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Tag Archives: Dr Taj Hassan: President of Royal College of Emergency Medicine
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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New Year – Same Old NHS Winter Pressures: Some Recent Responses to Excess Public Demand for Services (BBC News / RCGP / NHS England / King’s Fund)
Summary Other Northern European nations, North America etc. have more extreme and colder Winters, yet their health systems appear not to buckle under these predictable seasonal pressures. Here are some recent responses and initiatives, as mentioned in the news, aiming … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, King's Fund, National, NHS, NHS England, Quick Insights, Scotland, Standards, UK, Universal Interest
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Tagged Accident and Emergency Departments, Ageing Population, Artificial Inflation of A&E Performance Data (Allegation), BBC Bristol, BBC News Northampton, BBC Politics News, BBC Regional News: Hereford and Worcester, BBC Scotland, BBC Scotland News, Black Alerts, Chris Hopson: Chief Executive of NHS Providers, City of Coventry Walk In Centre, Community Pharmacists, Crisis Planning, Demand and Capacity, Demand Management, Demand Versus Capacity Gaps, Dr Taj Hassan: President of Royal College of Emergency Medicine, Ed Humpherson: Director General for Regulation at UK Statistics Authority (UKSA), Elective Waiting Times, Emergency Care, Emergency Departments, Emergency Planning and Resilience, Emergency System Resilience, Flu-Related Hospital Admissions, Former Health Secretary Jeremy Hunt, Former Prime Minster: Rt Hon Theresa May MP, Gaming Public Opinion, GPs Co-Located With A&E Department, Health Demand, Hospital Waiting Times, Medical Director of NHS England: Professor Sir Bruce Keogh, Mixed Sex Accommodation, Mixed‐Sex Accommodation, Mythology of the Times, National Emergency Pressures Panel (NEPP), National Emergency Pressures Panel (NHS England NEPP), National Emergency Pressures Panel (NHS England), NHS 70th Birthday, NHS England's National Emergency Pressures Panel, NHS England’s National Emergency Pressures Panel (NEPP), NHS Spending on Older People (Disproportionately High), NHS Sustainability, NHS Tracker Service (BBC's NHS Winter Project), NHS Winter Crisis, NHS Winter Pressures (aka Winter Crisis 2017-2018), NHS Winter Project (BBC News NHS Tracker Service), NHS Winter Tracker (BBC), Non-Emergency Waiting Times, Northampton General Hospital, Online Guidance From NHS Choices, Openness and Transparency, Patient Dignity, Patient Factors (Demand Side), Patient Safety, Population Winter Pressures, Preparations for Winter, Professor Sir Bruce Keogh, Professor Suzanne Mason: Royal College of Emergency Medicine, Proportion of Public Spending on Health, Quality and Sustainability, Rationing, Rationing of Surgery in the NHS, RCGP's 3 Before GP Mantra Awareness Campaign, Reducing Avoidable Demand, Reverse-Acting Hawthorne Effect (Speculative Construct), Right Care - First Time Campaign (Community Pharmacists), Royal College of General Practitioners (RCGP), Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Rt Hon Theresa May MP (Former Prime Minster), Self-Care, Self-Management, Shona Robison: Health Secretary for Scotland, Single Sex Accommodation, Spending on Front-Line Healthcare Versus Social Care, Sustainability, Thinking Like a Patient and Acting Like a Taxpayer, Three Before GP Mantra (RCGP), UK Statistics Authority, UK Statistics Authority (UKSA), University Hospitals Coventry and Warwickshire NHS Trust (A&E Performance), Urgent Care Centres, Winter Flu Outbreak: 2017/8, Winter Preparedness, Winter Pressures, Winter Pressures in General Practice
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More Questions About NHS Sustainability and Service Quality: A Further Round in the Debate (BBC News / King’s Fund / BMA / RCEM / NHS Digital / Department of Health / NHS England / NHS Confederation)
Summary Professor Ted Baker, the new Chief Inspector of Hospitals for the Care Quality Commission (CQC) has voiced concerns about unsuitable antiquated models of care in the NHS (due to a historic 15-20 year mis-direction of funding), growing pressures for … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, CQC: Care Quality Commission, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, King's Fund, Local Interest, National, NHS, NHS Confederation, NHS England, Quick Insights, RCN, Royal Wolverhampton NHS Trust, Standards, UK, Universal Interest
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Tagged A&E, A&E Waiting Times and Activity, Access to Urgent and Emergency Care, Accident and Emergency Doctors, Acute Bed Capacity, Acute Care, Acute Care Collaboration, Acute Care Services, Acute Hospital Care, Acute Medical Care for Frail Older People, Acute Medical Care of Elderly People, Acute Medicine Units (AMUs), Ageing Population, Ambulance Handovers, Ambulance Handovers (Improving Patient Flow in Urgent and Emergency Care), Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Barking Havering and Redbridge University Hospitals NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), BBC Health News, Bed Occupancy, British Medical Association (BMA), Care Quality Commission (CQC), Chelsea and Westminster Hospitals NHS Foundation Trusts: Preparations Ahead of Winter 2017/8 (Extra Funding), Chris Hopson: Chief Executive of NHS Providers, Collaborative Provider Arrangements, David Behan: Chief Executive of Care Quality Commission, Demand Management, Dr Chaand Nagpaul: British Medical Association, Dr Taj Hassan: President of Royal College of Emergency Medicine, Economic Sustainability, Emergency and Urgent Care Services, Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Medicine and Urgent Care, Emergency Services, Evolving Demand, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Financial Sustainability in the NHS, Finished Admission Episodes (FAEs), Finished Consultant Episodes (FCEs), Flow Within Hospitals, Four-Hour A&E Waiting Time Target, Frailty, Frailty (Improving Patient Flow in Urgent and Emergency Care), Funding, Future Sustainability of NHS Trust, Hampshire Hospitals NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Homerton University Hospital NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Hospital Admitted Patient Care Activity (2016-17), Hospital Admitted Patient Care Activity: 2016-17 (NHS Digital), Hospital Bed Capacity, Hospital Beds, Hull and East Yorkshire Hospitals NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Humanitarian Crisis in NHS Hospitals and Ambulance Services (Allegation), Improving Patient Flow, Integrated Urent Care Comissioning Standards, Integrated Urgent Care Clinical Assessment Service (IUC CAS), Integrated Urgent Care Delivery Team, Integrated Urgent Care Service Specification, Integrated Urgent Care Services, Integrated Urgent Care Services in Wolverhampton, Integrated Urgent Care Services: National Service Specification, Intermediate Care, Intermediate Care Capacity, Isle of Wight NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Lobbying, Local Sustainability and Transformation Plans (STPs), London Ambulance Service NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), London North West Healthcare NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Medway NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), National Clinical Assessment Service (NCAS), National Service Specification for Integrated Urgent Care Services, New Care Models, New Models of Care, New Models of Service, NHS Confederation: NHS on the Brink (2017 Allegation), NHS Digital, NHS Digital (Formerly the Health and Social Care Information Centre), NHS Future Precarious (CQC Allegation), NHS Hospital Bed Numbers, NHS Providers, NHS Sustainability, North Manchester General Hospital: Preparations Ahead of Winter 2017/8 (Extra Funding), Northern Lincolnshire and Goole NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Parliamentarians, Patient Flows, Pennine Acute Hospitals NHS Trust (Fairfield General Hospital): Preparations Ahead of Winter 2017/8 (Extra Funding), Pennine Acute Hospitals NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Philip Dunne: Minister of State for Health, Preparations Ahead of Winter 2017/8 (Extra Funding), Preparations for Winter, Professor Ted Baker: Chief Inspector of Hospitals at Care Quality Commission (CQC), Provider Sustainability, Quality and Sustainability, rcem, Reducing Reliance on Hospital Care, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Royal College of Emergency Medicine (RCEM), Royal Hampshire County Hospital: Winchester: Preparations Ahead of Winter 2017/8 (Extra Funding), Royal Liverpool and Broadgreen University Hospitals NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Royal Wolverhampton NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Safety and Quality of Emergency Care (Letter From Ted Baker to NHS Trusts), South Tyneside NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), St George’s University Hospitals NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), STP Proposals to Reduce Bed Numbers, Sustainability, Sustainability and Transformation Plans (STPs), Sustainable Funding, Thinking Like a Patient and Acting Like a Taxpayer, University Hospitals Bristol NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), University Hospitals of North Midlands NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), West Middlesex University Hospital: Preparations Ahead of Winter 2017/8 (Extra Funding), Whittington Health NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Winter Preparedness, Winter Pressures
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Five Priorities for NHS and Social Care in 2017 (King’s Fund / BBC News / BMJ / Nuffield Trust)
Summary 2017 is going to be challenging for the NHS and social care, as the demand for care outstrips the supply of funding / resources. A King’s Fund briefing identifies five main priorities for the year ahead: Supporting new care … Continue reading →
Posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, King's Fund, Local Interest, National, NHS, Nuffield Trust, Quick Insights, RCN, Royal College of Psychiatrists, Standards, UK, Universal Interest
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Tagged A&E Four-Hour Wait Standard, A&E Safe Staffing Levels, Accountable Care Organisations (ACOs), Adult Social Care Funding, Ageing Policy in the UK, Ageing Population, Alleged Humanitarian Crisis in NHS (Under-Funding for Social Care), Ambulance Diversions (Away From Over-Stretched Hospitals), Ambulance Diversions (“Diverts”), Available Beds, Bailouts and Rewards for Failure, Barker Commission, BBC News: Today (Radio 4), BBC Newsnight, BBC Politics News, BBC Radio 4 Today, BBC Radio 4's Today Programme, BBC Radio 4: Today Programme, BBC Regional News: Hereford and Worcester, Bed Availability and Occupancy, Black Alerts, BMJ Publishing Group Ltd, Brexit, British Medical Journal (BMJ), British Red Cross, Cancelled Cancer Operations, Cancelled Elective Operations, Cancelled Non-Elective Operations, Cancelled Operations, Cancer Waiting Times, Cancer: Waiting Times for Testing and Treatment, Capped Expenditure Process, Commission on the Future of Health and Social Care in England (Barker Commission), County Durham and Darlington NHS Foundation Trust, Cross-Party and Public Consensus On Sustainable Funding, Demand and Capacity, Demand for Social Care, Demand Versus Capacity Gaps, Department of Health Revenue Underspend (2016/17), Dr Mark Holland, Dr Mark Holland: President of Society For Acute Medicine (SAM), Dr Taj Hassan: President of Royal College of Emergency Medicine, East London NHS Foundation Trust, East Midlands Ambulance Service, Efficiencies and Productivity Gains, Financial Flows in NHS and Social Care, Four-Hour A&E Waiting Time Target, Frimley Park NHS Foundation Trust, Funding Deficits, Health and Social Care in the Community, Health Demand, Healthwatch Worcestershire, Hip and Knee Operations: Rationing, Humanitarian Crisis in NHS Hospitals and Ambulance Services (Allegation), Ian Eardley: Vice President of RCS, Inadequate Staffing, Jacqueline McKenna: Director of Nursing and Professional Leadership at NHS Improvement, Jeremy Corbyn (Labour Party Leader), Katherine Murphy: Chief Executive of the Patients Association, King’s Fund Barker Commission, Leadership Development, Long Waiting Times, Lord Carter Review, Lord Rose Report on Leadership in the NHS, Lord Rose Report: Better Leadership for Tomorrow, Low Morale, Mike Adamson: Chief Executive of British Red Cross, Mixed-Sex Accommodation (MSA) Breaches, Mixed-Sex Hospital Accommodation, New Care Models, New Models of Care, New Models of Service, NHS England’s Five Year Forward View, NHS England’s New Models of Care Programme, NHS Five Year Forward View (5YFV), NHS in 2017: Service Under Pressure, NHS Rationing, NHS Redditch and Bromsgrove CCG, NHS Safe Staffing, NHS South Worcestershire CCG, NHS Sustainability, NHS Trust Financial Deficits, NHS Waiting Times, NHS Wyre Forest CCG, Non-Emergency Waiting Times, Northumbria Healthcare NHS Trust, Nurse Staffing Levels, OPEL Level 3 Alerts, OPEL Level 4 Alerts, Operational Pressures Escalation Levels, Operational Pressures Escalation Levels (OPELs), Operational Pressures Escalation Levels Framework (NHS England), Operational Productivity and Performance (Carter Report), Patient Safety, Patients Seen in 4 Hours: NHS Local Performance Tracking Service (NHS Winter Project), Patients Waiting More Than Four Hours For Hospital Beds (Trolley Waits), Pennine Acute Hospitals NHS Trust, Peter Pinfield: Chairman of Healthwatch Worcestershire, Population Health, Priorities for Health and Social Care (King’s Fund), Priorities For NHS and Social Care in 2017, Productivity Improvements, Productivity in the NHS, Professor Keith Willett: NHS England’s Director of Acute Care, Public Dissatisfaction With Austerity, Red Cross, Referral to Treatment Waiting Times, Restrictions on Non-Emergency Surgery, Reverse-Acting Hawthorne Effect (Speculative Construct), Royal College of Emergency Medicine (RCEM), Royal College of Nursing (RCN), Royal College of Physicians (RCP), Royal College of Surgeons (RCS), Sick Man of Europe (Redefined), Simon Stevens: Chief Executive of NHS England, Society for Acute Medicine (SAM), South Tyneside NHS Foundation Trust, Staffing Levels, Sustainability, Sustainability and Transformation Plans (STPs), Sustainable Funding, The #OurNHS March (2017), Thinking Like a Patient and Acting Like a Taxpayer, Unhealthy Lifestyles, Unspoken Political Context: Weaponising the NHS (Speculative Construct), Urgent and Emergency Services: 2016-7 Winter From Hell (Allegation), Vacant NHS Posts, Waiting Times, Waiting Times for Planned Treatments, Western Sussex NHS Foundation Trust, Winter From Hell: 2016-7 (Allegation), Winter Pressures, Worcestershire Acute Hospitals NHS Trust, Worcestershire Royal Hospital
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