Tag Archives: Delayed Transfers of Care (DETOCs)

Preparations for the NHS’s 70th Birthday Year: Happy Watershed Moment? (NHS England / Department of Health and Social Care / BBC News / King’s Fund / HFMA)

Posted on January 13, 2018 by Dementia and Elderly Care News

Summary In preparation for the NHS’s 70th Birthday on July 5th 2018, NHS England has started work, with numerous partner organisations, on plans for celebrating the NHS’s past achievements and ongoing aims / philosophy. Full Text Link Reference About NHS … Continue reading →

Helping Hospital Patients Stay Active and a Winter Framework For Speedier Discharge (NHS England / BMJ)

Posted on December 29, 2017 by Dementia and Elderly Care News

Summary Jane Cummings, the Chief Nursing Officer for NHS England has written about a Winter Framework designed to reduce delayed discharges by maximising the use of care homes across each Sustainability and Transformation Partnership (STP). Therapy-led units, too, will be … 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), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Physiotherapy, Quick Insights, Standards, UK, Universal Interest | Tagged 2018 Chief Nursing Officer Summit, 70-Day National Challenge: End Pyjama (PJ) Paralysis, Accountable Care Organisations, Accountable Care Organisations (ACOs), Accountable Care Systems, Accountable Care Systems (ACSs), Acute Care, Acute Hospitals, Adults With Social Care Needs, Ageing Population, Assessment Before Discharge, Barriers and Challenges in Discharge Planning, Birmingham Council, Birmingham Cross City Birmingham South Central and Solihull (Proposed Transforming Care Partnership), Birmingham Cross City CCG, BMJ Publishing Group Ltd, British Medical Journal (BMJ), Care Home Digital Tools, Care Homes and Therapy-Led Units for Patients Medically Fit for Discharge, Care Transitions, Care Transitions Involving Adults With Social Care Needs, Care Transitions of Older People, Chief Nursing Officer's Summit (2018), CNO Summit (2018), Collaboration, Collaborative Care, Collaborative Care Planning, Community Health Services Ease Winter Pressures on Hospitals, Criteria Led Discharge, Daily Transfers of Care (DTOC), Deconditioning, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Destination on Discharge, Discharge, Discharge at a Reasonable Time, Discharge Coordination, Discharge Coordinators, Discharge From General Inpatient Hospital Settings, Discharge Into the Care Sector, Discharge Planning, Discharge Support, Discharge to Assess (D2A) Model, Eat Drink Move, End Pyjama (PJ) Paralysis, Framework for Maximising Use of Care Homes for Patients Medically Fit for Discharge, Framework for Maximising Use of Therapy-Led Units for Patients Medically Fit for Discharge, Framework to Support Winter Pressures (2017-18), Health Care of Older People (HCOP) Specialty: Nottingham University NHS Trust, Hospital Discharge, Implementation of Care Home Digital Tools, In-Reach Teams, Initiatives to Decrease DTOCs, Integrated Discharge Process, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Integration of Primary Secondary and Community Care, Jane Cummings: Chair of the Transforming Care Delivery Board, Jane Cummings: Chief Nursing Officer for England, Last 1000 Days, Length of Stay (LoS), Local Monitoring to Identify Care Homes at Risk of Closure, Local Sustainability and Transformation Plans (STPs), Local UEC Delivery Boards, Managing Transitions, MDTs: Multidisciplinary Teams, Medically Fit for Discharge Ward (MFFD), Mobility Bundle, NHS East of England 100 Day 100000 Patient Days Campaign, NHS Improvement, NHS South Warwickshire CCG, Nottingham University Hospitals NHS Trust, Operating Model for Therapy-Led Units (TLUs), Operational Models to Optimise Care of Patients Who are Medically Fit for Discharge (MFFD), Oxford Institute of Nursing Midwifery and Allied Health Research (OxINMAHR), Patient Deconditioning Effect Related to Hospital Bed Rest (aka Pyjama Paralysis / PJ Paralysis), Patient Discharge, Patient Flows, PJ Paralysis, Post-Discharge Support, Proactive Specialist In-Reach, Professor Brian Dolan: Founder of Time-Valuing Movements, Professor Brian Dolan: Oxford Institute of Nursing Midwifery and Allied Health Research (OxINMAHR), Pyjama Paralysis, Re-ablement Services, Reablement, Reablement Services, Real Time System Surveillance, Real Time System Surveillance Enabling Technology, Real Time System Surveillance Tools, Recovery Rehabilitation and Reablement (RRR), Recovery Rehabilitation and Reablement Services, Red2Green, Reducing Bed Days, Reducing Delayed Transfers of Care, Reducing Early Hospital Readmissions, Reducing Waste in the NHS, SAFER Patient Flow Bundle, South Warwickshire Foundation Trust: Castle Brook Transitional Unit, South Warwickshire NHS Foundation Trust (SWFT), Stranded Patient Metric, Sustainability and Transformation Partnerships, Sustainability and Transformation Plans (STPs), The Last 1000 Days: Poem / Video by Molly Case - Commissioned by Professor Jane Cummings, Therapy-Led Units, Therapy-Led Units for Patients Medically Fit for Discharge, Time-Valuing Movements: #endPJparalysis, Time-Valuing Movements: #last1000days, TLUs: Therapy-Led Units, Transition Between Inpatient Hospital Settings and Community or Care Home Settings, Transition Planning, Transitions, Transitions Between Health and Social Care, Whole Winter Framework, Winter Framework, Winter Pressures, Winter Pressures: Role of Community Health Services, Winter Support Package (2017), Worcestershire Acute Hospitals NHS Trust (Evergreen Ward), Yeovil District Hospital: Intermediate Care in Cookson’s Court Nursing Home | Leave a comment

The Latest CQC State of Care Report (BBC News / CQC / File on Four)

Posted on October 11, 2017 by Dementia and Elderly Care News

Summary The Care Quality Commission (CQC) annual State of Care report assesses the overall status of health and social care in England. The head of the CQC has alleged that parts of the NHS and social care may soon be … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, CQC: Care Quality Commission, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Local Interest, Management of Condition, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Acute Hospital Care, Acute Hospitals, Adult Safeguarding, Adult Social Care, Adult Social Care Provision (CQC), Adult Social Care Services, Adult Social Care Staff Vacancy Rates, Ambulance Services, Barriers to Joined-Up Care, BBC Health News, BBC News Hampshire and Isle of Wight, BBC Radio Four’s “File on Four” Programme, Bed Occupancy, Care Quality Commission (CQC), Caring (CQC Inspection Question), Collaborative Working, Community Health Services, CQC Challenge to Health and Adult Social Care System, CQC Inspection Questions (Safe Effective Caring Responsive Well-Led), CQC Inspections of GP Surgeries, CQC Review of NHS Radiology Services (Planned), Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Dementia Care in the Acute Hospital, Deprivation of Liberty Safeguards (DoLS), East London NHS Foundation Trust, Effective (CQC Inspection Question), Embedding Equality, File on Four (BBC Radio 4), Geographical Variations, GP Cooperatives and Out-of-Hours Services, GP Out-of-Hours Services, GP Practices, Hospital Bed Capacity, Hospital Beds, Improvements Following Re-inspection, Improving Patient Safety, Independent Ambulance Services, Inspection of GP Out-of-Hours Services, Inspection of GP Practices, Joined-Up Care, Leadership, Local Variations, London Ambulance Service NHS Trust, Lung Cancer: False Negatives, Medicines Optimisation, Mental Health Care, Misdiagnosis of Chest X-Rays, Missed Lung Cancer, Multi-Disciplinary Working, NHS Community Health Services, NHS Future Precarious (CQC Allegation), NHS Hospital Bed Numbers, NHS Mental Health Services, NHS Radiology Services, NHS Sustainability, Northamptonshire Healthcare NHS Foundation Trust, Number of Nursing Home Beds, Nursing Home Beds, Patient Safety, Portsmouth Hospitals NHS Trust, Primary Medical Services, Quality and Sustainability, Quality Improvement, Queen Alexandra Hospital, Queen Alexandra Hospital (Portsmouth), Responsive (CQC Inspection Question), Responsiveness, Safe (CQC Inspection Question), Safeguarding, Safeguarding Adults at Risk, Safeguarding Vulnerable Adults, Staff Shortages, Staffing, State of Care 2016/17 (CQC), State of Care 2016/17 Report, State of Care Report, Sustainability, Tipping Point in Sustainability of Adult Social Care (Alleged), Training and Competency, Unacceptable Variations, Variations in Quality of Care, Well-Led (CQC Inspection Question), Well-Led Indicators (CQC) | Leave a comment

Getting the Dementia Care Pathway Right (NHS RightCare / NHS England)

Posted on June 21, 2017 by Dementia and Elderly Care News

Summary NHS RightCare has produced a scenario which throws into contrast an optimal dementia care pathway as distinct from the possibly more common “sub-optimal” pathway alternative(s). Costings for an ideal pathway are presented, compared with those for an example sub-optimal … Continue reading →

King’s Fund Videos Explaining How Social Care Works and is Funded (King’s Fund / NHS England)

Posted on May 17, 2017 by Dementia and Elderly Care News

Summary The King’s Fund has produced three videos to raise awareness of how social care operates in England. The topics covered include: What is social care? Who provides social care? How is social care paid for? Full Text Link Reference … Continue reading →

Recent Assessments of Adult Social Care in England (House of Commons Library / BBC News / Health Foundation)

Posted on March 3, 2017 by Dementia and Elderly Care News

Summary BBC News has recently run a mini-series of pieces investigating the state of social care and the inter-dependencies between performance in this sector and ongoing pressures within the NHS. Full Text Link Reference Triggle, N. (2017). 10 charts that … Continue reading →

Posted in BBC News, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, In the News, Integrated Care, Management of Condition, National, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Adult Social Care, Adult Social Care Funding, Adult Social Care Funding (England), Adult Social Care in England, Adult Social Care Services, Adult Social Care Support Grant, Ageing Population, Association of Directors of Adult Social Services (ADASS), BBC Health News, Better Care Fund, Better Care Fund (BCF), Care England, Community Care, Coordinated Health and Social Care, Costs and Cost Pressures, Council Tax, Delayed Discharges, Delayed Transfers of Care (DETOCs), Delayed Transfers of Care: NHS Performance Indicators, Discharge, Elderly People With Complex Health and Social Care Needs, Estimates of Social Care Funding Gap (Health Foundation), Financial Constraints, Financial Context, Financial Difficulties, Financial Pressures, Health and Social Care Configuration, Health and Social Care in the Community, Health and Social Care Integration, Hospital Discharge Delays, House of Commons Communities and Local Government Select Committee, House of Commons Health Select Committee (HSC), House of Commons Library, House of Commons Library Briefing Paper CBP-7903, House of Commons Library Briefing Paper CBP07903, Integration of Health and Social Care for Older People, Interdependencies, Local Government Association: LGA, Local Government Finance Settlement (2017/2018), Local Health Care Reform, March 2017 Budget: Rescue Package for Social Care, New Models of Care, New Models of Care for Health and Social Care Systems, Perceptions of Health and Social Care, Perceptions of Social Care Services Nationally and Locally, Philip Hammond, Redesigning Local Healthcare Systems, Self-Funders, Self-Funders Cross-Subsidising Everyone Else, Self-Funders Cross-Subsidising Non-Savers, Self-Funders Subsidising the Social Care System, Social Care, Social Care Expenditure, Social Care Funding, Social Care Funding Gap, Social Care Funding Shortfalls, Social Care Precept, State of Care Report, Sustainability, Sustainable Care, Sustainable Funding, Sustainable Health and Care Services, Ten Charts Show What’s Wrong With Social Care (BBC News), Tipping Point in Sustainability of Adult Social Care (Alleged), Unacceptable Variations, United Kingdom Homecare Association (UKHCA), Upward Spending Pressures, Variations in Quality of Care, Variations in Social Care in England, Variations in Social Care Quality and Spending in England, What’s Wrong With Social Care in England | Leave a comment

Patient Flow or Patient Gridlock? (Health Foundation / BBC News)

Posted on December 8, 2016 by Dementia and Elderly Care News

Summary The Health Foundation’s latest report on whole systems approaches to patient flow attempts to supply a definitive guide on this topic for local health and social care economies in the UK. It summarises the state of current knowledge about … Continue reading →

Posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, In the News, Integrated Care, Local Interest, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Adult Social Care and Wellbeing, Advancing Quality Alliance (AQuA), Advancing Quality Alliance (AQuA) Programme, Advancing Quality Alliance’s (AQuA) Integrated Care Discovering Communities, Ambulance Delays at Emergency Departments, Ambulance Delays at Hospitals, Ambulance NHS Trusts, Ambulance Patients: Long A&E Handover Delays, Ambulance Pressures - Possible Service Innovations or Stratagems: Deploying Paramedics to Manage Queues, Ambulance Pressures - Possible Service Innovations or Stratagems: Giving Call Handlers Longer to Assess Calls, Ambulance Pressures - Possible Service Innovations or Stratagems: Tackling Timewasters and Hoax Calls, Ambulance Pressures - Possible Service Innovations or Stratagems: Treating Fewer Patients as Emergencies, Ambulance Pressures - Possible Service Innovations or Stratagems: Working With Mental Health Patients, Ambulance Quality Indicators, Ambulance Response Times, Ambulance Response Times: NHS Performance Indicators, Ambulance Services, Ambulance Targets, Anyborough Diagram of Local Health and Social Care Economy Care Journeys, AQuA (NHS Organisation), Bottlenecks, Challenges of Urgent and Emergency Care, Darlington Dementia Collaborative, Delayed Transfers of Care (DETOCs), Demand and Capacity, Discharge to Assess (D2A) Model, District Health Board for Canterbury (New Zealand), Dysfunctional Patient Flow, ECIP: Emergency Care Improvement Programme, Emergency Care Improvement Programme (ECIP), Failure Demand, Flow Cost Quality, Health and Social Care, Health and Social Care Configuration, Health and Social Care Integration, Health Foundation’s Flow Cost Quality Programme, Ideal Patient Flows, Improving Patient Flow, Integrated Care Partnership (ICP) Board: Wigan Borough, Integration of Health and Social Care for Older People, Joined-Up Strategy to Improve Whole System Flow, Local Health and Care Economies, Local Health and Care Services, Local Health and Social Care Economy Care Pathways, Local Health and Social Care Economy Enablers, Local Health Economies, Managing Patient Flow, Measuring Whole System Performance, Mental Health Triage, National System Change Levers, NHS Performance, NHS Performance Indicators, Patient flow, Patient Flow Within Hospitals, Patient Flows, Patients Waiting More Than Four Hours For Hospital Beds (Trolley Waits), Performance Targets, Reducing Delayed Transfers of Care, Royal Bolton Hospital NHS Foundation Trust, Safer Faster Better: Good Practice in Delivering Urgent and Emergency Care, Scottish Government’s 2020 Vision for the NHS, Sheffield Big Room, Sheffield Microsystem Coaching Academy: Improving Flow Programme, Sheffield Patient Flow, Sherwood Forest Hospitals Foundation Trust, Sherwood Forest Hospitals NHS Foundation Trust, Smoother Patient Flows, Tackling Failure Demand in Scotland, Transforming Urgent and Emergency Care Services in England, Trolley Wait Between 4 and 12 Hours: NHS Local Performance Tracking Service (NHS Winter Project), Trolley Waits, Urgent and Emergency Care, Whole System Integration, Whole System Patient Flows, Whole System Transformation, Whole Systems Approach, Whole Systems Design, Wigan Deal: Adult Social Care and Wellbeing, Wigan Integrated Care Partnership Board, Winona Health Transformation (USA), Wrightington Wigan and Leigh NHS Foundation Trust, WWLFT: Wrightington Wigan and Leigh NHS Foundation Trust | Leave a comment

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