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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: Beyond Institutional Boundaries
Emerging Strategy for the Application of Behavioural and Social Sciences to Improving Public Health (PHE / BBC News)
Summary Public Health England (PHE) has investigated the extent to which the behavioural and social sciences might be applied to reduce health inequalities and improve population health and wellbeing. “The strategy was developed in partnership with the Association of Directors … 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, Management of Condition, Mental Health, National, Non-Pharmacological Treatments, Nutrition, Person-Centred Care, Public Health England, Quick Insights, UK, Universal Interest
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Tagged All Our Health, All Our Health (Public Health England), Anthropology, Application of Behavioural and Social Sciences: System Map for Public Health in England, Association of Directors of Public Health (ADPH), Barriers to Involvement, BBC Health News, BBC Politics News, Behaviour Change Opportunities, Behaviour Change Technique (BCT) Taxonomy, Behaviour Change Theory, Behaviour Change Wheel, Behavioural and Social Sciences, Behavioural and Social Sciences Teaching in Medicine, Behavioural Economics, Behavioural Experiments in Health Network, Behavioural Experiments in Health Network (BEH-Net), Behavioural Insights, Behavioural Insights Approach, Behavioural Insights Team, Behavioural Modification, Behavioural Operational Research, Behavioural Science and Public Health Network, Behavioural Science and Public Health Network (BSPHN), Behavioural Science for Health, Beyond Institutional Boundaries, Broad Determinants of Health, Capacity Building, Changing Behaviours in Public Health, Collaboration: Working Across Boundaries, Communities of Practice, Community Involvement, Cultural Assets, Cultural Change, Cultural Determinants, Cultural Leadership, Culture and Behaviour Change, Determinants of Health and Disability, DHSC Collaborate, Directors of Public Health, Downstream Interventions, Faculty of Public Health (FPH), Five Waves of Public Health, Health and Wellbeing, Health Inequalities, Health Inequalities in England, Health of the Public 2040, Health Psychology, Healthcare Professionals Improving Health Outcomes and Reducing Health Inequalities (Public Health England's All Our Health), Improving People’s Health: Applying Behavioural and Social Sciences, Inclusive Language, Intervention Mapping, Involvement Enablers, ISM Model (Individual Social and Material Factors), LGA: Local Government Association, Life Course Approaches to Prevention and Care, Local Government Association, Local Health and Wellbeing, Marmot Review, Mental Health and Wellbeing, Mental Health Capacity Building, Mental Health Inequalities, MINDSPACE, Multidisciplinary Approaches to Public Health, Multiphase Optimization Strategy (MOST), Nanny State Index (NSI), Nanny State-ism (Encouragement of Healthy Behaviours), National Academy of Soci al Sciences ’s Campaign for Social Science, Normalisation Process Theory, Nudge, Nudge or Compel, Obesity Interventions, Operational Research, Organisational Boundaries, Oxford Food and Activity Behaviors (OxFAB) Taxonomy, Paternalistic Approaches in the NHS, Paternalistic Views, Patient and Public Involvement, Patient Involvement, PHE: Public Health England, Prevention, Prevention Agenda, Problem-Based Services, Psychology, Psychosocial Pathways to Health Inequalities, Public and Health Economics, Public Health Capacity Building, Public Health England (PHE), Public Health England's All Our Health Framework, Public Health England’s Health and Wellbeing Framework, Reducing Downstream Spending (Prevention Public Health and Self-Care), Reducing Health Inequalities, Royal College of Physicians: Faculty of Public Health (FPH), Shared System Leadership, Sharing Knowledge Through Communities of Practice, Social Determinants of Health, Social Determinants of Health Inequalities, Social Groups and Psychological Identification, Social Model of Health, Social Practice Theory, Societal Determinants of Health, Sociology, Sociology in UK U ndergraduate Medical Education, Structural Level Determinants: Social Economic and Environmental Determinants (SEEDs) of Health, Subsidies Taxes and Prices, Sugar Tax, System Leadership, Test Learn and Adapt, Tobacco Interventions, Transdisciplinary Approaches, Typology of Interventions in Proximal Physical Micro-Environments (TIPPME), Upstream Interventions, Wider Determinants of Health, Wider Determinants of Mental Health, Working Across Boundaries
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Reshaping the Workforce: More Thoughts on Staff Engagement (NHS England / Nuffield Trust / BBC News)
Summary A recent Nuffield Trust report, commissioned by NHS Employers, discussed providing NHS nursing, community and support staff with additional skills to deliver care, as a means to improving the system’s capacity to cope with increasing (and changing) patient demand. … Continue reading →
Posted in BBC News, Commissioning, 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, National, NHS, NHS Employers, NHS England, Nuffield Trust, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Advanced Clinical Practitioners (ACPs), Advanced Nurse Practitioners (ANPs), Advanced Roles, Ageing Population, Assistant Practitioners (APs), Associate Practitioners, Barriers to Engagement, BBC Health News, Beyond Institutional Boundaries, Building Trust, Calderdale Framework: Seven Stages, Candace Imison: Director of Policy at the Nuffield Trust, Care Closer to Home, Clinical Engagement, Collaboration: Working Across Boundaries, Community Care, Cross-Sector Partnerships, Culture and Behaviour Change, Culture Change, Dudley, Dudley Multispecialty Community Provider, Efficiency and Effectiveness, Efficiency Opportunities, Employee Engagement, Engagement, Engagement and Co-Production, Engagement on Quality, Extended Roles, Extending Roles, Financial Efficiency, Financial Sustainability in the NHS, Five Year Forward View (NHS England), Front Line Engagement, Haxby Group Practice, Health and Care Innovation Expo, Heart of England NHS Foundation Trust, Holistic Workers in Community Care, Institutional Boundaries, Integration of Health and Social Care, Integration of Primary Secondary and Community Care, Isle of Wight, Link Workers: Visiting Patients at Home, Long-Term Care (LTC), Long-Term Conditions (LTCs), MDTs: Multidisciplinary Teams, Models of Care Across Organisational Boundaries, Multidisciplinary Population-Based Teams, Multidisciplinary Team Care, Multidisciplinary Teams, Multidisciplinary Teamwork, Multimorbidities and Long-Term Conditions, My Life a Full Life (Isle of Wight) Vanguard, New Care Models, New Care Models Programme, New Care Models: Vanguard Sites, New Ways of Working, NHS Culture, NHS Culture Change, NHS Five Year Forward View (5YFV), NHS Health and Care Innovation Expo (2016), Non-Medical Workforce, Northumberland Accountable Care Organisation, Northumberland Accountable Care Organisation (PACS), Nurses and Midwives: Reducing Barriers / Boundaries Across Care Settings, Organisational Boundaries, Paramedic Practitioners, Pharmacy and Primary Care Practitioners, Physician Associates, Positive Engagement, Principles for Engagement, Provider Engagement, Quality and Efficiency Opportunities, Reshaping the Workforce (Nuffield Trust), Satisfaction, Shortages of NHS Front-Line Staff, Six Steps Model, Skill Flexibility, Speed of Trust Methodology, Staff Engagement, Staff Engagement in the NHS, Staff Satisfaction, Staff Training, Teams Without Walls, Terminology For New and Extended Roles, Vanguards: New Care Models Programme, Workforce Satisfaction, Workforce Training, Working Across Boundaries, Yorkshire and Humber: Toblerone Model
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Commission on Hospital Care for Frail Older People (HSJ / Serco / NHS Confederation)
Summary The Commission on Hospital Care for Frail Older People reviewed probably the main question facing the NHS, namely how to care for the country’s increasing number of frail older people. The commission’s conclusion is that hospital providers and commissioners … 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), Housing, In the News, Integrated Care, King's Fund, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS Confederation, Person-Centred Care, Quick Insights, Royal College of Physicians, Standards, Statistics, UK, Universal Interest
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Tagged 2015 Challenge Manifesto, 2015 Challenge: NHS Confederation, Acute Frailty Clinical Network, Acute Medical Care for Frail Older People, Age Discrimination, Age-Based Discrimination in Health and Care Services, Alternatives to Hospital Admission, Andy Cowper: HSJ and Commission on Hospital Care for Frail Older People, Avoidable Acute Hospital Admission in Older People, Barker Commission, Benefits of Integrated Care, Better Care Fund (BCF), Better Care Fund (BCF) Planning, Beyond Institutional Boundaries, British Geriatrics Society (BGS), Care Closer to Home, Care Closer to Home Project, Care in the Community, Care Transitions of Older People, Cause of Concern (Health Foundation and Nuffield Trust Report), Challenges of Reconfiguration, Commission on Hospital Care for Frail Older People and City University London, Community Health Services, Compassion in Practice, Comprehensive Geriatric Assessment (CGA), Continuity of Care for Older People, Cross-Boundary Care Pathway Redesign, Dame Julie Moore: Chief Executive of University Hospitals Birmingham Foundation Trust, Dame Julie Moore:Chair of Commission on Hospital Care for Frail Older People, Delivering Dignity, Department of Health National Clinical Audits, Essex County Council, Evaluating Integrated and Community-Based Care, Extension of Hospital Services Into the Community, Five Year Forward View (NHS England), Foundation Trust Network’s Driving Improvements in A&E Services, Future Hospital Commission, Harm Free Care Campaign, Health Care Quality for an Active Later Life, Health Foundation’s Unblocking A Hospital in Gridlock, Health Service Journal (HSJ), Hospital Reconfiguration, Hospital–Community Interface, Hospital’s Public Health Role, HSJ, Improving Patient Flow, Integrated and Community-Based Care, Integrated Care and Support, Integrated Care Services, Integrated Commissioning, Integrated Community Services for Older People, Integrated Out-of-Hospital Care, Integrated Personal Commissioning (IPC), Integration of Health and Social Care, Jenny Ritchie-Campbell: Commission on Hospital Care for Frail Older People and Macmillan’s Director of Cancer Services and Innovation, John Appleby: King’s Fund, John Myatt: Serco (Healthcare) and Commission on Hospital Care for Frail Older People, Julienne Meyer: Commission on Hospital Care for Frail Older People and City University London, King’s Fund Barker Commission, King’s Fund: Specialists in Out-Of-Hospital Settings, Long-Term Conditions (LTCs), Magical Thinking (Disparaging Put-Down of Wishful Thinking on Care Integration or WSD Silver Bullets), Magical Thinking and Messiah Concepts, Making Best Use of The Better Care Fund, Making Our Care and Health Systems Fit for An Ageing Population, Managing Risk in Older Inpatient Hospitals, National Audit of Intermediate Care Report 2014, National Clinical Audits, National Confidential Enquiry into Patient Outcomes and Deaths, NHS Confederation’s 2015 Challenge, NHS Service Reconfiguration, NHS Sustianable Development Unit, Older People and Emergency Bed Use, Older People’s Advocacy Alliance, Out of Hours Services, Partnership Working, Patients’ Association CARE Campaign, Preventative Care, Primary / Secondary Care Interface, Priorites Within Acute Hospitals, Professor David Oliver: Commission on Hospital Care for Frail Older People, Redesigning Care Pathways, Redesigning Services, Rehabilitation Services, Royal College of Physicians (RCP), Self-Care, Serco, Service Redesign, Shape Of Training Review, Silver Book, Specialists in Out-Of-Hospital Settings, Stigma and Discrimination, Tough Times Tough Choices, Transforming Urgent and Emergency Care Services, Understanding and Improving Transitions of Older People: User and Care Centred Approach, Whole System Demonstrator (WSD), Whole Systems Approach, Whole Systems Design, Whole Systems Redesign, Workforce and Skill Mix
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RCP’s Future Hospital Model: An Update (RCP)
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
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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
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Testing the RCP Future Hospitals Model: the Future Hospital Programme (BBC News / BMJ)
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
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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
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NHS Payment Reform (Nuffield Trust)
Summary The NHS payment system has evolved over years into a complex mix of methods, prices, incentives and penalties. It is the product of over a decade of reforms to different components. Aspects of NHS payment systems may act as … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, National, NHS, NHS England, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Standards, Systematic Reviews, UK, Universal Interest
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Tagged 2012/13 Reference Costs, 2014/15 Tariff, 2015/16 National Tariff Payment System, Access to Services, Additional Payments, Alternative Payment Systems, Assessing and Meeting Needs and Payments, Attention Shift, Barriers to Integration, Best Practice Tariffs (BPTs), Beyond Institutional Boundaries, Block Budgets, Budget Management, Budgets, Calculating National Prices, Capitation, Care in Appropriate Settings, Care Settings, Case-Based Payments, Challenges of Reconfiguration, Clinical Negligence Scheme for Trusts (CNST), COBIC Consortium, Commissioning Acute Care Services, Commissioning for Quality and Innovation (CQUIN), Commissioning Landscape in England, Commissioning Local Services, Community Health Services, Community-Based Services, Competition and Markets Authority (CMA), Configuration of Services, Cost Benchmarking, Cost Uplifts, CQUIN Incentive Payments, Diagnosis-Related Payments, Differential Efficiency Factors, Direct Enhanced Service (DES) Payments, Disincentives, DRG Payments in European Countries, Efficiency, Efficiency Factor (Costings), Efficiency Savings, Emergency Services, Evolution of Payment by Results in the NHS, Extrinsic Motivation, Fee-For-Service, Fragmentation of Services and Commissioning, Funding GP Practices in England, Funding Reform, Gaming the System, HCHS: Hospital and Community Health Services Needs Index, Health and Social Care Act (2012), Health and Social Care Configuration, Health and Social Care Reform, Health Care Purchased by PCTs (2012/13), Health Reform, Healthcare Resource Groups (HRGs), Hospital Activity, Hospital and Community Health Services (HCHS), Hospital and Community Health Services (HCHS) Needs Index, Hospital Reconfiguration, Inappropriate Care Settings, Incentive Payments, Increasing Efficiency, Institutional Boundaries, Integrated Services, Integrated Whole System Services for People With Dementia, Intrinsic Motivation, Leakage (Efficiency), Length of Stay (LoS), Linking Payment to Quality, Loss of Motivation, Market Forces Factor (MFF), Mental Health and Community Services, Mental Health Services, Modelled Prices, Monitor, Monitoring, National Prices Methodology Discussion Paper, National Tariff Payment System Consultation, NHS Budget, NHS Efficiency Savings, NHS Health and Social Care Act (2012), NHS Hospital and Community Health Service (HCHS) Workforce, NHS National Prices Methodology Discussion Paper: 2015/16, NHS National Tariff Payment System (The Tariff), NHS Payment Reform, NHS Payment System, NHS Payments System, NHS Productivity, NHS Reform, NHS Service Reconfiguration, Openness and Transparency, Organisational Boundaries, Oxfordshire CCG, Patient-Level Information and Costing System (PLICS), Pay-For-Performance Schemes, Pay-For-Performance Schemes in NHS Hospitals, Paying Lower (or Zero) Prices for Activity Above a Specified Level, Payment by Results, Payment by Results (PbR), Payment for Outcomes Not Outputs, Payment Mechanisms, Payment Reform, Payment System for Hospital Activity, Payments to Incentivise Service Transformation, Policy Objectives for DRG Payments, Potential NHS Provider Productivity improvements, Practice by Rote, Price-Setting Principles, Primary and Secondary Care, Primary Care Trusts and Weighted Capitation Formula, Priority Setting (Commissioning), Productivity, Productivity Improvements, Public Service Reform, Quality and Outcomes Framework (QOF) Payment, Quality Payments in the NHS, Reconfiguration of Emergency Care System, Recovery Rehabilitation and Reablement (RRR), Redesigning Services, Reduced Gaming of the System, Reference Costs, Reform, Seamless Care Between Settings, Secondary Care, Service Development Costs, Service Transformation, Setting Objectives, Short Stay Emergency (SSEM) Bandings, SSEM Bandings, Supplier-Induced Demand, Transparency, Transparency and Accountability, Treatment Function Codes (TFCs), Unintended Consequences, Working Across Boundaries, Working the System and Unintended Consequences
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Overhaul of Hospital Care (BBC News / RCP / Future Hospital Commission)
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
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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
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An Uncertain Age: Reconsidering Long-Term Care (KPMG)
[A brief reference to this item features in Dementia and Elderly Care: the Latest Evidence Newsletter (RWNHST), Volume 3 Issue 9, August 2013]. Summary This KPMG International report, commissioned by the Lien Foundation, is an attempt to prompt and inform … Continue reading →
Posted in Assistive Technology, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, Management of Condition, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, Systematic Reviews, Telecare, Telehealth, UK, Universal Interest
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Tagged Adult Social Care Funding, Age and Ageing, Ageing and Long-Term Care: Projections, Ageing Population, Ageing Society, Ageing Well, Agenda for Action, Alternatives to Hospital Admission, An Uncertain Age (KPMG), Attitudes to Ageing, Australia, Beacon Hill Villages, Beyond Institutional Boundaries, Canada, Care Funding, Caregivers, Carers, China, Community Without Walls, Consumer Directed Care (CDC), Demographic Changes, Demographic Time-Bomb, Demographics, Demography, Eden Alternative, Elderly Care, Family Caregivers, Family Carers, Family-Based Care, Finland, France, Future Funding Models, Geriatric Education and Research Institute (Singapore), Geriatric Flying Squad, Germany, Healthy Ageing, Hong Kong, Houston (the Grand-Aides Foundation), Impact of Demographic Change on Public Services, Informal Workforce, Institutional Boundaries, Integrated and Community-Based Care, International Longevity Centre Global Alliance, Japan, Jeremy Porteus, Johns Hopkins University, KPMG, KPMG International, KPMG International Cooperative, Lien Foundation, Long Term Systems for the Elderly, Long-Term Care (LTC), Long-Term Care (LTC) Expenditure, Long-Term Conditions (LTCs), Netherlands, Norway, Paying for Care, Paying for Care and Support, Program of All-Inclusive Care for the Elderly (PACE), Proposed Geriatric Education and Research Institute, Senses Framework, Senses Framework (Security; Belonging; Continuity; Purpose; Achievement; Significance), Seven Ways to Better Support Caregivers, Singapore, Social Care Funding, Social Care Workforce, Social Demographics, Social Versus Medical Models of Care, Sustainable Funding, Taiwan, Transforming Care Environments, Tsao Foundation Singapore, UMO (Universal Monitoring) Platform, United States, University of Pittsburgh Medical Center, US Department of Veterans Affairs, Workforce Planning and Development
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