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Recent Posts
- Dementia-Friendly Communities Provision, Viewed as a Social Determinant of Health (JGCR / NHS England / WHO)
- International Perspectives on the Possible Impact of the COVID-19 Pandemic and Lockdown on Abuse of the Elderly (JGCR / American Journal of Geriatric Psychiatry / JAGS)
- Updates Relating to the Lancet Commission on Dementia Prevention, Intervention, and Care (Lancet / Alzheimer’s Research and Therapy / Alzheimer’s and Dementia)
- 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 / BGS)
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Tag Archives: Delayed Transfers of Care (DETOCs)
Annual Care Quality Commission State of Care Report (BBC News / CQC / Healthwatch)
Summary The Care Quality Commission (CQC) recently released the annual State of Care review. It concludes that most care provided across England is of good quality and improving. Community care services need to be improved. Innovations in new approaches to care should be … Continue reading →
Posted in Acute Hospitals, Age UK, 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, Integrated Care, Local Interest, Management of Condition, Mental Health, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest
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Tagged Accelerating Innovation, Access to Health and Social Care Support, Access to Specialised Services (Including CAMHS and Secure Services), Accessible Information Standard, Accessible Information Standard (NHS England), Acute Hospital Care, Acute Hospitals, Adult Safeguarding, Adult Social Care, Adult Social Care Funding, Adult Social Care Provision (CQC), Adult Social Care Services, Adult Social Care Vacancy Rates, Adult Social Care: Overall and Key Question Ratings, Alzheimer’s Society’s Dementia Connect Tool, Barriers to Innovation, BBC Health News, Bed Occupancy Rates, British Red Cross, Cambridge University Hospitals NHS Foundation Trust (CUHFT), CAMHS Services, Cancelled Elective Operations, Caremark: PatchCare® Model, Child and Adolescent Mental Health Services (CAMHS), Choice Support, Co-op, Community Connectors, Community Hub Operating Centres (CHOCs), Coventry and Warwickshire Partnership NHS Trust, CQC Challenge to Health and Adult Social Care System, CQC Inspection Questions (Safe Effective Caring Responsive Well-Led), CQC Inspections of GP Surgeries, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Dementia Connect Service, Deprivation of Liberty Safeguards (DoLS), Dimensions of Health and Well-being Tool, Dr Nick Scriven: Society of Acute Medicine, East Lancashire Hospitals NHS Trust, Farnham Integrated Care Service, Frimley Health and Care, Funding and Commissioning Challenges, Geographical Variations, GP Practices: Overall and Key Question Ratings, Greater Manchester Health and Care Partnership, Health and Social Care Integration, Health and Social Care Providers, Health and Social Care Services, Healthwatch England, Healthwatch England's SpeakUp2020 Campaign, Ian Trenholm: Chief Executive of Care Quality Commission (CQC), Improvements Following Re-inspection, Improving Patient Safety, Innovation, Innovation and Improvement, Innovation and Technology, Integration and Innovation (Proposed), Intensive Home Support Service (IHSS), Joined-Up Care, Joint Commissioning, Leadership, Learning Disability and Autism, Learning Disability Hospitals, Learning Disability Services, Local Community Assets, Local System Reviews, Medvivo, Mental Health Beds: Local Availability, Mental Health Services, Midlands Partnership Foundation Trust, Multispecialty Community Providers (MCPs) - Vanguard Site: Encompass, NHS Acute Hospitals: Overall Core Service and Key Question Ratings, NHS Mental Health Trusts in England, NHS Mental Health Trusts: Overall Core Service and Key Question Ratings, Partnership Working, Patient Safety, Patients Waiting More Than Four Hours For Hospital Beds (Trolley Waits), Positive Behaviour Support (PBS), Primary Medical Services, Quality and Sustainability, Quality Improvement, Royal Stoke Hospital, Safe (CQC Inspection Question), Safeguarding, Safeguarding Adults at Risk, Safeguarding Vulnerable Adults, Social Care Practitioner (SCP) in Emergency Department (St Mary’s Hospital / Isle of Wight Council), Social Care Workforce, SpeakUp2020 Campaign (Healthwatch England), Staff Shortages, Staffing, State of Care 2018/19 (CQC), State of Care 2018/19 Report, State of Care 2018/9. Care Quality Commission (CQC): 2019, State of Care in England 2018/19, State of Care Report, Stoke-on-Trent, Surrey Heartlands Health and Care Partnership, Sustainability, Unacceptable Variations, Urgent and Emergency Care (UEC), Variations in Quality of Care, Well-Led (CQC Inspection Question), Well-Led Indicators (CQC), Whitstable Medical Practice - Encompass (MCP Vanguard), Workforce Challenges, Workforce Race Equality Standard (WRES)
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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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The Care Desert Phenomenon (BBC News / Incisive Health / Age UK)
Summary An exploration of the reported “care deserts” concept. An Incisive Health report, commissioned by Age UK, points to areas of the UK where older people are unable to access residential care and / or home care, regardless of their … Continue reading →
Posted in Age UK, BBC News, Charitable Bodies, 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, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Access to Social Care, Adult Social Care, Adult Social Care Funding, Adult Social Care in England, Adult Social Care Services, Ageing Population, BBC Health News, Biennial Survey of Carers, Care Deserts, Care Funding, Care Home BEDS, Care Home Beds With Nursing, Competition and Markets Authority (CMA), Continuing Healthcare, Cost Pressures on Social Care Providers, Delayed Discharges, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Delayed Transfers of Care (DTOC), Demographics, Domiciliary Care, Domiciliary Care Agencies, Domiciliary Care Providers, Domiciliary Care Workforce, Dysfunctional Market in Adult Social Care Provision, Dysfunctional Patient Flow, Elderly People With Complex Health and Social Care Needs, Fragility of Adult Social Care Provider Market, Guildford, Health and Social Care, Health and Social Care Configuration, Health and Social Care in the Community, Health and Social Care Integration, Health and Social Care Providers, Health and Social Care Services, High Dependency, Home Care, Home Care Needs of Older Population in England, Home Care Sector, Hull, Incisive Health, Incisive Health on Care Deserts, Inequalities in Access to Care, Inequalities in Access to Care: Impact on Informal Carers, Informal Caregiving, Informal Carers, Integration of Health and Social Care for Older People, Late-Life, Leicester, Local Government Association: LGA, NHS Continuing Healthcare, NHS Outcomes (From Care Deserts), Norfolk, Paying for Care Home and Domiciliary Care, Proportion of Self-Funders in Residential Care, Residential Care, Social Care Outcomes, Social Care Services, Social Care Workforce, Social Care Workforce Crisis, Sustainability, Sustainable Care, Sustainable Funding, Sustainable Health and Care Services, Sustainable Local Funding, Totnes, Unacceptable Variations, Unpaid Caregivers (Carers), Unpaid Carers, Unwarranted Variations, Variation in Performance, Variations in Quality of Care, Variations in Service, Variations in Spending, Vulnerable Older People, Whole System Patient Flows, Workforce Capacity, Workforce Issues, Workforce Shortages in Adult Social Care, Workforce Shortages in Home Care
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Recent Report on the State of Care (CQC / DHSC / BBC News / NHS England / SCIE)
Summary The Care Quality Commission (CQC) recently released their annual State of Care report, which examines the performance and effectiveness of health and social care in England, on every front. It appears that patients’ experiences of care tend to depend on how well the components … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, 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, Management of Condition, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, SCIE, Standards, Statistics, UK, Universal Interest
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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, Adult Social Care Workforce, Air Ambulances, Allied Healthcare, Ambulance Services, Asset-Based Approaches, Asset-Based Approaches to Health and Wellbeing, Autumn Budget (2018), Barriers to Joined-Up Care, BBC Health News, BBC Politics News, BBC Reality Check Team, Bed Occupancy, Beyond Alternative Approaches to Performance Management, Beyond Barriers Report: Alternative Approaches to Performance Management, Beyond Barriers Report: Local System Reviews, Beyond Barriers: Birmingham, Beyond Barriers: Bracknell Forest, Beyond Barriers: Bradford, Beyond Barriers: Coventry, Beyond Barriers: CQC Report (2018), Beyond Barriers: Cumbria, Beyond Barriers: East Sussex, Beyond Barriers: Halton and. Hampshire, Beyond Barriers: Hartlepool, Beyond Barriers: Liverpool, Beyond Barriers: Manchester, Beyond Barriers: Northamptonshire, Beyond Barriers: Oxfordshire, Beyond Barriers: Plymouth, Beyond Barriers: Sheffield, Beyond Barriers: Stockport, Beyond Barriers: Stoke-on-Trent, Beyond Barriers: Trafford, Beyond Barriers: Wiltshire, Beyond Barriers: York, Budget 2018: Key Points At-a-Glance, Care Quality Commission (CQC), Caring (CQC Inspection Question), Case Tracking, Chancellor Philip Hammond, Collaborative Working, Community Assets, Community Health Services, Comprehensive Model of Personalised Care, 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), Digital Interoperability, East London NHS Foundation Trust, Effective (CQC Inspection Question), End to Silo Working, Everett McKinley Dirksen (Quotation: Apocryphal?), Extended Access to Primary Care, Future of Care Report: Number 8 (SCIE), General Practice Workforce, Geographical Variations, GP Cooperatives and Out-of-Hours Services, GP Out-of-Hours Services, GP Practices, High Impact Change Model, High Impact Change Model (HICM), Hospital Bed Capacity, Hospital Beds, Improved Better Care Fund (iBCF), Improvements Following Re-inspection, Improving Patient Safety, Incentivising Better Joint Working, Independent Ambulance Services, Inspection of GP Out-of-Hours Services, Inspection of GP Practices, Institutional Silos, Joined-Up Care, Joint Commissioning, Joint Workforce Planning, Leadership, Local Community Assets, Local System Reviews, Local Systems Reviews Report (CQC), Local Variations, Mental Health Crisis Care, Mental Health Crisis Centres in Every Accident and Emergency Unit, Mental Health Crisis Hotline, Mental Health Services, Multi-Disciplinary Working, New Settlement for Health and Social Care, NHS Budget, NHS Community Health Services, NHS Hospital Bed Numbers, NHS Mental Health Services, NHS Sustainability, Number of Nursing Home Beds, Nursing Home Beds, Older People: Moving Between Health and Social Care Services, Paradigm Shift: From Service Silos to Systems Outcomes, Patient Safety, Prevention Green Paper, Primary Medical Services, Quality and Sustainability, Quality Improvement, Reablement, Recruitment and Retention, Responsive (CQC Inspection Question), Responsiveness, Risk Sharing: Sharing Risks and Rewards Between Health and Social Care Organisations, Safe (CQC Inspection Question), Safeguarding, Safeguarding Adults at Risk, Safeguarding Vulnerable Adults, Silo Working, Single Point of Access (SPA), Social Care Green Paper, Social Care Institute for Excellence (SCIE), Social Care Workforce, Staff Shortages, Staffing, State of Care 2017/18 (CQC), State of Care 2017/18 Report, State of Care 2017/8. Care Quality Commission (CQC): 2018, State of Care Report, State of Health Care and Adult Social Care in England 2017/18, Step Down, Sustainability, Training and Competency, Transforming Care and Support: Future of Care Report (SCIE), UK Homecare Association (UKHCA), UKHCA: UK Homecare Association, Unacceptable Variations, Urgent and Emergency Care (UEC), Variations in Quality of Care, Well-Led (CQC Inspection Question), Well-Led Indicators (CQC), Workforce Challenges, Workforce Issues
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Improving Patient Care by Reducing Length of Hospital Stay (NHS Improvement / NHS England)
Summary The NHS, with the cooperation of local authorities, plans to reduce unnecessarily long stays in hospital for patients by a quarter. The aim is to free-up over 4,000 beds in readiness for anticipated Winter pressures on hospitals. Currently, around … 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), Integrated Care, Management of Condition, Models of Dementia Care, National, NHS, NHS England, NHS Improvement, Non-Pharmacological Treatments, Person-Centred Care, Practical Advice, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged 6As for Managing Emergency Admissions, Ambulatory Emergency Care, Ambulatory Emergency Care (AEC), Ambulatory Emergency Care (Improving Patient Flow in Urgent and Emergency Care), Better Use of Care at Home, Breaking the Cycle SAFER Patient Flow Bundle, Care Closer to Home, Clinical Criteria for Discharge, Clinical Criteria for Discharge (CCD), Criteria Led Discharge, Criteria-Led Discharge (CLD), Daily Transfers of Care (DTOC), 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 Planning, Discharge Support, Discharge to Assess (D2A) Model, Emergency Day Care, Emergency Medicine and Urgent Care, 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, Health and Social Care Multiagency Peer Reviews, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Ian Dalton: Chief Executive of NHS Improvement, Improving Hospital Discharge Into Care Sector, Improving Patient Care, Integrated Care Pathway for Frailty, Integrated Multi-Agency Care, Length of Stay (LoS), Local Multiagency Dementia Partnerships, Long-Stay Patient Reviews, Long-Stay Patients, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary and Multi-Agency Working, Multiagency Discharge Event (MADE), Multiagency Teams, New Front Door to Urgent and Emergency Care Services, NHS Confederation Conference (2018), Patient Administration System (PAS), 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, Plan Do Study and Act (PDSA), Pyjama Paralysis, Quality Improvement, Rachel Power: Chief Executive of Patients Association, Red2Green Days, Reducing Hospital Length of Stay, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Length of Hospital Stay, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Reducing Waste in Dementia Care, Reducing Waste in the NHS, SAFER Patient Flow Bundle, SAFER Patient Flow Bundle and Red2Green Days (Improving Patient Flow in Urgent and Emergency Care), Sally Copley: Director of Policy and Campaigns at Alzheimer’s Society, Supporting Patients’ Choices To Avoid Long Hospital Stays, Tameside General Hospital, Weekend Discharge Rates, Why Not Home: Why Not Today (reducingdtoc.com)
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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)
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 →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, Department of Health, 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, National, National Voices, NHS, NHS Confederation, NHS Digital (Previously NHS Choices), NHS Employers, NHS England, NHS Improvement, Quick Insights, Statistics, UK, Universal Interest
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Tagged Ageing Population, Ashley Hodges: Executive Director of Speakers for Schools, Barker Commission, Bed Days Occupied by Delayed Transfers of Care, Boris Johnson, Capacity Pressures in the Health and Social Care System, Chris Hopson: Chief Executive of NHS Providers, Chronic Disease and Frailty, Commissioning For Value and RightCare, Coordinated Health and Social Care, Daily Telegraph, DCLG: Department for Communities and Local Government, Delayed Transfers of Care (DETOCs), Department for Housing Communities and Local Government (Formerly DCLG), Department of Communities and Local Government (DCLG), Department of Health and Social Care (Formerly the Department of Health), Dilnot Commission Recommendations, Dilnot Commission Report on Funding of Care and Support, Former Health Secretary Jeremy Hunt, Funding of Care and Support (Dilnot Commission), Getting It Right First Time (GIRFT), Health and Social Care Reform, Health Finance Managers Association (HFMA), History of the NHS in England (NHS Choices' Potted Summary), Integration, Integration of Health and Social Care, Jeremy Hunt: Former Secretary of State for Health and Social Care, Joined-Up Care, Joined-Up Strategy to Improve Whole System Flow, Katy Hampshire: Inspiring the Future, Knowing Your NHS, Knowing Your NHS (Lesson Plan for Secondary Schools), Long-Term Care (LTC), Long-Term Care and Support, National Audit Office (NAO), National Audit Office Report (HC 719), New Settlement for Health and Social Care, NHS 70 (NHS 70th Birthday), NHS 70 Celebration Partner: Academic Health Science Networks, NHS 70 Celebration Partner: Academy of Medical Royal Colleges, NHS 70 Celebration Partner: Association of NHS Charities, NHS 70 Celebration Partner: British Medical Association, NHS 70 Celebration Partner: Department of Health, NHS 70 Celebration Partner: Health and Wellbeing Alliance, NHS 70 Celebration Partner: Health Education England, NHS 70 Celebration Partner: Health Service Executive (NHS in Ireland), NHS 70 Celebration Partner: Healthwatch England, NHS 70 Celebration Partner: Local Government Association, NHS 70 Celebration Partner: National Institute for Health Research, NHS 70 Celebration Partner: National Voices, NHS 70 Celebration Partner: NHS Blood and Transplant, NHS 70 Celebration Partner: NHS Clinical Commissioners, NHS 70 Celebration Partner: NHS Confederation, NHS 70 Celebration Partner: NHS Digital, NHS 70 Celebration Partner: NHS Employers, NHS 70 Celebration Partner: NHS Leadership Academy, NHS 70 Celebration Partner: NHS Providers, NHS 70 Celebration Partner: NHS Scotland, NHS 70 Celebration Partner: NHS Wales, NHS 70 Celebration Partner: Patients Association, NHS 70 Celebration Partner: Public Health England, NHS 70 Celebration Partner: Royal College of Midwives, NHS 70 Celebration Partner: Royal College of Nursing, NHS 70 Celebration Partner: Unison, NHS 70 Celebration Partner: Unite, NHS 70 Celebration Partners, NHS 70 Celebrations, NHS 70 Partners, NHS 70: Objectives and Narrative, NHS 70th Birthday, NHS Constitution, NHS Efficiency Challenge, NHS Efficiency Map, NHS Efficiency Map: Chronic Disease and Frailty, NHS Efficiency Map: Commissioning For Value and RightCare, NHS Efficiency Map: Enablers for Efficiency, NHS Efficiency Map: Improving Arrangements For Enhanced Nursing Care, NHS Efficiency Map: Managing Cost Improvement Programmes, NHS Efficiency Map: Prevention and Self-Care, NHS Efficiency Map: Provider Efficiency, NHS Efficiency Map: System Efficiency, NHS Efficiency Map: Theatre Management, NHS Efficiency Map: Turning Around Procurement Function, NHS Efficiency Map: Urgent and Emergency Care, NHS Efficiency Savings, NHS Finance, NHS Five Year Forward View, NHS Statistics Facts and Figures (NHS Confederation Summary), NHS Sustainability, NHS Winter Crisis, NHS Winter Pressures (aka Winter Crisis 2017-2018), NHS’s 70th Birthday, Partnership and Collaboration, Partnership Working, Patient Safety, Paying for Long-Term Care, Population Winter Pressures, Prevention and Self Care, Prioritisation, Productivity Improvements, Productivity in the NHS, Proportion of Public Spending on Health, Quality and Sustainability, Rationing, Re-Branding Department of Health (January 2018 Cabinet Re-Shuffle), Reducing Waste in the NHS, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health and Social Care, Self-Care, Self-Management, Spending on Front-Line Healthcare Versus Social Care, Spending Review 2015, Study of Science Technology Engineering and Maths (STEM) Subjects subjects, Sustainability, Sustainability and Transformation in the NHS (NAO 2018), Thinking Like a Patient and Acting Like a Taxpayer, Transparency Culture and the NHS Constitution, Tredegar Workmen’s Medical Aid Society, Urgent and Emergency Care, Using Services Wisely, Value of Volunteering, Voluntary Sector, Voluntary Sector Provision, Voluntary Sector Strategic Partnerships, Volunteering
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Helping Hospital Patients Stay Active and a Winter Framework For Speedier Discharge (NHS England / BMJ / BJN / NIHR Signal / JAN)
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, NHS Improvement, NICE Guidelines, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Physiotherapy, Quick Insights, Standards, UK, Universal Interest
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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), ActNow: an e-Learning Tool (e-LfH), Acute Care, Acute Hospitals, Adults With Social Care Needs, Ageing Population, Assessment Before Discharge, Australian Institute for Musculoskeletal Science (AIMSS): University of Melbourne, Barriers and Challenges in Discharge Planning, BBC Radio 4, BBC Radio 4's Inside Health Programme, Birmingham Council, Birmingham Cross City Birmingham South Central and Solihull (Proposed Transforming Care Partnership), Birmingham Cross City CCG, BMJ Publishing Group Ltd, British Journal of Nursing, 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, Colombia, Colombia Department of Science Technology and Innovation (COLCIENCIAS), Community Health Services Ease Winter Pressures on Hospitals, Criteria Led Discharge, Daily Transfers of Care (DTOC), Deconditioning, Deconditioning in Hospital, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Department of Rehabilitation Medicine: Nepean Hospital, 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, e-Learning for Health (e-LfH), e-Learning for Health (e-LfH) Hub (HEE), Early Mobilisation, Early Mobilisation in Hospitals, Early Patient Mobilisation, Eat Drink Move, End Pyjama (PJ) Paralysis, Excessive Bed Rest (Patient Harm), Frailty Care on Surgical Ward: Lavenham Ward at Ipswich Hospital, Frailty Care on Surgical Wards, 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), Fundación Cardioinfantil - Instituto de Cardiología (Bogotá Colombia), Get Up and Dressed, Get Up For Breakfast, Harms of Bed Rest, Hawkesbury District Health Service - St John of God Health Care (New South Wales), Health Care of Older People (HCOP) Specialty: Nottingham University NHS Trust, Hospital Discharge, Hospital-Associated Deconditioning, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Hospital-Related Deconditioning, Hospital-Related Deconditioning: Cognitive, Hospital-Related Deconditioning: Physical, Hospital-Related Deconditioning: Psychological, Hospital-Related Deconditioning: Social, Implementation of Care Home Digital Tools, In-Hospital Mobilisation, 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, Ipswich Hospital NHS Trust, Ipswich Hospital User Group (IHUG), Jane Cummings: Chair of the Transforming Care Delivery Board, Jane Cummings: Chief Nursing Officer for England, Journal of Advanced Nursing, Journal of Geriatric Physical Therapy, Last 1000 Days, Lavenham Ward Reablement Project (Ipswich Hospital), Lavenham Ward: Ipswich Hospital NHS Trust, 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, Musculoskeletal Ageing Research Program: Sydney Medical School Nepean, National Institute for Health and Care Excellence (NICE), National Institute for Health Research (NIHR) Signal, Nepean Hospital (New South Wales), Newcastle upon Tyne NHS Foundation Trust, NHS East of England 100 Day 100000 Patient Days Campaign, NHS South Warwickshire CCG, NIHR Signal, Nottingham University Hospitals NHS Trust, Nursing Department of Clínica FOSCAL (Bucaramanga Colombia), Nursing Department of Clínica: Palermo-Congregación de las Hermanas de la Caridad Dominicas de la Presentación de la Santísima Virgen, 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), Palermo-Congregación de las Hermanas de la Caridad Dominicas de la Presentación de la Santísima Virgen (Bogotá Colombia), 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, Pyjama Paralysis on Hospital Wards, Re-ablement Services, Reablement, Reablement Guidance, 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, Research Department and Nursing Department: Fundación Cardioinfantil - Instituto de Cardiología (Bogotá), SAFER Patient Flow Bundle, South Warwickshire Foundation Trust: Castle Brook Transitional Unit, South Warwickshire NHS Foundation Trust, South Warwickshire NHS Foundation Trust (SWFT), South Warwickshire NHS Foundation Trust: Wasps Team, Stranded Patient Metric, Surgical Wards: Frailty Care, Sustainability and Transformation Partnerships, Sustainability and Transformation Plans (STPs), Sydney Medical School Nepean: University of Sydney, 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, University of Melbourne, University of Sydney, Warwick Hospital, Western Health (Australia), Where Best Next Campaign (NHS England August 2019), Where Best Next? Campaign (NHS England), 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
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The Latest CQC State of Care Report (BBC News / CQC / File on Four)
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
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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)
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Getting the Dementia Care Pathway Right (NHS RightCare / NHS England)
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 →
Posted in Commissioning, Community Care, Diagnosis, 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, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Accountable Care Systems (ACSs), Accountable Care Systems (ACSs): Berkshire West (Reading Newbury and Wokingham), Accountable Care Systems (ACSs): Blackpool and Fylde Coast (Lancashire and South Cumbria Later), Accountable Care Systems (ACSs): Buckinghamshire, Accountable Care Systems (ACSs): Dorset, Accountable Care Systems (ACSs): Frimley Health (Slough Surrey Heath and Aldershot), Accountable Care Systems (ACSs): Luton (Milton Keynes and Bedfordshire), Accountable Care Systems (ACSs): Nottinghamshire (Greater Nottingham and Rushcliffe), Accountable Care Systems (ACSs): South Yorkshire and Bassetlaw (Barnsley Bassetlew Doncaster Rotherham and Sheffield), Accountable Care Systems (ACSs): West North and East Cumbria Plus Northumberland, Adult Social Care in England, Adult Social Care Services, Ageing Population, Avoidable Harm, Avoiding Unplanned Admissions Enhanced Service (ES), Care Closer to Home, Care in the Community, Community Care, Community-Based Care, Community-Based Care for People With Dementia, Community-Based Services, Community-Based Support, Coordinated Health and Social Care, Costs and Cost Pressures, Delayed Discharges, Delayed Transfers of Care (DETOCs), Dementia Advisor Services, Dementia Advisors, Dementia Care Pathways, Financial Constraints, Financial Context, Financial Difficulties, Financial Pressures, Five Year Forward View - Next Steps: Accountable Care Systems, Getting the Dementia Pathway Right: Tom and Barbara’s Story (NHS RightCare), Health and Social Care, Health and Social Care Configuration, Health and Social Care in the Community, Health and Social Care Integration, Health and Social Care Providers, Health and Social Care Services, Hospital Discharge Delays, Improvement Opportunities in Local Commissioning, Inappropriate Acute Care, Integrated and Community-Based Care, Integrated Local Commissioning, Integration of Health and Social Care for Older People, Interdependencies, Moving Healthcare Closer to Home, NHS Right Care, NHS Right Care Approach, NHS RightCare, NHS RightCare and Commissioning for Value, Optimal Versus Sub-Optimal Dementia Care Pathways, Sub-Optimal Pathways: No Prevention, Sub-Optimal Pathways: Pillar to Post, Sub-Optimal Pathways: Preventable Harm, Sub-Optimal Pathways: Too Late, Sustainability, Sustainable Care, Sustainable Funding, Sustainable Health and Care Services, Typical Dementia Care Pathway, Unplanned Admissions Enhanced Service
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King’s Fund Videos Explaining How Social Care Works and is Funded (King’s Fund / NHS England)
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 →
Posted in Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), Integrated Care, King's Fund, Management of Condition, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Information, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest
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Tagged Accountable Care Systems, Accountable Care Systems (ACSs), Accountable Care Systems (ACSs): Berkshire West (Reading Newbury and Wokingham), Accountable Care Systems (ACSs): Blackpool and Fylde Coast (Lancashire and South Cumbria Later), Accountable Care Systems (ACSs): Buckinghamshire, Accountable Care Systems (ACSs): Dorset, Accountable Care Systems (ACSs): Frimley Health (Slough Surrey Heath and Aldershot), Accountable Care Systems (ACSs): Luton (Milton Keynes and Bedfordshire), Accountable Care Systems (ACSs): Nottinghamshire (Greater Nottingham and Rushcliffe), Accountable Care Systems (ACSs): South Yorkshire and Bassetlaw (Barnsley Bassetlew Doncaster Rotherham and Sheffield), Accountable Care Systems (ACSs): West North and East Cumbria Plus Northumberland, Adult Social Care in England, Adult Social Care Services, Ageing Population, Community Care, Coordinated Health and Social Care, Costs and Cost Pressures, Delayed Discharges, Delayed Transfers of Care (DETOCs), Financial Constraints, Financial Context, Financial Difficulties, Financial Pressures, Five Year Forward View - Next Steps: Accountable Care Systems, Health and Social Care, Health and Social Care Configuration, Health and Social Care in the Community, Health and Social Care Integration, Health and Social Care Providers, Health and Social Care Services, Hospital Discharge Delays, Integration of Health and Social Care for Older People, Interdependencies, King’s Fund Barker Commission, Self-Funders Subsidising the Social Care System, Social Care, Social Care Expenditure, Social Care Funding, Social Care Funding Gap, Social Care Funding Shortfalls, Sustainability, Sustainable Care, Sustainable Funding, Sustainable Health and Care Services, What’s Wrong With Social Care in England
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