Tag Archives: Better Value

Potential Harms From Polypharmacy in the Elderly (BBC News / Age UK / EJCP / Bazian / Lancet Psychiatry)

Posted on September 8, 2019 by Dementia and Elderly Care News

Summary An Age UK report investigates the potential harms of over-prescribing medicines for older people. Older persons often remain on too many prescribed medicines, putting them at risk of side-effects, potentially resulting in falls and other forms of serious harm. … Continue reading →

Progress Towards Achieving Better Value / Reducing Waste in the NHS (King’s Fund / NHS Providers)

Posted on October 6, 2018 by Dementia and Elderly Care News

Summary A King’s Fund report investigates recent work on the value agenda, i.e. efforts aimed at reducing unnecessary costs while maintaining or improving the quality of care. This is based mostly on experience at three diverse NHS acute hospital trusts: … Continue reading →

Posted in Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, King's Fund, NHS, NHS Improvement, Person-Centred Care, Quick Insights, UK, Universal Interest | Tagged Achieving Better Value, Acute Care, Acute Hospital Care, Ageing Population, Allocative Efficiencies, Allocative Value, Better Procurement, Better Value, Better Value Healthcare, Better Value in the NHS, Better-Value Services, Bolton NHS Foundation Trust, Bradford Teaching Hospitals NHS Foundation Trust, Centralised Procurement, Centralised Procurement (Economies of Scale), Choosing Wisely, Choosing Wisely Campaign, Choosing Wisely in the NHS, Choosing Wisely in the UK, Clinical and Corporate Leadership, Clinical Leadership, Clinical Practice Groups (CPGs), Clinical Quality Improvement, Collaboration, Collaboration for Coordinated Care, Collaboration: Working Across Boundaries, Community Virtual Wards, Consultant-Led Services in the Community, Cost Reductions, Culture and Leadership, Delegated Decision Making, Devolved Budgets, Devolved Decision-Making, Economic Sustainability, Efficiencies and Productivity Gains, Efficiency, Efficiency Agenda, Efficiency Opportunities, Efficiency Savings, Empowerment, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Funding Challenges, Funding Deficits, Funding Gap in Secondary Care, General Hospitals, Getting It Right First Time (GIRFT), Health and Social Care Configuration, Healthcare Quality Improvement, Healthcare Value Improvement, Hospital Productivity, Hospital Reconfiguration, IHI Triple Aim, Innovative Leadership, Leadership, Lean and Quality Improvement, Local Health and Care Services, Local Health Economies, Lord Carter Review, Low-Value Care, Maximising Health Outcomes, Minimising NHS Costs, Model Hospital, Model Hospital: Template for Standardisation, NHS Challenges and New Solutions, NHS Efficiency Savings, NHS England’s Ten-Point Efficiency Plan, NHS Funding Gap, NHS Inappropriate Care: Overuse Underuse and Misuse, NHS Performance, NHS Productivity, NHS Providers, NHS RightCare, NHS Sustainability, Personalised Value, Practical Approaches to Delivering Better Value in NHS Clinical Services (King’s Fund), Productivity, Productivity in the NHS, QI: Quality Improvement, Quality and Efficiency Opportunities, Quality Improvement, Quality Improvement Culture, Redesigning Care Pathways, Redesigning Services, Reducing Drains on the NHS, Reducing Overuse Underuse and Misuse, Reducing Waste in the NHS, Royal Free NHS Foundation Trust, Service Cost Reductions, Service Redesign, Service Redesign for Productivity, Service Redesign for Value Agenda, Shared Clinical Pathways, Staff Empowerment, Staff Empowerment in the NHS, Staff Engagement, Staff Engagement in the NHS, Strategic Leadership, Sustainability, System Efficiencies, Targeting Low-Value Care, Technical Value, Thinking Like a Patient and Acting Like a Taxpayer, Triple Aim Initiative, Triple Aim: (1) Improved Health and Wellbeing (2) Redesigned Care and (3) Wise Financial Stewardship, Troubled NHS Foundation Trusts, Unacceptable Variations, Unwarranted Variations, Use of Resources Assessments (NHS Improvement), Value Agenda, Value Improvement, Variations in Care, Virtual Ward Approaches, Virtual Wards, Virtual Wards to Reduce Readmissions, Workforce Engagement | Leave a comment

Potentially Ineffective / Low-Value Treatments in the NHS Under Review (BBC News)

Posted on July 3, 2018 by Dementia and Elderly Care News

Summary NHS England is actively considering proposals to discontinue or reduce the availability of 17 routine procedures considered to be either ineffective or risky. The aim is to improve patient outcomes, reduce waste in the NHS (by an estimated 200 … Continue reading →

NHS England’s Pharmacy Integration Fund (NHS England / BBC News)

Posted on March 18, 2018 by Dementia and Elderly Care News

Summary Care home residents often have multiple long-term conditions and are often prescribed several different medicines (polypharmacy). NHS England plans to fund recruitment of 180 pharmacists and 60 pharmacy technicians who will work with care homes to try to reduce … Continue reading →

Posted in BBC News, 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, Local Interest, Management of Condition, Models of Dementia Care, National, NHS, NHS England, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Achieving Better Value, Ageing Population, Alternatives to Hospital Admission, BBC Health News, Better Value, Better Value Healthcare, Better Value in the NHS, Care and Support for People With Dementia in Care Homes, Care Home Pharmacists, Care Home Pharmacists to Cut Overmedication, Care Homes, Care of Frail Older People With Complex Needs, Care of Older People Living in Care Homes, Clinical Pharmacists, Community Pharmacists, Community-Based Interventions, Community-Based Services, Community-Based Support, Confusion in Care Homes, Dementia Care in Care Homes, Discontinuation of Multiple Medications in Older Adults, Drug Cost Savings, East and North Hertfordshire NHS Trust, Economic Sustainability, English Pharmacy Board, Financial Constraints, Financial Sustainability in the NHS, Frail Older People, Good Practice in Care Homes, Harms of Too Much Medicine, Hospital Pharmacists, Hospital‑Based Multidisciplinary Teams: Pharmacists, Imelda Redmond: Healthwatch England, Improving Care for Frail Older People, Improving Patient Safety, Improving Pharmaceutical Care in Care Homes, Improving Prescribing Practice, Improving Standards in Care Homes, Inappropriate Drug Use, Inappropriate Medication, Inappropriate Prescribing, Integrated Care in Northumberland, Interdisciplinary Teams, Later Life, Less is More, Liaison and In-Reach Services for Frail Older People, Living Well in Care Homes, Long-Term Conditions (LTCs), Lowering Costs, Managing Medicines in Care Homes, MDTs: Multidisciplinary Teams, Medical Overuse, Medication Reviews, Medication Reviews in Care Homes, Models of Enhanced Health in Care Homes, Multi-Disciplinary Team (MDT), Multi-Disciplinary Teams, Multi-Disciplinary Working, Multi-Morbidities, Multimorbidities and Long-Term Conditions, Multiple Long-Term Conditions, Multiple Medications (Polypharmacy), NHS East and North Hertfordshire CCG, NHS England Local Area Teams: Frail Older People With Complex Needs, NHS England Pharmacy Integration Fund, Northumberland, Older Care Home Residents, Older People, Older People With Complex Needs, Older People's Care, Oral Nutritional Support, Over-Medication, Over-Prescribing, Over-Treatment, Overdiagnosis and Overtreatment, Overmedicaton in Care Homes, Overprescription, Overuse of Medication, Patient Harms, Patient Safety, Patients With Polypharmacy Risks, Pharmacist-Led Care Home Medication Reviews, Pharmacist-Led Medication Reviews, Pharmacists, Pharmacists to Cut Unnecessary Hospital Admissions, Pharmacy Integration Fund (NHS England), Pharmacy Technicians, Polypharmacy, Potentially Inappropriate Prescribing, Preventable Hospital Admissions, Preventative Care, Preventing Acute Admissions from Care Homes, Prevention, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Preventive Care, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Proactive Specialist In-Reach, Protecting Resources and Promoting Value, Redesigning Services, Reducing Expenditure, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Unplanned Hospital Admissions, Reducing Waste in the NHS, Reducing Wasted Medications, Research in Care Homes, Sandra Gidley: Chair of Royal Pharmaceutical Society’s English Pharmacy Board, Simon Stevens: Chief Executive of NHS England, Thinking Like a Patient and Acting Like a Taxpayer, Transforming Care for Frail Older People, Unnecessary Hospital Admissions, Value for Money, Value Improvement, Wellbeing in Care Homes | Leave a comment

Choosing Wisely: A New Review of Overdiagnosis and Overtreatment (BBC News / Academy of Medical Royal Colleges / BMJ)

Posted on October 24, 2016 by Dementia and Elderly Care News

Summary Continuing the debate concerning avoidable overuse in medical care, the Academy of Medical Royal Colleges has drawn-up a list of forty treatments which are thought to confer little or no benefit to patients. Full Text Link Reference Doctors name … Continue reading →

Posted in BBC News, Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Academy of Medical Royal Colleges (AoMRC), Achieving Better Value, Approaches to Quantifying Overdiagnosis, BBC Health News, Better Value, Better Value Healthcare, Better Value in the NHS, BMJ Publishing Group Ltd, British Medical Journal (BMJ), Broadening of Disease Definitions, Choosing Wisely, Choosing Wisely Campaign, Choosing Wisely in the NHS, CIPFA, Clinical Responsibility for Patients (Choosing Wisely and New Deal), Department of Medicine and Center for Health Policy and Outcomes: Memorial Sloan Kettering Cancer Cente, Division of General Internal Medicine: Icahn School of Medicine at Mount Sinai, Drivers of Overdiagnosis, Estimated Proportions of Cancers Representing Likely Overdiagnosis, False Positives, Financial Incentives for Screening and Testing, Financial Sustainability in the NHS, Forty Treatments With Little or No Benefit For Patients (Academy of Medical Royal Colleges), Great Prostate Mistake, Great Prostate Mistake (PSA sic Promoting Stress and Anxiety), Harms From Overdiagnosis, Harms of Too Much Medicine, Health Screening Programmes, Icahn School of Medicine at Mount Sinai (New York), Improving Patient Safety, Improving Prescribing Practice, Improving Value in Diagnostic Services, Labeling, Labeling of Patients, Lack of Clarity Regarding Disease Severity Spectrum, Lean and Quality Improvement, Less is More, Lowering Costs, Lowering of Diagnostic Thresholds, Medical Overuse, Memorial Sloan-Kettering Cancer Center: New York, Overdiagnosis and Overtreatment, Overdiagnosis in Context of Benefits and Harms of Prostate Cancer Screening, Overdiagnosis in Primary Care, Overestimation of Benefit of Therapy in Mild or Low Risk Disease, Overmedicalization, Overuse of Diagnostic or Monitoring Tests / Procedures, Overuse of Medication, Patient Harms, Patient Safety, Prostate Cancer Screening, Protecting Resources and Promoting Value, Quantifying Overdiagnosis, Reducing Expenditure, Reducing Inappropriate Laboratory Investigations, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Productive Waste, Reducing Waste in the NHS, Screening and Overdiagnosis in Primary Care, Screening Programmes, Screening Tests, Terms Related to Overdiagnosis, Too Much Medicine, Unnecessary Tests, Value for Money, Value Improvement, Valueing Diagnosis for Own Sake | Leave a comment

NHS Reconfiguration + STPs = Cut-Backs?: Two Sides of Same Equation? (NHS England / King’s Fund / Nuffield Trust / BBC News)

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

Summary The “Keep calm and carry on”-style narrative from officialdom. Full Text Link Reference NHS England statement on Sustainability and Transformation Plans. [Online]: NHS England, August 26th 2016. Theoretical clarification concerning STPs, from the King’s Fund Full Text Link Reference … Continue reading →

Rising Deficits and the Search for Better Value in the NHS: New Approaches to Financial Sustainability? (King’s Fund / BBC News / Health Foundation / BMJ)

Posted on August 4, 2015 by Dementia and Elderly Care News

Summary Regulators have demanded that hospitals and NHS trusts in England review their financial plans, because rising deficits indicate that existing plans are increasingly unaffordable. Full Text Link Reference Health regulator tells NHS trusts to ‘look again’ at finances. London: … Continue reading →

Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, In the News, Integrated Care, International, King's Fund, Mental Health, National, NHS, Non-Pharmacological Treatments, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Achieving Better Value, Acute Care, Acute Hospital Care, Ageing Population, Ageing Society, Alder Hey Children’s Hospital, Alignment of Financial Incentives, Atlas of Health Care, Avoiding Avoidable Care, Benchmarking, Better Value, Better Value Healthcare, Better Value in the NHS, Bond University, Bond University (Robina: Australia), Canada’s CAD800m Primary Health Care Transition (PHCT) Fund, Canada’s Primary Health Care Transition Fund, Care of Frail Older People With Complex Needs, Center For Medical Consumers: Why Too Much Medicine Is Making Us Sicker And Poorer, Centre for Research in Evidence-Based Practice: Bond University, Chartered Institute of Public Finance and Accountancy, Choosing Wisely, Choosing Wisely Campaign, Choosing Wisely in the NHS, CIPFA, Clinical Responsibility for Patients (Choosing Wisely and New Deal), CNWL: NHS Camden Provider Services, Cost-Effectiveness, Cost-Effectiveness in Health Care, Creative Use of NHS Estate, Crisis Response Falls Team (CRFT), Dartmouth Atlas of Health Care (US), Dartmouth Institute for Health and Clinical Practice, Deinstitutionalisation of UK Mental Health Services, Denmark’s Quality Fund, Discharge to Assess Programme, Drivers of Improvement, Dysfunctional Patient Flow, East Midlands Ambulance Service NHS Trust, Efficiency Savings, Estimated Cost Savings From Implementing NICE Guidelines, Faustian Pact: Trading £8 Billion in Extra Funding For £22 Billion in Efficiency Savings, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Financial Planning, Financial Position of NHS Trusts, Financial Pressure in the NHS, Financial Pressure on Hospitals, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Frail Older People, Frail Older People With Complex Needs, Funding Challenges, Funding Deficits, General Hospitals, Geographical Variations, Girls’ Education Challenge (GEC) Fund, Health of Health Finances CIPFA Briefing, Heart of England NHS Foundation Trust, Higher Quality Care at Lower Cost: Examples from NICE Local Practice Collection, Hospital Productivity, Improving Patient Flow, Improving Prescribing Practice, Inappropriate Care, Inappropriate Prescribing, Integrated Care and Support, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Key Performance Indicators, Length of Stay (LoS), Local Variations, London Challenge, Long-Term Care (LTC), Long-Term Conditions (LTCs), Low-Value Care, Low-Value Elective Procedures, Management of Repeat Prescriptions in Walsall, Medical Overuse, Medication Errors and Adverse Drug Reactions, Misuse: Resulting in Preventable Complications or Harm, Models of Care Across Organisational Boundaries, Monitor, Multimorbidities, Multimorbidities and Long-Term Conditions, National Service Framework for Mental Health in England (NSF-MH), NHS Benchmarking, NHS Challenges and New Solutions, NHS Efficiency Savings, NHS England Funding, NHS Expenditure, NHS Financial Leadership, NHS Five Year Forward View (5YFV), NHS Foundation Trust Performance, NHS Foundation Trusts, NHS Foundation Trusts (NHSFTs), NHS Funding, NHS Funding Gap, NHS Inappropriate Care: Overuse Underuse and Misuse, NHS Performance, NHS Performance Indicators, NHS Productivity, NHS Safe Staffing, NHS Spending, NHS Timebomb [sic], NHS Trust Development Authority, NHS Trust Development Authority (NHS TDA), NHS Trust Financial Deficits, NHS Trusts’ and Foundation Trusts’ Income and Expenditure, NHS Walsall CCG, NHSFT Sector, NICE Local Practice Collection: Examples of Higher Quality Care at Lower Cost, Nicholson Challenge, Non-Foundation Trusts (Finances), Nurse Staffing Levels, Operating Expenses, Outcomes and Monitoring, Overkill: Unnecessary Medical Care, Overprescribing, Overuse, Overuse of Diagnostic or Monitoring Tests / Procedures, Overuse of Medication, Overuse Underuse and Misuse, Oxford University Hospitals, Patient flow, Patient Flow for Older People (in Sheffield), Patient Flows, Patient Safety Incidents in England, Performance Indicators, Performance Targets, Plymouth Hospitals NHS Trust, Policy, Policy Context, Preventable Harm, Preventing Falls in the NHS, Preventing Overdiagnosis Conference, Productivity, Productivity in the NHS, RDEL, Redesigning Care Pathways, Redesigning Services, Reducing Drains on the NHS, Reducing Overuse Underuse and Misuse, Reducing Prescribing Costs, Reducing Waste in the NHS, Releasing Value From Surplus Estate, Repeat Prescriptions, Rising Expectations, Safe Staffing, Selling Sickness, Sheffield Patient Flow, Sheffield Teaching Hospitals NHS Foundation Trust, Smith Review, Stevens Challenge, Stroke REACH Early Discharge Scheme (REDS), Stroke Services at Plymouth Hospitals NHS Trust, Targeting Low-Value Care, Transformation Fund, Transformation Fund for the NHS, Troubled NHS Foundation Trusts, Unacceptable Variations, Underuse, Underuse of Effective Interventions, Unwarranted Variations, Variation in Commissioning, Variations in Care, Variations in Procurement, Variations in Spending, Whole System Patient Flows | Leave a comment

Tag Archives: Better Value

Potentially Ineffective / Low-Value Treatments in the NHS Under Review (BBC News)

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