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Recent Posts
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Tag Archives: Care Closer to Home
Dementia-Friendly Hospital Wards (NHS England)
Summary Alistair Burns, National Clinical Director for Dementia and Older People’s Mental Health at NHS England and NHS Improvement has issued comments about dementia-friendly design for hospital wards, and various steps towards delivering dementia-related priorities outlined in the NHS Long Term … Continue reading →
Posted in Acute Hospitals, Commissioning, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, NHS Improvement, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, UK, Universal Interest
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Tagged 1950s Style Reminiscence Rooms, Achieving Dementia Friendly Acute care, Acute Care, Acute Hospital Care, Acute Hospitals, Acute Medical Ward for Dementia, Ageing Population, Airedale Hospital, Alistair Burns: NHS England’s National Clinical Director for Dementia, Alistair Burns: NHS England’s National Clinical Director for Older People’s Mental Health, Butterfly Tea Rooms, Care Closer to Home, Colour Coding, Contrast, Creating Dementia Friendly Hospitals, Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Dementia Friendly Acute Hospitals, Dementia Virtual Wards, Dementia-Friendly Adaptions, Dementia-Friendly Cities, Dementia-Friendly Design, Dementia-Friendly Environmental Design, Dementia-Friendly Environments, Dementia-Friendly Hospitals, Dementia-Friendly Specifications, Dementia-Friendly Wards, Early Supported Discharge (ESD), Emma Bould: Alzheimer’s Society, Environmental Design, Interactive Wall Features., Long Term Plan (LTP), Making Buildings Easier for People With Dementia, Memories Pubs, Moving Healthcare Closer to Home, NHS Long Term Plan (2019), NHS Long Term Plan: Implementation, Patient Harms and Harm Free Care, Pop-Up Cinema Boothes, Pop-Up Pubs, Professor Alistair Burns, Reducing Agitation and Distress, Reducing Avoidable Harm, Reducing Harm, REM Pods, Reminiscence, Reminiscence Pods, Reminiscence Rooms, RemPods (Trade Mark), Shop Front Wall Murals, Vintage Memorabilia
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Where Best Next Campaign: Reducing Length of Hospital Stay (NHS England)
Summary Approximately 350,000 patients spend more than three weeks in a hospital each year, often with poor outcomes: “Many older people, particularly those who are frail and may have dementia, actually deteriorate while in hospital – a stay of more … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Education England (HEE), Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, NHS Improvement, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, UK, Universal Interest
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Tagged ActNow: an e-Learning Tool (e-LfH), Acute Frailty Network (AFN), Acute Frailty Services, Better Care Support Programme, Care Closer to Home, Clinical Criteria for Discharge (CCD), Comprehensive Geriatric Assessment (CGA), Criteria Led Discharge, Deconditioning, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Discharge, Discharge at a Reasonable Time, Discharge Coordination, Discharge Coordinators, Discharge From General Inpatient Hospital Settings, Discharge Into the Care Sector, Discharge Patient Tracking List, Discharge Planning, Discharge Support, Dr Taj Hassan: President of Royal College of Emergency Medicine, e-Learning for Health (e-LfH) Hub (HEE), Emergency Care Intensive Support Team, Emergency Care Intensive Support Team (ECIST), Emergency Medicine and Urgent Care, End PJ Paralysis, Expected Date of Discharge, Expected Date of Discharge (EDD), Foci for Maximum Impact in Reducing Length of Stay, Guide to Reducing Long Hospital Stays: NHS Improvement, Health and Social Care Integration, Healthcare Associated Infections, Healthcare Associated Infections: Patient Safety, HEE: Health Education England, Hilary Garratt: Deputy Chief Nursing Officer for England, Holistic Needs Assessment (HNA), Home First: Supporting Patient Choice, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Identifying and Managing Frailty at the Front Door, Improving Hospital Discharge Into Care Sector, Improving Patient Care, Integrated Multi-Agency Care, Kettering General Hospital NHS Foundation Trust, Length of Stay (LoS), Local Government Association, Long-Stay Patient Reviews, Long-Stay Patients, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary and Multi-Agency Working, Multiagency Teams, Patient Deconditioning Effect Related to Hospital Bed Rest (aka Pyjama Paralysis / PJ Paralysis), Patient Harms, Patient Harms and Harm Free Care, Patient Safety, PDSA (Plan-Do-Study-Act) Cycles, People First: Manage What Matters, Plan Do Study and Act (PDSA), Professor Stephen Powis: NHS England's National Medical Director, Pyjama Paralysis, Quality Improvement, Reducing Healthcare Associated Infections in Hospitals, Reducing Hospital Length of Stay, Reducing Length of Hospital Stay, Reducing Length of Stay (RLoS) Programme, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 1: Plan for Discharge From the Start, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 2: Involve Patients and Families in Discharge Decisions, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 3: Establish Systems and Processes for Frail People, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 4: Embed Multi-Disciplinary Team Reviews, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 5: Encourage a Supported Home First Approach, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Reducing Waste in Dementia Care, Reducing Waste in the NHS, Rockwood Clinical Frailty Score, Royal College of Emergency Medicine (RCEM), SAFER Patient Flow Bundle, South Warwickshire NHS Foundation Trust, South Warwickshire NHS Foundation Trust (SWFT), Supported Home First Approaches, What Matters Most (Healthwatch), Where Best Next Campaign (NHS England August 2019), Where Best Next? Campaign (NHS England), Why Not Home: Why Not Today, Why Not Home? Why Not Today? Campaign
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Independent Mental Health Act Review (BBC News / DHSC / Centre for Mental Health / NHS England)
Summary The independent review of the Mental Health Act 1983, chaired by Professor Sir Simon Wessely, presents recommendations for reform based on four principles: Choice and autonomy. Least restriction. Therapeutic benefit. Understanding people as individuals: whereby patients are recognised and … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Mental Health, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest, Wales
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Tagged Advance Care Planning (ACP), Advance Care Planning for People With Mental Illness, Aftercare, Alternative Forms of Support and Respite, Alternatives to Inpatient Care for People With Learning Disabilities, Autonomy, Autonomy and Choice, Autonomy and Safety, Baroness Julia Neuberger, Black and Minority Ethnic (BAME) Communities, Black and Minority Ethnic (BME) Groups, BME Communities, BME People with Mental Illness, Care and Compassion, Care and Treatment Plan (CTP), Care Closer to Home, Carly Lynch: Mental Health Lead at London Ambulance Service, Centre for Mental Health, Claire Murdoch: NHS England’s National Director for Mental Health, Coercion, Community Services, Community Treatment Orders (CTOs), Community-Based Services, Compassionate Care, Compulsory Community Treatment to Prevent Readmissions, Compulsory Detentions in Psychiatric Hospitals, Compulsory Hospitalisation, Compulsory Treatment Orders, Control of Patient's Care if Sectioned: Nominated Persons, Criminal Justice System (CJS), Crisis Home Treatment, Crisis Prevention, Crisis Resolution and Home Treatment Teams (CRHTTs), Crisis Response Teams (CRTs), Crisis Support, Criteria for Detention, Culture of Compassionate Care, Dangerous and Severe Personality Disorder (DSPD), Delivering Race Equality (DRE) Programme, Deprivation of Liberty Safeguards (DoLS), Dignity, Dignity and Consent, Dignity and Respect, Dignity in Care, Disproportionate Proportion of Black and Minority Ethnic Groups Detained, Early Intervention and Prevention, East London Foundation Trust (ELFT), Emergency Medicine and Urgent Care, End-User Experience, Engagement and Patient Preferences., Ethnic Variations in Detention Under the Mental Health Act, European Convention on Human Rights (ECHR), Experiences of Assessment and Detention Under Mental Health Legislation, Formal Legal Detentions (Under Mental Health Legislation), Fusion of MHA and MCA (Proposed), Gellinudd Recovery Centre (Hafal in Wales), Health and Care of People With Learning Disabilities, Health Inequalities and Premature Mortality for People With Learning Disabilities, How the Law Should Change: Final Report of Independent Review of the Mental Health Act 1983 Recommendations, Inappropriate Discharge and Aftercare: Persistent Failings in Mental Health Services in England, Independent Mental Health Act Review (2018), Independent Review of the Mental Health Act 1983, Informal Admission, Information Sharing: Advance Care Plans, Learning Disability and Autism, Least Restriction, Length of Detention, Less Frequent Use of Police Cars to Transport Patients, Liberty Protection Safeguards, Lived Experience Working Group (LEWG), London Ambulance Mental Health Nurse and Paramedic Pioneer Scheme, Maintaining Contact with Family and Outside World, Mark Winstanley: Chief Executive of Rethink Mental Illness, Mental Capacity, Mental Health Act (MHA), Mental Health Act 1983, Mental Health Act and Community Treatment Orders, Mental Health Aftercare, Mental Health and Community Services, Mental Health and Illness, Mental Health Car (London Ambulance Service Scheme), Mental Health Hospitals, Mental Health Legislation, Mode of Transport for Patients, Modernisation of Mental Health Act, Modernisation of Mental Health Care System, Nominated Person (NP) to Replace the Nearest Relative (Proposal), Opportunities to Challenge Detention (More Frequent), Organisational Competence Framework (OCF), Patient and Carer Race Equality Framework (PCREF), Patient Autonomy, Patient Preferences, Patients in Criminal Justice System (CJS), Patients Treated as Rounded Individuals, Patterns of Compulsory Hospitalisation, Paul Farmer (Mind), Person as an Individual, Personal Preferences, Police Custody, Professor Sir Simon Wessely: President of Royal College of Psychiatrists, Professor Wendy Burn: President of Royal College of Psychiatrists, Proportion of Re-Detentions Under Section 136 Within 90 Days of Previous Section 136 Detention, Psychiatric Hospitals, Recommendations in Final Report of Independent Review of the Mental Health Act 1983, Reducing Compulsory Psychiatric Admissions, Reducing Mental Health-Related Hospital Admissions, Reducing the Use of Police Cells, Reduction in Use of Compulsory Treatment Orders, Requirement of Doctors to Record When and Why Patient Requests Ignored, Respect for Autonomy, Restraint and Restrictions, Restriction, Right to Carer Input, Right to Choose a Nominated Person to Control of Patient's Care if Sectioned, Rights of Patients to Challenge Their Treatment (Legal Extensions), Rising Rates of Compulsory Detentions in Psychiatric Hospitals, Safe and Compassionate Care, SDM: Shared Decision Making, Second Opinion Appointed Doctor (SOAD), Second Opinion Appointed Doctors, Section 117 Aftercare, Sectioning under the Mental Health Act, Service User Experience, Service User Experience in Adult Mental Health, Service User Experience in Adult Mental Health Services, Shared Decision-Making, Statement of Wishes and Preferences, Statutory Care and Treatment Plan (CTP), Suicide and Safety in Mental Health, Themes from the Mental Health Act Survey: Independent Mental Health Act Review (Centre for Mental Health), Therapeutic Benefit, Therapeutic Benefit: Patients Supported to Recover, Thinking Ahead - Advance Care Planning, Trisha Bain: Chief Quality Officer at London Ambulance Service, UK National Preventive Mechanism (UKNPM), United Nation Convention on the Rights of Persons with Disabilities (UNCRPD), Use of Ambulances (Section 136 Conveyances), Use of Police Custody as a Place of Safety for People with Mental Health Needs, User Experience, Workforce Race Equality Standard (WRES)
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Improving Patient Care by Reducing Length of Hospital Stay (NHS Improvement / NHS England)
Summary The NHS, with the cooperation of local authorities, plans to reduce unnecessarily long stays in hospital for patients by a quarter. The aim is to free-up over 4,000 beds in readiness for anticipated Winter pressures on hospitals. Currently, around … Continue reading →
Posted in Acute Hospitals, 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, Models of Dementia Care, National, NHS, NHS England, NHS Improvement, Non-Pharmacological Treatments, Person-Centred Care, Practical Advice, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged 6As for Managing Emergency Admissions, Ambulatory Emergency Care, Ambulatory Emergency Care (AEC), Ambulatory Emergency Care (Improving Patient Flow in Urgent and Emergency Care), Better Use of Care at Home, Breaking the Cycle SAFER Patient Flow Bundle, Care Closer to Home, Clinical Criteria for Discharge, Clinical Criteria for Discharge (CCD), Criteria Led Discharge, Criteria-Led Discharge (CLD), Daily Transfers of Care (DTOC), Deconditioning, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Discharge, Discharge at a Reasonable Time, Discharge Coordination, Discharge Coordinators, Discharge From General Inpatient Hospital Settings, Discharge Into the Care Sector, Discharge Planning, Discharge Support, Discharge to Assess (D2A) Model, Emergency Day Care, Emergency Medicine and Urgent Care, Expected Date of Discharge, Expected Date of Discharge (EDD), Foci for Maximum Impact in Reducing Length of Stay, Guide to Reducing Long Hospital Stays: NHS Improvement, Health and Social Care Integration, Health and Social Care Multiagency Peer Reviews, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Ian Dalton: Chief Executive of NHS Improvement, Improving Hospital Discharge Into Care Sector, Improving Patient Care, Integrated Care Pathway for Frailty, Integrated Multi-Agency Care, Length of Stay (LoS), Local Multiagency Dementia Partnerships, Long-Stay Patient Reviews, Long-Stay Patients, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary and Multi-Agency Working, Multiagency Discharge Event (MADE), Multiagency Teams, New Front Door to Urgent and Emergency Care Services, NHS Confederation Conference (2018), Patient Administration System (PAS), Patient Deconditioning Effect Related to Hospital Bed Rest (aka Pyjama Paralysis / PJ Paralysis), Patient Harms, Patient Harms and Harm Free Care, Patient Safety, PDSA (Plan-Do-Study-Act) Cycles, Plan Do Study and Act (PDSA), Pyjama Paralysis, Quality Improvement, Rachel Power: Chief Executive of Patients Association, Red2Green Days, Reducing Hospital Length of Stay, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Length of Hospital Stay, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Reducing Waste in Dementia Care, Reducing Waste in the NHS, SAFER Patient Flow Bundle, SAFER Patient Flow Bundle and Red2Green Days (Improving Patient Flow in Urgent and Emergency Care), Sally Copley: Director of Policy and Campaigns at Alzheimer’s Society, Supporting Patients’ Choices To Avoid Long Hospital Stays, Tameside General Hospital, Weekend Discharge Rates, Why Not Home: Why Not Today (reducingdtoc.com)
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Integrated Care Systems: Plus ca Change? (BBC News / NHS England / King’s Fund / SCIE)
Summary Integrated Care Systems (ICSs) are actually running in ten areas of England to date, out of 44 Sustainability and Transformation Partnerships (STPs). Full Text Link Reference Pym, H. (2018). NHS reform: How many patients will benefit? London: BBC Health … Continue reading →
Posted in BBC News, Charitable Bodies, 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, King's Fund, National, NHS, NHS England, Person-Centred Care, Quick Insights, SCIE, Standards, UK, Universal Interest
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Tagged Accountable Care Organisations (ACOs), Accountable Care Systems, Accountable Care Systems (ACSs), Accountable Integrated Care Systems (AICS), AICS: Accountable Integrated Care Systems, Association of Directors Adult Social Services (ADASS), Barriers to Progress in Local Integrated Care Systems (ICSs), BBC Health News, BBC Leicester News, Bedfordshire Luton and Milton Keynes ICS (King’s Fund Profile 2018), Bedfordshire Luton and Milton Keynes: Integrated Care System (ICS), Berkshire West ICS (King’s Fund Profile 2018), Blackpool and Fylde Coast: Integrated Care System (ICS), Bottom-Up NHS Reform, Breaking Down Barriers to Better Health and Care (NHS England), Buckinghamshire ICS (King’s Fund Profile 2018), Buckinghamshire Oxfordshire and Berkshire West Integrated Care System, Buckinghamshire: Integrated Care System (ICS), Care Closer to Home, Care Providers Alliance, Commissioning for Better Outcomes Framework, Commissioning for Better Outcomes: A Route Map, Costs and Harms of Delays in Discharging Older Patients From Hospital, Department of Health and Social Care, Designing Integrated Care Systems (ICSs) in England (NHS England), Devolution (NHS Reform), Dorset ICS (King’s Fund Profile 2018), Dorset: Integrated Care System (ICS), Enablers for Progress in Local Integrated Care Systems (ICSs), Evolving Policy Landscape for Integrated Commissioning, Frimley Health and Care: Integrated Care System (ICS), Frimley ICS (King’s Fund Profile 2018), Future of Care Report: Number 9 (SCIE), Gloucestershire, Grass-Roots NHS Reform, Greater Manchester (Devolution Deal): Integrated Care System (ICS), Health and Social Care Integration, Integrated Care Systems, Integrated Care Systems (ICSs), Integrated Commissioning for Better Outcomes Framework 2018, Integrated Commissioning for Better Outcomes: a Commissioning Framework (ICBO), Integration of Health and Social Care, Lancashire and South Cumbria ICS (King’s Fund Profile 2018), Lancashire and South Cumbria STP Footprint, Leadership in Integrated Care Systems, Leadership Skills in Integrated Care Systems (ICSs), Leadership Styles for Integrated Care Systems (ICSs), Leicester Leicestershire and Rutland STP Footprint, Leicestershire County Council, LGA: Local Government Association, Local Government Association: LGA, Local Solutions: Place-Based Approaches, Local Sustainability and Transformation Plans (STPs), Logic Model for Integrated Care (SCIE): Components, Logic Model for Integrated Care (SCIE): Enablers, Logic Model for Integrated Care (SCIE): Impacts and Benefits, Logic Model for Integrated Care (SCIE): Outcomes, Managing Processes for Quality and Better Outcomes, Move From Integrated Care to Population Health Systems, Neighbourhoods Level of Integrated Care Systems (ICSs): Populations Circa 30000 to 50000 People, New Care Models, New Models of Care, New Models of Seamless Care, New Models of Service, NHS Clinical Commissioners (NHSCC), NHS New Care Models, NHS Reform, NHS Reform in England, North Cumbria, North East and North Cumbria Integrated Care System, Nottingham and Nottinghamshire ICS (King’s Fund Profile 2018), Nottinghamshire: Integrated Care System (ICS), Over-Optimism (NHS Reform Versus Institutional Inertia), Place-Based Collaboratives, Place-Based Health, Places Level of Integrated Care Systems (ICSs): Populations Circa 250000 to 500000 People, SCIE Logic Model for Integrated Care, SCIE's Logic Model (Integrated Care), Seven-Day GP Access, Social Care Institute for Excellence (SCIE), South East London Integrated Care System, South Yorkshire and Bassetlaw ICS (King’s Fund Profile 2018), South Yorkshire and Bassetlaw STP Footprint, South Yorkshire and Bassetlaw: Integrated Care System (ICS), South Yorkshire Integrated Care System, Suffolk and North East Essex, Surrey Heartlands (Devolution Deal): Integrated Care System (ICS), Sustainability and Transformation Partnerships, Sustainability and Transformation Partnerships (STPs), Sustainability and Transformation Plan (STP) Areas, Sustainability and Transformation Plans (STPs), Systems Level of Integrated Care Systems (ICSs): Populations Circa 1 Million to 3 Million People, Think Local Act Personal, Think Personal Act Local (TLAP), TLAP: Think Local Act Personal, West Berkshire: Integrated Care System (ICS), West Yorkshire and Harrogate
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Care and Support of Older People With Learning Disabilities (NICE)
Summary The National Institute for Health and Care Excellence has released a guideline on the care and support people with learning disabilities as they get older, including their access to suitable services. It covers: “ …identifying changing needs, planning for … Continue reading →
Posted in Commissioning, Community Care, Diagnosis, End of Life Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Housing, Integrated Care, Management of Condition, Mental Health, National, NICE Guidelines, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, Telecare, UK, Universal Interest
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Tagged Access to Care, Access to General Practice, Access to GP Services, Access to Healthcare Services, Annual Learning Disability Health Checks, Barriers to Support, Care and Support of Older People With Learning Disabilities, Care and Support of Older People With Learning Disabilities: NICE Guidance (NG96), Care Closer to Home, Care Planning, Care Planning (Community), Caregiver Support, Challenging Behaviour, Community Services, Community-Based Care, Community-Based Services, Community-Based Support, Dementia-Friendly Care for People With Learning Disabilities, Down’s Syndrome and Dementia, End of Life Care for Older People With Learning Disabilities, Jonathan Senker: Chief Executive of VoiceAbility, Later Life, Learning Disabilities, Learning Disabilities-Friendly Environments, Learning Disabilities-Friendly Environments: Acute Hospitals, Learning Disabilities-Friendly Environments: Community Services, Learning Disabilities-Friendly Environments: Dentistry, Learning Disabilities-Friendly Environments: Emergency Departments, Learning Disabilities-Friendly Environments: Learning Disability Services, Learning Disabilities-Friendly Environments: Mental Health Services, Learning Disabilities-Friendly Environments: Primary Care (GPs), Learning Disabilities-Related Barriers to Accessing NHS Services, Learning Disabilities: Improving Health Outcomes, Learning Disabilities: Monitoring Service Quality, Learning Disability Statistics: Support, Management of Challenging Behaviour, Margaret Lally: Guideline Committee Chair, Moving Healthcare Closer to Home, Named Case Managers, Named Contacts Providing Continuity, National Institute for Health and Care Excellence (NICE), Neurological Disorders, Older People With Learning Disabilities, Patient Advocates, Personalised Technology for Building Social Contact, Primary Care (GPs), Protecting Vulnerable People, Reducing Health Inequalities, Registration With Family Doctor as Having a Learning Disability to Access Extra Support, Social Contacts, Social Networks, Statistics on Challenging Behaviour in Learning Disability, Support for Carers, Supporting Health Wellbeing and Independence, Telemonitoring, Uptake of Health Checks for Adults with Learning Disabilities, Vulnerable Groups, Vulnerable Older People
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Transformation of Health and Care in Wales: a Revolution from Within (BBC News / Welsh Government)
Summary The Parliamentary Review of Health and Social Care in Wales provides an inspiring vision of future directions in service provision, with proposals which are likely to be studied more widely. Dr Ruth Hussey the former Chief Medical Officer for … Continue reading →
Posted in BBC News, Commissioning, Community Care, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, Non-Pharmacological Treatments, Parkinson's Disease, Person-Centred Care, Personalisation, Quick Insights, SCIE, Standards, Statistics, Stroke, Telecare, Telehealth, UK, Universal Interest, Wales
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Tagged A Revolution from Within: Transforming Health and Care in Wales, Achieving Better Value, Adoption of Innovations, Aneurin Bevan University Health Board (ABUHB), Bangor University, Best Value for Taxpayers, Board of Community Health Councils (CHCs), Bureaucracy and Culture, Canterbury District Health Board: DHB (New Zealand), Capacity and Capability, Capacity to Care, Care Closer to Home, Carer Support, Carer Support in Wales, Carer Support Services, Carers Trust Wales, Carers Wales, Change Management, Change Management and Empowerment, Commissioning Carer Support Services, Commissioning for Value, Communities First, Community Health Councils (CHCs), Continuing Learning and Development, Continuous Quality Improvement, Coordinated Health and Social Care, Dementia Awareness Training, Dementia Screening, Dementia Training, Dementia-Friendly Hospitals, Digital Technology, Digital Technology and Innovation, Discharge From Hospital to Primary Care, Dr Chineze Ivenso: Chair of Old Age Faculty at Royal College of Psychiatrists in Wales, Dr David Bailey: Chairman of BMA Wales, Dr Jennifer Dixon CBE (Health Foundation), Dr Ruth Hussey: Former Chief Medical Officer for Wales, Early Diagnosis of Alzheimer's Disease, Early Diagnosis of Dementia, Eric Gregory: Chair of the Assembly Commission Audit and Risk Assurance Committee, Experience of Care, First 1000 Days Collaborative, Future Generation Goals, Global and National Perspective on Dementia (National Assembly for Wales), Good Governance, Great Place to Work, Health and Social Care Reform, Health Education and Improvement Wales (HEIW), Health Technology Wales (HTW, Helen Howson: Director of Bevan Commission (Think-Tank), Impact of Delayed Health Treatment in Wales (Our Lives on Hold: Report), Improving Population Health, Innovation, Innovation Technology and Infrastructure, Integration, Integration of Health and Social Care, International Consortium for Health Outcomes Measurements (ICHOM), Jönköping County Council, Jönköping County Council: Sweden, Joined-Up Care, Joined-Up Strategy to Improve Whole System Flow, Learning and Developing Continuously, Learning Culture, Life Sciences Hub Wales, Listening and Learning System, Listening to Patients, Listening to Patients Families and Staff, Long-Term Care (LTC), Long-Term Care and Support, Making Change Happen, Making Choices Together, Making Choices Together (Previously Choosing Wisely Wales), Moving Healthcare Closer to Home, My Health Text, National Assembly for Wales, National Transformation Programme (Wales), New Models of Care, New Models of Care Vanguards, New Models of Seamless Care, NHS 70 Celebrations, NHS Productivity, NHS Sustainability, NHS Wales Delivery Framework, NHS Wales Efficiency and Healthcare Value Improvement Group (NWEHVIG), NHS Wales Shared Services Partnership (NWSSP), NHS’s 70th Birthday, Nigel Edwards: Nuffield Trust, Nuka System, Nuka System of Care, Once for Wales Principles, Parliamentary Review of Health and Social Care in Wales, Parliamentary Review of Health and Social Care in Wales: Interim Report (2017), Partnership and Collaboration, Partnership Working, Patient Experience, People in Control, PET Scans, Population Health, Population Health and Prevention, Positron Emission Tomography (PET), Preventative Support for Adult Carers, Preventative Support for Adult Carers in Wales (SCIE Rapid Review), Preventative Support for Carers, Principles of Good Governance, Productivity, Professor Anne Marie Rafferty: Dean of Florence Nightingale School of Nursing and Midwifery at King's College London, Professor Chris Marshall: Wales Research and Diagnostic PET Imaging Centre, Professor Dame Carol Black DBE, Professor Don Berwick, Professor Keith Moultrie: Institute of Public Care at Oxford Brookes University, Professor Sir Mansel Aylward, Prosperity for All (Welsh Government), Prudent Health Care, Prudent Healthcare (Bevan Commission), Public Health Wales, Public Service Boards (PSBs), Quadruple Aim for All, Quality and Sustainability, Quality Improvement, Quality of Care, Reduction in Bureaucracy, Royal College of Psychiatrists in Wales, Screening for Dementia, Seamless Care Between Settings, Seamless System for Wales, Shared Decision-Making, Shared Lives Wales, Situational Analysis, Social Care Institute for Excellence (SCIE), Social Care Wales (SCW), Social Services and Wellbeing Act Principles, Staff Engagement, Staff Shortages, Systems for Change, Team Manager Development Programme for Wales, Technology and Infrastructure Development, Transforming Health and Care in Wales, Tredegar Workmen’s Medical Aid Society, University Hospital of Wales (UHW), Value for Money, Vanessa Young: Director of NHS Confederation, Vaughan Gething: Welsh Health Secretary, Wales Research and Diagnostic PET Imaging Centre, Wellbeing of Future Generations (Wales) Act, Wellbeing of the Health and Care Workforce, Welsh Community Care Information System (WCCIS), Welsh Government, Welsh Institute for Health and Social Care: University of South Wales, Welsh Language, WHO Global Action Plan on the Public Health Response to Dementia 2017-2025, Whole System Integration, Whole Systems Redesign, Whole-System Approaches
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An Innovative Approach Hospital Overcrowding / Inadequate Bed Availability, Worthy of More Serious Consideration? (BBC News / CareRooms)
Summary The narrative about various inter-related crises in health and social care typically concerns the problem of excess demand for, and limited supply of, places in the community providing support for persons needing to be discharged from hospitals. Commentators commonly … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Housing, In the News, Integrated Care, Management of Condition, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest
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Tagged Acute Hospital Care, Adult Social Care, Adult Social Care Services, Ageing Population, Airbnb Beds Plan (Proposed), Alternative Residential Care Settings, Alternatives to Hospital Care, Barriers and Challenges in Discharge Planning, Barriers in Access to Transformative Care in the Community: Dominance of Residential Care Homes Paradigm, Barriers to Innovation, Barriers to Innovation: Dominance of Mainstream Preconceptions, Barriers to Innovation: Dominance of Vested Interests, Barriers to Innovation: Vested Interests in Opposition to New Market Entries, Barriers to Joined-Up Care, Barriers to Support, Barriers: Lack of Continuity of Care, BBC Essex, BBC Health News, Bed Availability and Occupancy, Bed Days, Bed Shortages, Bed-Blockers, Bed-Blocking Patients (Non-Recommended Term), Care Closer to Home, Care for Vulnerable Older People, Care Home Admission Delay, Care of Older People, CareRooms, Cross-Sector Partnerships, Delayed Discharges, Delayed Discharges Higher in Mental Health Trusts, Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Demand and Capacity, Disruptive Innovation, Dr Harry Thirkettle: CareRooms, Economic Sustainability, Efficiency Opportunities, Fewer Older People Receiving Help with Social Care, Financial Incentives Across Local Health and Social Care Systems (Proposals), Financial Sustainability in the NHS, Fragility of Adult Social Care Provider Market, Funding Deficits, Funding for Front-Line Healthcare Versus Social Care, Future of Residential Care, Health and Adult Social Care Providers, Health and Care of Older People, Health and Care Suitable for an Ageing Population, Health and Social Care, Health and Social Care in the Community, Health and Social Care Integration, Health Demand, Hospital Beds, Hospital Overcrowding, Inadequate Bed Availability, Innovation for an Ageing Population, Innovative Disruption (To a Failing Market), Loneliness and Isolation, Loss of Mobility During Long Hospital Stays, Market Failure, Market Failure in Social Care, NHS Airbnb-Style Scheme, NHS Sustainability, Operations Cancelled Due to Bed Shortages, Overcoming Barriers, Patient Discharge, Patient Flows, Patient Handover Delays, Patient Safety, Philip Dunne: Minister of State for Health, Physical Therapy, Physiotherapists, Physiotherapy, Poor Identification of People’s Capacity For Involvement in Their Care Planning and Management (Barriers to Involvement), Post-Discharge Support, Preventing Loneliness, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Proportionality in Safeguarding, Quality and Sustainability, Reablement, Reablement Services, Reducing Bed Days, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Over-Reliance on Social Care, Reducing Pressure on Primary Care, Reducing Waste in the NHS, Safeguarding, Safeguarding Adults at Risk, Social Isolation and Loneliness, Southend University Hospital NHS Foundation Trust, Sustainability, Sustainable Health and Social Care, Thinking Like a Patient and Acting Like a Taxpayer, Tom Abell: Deputy Chief Executive at Southend University Hospital NHS Foundation Trust, Under-Utilisation of Housing Stock, Vested Interests, Vulnerable Older People, Wasted Resources, Whole System Patient Flows
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Quick Animation on How the NHS in England Works (King’s Fund / CreativeConnection)
Summary The King’s Fund has produced an animated video, and a brief accompanying slide-set, which provide a quick overview of how the NHS “works”, in terms of evolving structure and the functional inter-relationships between the many component parts. Full Text Link Reference Mantell, K. … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, King's Fund, Local Interest, National, NHS, NHS England, NHS Improvement, Quick Insights, UK, Universal Interest
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Tagged Accountable Care Organisations (ACOs), Accountable Care Systems (ACSs), Acute Care Collaboration (ACC) Vanguards, Adult Social Care, Ageing Population, Animation on How the NHS in England Works, Care Closer to Home, CCGs: Clinical Commissioning Groups, Clinical Commissioning Groups (CCGs), CreativeConnection, Five Year Forward View (NHS England), Forward View Into Action: Support For Vanguards, Greater Manchester, Greater Manchester Reform, Hospital Chains, Hospitals Collaboration Vanguards, How the NHS in England Works, Integrated and Community-Based Care, Integrated Primary and Acute Care Systems (PACS), Integration, Integration of Health and Social Care, Integration of Primary Secondary and Community Care, Local Authorities, Local Service Design, Local Sustainability and Transformation Plans (STPs), Multihospital Chains, Multispeciality Community Providers (MCPs), Multispecialty Community Providers (MCPs), New Care Models: Support for Acute Care Collaboration (ACC) Vanguards, New Models of Care, New Models of Care Vanguards, NHS Organograms, NHS Providers, NHS Providers: Regulation and Commissioning, NHS Sustainability, Public Health England (PHE), Service Design, Sustainability, Sustainability and Transformation Plans (STPs), System Re-Design, Urgent and Emergency Care (UEC) Vanguards
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Primary Care Home: a New Model of Primary Care (NAPC / Nuffield Trust / SCIE / PA Consulting Group)
Summary The National Association of Primary Care (NAPC) has recently proposed an alternative model pf primary care, which is intended to realign primary care resources around the health and social needs of local communities. It involves “primary, community, mental, social … 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, Local Interest, Management of Condition, National, NHS, Non-Pharmacological Treatments, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, SCIE, Standards, UK, Universal Interest, Wolverhampton
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Tagged 1st Care Cumbria: Primary Care Home (PCH) Test Site, 3Sixty Care: Primary Care Home (PCH) Community of Practice Partner, Accountable Care Organisations (ACOs), Accountable Care Systems (ACSs), Alternatives to Hospital Admission, Ashford Clinical Providers Network Ltd (Federation): Primary Care Home (PCH) Community of Practice Partner, Avoidable Hospital Admissions, Barriers to the PCH Model, Beacon Medical Group: Primary Care Home (PCH) Test Site, Better Out-of-Hospital Care to Prevent Attendance and Admissions, Beyond Integrated Care: Population Health Systems, Broadstairs PCH: Primary Care Home (PCH) Community of Practice Partner, Burgess Hill and Villages PCH: Primary Care Home (PCH) Community of Practice Partner, Care Closer to Home, Care Homes, Central Crewe Cluster: Primary Care Home (PCH) Community of Practice Partner, Clarity of Terminology (Improvement), Clinical Commissioning Groups (CCGs), Collaboration, Collaboration: Working Across Boundaries, Collaborative Care, Collaborative Care or Combined Teams, Collaborative Care Planning, Collaborative Care Teams, Collaborative Working, Community Health Initiatives, Community Involvement, Complex Patients at Risk of Hospital Admission, Derwentside Healthcare LTD: Primary Care Home (PCH) Community of Practice Partner, Diabetes Care, Diabetes Epidemic, Diabetes Prevention, Discharge and Out of Hospital Care, Dorking Primary Care Home: Primary Care Home (PCH) Community of Practice Partner, Durham Dales Easington and Sedgefield CCG: Primary Care Home (PCH) Community of Practice Partner, East Cornwall Primary Care Home: Primary Care Home (PCH) Community of Practice Partner, East Norfolk Medical Practice: Primary Care Home (PCH) Community of Practice Partner, Economic Sustainability, Enablers for the PCH Model, Evaluation of PCH Model, Financial Sustainability in the NHS, Five Year Forward View - Next Steps: Sustainability and Transformation Partnerships, Frail Patients on Discharge From Hospital, Frailty, Frailty Clinics, Hammersmith and Fulham GP Federation (Network3): Primary Care Home (PCH) Community of Practice Partner, Hampstead Primary Care Neighbourhood: Primary Care Home (PCH) Community of Practice Partner, Hard to Reach Groups, Hard-to-Engage Diabetics, Haywards Heath PCH: Primary Care Home (PCH) Community of Practice Partner, Health and Social Care Integration, Health and Social Care Services, Healthy East Grinstead Partnership: Primary Care Home (PCH) Test Site, Herne Bay Health Care: Primary Care Home (PCH) Community of Practice Partner, Horsham PCH: Primary Care Home (PCH) Community of Practice Partner, IHI Triple Aim, Improving Local Public Health, Improving Population Health, Inappropriate Hospital Admissions, Integrated care Exeter: Primary Care Home (PCH) Community of Practice Partner, Integrated Out-of-Hospital Care, Integrated Teams, Integrated Teams of Practice and Community Staff, Integrating Health and Social Care, Inter-Team Working, Interdisciplinary Teams, Joint Working, Joint Working Between NHS and Social Care Systems, Larwood and Bawtry Primary Care Home: Primary Care Home (PCH) Test Site, Leadership Across Local Areas, Lewes Health Hub: Primary Care Home (PCH) Community of Practice Partner, Lichfield / Burntwood Network: Primary Care Home (PCH) Community of Practice Partner, Local Health and Social Care Economies, Local Leadership, Local Leadership for Healthy Communities, Local Public Health, Local Solutions: Place-Based Approaches, Local Sustainability and Transformation Plans (STPs), Long-Term Care (LTC), Long-Term Conditions (LTCs), Lostwithiel Fowey St Blazey Primary Care Network : Primary Care Home (PCH) Community of Practice Partner, Luton Primary Care Cluster: Primary Care Home (PCH) Test Site, Margate PCH: Primary Care Home (PCH) Community of Practice Partner, Middlewood Ltd: Primary Care Home (PCH) Community of Practice Partner, Moving Healthcare Closer to Home, Multi-Disciplinary Teams, Multiple Medications (Polypharmacy), National Association of Primary Care (NAPC), National Association of Primary Care (NAPC) Pilots, New Care Models, New Care Models Programme, New Models of Care, New Models of Primary Care, New Models of Service, Newgate Medical Group: Primary Care Home (PCH) Community of Practice Partner, Newport District Neighbourhood Project: Primary Care Home (PCH) Community of Practice Partner, Newport Pagnell Medical Centre: Primary Care Home (PCH) Community of Practice Partner, NHS England’s New Care Models Team, NHS England’s New Models of Care Programme, NHS Networks, NHS Sustainability, NHS Terminology, NHS Wolverhampton CCG, Nimbus Care York: Primary Care Home (PCH) Community of Practice Partner, North Cornwall MCP: Primary Care Home (PCH) Community of Practice Partner, Nottingham North and East Community Alliance: Primary Care Home (PCH) Test Site, OneLeeds PCH: Primary Care Home (PCH) Community of Practice Partner, Out of Hospital Community Care, Out-of-Hospital Care, Out-of-Hospital Services, PA Consulting, PA Consulting Group, Patients Needing Specialist Intervention, Patients Not Complying With Traditional Services, Patients With Diabetes, Patients With General Practice Access Issues, Patients With Polypharmacy Risks, PCH Rapid Test Sites (RTSs), Penwith PCH: Primary Care Home (PCH) Community of Practice Partner, Perranporth and Penryn PCH: Primary Care Home (PCH) Community of Practice Partner, Place-Based Collaboratives, Place-Based Leadership, Polypharmacy, Pooling Budgets, Population Health, Population Health Improvement, Population Health Perspective, Population Health Systems, Population Healthcare, Population-Level Data, Preventable Hospital Admissions, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Primary Care Home (PCH) Community of Practice Partners, Primary Care Home (PCH) Model, Primary Care Home (PCH) Test Sites, Primary Care Home Community of Practice, Primary Care Home in Wolverhampton, Primary Care Home Programme, Primary Care Home Test Sites: by CCG and STP Footprint, Primary Care Transformation, Provider Sustainability, Quality and Sustainability, Quex PCH: Primary Care Home (PCH) Community of Practice Partner, Ramsgate PCH: Primary Care Home (PCH) Community of Practice Partner, Redditch and Bromsgrave Alliance: Primary Care Home (PCH) Community of Practice Partner, Redhill and Merstham: Primary Care Home (PCH) Community of Practice Partner, Reducing Inappropriate Polypharmacy, Reducing Unplanned Hospital Admissions, Regional Naming Authorities (RNAs), Richmond Primary Care Home: Primary Care Home (PCH) Test Site, Right Name Forever (RNF), Riverside Health Centre: Primary Care Home (PCH) Community of Practice Partner, Rugeley Practices PCH: Primary Care Home (PCH) Test Site, Rutland Medical Group: Primary Care Home (PCH) Community of Practice Partner, Social Care Institute for Excellence (SCIE), South Bristol Primary Care Collaborative: Primary Care Home (PCH) Test Site, South Camden Primary Care Neighbourhood: Primary Care Home (PCH) Community of Practice Partner, South Cheshire and Vale Royal Primary Care Home Network: Primary Care Home (PCH) Community of Practice Partner, South Durham Health CIC: Primary Care Home (PCH) Test Site, South Kent Coast Integrated Accountable Care : Primary Care Home (PCH) Community of Practice Partner, South Kerrier Locality PCH: Primary Care Home (PCH) Community of Practice Partner, St. Austell Healthcare: Primary Care Home (PCH) Test Site, Stafford Primary Care Alliance: Primary Care Home (PCH) Community of Practice Partner, STP Footprints, Strategic Nomenclature and Nuancing Unit (SNNU), Sustainability, Sustainability and Transformation Partnerships, Sustainability and Transformation Plans (STPs), Targeting Hard-to-Reach Groups, Thanet Health CIC: Primary Care Home (PCH) Test Site, The Breckland Alliance: Primary Care Home (PCH) Test Site, Treating Patients Without Hospital Admission, Triple Aim Initiative, Triple Aim: (1) Improved Health and Wellbeing (2) Redesigned Care and (3) Wise Financial Stewardship, Truro PCH: Primary Care Home (PCH) Community of Practice Partner, Unnecessary Hospital Admissions, West Midlands Fire Service (WMFS), Winsford Group: Primary Care Home (PCH) Test Site, Wirral GP Provider Federation: Primary Care Home (PCH) Community of Practice Partner, Wolverhampton Care Collaborative: Primary Care Home (PCH) Community of Practice Partner, Wolverhampton Health Federation CIC, Wolverhampton Total Health Care (WTHC), Wolverhampton Total Health Care: Primary Care Home (PCH) Test Site, Working Across Boundaries, Wyre Forest Alliance: Primary Care Home (PCH) Community of Practice Partner
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