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Tag Archives: Care of Frail Older People With Complex Needs
Potential Harms From Polypharmacy in the Elderly (BBC News / Age UK / EJCP / Bazian / Lancet Psychiatry)
Summary An Age UK report investigates the potential harms of over-prescribing medicines for older people. Older persons often remain on too many prescribed medicines, putting them at risk of side-effects, potentially resulting in falls and other forms of serious harm. … Continue reading →
Posted in Age UK, Antipsychotics, BBC News, Charitable Bodies, Commissioning, Community Care, Depression, Falls, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Hypertension, In the News, Integrated Care, Management of Condition, National, Personalisation, Pharmacological Treatments, Quick Insights, UK, Universal Interest
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Tagged Achieving Better Value, Addictions Department - Division of Academic Psychiatry: King's College London, Addictive Prescription Medicines, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, Ageing Population, Alcohol Drugs Tobacco and Justice Division: Public Health England, AntiCholinergic Burden, Anticholinergic Drugs, Anticholinergics, Antidepressants, Anxiolytics and Hypnotics (Including Benzodiazepines), ARMOUR Tool, Australian Prescribing Indicators, Austrian Criteria, Barenholtz Levy, Bazian, BBC Health News, Beers Criteria, Behind the Headlines, Benzodiazepines, Better Value, Better Value Healthcare, Better Value in the NHS, Brown Model, Cantrill Indicators, Care Home Pharmacists, Care Home Pharmacists to Cut Overmedication, Care Homes, Care of Frail Older People With Complex Needs, Care of Older People Living at Home, Care of Older People Living in Care Homes, Care Planning: Relating New Prescribing Decisions to Existing Medicines, Care Quality Improvement Department: Royal College of Physicians, Case Management and Enhanced Rapid Response, Challenging Behaviour in Dementia, Choosing Wisely, Choosing Wisely in the NHS, Choosing Wisely in the UK, Clinical Pharmacists, CMS List, Communication Between Community Pharmacists and GPs, Community Pharmacies, Community Pharmacists, Community Pharmacy, Community-Based Services, Community-Based Support, Comorbidity, Comorbidity and Dementia, Comorbidity and Polypharmacy in People With Dementia, Dementia Friendly Community Pharmacists, Department of Family Medicine: University of California Los Angeles, Department of Primary Care and Public Health: Imperial College London, Dependence and Withdrawal Associated With Prescribed Medicines (PHE Review), Deprescribing, Discontinuation of Multiple Medications in Older Adults, Doubling-Up, Drug Burden Index, Drug Cost Savings, Economic Sustainability, Elderly Malnutrition, European Journal of Clinical Pharmacology, FORTA Criteria, Four or More Medicines (FOMM) Support Service, Frail Older People, Frailty, Gabapentinoids, Geriatric Medication Algorithm, German PRISCUS List of Potentially Inappropriate Medications, Good Practice in Care Homes, Guy's and St Thomas' NHS Foundation Trust, Hamdy Criteria, Hanoi Medical University, Harms of Too Much Medicine, Health Improvement Directorate: Public Health England, High Quality Medicines Reviews, Holmes Criteria, Hospital Pharmacists, Hospital‑Based Multidisciplinary Teams: Pharmacists, Hull-York Medical School: University of Hull, Imperial College London, Improving Care for Frail Older People, Improving Patient Safety, Improving Pharmaceutical Care in Care Homes, Improving Prescribing in the Elderly Tool, Improving Prescribing Practice, Improving Standards in Care Homes, Inappropriate Drug Use, Inappropriate Medication, Inappropriate Prescribing, Institute of Psychiatry Psychology and Neuroscience: King’s College London, Integrated Care Clinical Pharmacist (ICP) for Frail Older People, Integrated Care Pharmacists (ICPs), Kaiser Permanente Model, Kings College London, KPC Criteria, Lambeth Addictions: South London and Maudsley NHS Mental Health Foundation Trust, Lancet Psychiatry, Laroche Criteria, Later Life, Lechevallier Criteria, Less is More, Liaison and In-Reach Services for Frail Older People, Lindblad’s List, Lipton’s Tool, Living at Home, Living Well in Care Homes, Long-Term Conditions (LTCs), Lowering Costs, Maio Criteria, Malnutrition, Malnutrition in Later Life, Malone’s List, Management of Challenging Behaviour, Managing Comorbidity and Complexity, Managing Medicines in Care Homes, Matsumura Alert System, McLeod Criteria, MDTs: Multidisciplinary Teams, Medical Overuse, Medication Adherence, Medication Appropriateness Index, Medication Creep, Medication Nonadherence, Medication Reviews, Medication Reviews in Care Homes, Medication Without Harm (WHO), Medication-Related Harm, Medications Management Outcome Monitor, Medicine Combinations, Medicines Management, Multi-Morbidities, Multimorbidities and Long-Term Conditions, Multiple Comorbidities, Multiple Long-Term Conditions, Multiple Medications (Polypharmacy), National Guideline Centre: Royal College of Physicians, NCOA Criteria, New Mexico Criteria, NHS Business Services Authority (NHSBSA), NHS Community Pharmacies, Non-Adherence: Medication-Related Harm, Norwegian General Practice (NORGEP) Criteria, Oborne’s Prescribing Indicators, Older Adults Higher Levels of Dependency Dementia and Comorbidity, Older People, Older People Supported and Involved in Decisions About Medicines, Older People With Complex Needs, Older People's Care, Opioid Painkillers, Opioids, Optimising Prescribing and Deprescribing in Older Adults, Over-Medication, Over-Prescribing, Over-Treatment, Overdiagnosis and Overtreatment, Overmedicalization, Overmedicaton in Care Homes, Overprescribing, Overprescription, Overuse of Medication, Owen’s Steps, Patient Harms, Patient Preference and Adherence, Patient Safety, Patients With Polypharmacy Risks, People With Dementia Living at Home, Pharmacist-Led Care Home Medication Reviews, Pharmacist-Led Home Medication Reviews, Pharmacist-Led Information Technology Intervention (PINCER), Pharmacist-Led Medication Reviews, Pharmacists, Pharmacists to Cut Unnecessary Hospital Admissions, PINCER, PINCER Intervention, PMDRP, Polypharmacy, Polypharmacy and Frailty, Polypharmacy in the Elderly STOPP and START Criteria, Poor Medicines Management, Potentially Inappropriate Medications (PIMs), Potentially Inappropriate Medications in the Elderly: the PRISCUS List, Potentially Inappropriate Medicine Combinations, Potentially Inappropriate Prescribing, Potentially Inappropriate Prescribing (PIP), Potentially Inappropriate Prescribing in Older People With Dementia, Prescribing Cascades, Prescribing Optimisation Method, Prescription Drugs, Prescription Drugs Dependency, Prescription Drugs: Long-Term Use, Prescription of Psychotropic Drugs, Prevalence of Potentially Inappropriate Prescribing in Older People With Dementia, Preventable Hospital Admissions, Preventative Care, Preventing Acute Admissions from Care Homes, Prevention, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Preventive Care, Primary Care, Primary Care Adverse Drug Reactions, PRISCUS List, Proactive Specialist In-Reach, Professor Paul Cosford: Director for Health Protection and Medical Director at Public Health England, Protecting Resources and Promoting Value, Psychotropic Drug Cessation, Psychotropic Drugs, Public Health England, Rancourt Criteria, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Unplanned Hospital Admissions, Reducing Waste in the NHS, Reducing Wasted Medications, Robertson’s Flow Charts, Royal College of Physicians, School of Preventive Medicine and Public Health: Hanoi Medical University, Sloane List, Social Prescribing, Social Prescribing Approach to Reducing Default to Medicines / Drug-Based Treatments, South London and Maudsley NHS Mental Health Foundation Trust, START Criteria, STOPP and START Criteria, STOPP Criteria, STOPP START Criteria, Suboptimal Prescribing, Summary Care Records, Summary Care Records (SCRs), Sustainability, Sustainability in the NHS, Thinking Like a Patient and Acting Like a Taxpayer, TIMER Tool, Too Much Medicine, Tools for Measuring Potentially Inappropriate Prescribing in Older People With Dementia, Transforming Care for Frail Older People, United States, University of California Los Angeles, University of Hull, Unnecessary Hospital Admissions, Unsafe Drug Combinations, USA. Fielding School of Public Health: University of California Los Angeles, Value for Money, Value Improvement, Vietnam, Wellbeing in Care Homes, Wolfson Centre for Palliative Care Research: University of Hull, Z-Drugs (Sleeping Tablets), Zhan Criteria
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Frailty: Core Capabilities Framework (Skills for Health)
Summary Skills for Health have produced the Frailty Core Capabilities Framework. This framework was commissioned by Health Education England and NHS England, and aims to formalise the skills to provide high quality, holistic, compassionate care and support for persons with … Continue reading →
Posted in Acute Hospitals, Age UK, Commissioning, Community Care, Diagnosis, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Guidelines, Health Education England (HEE), Integrated Care, Management of Condition, National, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Active Listening, Adults at Risk of Harm, Age and Ageing, Ageing and Long-Term Care, Ageing Population, Ageing Research, Baroness Sally Greengross (APPG on Dementia), British Geriatric Society, Care and Support Planning, Care for Vulnerable Older People, Care of Frail Older People With Complex Needs, Carers, Causes and Prevention of Frailty, Clinical Frailty Scale: the Rockwood Score, Co-Morbid Physical and Mental Health Conditions, Collaboration, Collaborative Care, Collaborative Working, Commissioning for Older People, Common Problems of Frailty, Community-Based Care for People With Frailty, Comprehensive Geriatric Assessment (CGA), Cumulative Deficit Frailty Model, Cumulative Deficit Model, Edmonton Frail Scale, Electronic Frailty Index, End of Life Care, Families and Carers, Families and Carers as Partners in Frailty Care, Frailty, Frailty Framework of Core Capabilities: Skills for Health, Frailty Index, Frailty Services, Frailty Syndromes, Frailty: Core Capabilities Framework, Frailty: Mapping to Other Frameworks, Gait (Walking) Speed Test, Health Coaching, HEE: Health Education England, Holistic Approaches, Holistic Assessments, Holistic Care, Holistic Care Assessments, Holistic Needs Assessment, Identification of Frailty, Identifying People Living With Frailty, Identifying Vulnerable People, Improving Care for Frail Older People, Integrated Physical and Mental Health, Involvement of Families and Carers, Long-Term Conditions (LTCs), Long-Term Physical and Mental Health Conditions, Managing Ongoing Physical and Mental Health Conditions, Medication Management, Multi-Morbidities, Multidisciplinary Care, Multidisciplinary Holistic Assessments, Multidisciplinary Teams, Multimorbidity, Older People At Home, Pathways for Frail and Vulnerable People, Patient Activation, People Living With Frailty, Person-Centred Approaches in Healthcare, Personalised Care and Support Planning, Phenotype Model of Frailty, PRISMA 7 Questionnaire, Rockwood Score, Royal College of GPs, Shared Decision-Making, Skills for Care (SfC), Skills for Care and Skills for Health, Skills for Health, Skills for Health (SfH), Targeting Resources on Vulnerable Populations, The Frailty Fulcrum, Time Up and Go (TUG) Test, Vulnerable Adults
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Blueprint for Complex Care: Care for Individuals with Complex Health and Social Needs (National Center for Complex Health and Social Needs / IHI / Duke University / NIHR)
Summary The latest Institute for Healthcare Improvement (IHI) report covers multi-disciplinary and multi-agency approaches to better coordination in the provision of care for individuals with complex health and social needs, from a USA perspective. “The Blueprint for Complex Care is a joint … Continue reading →
Posted in Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, Integrated Care, International, Local Interest, Management of Condition, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Royal Wolverhampton NHS Trust, Standards, Universal Interest, Wolverhampton
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Tagged Accountable Care Organisations (ACOs), Accountable Care Organisations (in United States and England), Accountable Health Communities, Adult Social Care for People with Complex Needs, Advancing Integrated Care in England: Practical Path for Care Transformation, Ageing Population, Barriers to Integrated Care, Barriers to Integration, Barriers to Integration: Different Funding Models, Barriers to Integration: Different Workforce Cultures, Barriers to Integration: Difficulties in Effective Information Sharing, Barriers to Integration: Organisational Integration, Blueprint for Complex Care, Bridgespan Group: Strong Field Framework, Camden Coalition of Healthcare Providers (CCHP), Care of Frail Older People With Complex Needs, Center for Health Care Strategies, Center for Medicare and Medicaid Innovation (CMMI), Commonwealth Fund, Community Outreach, Complex Care, Complex Care and Multimorbidity, Complex Care Champions, Complex Care Ecosystem, Complex Chronic Conditions, Complex Comorbidities, Complex Conditions, Complex Needs, Complex Patients at Risk of Hospital Admission, Conceptual Model: Starter Taxonomy for High-Need Patients, Cross-Sector Partnerships, Data Sharing, Data Sharing for Better Health, Dr Robin Miller: Deputy Director of Health Services Management Centre at University of Birmingham, Duke University, Duke-Margolis Center for Health Policy, Effective Care for High Need Patients: National Academy of Medicine (NAM) Report, Global Health Innovation Center: Duke University, Health Care Innovation Awards, Health Services Management Centre (HSMC): University of Birmingham, Health Services Management Centre: University of Birmingham, HSMC: University of Birmingham, IHI: Institute for Healthcare Improvement, Innovation Accelerator Program, Institute for Healthcare Improvement, Institute for Healthcare Improvement (IHI), Integrated Care Partnerships and Accountable Care Organisations, Integrated Multi-Agency Care, Lived Experience, Medication Management, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary and Multi-Agency Working, National Center for Complex Health and Social Needs, National Institute for Health Research (NIHR), National Institute for Health Research Health Services and Delivery Research Programme, National Institute for Health Research Signal, NIHR Signal, Organisational Competencies to Accelerate Care Improvements, Outreach Services, Quality Improvement, Quality Measures, Robert and Lisa Margolis Family Foundation, Robert Wood Johnson Foundation, Robert Wood Johnson Foundation (RWJF), SCAN Foundation, School of Health and Related Research (ScHARR): University of Sheffield, Strong Field Framework, United States, University of Sheffield, USA, Value-Based Payments (VBP), Variability in Implementation (of Integrated Care), Vertical Integration, Vertical Integration (of Primary and Secondary Care)
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Improving Care for Older People (NHS England / Age UK / PHE / Chief Fire Officer’s Association / JGCR)
Summary The guide to Improving Care for Older People, developed by NHS England in partnership with Age UK, Public Health England, and the Chief Fire Officer’s Association, is actually a collection of resources (some dating back several years). This collection … Continue reading →
Posted in Age UK, 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, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Practical Advice, Public Health England, Quick Insights, UK, Universal Interest
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Tagged Active Ageing, Active and Healthy Ageing, Age and Ageing, Age-Friendly Housing, Age-Related Hearing Loss (ARHL), Ageing Population, Ageing Population Carer Support, Ageing Society, Ageing Well, Ageing Well and Supporting People Living With Frailty (NHS England), Ageing Well With Technology, Amenable Mortality, Avoidable Harm, Avoidable Hospital Admissions, Avoidable Mortality, Avoidable Premature Mortality, Avoidable Rehospitalisations, Bladder Problems, Burden on Caregivers, Care for Vulnerable Older People, Care Home Admission Delay, Care in an Ageing Society, Care of Frail Older People With Complex Needs, Caregiver Assessments, Caregiver Burden, Caregivers, Caregiving (Carers), Carer Awareness, Carer Experience, Carer Fatigue, Carer Isolation, Carer Organisations, Carer Support, Carer Support Services, Carer's Needs, Carer’s Perspective, Carers Strategy, Carers Trust, Carers UK Adviceline, Carers' Assessments, Carers’ Benefits, Carers’ Health and Wellbeing, Caring and Family Finances, Caring into Later Life, Case Finding and Risk Stratification, Chief Fire Officers Association, Chief Fire Officers Association (CFOA), Chief Fire Officers Association: Ageing Safely Strategy, Cognitive Impairment, Cold Homes, Collaboration, Collaborative Commissioning, Collaborative Models of Delivery, Collaborative Working, Collaborative Working in Local Communities, Community Care Assessments, Community Response Intervention Teams, Community Risk Intervention, Community Risk Intervention Team (CRIT), Community Volunteering, Community-Based Services, Complex Needs, Consensus Statement on Improving Health and Wellbeing (2015), Consent to Share Information, Cooking Arrangements, Coping With Stress, Culture Change in Health and Care, Delivering Better Health and Care Outcomes, Dementia-Friendly Housing, Design Principles for Safe and Well Visits, Determinants of Health, Electronic Frailty Index, electronic Frailty Index (eFI), Emily Holzhausen: Director of Policy and Public Affairs at Carers UK, Falls Prevention, Falls Reduction, Falls Risk Assessment Tool (FRAT), Family Caregivers, Family Carers, Feeling Under the Weather (Campaign), Fire and Rescue Service Delivering Home Modifications, Fire and Rescue Services (FRS), Fire and Rescue Services (FRS): Health Ambassadors, Fire and Rescue Services Act (2004), Fire and Rescue Services Checks on Older People, Fire and Rescue Services Checks on People With Long Term Health Conditions, Fire as a Health Asset: Consensus, Fire Safety Check Programmes, Fires, Frail Older People, Frailty, Frailty Identification and Frailty Care, Frailty Services, Frailty Syndromes, FRS Volunteers, Geriatric Care and Research Organisation (GeriCaRe), Greater Manchester FRS Community Risk Intervention Teams (CRITs), Guide to Healthy Ageing, Happiness and Wellbeing, Health and Care of Older People, Health and Social Care Integration, Health and Wellbeing, Healthy Ageing, Healthy Ageing Conference 2018 (India), Healthy Ageing in India, Healthy Caring Guide, Healthy Feet, Hearing, Hearing Loss, Hoarding, Home Adaptations, Home Modifications, Home Safety, Home Security, Hydration and Nutrition, Identification of Frailty, Identification of Frailty (Routine Screening), Identifying People Living With Frailty, Identifying Vulnerable People, Impact of Caring on Carers, Improving Care for Frail Older People, Improving Care for Older People (NHS England), Improving General Practice, Improving Lives of Carers, Improving Quality in General Practice, Improving the Quality of Care in General Practice, Inappropriate Hospital Admissions, Independence, Independence at Home, Independent Living, Independent Living At Home, India, India (State of Odisha), Informal Caregiving, Informal Carers, Information Needs of Carers, Information Technology, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integrated Prevention Approaches, Integration of Health and Care, Integration of Health and Social Care, Journal of Geriatric Care and Research (JGCR), Keep Warm Keep Well, LGA: Local Government Association, Lifestyle Risk Factors, Links Between Mental Health and Fire Risk, Local Government Association: LGA, Local Government Authority: Beyond Fighting Fires, Local Health and Care Services, Loneliness, Loneliness and Social Isolation, Long Term Health Conditions, Long-Term Care (LTC), Long-Term Care and Support, Long-Term Conditions, Long-Term Conditions (LTCs), Maintaining Independence, Maintaining Relationships, Mental Health Needs of Carers, Mental Wellbeing, Mental Wellbeing and Older People, Mobile Technology, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary Working, Multi-Morbidity, Needs of Carers, NHS England Risk Stratification Guidance, Older Community-Dwelling Adults, Older People At Home, Older People With Complex Needs, Older People: Independence and Mental Wellbeing, Opportunities to Treat Patients Without Hospital Admission, Partnership and Collaboration, Partnership Working, Partnership(s) Between NHS and Fire Service, Pathways for Frail and Vulnerable People, Patient Targeting and Risk Stratification, People Living With Frailty, Personalised Care and Support Planning Handbook, PHE: Public Health England, Portable Heaters and Open Fires, Potentially Modifiable Socio-Environmental Risk Factors, Preparations for Winter, Preventable Hospital Admissions, Prevention, Prevention Agenda, Primary Care, Provision of Risk Appropriate Domestic Fire Detection and Warning, Public Health England (PHE), Recognising and Managing Frailty in Primary Care, Reducing Unplanned Hospitalisation, Regaining Independence, Rehospitalisations, Risk and Protective Factors for Mental Wellbeing, Risk of Nursing Home Admission, Risk Stratification, Social Media, Support for Carers, Support for People with Complex Needs, Supporting Health Wellbeing and Independence, Sustainable Caring, Targeted Screening, Targeting Resources on Vulnerable Populations, Treating Patients Without Hospital Admission, Unpaid Caregivers (Carers), Unpaid Carers, Unplanned Hospital Admissions, Unplanned Hospitalisation, Urinary Incontinence, Urinary Infections, Use of Social Media, Vaccination Programmes, Visual Impairment, Voluntary and Community Sector, Voluntary Sector, Warm Homes, Winter Friends
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The Hospital Frailty Risk Score: a Simpler Method of Screening for Frailty and Patients at Greater Risk (Lancet)
Summary The Hospital Frailty Risk Score is a risk score designed for the identification of older people at risk of harm or adverse outcomes in hospitals. It is based on standard diagnostic codes from the International Statistical Classification of Diseases … Continue reading →
Posted in Acute Hospitals, Commissioning, Delirium, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Health Foundation, Integrated Care, International, Management of Condition, Models of Dementia Care, NHS, Nuffield Trust, Person-Centred Care, Quick Insights, Statistics, UK, Universal Interest
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Tagged Academic Geriatric Medicine: University of Southampton, Adults at Risk of Harm, Age and Ageing, Ageing and Long-Term Care, Ageing Population, Ageing Research, Amenable Mortality, Avoidable Hospital Admissions, Avoidable Mortality, Avoidable Premature Mortality, Avoidable Rehospitalisations, Cardiff University, Care for Vulnerable Older People, Care of Frail Older People With Complex Needs, Charlson Comorbidity Index, College of Life Sciences: University of Leicester, Commissioning for Older People, Count-Based Multimorbidity Measures, Data Analytics Team: Health Foundation, Department of Business Intelligence: Manchester University NHS Foundation Trust, Department of Geriatric Medicine: Lyon Teaching Hospital, Department of Health Policy: London School of Economics, Department of Health Sciences: University of Leicester, Department of Public Health: Cardiff University, Diagnostic Codes, Electronic Care Record (ECR), Electronic Care Records, Electronic Health Records, Electronic Health Records (EHRs), Frailty, Frailty Status at Admission to Hospital, France, Fried and Rockwood Scales, Fried Phenotype, Hospital Frailty Risk Score, ICD-10 Codes, Identification of Frailty, Identification of Frailty (Routine Screening), Identifying People Living With Frailty, Identifying Vulnerable People, Improving Care for Frail Older People, Institute for Ageing: Newcastle University, International Classification of Diseases (ICD), International Statistical Classification of Diseases and Related Health Problems (ICD-10), Lancet, London School of Economics, Lyon Teaching Hospital, Manchester University NHS Foundation Trust, Morbidity and Wellbeing, Multimorbidity Measures, Newcastle University, Optimising Acute Frailty, Patient Targeting and Risk Stratification, Risk Assessment, Risk Evaluation, Risk Stratification, Rockwood Frailty Index, Screening For Frailty, Screening for Frailty (in Hospitals), Targeted Screening, Targeting Resources on Vulnerable Populations, University of Leicester, University of Southampton, Vulnerable Adults, World Health Organization's (WHO) International Classification of Diseases: Tenth Revision (ICD-10)
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NHS England’s Pharmacy Integration Fund (NHS England / BBC News)
Summary Care home residents often have multiple long-term conditions and are often prescribed several different medicines (polypharmacy). NHS England plans to fund recruitment of 180 pharmacists and 60 pharmacy technicians who will work with care homes to try to reduce … Continue reading →
Posted in BBC News, Commissioning, Community Care, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, Models of Dementia Care, National, NHS, NHS England, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Achieving Better Value, Ageing Population, Alternatives to Hospital Admission, BBC Health News, Better Value, Better Value Healthcare, Better Value in the NHS, Care and Support for People With Dementia in Care Homes, Care Home Pharmacists, Care Home Pharmacists to Cut Overmedication, Care Homes, Care of Frail Older People With Complex Needs, Care of Older People Living in Care Homes, Clinical Pharmacists, Community Pharmacists, Community-Based Interventions, Community-Based Services, Community-Based Support, Confusion in Care Homes, Dementia Care in Care Homes, Discontinuation of Multiple Medications in Older Adults, Drug Cost Savings, East and North Hertfordshire NHS Trust, Economic Sustainability, English Pharmacy Board, Financial Constraints, Financial Sustainability in the NHS, Frail Older People, Good Practice in Care Homes, Harms of Too Much Medicine, Hospital Pharmacists, Hospital‑Based Multidisciplinary Teams: Pharmacists, Imelda Redmond: Healthwatch England, Improving Care for Frail Older People, Improving Patient Safety, Improving Pharmaceutical Care in Care Homes, Improving Prescribing Practice, Improving Standards in Care Homes, Inappropriate Drug Use, Inappropriate Medication, Inappropriate Prescribing, Integrated Care in Northumberland, Interdisciplinary Teams, Later Life, Less is More, Liaison and In-Reach Services for Frail Older People, Living Well in Care Homes, Long-Term Conditions (LTCs), Lowering Costs, Managing Medicines in Care Homes, MDTs: Multidisciplinary Teams, Medical Overuse, Medication Reviews, Medication Reviews in Care Homes, Models of Enhanced Health in Care Homes, Multi-Disciplinary Team (MDT), Multi-Disciplinary Teams, Multi-Disciplinary Working, Multi-Morbidities, Multimorbidities and Long-Term Conditions, Multiple Long-Term Conditions, Multiple Medications (Polypharmacy), NHS East and North Hertfordshire CCG, NHS England Local Area Teams: Frail Older People With Complex Needs, NHS England Pharmacy Integration Fund, Northumberland, Older Care Home Residents, Older People, Older People With Complex Needs, Older People's Care, Oral Nutritional Support, Over-Medication, Over-Prescribing, Over-Treatment, Overdiagnosis and Overtreatment, Overmedicaton in Care Homes, Overprescription, Overuse of Medication, Patient Harms, Patient Safety, Patients With Polypharmacy Risks, Pharmacist-Led Care Home Medication Reviews, Pharmacist-Led Medication Reviews, Pharmacists, Pharmacists to Cut Unnecessary Hospital Admissions, Pharmacy Integration Fund (NHS England), Pharmacy Technicians, Polypharmacy, Potentially Inappropriate Prescribing, Preventable Hospital Admissions, Preventative Care, Preventing Acute Admissions from Care Homes, Prevention, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Preventive Care, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Proactive Specialist In-Reach, Protecting Resources and Promoting Value, Redesigning Services, Reducing Expenditure, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Unplanned Hospital Admissions, Reducing Waste in the NHS, Reducing Wasted Medications, Research in Care Homes, Sandra Gidley: Chair of Royal Pharmaceutical Society’s English Pharmacy Board, Simon Stevens: Chief Executive of NHS England, Thinking Like a Patient and Acting Like a Taxpayer, Transforming Care for Frail Older People, Unnecessary Hospital Admissions, Value for Money, Value Improvement, Wellbeing in Care Homes
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Screening For Frailty: as Easy as eFI? (NHS England / Age and Ageing)
Summary The “electronic Frailty Index (eFI)” is discussed, by NHS England’s National Clinical Director for Older People and Person Centred Integrated Care, as a validated tool which might assist in the proactive identification, diagnosis and management of frailty. Potentially, the … Continue reading →
Posted in Commissioning, Community Care, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Statistics, Systematic Reviews, UK, Universal Interest
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Tagged Academic Unit of Elderly Care and Rehabilitation: University of Leeds, Age and Ageing, Ageing and Long-Term Care: Projections, Ageing Population, Ageing Research, Amenable Mortality, Avoidable Hospital Admissions, Avoidable Mortality, Avoidable Premature Mortality, Avoidable Rehospitalisations, BMJ Open, BMJ Publishing Group Ltd, Bradford, British Geriatrics Society, Care for Vulnerable Older People, Care Home Admission Delay, Care of Frail Older People With Complex Needs, Centre for Reviews and Dissemination: University of York, Charlson Comorbidity Index, Commissioning for Older People, Connected Bradford, Connected Health Cities, Count-Based Multimorbidity Measures, Cumulative Deficit Frailty Model, Cumulative Deficit Model, Deficits Contained in eFI Calculations, Disease Counts, Dr Martin Vernon: Consultant Geriatrician and Associate Head of Division for Medicine and Community Services for Central Manchester, Dr Martin Vernon: National Clinical Director for Older People and Integrated Care, Dr Martin Vernon: NCD for Older People and Integrated Person Centred Care, Dublin, Effectiveness Matters, Electronic Frailty Index, electronic Frailty Index (eFI), Electronic Health Records, Electronic Health Records (EHRs), Faculty of Health Studies: University of Bradford, Frail Older People, Frailty, Frailty Identification and Frailty Care, Frailty Services, Frailty Syndromes, Functional Decline, General Practice, General Practices, General Practitioners, GP Assessment, Guidance on Supporting Routine Frailty Identification and Frailty Care Through the GP Contract 2017/2018, Holistic Medical Reviews (Automated Electronic Heuristics), Holistic Medical Reviews by GPs, HRB Centre for Primary Care Research: Royal College of Surgeons in Ireland (RCSI), Identification of Frailty, Identification of Frailty (Routine Screening), Identifying People Living With Frailty, Identifying Vulnerable People, Improving Care for Frail Older People, Improving General Practice, Improving Quality in General Practice, Improving the Quality of Care in General Practice, Inappropriate Hospital Admissions, Independence at Home, Institute of Applied Health Research: University of Birmingham, Ireland, John Young: Academic Unit of Elderly Care and Rehabilitation at University of Leeds, Long-Term Care and Support, Long-Term Conditions (LTCs), Maintaining Independence, Medication Counts, Mortality in Older People, Mortality Morbidity and Wellbeing, Multimorbidity Measures, Older Community-Dwelling Adults, Older People At Home, Opportunities to Treat Patients Without Hospital Admission, Pathways for Frail and Vulnerable People, People Living With Frailty, Point-of-Care Screening, Population Health Sciences Division: Royal College of Surgeons of Ireland (RCSI), Preventable Hospital Admissions, Primary Care, Professor John Young, Professor John Young: Former National Clinical Director for Integration and Frail Elderly at NHS England, Rapid Screening, Recognising and Managing Frailty in Primary Care, Reducing Unplanned Hospitalisation, Rehospitalisations, ResearchOne (TPP Leeds West Yorkshire), ResearchOne Health and Care Database, ResearchOne Primary Care Database, Risk of Nursing Home Admission, Routine Primary Care Electronic Health Record Data, Royal College of Surgeons of Ireland (RCSI), RxRisk-V, Screening, Screening For Frailty, Screening Tests, Selected Conditions Counts, Shakespeare: Seven Ages of Man, Staying Independent, Supporting Older People Living With Frailty in the Community, Supporting People With Hospital Admissions, Supporting Vulnerable People, SystmOne (TPP Leeds West Yorkshire), SystmOne Electronic Health Record System, Targeted Screening, Targeting Resources on Vulnerable Populations, The Health Improvement Network (THIN) Databases, THIN Database, Toolkit for General Practice in Supporting Older People Living With Frailty (NHS England), TPP SystmOne Clinical System, Treating Patients Without Hospital Admission, University of Leeds, University of York, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unplanned Hospitalisation, Validation of electronic Frailty Index (eFI), Vulnerable Adults, West Yorkshire, Yorkshire and Humber AHSN Improvement Academy
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Safe and Well Visits: Partnership Working Between Health, Social Care, Fire and Rescue Services and Volunteers (NHS England, PHE, LGA / CFOA / Age UK)
Summary Further information has become available concerning the programme of “health checks” for the homes of elderly people and patients with complex long-term conditions. Collaboration on establishing the working principles of these “Safe and Well” visits has involved cooperation between … Continue reading →
Posted in Age UK, Assistive Technology, Charitable Bodies, Commissioning, Community Care, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Housing, In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Public Health England, Quick Insights, Standards, Telecare, Telehealth, UK, Universal Interest
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Tagged 5YFV: NHS Five Year Forward View, Age-Friendly Housing, Ageing Population, Alcohol, Avoidable Harm, Avoidable Hospital Admissions, Avoidable Mortality, Avoidable Premature Mortality, Avoidable Rehospitalisations, Burns and Scalds, Candles, Care of Frail Older People With Complex Needs, Chief Fire Officers Association, Chief Fire Officers Association (CFOA), Chief Fire Officers Association: Ageing Safely Strategy, Cognitive Impairment, Cold Homes, Collaboration, Collaborative Commissioning, Collaborative Models of Delivery, Collaborative Working, Collaborative Working in Local Communities, Community Response Intervention Teams, Community Risk Intervention, Community Risk Intervention Team (CRIT), Community Volunteering, Complex Needs, Consensus Statement on Improving Health and Wellbeing (2015), Consent to Share Information, Cooking Arrangements, Culture Change in Health and Care, Delivering Better Health and Care Outcomes, Dementia Long-Term Care and Support, Dementia Long-Term Services, Dementia-Friendly Housing, Design Principles for Safe and Well Visits, Determinants of Health, Drugs, E-Cigarettes, Electrical Equipment, Employment, Escape Plans, Falls, Falls Prevention, Falls Reduction, Falls Risk Assessment Tool (FRAT), Fire and Rescue Service Delivering Home Modifications, Fire and Rescue Services (FRS), Fire and Rescue Services (FRS): Health Ambassadors, Fire and Rescue Services Act (2004), Fire and Rescue Services Checks on Older People, Fire and Rescue Services Checks on People With Long Term Health Conditions, Fire as a Health Asset: Consensus, Fire Safety Check Programmes, Fires, Frailty, FRS Volunteers, Greater Manchester, Greater Manchester FRS (GMFRS), Greater Manchester FRS Community Risk Intervention Teams (CRITs), Health, Health and Care of Older People, Health and Social Care Integration, Hoarding, Home Adaptations, Home Modifications, Home Safety, Home Security, Independence, Independence at Home, Independent Living, Independent Living At Home, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integrated Prevention Approaches, Integration of Health and Care, Integration of Health and Social Care, Jacquie White: NHS England’s Deputy Director for People with Long Term Conditions, Learning Disability, LGA: Local Government Association, Lifestyle Risk Factors, Links Between Mental Health and Fire Risk, Local Government Association: LGA, Local Government Authority: Beyond Fighting Fires, Local Health and Care Services, Loneliness, Loneliness and Social Isolation, Long Term Health Conditions, Long-Term Care (LTC), Long-Term Conditions, Long-Term Conditions (LTCs), Mental Health, Mobility, Modifiable Risk Factors, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary Working, Multi-Morbidity, National Long Term Conditions Year of Care Commissioning Programme, NHS England’s Five Year Forward View, NHS Five Year Forward View (5YFV), North West Ambulance Service (NWAS), Older People With Complex Needs, Partnership and Collaboration, Partnership Working, Partnership(s) Between NHS and Fire Service, PHE: Public Health England, Portable Heaters and Open Fires, Potentially Modifiable Socio-Environmental Risk Factors, Prescription Medicines, Prevention, Prevention Agenda, Provision of Clinical and Other Equipment in Home Potentially Increasing Fire Risk, Provision of Risk Appropriate Domestic Fire Detection and Warning, Public Health England (PHE), Public Health Social Care and NHS Outcomes To Which Home Adaptations Contribute, Public Health Social Care and NHS Outcomes To Which Safe and Well Visits Contribute, RCGP e-learning Package For GPs, Reducing Health Inequalities, Reducing Waste in the NHS, Risk Factors, Safe and Well Visit (Light Touch) Checks: Alcohol, Safe and Well Visit (Light Touch) Checks: Burns and Scalds, Safe and Well Visit (Light Touch) Checks: Candles, Safe and Well Visit (Light Touch) Checks: Consent to Share Information, Safe and Well Visit (Light Touch) Checks: Cooking, Safe and Well Visit (Light Touch) Checks: Drugs, Safe and Well Visit (Light Touch) Checks: E-Cigarettes, Safe and Well Visit (Light Touch) Checks: Electrical Equipment, Safe and Well Visit (Light Touch) Checks: Employment, Safe and Well Visit (Light Touch) Checks: Escape Plans, Safe and Well Visit (Light Touch) Checks: Falls, Safe and Well Visit (Light Touch) Checks: Fire, Safe and Well Visit (Light Touch) Checks: Frailty, Safe and Well Visit (Light Touch) Checks: Health, Safe and Well Visit (Light Touch) Checks: Hoarding, Safe and Well Visit (Light Touch) Checks: Home Security, Safe and Well Visit (Light Touch) Checks: Learning Disability, Safe and Well Visit (Light Touch) Checks: Loneliness and Social Isolation, Safe and Well Visit (Light Touch) Checks: Mental Health, Safe and Well Visit (Light Touch) Checks: Mobility, Safe and Well Visit (Light Touch) Checks: Portable Heaters and Open Fires, Safe and Well Visit (Light Touch) Checks: Prescription Medicines, Safe and Well Visit (Light Touch) Checks: Provision of Clinical and Other Equipment in Home Potentially Increasing Fire Risk, Safe and Well Visit (Light Touch) Checks: Provision of Risk Appropriate Domestic Fire Detection and Warning, Safe and Well Visit (Light Touch) Checks: Safety of Under Five Year Olds, Safe and Well Visit (Light Touch) Checks: Sensory Impairment, Safe and Well Visit (Light Touch) Checks: Smoking, Safe and Well Visit (Light Touch) Checks: Weight, Safe and Well Visits, Safety of Under Five Year Olds, Sensory Impairment, Smoking, Socio-Environmental Risk Factors, Support for People with Complex Needs, Voluntary and Community Sector, Voluntary Sector, Weight, Working Together: Health and Social Care Plus Fire and Rescue Services
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The Frailty Fulcrum: A Multi-Dimensional Model for Understanding Issues in Frailty (NHS England / Fusion48)
Summary The “Frailty Fulcrum” provides an animated model to help conceptualise, and balance, the main shifting factors – both positive and negative – potentially at play in frailty. It was developed by Fusion48. The main influencing factors are considered to … Continue reading →
Posted in Assistive Technology, Charitable Bodies, Commissioning, Community Care, Depression, Enhancing the Healing Environment, Falls, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Housing, In the News, Integrated Care, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, Non-Pharmacological Treatments, Nutrition, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Telehealth, UK, Universal Interest
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Tagged Care for Vulnerable Older People, Care of Frail Older People With Complex Needs, Causes and Prevention of Frailty, Commissioning for Older People, Common Problems of Frailty, Dr Dawn Moody: Clinical Associate (Frailty and Complex Care) North Staffordshire CCG, Dr Dawn Moody: Clinical Director for Health Education England (East Midlands) Nottinghamshire Frailty Toolkit and Training Programme, Dr Dawn Moody: Director of Fusion48, Dr Dawn Moody: Frailty Lead for the West Midlands Primary Care Workforce and Improved Patient Access Plan, Everybody Knows This; I Wish I'd Thought of It (Simple But Revolutionary Insights / Models), Frailty, Frailty Services, Fusion48, Fusion48's Frailty Fulcrum, Geriatric Giants: Frailty Syndromes, Health Education England (East Midlands) Nottinghamshire Frailty Toolkit and Training Programme, Identifying Vulnerable People, Improving Care for Frail Older People, Older People At Home, Pathways for Frail and Vulnerable People, People Living With Frailty, Prime Minister’s GP Access Fund Wave 2 Scheme (Shropshire Doctors Co-operative Ltd), Resilience and Vulnerability, Resilience to Dementia Disability and Frailty, Supporting Vulnerable People, Targeting Resources on Vulnerable Populations, The Frailty Fulcrum, Vulnerable Adults, West Midlands Primary Care Workforce and Improved Patient Access Plan
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Reducing Length of Stay in Hospitals (Nuffield Trust / Monitor)
Summary Variations in patients’ length of stay imply there should be significant opportunities to reduce length of hospital stay; whether through improvements to internal processes or development of alternative community-based services. This Nuffield Trust report explores which approaches to reducing … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Delirium, Diagnosis, End of Life Care, Falls, Falls Prevention, 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, Non-Pharmacological Treatments, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Acute Hospital Care, Acute Hospitals, Acute Savings per Bed Day, Advance Planning, Alignment of Routine Follow-Up Intensity to Patient Risk Profiles, Assessment Before Discharge, Average Length of Stay (Hospitals), Bed Days, Bed Use (Acute Hospitals), Bed-Blockers, Bed-Blocking Patients (Non-Recommended Term), Blaylock Assessment, British Geriatrics Society (BGS), Bundled Approaches, Care Bundle Approach, Care of Frail Older People With Complex Needs, Care Seven Days a Week, Care Transitions, Care Transitions of Older People, Clinical Engagement, Communication During Handovers, Complex Discharge, Complex Needs, Comprehensive Geriatric Assessment (CGA), Consultant Led Ward Rounds, Continuous Improvement, Continuous Learning, Continuous Monitoring, Culture of Assumed Trust and Professionalism, Culture: Constantly Challenging Preconceptions That Patients Need to be in Hospital, David Bennett: Chief Executive of Monitor, Day-of-Surgery Admission, Delirium Superimposed on Dementia, Dementia Care in the Acute District General Hospital, Dementia Care in the Acute Hospital, Dementia Friendly Acute Hospitals, Dementia in the Acute Hospital, Devolved Decision-Making, Discharge, Discharge Coordination, Discharge Coordinators, Discharge Planning, Discharge Seven Days a Week, Discharge Support, Early Discharge Support, Emergency Care Intensive Support Team, End-of-Life Care in Acute Hospitals, Enhanced Recovery, Enhanced Recovery (ER) Pathways, Enhanced Recovery Care Pathways, Enhanced Recovery Programmes (ERPs), Frail Older People With Complex Needs, Frailty Units, Frailty Units and Services, Greater Manchester Commissioning Support Unit, Handover, Handover Records, Healthcare Closer to Home (Monitor), Hospital Discharge, Hospital-Acquired Infections, Identification of Patients At Risk of Complex Discharge on Admission, Immobility, Impact of Delirium on Length of Stay, Impact of Dementia on Length of Stay, Improving Patient Flow, Improving Productivity in Elective Care: Operational Opportunities, Information Systems, Inpatient Palliative Care, Integrated Care for Older People With Complex Needs, Integrated Care Pathways, Integrated Discharge Process, Integrated Out-of-Hospital Care, Lean Enterprise Academy, Length of Stay, Length of Stay (LoS), Managing Transitions, Mayo Audit Tool: Northumbria Healthcare NHS Foundation Trust, MDTs: Multidisciplinary Teams, Medical Care Assessment Protocol (MCAP), Monitor, Moving Healthcare Closer to Home, Multidisciplinary Patient Management, Multidisciplinary Team Care, Multidisciplinary Teams, National Patient Safety Agency (NPSA), Nine Areas of Operational Improvement in Elective Care: Alignment of Routine Follow-Up Intensity to Patient Risk Profiles, Nine Areas of Operational Improvement in Elective Care: Day-of-Surgery Admission, Nine Areas of Operational Improvement in Elective Care: Optimised Theatre Scheduling and Management, Nine Areas of Operational Improvement in Elective Care: Proactive management of infections and readmissions, Nine Areas of Operational Improvement in Elective Care: Specialisation and Extended Roles in Theatre or Outpatient Procedure Teams, Nine Areas of Operational Improvement in Elective Care: Standardisation of Ward Care and Enhanced Recovery, Nine Areas of Operational Improvement in Elective Care: Stratification of Patients by Risk, Nine Areas of Operational Improvement in Elective Care: Streamlined Outpatients and Diagnostics, Nine Areas of Operational Improvement in Elective Care: Surgical Teams Informed and Supported to Use Theatres Effectively, Northumbria Healthcare NHS Foundation Trust, Nutrition and Hydration, Oak Group and Greater Manchester Commissioning Support Unit, Optimised Theatre Scheduling and Management, Out-of-Hospital Care, Out-of-Hospital Services, Palliative Care, Patient Discharge, Patient flow, Patient Flow Within Hospitals, Patient Flows, Patient Handovers, Patient Transfer to Alternative Settings, Positive and Proactive Care, Pressure Ulcers: Prevention, Priorites Within Acute Hospitals, Proactive Care Plans, Proactive Case Management, Proactive management of infections and readmissions, Proactive Patient Management, Proactive Patient Rounds, Productivity in Elective Care, Quality Improvement, Reducing Catheter Associated Urinary Tract Infections, Reducing Immobility, Rehabilitation in Acute Hospitals, Separating Elective Surgical Admissions, Seven Day Consultant Led Multidisciplinary Ward Rounds, Seven Day Services, Seven-Day Hospital Services, Seven-Day NHS Services, Seven-day Rounds and Supporting Services, Seven-Day Services in Hospital, Seven-Day Working, Shared Decision-Making, Short Stay Units for Elderly Patients, Short-Stay Observation and Assessment Units, Short-Stay Units, Single Point of Access (SPA), Smoother Patient Flows, SPA: Single Point of Access, Specialisation and Extended Roles in Theatre or Outpatient Procedure Teams, Specialist Frailty Services, Specialist Frailty Units, Staff Engagement, Standardisation of Ward Care and Enhanced Recovery, Stratification of Patients by Risk, Streamlined Outpatients and Diagnostics, Surgical Teams Informed and Supported to Use Theatres Effectively, Targeted Care, Tracking Patient Progress, Transition Planning, Transitions, Trends in Acute Activity: Trends to 2022, Trends in Emergency Admissions in England, Understanding Patient Flow in Hospitals (Nuffield Trust), Urinary Tract Infections (UTIs), Ward Rounds, Weekend Ward Rounds, Whole System Patient Flows
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