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Tag Archives: Care Transitions Involving Adults With Social Care Needs
Helping Hospital Patients Stay Active and a Winter Framework For Speedier Discharge (NHS England / BMJ / BJN / NIHR Signal / JAN)
Summary Jane Cummings, the Chief Nursing Officer for NHS England has written about a Winter Framework designed to reduce delayed discharges by maximising the use of care homes across each Sustainability and Transformation Partnership (STP). Therapy-led units, too, will be … 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), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, NHS Improvement, NICE Guidelines, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Physiotherapy, Quick Insights, Standards, UK, Universal Interest
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Tagged 2018 Chief Nursing Officer Summit, 70-Day National Challenge: End Pyjama (PJ) Paralysis, Accountable Care Organisations, Accountable Care Organisations (ACOs), Accountable Care Systems, Accountable Care Systems (ACSs), ActNow: an e-Learning Tool (e-LfH), Acute Care, Acute Hospitals, Adults With Social Care Needs, Ageing Population, Assessment Before Discharge, Australian Institute for Musculoskeletal Science (AIMSS): University of Melbourne, Barriers and Challenges in Discharge Planning, BBC Radio 4, BBC Radio 4's Inside Health Programme, Birmingham Council, Birmingham Cross City Birmingham South Central and Solihull (Proposed Transforming Care Partnership), Birmingham Cross City CCG, BMJ Publishing Group Ltd, British Journal of Nursing, British Medical Journal (BMJ), Care Home Digital Tools, Care Homes and Therapy-Led Units for Patients Medically Fit for Discharge, Care Transitions, Care Transitions Involving Adults With Social Care Needs, Care Transitions of Older People, Chief Nursing Officer's Summit (2018), CNO Summit (2018), Collaboration, Collaborative Care, Collaborative Care Planning, Colombia, Colombia Department of Science Technology and Innovation (COLCIENCIAS), Community Health Services Ease Winter Pressures on Hospitals, Criteria Led Discharge, Daily Transfers of Care (DTOC), Deconditioning, Deconditioning in Hospital, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Department of Rehabilitation Medicine: Nepean Hospital, Destination on Discharge, 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, e-Learning for Health (e-LfH), e-Learning for Health (e-LfH) Hub (HEE), Early Mobilisation, Early Mobilisation in Hospitals, Early Patient Mobilisation, Eat Drink Move, End Pyjama (PJ) Paralysis, Excessive Bed Rest (Patient Harm), Frailty Care on Surgical Ward: Lavenham Ward at Ipswich Hospital, Frailty Care on Surgical Wards, Framework for Maximising Use of Care Homes for Patients Medically Fit for Discharge, Framework for Maximising Use of Therapy-Led Units for Patients Medically Fit for Discharge, Framework to Support Winter Pressures (2017-18), Fundación Cardioinfantil - Instituto de Cardiología (Bogotá Colombia), Get Up and Dressed, Get Up For Breakfast, Harms of Bed Rest, Hawkesbury District Health Service - St John of God Health Care (New South Wales), Health Care of Older People (HCOP) Specialty: Nottingham University NHS Trust, Hospital Discharge, Hospital-Associated Deconditioning, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Hospital-Related Deconditioning, Hospital-Related Deconditioning: Cognitive, Hospital-Related Deconditioning: Physical, Hospital-Related Deconditioning: Psychological, Hospital-Related Deconditioning: Social, Implementation of Care Home Digital Tools, In-Hospital Mobilisation, In-Reach Teams, Initiatives to Decrease DTOCs, Integrated Discharge Process, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Integration of Primary Secondary and Community Care, Ipswich Hospital NHS Trust, Ipswich Hospital User Group (IHUG), Jane Cummings: Chair of the Transforming Care Delivery Board, Jane Cummings: Chief Nursing Officer for England, Journal of Advanced Nursing, Journal of Geriatric Physical Therapy, Last 1000 Days, Lavenham Ward Reablement Project (Ipswich Hospital), Lavenham Ward: Ipswich Hospital NHS Trust, Length of Stay (LoS), Local Monitoring to Identify Care Homes at Risk of Closure, Local Sustainability and Transformation Plans (STPs), Local UEC Delivery Boards, Managing Transitions, MDTs: Multidisciplinary Teams, Medically Fit for Discharge Ward (MFFD), Mobility Bundle, Musculoskeletal Ageing Research Program: Sydney Medical School Nepean, National Institute for Health and Care Excellence (NICE), National Institute for Health Research (NIHR) Signal, Nepean Hospital (New South Wales), Newcastle upon Tyne NHS Foundation Trust, NHS East of England 100 Day 100000 Patient Days Campaign, NHS South Warwickshire CCG, NIHR Signal, Nottingham University Hospitals NHS Trust, Nursing Department of Clínica FOSCAL (Bucaramanga Colombia), Nursing Department of Clínica: Palermo-Congregación de las Hermanas de la Caridad Dominicas de la Presentación de la Santísima Virgen, Operating Model for Therapy-Led Units (TLUs), Operational Models to Optimise Care of Patients Who are Medically Fit for Discharge (MFFD), Oxford Institute of Nursing Midwifery and Allied Health Research (OxINMAHR), Palermo-Congregación de las Hermanas de la Caridad Dominicas de la Presentación de la Santísima Virgen (Bogotá Colombia), Patient Deconditioning Effect Related to Hospital Bed Rest (aka Pyjama Paralysis / PJ Paralysis), Patient Discharge, Patient Flows, PJ Paralysis, Post-Discharge Support, Proactive Specialist In-Reach, Professor Brian Dolan: Founder of Time-Valuing Movements, Professor Brian Dolan: Oxford Institute of Nursing Midwifery and Allied Health Research (OxINMAHR), Pyjama Paralysis, Pyjama Paralysis on Hospital Wards, Re-ablement Services, Reablement, Reablement Guidance, Reablement Services, Real Time System Surveillance, Real Time System Surveillance Enabling Technology, Real Time System Surveillance Tools, Recovery Rehabilitation and Reablement (RRR), Recovery Rehabilitation and Reablement Services, Red2Green, Reducing Bed Days, Reducing Delayed Transfers of Care, Reducing Early Hospital Readmissions, Reducing Waste in the NHS, Research Department and Nursing Department: Fundación Cardioinfantil - Instituto de Cardiología (Bogotá), SAFER Patient Flow Bundle, South Warwickshire Foundation Trust: Castle Brook Transitional Unit, South Warwickshire NHS Foundation Trust, South Warwickshire NHS Foundation Trust (SWFT), South Warwickshire NHS Foundation Trust: Wasps Team, Stranded Patient Metric, Surgical Wards: Frailty Care, Sustainability and Transformation Partnerships, Sustainability and Transformation Plans (STPs), Sydney Medical School Nepean: University of Sydney, The Last 1000 Days: Poem / Video by Molly Case - Commissioned by Professor Jane Cummings, Therapy-Led Units, Therapy-Led Units for Patients Medically Fit for Discharge, Time-Valuing Movements: #endPJparalysis, Time-Valuing Movements: #last1000days, TLUs: Therapy-Led Units, Transition Between Inpatient Hospital Settings and Community or Care Home Settings, Transition Planning, Transitions, Transitions Between Health and Social Care, University of Melbourne, University of Sydney, Warwick Hospital, Western Health (Australia), Where Best Next Campaign (NHS England August 2019), Where Best Next? Campaign (NHS England), Whole Winter Framework, Winter Framework, Winter Pressures, Winter Pressures: Role of Community Health Services, Winter Support Package (2017), Worcestershire Acute Hospitals NHS Trust (Evergreen Ward), Yeovil District Hospital: Intermediate Care in Cookson’s Court Nursing Home
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Unsafe Discharges From Hospitals Breach NICE Guidelines (BBC News / PHSO)
Summary The Parliamentary and Health Service Ombudsman (PHSO) has reported on complaints received about hundreds of vulnerable and elderly patients, sometimes including those with dementia and / or frailty, who have been discharged inappropriately from hospital. It seems likely that … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Acute Care, Acute Hospitals, Adults With Social Care Needs, Ageing Population, Avoidable Harm, Avoidable Mortality, Avoidable Rehospitalisations, Barriers and Challenges in Discharge Planning, Breakdowns or Failures in Communication, Care Transitions, Care Transitions Involving Adults With Social Care Needs, Care Transitions of Older People, Collaboration, Collaborative Care, Collaborative Care Planning, Collaborative Communication, Communication, Communication During Handovers, Compassionate Care, Coordinated Health and Social Care, Culture of Compassionate Care, Dame Julie Mellor: Parliamentary and Health Ombudsman Service, Deficient Checking and Oversight, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Destination on Discharge, Dignity, Dignity and Respect, Discharge, Discharge and Out of Hospital Care, Discharge at a Reasonable Time, Discharge Coordination, Discharge Coordinators, Discharge From General Inpatient Hospital Settings, Discharge Guidelines, Discharge Information, Discharge Planning, Dysfunctional Patient Flow, Geriatric Assessment and Care, Handover, Health and Social Care, Health and Social Care Integration, Hospital Admissions, Hospital Discharge, Hospital Readmission Risk Factors, Improving Patient Safety, Information Sharing, Information Sharing: Care Plans, Information Sharing: Communication Needs, Integrated Discharge Process, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Managing Transitions, MDTs: Multidisciplinary Teams, Multi-Agency Collaboration, Multi-Disciplinary Teams, Parliamentary and Health Service Ombudsman, Parliamentary and Health Service Ombudsman (PHSO), Partnership and Collaboration, Patient Dignity, Patient Safety, Patient Transitions of Care, Post-Discharge Support, Promoting Dignity in Dementia, Quality Improvement, Reducing Delayed Transfers of Care, Reducing Early Hospital Readmissions, Safe and Compassionate Care, Transition Between Inpatient Hospital Settings and Community or Care Home Settings, Transition Planning, Transitions, Transitions Between Health and Social Care
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Barriers and Challenges in Discharge Planning (QNI / BBC News)
Summary The following report from the Queen’s Nursing Institute (QNI) summarises known barriers and challenges which can prevent effective discharge from hospitals. Case studies illustrating best practice are supplied, along with recommendations. Full Text Link Reference Pellett, C. (2016). Discharge … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, NHS, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged 2020 Vision 5 years on: Reassessing the Future of District Nursing, Acute Care, Acute Hospitals, Adults With Social Care Needs, Ageing Population, Assertive In-Reach, Assertive In-Reach Teams, Assessment Before Discharge, Association of District Nurse Educators (ADNE), Barriers and Challenges in Discharge Planning, BBC Health News, Care Transitions, Care Transitions Involving Adults With Social Care Needs, Care Transitions of Older People, Collaboration, Collaborative Care, Collaborative Care Planning, Collaborative Communication, Communication, Coordinated Health and Social Care, D2A Model of Discharge for Frail Older People, Daily Transfers of Care (DTOC), Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Destination on Discharge, Discharge, Discharge at a Reasonable Time, Discharge Coordination, Discharge Coordinators, Discharge From General Inpatient Hospital Settings, Discharge Guidelines, Discharge Information, Discharge Into the Care Sector, Discharge Planning, Discharge Records, Discharge Summaries, Discharge Support, Discharge to Assess (D2A) Model, Discharge to Assess Programme, Early Supported Discharge (ESD), Geriatric Assessment and Care, Handover, Health and Social Care, Health and Social Care Integration, Hospital Admissions, Hospital Discharge, Hospital Readmission Risk Factors, Hospital-Based Multi-Disciplinary Teams, In-Reach Teams, Information Sharing, Information Sharing: Advance Care Plans, Information Sharing: Care Plans, Information Sharing: Communication Needs, Integrated Discharge Process, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Lincolnshire Community Health Services NHS Trust, Management of Medicines, Managing Transitions, MDTs: Multidisciplinary Teams, Medication Reviews, Medicines Management, Medicines Optimisation, Multi-Agency Collaboration, Multi-Disciplinary Teams, National District Nurses Network (NDNN), Norfolk Community Health and Care NHS Trust, Partnership and Collaboration, Patient Transitions of Care, Queen's Nursing Institute (QNI), Queen’s Nurse Network (QNI), Rapid Assessment Team at Queen Elizabeth Hospital (Norfolk), Reducing Delayed Transfers of Care, Reducing Early Hospital Readmissions, Serco / Suffolk Community Healthcare, Transition Between Inpatient Hospital Settings and Community or Care Home Settings, Transition Planning, Transitions, Transitions Between Health and Social Care, Western Sussex Hospitals Foundation Trust, Workforce Development, Worthing Hospital: Welcome Home Packs
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Patient Transfers / Hospital Discharge Guideline (SCIE / NICE)
Summary The National Institute for Health and Care Excellence (NICE) has published a new national guideline entitled “Transition between inpatient hospital settings and community or care home settings for adults with social care needs (NG27)”. This guideline covers patient transitions … 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, NICE Guidelines, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, SCIE, Standards, UK, Universal Interest
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Tagged Admission to Hospital, Adults With Social Care Needs, Assessment at Home to Improve Hospital Discharge Success Rates, Assessment Before Discharge, Care Transitions, Care Transitions Involving Adults With Social Care Needs, Care Transitions of Older People, Communication, Coordinated Health and Social Care, Destination on Discharge, Discharge, Discharge Coordination, Discharge Coordinators, Discharge Guidelines, Discharge Information, Discharge Into the Care Sector, Discharge Medicines Review Service, Discharge Planning, Discharge Records, Discharge Summaries, Discharge Support, Early Supported Discharge (ESD), Education and Staff Training, ESD: Early Supported Discharge, Geriatric Assessment and Care, Health and Social Care, Health and Social Care Integration, Hospital Admissions, Hospital Discharge, Hospital Passport, Hospital-Based Multi-Disciplinary Teams, Hospital‑Based Multidisciplinary Teams: Dietitians, Hospital‑Based Multidisciplinary Teams: Doctors, Hospital‑Based Multidisciplinary Teams: Housing Specialists, Hospital‑Based Multidisciplinary Teams: Mental Health Practitioners, Hospital‑Based Multidisciplinary Teams: Nurses, Hospital‑Based Multidisciplinary Teams: Pharmacists, Hospital‑Based Multidisciplinary Teams: Social Workers, Hospital‑Based Multidisciplinary Teams: Specialists in the Person’s Conditions, Hospital‑Based Multidisciplinary Teams: Therapists, Hospital‑Based Multidisciplinary Teams: Voluntary Sector Practitioners, Information Sharing, Information Sharing: Advance Care Plans, Information Sharing: Behavioural Issues (Triggers to Certain Behaviours), Information Sharing: Care Plans, Information Sharing: Communication Needs, Information Sharing: Communication Passport, Information Sharing: Current Medicines, Information Sharing: Hospital Passport, Information Sharing: Housing Status, Information Sharing: Named Carers and Next of Kin, Information Sharing: Other Profiles Containing Important Information About the Person’s Needs And Wishes, Information Sharing: Preferred Places of Care, Integrated Discharge Process, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Management of Medicines, Managing Transitions, MDTs: Multidisciplinary Teams, Medication Reviews, Medicines Management, Medicines Optimisation, Medicines Reconciliation, Mental Health Interventions to Support Discharge From General Inpatient Hospital Settings, Multi-Disciplinary Teams, NICE Collaborating Centre for Social Care (NCCSC), Patient Transitions of Care, Reablement, Recording Medicines, Reviewing Medicines, Self Management Support For People With Mental Health Difficulties, Social Care Institute for Excellence (SCIE), Step Up, Step‑Up Facilities, TRAINING for Hospital and Social Care Practitioners, Transition Between Inpatient Hospital Settings and Community or Care Home Settings, Transition Planning, Transitions, Transitions Between Health and Social Care, Transitions into Care Home, Understanding and Improving Transitions of Older People: User and Care Centred Approach, Workforce Development
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