Tag Archives: Balance Between Care by Specialists and Generalists

RCP’s Future Hospital Model: An Update (RCP)

Posted on September 28, 2014 by Dementia and Elderly Care News

Summary The Royal College of Physicians (RCP) earlier this month released a further document explaining their model for the future hospital. Roughly a year since publication of the original plan, and in readiness for the 2015 general election, the RCP … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Royal College of Physicians, Standards, UK, Universal Interest | Tagged 10-Year Vision, 2015 Challenge: NHS Confederation, ACH: Acute Care Hub, Acute Care Coordinator, Acute Care Hub, Acute Care Hub (ACH), Acute Hospital Care, Admissions, Ageing Population, Alternatives to Hospital Admission, Balance Between Care by Specialists and Generalists, Barriers to Engagement, Barriers to Integration, Barriers to Joined-Up Care, Bed/Ward Moves, Beyond Institutional Boundaries, Care and Compassion, Care by Specialists and Generalists, Care focused on Prevention and Recovery, Care for Vulnerable Older People, Care of Frail Older People With Complex Needs, Care Seven Days a Week, Clinical Co-Ordination Centre, Clinical Coordination Centre, Clinical Coordination Centre (CCC), Clinical Leadership, Clinical Leadership for Cross Boundary Service Redesign, Clinical Quality Improvement, Clinician Citizenship, Collaboration, Collaborative Working, Communication, Community Care, Community-Based Rehabilitation Services, Compassionate Care, Complex Chronic Conditions, Complex Discharge Ward, Complex Needs, Comprehensive Geriatric Assessment (CGA), Consultant Input, Consultant Physicians, Continuity of Care, Coordinated Specialist Care, Culture of Compassionate Care, Delivering the Future Hospital, Discharge, Discharge Coordination, Discharge Planning, Discharge Support, Early Senior Review Across Medical Specialties, Early Supported Discharge (ESD), Early Supported Discharge Teams, Elderly Care Assessment Unit (ECAU), Electronic Patient Record (EPR), Electronic Patient Records: NHS, End to Silo Working, Enhanced Care, Enhanced Recovery Programmes, Evidence-Based Legislation, Expert Care and Assessment, Extended Roles for Physicians in the Community, Extension of Hospital Services Into the Community, Five Point Plan for Hospitals (RCP), Frailty Units, Future Hospital Commission, Future Hospital Explained, Future Hospital Principles, General Hospital Care, General Hospitals, Generalist Inpatient Pathways, Generalist Ward-Based Teams, Generalists, Geriatric Evaluation and Management Unit (GEMU), Good Communication, Handover, Health and Social Care Integration, High Dependency Unit (HDU), Holistic Care, Hospital Discharge, Hospital Discharge and Transfers, Hospital Reconfiguration, Hospital: More Than a Building (RCP), Hospital–Community Interface, Hospital’s Public Health Role, Improving Public Health, Information Sharing, Information to Revolutionise Care, Integrated Acute and Specialist Care Beyond the Hospital, Integrated Discharge Process, Integrating Health and Social Care, Intermediate Care, Joined-Up Care, Large Scale Tendering of Health Services (in England), Liaison Psychiatry Services, Long-Term Care (LTC), Long-Term Conditions (LTCs), MDTs: Multidisciplinary Teams, Medical Division, Medical Division Remit, Medical Leadership Competency Framework (MLCF), Medical Professionalism, Models of Integration, Multi-Disciplinary Team (MDT), Multidisciplinary CGA Approach, Multiple Health Issues, Multiple Needs, Multiple-Morbidities, Named Consultants, New Model of Care: Future Hospital Commission, New Model of Clinical Care (RCP), New Structures in the Future Hospital, NHS Confederation’s 2015 Challenge, NHS Service Reconfiguration, No Harm Culture, Ongoing Care, Optimal Assessment in Hospital, Out of Hours Services, Outliers, Outreach Services, Overcoming Barriers, Patient Discharge, Patient Experience, Patient-Centred Care, Patient-Centred Culture, Patient-Centred Vision, Payments to Drive Collaboration, Post-Discharge Activities, Post-Discharge Support, Preventative Care, Preventive Care, Primary / Secondary Care Interface, Principles of Patient Care (RCP), Principles of Service Redesign, Professor Sir Michael Rawlins: Chairman of Future Hospital Commission, Public Health, Public Health Agenda, Public Health Interventions, Rapid Access (‘Hot’) Clinics, RCP Acute Medicine Task Force, RCP’s Patient and Carer Network, Recovery, Rehabilitation Services, Royal College of Physicians (RCP), Royal College of Physicians of London, Safe and Compassionate Care, Seamless Care Between Settings, Self-Management, Self-Management in Chronic Illness, Self-Management Support, Service Redesign, Service Reviews, Seven-Day Services in Hospital, Seven-Day Services in the Community, Shared Decision-Making, Shared Responsibility, Single Medical Division, Specialist Inpatient Pathways, Stable Medical Teams, Support to Care Home Residents, Supporting Patients to Leave Hospital, Tackling Barriers to Innovation, Team Working, Teams, Urgent Care Centre (UCC), Vision of Patient Care: Future Hospital Commission, Vulnerable Older People | Leave a comment

Testing the RCP Future Hospitals Model: the Future Hospital Programme (BBC News / BMJ)

Posted on September 25, 2014 by Dementia and Elderly Care News

Summary Four NHS trusts in England and Wales are to implement and evaluate the Royal College of Physicians (RCP)’s vision of the future hospital. Under the Future Hospitals Programme, hospital doctors work together with colleagues in primary care, to provide … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, 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, Models of Dementia Care, National, NHS, Patient Care Pathway, Person-Centred Care, Quick Insights, Royal College of Physicians, Standards, UK, Universal Interest | Tagged A&E Workforce, ACH: Acute Care Hub, Acute Care Coordinator, Acute Care Hub, Acute Care Hub (ACH), Acute Care Toolkits (RCP), Acute Hospital Care, Acute Medical Unit (Norwich), Ageing Population, Alternatives to Hospital Admission, Ambulatory Emergency Care, Assistive Technology, Balance Between Care by Specialists and Generalists, BBC Health News, BBC Wales, Bed/Ward Moves, Betsi Cadwaladr University Health Board, Beyond Institutional Boundaries, BMJ, British Medical Journal (BMJ), Care and Compassion, Care by Specialists and Generalists, Care Closer to Home, Care focused on Prevention and Recovery, Care for Vulnerable Older People, Care of Frail Older People With Complex Needs, Care Seven Days a Week, Chief of Medicine, Clinical Co-Ordination Centre, Clinical Coordination Centre, Clinical Coordination Centre (CCC), Collaboration, Collaborative Working, Communication, Community Care, Community Teams, Community-Based Rehabilitation Services, Compassionate Care, Complex Chronic Conditions, Complex Discharge Ward, Complex Needs, Comprehensive Geriatric Assessment (CGA), Consultant Input, Consultant Physicians, Continuity of Care, Coordinated Specialist Care, Culture of Compassionate Care, Digital Technology, Discharge, Discharge Coordination, Discharge Planning, Discharge Support, Early Senior Review Across Medical Specialties, Early Supported Discharge (ESD), Early Supported Discharge Teams, Elderly Care Assessment Unit (ECAU), Electronic Patient Record (EPR), Eleven Principles of Patient Care (RCP), Enabling Technology, Extended Roles for Physicians in the Community, Extension of Hospital Services Into the Community, Future Hospital, Future Hospital Commission, Future Hospital Commission (FHC), Future Hospital Commission Principles, Future Hospital Commission Recommendations, Future Hospital Explained, Future Hospital Journal (RCP), Future Hospital Principles, Future Hospital Programme, Future Hospital Programme Partners, Future Hospital Vision: 50 Recommendations, Future Workforce, General Hospital Care, General Hospitals, Generalist Inpatient Pathways, Generalist Ward-Based Teams, Generalists, Geriatric Evaluation and Management Unit (GEMU), Good Communication, Handover, Health and Social Care Integration, Health Promotion, Holistic Care, Hospital Discharge, Hospital Discharge and Transfers, Hospital Reconfiguration, Hospital–Community Interface, Hospital’s Public Health Role, Information Sharing, Information Technology, Integrated Acute and Specialist Care Beyond the Hospital, Integrated Community Teams, Integrated Discharge Process, Integrating Health and Social Care, Intermediate Care, Internet Video Links to Consultants, Liaison Psychiatry Services, Long-Term Care (LTC), Long-Term Conditions (LTCs), MDTs: Multidisciplinary Teams, Medical Division, Medical Education, Medical Education and Training, Mid Yorkshire Hospitals NHS Trust, Multi-Disciplinary Team (MDT), Multidisciplinary CGA Approach, Multiple Health Issues, Multiple Needs, Multiple-Morbidities, Named Consultants, National Advisory Group on the Safety of Patients in England, National Early Warning Score, New Model of Care: Future Hospital Commission, New Model of Clinical Care (RCP), New Structures in the Future Hospital, NEWS: National Early Warning Score (RCP), NHS Healthcare Academy, NHS Service Reconfiguration, NHS Workforce, No Harm Culture, North Wales, Ongoing Care, Online Consultations, Online Consultations With Hospital Doctors, Opportunities to Treat Patients Without Hospital Admission, Optimal Assessment in Hospital, Out of Hours Services, Outreach Services, Patient Discharge, Patient Experience, Post-Discharge Activities, Post-Discharge Support, Postgraduate Medical Education, Preventative Care, Preventive Care, Primary / Secondary Care Interface, Principles of Patient Care (RCP), Professor Sir Michael Rawlins: Chairman of Future Hospital Commission, Rapid Access (‘Hot’) Clinics, RCP Acute Medicine Task Force, RCP's Future Hospitals Model, RCP: Royal College of Physicians, RCP’s Patient and Carer Network, Readiness Assessment and Developing Project Aims, Reducing Transfers of Patients Between Teams, Royal Blackburn Hospital, Royal College of Physicians (RCP), Rural North Wales, Safe and Compassionate Care, Safer Patients Initiative, Seamless Care Between Settings, Self-Care, Seven-Day Services in Hospital, Seven-Day Services in the Community, Shared Decision-Making, Shared Responsibility, Single Medical Division, Support to Care Home Residents, Supporting Patients to Leave Hospital, Team Working, Teams, Telemedicine, Treating Patients Without Hospital Admission, Urgent Care Centre (UCC), US Health Care System, US Health Resources and Service Administration (HRSA), Video Links, Vision of Patient Care: Future Hospital Commission, Vulnerable Older People, Workforce and Skill Mix, Workforce Issues, Workforce Planning, Workforce Retention Recruitment and Resilience, Workforce Training, Worthing Hospital | Leave a comment

Accountable Care Organisations in the USA and England (King’s Fund / BBC News)

Posted on March 30, 2014 by Dementia and Elderly Care News

Summary This King’s Fund report investigates Accountable Care Organisations (ACOs) in the United States and England. The relevance of ACOs for integrated care initiatives in England are assessed. “In the United States, accountable care organisations ACOs – a group of … Continue reading →

Posted in Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, King's Fund, Management of Condition, National, Patient Care Pathway, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Abolition of the Purchaser/Provider Split, Accountability, Accountable Care Communities (ACCs), Accountable Care Organisations, Accountable Care Organisations (ACOs), ACO Eligibility Criteria, ACO Models, ACO-Type Organisations, Active Engagement, Advocate Health Care in Chicago, Affordable Care Act (Office of Legislative Counsel 2010), Ageing Population, Ageing Society, Balance Between Care by Specialists and Generalists, Barriers to Integration, BBC Health News, Benefits of Integrated Care, Better Care Fund, Better Care Fund (BCF), Budgets, Care by Specialists and Generalists, Care Integration, Care Management, Centers for Medicare and Medicaid Services (CMS), Centers for Medicare and Medicaid Services (U.S.), Chronic Illnesses, Clinical Leadership, Co-operative Network in Rural North Dakota, Collaborative Care, Collaborative Care Teams, Collaborative Models of Delivery, Collaborative Working, Commissioning Support Tools, Community Care of North Carolina, Conditions for Integration, Cost and Quality Measures, Enablers of Integrated Care, Engagement, England, Evolution of ACOs, Financial Fragmentation in the NHS, Fragmentation of Services and Commissioning, Fragmented Care, Fragmented Resource Allocation, Geisinger Health System in Western Pennsylvania, GP Commissioning in the NHS in England, Group Health Cooperative of Puget Sound Washington State, Health and Social Care Integration, Health Care Reform, High Quality Care for All, House of Care Model, Impactability Models, Incentivising Integrated Care, Independent Practice Associations (IPAs), Information Sharing, Innovations in Payment Systems and Contracting, Integrated Care in English NHS, Integrated Delivery Systems, Integration of Health and Social Care, Intermountain Healthcare in Salt Lake City, Investment in Information Technology, Kaiser Permanente, Lessons for England From the US, Long-Term Conditions (LTCs), Macmillan Cancer Support, Massachusetts Alternative Quality Contract (AQC), Mayo Clinic, Medicare, Medicare and Medicaid, Monarch in California, Multi-Specialty Group Practices, Multi-Specialty Teams Across Hospital and Community, Multiagency Teams, Multidisciplinary Teams, Multiple Chronic Disease, Multiple Needs, Multiple-Morbidities, Networks and Alliances, NHS Plan (2000), NHS Reform, Patient and Family Engagement, Patient Engagement, Patient Protection and Affordable Care Act (US 2010), Patient Targeting and Risk Stratification, Payment by Results, Payment Systems and Incentives, Physician Hospital Organisations (PHOs), Pioneer and the Shared Savings Programme, Pioneer Programme, Population Risk Stratification, Prevention, Preventive Care, Purchaser/Provider Split, Right Outcomes Linked to Incentives, Risk Stratification, Shared Savings Programme, Specific Objectives, Support Tools, Team-Based Approaches, Types of ACOs, United States, USA, Virginia Mason in Washington State, Virtual Physician Organisations (VPOs), Working Arrangements | Leave a comment

Integrated Care for Older People with Complex Needs: International Case Studies (King’s Fund)

Posted on January 31, 2014 by Dementia and Elderly Care News

Summary This King’s Fund report compares evidence from case studies from Australia, Canada, the Netherlands, New Zealand, Sweden, UK and United States to discover generalisable conclusions. Models vary. The underlying similarities and international differences between various programmes for delivering integrated … Continue reading →

Posted in Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, King's Fund, Management of Condition, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, Systematic Reviews, UK, Universal Interest | Tagged Adult Social Care for People with Complex Needs, Agency Networks, Alternatives to Hospital for People with Dementia, Australia, Balance Between Care by Specialists and Generalists, Barriers to Integration, Benefits of Remote Monitoring, Canada, Care by Specialists and Generalists, Care Coordinators, Care for People with Dementia, Care for People with Dementia in the Community, Care of Frail Older People With Complex Needs, Commissioning Multiagency Teams, Complex Care, Complex Chronic Conditions, Complex Needs, Dedicated Care Coordination, Electronic Medical Records, European Observatory on Health Systems and Policies, Frail Older People With Complex Needs, Functional Integration, Generalists, Geriant (Netherlands), Geriant: Noord-Holland Province, GPs, Health and Social Care, Health and Social Care Delivery Models, Health and Social Care Integration, Health and Social Care Services, Health Systems in Transition, HealthOne (Australia), HealthOne Mount Druitt: Sydney, High Touch vs High-Tech Care, Improving Care for People with Dementia, Information Sharing, Integrated Care Coordinators, Integration of Health and Social Care, Local Care Services, Local Empowerment, Local Initiatives, Local Networks, Massachusetts General Care Management Programme: Boston, MassGeneral (United States), Micro-Service Level Integration, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary Team (MDT), Multiagency Teams, Multidisciplinary Teams, Named Care Coordinators, Named Case Managers, Named Key Worker, Netherlands, Networks, New Zealand, Normative Integration, Norrtalje (Sweden), Norrtalje Local Authority: Sweden, Older People, Older People With Complex Needs, Older People's Care, Organisational and Cultural Barriers, Organisational Integration, Overcoming Barriers, Partners Healthcare, Pioneer Accountable Care Organisation (ACO), Population-Based Care Person-Focused Care, Primary Care Physicians, PRISMA (Canada), Professional Integration, Programme of Research to Integrate the Services for the Maintenance of Autonomy (PRISMA): Quebec, Reducing Admissions to Nursing Care, Reducing Admissions to Residential Care, Reducing Bed Days, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Unnecessary Admissions, Reducing Unplanned Hospitalisation, Rehabilitation Services for People with Complex Mental Health Needs, Remote Care Monitoring, Self-Management, Self-Management in Chronic Illness, Self-Management Support, Service Integration, Service-Level Design, Single Point of Entry, Stockholm County Council, Support for People with Complex Needs, Support Networks, Sustainability, Sweden, System Integration, Taxonomies of Integrated Care, Te Whiringa Ora (New Zealand), Te Whiringa Ora: Eastern Bay of Plenty (New Zealand), Telemonitoring, Telephone-Based Support, Top-Down Policy, Torbay and Southern Devon Health and Care NHS Trust, Torbay Care Trust, World Health Organization | Leave a comment

Overhaul of Hospital Care (BBC News / RCP / Future Hospital Commission)

Posted on September 12, 2013 by Dementia and Elderly Care News

Summary The Future Hospital Commission has recommended a radical re-structuring of care for frail elderly people with complex needs. There is a need to avoid multiple moves for patients with multiple morbidities after their admission to hospital. Instead of moving … Continue reading →

Posted in Acute Hospitals, BBC News, 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, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Royal College of Physicians, Standards, UK, Universal Interest | Tagged 11 Principles of Patient Care (RCP), ACH: Acute Care Hub, Acute Care Coordinator, Acute Care Hub, Acute Care Hub (ACH), Acute Care Toolkits (RCP), Acute Hospital Care, Admissions, AEC, Ageing Population, Alternatives to Hospital Admission, Ambulatory (Day Case) Emergency Care (AEC), Ambulatory Care, Ambulatory Emergency Care, Balance Between Care by Specialists and Generalists, Bed/Ward Moves, Beyond Institutional Boundaries, Care and Compassion, Care by Specialists and Generalists, Care focused on Prevention and Recovery, Care for Vulnerable Older People, Care of Frail Older People With Complex Needs, Care Seven Days a Week, Chief of Medicine, Clinical Co-Ordination Centre, Clinical Coordination Centre, Clinical Coordination Centre (CCC), Clinician Citizenship, Collaboration, Collaborative Working, Communication, Community Care, Community-Based Rehabilitation Services, Compassionate Care, Complex Chronic Conditions, Complex Discharge Ward, Complex Needs, Comprehensive Geriatric Assessment (CGA), Consultant Input, Consultant Physicians, Continuity of Care, Coordinated Specialist Care, Culture of Compassionate Care, Discharge, Discharge Coordination, Discharge Planning, Discharge Support, Early Senior Review Across Medical Specialties, Early Supported Discharge (ESD), Early Supported Discharge Teams, Elderly Care Assessment Unit (ECAU), Electronic Patient Record (EPR), Eleven Principles of Patient Care (RCP), Embedding Patient Experience in Service Delivery, Embedding Patient Experience in Service Design, End to Silo Working, Enhanced Care, Enhanced Recovery Programmes, Expert Care and Assessment, Extended Roles for Physicians in the Community, Extension of Hospital Services Into the Community, Faculty of Medical Leadership and Management, Frailty Units, Future Hospital Commission, Future Hospital Explained, Future Hospital Principles, Future Hospital Vision: 50 Recommendations, General Hospital Care, General Hospitals, Generalist Inpatient Pathways, Generalist Ward-Based Teams, Generalists, Geriatric Evaluation and Management Unit (GEMU), Good Communication, Handover, Health and Social Care Integration, High Dependency Unit (HDU), Holistic Care, Hospital Discharge, Hospital Discharge and Transfers, Hospital Reconfiguration, Hospital–Community Interface, Hospital’s Public Health Role, Information Sharing, Integrated Acute and Specialist Care Beyond the Hospital, Integrated Discharge Process, Integrating Health and Social Care, Intermediate Care, Liaison Psychiatry Services, Long-Term Care (LTC), Long-Term Conditions (LTCs), MDTs: Multidisciplinary Teams, Medical Division, Medical Division Remit, Medical Leadership Competency Framework (MLCF), Medical Professionalism, Multi-Disciplinary Team (MDT), Multidisciplinary CGA Approach, Multiple Health Issues, Multiple Needs, Multiple-Morbidities, Named Consultants, National Advisory Group on the Safety of Patients in England, National Early Warning Score, New Model of Care: Future Hospital Commission, New Model of Clinical Care (RCP), New Structures in the Future Hospital, NEWS: National Early Warning Score (RCP), NHS Service Reconfiguration, No Harm Culture, Ongoing Care, Optimal Assessment in Hospital, Out of Hours Services, Outliers, Outreach Services, Patient Discharge, Patient Experience, Patient Involvement in Research, Patient Participation, Patient Reported Outcome Measures (PROMs), Patient Safety, Patient-Centred Care, Patient-Centred Care: Eleven Principles, Patient-Centred Care: Four Principles, Patient-Centred Culture, Patient-Level Information and Costing System (PLICS), Patient-reported Experience Measures (PREMs) Tool, Post-Discharge Activities, Post-Discharge Support, Preventative Care, Preventive Care, Primary / Secondary Care Interface, Principles of Patient Care (RCP), Professor Sir Michael Rawlins: Chairman of Future Hospital Commission, Rapid Access (‘Hot’) Clinics, RCP Acute Medicine Task Force, RCP’s Patient and Carer Network, Rehabilitation Services, Rehabilitation Services for People with Complex Mental Health Needs, Safe and Compassionate Care, Seamless Care Between Settings, Service-Line Management (SLM), Service-Line Reporting (SLR), Seven-Day Services in Hospital, Seven-Day Services in the Community, Shared Decision-Making, Shared Responsibility, Single Medical Division, SNOMED Clinical Terms, Specialist Inpatient Pathways, Stable Medical Teams, Support to Care Home Residents, Supporting Patients to Leave Hospital, Team Working, Teams, Urgent Care Centre (UCC), Vision of Patient Care: Future Hospital Commission, Vulnerable Older People, Walk-in Centres | Leave a comment

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