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Recent Posts
- 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)
- Timeless Good Advice? (Action for Happiness)
- The Diversionary Value of Music Playlists for Patients With Dementia in Accident and Emergency Settings (Nurses.co.uk / BBC News)
- More on the Possible Role of Neuroinflammation in Frontotemporal Dementia (Bazian / Brain)
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Tag Archives: Comprehensive Geriatric Assessment (CGA)
Ageing Well and Older People’s Mental Health: Guidance on Implementing the NHS Long Term Plan (Royal College of Psychiatrists, Faculty of Old Age Psychiatry)
Summary The Royal College of Psychiatrists has issued guidance to help local areas organise specialist mental health services for older people, involving old age psychiatrists. Various aspects of older adults’ mental health are mapped to themes in the NHS Long … Continue reading →
Posted in Commissioning, Community Care, Delirium, Depression, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Adult Severe Mental Illnesses (SMI) Community Care, Ageing Population, Ageing Well, Ageing Well and Supporting People Living With Frailty, Ageing Well: Frailty and Dementia, Anticipatory Care Planning and Integration, Bristol Dementia Wellbeing Service, Cambridge and Peterborough NHS Foundation Trust, Cambridgeshire and Peterborough NHS Foundation Trust (CPFT), Cambridgeshire Physical and Mental Health Services for Older People, Camden and Islington’s Home Treatment Team, Camden Frailty Hub, CGAs: Comprehensive Geriatric Assessments, CHAT: Care Home Assessment Team, Commissioning Older People’s Mental Health Services, Common Mental Illnesses, Community Mental Health Framework, Community Mental Health Framework for Adults and Older Adults, Community Multidisciplinary Teams, Comprehensive Geriatric Assessment (CGA), Crisis Resolution and Home Treatment Teams (CRHTTs), Dementia Connect Service, Dementia Crisis Teams, Dementia Disability and Frailty in Later Life, Devon Partnership NHS Trust, DIS: Dementia and Intensive Support, Downshall Intergenerational Provision, Dr Dr Amanda Thompsell: Chair of Faculty of Old Age Psychiatry at Royal College of Psychiatrists, Eastern Academic Health Science Network (EAHSN), EMIS: Egton Medical Information Systems, Enfield’s Care Home Assessment Team (CHAT), Enhanced Health in Care Homes (EHCH) Framework, Enhanced Health in Care Homes (EHCH) Model, Enhancing Support for Carers, Expanded Community MDTs, Faculty of Old Age Psychiatry, Faculty of Old Age Psychiatry: 2016 Literature Review on Integration and Older Adults' Mental Health, Faculty of Old Age Psychiatry: Royal College of Psychiatrists, Frail Older People, Frailty, Frailty and OPMH Research, Frailty Services, Gateshead Virtual Ward, GDS: Geriatric Depression Scale, Geriatric Depression Scale, Improved Care for Dementia and Delirium, Improving Access to Psychological Therapies (IAPT), Inappropriate Care Settings, Inappropriate Hospital Admissions, Integrated Care Systems, Integrated Care Systems (ICSs), Local Transformation Plans (LTPs): Improving Mental Health Care for Older People, Long Term Plan (LTP), Long Term Plan: Mental Health Commitments, Long-Term Conditions (LTCs), Medichec, Medicine for Older People (MOP), Memory Problems and Dementia: Patient Information (RCP), Mental Health Crisis Care, Mental Health Liaison Services, Mental Health Liaison Teams, Mental Health of Older Adults and Dementia Clinical Academic Group at SLaM, Mental Health Workforce, Mindwave Ventures, National Collaborating Central for Mental Health, NHS Lanarkshire, NHS Long Term Plan (2019), NHS Long Term Plan: Living Longer Living Better Programme, NHS Long-Term Plan, NHS Mental Health Implementation Plan (NHS England 2019), NHS Mental Health: Implementation Plan For 2019/20 – 2023/24 (NHS England), NHS Newcastle Gateshead CCG, North East London Foundation Trust (NELFT), North East London NHS Foundation Trust, Old Age Psychiatrists, Old Age Psychiatry, Older Adult Mental Health (OPMH), Older People’s and Adult Community (OPAC), Older People’s Mental Health Needs, Older People’s Mental Health Services, Older People’s Mental Health Teams, OPMH: Older Adult Mental Health, Outpatient Older-Adult Liaison Psychiatry Services and Frailty (South London and Maudsley NHS Trust and King’s College Hospital), Patient Information, People Living With Frailty, Primary Care Networks, Provider Collaboratives (Formerly New Care Models), Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Inappropriate Stays in Hospital, Royal College of Psychiatrists (RCPsych): Faculty of Old Age Psychiatry, Saffron Ward: Stepping Hill Hospital, Severe Mental Illness (SMI), South London and Maudsley (SLaM) NHS Foundation Trust, South London and Maudsley NHS Foundation Trust (SLaM), Support for Carers, Support for Carers of People with Dementia, Sustainability and Transformation Plans (STPs), University Hospital Southampton NHS Foundation Trust, University Hospital Southampton NHS Foundation Trust: Enhanced Dementia Care Ward, Urgent Community Response and Recovery Support
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Where Best Next Campaign: Reducing Length of Hospital Stay (NHS England)
Summary Approximately 350,000 patients spend more than three weeks in a hospital each year, often with poor outcomes: “Many older people, particularly those who are frail and may have dementia, actually deteriorate while in hospital – a stay of more … 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), Health Education England (HEE), Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, NHS Improvement, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, UK, Universal Interest
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Tagged ActNow: an e-Learning Tool (e-LfH), Acute Frailty Network (AFN), Acute Frailty Services, Better Care Support Programme, Care Closer to Home, Clinical Criteria for Discharge (CCD), Comprehensive Geriatric Assessment (CGA), Criteria Led Discharge, Deconditioning, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Discharge, Discharge at a Reasonable Time, Discharge Coordination, Discharge Coordinators, Discharge From General Inpatient Hospital Settings, Discharge Into the Care Sector, Discharge Patient Tracking List, Discharge Planning, Discharge Support, Dr Taj Hassan: President of Royal College of Emergency Medicine, e-Learning for Health (e-LfH) Hub (HEE), Emergency Care Intensive Support Team, Emergency Care Intensive Support Team (ECIST), Emergency Medicine and Urgent Care, End PJ Paralysis, Expected Date of Discharge, Expected Date of Discharge (EDD), Foci for Maximum Impact in Reducing Length of Stay, Guide to Reducing Long Hospital Stays: NHS Improvement, Health and Social Care Integration, Healthcare Associated Infections, Healthcare Associated Infections: Patient Safety, HEE: Health Education England, Hilary Garratt: Deputy Chief Nursing Officer for England, Holistic Needs Assessment (HNA), Home First: Supporting Patient Choice, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Identifying and Managing Frailty at the Front Door, Improving Hospital Discharge Into Care Sector, Improving Patient Care, Integrated Multi-Agency Care, Kettering General Hospital NHS Foundation Trust, Length of Stay (LoS), Local Government Association, Long-Stay Patient Reviews, Long-Stay Patients, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary and Multi-Agency Working, Multiagency Teams, Patient Deconditioning Effect Related to Hospital Bed Rest (aka Pyjama Paralysis / PJ Paralysis), Patient Harms, Patient Harms and Harm Free Care, Patient Safety, PDSA (Plan-Do-Study-Act) Cycles, People First: Manage What Matters, Plan Do Study and Act (PDSA), Professor Stephen Powis: NHS England's National Medical Director, Pyjama Paralysis, Quality Improvement, Reducing Healthcare Associated Infections in Hospitals, Reducing Hospital Length of Stay, Reducing Length of Hospital Stay, Reducing Length of Stay (RLoS) Programme, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 1: Plan for Discharge From the Start, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 2: Involve Patients and Families in Discharge Decisions, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 3: Establish Systems and Processes for Frail People, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 4: Embed Multi-Disciplinary Team Reviews, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 5: Encourage a Supported Home First Approach, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Reducing Waste in Dementia Care, Reducing Waste in the NHS, Rockwood Clinical Frailty Score, Royal College of Emergency Medicine (RCEM), SAFER Patient Flow Bundle, South Warwickshire NHS Foundation Trust, South Warwickshire NHS Foundation Trust (SWFT), Supported Home First Approaches, What Matters Most (Healthwatch), Where Best Next Campaign (NHS England August 2019), Where Best Next? Campaign (NHS England), Why Not Home: Why Not Today, Why Not Home? Why Not Today? Campaign
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Frailty: Core Capabilities Framework (Skills for Health)
Summary Skills for Health have produced the Frailty Core Capabilities Framework. This framework was commissioned by Health Education England and NHS England, and aims to formalise the skills to provide high quality, holistic, compassionate care and support for persons with … Continue reading →
Posted in Acute Hospitals, Age UK, Commissioning, Community Care, Diagnosis, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Guidelines, Health Education England (HEE), Integrated Care, Management of Condition, National, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Active Listening, Adults at Risk of Harm, Age and Ageing, Ageing and Long-Term Care, Ageing Population, Ageing Research, Baroness Sally Greengross (APPG on Dementia), British Geriatric Society, Care and Support Planning, Care for Vulnerable Older People, Care of Frail Older People With Complex Needs, Carers, Causes and Prevention of Frailty, Clinical Frailty Scale: the Rockwood Score, Co-Morbid Physical and Mental Health Conditions, Collaboration, Collaborative Care, Collaborative Working, Commissioning for Older People, Common Problems of Frailty, Community-Based Care for People With Frailty, Comprehensive Geriatric Assessment (CGA), Cumulative Deficit Frailty Model, Cumulative Deficit Model, Edmonton Frail Scale, Electronic Frailty Index, End of Life Care, Families and Carers, Families and Carers as Partners in Frailty Care, Frailty, Frailty Framework of Core Capabilities: Skills for Health, Frailty Index, Frailty Services, Frailty Syndromes, Frailty: Core Capabilities Framework, Frailty: Mapping to Other Frameworks, Gait (Walking) Speed Test, Health Coaching, HEE: Health Education England, Holistic Approaches, Holistic Assessments, Holistic Care, Holistic Care Assessments, Holistic Needs Assessment, Identification of Frailty, Identifying People Living With Frailty, Identifying Vulnerable People, Improving Care for Frail Older People, Integrated Physical and Mental Health, Involvement of Families and Carers, Long-Term Conditions (LTCs), Long-Term Physical and Mental Health Conditions, Managing Ongoing Physical and Mental Health Conditions, Medication Management, Multi-Morbidities, Multidisciplinary Care, Multidisciplinary Holistic Assessments, Multidisciplinary Teams, Multimorbidity, Older People At Home, Pathways for Frail and Vulnerable People, Patient Activation, People Living With Frailty, Person-Centred Approaches in Healthcare, Personalised Care and Support Planning, Phenotype Model of Frailty, PRISMA 7 Questionnaire, Rockwood Score, Royal College of GPs, Shared Decision-Making, Skills for Care (SfC), Skills for Care and Skills for Health, Skills for Health, Skills for Health (SfH), Targeting Resources on Vulnerable Populations, The Frailty Fulcrum, Time Up and Go (TUG) Test, Vulnerable Adults
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Benefits of Comprehensive Older Person’s Evaluation (COPE) Zones Embedded Within Emergency Assessment Units (Clinical Medicine)
Summary Promising results have been reported from Salford Royal NHS Foundation Trust (SRFT): “ …introduction of an embedded frailty unit within the EAU at SRFT has allowed resources to be focused on older patients with the greatest need. We have … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, Diagnosis, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Royal College of Physicians, Royal Wolverhampton NHS Trust, Standards, UK
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Tagged A&E, Access to Urgent and Emergency Care, Accident and Emergency Doctors, Acute Hospital Care, Acute Hospital Care for Frail Older People, Acute Medical Care of Elderly People, Ageing and Society, Ageing Population, American Heart Association, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Benchmarking, British Geriatric Society (BGS), Cardiac Intensive Care Units (CICUs), Cardiovascular System Disorders, Case Management, CGAs and Medicines Optimisation in Primary Care Settings, CGAs: Comprehensive Geriatric Assessments, CICU Care, Circulation (Journal), Complex Care, Complex Needs, Comprehensive Geriatric Assessment (CGA), Comprehensive Geriatric Assessment Needs Assessment Tool (Nuffield Trust), Comprehensive Older Person's Evaluation (COPE) Zones, COPE Zones Embedded Within Emergency Assessment Units (EAUs), COPE Zones in Emergency Assessment Units (EAUs), COPE Zones: Comprehensive Older Person's Evaluation, Critical Care, Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Department for Ageing and Complex Medicine: Salford Royal NHS Foundation Trust, Department of Acute Medicine: Salford Royal NHS Foundation Trust, Department of Biostatistics: Keele University, Department of Elderly Care: University Hospitals of North Midlands NHS Trust, Department of Research and Development: University Hospitals of North Midlands NHS Trust, East Lancashire Hospitals NHS Trust, Embedded Comprehensive Geriatric Assessment in Emergency Assessment Units (EAUs), Emergency Admissions, Emergency and Urgent Care Services, Emergency Assessment Unit (EAU), Emergency Assessment Units, Emergency Assessment Units (EAUs), Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Centres, Emergency Departments, Emergency Medical Services (EMS), Emergency Medicine Consultants, Emergency Services, Flow Within Hospitals, Frailty, Future Hospital Commission, General Practices, Geriatric Syndromes in Cardiac Intensive Care Units (CICUs), Geriatricians’ Recommendations for Medicines Optimisation (CGAs), Identifying People Living With Frailty, Improving General Practice, Inappropriate Accident and Emergency Department Attendances, Integrated and Community-Based Care, Integrated Emergency Department (A&E), Keele University, Later Life, MDTs: Multidisciplinary Teams, Medicines Optimisation, Medicines Optimisation in Primary Care, Multi-Disciplinary Team (MDT), Needs Assessment Toolkit for Comprehensive Geriatric Assessment (Nuffield Trust), NHS Benchmarking, NHS Benchmarking Network, NHS Stoke on Trent CCG, North Staffordshire, North Staffordshire and Stoke, Older Adults in Cardiac Intensive Care Units, Patient flow, Patient Flow Within Hospitals, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Crisis Resolution Teams, Prevention of Avoidable Emergency Admissions: Intermediate Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Primary Care: Stoke-on-Trent Clinical Commissioning Group, Professor John Gladman: BGS / East Midlands AHSN Frail Older People’s Programme, Reasons for Short Stay Emergency Admissions, Recognition and Diagnosis of Frailty, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Salford, Salford Royal Foundation Trust (SRFT), Salford Royal NHS Foundation Trust, Short Stay Admissions, Staffordshire, Stoke-on-Trent, Team-Based Interventions in A&E, University Hospitals of North Midlands NHS Trust, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England, Vision of Patient Care: Future Hospital Commission
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Commission on Improving Urgent Care for Older People’s Report (BBC News / NHS Confedertation)
Summary The NHS Confederation’s Commission on Improving Urgent Care for Older People has provided further evidence that many persons aged over-65 are admitted to hospitals via accident and emergency (A&E) unnecessarily, usually with relatively poor outcomes and incurring higher costs … Continue reading →
Posted in Acute Hospitals, Age UK, BBC News, Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Models of Dementia Care, National, NHS, NHS Confederation, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged 5YFV: NHS Five Year Forward View, Access to Health and Social Care Support, Access to Urgent and Emergency Care, Acute Care, Acute Care Collaboration, Acute Care Services, Acute Medical Care for Frail Older People, Advancing Quality Alliance (AQuA), Advancing Quality Alliance (AQuA) Programme, Advancing Quality Alliance’s (AQuA) Integrated Care Discovering Communities, Age UK in Cornwall, Age UK Pathfinders, Age-Related Disability, Ageing Population, Alternatives to A&E, Alternatives to Hospital Admission, Alternatives to Hospital Care, Alternatives to Hospital for People with Dementia, Avoiding Unplanned Admissions, Avoiding Unplanned Admissions Enhanced Service (ES), BBC Health News, Bed Occupancy, Befriending, Befriending Interventions, Befriending Schemes, Better Care Fund (BCF), Can-Do Attitude (Leadership), Care Closer to Home, Care Coordination and Navigation, Care Coordinators, Care Homes, Challenges of Urgent and Emergency Care, Clinical Leadership, Collaboration for Coordinated Care, Commission on Improving Urgent Care for Older People, Commission on Improving Urgent Care for Older People (NHS Confederation), Commissioning Urgent and Emergency Care for Older People, Complex Needs, Comprehensive Geriatric Assessment (CGA), Contact Consulting (Oxford) Ltd, Culture and Leadership, Dedicated Care Coordination, Dr Mark Newbold: NHS Confederation, East and North Herts CCG, Effective Leadership, Eight Principles for Revolutionising Urgent Care for Older People, Emergency Admissions Unit In-Reach Project, Enhanced Health in Care Homes, Enhanced Services from GPs, Flexible New Models of Service, Frail Older People With Complex Needs, Frailty, Frailty Services, Frailty Syndromes, Growing Old Together: Sharing New Ways to Support Older People (NHS Confederation), Health and Care of Older People, Health and Social Care, Health and Social Care Delivery Models, Health and Social Care Integration, Health Services Management Centre (HSMC): University of Birmingham, Hertfordshire, Hertfordshire Care Providers Association, Hertfordshire County Council, Hospital and Care Homes, HSMC, Identifying Alternatives to Hospital for People with Dementia, Impact of Dementia (Statistics), Impact of Dementia on Hospital Readmission, Impact of Dementia on Length of Stay, Impact of Dementia on Patients in Hospital, Improving Long-Term Care and Support, Improving Urgent Care for Older People, Independent Commission on Improving Urgent Care for Older People, Innovation in Health and Social Care, Integrated Care for Older People With Complex Needs, Integration of Health and Care, Integration of Health and Social Care for Older People, Joint Leadership, Length of Stay, Length of Stay (LoS), Length of Stay Following an Emergency Admission to Hospital, Liaison and In-Reach Services for Frail Older People, Local Care and Support Navigators, Local Leadership, London Ambulance Service NHS Trust (LAS), Loneliness and Social Isolation, Long-Term Care and Support, Long-Term Conditions (LTCs), Mark Newbold: Chair of the NHS Confederation Hospitals Forum, MDTs: Multidisciplinary Teams, Metrics, Metrics and Information, Moving Healthcare Closer to Home, Multi-Disciplinary Teams, Multidisciplinary CGA Approach, National and Local Metrics, Navigators: Coordinators of Care, New Models of Acute Care Collaboration: Vanguard Sites, New Models of Care, New Models of Care Vanguards, New Models of Primary Care, New Models of Service, NHS Confederation's Commission on Improving Urgent Care for Older People, NHS Confedertation, NHS England’s Five Year Forward View, NHS England’s New Models of Care Programme, NHS Five Year Forward View (5YFV), NHS Sheffield, North East London, North East London Foundation Trust (NELFT), Older People and the NHS, Outcome Metrics, Oxford Terrace and Rawling Road Medical Group (Gateshead), Patient Targeting and Risk Stratification, Primary Care Alternatives to Emergency Hospital Admissions, Proactive Care, Proactive Case Management, Proactive Patient Management, Proactive Specialist In-Reach, Quality Improvement, Recognition and Diagnosis of Frailty, Redesigning Acute Care for Older People, Redesigning Care Pathways, Redesigning Local Healthcare Systems, Reducing Unplanned Hospitalisation, Revolutionising Urgent Care for Older People, Risk Stratification, Risk Stratification Programmes, Royal Berkshire Hospital NHS Foundation Trust, Safe Compassionate Care for Frail Older People, Service Redesign, Sheffield, Sheffield Health & Social Care NHS Foundation Trust, Sheffield Teaching Hospitals NHS Foundation Trust, Single Point of Contact, Social Isolation, South Western Ambulance Service Foundation Trust, South Western Ambulance Service Single-Point-of-Access Team (SPOA), Support for People with Complex Needs, University of Birmingham, Unplanned Admissions, Unplanned Care, Unplanned Hospital Admissions, Unplanned Hospitalisation, Urgent and Emergency Care, Urgent and Emergency Care Commissioning, Urgent and Emergency Care Networks, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Voluntary Sector, Voluntary Sector Strategic Partnerships, Wellbeing in Care Homes, Whole Systems Redesign, Workforce Capacity and Capability, Workforce Planning, Workforce Training
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Reducing Length of Stay in Hospitals (Nuffield Trust / Monitor)
Summary Variations in patients’ length of stay imply there should be significant opportunities to reduce length of hospital stay; whether through improvements to internal processes or development of alternative community-based services. This Nuffield Trust report explores which approaches to reducing … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Delirium, Diagnosis, End of Life Care, Falls, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Acute Hospital Care, Acute Hospitals, Acute Savings per Bed Day, Advance Planning, Alignment of Routine Follow-Up Intensity to Patient Risk Profiles, Assessment Before Discharge, Average Length of Stay (Hospitals), Bed Days, Bed Use (Acute Hospitals), Bed-Blockers, Bed-Blocking Patients (Non-Recommended Term), Blaylock Assessment, British Geriatrics Society (BGS), Bundled Approaches, Care Bundle Approach, Care of Frail Older People With Complex Needs, Care Seven Days a Week, Care Transitions, Care Transitions of Older People, Clinical Engagement, Communication During Handovers, Complex Discharge, Complex Needs, Comprehensive Geriatric Assessment (CGA), Consultant Led Ward Rounds, Continuous Improvement, Continuous Learning, Continuous Monitoring, Culture of Assumed Trust and Professionalism, Culture: Constantly Challenging Preconceptions That Patients Need to be in Hospital, David Bennett: Chief Executive of Monitor, Day-of-Surgery Admission, Delirium Superimposed on Dementia, Dementia Care in the Acute District General Hospital, Dementia Care in the Acute Hospital, Dementia Friendly Acute Hospitals, Dementia in the Acute Hospital, Devolved Decision-Making, Discharge, Discharge Coordination, Discharge Coordinators, Discharge Planning, Discharge Seven Days a Week, Discharge Support, Early Discharge Support, Emergency Care Intensive Support Team, End-of-Life Care in Acute Hospitals, Enhanced Recovery, Enhanced Recovery (ER) Pathways, Enhanced Recovery Care Pathways, Enhanced Recovery Programmes (ERPs), Frail Older People With Complex Needs, Frailty Units, Frailty Units and Services, Greater Manchester Commissioning Support Unit, Handover, Handover Records, Healthcare Closer to Home (Monitor), Hospital Discharge, Hospital-Acquired Infections, Identification of Patients At Risk of Complex Discharge on Admission, Immobility, Impact of Delirium on Length of Stay, Impact of Dementia on Length of Stay, Improving Patient Flow, Improving Productivity in Elective Care: Operational Opportunities, Information Systems, Inpatient Palliative Care, Integrated Care for Older People With Complex Needs, Integrated Care Pathways, Integrated Discharge Process, Integrated Out-of-Hospital Care, Lean Enterprise Academy, Length of Stay, Length of Stay (LoS), Managing Transitions, Mayo Audit Tool: Northumbria Healthcare NHS Foundation Trust, MDTs: Multidisciplinary Teams, Medical Care Assessment Protocol (MCAP), Monitor, Moving Healthcare Closer to Home, Multidisciplinary Patient Management, Multidisciplinary Team Care, Multidisciplinary Teams, National Patient Safety Agency (NPSA), Nine Areas of Operational Improvement in Elective Care: Alignment of Routine Follow-Up Intensity to Patient Risk Profiles, Nine Areas of Operational Improvement in Elective Care: Day-of-Surgery Admission, Nine Areas of Operational Improvement in Elective Care: Optimised Theatre Scheduling and Management, Nine Areas of Operational Improvement in Elective Care: Proactive management of infections and readmissions, Nine Areas of Operational Improvement in Elective Care: Specialisation and Extended Roles in Theatre or Outpatient Procedure Teams, Nine Areas of Operational Improvement in Elective Care: Standardisation of Ward Care and Enhanced Recovery, Nine Areas of Operational Improvement in Elective Care: Stratification of Patients by Risk, Nine Areas of Operational Improvement in Elective Care: Streamlined Outpatients and Diagnostics, Nine Areas of Operational Improvement in Elective Care: Surgical Teams Informed and Supported to Use Theatres Effectively, Northumbria Healthcare NHS Foundation Trust, Nutrition and Hydration, Oak Group and Greater Manchester Commissioning Support Unit, Optimised Theatre Scheduling and Management, Out-of-Hospital Care, Out-of-Hospital Services, Palliative Care, Patient Discharge, Patient flow, Patient Flow Within Hospitals, Patient Flows, Patient Handovers, Patient Transfer to Alternative Settings, Positive and Proactive Care, Pressure Ulcers: Prevention, Priorites Within Acute Hospitals, Proactive Care Plans, Proactive Case Management, Proactive management of infections and readmissions, Proactive Patient Management, Proactive Patient Rounds, Productivity in Elective Care, Quality Improvement, Reducing Catheter Associated Urinary Tract Infections, Reducing Immobility, Rehabilitation in Acute Hospitals, Separating Elective Surgical Admissions, Seven Day Consultant Led Multidisciplinary Ward Rounds, Seven Day Services, Seven-Day Hospital Services, Seven-Day NHS Services, Seven-day Rounds and Supporting Services, Seven-Day Services in Hospital, Seven-Day Working, Shared Decision-Making, Short Stay Units for Elderly Patients, Short-Stay Observation and Assessment Units, Short-Stay Units, Single Point of Access (SPA), Smoother Patient Flows, SPA: Single Point of Access, Specialisation and Extended Roles in Theatre or Outpatient Procedure Teams, Specialist Frailty Services, Specialist Frailty Units, Staff Engagement, Standardisation of Ward Care and Enhanced Recovery, Stratification of Patients by Risk, Streamlined Outpatients and Diagnostics, Surgical Teams Informed and Supported to Use Theatres Effectively, Targeted Care, Tracking Patient Progress, Transition Planning, Transitions, Trends in Acute Activity: Trends to 2022, Trends in Emergency Admissions in England, Understanding Patient Flow in Hospitals (Nuffield Trust), Urinary Tract Infections (UTIs), Ward Rounds, Weekend Ward Rounds, Whole System Patient Flows
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The Power of Language: Weighing the Pros and Cons of the Term “Frailty” (Nursing Times / Age UK / BGS / BritainThinks)
Summary The “Frailty: Language and Perceptions” report, commissioned by Age UK and the British Geriatrics Society, indicates that use of the word “frailty” could deter older people from accessing services. Medical terminology such as “frailty” (and presumably “geriatric” too?) sometimes … Continue reading →
Posted in Acute Hospitals, Age UK, Charitable Bodies, Commissioning, Community Care, Diagnosis, End of Life 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, Patient Care Pathway, Patient Information, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, RCN, UK, Universal Interest
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Tagged Age-Friendly Environments, Ageing and Society, Ageing Population, Articulating the Concept of Frailty, Attitudes About Support to Prevent and Manage Frailty, Attitudes to Ageing, BGS, BritainThinks, British Geriatrics Society (BGS), Caroline Abrahams: Director of Age UK, Comprehensive Geriatric Assessment (CGA), Coping Mechanisms, Coping Strategies, Cultural Perceptions, Dementia Friendly Language, Dementia-Friendly Communities, Dementia-Friendly Environments, Dementia-Friendly Resources, Dementia-Friendly Terminology, Enablement, End-User Experience, Experiences, Fit for Frailty (BGS), Fit for Frailty Guidance (BGS), Frailty: Language and Perceptions, Hidden Influence and Power of Words, Independence, Information and Signposting Services, International Classification of Diseases (ICD), Interventions to Increase Patient Activation, Labelling, Language (Terminology), Long-Term Conditions (LTCs), Misperceptions, Negative Experiences of Care, Nursing Times, Participatory Decision-Making, Patient Activation, Patient and Community Empowerment, Patient and Public Voice, Patient Choice, Patient Empowerment, Patient Empowerment Movement, Patient Engagement, Patient Engagement Strategies, Patient Experience, Patient Involvement, Power of Language, Power of Words, Prescribed Disengagement, Prescribed DisengagementTM (Kate Swaffer), Pros and Cons of Frailty (Terminology), Reablement, Reducing Stigma, Resilience, Self-Care, Signposting Services and Knowledge, Signposting to Sources of Practical Help, Stigma and Discrimination, Stigma-Free Environments, Strategies for Informing Educating and Involving Patients, Support and Coping Mechanisms, Support for People with Complex Needs, Supporting Self-Care, Unmet Needs, Wellness and Resilience
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Scotland’s Updated Care of Older People in Hospital Standards (Healthcare Improvement Scotland)
Summary Revised Scottish standards concerning acute care of older people in hospital address all aspects of the patient care pathway, including initial assessment on admission, rehabilitation, care transitions and discharge planning. There are sixteen standards. Section headings comprise: Standard 1: … Continue reading →
Posted in Acute Hospitals, Commissioning, Delirium, Depression, Diagnosis, Falls, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Scotland, Standards, UK, Universal Interest
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Tagged Acute Care, Acute Hospital Care, Acute Hospitals, Age Scotland, Alzheimer Scotland, Care of Older People in Hospital Standards, Care Transitions, Care Transitions of Older People, Cognitive Capacity and Consent, Comprehensive Geriatric Assessment (CGA), Consent, Dignity, Dignity and Respect, Dignity on the Ward, Discharge Planning, Engagement and Patient Preferences., Frailty, Frailty Syndromes, Healthcare Improvement Scotland, Hospital Pharmacies, Hospital Pharmacy Services, Managing Transitions, NHS Education for Scotland, NHS Fife, NHS Forth Valley, NHS Grampian, NHS Greater Glasgow and Clyde, NHS Institute for Innovation and Improvement, NHS Lanarkshire, NHS Lothian, NHS Tayside, Older People in Acute Care, Patient Flows, Patient Preferences, Patients Charter, Personal Preferences, Pharmaceutical Care, Physical Rehabilitation, Pressure Sores, Pressure Ulcers, Pressure Ulcers: Prevention, Pressure Ulcers: Risk Assessment, Prevention and Management of Pressure Ulcers, Recognition and Diagnosis of Frailty, Recovery and Rehabilitation, Rehabilitation, Rehabilitation Care Pathways, Reshaping Care for Older People, Royal College of Nursing Scotland, Safe Staffing Levels, Scottish Government, Scottish Government’s (2011) Standards of Care for Dementia in Scotland, Scottish Patient Safety Programme, Staffing Levels, Staffing Levels and Skill Mix, Standards for Food Fluid and Nutritional Care, Standards of Care for Dementia in Scotland, Understanding and Improving Transitions of Older People: User and Care Centred Approach, University of Edinburgh, University of Glasgow, Ward Staffing Levels, Whittle Review Group
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Fit for Frailty Guidance: Part 1 and Part 2 (BGS)
Summary The British Geriatrics Society (BGS) has issued guidance on the care of frail older people in community and outpatient settings. Their “Fit for Frailty” guidance emerged from workshop meetings in June 2014. Part 1 supplies advice in the form … Continue reading →
Posted in Age UK, Charitable Bodies, Commissioning, Community Care, Delirium, Falls, 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, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Academic Unit of Elderly Care and Rehabilitation: University of Leeds, Adult Social Services, Assessment of Capacity, BGS, British Geriatrics Society, British Geriatrics Society (BGS), Care and Support Plans (CSP), Causes and Prevention of Frailty, Causes and Prevention of Frailty: Deficit Model, Causes and Prevention of Frailty: Phenotype Model, Clinical Frailty Scale (CFS), Commissioners of Services, Common Problems of Frailty, Complications Screening Program (CSP), Comprehensive Geriatric Assessment (CGA), Cumulative Deficit Model, Dementia Long-Term Services, Fit for Frailty Guidance (BGS), Fit for Frailty Project, Frail Older People, Frailty, Frailty Services, Frailty Syndromes, General Practitioners, Geriatricians, GP Assessment, Groningen Frailty Indicator Questionnaire, Health Service Managers, Holistic Medical Reviews, Holistic Medical Reviews by GPs, Identifying People Living With Frailty, Immobility, Incontinence, John Young: Academic Unit of Elderly Care and Rehabilitation at University of Leeds, John Young: NHS England, Long-Term Care and Support, Long-Term Conditions (LTCs), Medication Reviews, Multiple Medications (Polypharmacy), National Voices, Older People’s Mental Health Teams, People Living With Frailty, PRISMA 7 Questionnaire, Professor John Young, Professor John Young: Former National Clinical Director for Integration and Frail Elderly at NHS England, RCGP, Recognition and Diagnosis of Frailty, Reshaping Care for Older People, Rockwood Clinical Frailty Scale (CFS), Royal College of General Practitioners, Royal College of General Practitioners (RCGP), Self-Reported Health, Social Service Managers, Social Services, Susceptibility to Side-Effects of Medication, Timed Up and Go Test (TUGT Measures), Walking Speed (Gait Speed)
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Commission on Hospital Care for Frail Older People (HSJ / Serco / NHS Confederation)
Summary The Commission on Hospital Care for Frail Older People reviewed probably the main question facing the NHS, namely how to care for the country’s increasing number of frail older people. The commission’s conclusion is that hospital providers and commissioners … 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), Housing, In the News, Integrated Care, King's Fund, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS Confederation, Person-Centred Care, Quick Insights, Royal College of Physicians, Standards, Statistics, UK, Universal Interest
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Tagged 2015 Challenge Manifesto, 2015 Challenge: NHS Confederation, Acute Frailty Clinical Network, Acute Medical Care for Frail Older People, Age Discrimination, Age-Based Discrimination in Health and Care Services, Alternatives to Hospital Admission, Andy Cowper: HSJ and Commission on Hospital Care for Frail Older People, Avoidable Acute Hospital Admission in Older People, Barker Commission, Benefits of Integrated Care, Better Care Fund (BCF), Better Care Fund (BCF) Planning, Beyond Institutional Boundaries, British Geriatrics Society (BGS), Care Closer to Home, Care Closer to Home Project, Care in the Community, Care Transitions of Older People, Cause of Concern (Health Foundation and Nuffield Trust Report), Challenges of Reconfiguration, Commission on Hospital Care for Frail Older People and City University London, Community Health Services, Compassion in Practice, Comprehensive Geriatric Assessment (CGA), Continuity of Care for Older People, Cross-Boundary Care Pathway Redesign, Dame Julie Moore: Chief Executive of University Hospitals Birmingham Foundation Trust, Dame Julie Moore:Chair of Commission on Hospital Care for Frail Older People, Delivering Dignity, Department of Health National Clinical Audits, Essex County Council, Evaluating Integrated and Community-Based Care, Extension of Hospital Services Into the Community, Five Year Forward View (NHS England), Foundation Trust Network’s Driving Improvements in A&E Services, Future Hospital Commission, Harm Free Care Campaign, Health Care Quality for an Active Later Life, Health Foundation’s Unblocking A Hospital in Gridlock, Health Service Journal (HSJ), Hospital Reconfiguration, Hospital–Community Interface, Hospital’s Public Health Role, HSJ, Improving Patient Flow, Integrated and Community-Based Care, Integrated Care and Support, Integrated Care Services, Integrated Commissioning, Integrated Community Services for Older People, Integrated Out-of-Hospital Care, Integrated Personal Commissioning (IPC), Integration of Health and Social Care, Jenny Ritchie-Campbell: Commission on Hospital Care for Frail Older People and Macmillan’s Director of Cancer Services and Innovation, John Appleby: King’s Fund, John Myatt: Serco (Healthcare) and Commission on Hospital Care for Frail Older People, Julienne Meyer: Commission on Hospital Care for Frail Older People and City University London, King’s Fund Barker Commission, King’s Fund: Specialists in Out-Of-Hospital Settings, Long-Term Conditions (LTCs), Magical Thinking (Disparaging Put-Down of Wishful Thinking on Care Integration or WSD Silver Bullets), Magical Thinking and Messiah Concepts, Making Best Use of The Better Care Fund, Making Our Care and Health Systems Fit for An Ageing Population, Managing Risk in Older Inpatient Hospitals, National Audit of Intermediate Care Report 2014, National Clinical Audits, National Confidential Enquiry into Patient Outcomes and Deaths, NHS Confederation’s 2015 Challenge, NHS Service Reconfiguration, NHS Sustianable Development Unit, Older People and Emergency Bed Use, Older People’s Advocacy Alliance, Out of Hours Services, Partnership Working, Patients’ Association CARE Campaign, Preventative Care, Primary / Secondary Care Interface, Priorites Within Acute Hospitals, Professor David Oliver: Commission on Hospital Care for Frail Older People, Redesigning Care Pathways, Redesigning Services, Rehabilitation Services, Royal College of Physicians (RCP), Self-Care, Serco, Service Redesign, Shape Of Training Review, Silver Book, Specialists in Out-Of-Hospital Settings, Stigma and Discrimination, Tough Times Tough Choices, Transforming Urgent and Emergency Care Services, Understanding and Improving Transitions of Older People: User and Care Centred Approach, Whole System Demonstrator (WSD), Whole Systems Approach, Whole Systems Design, Whole Systems Redesign, Workforce and Skill Mix
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