Tag Archives: Culture Change in Health and Care

First Government Strategy on Tackling Loneliness (BBC News / HM Govt)

Posted on October 17, 2018 by Dementia and Elderly Care News

Summary The first cross-government strategy to tackle loneliness recommends more emphasis on social prescribing, whereby – by 2023 – GPs in England will be able to refer lonely patients to community activities, voluntary services and other community infrastructure services; such … Continue reading →

Posted in BBC News, Carers UK, Charitable Bodies, Commissioning, Community Care, Department of Health and Social Care (DHSC), For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, UK, Universal Interest | Tagged Ageing Population, Alex Smith: Cares Family, Art Groups, Art Spaces, BBC Health News, British Red Cross, Care of Older People, Care of Older People Living at Home, Cares Family (Charity), Caroline Dinenage MP: Minister of State for Care, Caroline Dinenage: Care Minister, Chronic Care, Chronic Conditions, Chronic Diseases, Civil Service, Co-operative Group (Co-op), Community and Voluntary Sector, Community Cafes, Community Infrastructure: Empowering Social Connections, Community Referrals, Community Spaces, Community Volunteering, Community Workers, Community Working, Connected Communities, Connected Society: Strategy for Tackling Loneliness (2018), Cookery Classes, Culture Change, Culture Change in Health and Care, Culture Supportive of Connected Communities, Dance Lessons for Loneliness and Social Isolation, Department for Business Energy and Industrial Strategy (BEIS), Department for Digital Culture Media and Sport, Department for Education, Department for Transport, Economic Sustainability, Employers, Experiences of Loneliness, Flexible and Inclusive Volunteering, Former Prime Minster: Rt Hon Theresa May MP, Government Strategy on Tackling Loneliness (2018), Health and Care of Older People, Health and Social Care Delivery Models, Health and Social Care Integration, Health and Social Care Services, Health Volunteering, HM Government, Influence of Social Connections on Disease Morbidity and Mortality, Information and Signposting Services, Involvement in Social Relationships, Jo Cox Commission on Loneliness, Jo Cox Foundation, Jo Cox Loneliness Commission, Leadership for Culture Change, Liverpool, Local Community Services, Loneliness Policy Test (Embedded in Government's Social Planning), Margot James: Minister for Digital and Creative Industries, Ministry for Housing Community and Local Government, National Grid, New Malden, NHS Sustainability, Office for Civil Society, Organisations Supporting and Enabling Social Relationships, Parks and Gardens, Postal Delivery Workers Checking on Isolated People, Public Sector Employers, Reducing Downstream Spending (Connected Society), Reducing Downstream Spending (Prevention Public Health and Self-Care), Referral and Signposting, Relationships Education Classes (Primary and Secondary Schools), Royal Mail, Royal Mail: Postal Workers Front-Line Role in Tackling Loneliness, Rt Hon Theresa May MP (Former Prime Minster), Rt Hon Tracey Crouch: MP for Chatham and Aylesford, Sainsbury's, Signposting Frameworks, Signposting to Local Community Services, Signposting to Sources of Practical Help, Social Connections, Social Prescribing, Social Prescribing: Case Studies, Social Prescribing: Removing Barriers With Other Sectors (Social Care or Community Care or Mental Health Providers), Social Relationships, Staying at Home, Staying Independent, Sustainability, Sustainable Funding, Thinking Like a Patient and Acting Like a Taxpayer, Tracey Crouch: Minister for Loneliness, Transport for London, Understanding Loneliness, Voluntary and Community Sector (VCS), Voluntary Care Services, Voluntary Sector, Volunteering, Walking Clubs, Whitby, Whole Systems Redesign | Leave a comment

Improving Care for Older People (NHS England / Age UK / PHE / Chief Fire Officer’s Association / JGCR)

Posted on October 14, 2018 by Dementia and Elderly Care News

Summary The guide to Improving Care for Older People, developed by NHS England in partnership with Age UK, Public Health England, and the Chief Fire Officer’s Association, is actually a collection of resources (some dating back several years). This collection … Continue reading →

Posted in Age UK, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Practical Advice, Public Health England, Quick Insights, UK, Universal Interest | Tagged Active Ageing, Active and Healthy Ageing, Age and Ageing, Age-Friendly Housing, Age-Related Hearing Loss (ARHL), Ageing Population, Ageing Population Carer Support, Ageing Society, Ageing Well, Ageing Well and Supporting People Living With Frailty (NHS England), Ageing Well With Technology, Amenable Mortality, Avoidable Harm, Avoidable Hospital Admissions, Avoidable Mortality, Avoidable Premature Mortality, Avoidable Rehospitalisations, Bladder Problems, Burden on Caregivers, Care for Vulnerable Older People, Care Home Admission Delay, Care in an Ageing Society, Care of Frail Older People With Complex Needs, Caregiver Assessments, Caregiver Burden, Caregivers, Caregiving (Carers), Carer Awareness, Carer Experience, Carer Fatigue, Carer Isolation, Carer Organisations, Carer Support, Carer Support Services, Carer's Needs, Carer’s Perspective, Carers Strategy, Carers Trust, Carers UK Adviceline, Carers' Assessments, Carers’ Benefits, Carers’ Health and Wellbeing, Caring and Family Finances, Caring into Later Life, Case Finding and Risk Stratification, Chief Fire Officers Association, Chief Fire Officers Association (CFOA), Chief Fire Officers Association: Ageing Safely Strategy, Cognitive Impairment, Cold Homes, Collaboration, Collaborative Commissioning, Collaborative Models of Delivery, Collaborative Working, Collaborative Working in Local Communities, Community Care Assessments, Community Response Intervention Teams, Community Risk Intervention, Community Risk Intervention Team (CRIT), Community Volunteering, Community-Based Services, Complex Needs, Consensus Statement on Improving Health and Wellbeing (2015), Consent to Share Information, Cooking Arrangements, Coping With Stress, Culture Change in Health and Care, Delivering Better Health and Care Outcomes, Dementia-Friendly Housing, Design Principles for Safe and Well Visits, Determinants of Health, Electronic Frailty Index, electronic Frailty Index (eFI), Emily Holzhausen: Director of Policy and Public Affairs at Carers UK, Falls Prevention, Falls Reduction, Falls Risk Assessment Tool (FRAT), Family Caregivers, Family Carers, Feeling Under the Weather (Campaign), Fire and Rescue Service Delivering Home Modifications, Fire and Rescue Services (FRS), Fire and Rescue Services (FRS): Health Ambassadors, Fire and Rescue Services Act (2004), Fire and Rescue Services Checks on Older People, Fire and Rescue Services Checks on People With Long Term Health Conditions, Fire as a Health Asset: Consensus, Fire Safety Check Programmes, Fires, Frail Older People, Frailty, Frailty Identification and Frailty Care, Frailty Services, Frailty Syndromes, FRS Volunteers, Geriatric Care and Research Organisation (GeriCaRe), Greater Manchester FRS Community Risk Intervention Teams (CRITs), Guide to Healthy Ageing, Happiness and Wellbeing, Health and Care of Older People, Health and Social Care Integration, Health and Wellbeing, Healthy Ageing, Healthy Ageing Conference 2018 (India), Healthy Ageing in India, Healthy Caring Guide, Healthy Feet, Hearing, Hearing Loss, Hoarding, Home Adaptations, Home Modifications, Home Safety, Home Security, Hydration and Nutrition, Identification of Frailty, Identification of Frailty (Routine Screening), Identifying People Living With Frailty, Identifying Vulnerable People, Impact of Caring on Carers, Improving Care for Frail Older People, Improving Care for Older People (NHS England), Improving General Practice, Improving Lives of Carers, Improving Quality in General Practice, Improving the Quality of Care in General Practice, Inappropriate Hospital Admissions, Independence, Independence at Home, Independent Living, Independent Living At Home, India, India (State of Odisha), Informal Caregiving, Informal Carers, Information Needs of Carers, Information Technology, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integrated Prevention Approaches, Integration of Health and Care, Integration of Health and Social Care, Journal of Geriatric Care and Research (JGCR), Keep Warm Keep Well, LGA: Local Government Association, Lifestyle Risk Factors, Links Between Mental Health and Fire Risk, Local Government Association: LGA, Local Government Authority: Beyond Fighting Fires, Local Health and Care Services, Loneliness, Loneliness and Social Isolation, Long Term Health Conditions, Long-Term Care (LTC), Long-Term Care and Support, Long-Term Conditions, Long-Term Conditions (LTCs), Maintaining Independence, Maintaining Relationships, Mental Health Needs of Carers, Mental Wellbeing, Mental Wellbeing and Older People, Mobile Technology, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary Working, Multi-Morbidity, Needs of Carers, NHS England Risk Stratification Guidance, Older Community-Dwelling Adults, Older People At Home, Older People With Complex Needs, Older People: Independence and Mental Wellbeing, Opportunities to Treat Patients Without Hospital Admission, Partnership and Collaboration, Partnership Working, Partnership(s) Between NHS and Fire Service, Pathways for Frail and Vulnerable People, Patient Targeting and Risk Stratification, People Living With Frailty, Personalised Care and Support Planning Handbook, PHE: Public Health England, Portable Heaters and Open Fires, Potentially Modifiable Socio-Environmental Risk Factors, Preparations for Winter, Preventable Hospital Admissions, Prevention, Prevention Agenda, Primary Care, Provision of Risk Appropriate Domestic Fire Detection and Warning, Public Health England (PHE), Recognising and Managing Frailty in Primary Care, Reducing Unplanned Hospitalisation, Regaining Independence, Rehospitalisations, Risk and Protective Factors for Mental Wellbeing, Risk of Nursing Home Admission, Risk Stratification, Social Media, Support for Carers, Support for People with Complex Needs, Supporting Health Wellbeing and Independence, Sustainable Caring, Targeted Screening, Targeting Resources on Vulnerable Populations, Treating Patients Without Hospital Admission, Unpaid Caregivers (Carers), Unpaid Carers, Unplanned Hospital Admissions, Unplanned Hospitalisation, Urinary Incontinence, Urinary Infections, Use of Social Media, Vaccination Programmes, Visual Impairment, Voluntary and Community Sector, Voluntary Sector, Warm Homes, Winter Friends | Leave a comment

Transformational Change in Health and Care: Learning From Case Studies (King’s Fund)

Posted on June 12, 2018 by Dementia and Elderly Care News

Summary A recent King’s Fund report explores diverse examples of successful transformational change, i.e. those which tend to focus on improving the lives of patients, to see if there are lessons for leadership style and organisational culture. Four case studies … Continue reading →

Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, King's Fund, Local Interest, Management of Condition, Mental Health, National, NHS, Person-Centred Care, Quick Insights, UK, Universal Interest | Tagged Acute Care Services, Acute Hospital A&E and Liaison Mental Health Teams, Acute Hospital A&E and Liaison Mental Health Teams: Transforming Mental Health Crisis Care (NHS England), Acute Hospital Care, Acute Medical Care for Frail Older People, Acute Medical Care of Elderly People, Ageing Population, Birmingham (UK), Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham and Solihull NHS Mental Health Trust, Bromley by Bow Centre, Bromley by Bow Health Partnership, Bromley-by-Bow Healthy Living Centre in East London, Buurtzorg Model: Netherlands, Buurtzorg Nederland, Buurtzorg: Netherlands, Capability and Culture, Challenges of Urgent and Emergency Care, Change Bystanders, Change Leaders, Change Participants, Change Recipients, Change Sparks, Change Sponsors, Collaborative Leadership, Collaborative Working, Collective Leadership, Continuous Learning and Improvement, Continuous Learning Culture, Culture and Leadership, Culture Change, Culture Change in Health and Care, Culture Change in the NHS, Defining Ethos and Brand, Don Berwick: International Visiting Fellow at the King’s Fund, Dual Focus: Change and Stability, East London, Emergency and Urgent Care Services, Emergency Attendances, Emergency Care, Emergency Care Networks, Emergency Centres, High-Quality Home Care (Buurtzorg: Netherlands), Hospital Liaison Psychiatry Services, Information Technology, Innovative Technology, Involvement and Participation, Leadership and Culture, Leadership Style, Learning Culture, Learning-Based Approaches, Liaison Psychiatry, Liaison Psychiatry in the Hospital Setting, Liaison Psychiatry Services, Long Term Care in the Netherlands, Netherlands, New Care Models, Northumbria Healthcare NHS Foundation Trust, Northumbria Specialist Emergency Care Hospital, Over-Optimism (NHS Reform Versus Institutional Inertia), Overcoming Inertia, Potential of Technology, Power Dynamics: Old Power Versus New Power, Professor Don Berwick, Quality Improvement, Quality Improvement and Transformational Change, Rapid Access Ambulatory Care Clinics, Rapid Assessment Interface and Discharge (RAID), Reconfiguration of Emergency Care System, Reducing Complexity, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Storytelling Approaches (to Research), Systems Complexity, Team-Based Approaches, Theory X Versus Theory Y (Basic Motivational Models), Transformational Change in Health and Care, Transformational Leadership, Transforming Urgent and Emergency Care Services, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Widening Participation, Work Complexity | Leave a comment

Technological Support for People Living With Dementia / Their Carers (SCIE)

Posted on August 9, 2017 by Dementia and Elderly Care News

Summary The Social Care Institute for Excellence (SCIE) has produced a collection of web pages which explore the potential of new technology to support people living with dementia, and their families / carers. Suggested applications of information technology include access … Continue reading →

Posted in Assistive Technology, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Models of Dementia Care, National, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, SCIE, Telecare, Telehealth, UK, Universal Interest | Tagged Acoustic Listening Devices, Ageing Population, Alive! Guided Reminiscence, BBC Archive, BBC Archives, BBC’s Reminiscence Archive: Open Source Content, Benefits of Remote Monitoring, British Library Sound Archive, Care and Communication, Care Homes, Care Research and Technology Centre: Imperial College London, CareDocs, Carer Support, CareSys, Charity Technology Exchange (CTX), Classic Cinema Online, Cognitive Stimulation, Cognitively Stimulating Activities, Communication and Information, Communication Skills, Communication Tools, Communication-Friendly Communities, Control and Independence, Creativity, Creativity and Technology, Culture Change in Health and Care, Data Sharing, Digital Awareness, Digital Capability, Digital Exemplars, Digital Health, Digital Innovation, Digital Innovations in Health, Digital Service Transformation, Digital Services for Patients, Digital Skills, Digital Skills of Elderly Patients, Digital Skills Training, Digital Technology, Digital Technology and Innovation, Digitised Locking Systems, Efficiencies and Productivity Gains, Efficiency and Effectiveness, Efficiency Opportunities, Efficiency Savings, Future NHS Digital Landscape, Future Social Care Digital Landscape, Games Consoles, Games on Touchscreen Tablets, Get Safe Online, Group Reminiscence Arts Sessions, Health and Care of Older People, Health and Care Technology, Health Apps, Health Information Technology, Healthy Dementia Home (Professor David Sharp), Healthy Dementia Homes (UK Dementia Research Institute at Imperial College London), Helping Persons With Dementia to Communicate, iCareHealth, Independence at Home, Independence in Older Adults, Informal Communication Networks, Information and Intelligence, Information and Support for Patients and Carers, Information Exchange, Information Needs of Patients, Information Pathways, Information Revolution, Information Sharing, Information Technology, Information Technology Connectivity: Social Economic and Environmental Determinant (SEED) of Health, Integrated Digital Care: An Information Revolution, Integrated Health and Care Records, Integration of Health and Care, Intellectual Stimulation, Internet Phone Services, Internet Radio, Introducing Unfamiliar New technology: Technology Supporting People Living With Dementia and Their Carers (SCIE), Investment in Information Technology, Ipad Technology, IT4Communities, Keeping In-Touch: Technology Supporting People Living With Dementia and Their Carers (SCIE), Life Stories, Life Story, Life Story Work in Dementia Care, Local Health and Care Services, Maintaining Independence, Maintaining Independence: Technology Supporting People Living With Dementia and Their Carers (SCIE), Media Trust, Mentally Stimulating Activity in Old Age, Mobile Technology, Mobile Technology in Care Homes: Technology Supporting People Living With Dementia and Their Carers (SCIE), Monitoring Patients Remotely, New Technology, New Technology: Skills, Nourish Care, Nursing Homes, Optimising Benefits of Digital Technology, Optimising Patient Outcomes Using Digital Technology, Optimising Use of Digital Technology, Patient Autonomy, Patient Engagement, Patient Involvement, Patient Participation, Person Centered Software, Personalised Carer Support, Professor David Sharp: UK Dementia Research Institute at Imperial College London, Radio, Recording and Maintaining a Life Story: Technology Supporting People Living With Dementia and Their Carers (SCIE), Regular Physical Activity, RemArc: Reminiscence Archive, Reminiscence, Reminiscence Archive (BBC), Reminiscence Arts, Reminiscence Arts in Dementia, Reminiscence Services, Remote Care Monitoring, Remote Health Monitoring, Remote Support, Sekoia Care, Self-Actualisation:, Significant Arts (Reminiscence), Significant Dates (Reminiscence), Significant Events (Reminiscence), Significant Images (Reminiscence), Significant Music (Reminiscence), Significant Others (Reminiscence), Significant Persons (Reminiscence), Significant Places (Reminiscence), Silver Surfers, Skype, Smart Home Adaptations, Smart Home Smart Speakers, Smart Homes, Smartphone and Tablet Apps, Smartphone apps, Social Care Institute for Excellence (SCIE), South East Health Technologies Alliance (SEHTA)’s Technology and Innovations in Care Homes, Staying Independent: Technology Supporting People Living With Dementia and Their Carers (SCIE), Support for Creativity and Self-Actualisation: Technology Supporting People Living With Dementia and Their Carers (SCIE), Supporting Patient Choice, Tablet Computers, Technology and Innovations in Care Homes: South East Health Technologies Alliance (SEHTA), Technology for Entertainment: Technology Supporting People Living With Dementia and Their Carers (SCIE), Technology in Care Homes, Technology Integrated Health Management (TIHM), Technology Supporting People Living With Dementia and Their Carers (SCIE), Telehealth (Remote Monitoring), TeleTracking, TIHM (Technology Integrated Health Management) for Dementia, Transformational Technologies, Transformative Technology, Transforming Participation in Health and Care, Use of New Technology to Inform Stimulate and Engage: Technology Supporting People Living With Dementia and Their Carers (SCIE), User-Centered Design, Voice Controlled Smart Speakers, Voice Over IP (VOIP), YouTube | Leave a comment

People With Dementia Living Alone in the Community (Journal of Alzheimer’s Disease)

Posted on February 18, 2017 by Dementia and Elderly Care News

Summary Research, based on experiences and outcomes concerning people with dementia living alone (with and without help from an informal caregiver) in Germany, indicates that it is possible – provided adequate support services are available – to survive without significant … Continue reading →

Posted in Commissioning, Community Care, Depression, Falls Prevention, For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, Management of Condition, Models of Dementia Care, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Statistics, Universal Interest | Tagged Bayer Activities of Daily Living Scale (B-ADL), Challenges of Living with Dementia, Community-Based Care, Community-Based Interventions, Community-Based Services, Community-Based Support, Community-Dwelling Older Adults, Community-Dwelling Older People with Dementia, Control and Independence, Culture Change in Health and Care, Dementia Care Management (DCM), DemTect, Department of Psychiatry and Psychotherapy: University Medicine Greifswald, Dignified Independent Living With Care, Evaluating Integrated and Community-Based Care, German Center for Neurodegenerative Diseases (DZNE), Germany, Health and Care of Older People, Help With Medication, Home Care, Home Support for People Living With Dementia, Home-Delivered Meals, Housekeeping Assistance, Improving Outcomes for People Living With Dementia, Improving the Quality of Life for People With Dementia, Independence, Independence and Wellbeing, Independence at Home, Independence in Older Adults, Independent Living, Informal Care, Informal Caregiving, Informal Carers, Institute for Community Medicine: University Medicine Greifswald, Integrated and Community-Based Care, Integration of Health and Care, International Comparisons, Journal of Alzheimer's Disease, Living Independently At Home, Living Well with Dementia, Living Well With Dementia: German Statistics, Living with Dementia, Living With Neurological Conditions, Maintaining Independence, Measures of Living Arrangements and Informal Care, People With Dementia Living Alone, Quality of Life-AD (QoL-AD), Screening For Dementia in GP Practices, Staying Independent, Support For Living Independently At Home, Sustainable Health and Care Services, Transforming Participation in Health and Care, University Medicine Greifswald, Unmet Needs of Community-Dwelling Primary Care Patients With Dementia in Germany, Utilization of Health and Nursing Care Services, What Works Resource Pack: Involving People Living with Dementia | Leave a comment

Guidance on Raising Concerns (RCN / BBC News)

Posted on January 18, 2017 by Dementia and Elderly Care News

Summary The Royal College of Nursing (RCN) has issued guidance to support nurses concerning raising concerns, wherever they work i.e. whether in the NHS or in private / independent sector. Section headings cover: Raising Concerns Raising concerns or whistle blowing? … Continue reading →

Posted in For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), National, Northern Ireland, Person-Centred Care, Practical Advice, Quick Insights, RCN, Scotland, Standards, UK, Universal Interest, Wales | Tagged BBC Health News, BBC Shropshire News, Confidentiality, Culture Change, Culture Change in Health and Care, Culture Change in the NHS, Culture Free From Bullying, Culture of Raising Concerns, Culture of Reflective Practice, Culture of Safety, Culture of Valuing Staff, Fear of Being Labelled Troublemaker, Fear of Raising Concerns About Care, Freedom to Speak Up Guardians, NHS Whistleblowing Policy, NNC Code of Conduct, Nursing and Midwifery Council (NMC) Code of Conduct, Open and Honest Incident Reporting, Open Culture, Openness, Patient Safety, Putting Patients First, Putting Things Right, Quality Improvement, Raising and Reporting Concerns, Raising Concerns, Raising Concerns (Whistleblowing) NHS Policy, Raising Concerns About Dignity and Comfort of Patients, Raising Concerns About Safety, Raising Concerns About Staffing, Raising Concerns Policy, Raising Concerns: Step-By-Step Guide, Raising Standards, RCN Guidance on Raising Concerns, RCN Raising Concerns Policy, Reflective Practice, Repercussions From the Francis Inquiry Report, Royal College of Nursing (RCN), Shrewsbury and Telford Hospital NHS Trust, Stages in Raising Concerns, Whistleblowing, Whistleblowing Guidance, Whistleblowing in the Independent Sector, Whistleblowing in the NHS | Leave a comment

National Advisory Group on Health Information Technology in England: New Wachter Report (Department of Health / BBC News)

Posted on September 10, 2016 by Dementia and Elderly Care News

Summary The National Advisory Group on Health Information Technology in England, chaired by US clinician / digital expert Professor Robert Wachter, has produced a report on achieving “digital excellence” in the NHS. New / extended digital services for patients have … Continue reading →

Tag Archives: Culture Change in Health and Care

Guidance on Raising Concerns (RCN / BBC News)

Recent Posts

Archives

Categories

Google Translate (100+ Languages)

Recommended Sites