Tag Archives: Delayed Transfers of Care

Where Best Next Campaign: Reducing Length of Hospital Stay (NHS England)

Posted on August 19, 2019 by Dementia and Elderly Care News

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), 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 | Tagged 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, 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, 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 | Leave a comment

Statistical Process Control Applied to Delayed Transfers of Care (NHS Improvement)

Posted on June 22, 2019 by Dementia and Elderly Care News

Summary Delayed transfers of care (DToC) are widely recognised to be a significant cause of unnecessary harm to patients, and potentially avoidable financial costs to the taxpayer. NHS Improvement’s “Delayed transfer of care (DToC) improvement tool” incorporates the latest data from … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, National, NHS, NHS Improvement, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Acute Hospital Care, Adult Social Care, Adult Social Care Services, Ageing Population, Areas With the Highest Delayed Transfers of Care, Care for Vulnerable Older People, Clinical Commissioning Groups (CCGs), Cross-Sector Partnerships, Dashboards, Delayed Transfer of Care (DToC) Improvement Tool (NHS Improvement), Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Discharge From Acute and Mental Health Trusts, DToCs Dashboard, Efficiency Opportunities, English Local Authorities, Geographical Variations, Health and Adult Social Care Providers, Health and Social Care, Health and Social Care Integration, Hospital Discharge, Hospital Discharge and Transfers, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integration of Health and Social Care, Local Authorities (LAs), Local Health Services: Variations, NHS Improvement's Delayed Transfers of Care Improvement Tool, Patient Discharge, Patient Flows, Pivot Table Slicers (Excel Tool), Post-Discharge Support, QI: Quality Improvement, Quality and Efficiency Opportunities, Quality Improvement, Quality Improvement Approaches, Reducing Bed Days, Reducing Waste in the NHS, Regional Variations, Social Care Delays (Impact on Hospital Bed-Days and LoS), Social Care Providers, Statistical Process Control, Statistical Process Control (SPC) Principles, Statistical Process Control Methodology, Sustainability, Sustainable Health and Social Care, Thinking Like a Patient and Acting Like a Taxpayer, Transition Between Inpatient Hospital Settings and Community or Care Home Settings, Unacceptable Variations, Unwarranted Variations, Variation in Performance, Vulnerable Older People, Wasted Resources, Whole System Dashboards, Whole System Patient Flows | Leave a comment

The Care Desert Phenomenon (BBC News / Incisive Health / Age UK)

Posted on May 17, 2019 by Dementia and Elderly Care News

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 →

Social Care 360: Comprehensive Review of Social Care Trends (King’s Fund / BBC News / Centre for Policy Studies)

Posted on April 30, 2019 by Dementia and Elderly Care News

Summary The King’s Fund has reviewed and consolidated trustworthy data (openly available, published at least annually, comprehensive or based on representative samples, and obtained from a reliable sources) to analyse twenty key trends in adult social care in England. This review … Continue reading →

Posted in 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), Housing, In the News, Integrated Care, King's Fund, Management of Condition, National, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Ageing Population, Annual Care Supplement (Centre for Policy Studies Proposal), BBC Health News, Capacity Pressures in the Health and Social Care System, Care and Support Reform, Care in an Ageing Society, Centre for Policy Studies, Continuing Healthcare, Coordinated Health and Social Care, CPS: Centre for Policy Studies, Deferred Disappointment (Speculative Construct Relating to Ponzi-Style Schemes), Delayed Transfers of Care, Dementia Tax, Department of Health and Social Care Green Paper on Care and Support for Older People, Dilnot Commission Recommendations, Dilnot Commission Report on Funding of Care and Support, Direct Payments, Families and Carers, Fixing the Care Crisis: Centre for Policy Studies (2019), Four Seasons Health Care, Four Seasons Health Care Homes, Funding of Care and Support (Dilnot Commission), Health and Care of Older People, Health and Care Suitable for an Ageing Population, Health and Social Care Reform, Honesty and Transparency, House of Commons Library: International Social Care System Comparisons (Supplied for Centre for Policy Studies), Hypothecated Tax for Social Care, Integration of Health and Care, Integration of Health and Social Care, International Social Care System Comparisons Supplied to Centre for Policy Studies by House of Commons Library, Long-Term Care (LTC), Long-Term Care and Support, Means Tested Social Care, NHS Continuing Healthcare, Personal Budgets for Older People, Personal Budgets in Adult Social Care, Shared Responsibility, Social Care 360 (Social Care 360 Degree), Social Care 360: Access, Social Care 360: Expenditure, Social Care 360: Integration, Social Care 360: King’s Fund, Social Care 360: Providers, Social Care 360: Quality, Social Care 360: Workforce and Carers, Sustainability, Sustainable Funding, Taxation, Tipping Point in Sustainability of Adult Social Care (Alleged), Trends in Attributed Causes of Delayed Transfers of Care: Awaiting Nursing Home Placement or Availability, Universal Care Entitlement (Centre for Policy Studies Proposal), Wealth Taxation | Leave a comment

More on the NHS Long Term Plan (DHSC / NHS England / BBC News / NAO / King’s Fund)

Posted on January 9, 2019 by Dementia and Elderly Care News

Summary The NHS Long Term Plan was released earlier this week. The plan is backed by the commitment of an extra £20.5 billion funding for the NHS per year. “The 10-year plan includes measures to prevent 150,000 heart attacks, strokes … Continue reading →

Recent Report on the State of Care (CQC / DHSC / BBC News / NHS England / SCIE)

Posted on October 30, 2018 by Dementia and Elderly Care News

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 | 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 | Leave a comment

Preparations for Winter Pressures: Funding Announced (DHSC / BBC News)

Posted on October 7, 2018 by Dementia and Elderly Care News

Summary The Department of Health and Social Care has announced £240 million extra funding, aimed at providing local authorities the assistance required to reduce anticipated Winter pressures in the NHS. It is hoped that reducing delayed transfers of care / … Continue reading →

Posted in Acute Hospitals, BBC News, 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, Management of Condition, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Universal Interest | Tagged Access to Primary Care, Adult Social Care, Adult Social Care Relative Needs Formulae, Ageing Population, BBC Health News, Crisis Planning, Delayed Discharges, Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Demand and Capacity, Demand Management, Demand Versus Capacity Gaps, East Kent Hospitals University NHS Foundation Trust, Emergency Medicine, Emergency Medicine and Urgent Care, Emergency Planning and Resilience, Extended Access to Primary Care, Health and Social Care, Health and Social Care Integration, Hear and Treat and See and Treat Services (Reducing A&E Attendances), Home Adaptations, Home Care, Hospital Beds, Housing Adaptations, Lancashire Teaching Hospitals NHS Foundation Trust, Long Hospital Stays, Make Ready Hubs at Ambulance Trust Headquarters, Matt Hancock: Secretary of State for Health and Social Care, New Allocation Formulae for Funding Care Act Reforms, NHS Ambulance Trusts, NHS Sustainability, NHS Tracker Service (BBC's NHS Winter Project), NHS Tracker Service (BBC), NHS Winter Project (BBC News NHS Tracker Service), Personal Social Services Research Unit: University of Kent, Quality and Sustainability, Reablement, Reablement Funding, Reablement Services, Reablement Services for People Leaving Hospital, Relative Needs Allocation Formulae for Adult Social Care, Relative Needs Formulae for Adult Social Care Funding, Relative Needs Formulae for Adult Social Care Funding (Study to Review and Update RNF Allocation Formulae for Adult Social Care), Relative Needs Formulae: Prioritising Adult Social Care Funding, Revision of the Relative Needs Formulae for Adult Social Care Funding and New Allocation Formulae for Funding Care Act Reforms (PSSRU: University of Kent), Royal Stoke University Hospital (Previously City General), Same-Day Emergency Care, Social Care Delays (Impact on Hospital Bed-Days and LoS), Social Care Reablement Services, Stephen Barclay MP: Minister of State for Health, Sustainability, Sustainable Health and Social Care, Thinking Like a Patient and Acting Like a Taxpayer, University Hospital of North Midlands, University of Kent: Personal Social Services Research Unit, Urgent and Emergency Care, Urgent and Emergency Services, Urgent and Emergency Services: 2018-9 Winter Preparedness, Winter Preparedness, Winter Pressures | Leave a comment

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