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Tag Archives: Discharge Destination
Dementia Care in Acute Hospitals: Comparisons Between Specialist Inpatient Dementia Units Versus Standard Ward Care (Aging Clinical and Experimental Research)
Summary A recent systematic review investigated the literature on the comparative effectiveness of Specialist Inpatient Dementia Units (SIDUs) in acute hospital settings versus that of standard ward care (SWC). Studies that scored poorly relating to possible bias were excluded from the … Continue reading →
Posted in Acute Hospitals, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Management of Condition, Models of Dementia Care, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Statistics, Systematic Reviews, UK, Universal Interest
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Tagged Academic Geriatric Medicine: University of Southampton, Acute Care, Acute Hospital Care, Acute Hospitals, Acute Medical Ward for Dementia, Aging Clinical and Experimental Research, Carer Satisfaction, Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Department of Psychological Medicine: University Hospital Southampton NHS Foundation Trust, Discharge Destination, Do Not Attempt Cardiopulmonary Resuscitation Orders (DNACPR), Do Not Attempt Resuscitation (DNAR), History Taking, Medical Research Council Lifecourse Epidemiology Unit: University Hospital Southampton NHS Foundation Trust, Medicine for Older People: University Hospital Southampton NHS Foundation Trust, National Institute for Health Research Southampton Biomedical Research Centre: University Hospital Southampton NHS Foundation Trust, Patient History Taking, Patient Satisfaction, Rates of Hospital Readmissions, Readmission Rates, Readmissions to Hospital, Specialist Inpatient Dementia Units (SIDUs), Standard Ward Care (SWC), Systematic Reviews and Meta-Analyses, Treatment Decisions, University Hospital Southampton NHS Foundation Trust, University of Southampton, University of Southampton Faculty of Medicine: University Hospital Southampton NHS Foundation Trust
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National Audit of Intermediate Care 2017 (NAIC)
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
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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
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On the Unrealised Potential of Intermediate Care (SCIE / Nuffield Trust)
Summary The Social Care Institute for Excellence (SCIE)’s “SCIE Highlights No.1” briefing explores the largely untapped potential of intermediate care. It is asserted that intermediate care could deliver better outcomes for patients, while reducing the pressures of demand faced by … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, Non-Pharmacological Treatments, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, SCIE, Statistics, UK, Universal Interest
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Tagged Accountable Care Systems (ACSs), Acute Hospitals: Bed-Based Services, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoidable Rehospitalisations, Bed Based Intermediate Care, Bed Based Services, Bed Occupancy, Bed-Based Intermediate Care Services, Bed/Home and Step Up/Down Provision, Better Care Fund (BCF), Capitated Budgets, Care Closer to Home, Communication and Information Sharing, Community Hospitals: Bed-Based Services, Community-Based Interventions, Community-Based Rehabilitation Services, Community-Based Services, Community-Based Support, Control and Independence, Cookson's Court (Yeovil), Crisis Home Treatment, Crisis Response Services, Crisis Support, Delayed Discharges, Delayed Transfers of Care, Demographic Time-Bomb, Dependency Levels, Destination on Discharge, Dignified Independent Living With Care, Discharge Destination, Discharge of Hospital Patients With Care and Support Needs, Discharge Planning, Economic Sustainability, Elderly Rehabilitation Services, Emergency Admissions, Emergency Readmissions, Emergency Readmissions to Hospital, Funding and Payment Mechanisms, Geographical Variations, Health and Social Care Integration, Health and Social Care Reform, Home Based Intermediate Care, Home Based Services, Hospital Discharge, Independence, Independence and Wellbeing, Independent Sector Facilities: Bed-Based Services, Information Resources on Intermediate Care: Social Care Institute for Excellence (SCIE), Information Sharing, Integrated and Community-Based Care, Integration, Intermediate Care, Intermediate Care - Draft Guideline: National Institute for Health and Care Excellence (2017), Intermediate Care Beds, Intermediate Care Capacity, Intermediate Care Teams, Intermediate Care: Elements of Effective Implementation, Intermediate Care: Evidence of Effectiveness, Intermediate Care: Return on Investment, Intermediate Care: SCIE Highlights No.1, Length of Stay, Length of Stay (LoS), Lessons and Challenges of Intermediate Care: Social Care Institute for Excellence (SCIE), Local Authority Facilities: Bed-Based Services, Local Sustainability and Transformation Plans (STPs), Local Variations, Maintaining Independence, Moving Healthcare Closer to Home, Multi-Disciplinary Case Management, Multi-Disciplinary Teams, Multi-Disciplinary Working, NHS Sustainability, Nursing Homes: Bed-Based Services, Other Bedbased Settings: Bed-Based Services, Partnership Working, Patient Flows, Policy Context and Models of Intermediate Care, Pooled Health and Social Care Budgets, Preventing Avoidable Emergency Admissions, Preventing Future Crises, Prevention, Prevention Agenda, Prevention and Wellbeing, Quality and Sustainability, Rapid Response Services: Intermediate Services, Re-ablement Services, Reablement, Reablement Services, Reablement: Stabilise and Make Safe (Trafford), Readmissions for Patients with Long Term Conditions, Recovery Rehabilitation and Reablement Services, Regaining Independence, Rehabilitation Services, Residential Care Homes: Bed-Based Services, Return on Investment, Services Maximising Independence, Services Reducing Use of Hospitals, Single Point of Access (SPA), Social Care Institute for Excellence (SCIE), Social Care Institute for Excellence (SCIE)’s SCIE Highlights No.1: Intermediate Care, Somerset Care, Somerset Care and Yeovil District Hospital: Cooksons Court, Somerset County Council, Stabilise and Make Safe (SAMS), Stabilise and Make Safe (Trafford), Standalone Intermediate Care Facilities: Bed-Based Services, Staying Independent, Supporting Health Wellbeing and Independence, Sustainability, Sustainability and Transformation Plans (STPs), Sustainable Care, Sustainable Health and Social Care, System Leadership, Theoretical Benefits of Intermediate Care, Tipping Point in Sustainability of Adult Social Care (Alleged), Trafford Council, Turning the Ship Around (Avoidance of NHS Unsustainability), Unacceptable Variations, Unwarranted Variations, Variations in Service, Waiting Times for Intermediate Care, Whole System Impact, Whole System Patient Flows, Whole System Performance, Whole-System Approaches, Year of Care Commissioning, Year of Care Funding Model, Yeovil District Hospital
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National Audit of Intermediate Care: NAIC 2014 (Year 3: Continuing Under-Provision) (NHS England / NHS Benchmarking Network)
Summary Professor John Young, National Clinical Director for Integration and Frail Elderly at NHS England has commented on the problem of continuing under-provision regarding intermediate care services. “The core function of intermediate care is in providing alternatives to hospital care, … Continue reading →
Posted in Commissioning, Community Care, 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, Patient Care Pathway, Person-Centred Care, Physiotherapy, Quick Insights, RCN, Royal College of Physicians, Standards, Statistics, UK, Universal Interest
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Tagged 7 Day Services, 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, Better Care Fund (BCF), BGS, British Geriatrics Society, British Geriatrics Society (BGS), Care Integration, Claire Holditch: Programme Director of NHS Benchmarking Network, College of Occupational Therapists, College of Occupational Therapists Specialist Section for Older People (COTSS-OP), Community Care Services, Community Hospitals, Community Unit Models, 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, Cynthia Murphy: Vice Chair at College of Occupational Therapists Specialist Section Older People, Delayed Discharges, Delayed Transfers of Care, Dependency Levels, Destination on Discharge, Discharge Destination, Discharge of Hospital Patients With Care and Support Needs, Discharge Planning, Dr Peter Carter (Chief Executive & General Secretary of Royal College of Nursing), Duration of Service (Home Based Services), Elderly Rehabilitation Services, Healthcare Quality Improvement Partnership (HQIP), 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, Julia Skelton: Director of Professional Operations at College of Occupational Therapists, Length of Stay, Length of Stay (LoS), Local Strategic Planning, Modified Barthel Index (MBI), Multi-Agency Integration, Multi-Disciplinary Team (MDT), NAIC 2014, National Audit of Intermediate Care, National Audit of Intermediate Care Report 2014, National Audit of Intermediate Care. Summary Report 2014, National Audit of Intermediate Care: Commissioner Report 2014, National Audit of Intermediate Care: NAIC 2014, National Audit of Intermediate Care: Provider Report 2014, NHS Benchmarking Network, Nursing Skill Mix, Occupational Therapists, Older People’s Specialists’ Forum, Partnership Working, Patient Flows, Patient Rated Experience Measures (PREMs), Patient Reported Experience Measure (PREM), Patient-reported Experience Measures (PREMs) Tool, Patients Association, Professor John Young, Professor John Young: Former National Clinical Director for Integration and Frail Elderly at NHS England, Professor Karen Middleton: Chief Executive at Chartered Society of Physiotherapy, 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, 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, Step Down, Step Up, Strategic Planning, Strategic Planning and Commissioning, Variation in Commissioning, Vulnerable Adults, Whole System Impact, Whole System Patient Flows, Whole System Performance, Whole-System Approaches
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Support for Commissioners of Dementia Care (NICE)
Summary The National Institute for Health and Care Excellence (NICE) has issued a guide to support commissioners, clinicians and managers in the commissioning of high-quality evidence-based care for people with dementia and their carers. The NICE support for commissioning dementia … Continue reading →
Posted in Commissioning, Community Care, Diagnosis, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NICE Guidelines, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Standards, UK, Universal Interest
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Tagged Access to Respite Care and Breaks, All-Party Parliamentary Group on Dementia, Assessment and Diagnosis, Avoidable Admissions, Avoidable Rehospitalisations, Caregiver Support, Carer Support, Carers, Carers’ Breaks, CCG Outcomes Indicator Set, CCG Outcomes Indicator Set (CCGOIS), Choice, Choice and Control Over Decisions, Clinical Commissioning Groups (CCGs), Commissioning Dementia Care, Commissioning Dignified Care, Commissioning for Outcomes, Commissioning for Value, Commissioning Multiagency Teams, Commissioning Outcomes Framework, Commissioning Support, Commissioning Task, Commissioning Using a Dementia Network Approach, CQUINs, Crossroads Care Wokingham, Dementia Commissioning Pack, Dementia Network Approach (Commissioning), Dementia Networks, Dementia Partnerships, Diagnosis and Assessment, Discharge Destination, Early Diagnosis, Emergency Readmissions, Emergency Readmissions to Hospital, End of Life Care for People with Dementia, Enhancing Quality of Life for People with Long Term Conditions, Epidemiology, Family Caregivers, Family Carers, High Quality Commissioning, Hospital Discharge, Independence, Informed Choice, Integrated Commissioning, Integrated Commissioning Support, Integrated Commissioning Teams, Integrated Needs Assessments And Commissioning Plans, Integrated Teams, Interdisciplinary Teams, Length of Stay (LoS), Living Well with Dementia, Local Multiagency Dementia Partnerships, Local Partnerships, Long-Term Care (LTC), Long-Term Conditions, Long-Term Conditions (LTCs), Long-Term Treatment, Multiagency Dementia Partnerships, Multiagency Teams, Multidisciplinary Specialist Teams, Multidisciplinary Teams, National Dementia CQUIN, National Institute for Health and Care Excellence (NICE), NHS England's Clinical Commissioning Group (CCG) Outcomes Indicator Set (formerly the Commissioning Outcomes Framework), NHS Outcomes Framework, NHS Outcomes Framework 2013/14, NHSOF: NHS Outcomes Framework, NICE Clinical Guideline 42. Dementia: Supporting People With Dementia And Their Carers In Health And Social Care, NICE Quality Standard 1. Dementia, NICE Quality Standard 13. End Of Life Care For Adults, NICE Quality Standard 30. Supporting People to Live Well with Dementia, NICE Support for Commissioning Dementia Care (CMG48), NICE Technology Appraisal Guidance: TA217, NICE–SCIE Guidance on Dementia, Outcome-Based Commissioning, Palliative Care, Partnership, Partnership and Collaboration, Partnership Working, Patient Choice, Prevalence of Dementia, Preventable Hospital Admissions, Prime Minister's Challenge on Dementia, Prime Minister’s Dementia Challenge, Respite Care, SLAs: Service Level Agreements, Staying Independent, Support for Commissioning Dementia Care (NICE: CMG48), Supporting Caregivers, Unpaid Caregivers (Carers), Unpaid Carers, Unplanned Hospital Admissions, Value in Commissioning
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Breaking News: Evaluation Report Published for Excellent Care in a Dementia Friendly Acute Hospital (University of Worcester, Association for Dementia Studies)
[A version of this item appears in: Dementia and Elderly Care: the Latest Evidence Newsletter (RWHT), Volume 3 Issue 3, October 2012]. Summary We have just this week learned that the final evaluation of the New Cross Hospital Dementia Project … Continue reading →
Posted in Acute Hospitals, Falls, 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, Models of Dementia Care, New Cross Dementia Project, NHS, Non-Pharmacological Treatments, Nutrition, Patient Care Pathway, Person-Centred Care, Royal Wolverhampton NHS Trust, Universal Interest, Wolverhampton
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Tagged About Me Document, Acute Medical Ward for Dementia, ADS, Antipsychotics, Appropriateness Evaluation Protocol (AEP), Association for Dementia Studies, Avoidable Rehospitalisations, Bed/Ward Moves, Behavioural Alternatives to Antipsychotic Drugs, Bundle Approach to Improving Care, Care Bundle, Carer Satisfaction, Chest Infections, Communication, Cost Analysis, Cost Savings, Critique and Evaluation of Dementia Care at New Cross Hospital, Critique and Evaluation of Specialist Hospital Dementia Care in the UK, Culture Change, Delayed Transfers of Care, Dementia Action Network (DAN), Dementia Awareness Training (Wolverhampton), Dementia Care Bundle, Dementia Care Costs and Outcomes, Dementia Care in Emergency Departments, Dementia Care Staff Excellence, Dementia Friendly Acute Hospitals, Dementia Outreach Team, Dementia Training Programme (RWHT), Dementia Ward, Dementia-Friendly Environmental Design, Dementia-Friendly Wards, Discharge Destination, Discharge of Hospital Patients With Care and Support Needs, Disease Related Malnutrition, EHE: Enhancing the Healing Environment, Emergency Assessment Unit (EAU), Emergency Readmissions, Enhancing the Healing Environment (EHE), Evaluation Report: Excellent Care in a Dementia Friendly Acute Hospital, Excellent Care in a Dementia Friendly Acute Hospital: Evaluation Report, Failed Discharges, Falls, Falls Reduction, Family Carers, Gold Standards Framework (GSF), Health and Social Care, Health and Social Care Delivery Models, Health and Social Care Integration, Hospital Discharge, Hydration, Ideal Patient Flows, Improving Care for Frail Older People, Institute of Health and Society, Integration, Joint Strategy Group (Wolverhampton), King's Fund, Length of Stay (LoS), Listening to Carers, Multidisciplinary Teams, Multimorbidity, Multiple-Morbidities, National Audit of Dementia, National Audit of Dementia (Care in General Hospitals), New Cross Hospital Dementia Ward, NHS West Midlands, Nosocomial Infections, Nutrition and Hydration, Nutritional Assessments, Nutritional Support, Outcomes, Outcomes for People with Dementia, Patient Administration System (PAS), Patient Experience, Patient flow, Patient Flow Diagrams, Person Centred Care (PCC) Group, Person-Centred Dementia Care, Personalised Care, Physical Environment, Physical Illness and Dementia Ward, Point Prevalence Survey (PPS), Prescribing of Antipsychotic Drugs For People With Dementia, Professor Dawn Brooker, Professor Dominic Upton, Purpose-Designed Dementia Ward, Reducing Unplanned Hospitalisation, Relationship-Centred Care, Royal Wolverhampton NHS Trust, SIG Questionnaire, Social Work, Staff Awareness, Staff Training, Strategic Health Authority: West Midlands, Support for Carers, This is Me, This is Me: Person-Centred Care, Trained Volunteer Buddies, University of Worcester, University of Worcester; Institute of Health and Society, Unpaid Carers, Urinary Tract Infection, Urinary Tract Infections (in Patients with Catheters), Volunteers, Ward D22, West Midlands SHA, West Midlands Strategic Health Authority, Whole System Impact, Whole System Patient Flows, Wolverhampton Metropolitan Borough Council, Wolverhampton Primary Care Trust, Worcester University
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