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Recent Posts
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Tag Archives: Clinical Nurse Specialists (CNS)
Health and Care Suitable for an Ageing Population (King’s Fund)
Summary This King’s Fund report presents a framework and tools to help local service leaders improve the care provided for older people. The focus is on improving the integration of care and the reduction of delays in transitions between different services. … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, End of Life Care, Falls, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, King's Fund, Management of Condition, Mental Health, Models of Dementia Care, National, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, Telecare, Telehealth, UK, Universal Interest
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Tagged Active Ageing, Active Commissioning of Health and Mental Health Care for Care Home Residents, Admiral Nurses, Adult Social Care for People with Complex Needs, Age and Ageing, Age-Friendly Communities, Age-Friendly Housing, Ageing and Dementia, Ageing and Society, Ageing Population, Ageing Related Support Systems for Healthy and Independent Living, Alternatives to Hospital Admission, Ambulatory Care Clinics, Ashford and St Peter's Hospitals NHS Foundation Trust, Assertive Discharge Planning, Bed/Ward Moves, Better Care Fund, BGS Commissioning Guide for Older Care Home Residents, Birmingham Community Healthcare NHS Trust, Birmingham Cross-City Clinical Commissioning Group, Blue Book: British Orthopaedic Association (BOA) and British Geriatrics Society (BGS), British Geriatrics Society: Commissioning Guidance for High-Quality Health Care for Older Care Home Residents, British Orthopaedic Association (BOA) and British Geriatrics Society (BGS): Blue Book, Care Closer to Home, Care Home Residents, Care Homes, Care of Frail Older People With Complex Needs, Care Pathways for Older People, CARE Profiles (Combined Assessment of Residential Environment), Case Finding, Choice, Chronic Mental Health Problems, City University, Clinical Frailty Scale, Clinical Nurse Specialists (CNS), Commissioning for Outcomes, Commissioning Guidance for High-Quality Health Care for Older Care Home Residents (BGS), Commissioning Guidance for Older Care Home Residents, Commissioning Local Services, Commissioning Multiagency Teams, Community and Interface Geriatrics, Community Geriatricians, Community Nurses as Case Managers, Community Virtual Wards, Community Wards, Complex Care, Complex Chronic Conditions, Complex Needs, Components of Care for Older People, Comprehensive Geriatric Assessment (CGA), Consultant Ward Rounds, Continuity of Care, Control, Crisis Response, Crisis Support, Day Hospital Care, Day Hospitals, Deciding Right, Delayed Transfers of Care, Dementia Liaison Services, Dignified Person-Centred Care, Dignity for Older Patients Project (University Hospitals Birmingham), Dignity Workshops, Discharge, Discharge and Out of Hospital Care, Discharge Planning, Discharge Support, Early Discharge Assessment Teams, Early Senior Assessment, Early Supported Discharge Teams, Electronic Frailty Index, Emergency Admissions, Emergency Readmissions, Emergency Readmissions to Hospital, End of Life Care, Extra Care Housing, Fluctuating Disability, Frailty, Future Hospital Commission, Glasgow Fracture Liaison Service, Gloucestershire Heart Failure Service, Gnosall Health Centre, Gnosall Medical Practice, Gnosall Project, Guideposts Trust, Health and Social Care, Health and Social Care Delivery Models, Health and Social Care Integration, Health and Social Care Services, Health Care for Older Care Home Residents, Health Systems in Transition, Healthy Behaviours, Healthy Lifestyles, Heart of England Foundation Trust, Holistic Assessments, Home-Based Rehabilitation and Reablement, Hospital at Home, Hospital at Home Early Discharge, Hospital At Home Services, Improving Care Pathways for Older People, Independence, Independence at Home, Independent Living At Home, Integrated Commissioning, Integrated Discharge Process, Integrated Home and Community Care Services, Integrated Locality Teams, Integrated Out-of-Hospital Care. RCGP, Integrated Services, Integrated Teams, Integration, Integration of Health and Social Care, Leeds Teaching Hospitals, Leicestershire Home Care Re-ablement Services, Liaison and In-Reach Services for Frail Older People, Living Well Through Activity in Care Homes (Toolkit), Local Care Services, Local Empowerment, Local Initiatives, Local Networks, Loneliness and Social Isolation, Long-Term Care (LTC), Long-Term Care and Support, Long-Term Conditions (LTCs), Marie Curie Nursing Services, Mental Wellbeing of Older People in Care Homes, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary Team (MDT), Multiagency Teams, Multidisciplinary Holistic Assessments, Multidisciplinary Teams, My Home Life Programme, National Hip Fracture Database, Nolan's Six Senses (Security Continuity Belonging Purpose Fulfilment and Significance), Nottinghamshire Ambulance Trust, Nurse Specialists, Older Care Home Residents, Older People, Older People With Complex Needs, Older People's Care, Older Persons’ Assessment and Liaison (OPAL), OPAL Models, Out-of-Hospital Care, Patient Flows, POPS Models, Population Risk Stratification, Post-Discharge Assessment and Support, Post-Discharge Support, Preventable Hospital Admissions, Preventative Care, Preventing Acute Admissions from Care Homes, Prevention, Preventive Care, Proactive Geriatric Liaison, Proactive Input From Geriatricians, Proactive Specialist In-Reach, Public Health, Rapid Access Ambulatory Care Clinics, Reablement, Redesigning Care Pathways, Redesigning Services, Reducing Admissions to Nursing Care, Reducing Admissions to Residential Care, Reducing Bed Days, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Inappropriate Polypharmacy, Reducing Unnecessary Admissions, Reducing Unplanned Hospitalisation, Rehabilitation, Rehabilitation Services for People with Complex Mental Health Needs, Residential Care, Risk Assessment, Royal College of Physicians (RCP), Sandwell Integrated Care Services Team (ICARES), Self-Management, Self-Management in Chronic Illness, Self-Management Support, Service Integration, Service Redesign, Service-Level Design, Sheffield Patient Flow, Social Isolation, South Warwickshire NHS Foundation Trust, South Warwickshire Project on Improving Care Pathways for Older People, Staying Independent, Support for People with Complex Needs, Ten Steps for Effective Discharge Planning, The King’s Fund Integrated Care Map, University Hospitals Birmingham: Dignity for Older Patients Project, Virtual Wards, Virtual Wards to Reduce Readmissions, Wellbeing and an Ageing Population, Whole Systems Design, Whole Systems Redesign, Whole-System Approaches
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Integrated Care for People with Complex Chronic Conditions: Research Summary (King’s Fund)
Summary This King’s Fund report summarises the findings from a 2-year research project (funded by Aetna and the Aetna Foundation) which involved looking at five UK-based programmes delivering coordinated care for people with long-term and complex needs. The aim has … Continue reading →
Posted in Commissioning, Community Care, End of Life Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, King's Fund, Management of Condition, Mental Health, Models of Dementia Care, National, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Standards, UK, Universal Interest, Wales
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Tagged Advanced Practice Nurse (APN), Advice and Support, Aetna (US), Aetna Foundation, Alternatives to Hospital Admission, Assigned Accountability, Avoidable Admissions, Avoidable Rehospitalisations, Better Understanding of Dementia for Sandwell (BUDS), Bexley, Bexley Advanced Dementia Care At Home Project, BUDS: Better Understanding of Dementia for Sandwell, Burden on Caregivers, Care Closer to Home Project, Care Co-ordination, Care Coordinators, Care Integration, Care Pathway, Care Plan, Care Planning, Caregiver Distress, Caregiver Support, Carer Assessment, Carer Burden in Dementia, Carer Education, Carer Resilience, Carer Support, Case Finding, Chronic Conditions Nurse Practitioners (CCNPs), Clinical Nurse Specialists (CNS), Co-Production, Community Care, Community Mental Health Services, Community Mental Health Teams, Community Psychiatric Nurse (CPN), Community Resource Teams (CRTs), Community Resource Teams in Pembrokeshire, Community Support, Community Support Services, Community-Based End of Life Nurse, Community-Based Interventions, Community-Based Palliative Care Service, Community-Based Rehabilitation Services, Community-Based Services, Community-Based Support, Complex Care, Complex Chronic Conditions, Complex Needs, Continuing Care, Continuing Care Services in the Community, Coordinated Care, Core 10 (Assessment Tool), Core 10 and WEMWBS, Core-OM, Corenet Software, Cost Analysis, Cost Savings, Cost-Effectiveness, Costs, Counselling Services, Deaths in Usual Place of Residence (DiUPR), Dementia Liaison Services, Dementia Nurse Specialist, Dementia Specialist End of Life Nurse, Dementia Support Services, DiUPR: Deaths in Usual Place of Residence, Dying at Home, End of Life Care, End of Life Care Plans, End-of-Life Care at Home, EOL, Esteem Team: Sandwell, Experiences, Family Support, Functional Integration, Gold Standards Framework (GSF), GPs, Greenwich, Greenwich Advanced Dementia Service (GADS), Greenwich and Bexley, Hampshire, Health and Social Care Integration, Healthcare at Home, Holistic Approaches, Holistic Care Assessments, Holistic Co-ordinated Care, Home Support, Hospice at Home, Hospital at Home, Hywel Dda Health Board, IAPT Programme, IAPT: Improving Access to Psychological Therapies, Improving Access to Psychological Therapies (IAPT) Programme, Information and Advice Services, Integrated and Community-Based Care, Integrated Care Coordinators, Integrated Services, Integrated Services Across Local Authorities, Integration, Integration of Health and Social Care, Liaison Services, Liverpool Care Pathway (LCP), Liverpool Care Pathway for the Dying Patient (LCP), Living at Home, Local Partnerships, Long-Term Conditions (LTCs), Macmillan Cancer Support, MDTs: Multidisciplinary Teams, Mental Health Liaison Services, Metropolitan Borough of Sandwell, Midhurst Macmillan Service, Midhurst Macmillan Service Referral and Discharge, Multi-Disciplinary Working, Multidisciplinary Specialist Teams, Multidisciplinary Team Care, Multidisciplinary Teams, Multiple Referrals to a Single Entry Point, NHS Continuing Care, NHS Electronic Patient Records, NHS West Midlands, Oxleas Advanced Dementia Service, Oxleas NHS Foundation Trust, Oxleas Service Model, Palliative and End-of-Life Care at Home, Palliative Care, Partnership, Partnership and Collaboration, Partnership Working, Patient Experience, Patient Focus, Patient Involvement, Pembrokeshire County Council, Personalised Care Planning, Personalised Care Plans, Preferred Place of Death, Preventable Hospital Admissions, Primary Care, Projecting Older People Population Information, Psychiatric Liaison Services, QUALID: Quality of Life in Late Stage Dementia, Readmissions for Patients with Long Term Conditions, Reducing Admissions to Nursing Care, Reducing Admissions to Residential Care, Reducing Re-Admissions NHS Hospitals, Reducing Unscheduled Admissions, Referrals, Relationship Building, Relative Stress Scale (RSS), Resilience, Responsive Provider Networks, Sandwell and West Birmingham Clinical Commissioning Group, Sandwell Esteem Team, Sandwell Integrated Primary Care Mental Health and Wellbeing Service, Sandwell Wellbeing Hub, Sandwell: West Midlands, Service Integration, Social Services, Specialist Palliative Care, Split Care Assessment and Co-ordination Functions, Standardised Referral Form, Staying at Home, Staying Put, Stepped Care Approach, Stress Reduction, Stress Reduction for Unpaid Family Carers, Support for Carers, Support for People with Complex Needs, Support Networks, Support Workers, Supportive Care, Surrey, Sussex Community Trust, Team Culture, Team Working, Teams, Unplanned Hospital Admissions, User Experience, Volunteers, Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), West Midlands, West Sussex
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Midhurst Macmillan Service: Community-Based Specialist Palliative Care Service (King’s Fund)
Summary The King’s Fund (funded by Aetna and the Aetna Foundation) is examining co-ordinated care for people with complex chronic conditions though a series of five case studies. The project involves looking into different approaches to care co-ordination in primary … Continue reading →
Posted in Charitable Bodies, Community Care, End of Life Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, King's Fund, National, NHS, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest
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Tagged Aetna (US), Aetna Foundation, Assigned Accountability, Care Pathway, Care Planning, Clinical Nurse Specialists (CNS), Co-Production, Community Care, Community Support, Community-Based End of Life Nurse, Community-Based Interventions, Community-Based Palliative Care Service, Community-Based Services, Community-Based Support, Complex Care, Complex Chronic Conditions, Complex Needs, Continuing Care, Continuing Care Services in the Community, Dying at Home, End of Life Care, End-of-Life Care at Home, EOL, Experiences, Functional Integration, Gold Standards Framework (GSF), Hampshire, Health and Social Care Integration, Holistic Approaches, Holistic Co-ordinated Care, Integrated and Community-Based Care, Integrated Care Coordinators, Integrated Services, Integration of Health and Social Care, Liverpool Care Pathway (LCP), Liverpool Care Pathway for the Dying Patient (LCP), Local Partnerships, Macmillan Cancer Support, Midhurst Macmillan Service, Midhurst Macmillan Service Referral and Discharge, Multi-Disciplinary Working, Multidisciplinary Teams, NHS Continuing Care, Palliative and End-of-Life Care at Home, Palliative Care, Partnership, Partnership and Collaboration, Partnership Working, Patient Experience, Personalised Care Planning, Preferred Place of Death, Referrals, Responsive Provider Networks, Staying at Home, Staying Put, Surrey, Sussex Community Trust, Team Culture, Team Working, User Experience, Volunteers, West Sussex
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