Tag Archives: Delayed Transfers of Care

Improving Patient Care by Reducing Length of Hospital Stay (NHS Improvement / NHS England)

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

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 →

NHS Operational Productivity: GIRFT Meets Mental Health and Community Health Services (Lord Carter / DHSC)

Posted on June 3, 2018 by Dementia and Elderly Care News

Summary Lord Carter’s latest report in the NHS Operational Productivity series shifts the attention to unwarranted variations in mental health and community health services. Potential savings of around £1 billion in efficiencies could be made by 2020/21, allegedly, if the … 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

National Audit of Intermediate Care 2017 (NAIC)

Posted on November 30, 2017 by Dementia and Elderly Care News

Summary The National Audit of Intermediate Care (NAIC)’s latest annual report attempts to provide comprehensive data on intermediate care services. It supplies a refreshed audit of intermediate care services delivering care and support to “older people living with complex conditions; … Continue reading →

Posted in Charitable Bodies, 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, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Physiotherapy, Quick Insights, RCN, Royal College of Physicians, Standards, Statistics, UK, Universal Interest | Tagged Accessibility of Intermediate Care, Ageing Population, AGILE, AGILE: Professional Network of the Chartered Society of Physiotherapy, Alternatives to Hospital Admission, Alternatives to Hospital Care, Association of Directors of Adult Social Services (ADASS), Bed Based Intermediate Care, Bed Based Intermediate Care Services: Workforce, Bed Based Services, Bed Occupancy, Bed-Based Intermediate Care Services, Bed/Home and Step Up/Down Provision, Benchmarking, BGS, British Geriatrics Society, British Geriatrics Society (BGS), Care Integration, Challenging Behaviour, Challenging Behaviour in Dementia, Claire Holditch: Programme Director of NHS Benchmarking Network, Cognitive Impairment, College of Occupational Therapists, College of Occupational Therapists Specialist Section for Older People (COTSS-OP), Community Care Services, Community Hospitals, Community-Based Interventions, Community-Based Rehabilitation Services, Community-Based Services, Community-Based Support, COTSS-OP: College of Occupational Therapists Specialist Section for Older People, Crisis Home Treatment, Crisis Resolution and Home Treatment Team (CRHT), Crisis Response, Crisis Response Services, Crisis Support, David Bramley: Deputy Head and Programme Lead for Long-Term Conditions Older People and End of Life Care Team Medical Directorate at NHS England, Dawne Garrett: Older People and Dementia Care at Royal College of Nursing, Delayed Discharges, Delayed Transfers of Care, Demand for Intermediate Care, Demographics and Processes, Dependency Levels, Destination on Discharge, Discharge Destination, Discharge of Hospital Patients With Care and Support Needs, Discharge Planning, Dr Dawn Moody: Associate National Clinical Director for Older People (NHS England), Dr Martin Vernon: National Clinical Director for Older People and Integrated Care, Elderly Rehabilitation Services, Finance, Getting It Right First Time (GIRFT), Home Based Intermediate Care, Home Based Services, Hospital Discharge, Integrated and Community-Based Care, Integration, Intermediate Care, Intermediate Care Beds, Intermediate Care Capacity, Intermediate Care Geriatrician, Intermediate Care Teams, Intermediate Care: Commissioner Spend, Iola Shaw: Long Term Conditions Older People and EOLC Medical Directorate at NHS England, Later Life, Length of Stay, Length of Stay (LoS), Local Strategic Planning, Mental Health Provision in Intermediate Care Services, Modified Barthel Index (MBI), Multi-Agency Integration, Multi-Disciplinary Team (MDT), NAIC 2017, NAIC Steering Group, National Audit of Intermediate Care, National Audit of Intermediate Care (2017), National Audit of Intermediate Care: NAIC 2017, NHS Benchmarking, NHS Benchmarking Network, NHS RightCare, Occupational Therapists, Older People’s Specialists’ Forum, Partnership Working, Patient Flows, Patient Reported Experience Measure (PREM), RCP: Royal College of Physicians, Re-ablement Services, Re-admission Avoidance Scheme (RAS), Reablement, Reablement Services, Readmissions for Patients with Long Term Conditions, Recovery Rehabilitation and Reablement Services, Reference Costs, Referrals, Rehabilitation Services, Royal College of Nursing (RCN), Royal College of Physicians (RCP), Royal College of Speech and Language Therapists (RCSLT), Services Maximising Independence, Services Reducing Use of Hospitals, Skills / Disciplines Mix, Staffing Levels, Staffing Levels and Skill Mix, Step Down, Step Up, Strategic Planning, Strategic Planning and Commissioning, Sunderland Community Scheme, Therapy Outcome Measure (TOMS), Trans-Disciplinary Roles, Variation in Commissioning, Vulnerable Adults, Whole System Impact, Whole System Patient Flows, Workforce | Leave a comment

An Innovative Approach Hospital Overcrowding / Inadequate Bed Availability, Worthy of More Serious Consideration? (BBC News / CareRooms)

Posted on October 28, 2017 by Dementia and Elderly Care News

Summary The narrative about various inter-related crises in health and social care typically concerns the problem of excess demand for, and limited supply of, places in the community providing support for persons needing to be discharged from hospitals. Commentators commonly … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Housing, In the News, Integrated Care, Management of Condition, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest | Tagged Acute Hospital Care, Adult Social Care, Adult Social Care Services, Ageing Population, Airbnb Beds Plan (Proposed), Alternative Residential Care Settings, Alternatives to Hospital Care, Barriers and Challenges in Discharge Planning, Barriers in Access to Transformative Care in the Community: Dominance of Residential Care Homes Paradigm, Barriers to Innovation, Barriers to Innovation: Dominance of Mainstream Preconceptions, Barriers to Innovation: Dominance of Vested Interests, Barriers to Innovation: Vested Interests in Opposition to New Market Entries, Barriers to Joined-Up Care, Barriers to Support, Barriers: Lack of Continuity of Care, BBC Essex, BBC Health News, Bed Availability and Occupancy, Bed Days, Bed Shortages, Bed-Blockers, Bed-Blocking Patients (Non-Recommended Term), Care Closer to Home, Care for Vulnerable Older People, Care Home Admission Delay, Care of Older People, CareRooms, Cross-Sector Partnerships, Delayed Discharges, Delayed Discharges Higher in Mental Health Trusts, Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Demand and Capacity, Disruptive Innovation, Dr Harry Thirkettle: CareRooms, Economic Sustainability, Efficiency Opportunities, Fewer Older People Receiving Help with Social Care, Financial Incentives Across Local Health and Social Care Systems (Proposals), Financial Sustainability in the NHS, Fragility of Adult Social Care Provider Market, Funding Deficits, Funding for Front-Line Healthcare Versus Social Care, Future of Residential Care, Health and Adult Social Care Providers, Health and Care of Older People, Health and Care Suitable for an Ageing Population, Health and Social Care, Health and Social Care in the Community, Health and Social Care Integration, Health Demand, Hospital Beds, Hospital Overcrowding, Inadequate Bed Availability, Innovation for an Ageing Population, Innovative Disruption (To a Failing Market), Loneliness and Isolation, Loss of Mobility During Long Hospital Stays, Market Failure, Market Failure in Social Care, NHS Airbnb-Style Scheme, NHS Sustainability, Operations Cancelled Due to Bed Shortages, Overcoming Barriers, Patient Discharge, Patient Flows, Patient Handover Delays, Patient Safety, Philip Dunne: Minister of State for Health, Physical Therapy, Physiotherapists, Physiotherapy, Poor Identification of People’s Capacity For Involvement in Their Care Planning and Management (Barriers to Involvement), Post-Discharge Support, Preventing Loneliness, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Proportionality in Safeguarding, Quality and Sustainability, Reablement, Reablement Services, Reducing Bed Days, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Over-Reliance on Social Care, Reducing Pressure on Primary Care, Reducing Waste in the NHS, Safeguarding, Safeguarding Adults at Risk, Social Isolation and Loneliness, Southend University Hospital NHS Foundation Trust, Sustainability, Sustainable Health and Social Care, Thinking Like a Patient and Acting Like a Taxpayer, Tom Abell: Deputy Chief Executive at Southend University Hospital NHS Foundation Trust, Under-Utilisation of Housing Stock, Vested Interests, Vulnerable Older People, Wasted Resources, Whole System Patient Flows | 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

Quality Improvement in Urgent and Emergency Care (NHS Improvement / NHS England / Department of Health)

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

Summary An earlier BBC News description of the problem: Full Text Link Reference Cawley, L. (2017). Four-hour accident and emergency waits rise 300% at some hospitals. London: BBC Health News, March 16th 2017. Further context and introductory analysis: Full Text … Continue reading →

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