-
Recent Posts
- Dementia-Friendly Communities Provision, Viewed as a Social Determinant of Health (JGCR / NHS England / WHO)
- International Perspectives on the Possible Impact of the COVID-19 Pandemic and Lockdown on Abuse of the Elderly (JGCR / American Journal of Geriatric Psychiatry / JAGS)
- Updates Relating to the Lancet Commission on Dementia Prevention, Intervention, and Care (Lancet / Alzheimer’s Research and Therapy / Alzheimer’s and Dementia)
- A Brief Review of How the COVID-19 Pandemic Relates to Elderly Care and Research (JGCR)
- Some Speculated / Potential Benefits of COVID-19 (JGCR / BBC Radio 4’s Rethink / BGS)
Archives
- September 2020
- August 2020
- June 2020
- April 2020
- March 2020
- February 2020
- January 2020
- December 2019
- November 2019
- October 2019
- September 2019
- August 2019
- July 2019
- June 2019
- May 2019
- April 2019
- March 2019
- February 2019
- January 2019
- December 2018
- November 2018
- October 2018
- September 2018
- August 2018
- July 2018
- June 2018
- May 2018
- April 2018
- March 2018
- February 2018
- January 2018
- December 2017
- November 2017
- October 2017
- September 2017
- August 2017
- July 2017
- June 2017
- May 2017
- April 2017
- March 2017
- February 2017
- January 2017
- December 2016
- November 2016
- October 2016
- September 2016
- August 2016
- July 2016
- June 2016
- May 2016
- April 2016
- March 2016
- February 2016
- January 2016
- December 2015
- November 2015
- October 2015
- September 2015
- August 2015
- July 2015
- June 2015
- May 2015
- April 2015
- March 2015
- February 2015
- January 2015
- December 2014
- November 2014
- October 2014
- September 2014
- August 2014
- July 2014
- June 2014
- May 2014
- April 2014
- March 2014
- February 2014
- January 2014
- December 2013
- November 2013
- October 2013
- September 2013
- August 2013
- July 2013
- June 2013
- May 2013
- April 2013
- March 2013
- February 2013
- January 2013
- December 2012
- November 2012
- October 2012
- September 2012
- August 2012
- July 2012
- June 2012
- May 2012
- April 2012
- March 2012
- February 2012
- January 2012
- December 2011
- November 2011
- October 2011
- September 2011
- August 2011
- July 2011
- June 2011
- May 2011
- April 2011
- March 2011
- February 2011
- January 2011
- December 2010
- November 2010
Categories
- Antipsychotics
- Assistive Technology
- Charitable Bodies
- Commissioning
- Delirium
- Depression
- Enhancing the Healing Environment
- Falls
- Falls Prevention
- Guidelines
- Hip Fractures
- Housing
- Hypertension
- In the News
- Integrated Care
- International
- Local Interest
- Mental Health
- Models of Dementia Care
- National
- ADASS
- All-Party Parliamentary Group (APPG) on Dementia
- BSI
- CQC: Care Quality Commission
- Department of Health
- Department of Health and Social Care (DHSC)
- Health Education England (HEE)
- Housing LIN
- MAGDR
- Mental Health Foundation
- Mental Health Network (NHS Confederation)
- MHP Health Mandate
- National Audit Office
- National Voices
- NEoLCIN
- NEoLCP
- NHS
- NHS Alliance
- NHS Confederation
- NHS Employers
- NHS England
- NHS Evidence
- NHS Improvement
- NICE Guidelines
- NIHR
- NIHRSDO
- Northern Ireland
- Patients Association
- Public Health England
- RCN
- Royal College of Physicians
- Royal College of Psychiatrists
- SCIE
- Scotland
- UK
- UK NSC
- Wales
- Non-Pharmacological Treatments
- Nutrition
- Pain
- Parkinson's Disease
- Patient Care Pathway
- Person-Centred Care
- Personalisation
- Pharmacological Treatments
- Proposed for Next Newsletter
- Quick Insights
- Standards
- Statistics
- Stroke
- Systematic Reviews
- Telecare
- Telehealth
- Universal Interest
Google Translate (100+ Languages)
Tag Archives: Choosing Wisely in the NHS
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
|
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
|
Leave a comment
Renewed Policy Emphasis on Social Prescribing and Arts Therapies? (DHSC / NHS England / Cochrane Database / JGCR / Dementia)
Summary Matt Hancock, Health and Social Care Secretary, takes a positive view of social prescribing, including greater use the arts and social activities as means of enhancing health and wellbeing. “…we will create a National Academy for Social Prescribing to … Continue reading →
Posted in Charitable Bodies, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, King's Fund, Management of Condition, Mental Health, Models of Dementia Care, National, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Systematic Reviews, UK, Universal Interest
|
Tagged Academic Unit of Psychiatry and Behavioural Sciences: University of Leeds, Ageing Population, Agency for Healthcare Research and Quality (AHRQ), Alchemy Project (Lambeth), All Party Parliamentary Group on Arts Health and Wellbeing, ALOIS: a Comprehensive Register of Dementia Studies, ALOIS: Cochrane Dementia and Cognitive Improvement's Specialized Register, American Psychiatric Association (APA), Art Therapists, Art Therapy, Arts and Dementia Research: Hermeneutics, Arts and Dementia Research: Methodological Challenges, Arts and Dementia Research: Phenomenological Issues, Arts and Mental Wellbeing, Arts and Music in Dementia, Arts and Social Activities, Arts Council, Arts for Health, Arts for Health Activities in Care Homes, Arts in Health, Arts Practices in Healthcare, Arts Therapies, Association Between Physical Exercise and Mental Health, Association for Dementia Studies: University of Worcester, Bibliotherapy, British Association of Art Therapists, Canada, Care Homes, Choosing Wisely, Choosing Wisely in the NHS, Choosing Wisely in the UK, Cochrane Database, Cochrane Database of Systematic Reviews, Cochrane Dementia and Cognitive Improvement Group (CDCIG), Committee on Care Interventions for Individuals with Dementia and Their Caregivers: National Academies of Sciences Engineering and Medicine, Community Classes, Complex Interventions, Complex Interventions (Arts-Based Activities for People With Dementia), Complexity, Creative Health: the Arts for Health and Wellbeing, Creative Health: The Arts for Health and Wellbeing (National Alliance for Arts Health and Wellbeing), Cultural Manifesto for Wellbeing, Dance for Psychosis, DCMS, Dementia (Journal), Division of Psychiatry and Applied Psychology: University of Nottingham, Edge Hill University, Emotional and Psychological Wellbeing, Epistemology, Epistemology Relating to Research Methodologies, Evaluation of Arts-Based Interventions, Evaluation of Complex Interventions, Evidence: Hierarchies and Typologies, GP Contract Reform to Implement the NHS Long Term Plan: NHS England, Healthy Diet, Healthy Eating, Healthy Lifestyles, Hierarchies of Evidence (Reappraised), Informed Choices, Informed Decision-Making, Institute of Mental Health: University of Nottingham, Intrinsic Value Versus Instrumental Value, Japan, Jeremy Wright: Culture Secretary, Journal of Geriatric Care and Research (JGCR), Leeds Institute of Health Sciences: University of Leeds, Life-Long Learning, Lifelong Learning, Loneliness Strategy, Matt Hancock: Secretary of State for Health and Social Care, Meaning: Communication and Interpretation, Mental Wellbeing, Mental Wellbeing and Older People, Methodological Challenges, Methodological Challenges in Arts and Dementia Research, Multi-Disciplinary Teams in Primary Care, Museums, Music Playlists for Persons With Dementia, National Academies Press (US), National Academy for Social Prescribing, National Academy for Social Prescribing (Proposed Formation), National Center for Geriatrics and Gerontology (Japan), Network Contract Directed Enhanced Service, Nicky Morgan: Secretary of State for Digital Culture Media and Sport, Nordoff Robbins: Music Therapy Charity, Nutritional Advice, Older Adults, Over-Medicalisation (Speculative Concept), Over-Medication, Participation in Social Activities, Personalised Care Group, Pharmaceutical Journal, Physical Exercise, Physical Exercise Programmes, Playlist for Life, Post-Stroke Recovery, Prevention, Prevention Agenda, Primary Care Networks (PCNs), Psychological Wellbeing, Psychosocial Approaches to Dementia Support, Psychosocial Approaches to Dementia: Storytelling Music and Song, Public Libraries, Qualitative Research, Quality of Life, Reducing Waste in Dementia Care, Reducing Waste in the NHS, Royal Philharmonic Orchestra and Hull’s Stroke Recovery Service, RSPH First International Research Conference on the Arts and Dementia, Rt Hon Matt Hancock MP, Rt Hon Nicky Morgan MP, School of Medicine: University of Nottingham, Self-Care, Self-Care Programmes, Singing for Chronic Lung Conditions, Social Activities, Social Prescriber Link Workers, Social Prescribing, Social Prescribing and Community-Based Support, Social Prescribing Connector Scheme, Social Prescribing Link Workers' Resource Pack (NHS England), Social Prescribing: Fundamental to Prevention, Social Prescribing: Link Workers, Societal Determinants of Health, Southbank Centre, Staying Healthy for Longer, Stroke Recovery Service (Hull), Support for Self-Care, Supporting Healthy Lifestyles, Systematic Reviews and Meta-Analyses, TAnDem (The Arts and Dementia) Doctoral Training Centre, TAnDem Doctoral Training Centre, Tolerance of Ambiguity, United States: National Academies of Sciences Engineering and Medicine, University of Leeds, University of Nottingham, University of Worcester, Wasted Resources, Wellbeing
|
Leave a comment
Progress Towards Achieving Better Value / Reducing Waste in the NHS (King’s Fund / NHS Providers)
Summary A King’s Fund report investigates recent work on the value agenda, i.e. efforts aimed at reducing unnecessary costs while maintaining or improving the quality of care. This is based mostly on experience at three diverse NHS acute hospital trusts: … Continue reading →
Posted in Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, King's Fund, NHS, NHS Improvement, Person-Centred Care, Quick Insights, UK, Universal Interest
|
Tagged Achieving Better Value, Acute Care, Acute Hospital Care, Ageing Population, Allocative Efficiencies, Allocative Value, Better Procurement, Better Value, Better Value Healthcare, Better Value in the NHS, Better-Value Services, Bolton NHS Foundation Trust, Bradford Teaching Hospitals NHS Foundation Trust, Centralised Procurement, Centralised Procurement (Economies of Scale), Choosing Wisely, Choosing Wisely Campaign, Choosing Wisely in the NHS, Choosing Wisely in the UK, Clinical and Corporate Leadership, Clinical Leadership, Clinical Practice Groups (CPGs), Clinical Quality Improvement, Collaboration, Collaboration for Coordinated Care, Collaboration: Working Across Boundaries, Community Virtual Wards, Consultant-Led Services in the Community, Cost Reductions, Culture and Leadership, Delegated Decision Making, Devolved Budgets, Devolved Decision-Making, Economic Sustainability, Efficiencies and Productivity Gains, Efficiency, Efficiency Agenda, Efficiency Opportunities, Efficiency Savings, Empowerment, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Funding Challenges, Funding Deficits, Funding Gap in Secondary Care, General Hospitals, Getting It Right First Time (GIRFT), Health and Social Care Configuration, Healthcare Quality Improvement, Healthcare Value Improvement, Hospital Productivity, Hospital Reconfiguration, IHI Triple Aim, Innovative Leadership, Leadership, Lean and Quality Improvement, Local Health and Care Services, Local Health Economies, Lord Carter Review, Low-Value Care, Maximising Health Outcomes, Minimising NHS Costs, Model Hospital, Model Hospital: Template for Standardisation, NHS Challenges and New Solutions, NHS Efficiency Savings, NHS England’s Ten-Point Efficiency Plan, NHS Funding Gap, NHS Inappropriate Care: Overuse Underuse and Misuse, NHS Performance, NHS Productivity, NHS Providers, NHS RightCare, NHS Sustainability, Personalised Value, Practical Approaches to Delivering Better Value in NHS Clinical Services (King’s Fund), Productivity, Productivity in the NHS, QI: Quality Improvement, Quality and Efficiency Opportunities, Quality Improvement, Quality Improvement Culture, Redesigning Care Pathways, Redesigning Services, Reducing Drains on the NHS, Reducing Overuse Underuse and Misuse, Reducing Waste in the NHS, Royal Free NHS Foundation Trust, Service Cost Reductions, Service Redesign, Service Redesign for Productivity, Service Redesign for Value Agenda, Shared Clinical Pathways, Staff Empowerment, Staff Empowerment in the NHS, Staff Engagement, Staff Engagement in the NHS, Strategic Leadership, Sustainability, System Efficiencies, Targeting Low-Value Care, Technical Value, Thinking Like a Patient and Acting Like a Taxpayer, Triple Aim Initiative, Triple Aim: (1) Improved Health and Wellbeing (2) Redesigned Care and (3) Wise Financial Stewardship, Troubled NHS Foundation Trusts, Unacceptable Variations, Unwarranted Variations, Use of Resources Assessments (NHS Improvement), Value Agenda, Value Improvement, Variations in Care, Virtual Ward Approaches, Virtual Wards, Virtual Wards to Reduce Readmissions, Workforce Engagement
|
Leave a comment
Medication Errors: an Open Learning Culture Recommended to Reduce Patient Harm (BBC News / Department of Health / EEPRU / Department of Health and Social Care)
Summary Medication errors, which include (i) wrong medications given, (ii) incorrect doses and (iii) delays in medication being administered, cause an estimated 700 deaths per year and might play a role in something between 1,700 to 22,300 further avoidable deaths. … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest, World Health Organization (WHO)
|
Tagged Acute Care and Quality, Acute Care and Workforce, Adult Psychiatric Intensive Care Services, Adverse Drug Reactions, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, BBC Health News, Blame Culture, Care Home Culture, Care Home Environments, Care Homes, Centre for Health Economics: University of York, Choosing Wisely Campaign, Choosing Wisely in the NHS, CHUMS Study, Clinical Pharmacists, Clinical Responsibility for Patients (Choosing Wisely and New Deal), Community Pharmacists, Continuous Learning Culture, CQC Investigations and Quality Policy, Culture and Behaviour Change, Culture and Leadership, Culture Change, Culture of Raising Concerns, Department of Health Policy Research Programme, Division of Population Health Health Services Research and Primary Care: University of Manchester, Electronic Prescribing and Medicines Administration (EPMA), Electronic Prescribing Systems, EQUIP Study, Former Health Secretary Jeremy Hunt, Global Patient Safety Challenge (WHO), HePMA, Hospital E-Prescribing and Medicines Administration, Hospital Electronic Prescribing and Medicines Administration (HePMA), Hospital Pharmacists, Learning Culture, Making Choices Together (Previously Choosing Wisely Wales), Manchester Centre for Health Economics: University of Manchester, Medication Errors, Medication Errors and Adverse Drug Reactions, Medication Without Harm (WHO), Medicines Safety Programme (WHO), Medicines Value Programme (NHS England), NHS Culture, NHS Culture Change, NHS Patient Safety Culture, NHS Specialist Pharmacy Service, No Harm Culture, Old Age Psychiatry, Open and Transparent Culture, Openness, Openness and Collaboration, Openness and Honesty When Things Go Wrong, Openness and Transparency, Partnering with Patients and Families, Patient and Family Engagement, Patient and Public Engagement (PPE), Patient and Public Involvement, Patient and Public Involvement (PPI), Patient Engagement, Patient Engagement Strategies, Patient Harm, Patient Harms and Harm Free Care, Patient Safety, Patient Safety Champions, Patient Safety Improvement, Patient Safety Indicators, Patient Safety Strategies, Patients With Polypharmacy Risks, Pharmacist Buddy Scheme (County Durham and Darlington NHS Foundation Trust), Pharmacist-Led Information Technology Intervention (PINCER), Pharmacists, PINCER Intervention, Policy Research Programme (PRP), Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU), Polypharmacy, Potentially Preventable Complications in Hospitalis, PREPARE: Partnership for Responsive Policy Analysis and Research, PRescribing Outcomes for Trainee Doctors Engaged in Clinical Training (PROTECT) Study, Prescription Errors in Psychiatry, Preventable Deaths in English Acute Hospitals, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventable Mortality, Primary Care Adverse Drug Reactions, PROTECT Programme, Putting Patients First, Quality Improvement Culture, Reducing Inappropriate Polypharmacy, Reducing Litigation Costs, Report of the Short Life Working Group on Reducing Medication-Related Harm, Reporting Culture, Reporting of Incidents, Research on Medication Error, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health and Social Care, ScHARR: University of Sheffield, School of Health and Related Research (ScHARR): University of Sheffield, SDM: Shared Decision Making, Secondary Care Adverse Drug Reactions, Serious Mistakes, Severe Harm, Shared Care and Education, Shared Decision-Making, Short Life Working Group (SLWG), Short Life Working Group on Reducing Medication-Related Harm, Stop the Over-Medication of People With a Learning Disability or Autism (STOMP) Campaign, Transparency, Transparency and Accountability, Transparent Learning Culture, UK Department of Health Policy Research Programme, United States National Coordinating Council for Medication Error Reporting and Prevention, University of Manchester, University of Sheffield, University of York, University of York Centre for Health Economics (CHE), WHO Domain: Health Care Professionals, WHO Domain: Medicines, WHO Domain: Patients and the Public, WHO Domain: Systems and Practice of Medication, WHO Domains, WHO Global Patient Safety Challenge
|
Leave a comment
Choosing Wisely: A New Review of Overdiagnosis and Overtreatment (BBC News / Academy of Medical Royal Colleges / BMJ)
Summary Continuing the debate concerning avoidable overuse in medical care, the Academy of Medical Royal Colleges has drawn-up a list of forty treatments which are thought to confer little or no benefit to patients. Full Text Link Reference Doctors name … Continue reading →
Posted in BBC News, Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Standards, Statistics, UK, Universal Interest
|
Tagged Academy of Medical Royal Colleges (AoMRC), Achieving Better Value, Approaches to Quantifying Overdiagnosis, BBC Health News, Better Value, Better Value Healthcare, Better Value in the NHS, BMJ Publishing Group Ltd, British Medical Journal (BMJ), Broadening of Disease Definitions, Choosing Wisely, Choosing Wisely Campaign, Choosing Wisely in the NHS, CIPFA, Clinical Responsibility for Patients (Choosing Wisely and New Deal), Department of Medicine and Center for Health Policy and Outcomes: Memorial Sloan Kettering Cancer Cente, Division of General Internal Medicine: Icahn School of Medicine at Mount Sinai, Drivers of Overdiagnosis, Estimated Proportions of Cancers Representing Likely Overdiagnosis, False Positives, Financial Incentives for Screening and Testing, Financial Sustainability in the NHS, Forty Treatments With Little or No Benefit For Patients (Academy of Medical Royal Colleges), Great Prostate Mistake, Great Prostate Mistake (PSA sic Promoting Stress and Anxiety), Harms From Overdiagnosis, Harms of Too Much Medicine, Health Screening Programmes, Icahn School of Medicine at Mount Sinai (New York), Improving Patient Safety, Improving Prescribing Practice, Improving Value in Diagnostic Services, Labeling, Labeling of Patients, Lack of Clarity Regarding Disease Severity Spectrum, Lean and Quality Improvement, Less is More, Lowering Costs, Lowering of Diagnostic Thresholds, Medical Overuse, Memorial Sloan-Kettering Cancer Center: New York, Overdiagnosis and Overtreatment, Overdiagnosis in Context of Benefits and Harms of Prostate Cancer Screening, Overdiagnosis in Primary Care, Overestimation of Benefit of Therapy in Mild or Low Risk Disease, Overmedicalization, Overuse of Diagnostic or Monitoring Tests / Procedures, Overuse of Medication, Patient Harms, Patient Safety, Prostate Cancer Screening, Protecting Resources and Promoting Value, Quantifying Overdiagnosis, Reducing Expenditure, Reducing Inappropriate Laboratory Investigations, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Productive Waste, Reducing Waste in the NHS, Screening and Overdiagnosis in Primary Care, Screening Programmes, Screening Tests, Terms Related to Overdiagnosis, Too Much Medicine, Unnecessary Tests, Value for Money, Value Improvement, Valueing Diagnosis for Own Sake
|
Leave a comment
Rising Deficits and the Search for Better Value in the NHS: New Approaches to Financial Sustainability? (King’s Fund / BBC News / Health Foundation / BMJ)
Summary Regulators have demanded that hospitals and NHS trusts in England review their financial plans, because rising deficits indicate that existing plans are increasingly unaffordable. Full Text Link Reference Health regulator tells NHS trusts to ‘look again’ at finances. London: … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, In the News, Integrated Care, International, King's Fund, Mental Health, National, NHS, Non-Pharmacological Treatments, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest
|
Tagged Achieving Better Value, Acute Care, Acute Hospital Care, Ageing Population, Ageing Society, Alder Hey Children’s Hospital, Alignment of Financial Incentives, Atlas of Health Care, Avoiding Avoidable Care, Benchmarking, Better Value, Better Value Healthcare, Better Value in the NHS, Bond University, Bond University (Robina: Australia), Canada’s CAD800m Primary Health Care Transition (PHCT) Fund, Canada’s Primary Health Care Transition Fund, Care of Frail Older People With Complex Needs, Center For Medical Consumers: Why Too Much Medicine Is Making Us Sicker And Poorer, Centre for Research in Evidence-Based Practice: Bond University, Chartered Institute of Public Finance and Accountancy, Choosing Wisely, Choosing Wisely Campaign, Choosing Wisely in the NHS, CIPFA, Clinical Responsibility for Patients (Choosing Wisely and New Deal), CNWL: NHS Camden Provider Services, Cost-Effectiveness, Cost-Effectiveness in Health Care, Creative Use of NHS Estate, Crisis Response Falls Team (CRFT), Dartmouth Atlas of Health Care (US), Dartmouth Institute for Health and Clinical Practice, Deinstitutionalisation of UK Mental Health Services, Denmark’s Quality Fund, Discharge to Assess Programme, Drivers of Improvement, Dysfunctional Patient Flow, East Midlands Ambulance Service NHS Trust, Efficiency Savings, Estimated Cost Savings From Implementing NICE Guidelines, Faustian Pact: Trading £8 Billion in Extra Funding For £22 Billion in Efficiency Savings, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Financial Planning, Financial Position of NHS Trusts, Financial Pressure in the NHS, Financial Pressure on Hospitals, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Frail Older People, Frail Older People With Complex Needs, Funding Challenges, Funding Deficits, General Hospitals, Geographical Variations, Girls’ Education Challenge (GEC) Fund, Health of Health Finances CIPFA Briefing, Heart of England NHS Foundation Trust, Higher Quality Care at Lower Cost: Examples from NICE Local Practice Collection, Hospital Productivity, Improving Patient Flow, Improving Prescribing Practice, Inappropriate Care, Inappropriate Prescribing, Integrated Care and Support, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Key Performance Indicators, Length of Stay (LoS), Local Variations, London Challenge, Long-Term Care (LTC), Long-Term Conditions (LTCs), Low-Value Care, Low-Value Elective Procedures, Management of Repeat Prescriptions in Walsall, Medical Overuse, Medication Errors and Adverse Drug Reactions, Misuse: Resulting in Preventable Complications or Harm, Models of Care Across Organisational Boundaries, Monitor, Multimorbidities, Multimorbidities and Long-Term Conditions, National Service Framework for Mental Health in England (NSF-MH), NHS Benchmarking, NHS Challenges and New Solutions, NHS Efficiency Savings, NHS England Funding, NHS Expenditure, NHS Financial Leadership, NHS Five Year Forward View (5YFV), NHS Foundation Trust Performance, NHS Foundation Trusts, NHS Foundation Trusts (NHSFTs), NHS Funding, NHS Funding Gap, NHS Inappropriate Care: Overuse Underuse and Misuse, NHS Performance, NHS Performance Indicators, NHS Productivity, NHS Safe Staffing, NHS Spending, NHS Timebomb [sic], NHS Trust Development Authority, NHS Trust Development Authority (NHS TDA), NHS Trust Financial Deficits, NHS Trusts’ and Foundation Trusts’ Income and Expenditure, NHS Walsall CCG, NHSFT Sector, NICE Local Practice Collection: Examples of Higher Quality Care at Lower Cost, Nicholson Challenge, Non-Foundation Trusts (Finances), Nurse Staffing Levels, Operating Expenses, Outcomes and Monitoring, Overkill: Unnecessary Medical Care, Overprescribing, Overuse, Overuse of Diagnostic or Monitoring Tests / Procedures, Overuse of Medication, Overuse Underuse and Misuse, Oxford University Hospitals, Patient flow, Patient Flow for Older People (in Sheffield), Patient Flows, Patient Safety Incidents in England, Performance Indicators, Performance Targets, Plymouth Hospitals NHS Trust, Policy, Policy Context, Preventable Harm, Preventing Falls in the NHS, Preventing Overdiagnosis Conference, Productivity, Productivity in the NHS, RDEL, Redesigning Care Pathways, Redesigning Services, Reducing Drains on the NHS, Reducing Overuse Underuse and Misuse, Reducing Prescribing Costs, Reducing Waste in the NHS, Releasing Value From Surplus Estate, Repeat Prescriptions, Rising Expectations, Safe Staffing, Selling Sickness, Sheffield Patient Flow, Sheffield Teaching Hospitals NHS Foundation Trust, Smith Review, Stevens Challenge, Stroke REACH Early Discharge Scheme (REDS), Stroke Services at Plymouth Hospitals NHS Trust, Targeting Low-Value Care, Transformation Fund, Transformation Fund for the NHS, Troubled NHS Foundation Trusts, Unacceptable Variations, Underuse, Underuse of Effective Interventions, Unwarranted Variations, Variation in Commissioning, Variations in Care, Variations in Procurement, Variations in Spending, Whole System Patient Flows
|
Leave a comment
Potential Costs and Risks of Over-Diagnosis and Over-Treatment? (BBC News / AoMRC / BMJ)
Summary The Academy of Medical Royal Colleges (AoMRC) has again warned of the culture of a “more is better” approach regarding potentially unnecessary healthcare interventions. Their “Choosing Wisely” campaign (imported from the USA) exhorts medical organisations each to identify five … Continue reading →
Posted in BBC News, Commissioning, Depression, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Management of Condition, Mental Health, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Pharmacological Treatments, Quick Insights, Standards, UK, Universal Interest
|
Tagged Academy of Medical Royal Colleges, Academy of Medical Royal Colleges (AoMRC), American Board of Internal Medicine, Avoidable Admissions, Avoidable Harm, Avoidable Mortality, Barriers to Involvement, BBC Health News, Better Value Healthcare, BMJ, British Medical Journal (BMJ), Cardiff, Cardiff Medicentre, Centre for Sustainable Healthcare, Choosing Wisely Campaign, Choosing Wisely in the NHS, Choosing Wisely in the UK, Collaborative Decision Making, Decision Aids for People Facing Health Treatment or Screening Decisions, Decision Support Interventions, Department of Primary Health Care: University of Oxford, Do Something / More is Better Culture, Envisioning Healthcare 2020, Evidence-Based Decision Making, Finance and Incentives, Financial Incentives, Harding Centre for Risk Literacy in Berlin, Harms of Too Much Medicine, Improving Patient Safety, Incentive Payments, Incentives, Informed Decision-Making, Institute of Child Health, Involvement and Participation, Less is More, Medical and Surgical Overtreatment, Medical Overuse, Medicalisation, Medicalising Unhappiness, Over-Diagnosis, Over-Medicalisation (Speculative Concept), Over-Treatment, Overdiagnosis and Overtreatment, Oxford, Patient Decision Support, Patient Involvement, Patient Safety, Pill For Every Ill, Prescription Drugs, Protecting Resources and Promoting Value, Reducing Waste in the NHS, SDM: Shared Decision Making, Service User Involvement, Shared Decision-Making, Too Much Medicine, University of Oxford, Unnecessary Diagnostic Tests, Unnecessary Healthcare Interventions, Unnecessary Medicalisation, Unnecessary Tests, Unnecessary Tests and Procedures, User Involvement, Welsh Institute for Minimal Access Therapy: Cardiff Medicentre
|
Leave a comment