Tag Archives: Care Closer to Home

Where Best Next Campaign: Reducing Length of Hospital Stay (NHS England)

Posted on August 19, 2019 by Dementia and Elderly Care News

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), 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 | Tagged 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, 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, 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 | Leave a comment

Independent Mental Health Act Review (BBC News / DHSC / Centre for Mental Health / NHS England)

Posted on December 8, 2018 by Dementia and Elderly Care News

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 | 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) | Leave a comment

Improving Patient Care by Reducing Length of Hospital Stay (NHS Improvement / NHS England)

Posted on June 14, 2018 by Dementia and Elderly Care News

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 | 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, 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, Why Not Home: Why Not Today (reducingdtoc.com) | Leave a comment

Integrated Care Systems: Plus ca Change? (BBC News / NHS England / King’s Fund / SCIE)

Posted on April 19, 2018 by Dementia and Elderly Care News

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 →

Care and Support of Older People With Learning Disabilities (NICE)

Posted on April 12, 2018 by Dementia and Elderly Care News

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 →

Transformation of Health and Care in Wales: a Revolution from Within (BBC News / Welsh Government)

Posted on January 16, 2018 by Dementia and Elderly Care News

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 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, National, NHS, Non-Pharmacological Treatments, Parkinson's Disease, Person-Centred Care, Personalisation, Quick Insights, SCIE, Standards, Statistics, Stroke, Telecare, Telehealth, UK, Universal Interest, Wales | Tagged A Revolution from Within: Transforming Health and Care in Wales, Achieving Better Value, Adoption of Innovations, 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 Training, Dementia-Friendly Hospitals, Digital Technology, Digital Technology and Innovation, Discharge From Hospital to Primary Care, Dr David Bailey: Chairman of BMA Wales, Dr Jennifer Dixon CBE (Health Foundation), Dr Ruth Hussey: Former Chief Medical Officer for Wales, 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, Population Health, Population Health and Prevention, 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 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 Service Boards (PSBs), Quadruple Aim for All, Quality and Sustainability, Quality Improvement, Quality of Care, Reduction in Bureaucracy, 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, Value for Money, Vanessa Young: Director of NHS Confederation, Vaughan Gething: Welsh Health Secretary, 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 | Leave a comment

An Innovative Approach Hospital Overcrowding / Inadequate Bed Availability, Worthy of More Serious Consideration? (BBC News / CareRooms)

Posted on October 28, 2017 by Dementia and Elderly Care News

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 | 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 | Leave a comment

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