (ECIST), Emergency Centres, Emergency Departments, Emergency Departments (Improving Patient Flow in Urgent and Emergency Care), Emergency Flow Improvement Tool, Emergency Medical Services (EMS), Emergency Medicine Consultants, Emergency Services, Evolving Demand, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Flow Within Hospitals, Four-Hour A&E Waiting Time Target, Frailty, Frailty (Improving Patient Flow in Urgent and Emergency Care), Funding, Government Response to Health Select Committee Report on Winter Pressure in Accident and Emergency Departments (2017), GP Services Co-Located With A&E Department, GPs Co-Located With A&E Department, Health Education England West Midlands, Health First (USA), Health Select Committee, Health Select Committee (HSC), Health Select Committee Inquiry, Health Select Committee Report on Winter Pressure in Accident and Emergency Departments, High Impact Change Model (HICM), Homes Regional Medical Centre (Florida), Hospital Bed Capacity, House of Commons Health Select Committee, Improving Patient Flow in Urgent and Emergency Care, Inappropriate Accident and Emergency Department Attendances, Increasing Bed Capacity, Integrated and Community-Based Care, Integrated Emergency Department (A&E), Katherine Henderson: President of the Royal College of Emergency Medicine, Long A&E Waits, Long Waiting Times, Luton and Dunstable University Hospital NHS Foundation Trust, Luton and Dunstable University NHS Foundation Trust, Management of System, MDTs: Multidisciplinary Teams, Medical Workforce, Mental Health (Improving Patient Flow in Urgent and Emergency Care), Mental Health Crisis First Response Service (FRS) and Sanctuaries, Mid-Cheshire NHS Foundation Trust, National Priorities for Acute Hospitals (2017), Next steps on the NHS Five Year Forward View (2017), NHS England Urgent and Emergency Care Review Team, NHS in Winter (BBC News), NHS Winter Crisis, NHS111 Directory of Services (DoS), NHSI: NHS Improvement, Non-Medical Workforce, November 2017 Quarterly Monitoring Report (King's Fund), Out-of-Hours GP Services Co-Located With A&E Department, Patient flow, Patient Flow Within Hospitals, Pauline Philip: Chief Executive of Luton & Dunstable University Hospital NHS Foundation Trust - Milton Keynes of Bedfordshire and Luton STP Footprint Lead, Pauline Philip: NHS England's National Director for Urgent and Emergency Care, Payment Mechanisms, Pharmacist Involvement, Poole Hospital NHS Foundation Trust, Poole Hospital NHS Foundation Trust: Acute Frailty Service, Preparations for Winter, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Crisis Resolution Teams, Prevention of Avoidable Emergency Admissions: Intermediate Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Primary Care Streaming (Improving Patient Flow in Urgent and Emergency Care), Priorities for Acute Hospitals, Rapid Improvement Guide to Trusted Assessors, Real Time Locating Software (RTLS), Real-Time Locating Software (RTLS) to Improve Patient Flow, Reasons for Short Stay Emergency Admissions, Recognition and Diagnosis of Frailty, Red2Green Bed Days, Red2Green Rapid Improvement Guide, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Review of Winter 2016/17 (NHS Improvement and NHS England), Royal Berkshire NHS Foundation Trust Emergency Department, Royal College of Emergency Medicine (RCEM), Royal College of Physicians (RCP), Royal College of Surgeons (RCS), SAFER Patient Flow Bundle, SAFER Patient Flow Bundle and Red2Green Days (Improving Patient Flow in Urgent and Emergency Care), Salford Royal NHS Foundation Trust, Salford Royal NHS Foundation Trust (SRFT), Sarah Wollaston: Chair of the House of Commons Health Select Committee, Sarasota Memorial Health Care System, Sarasota Memorial Hospital, Senior Clinical Input, Senior Review of Patients, Short Stay Admissions, Society for Acute Medicine (SAM), South Warwickshire NHS Foundation Trust, South Warwickshire’s Trusted Assessment Form, Specialties (Improving Patient Flow in Urgent and Emergency Care), Staffing, Supporting Adult Social Care to Maintain Patient Flow, Team-Based Interventions in A&E, Tele-tracking Technology, TeleTracking, TeleTracking Technologies Inc, Trusted Assessment (Improving Patient Flow in Urgent and Emergency Care), Trusted Assessment Implementation Checklist, Trusted Assessors, University Hospitals Bristol NHS Foundation Trust, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Review, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England, Using Primary Care to Reduce Demand, Western Sussex Hospitals NHS Foundation Trust, Winter From Hell: 2016-7 (Allegation), Winter Preparedness, Winter Pressure in Accident and Emergency Departments (House of Commons Health Select Committee: HC 277), Winter Pressures, Working on Edge of Safety (NHS Providers Allegation)
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Approaches to the Reduction of Preventable Hospital Admissions: a Systematic Review (BMJ Open)
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 →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Models of Dementia Care, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Statistics, Stroke, Systematic Reviews, UK, Universal Interest
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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, BMJ Open, BMJ Publishing Group Ltd, Bristol, Bristol Randomised Trials Collaboration: University of Bristol, Brunelcare: Saffron Gardens (Bristol), Case Management, Centre for Academic Primary Care: University of Bristol, Chronic Obstructive Pulmonary Disease (COPD), Community Hospitals, COPD: Chronic Obstructive Pulmonary Disease, Crisis Resolution Teams, Department of Emergency Medicine: University Hospitals Bristol NHS Foundation Trust, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Care, Emergency Centres, Emergency Departments, Emergency Medical Services (EMS), Emergency Services, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Faculty of Health and Applied Sciences: University of the West of England, HaH Interventions, HaH: Hospital at Home, Health Economics at Bristol: University of Bristol, Heart Failure, Independent Prescribing by Paramedics, Intermediate Care, Paramedic Prescribing, Pneumonia, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Crisis Resolution Teams, Prevention of Avoidable Emergency Admissions: Intermediate Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Prevention of Avoidable Emergency Admissions: Telehealth, Proactive Management of Long-Term Conditions, Pulmonary Embolism, Reasons for Short Stay Emergency Admissions, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, School of Social and Community Medicine: University of Bristol, Systematic Review, Systematic Reviews and Meta-Analyses, Uncomplicated Diverticulitis, University Hospitals Bristol NHS Foundation Trust, University of Bristol, University of the West of England, 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 Services in England
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