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Tag Archives: College of Emergency Medicine
CEM Prescription for Acute and Emergency Care (College of Emergency Medicine)
Summary A recent policy paper from the College of Emergency Medicine (CEM), working with the Royal College of Paediatrics and Child Health, Royal College of Physicians and Royal College of Surgeons, proposes 13 recommendations to reduce the rising pressure on … Continue reading
Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, National, NHS, NHS Confederation, NHS Employers, Northern Ireland, Practical Advice, Quick Insights, Royal College of Physicians, Scotland, Standards, UK, Wales
Tagged 2015 Challenge Declaration (NHS Confederation): Workforce Challenge, 24/7 Access to Urgent and Emergency Care, 24/7 Consultant Cover, 24/7 Diagnostic Services, 24/7 Service, A&E, Access to Primary Care, Access to Urgent and Emergency Care, Acute Hospital Care, Admissions, Ageing and Society, Ageing Population, Alternatives to Hospital Admission, Avoidable Admissions, British Medical Association (BMA), Care Seven Days a Week, Case-Mix, Challenges of Urgent and Emergency Care, Chronic Diseases, College of Emergency Medicine, College of Emergency Medicine (CEM), Commissioning Urgent and Emergency Care for Older People, Community Care, Community Facilities, Community-Based Services, Complex Care, Complex Needs, Diagnostic Services, Education and Staff Training, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Centres, Emergency Departments, Emergency Medicine Consultants, Emergency Medicine Workforce Implementation Group (EMWIG), Emergency Planning and Resilience, Emergency Readmissions, Emergency Services, Emergency System Resilience, Funding, GP Out-of-Hours Services, Health Information Technology, Hospital Accident and Emergency Departments, Inappropriate Accident and Emergency Department Attendances, Information Technology, Integrated and Community-Based Care, Integrated Emergency Department (A&E), Integrated Home and Community Care Services, Integration, Integration and Communities, Integration of Primary Secondary and Community Care, Interventional Radiology 24/7 Services Provision, Investment in Information Technology, Kent Community Health NHS Trust, Leadership, Leadership Development, Local Urgent Care Boards, MDTs: Multidisciplinary Teams, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary Team (MDT), Multi-Disciplinary Working, NHS 111, NHS 24, NHS Confederation’s Hospitals Forum, NHS Confederation’s Urgent and Emergency Care Forum, NHS Direct, Preventable Hospital Admissions, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Primary Care Physicians, PwC LLP, RCP: Royal College of Physicians, Re-Admission NHS Hospitals, Reconfiguration of Emergency Care System, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Repeat Non-Emergency Attendees (Emergency Departments), Royal College of Paediatrics and Child Health, Royal College of Physicians (RCP), Royal College of Surgeons, Safe Staffing, Seven-Day Services in Hospital, Seven-Day Services in the Community, Skill Mix, Skills Mix, South Warwickshire NHS Foundation Trust, Staffing Levels and Skill Mix, Telephone Advice Services, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Urgent and Emergency Care, Urgent and Emergency Care Commissioning, Urgent and Emergency Care Forum, Urgent and Emergency Care Services, Urgent and Emergency Services, Workforce and Skill Mix, Workforce Design, Workforce Development, Workforce Issues, Workforce Planning, Yorkshire Ambulance Service (YAS), Yorkshire Ambulance Service NHS Trust
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Mental Health Crisis Support Agreement (Department of Health)
Summary A concordat (i.e. an agreement) between police and the NHS has been forged to improve emergency support for mental health crisis care. This agreement is between police, mental health trusts and paramedics. It aims to ensure that people in … Continue reading
Posted in Community Care, Department of Health, For Carers (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Mental Health, National, NHS, NHS Confederation, NHS England, Patient Care Pathway, Person-Centred Care, Quick Insights, RCN, Royal College of Psychiatrists, Standards, UK, Universal Interest
Tagged 24/7 Advice From Mental Health Professionals, Access to Mental Health Services, Approved Mental Health Professionals (AMHPs), Association of Ambulance Chief Executives, Association of Chief Police Officers, Association of Directors of Adult Social Services, Association of Directors of Children’s Services, Association of Police and Crime Commissioners, BAME Challenges, BAME Experiences, Black and Minority Ethnic (BME), Black Asian and Minority Ethnic (BAME), Black Mental Health UK, BME Communities, BME: Black and Minority Ethnic, British Transport Police, Care Quality Commission (CQC), College of Emergency Medicine, College of Policing, College of Social Work, Commissioning Local Services, Community Mental Health, Criminal Justice System, Crisis Care Concordat, Crisis Intervention and Prevention, Crisis Planning, Crisis Response, Crisis Support, Deputy Prime Minister's Office, Emergency Services, Emergency Support, Equality of Access, Health Education England, Home Office, Improving Access to Psychological Therapies (IAPT) Programme, Improving the Quality of Life for People with Long Term Conditions, Independent Commission on Mental Health and Policing, Information Sharing by Mental Health Services, Liaison Psychiatry Services, Lincolnshire Partnership Foundation Trust, Lincolnshire Partnership Foundation Trust (LPFT), Local Authorities, Local Commissioning, Local Government Association, Local Mental Health Crisis Declarations, Local Partnerships, Mental Health Action Plan, Mental Health and the Criminal Justice System, Mental Health Awareness, Mental Health Care and Treatment, Mental Health Crisis, Mental Health Network (MHN), Mind, NHS Confederation’s Mental Health Network, NHS Confederation’s Mental Health Network (MHN), NHS England (Formerly the NHS Commissioning Board), NHS London, North West Ambulance Service NHS Trust (NWAS), North West London’s Mental Health Transformation Strategy, North West Regional Mental Health Forum, North West Regional Police Forces, NWL Mental Health Programme, Operation Partner, Police Custody, Police Officers, Preventing Future Crises, Public Health England, Reducing the Use of Police Cells, Responding to People With Mental Ill Health, Restraint, Restraint in Health and Adult Social Care, Royal College of General Practitioners, Royal College of Nursing (RCN), Royal College of Paediatrics and Child Health, Services and Support for BAME Communities, Shaping Healthier Lives, Street Triage, Street Triage Pilots, Support Before Crisis, Urgent and Emergency Services, Use of Police Custody as a Place of Safety for People with Mental Health Needs
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Liaison Psychiatry for Every Acute Hospital: Integrated Mental and Physical Healthcare (Royal College of Psychiatrists)
Summary This report, from the Royal College of Psychiatrists, summarises the evidence about the role and benefits of liaison psychiatry services in acute hospitals. It describes the range of mental health problems encountered, and the various interventions in acute hospitals. … Continue reading
Posted in Acute Hospitals, Commissioning, Delirium, Depression, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Pharmacological Treatments, Quick Insights, Royal College of Psychiatrists, Standards
Tagged Accident and Emergency Departments, Acute Care, Acute Hospital Care, Acute Mental Health Services, Adult Mental Health Services (AMHS), Alcohol Misuse, Alcohol Use Disorders Identification Test (AUDIT), Avoidance of Litigation, Avoiding Litigation, Care Pathways, Clinical Effectiveness and Audit, College of Emergency Medicine, College of Mental Health Pharmacy, Commissioning Liaison Mental Health Services in Acute Hospitals, Commissioning Liaison Psychiatry, Community Mental Health, Delirium in Elderly Patients, Dementia and Mental Illness, Dementia Liaison Service, Dementia Liaison Services, Education and Staff Training, Elderly Mental Health, Emergency Departments, Fast Alcohol Screening Test (FAST), Hospital Emergency Departments, Impact of Delirium on Length of Stay, Impact of Dementia on Length of Stay, Integrated Governance of Liaison Psychiatry, Length of Stay (LoS), Liaison Mental Health Services, Liaison Psychiatry in the Hospital Setting, Liaison Psychiatry Services, Liaison Services, Medically Unexplained Symptoms (MUS), Medication Errors, Medication Risks, Mental Capacity, Mental Health and Wellbeing, Mental Health Assessments, Mental Health Care, Mental Health Commissioning, Mental Health Liaison Services, Mental Health Liaison Teams, Mental Health Nurses, Mental Health Pharmacists, Mental Health Services, Mental Healthcare, Mental Healthcare in Acute Hospitals, Mental Wellbeing and Older People, Minimum Staffing Levels, Minimum Staffing Requirements, Neuropsychiatric Disorders, Nurse Psychological Therapists, Parity Between Mental and Physical Health, Partnership Working, Patient Flows, Potentially Inappropriate Prescribing, Prescribing of Antipsychotic Drugs For People With Dementia, Psychiatric Liaison Services, Psychiatric Liaison Team, Psychiatrists, Psychogeriatric Liaison Team, Psychologists, Psychotropic Prescribing, Reducing Healthcare Utilisation, Referral, Referrals, Risk Management, Self-Harm, Serious Untoward Incidents, Service Design, Service Interfaces, Skill Mix, Social Workers, Society for Acute Medicine, Special Observation, Staffing Levels, The Royal College of Psychiatrists, Workforce Development
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Weekend Hospital Care: Seven-Day Working (BBC News / NHS England / HEE / GMC)
Summary NHS England medical director Professor Sir Bruce Keogh has announced that hospitals in England will be required to ensure consultants and key diagnostic tests are available seven days a week. Research into the “weekend effect” has suggested for some years that hospital mortality … Continue reading
Posted in Acute Hospitals, BBC News, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), Health Education England (HEE), In the News, National, NHS, NHS England, Physiotherapy, Quick Insights, RCN, Standards, UK, Universal Interest
Tagged 24/7 Endoscopy Specialist Service Provision, 24/7 Hospice at Home Service, 24/7 Telephone Service, A&E Workforce, Acute Care, Acute Core Common Stem (ACCS) Training, Acute Hospital Care, Acute Hospitals, Acute Medical Unit Consultant Input, Advanced Clinical Practitioners, Advanced Nurse Practitioner (ANP), Aneurin Bevan Health Board, Angoff, Annual Review of Competence Progression (ARCP), ANP Triage Model, BBC Health News, Birmingham Community Healthcare NHS Trust, Bristol North Somerset and South Gloucestershire BNSSG Urgent Care Board, British Medical Association (BMA), Care Closer to Home, Care Seven Days a Week, Clinical Dashboards, Clinical Leadership, College of Emergency Medicine, College of Emergency Medicine (CEM), Committee of General Practice Education Directors (COGPED), Conference of Postgraduate Medical Deans of the United Kingdom (COPMeD), Consultant Input, Consultant Led Ward Rounds, Consultant Physicians, Cross-Boundary Care Pathway Redesign, Diagnostic Errors, Diagnostic Testing, Discharge, Discharge Coordination, Discharge Planning, Doncaster and Bassetlaw NHS Foundation Trust, Doncaster and South Humber NHS Foundation Trust, Doncaster Metropolitan Borough Council, Education Outcomes Framework, Education Outcomes Framework (EOF), Emergency Admissions, Emergency Attendances, Emergency Care, Emergency Care Pathways, Emergency Medicine Consultants, Emergency Medicine Taskforce, Emergency Medicine Workforce Implementation Group (EMWIG), EMWIG: Emergency Medicine Workforce Implementation Group, Enhanced Recovery, Enhanced Recovery (ER) Pathways, Enhanced Recovery Care Pathways, Enhanced Recovery Programmes, Epsom and St Helier University Hospitals NHS Trust, General Medical Council (GMC), Handover Tests, Heart of England NHS Foundation Trust, HEE: Health Education England, Hospital Mortality, Hospital Mortality Rates, Immigration Skills Charge, Improving Access to Diagnostics, Interdependencies for Seven Day Service Delivery, International English Language Testing System (IELTS), International Medical Graduates, Interventional Radiology 24/7 Services Provision, Keogh Mortality Review, Keogh Review, Lancashire and Cumbria Heart and Stroke Network, Lancashire and Cumbria Stroke Network, Lancashire Care NHS Foundation Trust, Lancashire Intermediate Support Team (IST), Medical Director of NHS England: Professor Sir Bruce Keogh, Medical Education England (MEE), Metrics, Metrics and Information, Mortality at the Weekend, Mortality Rates, Mortality Statistics, MRCP (UK), Network Major Trauma Review, Network Vascular Review, NHS England (Formerly the NHS Commissioning Board), NHS Improving Quality (NHS IQ), NHS Services: Seven Days a Week Forum, NHS Yorkshire and Humber Stroke Services, Northern Lincolnshire and Goole Hospitals NHS Foundation Trust, Northumberland Tyne and Wear NHS Foundation Trust, Northumbria Healthcare NHS Foundation Trust, Nottinghamshire County CCGs, Nottinghamshire County Council Social Care, Nottinghamshire Healthcare NHS Trust, Older People Mental Health Intermediate Support Model, One-Stop Transient Ischaemic Attack (TIA) Outpatient Service, Overseas Applicants to UK Medical Register, Overseas Doctors, Oxford University Hospitals NHS Trust, Pan Gwent Frailty Programme, Papworth Hospital NHS Foundation Trust, PDSA (Plan-Do-Study-Act) Cycles, PDSA Cycles, Pennine Acute Hospitals NHS Trust, Physician Associates, Physiological Sciences 24/7 Service Provision, PLA Board, PLAB Blueprint, PLAB Review (2014), Plan Do Study and Act (PDSA), Productive Endoscopy Series, Professional and Linguistic Assessments Board (PLAB) Test, Professional Standards and Ethics, Professor Sir Bruce Keogh, Quality of Care at Weekends, Redesigning Acute Care for Older People, Review of GMC’s PLAB Test, Rotherham, Rowcroft Hospice, Royal College of Nursing, Royal Free London NHS Foundation Trust, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Safe Staffing, Safe Staffing Levels, Salisbury NHS Foundation Trust, Salisbury University Hospital, Seven Day Consultant Led Multidisciplinary Ward Rounds, Seven Day Pharmacy Services, Seven Day Service Forum, Seven Day Services, Seven Day Services Improvement Programme, Seven Day Therapy Services, Seven Day Working: Four Levels Model, Seven-Day Working, Sheffield Teaching Hospitals NHS Foundation Trust, Sir Bruce Keogh (Former Chief Executive of the NHS Commissioning Board; now NHS England), Situational Judgement Tests, Social Care on Acute Medical Units, South Devon and Torbay Health and Care Cabinet Integrated Approach, South Devon Healthcare NHS Foundation Trust, South Devon Healthcare NHS Trust, South Devon Hospital at Home Service, South Tees Hospitals NHS Foundation Trust, Staffing, Systematic Improvement, Systematic Improvement Approaches, Telemedicine, Torbay and South Devon Journey, Torfaen County Borough Council, Transparency and Accountability, University Hospital of North Staffordshire NHS Trust, University Hospital South Manchester NHS Foundation Trust, University Hospitals Bristol NHS Foundation Trust, Unwarranted Variations in Diagnostic Testing Rates, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Review, Urgent and Emergency Services, Weekend Effect, Weekend Working, Workforce Challenges in Emergency Medicine, Workforce Shortages in Emergency Departments, Working Across Boundaries
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Guidance on Prevention and Management of Challenging Behaviour in NHS Settings (NHS Protect)
Summary This document offers guidance for NHS staff on handling clinically-related challenging behaviour. It covers the management of patients’ distress and the provision of treatment in an environment which is safe for staff, patients and visitors. “Clinically related challenging behaviour, … Continue reading
Posted in Acute Hospitals, Community Care, Delirium, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Mental Health, Models of Dementia Care, National, NHS, Patient Care Pathway, Person-Centred Care, Physiotherapy, Practical Advice, Quick Insights, RCN, Royal College of Physicians, Royal College of Psychiatrists, Standards, UK, Universal Interest
Tagged Aggression, Behavioural and Psychological Symptoms of Dementia (BPSD), BGS, BPSD: Behavioral and Psychological Symptoms of Dementia, British Geriatrics Society (BGS), British Institute of Learning Disabilities, Calling Out, Causes of Discomfort, Challenging Behaviour, Challenging Behaviour Foundation (CBF), Challenging Behaviour in Dementia, Challenging Behaviour: Core Learning Needs, College of Emergency Medicine, College of Emergency Medicine Best Practice Subcommittee, College of Occupational Therapists (COT), Common Core Principles for Supporting People with Dementia, Community Learning Disability Teams (CLDTs), Confidentiality, Conflict Resolution Training (CRT), Delusions, Dementia Outreach Services, Dementia Outreach Team, Dementia With Lewy Bodies (DLB), Distressed Behaviour: Triggers, DLB: Dementia with Lewy Bodies, Eight Common Core Principles for Supporting People with Dementia, Emma Ouldred: Dementia Nurse Specialist, Framework for Explaining Challenging Behaviour, Hallucinations, Hostility, Information Sharing, King's College Hospital NHS Foundation Trust, Marjory Warren Ward, Markers and Alerts, Mental Health of Older Adults and Dementia Clinical Academic Group: South London and Maudsley NHS Foundation Trust, Mind, National Association for Healthcare Security, NHS Protect, Parkinson’s Disease Dementia, Patient Passports, Personalised Care Plans, Post-Incident Reviews, Promoting Safer Therapeutic Services (PSTS), Psychological Symptoms of Dementia (BPSD), Reducing Agitation and Distress, Reducing Violence and Aggression, Risks of Inappropriate Physical Intervention, Sensory Impairment, Shouting, Sleep Disturbance, South London and Maudsley NHS Foundation Trust, Unite the Union Mental Health Nursing Association (MHNA), Violence, Violence and Aggression, Vocalisations, Wandering, Working with Dementia: Safe Work Practices for Caregivers
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Impact of Delayed Transfers on Hospital Discharges (BBC News / NHS England)
Summary Figures from NHS England indicate the number of hospital bed days lost because of delayed discharges during October 2013 was 78,424; up nearly 8,000 on last year. This represents the highest number of bed days lost due to delayed transfers of care since … 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, NHS England, Patient Care Pathway, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged A&E Pressures, Acute Hospital Care, Adult Social Care, Adult Social Care Services, Ageing Population, BBC Health News, Bed Days, Bed-Blockers, Bed-Blocking Patients (Non-Recommended Term), Bournemouth and Christchurch Hospitals NHS Foundation Trust, Care for Vulnerable Older People, Challenges of Urgent and Emergency Care, College of Emergency Medicine, Delayed Discharges, Delayed Transfers of Care, Discharge Coordination, Discharge Planning, Discharge Support, Emergency Bed Use, Emergency Care, Emergency Departments, Emergency Readmissions, Emergency Services, Health and Social Care, Health and Social Care Delivery Models, Health and Social Care Integration, Hospital Beds, Hospital Discharge, Inpatient Beds, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integration, Integration of Health and Social Care, Integration of Primary Secondary and Community Care, Length of Stay (LoS), Let's End Going Home Alone Campaign (RVS), Local Authorities with Adult Social Care Responsibilities (LA ASCRs), Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary Working, NHS England, Patient Discharge, Patient Flows, Post-Discharge Support, Reducing Bed Days, Royal Bournemouth Hospital, Royal Voluntary Service, Royal Voluntary Service (Formerly the WRVS), Vulnerable Older People, Vulnerable Older People’s Plan, Whole System Patient Flows
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