Tag Archives: Barriers to Integration

Blueprint for Complex Care: Care for Individuals with Complex Health and Social Needs (National Center for Complex Health and Social Needs / IHI / Duke University / NIHR)

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

Summary The latest Institute for Healthcare Improvement (IHI) report covers multi-disciplinary and multi-agency approaches to better coordination in the provision of care for individuals with complex health and social needs, from a USA perspective. “The Blueprint for Complex Care is a joint … 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), Health Foundation, Integrated Care, International, Local Interest, Management of Condition, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Royal Wolverhampton NHS Trust, Standards, Universal Interest, Wolverhampton | Tagged Accountable Care Organisations (ACOs), Accountable Care Organisations (in United States and England), Accountable Health Communities, Adult Social Care for People with Complex Needs, Advancing Integrated Care in England: Practical Path for Care Transformation, Ageing Population, Barriers to Integrated Care, Barriers to Integration, Barriers to Integration: Different Funding Models, Barriers to Integration: Different Workforce Cultures, Barriers to Integration: Difficulties in Effective Information Sharing, Barriers to Integration: Organisational Integration, Blueprint for Complex Care, Bridgespan Group: Strong Field Framework, Camden Coalition of Healthcare Providers (CCHP), Care of Frail Older People With Complex Needs, Center for Health Care Strategies, Center for Medicare and Medicaid Innovation (CMMI), Commonwealth Fund, Community Outreach, Complex Care, Complex Care and Multimorbidity, Complex Care Champions, Complex Care Ecosystem, Complex Chronic Conditions, Complex Comorbidities, Complex Conditions, Complex Needs, Complex Patients at Risk of Hospital Admission, Conceptual Model: Starter Taxonomy for High-Need Patients, Cross-Sector Partnerships, Data Sharing, Data Sharing for Better Health, Dr Robin Miller: Deputy Director of Health Services Management Centre at University of Birmingham, Duke University, Duke-Margolis Center for Health Policy, Effective Care for High Need Patients: National Academy of Medicine (NAM) Report, Global Health Innovation Center: Duke University, Health Care Innovation Awards, Health Services Management Centre (HSMC): University of Birmingham, Health Services Management Centre: University of Birmingham, HSMC: University of Birmingham, IHI: Institute for Healthcare Improvement, Innovation Accelerator Program, Institute for Healthcare Improvement, Institute for Healthcare Improvement (IHI), Integrated Care Partnerships and Accountable Care Organisations, Integrated Multi-Agency Care, Lived Experience, Medication Management, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary and Multi-Agency Working, National Center for Complex Health and Social Needs, National Institute for Health Research (NIHR), National Institute for Health Research Health Services and Delivery Research Programme, National Institute for Health Research Signal, NIHR Signal, Organisational Competencies to Accelerate Care Improvements, Outreach Services, Quality Improvement, Quality Measures, Robert and Lisa Margolis Family Foundation, Robert Wood Johnson Foundation, Robert Wood Johnson Foundation (RWJF), SCAN Foundation, School of Health and Related Research (ScHARR): University of Sheffield, Strong Field Framework, United States, University of Sheffield, USA, Value-Based Payments (VBP), Variability in Implementation (of Integrated Care), Vertical Integration, Vertical Integration (of Primary and Secondary Care) | Leave a comment

More on Integrated Care: Government Response to the House of Commons Health and Social Care Committee’s Report (House of Commons / DHSC / King’s Fund / Duke University)

Posted on September 9, 2018 by Dementia and Elderly Care News

Summary In June 2018, the House of Commons Health and Social Care Committee published the “Integrated care: organisations, partnerships and systems” report, which included 42 conclusions and recommendations. Full Text Link Reference Integrated care: organisations, partnerships and systems. Seventh Report … Continue reading →

Integration 2020: Towards an Integration Standard for Health and Social Care (SCIE)

Posted on April 13, 2017 by Dementia and Elderly Care News

Summary The Social Care Institute for Excellence (SCIE)’s “Integration 2020” research was commissioned by the Department of Health to help plan for more integrated health and social care. This report clarifies what better integration of health and care is expected … Continue reading →

Posted in Commissioning, Community Care, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, Mental Health, National, NHS, NHS England, Person-Centred Care, Quick Insights, SCIE, Standards, Statistics, UK, Universal Interest | Tagged Ageing Population, All Together Better, Association, Barriers and Facilitators to Integration by 2020, Barriers to Integration, Berkshire Healthcare NHS, Better Care Fund (BCF), Better Care Fund Graduation, Birmingham City Council, Black Country Partnership NHS Foundation Trust, Care Closer to Home, Care England, Care Planning, Care Quality Commission, Careline, Collaborate, Continuously Improving Value for Money, Delayed Discharges, Department for Communities and Local Government, Devolution and Local Place-Shaping, Digital Interoperability, Digital Maturity Index, Discharge Planning, Discharge Support, Dudley and Walsall Mental Health Partnership NHS Trust, Dudley CCG, Dudley CVS, Dudley Group NHS Foundation Trust, Dudley Healthwatch, Dudley MBC, Dudley’s Multispecialty Community Provider Model, Five Year Forward View (NHS England), foundation trust, Health and Care Suitable for an Ageing Population, Health and Social Care, Health and Social Care Delivery Models, Health and Social Care in the Community, Health and Social Care Integration, Health and Social Care Services, High-Risk Cohorts Targeted, Home Group, Innovation and Training (MERIT) in the West Midlands, Integrated and Community-Based Care, Integrated Care and Support, Integrated Care in Dudley, Integrated Care in Mid-Nottinghamshire, Integrated Care in Southampton, Integrated Care in York, Integrated Care Plans, Integrated Community Care, Integrated Health and Care 2020: Integration 2020, Integrated Personal Commissioning (IPC), Integrated Urgent and Emergency Care, Integration 2020: an Integration Standard for Health and Social Care, Integration Agenda, Integration by 2020, Integration of Health and Care, Integration Pioneer, Integration Scorecard, Integration Scorecard 2020, Local Authorities, Local Government Association, Local Sustainability and Transformation Plans (STPs), Long-Term Conditions (LTCs), Mansfield District Council, MCP Logic Model, Measuring Progress and Outcomes, Mental Health, Mental Health Alliance for Excellence, Modality in Birmingham and Sandwell, Moving Healthcare Closer to Home, National Care Forum, National Voices, New Care Models, New Models of Care Programme, NHS Confed, NHS England’s Five Year Forward View, NHS Providers, North West London, Nottinghamshire County Council, Personal Budgets for Older People, Personalisation, Personalised Care Plans, Preventive Support: Risk Stratification for Case Finding, Priory Medical Group, Reconfiguration of Health Care Services, Resilience, Risk Stratification, Risk Stratification Programmes, Scottish Government, Single Assessment and Care Plans, Single Assessment and Integrated Care Planning, Social Care Embedded in Urgent and Emergency Care, Social Care Institute for Excellence (SCIE), Southampton City CCG, Southampton City Council, Sustainability and Transformation Plans (STPs), The Health Foundation, The Leadership Centre, The Social Work for Better, Timely and Safe Discharges, United Kingdom Homecare, Urgent and Emergency Care, Urgent and Emergency Care Commissioning, Value for Money | Leave a comment

Sustainability of Funding for NHS and Adult Social Care (House of Lords Select Committee)

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

Summary The House of Lords Select Committee on the Long-term Sustainability of the NHS has identified a culture of short-termism regarding the funding of NHS and adult social care. All governments have short-sightedly failed to plan effectively for the long-term, … Continue reading →

Recent Assessments of Health and Social Care Integration in England: the Problems and the Promise (House of Commons Library / SCIE)

Posted on March 6, 2017 by Dementia and Elderly Care News

Summary The following House of Commons Library briefing investigates the challenges involved in the integration of health and social care. Recent Government policies to promote more integrated care are described, including Health and Wellbeing Boards, local strategic planning forums and … Continue reading →

Health and Social Care Integration: a Tale of Over-Optimism? (NAO / BBC News)

Posted on February 19, 2017 by Dementia and Elderly Care News

Summary A recent National Audit Office (NAO) report warns that progress towards the integration of health and social care has been slower and less successful than expected. It has not yet delivered the efficiencies and savings that the Department of … Continue reading →

More on Prevention: the All Our Health Framework (PHE / RCN)

Posted on June 11, 2016 by Dementia and Elderly Care News

Summary The Public Health England (PHE) “All Our Health” framework is about promoting a greater sense of engagement on the part of healthcare professionals in order to encourage working with patients to improve health outcomes. This approach involves broad efforts … Continue reading →

Posted in Commissioning, Community Care, Falls Prevention, For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, NHS, Non-Pharmacological Treatments, Nutrition, Person-Centred Care, Public Health England, Quick Insights, RCN, Standards, UK, Universal Interest | Tagged All Our Health, All Our Health (Public Health England), All Our Health: Healthcare Professionals Improving Health Outcomes and Reducing Health Inequalities, Alzheimer’s Disease: Risk Factors, Asset Based Community Development (ABCD), Asset Based Community Development Institute, Barriers to Engagement, Barriers to Integration, Barriers to Involvement, Barriers to Joined-Up Care, Cardiovascular Risk Factors (CVRF), Challenges to Utilising Nursing in Public Health Services, Clinical Engagement, Community Hospice At Home, Community Hospital At Home, Contributions of Nursing to Public Health, Current Versus Desired Nursing Involvement in Public Health, Dementia Risk Factors, Dietary Risk Factors, Employee Engagement, Employee Engagement in the NHS, Environmental Risk Factors, Front Line Engagement, Going Upstream, Going Upstream: Nursing’s Contribution to Public Health, Health as a Social Movement (NHS England), Health Inequalities, Health Inequalities in England, Health Policy, Health Services, Healthcare Professionals Improving Health Outcomes and Reducing Health Inequalities (Public Health England's All Our Health), Healthy Places: Integrated Services for Local Populations, Helen Donovan: Professional Lead for Public Health Nursing at Royal College of Nursing, Holistic Care, Improving Outcomes, Integrated Services for Local Populations, Involvement and Participation, Involvement Enablers, Jane Cummings: Chief Nursing Officer for England, Leading Change Adding Value Framework, Lifestyle Risk Factors, Local Action on Health Inequalities, Local Populations, Local Sustainability and Transformation Plans (STPs), Making Every Contact Count, Making Every Contact Count (MECC), Making Every Contact Count Programme (MECC), Managing Processes for Quality and Better Outcomes, Modifiable Risk Factors, NHS England’s Five Year Forward View, NHS England’s Leading Change Adding Value Framework, NHS England’s Right Care Programme, NHS Five Year Forward View (5YFV), NHS Right Care Approach, No Decision About Me Without Me, Northwestern University's Center for Civic Engagement, Nurses 4 Public Health: Promote Prevent and Protect, Nurses 4 Public Health: Value and Contribution of Nursing to UK Public Health, Nurses and Midwives: Coordination to Ensure a Comprehensive Continuum of Services, Nurses and Midwives: Empowering People and Engaging Patients, Nurses and Midwives: Influencing Upstream and Downstream Public Health Services, Nurses and Midwives: Innovation in Rethinking Service Delivery, Nurses And Midwives: Managing For Quality And Better Outcomes, Nurses and Midwives: Reducing Barriers / Boundaries Across Care Settings, Nurses For Public Health: Promote Prevent and Protect, Nursing, Nursing Involvement, Overlapping Risk Factors, PESTEL: Political Economic Socio-Cultural Technological Legal and Environmental Influences, PHE: Public Health England, Political Economic Socio-Cultural Technological Legal and Environmental (PESTEL): Influences on Public Health Nursing, Professor Nigel Davies: Healthcare Leadership and Workforce Development at University of Bedfordshire, Promoting the Value of Public Health Nursing, Public Health, Public Health England (PHE), Public Health England's All Our Health Framework, Public Health Nursing Activities, Public Health Nursing Skills, Reducing Health Inequalities, Risk Factors, Royal College of Nursing (RCN), Social Determinants of Health Inequalities, Socio-Environmental Risk Factors, Sustainability and Transformation Plans (STPs), Tackling Inequalities, Unwarranted Variations, Value and Contribution of Nursing to Public Health in the UK, Vascular Risk Factors | Leave a comment

Coordination of Care for People With Long-Term Conditions and Dementia (NIHR Signal / BMJ / Department of Health)

Posted on May 28, 2016 by Dementia and Elderly Care News

Summary A National Institute for Health Research (NIHR) “Signal” expert commentary refers to research indicating that almost one fifth of people with dementia have other serious conditions, such as stroke and diabetes, whereas current services are not typically aligned to … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Models of Dementia Care, National, NHS, NHS England, NIHR, NIHRSDO, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Public Health England, Quick Insights, UK, Universal Interest | Tagged Access to Care, Acute Care, Barriers to Integration, Barriers to Joined-Up Care, Barriers to Older People Accessing Help and Support, Barriers to Support, Barriers: Lack of Continuity of Care, Barriers: Lack of Support for Carers, Best Practice in Dementia Care (Triangle of Care), BMJ, BMJ Publishing Group Ltd, British Medical Journal (BMJ), Cambridge, Cambridgeshire, Carer Friendly Society, Carer Inclusion, Carer Inclusion and Support, Carer Support, Centre for Research in Primary and Community Care: University of Hertfordshire, Co-Morbidities, Co-Morbidities and Dementia, Co-Morbidities In Older Patients, Cognitive Functioning and Ageing Studies, Commissioning for Parity of Esteem, Common Dementia Comorbidities, Comorbidities: a Framework of Principles for System-Wide Action, Comorbidity and Dementia (CoDem), Complex Conditions, Continuity of Care, Dementia and Diabetes, Dementia Co-Morbidities, Dementia Comorbidities, Dementia Risk Factors, Dementia-Friendly Cities, Dementia-Friendly Environments, Dementia-Friendly Hospitals, Department of Psychology: King’s College London, Department of Public Health and Primary Care: University of Cambridge, Diabetes, Diabetes and Multiple Morbidities, Disjointed and Substandard Care, Division of Psychiatry: University College London, East London Foundation Trust, Elderly People With Complex Health and Social Care Needs, Health and Social Care Integration, Health Services and Delivery Research Programme (NIHR), Holistic Care, Holistic Care Assessments, Holistic Co-ordinated Care, Home Model (Integrated Primary Care), Hospital-Based Initiatives, Impact of Dementia and Medical Comorbidities on Quality of Care and Access to Treatment, Improving Health Care for People With Dementia, Institute for Health and Society: Newcastle University, Institute of Psychiatry: King's College London, Integration of Health and Care, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Integration of Physical and Mental Health, King’s College London, Leicestershire, Managing Ongoing Physical and Mental Health Conditions, Medical Research Council's Cognitive Function and Ageing Studies (CFAS) Project, Multiple Long-Term Conditions, National Association of Primary Care (NAPC), National Association of Primary Care (NAPC) Pilots, National Institute for Health Research (NIHR), National Institute for Health Research (NIHR) Signal, Newcastle University, Newcastle upon Tyne, NIHR Health Services and Delivery Research Programme, NIHR Research for Patient Benefit Programme, NIHR Signal, North Thames Clinical Research Network Dementias and Neurodegeneration (DeNDRoN), Nottinghamshire, Parity of Esteem, Permission to Share Information With Nominated Carers, Permission to Share Information With Particular Family Members, Prevalence of Dementia in People with Diabetes Stroke and Visual Impairment, Prevalence of Diabetes Stroke and Visual Impairment in People with Dementia, Primary Care Home Model, Primary Care Home Model Pilots, PRIMENT Clinical Trials Unit: University College London, Principles For System-Wide Action on Comorbidities, Public Health England (PHE), RAMP Team (Department of Health and NHS England), RAMP: Reducing Avoidable and Premature Mortality, Research Department of Primary Care and Population Health: University College London Medical School, Sensory Impairment, Supporting Carers of People With Dementia, Supporting Self-Care, System-Wide Action on Comorbidities, Triangle of Care, Triangle of Care for Dementia, Type 2 Diabetes, University College London, University College London Medical School, University of Hertfordshire, Untreated Comorbidities, Vale of York Clinical Network, Vision Impairment, Visual Impairment, Workforce Development, Worksop | Leave a comment

Quality Checkers: Efforts to Reduce Learning Disabilities-Related Barriers to Accessing NHS Services (NHS England)

Posted on May 13, 2016 by Dementia and Elderly Care News

Summary The NHS Quality Checkers Programme will involve people with learning disabilities helping to inspect their local NHS services and offer advice on how these can be re-designed to better meet their needs (and the needs of other patients). Tools … Continue reading →

Limits on the Role of Community Pharmacists in Reducing Use of Antipsychotics for BPSD: Qualitative Research (BMJ Open)

Posted on March 21, 2016 by Dementia and Elderly Care News

Summary An investigation into the factors, constraints and potential barriers which might limit the ability of community pharmacists to contribute to the limitation of antipsychotics use in the treatment of behavioural and psychological symptoms of dementia (BPSD) identifies: Politics and … Continue reading →

Posted in Antipsychotics, Community Care, For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, NHS, Person-Centred Care, Pharmacological Treatments, Quick Insights, UK, Universal Interest | Tagged Ability of Community Pharmacists to Limit Use of Antipsychotics Prescribed Inappropriately For BPSD, Alternatives to Antipsychotic Medication, Antipsychotic Drugs, Antipsychotics in Elderly People with Dementia, Antipsychotics Limitation in Dementia, Aston Research Centre for Healthy Ageing (ARCHA): Aston University, Aston University, Avante Care (Faversham Kent), Barriers to Integration, Barriers to Involvement, Behavioural and Psychological Symptoms of Dementia (BPSD), Birmingham, BMJ Open, BMJ Publishing Group Ltd, BPSD, BPSD: Behavioral and Psychological Symptoms of Dementia, Communication Barriers, Communication Between Community Pharmacists and Caregivers, Communication Between Community Pharmacists and GPs, Community Pharmacies, Community Pharmacists, Community Pharmacy, Discontinuation of Antipsychotics, Faculty of Health and Social Care: University of Hull, Hull, Inappropriate Use of Antipsychotics in Dementia, NHS Community Pharmacies, Potential Harms of Antipsychotic Use, Psychological Symptoms of Dementia (BPSD), Qualitative Research, Reducing Antipsychotic Prescriptions in Dementia, Reducing Inappropriate Use of Antipsychotics in Dementia, School of Life and Health Sciences: Aston University, Thematic Analyses, University of Hull | Leave a comment

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