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Recent Posts
- 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)
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- 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)
- Timeless Good Advice? (Action for Happiness)
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Tag Archives: Emergency Admissions
Summary of NICE’s Impact on Dementia Health and Care (NICE)
Summary A National Institute for Health and Care Excellence (NICE) marketing report gives an overview of progress in implementing NICE guidance across health and care. The main section headings comprise: Prevent or delay onset of dementia. Referral, diagnosis and care … Continue reading →
Posted in Acute Hospitals, Antipsychotics, Commissioning, Community Care, Diagnosis, 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, Models of Dementia Care, National, NICE Guidelines, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Activities to Promote Wellbeing, Adult Social Care, Adult Social Care Services, Advance Care Planning (ACP), Alternatives to Antipsychotic Drugs, Alternatives to Antipsychotic Medication, Alternatives to Antipsychotics, Antipsychotic Drugs, Antipsychotics in People With Dementia, Antipsychotics Limitation in Dementia, Antipsychotics Side Effects, Assessment of Care Needs, Avoidable Emergency Admissions, Behavioural and Psychological Symptoms of Dementia (BPSD), Behavioural Risk Factors, Behavioural Risk Factors and Dementia, Care and Support, Care and Support Planning, Care of People with Dementia: Quality Standard, Care Planning, Care Planning (Community), Care Planning in Dementia, Caregiver Support, Carer Support, Carer Support Services, Carer's Needs, Carer’s Needs Assessment, Choice and Control, Choice and Control Over Decisions, Choice in Health and Social Care, Choirs (Community Singing), Cognitive Decline and Dementia: Risk Reduction, Collaboration for Coordinated Care, Commissioning Carer Support Services, Community Singing, Comprehensive Assessments for Older People in Hospital, Comprehensive Model of Personal Care, Control and Independence, Coordinated Care, Coordinating Care, Dementia - Assessment Management and Support for People Living With Dementia and Their Carers: NICE Guideline NG97, Dementia - NICE Care Pathway, Dementia Assessment Referral to GP (DeAR-GP), Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Dementia Care in Hospitals, Dementia Case Finding, Dementia Disability and Frailty in Later Life: Mid-Life Approaches to Delay or Prevent Onset, Dementia Disability and Frailty in Later Life: Mid-Life Approaches to Delay or Prevent Onset - NICE Care Pathway, Dementia Disability and Frailty in Later Life; Midlife Approaches to Delay or Prevent Onset: NICE Guideline (NG16), Dementia Friendly Hospitals Charter, Dementia Post-Diagnostic Care and Support, Dementia Quality Standard (QS184), Dementia Quality Standards, Dementia Risk Factors, Dementia Risk Reduction, Dementia Risk Reduction and Prevention, Discharge From Hospital, Dr Hilda Hayo: Chief Admiral Nurse, Dr Hilda Hayo: Chief Executive of Dementia UK, Emergency Admissions, Healthwatch, Healthy Lifestyles, Home Care, Informed Choices, Later Life, Lifestyle Risk Factors, Managing Distress, Managing Psychological and Behavioural Distress in People with Dementia, Meaningful Activity, Mental Health Promotion, Mid-Life Approaches to Delay or Prevent Onset of Dementia Disability and Frailty in Later Life, Modifiable Risk Factors, Named Care Coordinators, National Audit of Dementia Care in General Hospitals 2016-2017 - Third Round of Audit Report: Royal College of Psychiatrists (2017), National Guidance and Quality Standards, National Institute for Health and Care Excellence (NICE), National Institute for Health and Care Excellence (NICE)’s Quality Standard on Dementia (2019), Needs of Carers, Neurological Disorders, NHS Comprehensive Model of Personal Care, NICE Guideline NG97: Dementia - Assessment Management and Support for People Living With Dementia and Their Carers, NICE Quality Standard 184 (QS184), NICEimpact Dementia, Patient Preferences, Person-Centred Coordinated Care, Personal Preferences, Preventing Avoidable Emergency Admissions, Prevention Agenda, Psychological Symptoms of Dementia (BPSD), Quality of Life of Carers, Quality Standard on Care of People with Dementia, Quality Statements, Reducing Agitation and Distress, Reducing Waste in Dementia Care, Reducing Waste in the NHS, Risk Reduction, Royal College of Psychiatrists: National Audit of Dementia Care in General Hospitals, Social Care, Social Care and Support, Statement of Wishes and Preferences, Structured Assessment (Pre- Non-Pharmacological or Pharmacological Treatment for Distress), Supporting Carers, Supporting Carers of People With Dementia, Supporting People to Live Well With Dementia, Thinking Ahead - Advance Care Planning, Transforming Dementia Care in Hospital, Transition Between Inpatient Hospital Settings and Community or Care Home Settings
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Dementia-Related Hospital Admissions (BBC News / Alzheimer’s Society)
Summary Patients with dementia are being admitted to hospitals at an increasing rate, often because of the lack of community care, according to the Alzheimer’s Society. “The Alzheimer’s Society analysed hospital records covering emergency admissions in the six years to … Continue reading →
Posted in Acute Hospitals, Alzheimer's Society, BBC News, Charitable Bodies, 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, Mental Health, National, NHS, Quick Insights, Statistics, UK, Universal Interest
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Tagged Acute Hospital Care, Ageing and Society, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Barriers: Inappropriate Hospital Admissions, Community Crisis Teams, Community Response Teams, Community Urgent Care Services, Community Urgent Care Services Accelerator Sites: Buckinghamshire Oxfordshire and Berkshire System, Community Urgent Care Services Accelerator Sites: Cornwall System, Community Urgent Care Services Accelerator Sites: Leicester Leicestershire and Rutland system, Community Urgent Care Services Accelerator Sites: Norfolk and Waveney System, Community Urgent Care Services Accelerator Sites: South East London System, Community Urgent Care Services Accelerator Sites: Warrington Together (Cheshire and Merseyside STP), Community Urgent Care Services Accelerator Sites: West Yorkshire and Harrogate Health and Care Partnership (Kirklees), Community Urgent Care Services: Accelerator Sites, Crisis Teams, Crisis Teams for the Management of Older People With Dementia, Dementia Crisis Teams, Dementia-Related Hospital Admissions, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Guaranteed Care Packages in Two Days for Hospital Patients Ready for Discharge (Proposed), Helen Childs: Chief Operating Officer at NHS Kernow Clinical Commissioning Group, HES: Hospital Episode Statistics, Hospital Admissions, Hospital Episode Statistics (HES), Inappropriate Hospital Admissions, Independence at Home, Jon Wilson: Director of Adult and Communities at Leicestershire County Council, Length of Stay (LoS), Long Term Plan (LTP), Matthew Winn: Chief Executive of Cambridgeshire Community Services NHS Trust, Matthew Winn: NHS Director of Community Health, NHS England’s Hospital Episode Statistics, NHS Long Term Plan (2019), NHS Long Term Plan: Implementation, Nursing Care, Occupational Therapy, Partnership Working, Physiotherapy, Preventable Hospital Admissions, Rapid Response Community Crisis Teams, Reablement and Rehabilitation, Reablement Services, Reasons for Short Stay Emergency Admissions, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Staying Put, Total Bed-Days in Hospital, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Urgent Community Response Teams, Urgent Response Standards
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Qualitative Research Into the Acute Hospital Care Weekend Effect (BMC Health Services Research)
Summary While much recent research has cast doubt upon the validity of the “Weekend Effect” construct, the authors of this qualitative research focus instead on the perceptions of patients and hospital workers regarding the quality and safety of care at … Continue reading →
Posted in Acute Hospitals, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Local Interest, Management of Condition, NHS, Person-Centred Care, Quick Insights, UK, Universal Interest
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Tagged 7 Day Services, Access to Urgent and Emergency Care, Accident and Emergency (A&E) Departments, Acute and Hospital Services, Acute Care, Acute Care and Quality, Acute Hospital Care, Acute Hospitals, Birmingham (UK), BMC Health Services Research, Care in General Hospitals, Care of Deteriorating Patients, Consultant Delivered Care, Consultant Input, Day-of-the-Week Effect, Delays in Clinical Decision-Making (Weekends), Department of Health Sciences: University of Leicester, Deteriorating Patients, Elevated Weekend Hospital Mortality, Emergency Admissions, Emergency Hospital Admission (EHA), Emergency Hospital Treatment, Emergency Medicine, General Hospital Care, High Intensity Specialist Led Acute Care (HiSLAC), High-Intensity Specialist-Led Acute Care (HiSLAC) Project, HiSLAC (High Intensity Specialist-Led Care) Study, Hospital Discharge, Hospital Discharge and Transfers, Hospital Mortality, Hospital Mortality Rates, Improving Patient Safety, Leicester (UK), Monday to Friday Culture, Monitoring and Responding to Deteriorating Patients, Mortality, Mortality Associated With After Hours and Weekend Admissions, Mortality at the Weekend, Mortality by Day of the Week, Mortality Rates, Mortality Statistics, Patient and Public Involvement (PPI), Patient Flows, Patient Safety, Patient Safety Improvement, Positive Deviance, Preventable Hospital Mortality, Qualitative Research, Quality Improvement, Quality of Care, Quality of Care at Weekend, Queen Elizabeth Hospital Birmingham, Reduced Continuity of Clinical Care (Weekends), Rescue and Stabilisation of Sick Patients, Resilience and Risk of Error (Weekends), Seven-Day Hospital Services, Seven-Day Working, Staffing Levels, Staffing Levels and Skill Mix, Thematic Analyses, Therapeutic Pathway Flow, University Hospitals Birmingham, University Hospitals Birmingham NHS Foundation Trust, University of Leicester, Urgent and Emergency Care, Variations in Quality of Care, Weekend Effect, Weekend Hospitalisation and Additional Risk of Death, Weekend Mortality for Emergency Admissions, Weekend Specialist to Patient Ratio in Hospitals, Weekend Working
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More on Self-Care, Patient Activation and NHS Sustainability (Health Foundation / BMJ Quality and Safety / Self Care Forum / NHS England / AMROC)
Summary A Health Foundation briefing explores the potential of increasing patient activation for better self-care in the management of long-term conditions (including asthma, diabetes and depression) and reducing avoidable hospital admissions. “ …patients who were most able to manage their … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, Depression, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, Integrated Care, Management of Condition, Mental Health, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Statistics, UK, Universal Interest
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Tagged 24-Hour Community-Based Services, Academy of Medical Royal Colleges (AoMRC), Academy of Medical Royal Colleges: Please Write to Me Initiative, Accident and Emergency Admissions, Accountable Integrated Care Systems (AICS), Ageing Society, Asthma, Asthma Hospital Admissions, Asthma: Avoidable Admissions, Avoidable Emergency Admissions, Awareness and Campaigns, Awareness and Understanding, Awareness Campaigns, Awareness Raising, Black Country STP, BMJ Publishing Group Ltd, BMJ Quality and Safety, Bridport Integrated Hub, Collaborative Working, Collaborative Working in Local Communities, Community and Voluntary Sector, Community Matrons' Late Visiting Service, Community Pharmacies, Community Pharmacists, Community Pharmacy, Community Virtual Wards, Community-Based Care, Community-Based Care for People With Frailty, Community-Based Support, Comprehensive Model of Personalised Care, Connecting Care+ (Wakefield), Data Analytics Team: Health Foundation, Data Analytics: Health Foundation, Debbie Newton: Director of Community Services at Mid Yorkshire Hospitals NHS Trust, Demand Management, Diabetes, Diabetes Self-Management Education and Support, Diabetes Self-Management Support (DSMS), Dorset County Hospital NHS Foundation Trust, Dr Hugh Rayner: Please Write to Me Initiative (Academy of Medical Royal Colleges), Dr Phil Earnshaw: Chair at NHS Wakefield CCG, Dr Riaz Dharamshi: Bridport Integrated Hub, Economic Sustainability, Education and Awareness, Electronic Care Records, Email Not Letters, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Department Utilisation and Patient Activation, Epidemiological Concepts, Epidemiology, Financial Sustainability in the NHS, Good Practice in Managing Emergency Admissions, Health and Wellbeing, Health Policy, Health Wellbeing and Independence, Healthy Ageing, Healthy Behaviours, Healthy Communities, Integrated and Community-Based Care, Integrated Care Systems (ICSs), Integrated Neighbourhood Teams (INT), Jo Webster: West Yorkshire and Harrogate Clinical Commissioning Group Lead, Kamila Hawthorne: Vice-Chair of Royal College of General Practitioners (RCGP), Karen Kirkham: NHS England’s National Clinical Advisor for Primary Care, Late Visiting Service: Community Matrons, Leicester, Leicestershire Planned Care Policies Report, Long-Term Conditions (LTCs), Matt Hancock: Secretary of State for Health and Social Care, Merran McRae: Chief Executive at Wakefield Council, Mid Yorkshire Hospitals NHS Trust, National Self Care Week (2018), NHS and Social Care Hubs, NHS England Integrated Care Case Studies, NHS Wakefield CCG, Outpatient Clinics: Writing Letters to Patients, PAM: Patient Activation Measure, Patient Activation, Patient Activation Measure (PAM), Patient Autonomy, Patient Efficacy, Patient Engagement, Patient Experience, Patient Factors (Demand Side), Patient Involvement, Personal Integrated Care (PIC) - Electronic Care Record, Pharmacist Involvement, PIC Files: Personal Integrated Care (PIC) Files, Please Write to Me: Academy of Medical Royal Colleges, Preventative Care, Preventative Services, Preventing Avoidable Emergency Admissions, Prevention, Prevention and Self Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Prevention Programmes, Preventive Care, Preventive Services, Proactive Care Planning, Proactive Management of Long-Term Conditions, Public and Patient Involvement, Quality of Life for People With Long Term Conditions, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Reducing Waste in the NHS, Ruth Williams: Clinical Directorate Lead at Sandwell and West Birmingham Hospitals NHS Trust, Sandwell and West Birmingham Hospitals NHS Trust, Sandwell iCares Scheme, Self Care For Life, Self Care Forum, Self Care Week, Self Care Week (2018), Self Care Week 2018 Resources, Self Care Week 2018: Choosing Self Care for Life, Self-Care, Self-Care Continuum, Self-Care Programme, Self-Determination, Self-Directed Services, Self-Directed Support, Self-Directed Support for Long Term Conditions, Self-Efficacy, Self-Efficacy (Carers), Self-Efficacy (Patients), Self-Help, Self-Management, Self-Management in Chronic Illness, Self-Management Support, Service User Involvement, Staying Healthy for Longer, Support for People with Complex Needs, Support for Self-Care, Supported Self-Care, Supporting People to Manage Their Health, Supporting Self-Care, Sustainability, The Black Country STP Footprint, Understanding Self Care for Life, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Urgent and Emergency Care, User Involvement, Virtual Wards, Virtual Wards to Reduce Readmissions, Wakefield, Wakefield (West Yorkshire), Wakefield Council, West Dorset GPs, West Leicestershire Clinical Commissioning Group (CCG), West Yorkshire and Harrogate Health and Care Partnership, Weymouth and Bridport (Dorset), Writing Outpatient Clinic Letters to Patients
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Shaping Policy on the Dementia Care Crisis: Alzheimer’s Society Report in Advance of Government’s Green Paper (BBC News / Alzheimer’s Society)
Summary A report on inadequacies in the care system regarding dementia patients. The number of potentially unnecessary hospital admissions among dementia patients has risen by 73% across 65 hospital trusts, from 31,000 in 2012 to around 55,000 in 2017. Some … Continue reading →
Posted in Acute Hospitals, Alzheimer's Society, BBC News, Charitable Bodies, Commissioning, Community Care, Diagnosis, Falls Prevention, 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, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Northern Ireland, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest, Wales
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Tagged Access to Care, Access to Funding, Access to Healthcare Services, Access to Services, Access to Social Services, Acute Care, Acute Hospitals, Admission Rates, Admission to Hospital, Ageing Population, Alternatives to Hospital Admission, Alzheimer's Society’s Fix Dementia Care Campaign, Alzheimer’s Society Ambassadors, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Awareness, Awareness Campaigns, Awareness Raising, Barriers to Older People Accessing Help and Support, Barriers to Support, BBC Health News, Capacity Pressures in the Health and Social Care System, Care and Support Reform, Care and Support Services: Choice and Control, Care for People with Dementia in the Community, Care in an Ageing Society, Care in the Community, Care Navigators, Caregiver Burden, Caregiving (Carers), Carer Awareness, Carer Isolation, Carer Quality of Life: Demands of Caring, Carer Stress, Carer Support, Carer Support Services, Carer's Needs, Carer’s Perspective, Carers, Carers and Families, Carers for People with Dementia, Choice and Control, Collaborative Working, Collaborative Working in Local Communities, Community Care, Community Support Services, Coordinated Health and Social Care, Daily Mail, Daily Mail’s End the Dementia Care Cost Betrayal Campaign, Dame Barbara Windsor, Dementia Action Plan for Wales: 2018-2022, Dementia Ambassadors, Dementia Tax, Dementia Tax (Alzheimer's Society), Dementia: Cost of Fixing Care Crisis (Alzheimer’s Society Report 2018), Department of Health and Social Care Green Paper on Care and Support for Older People, Department of Health Northern Ireland, Department of Health Northern Ireland: Expert Advisory Panel on Adult Care and Support, Discharge Coordination, Discharge Planning, Emergency Admissions, Emergency Readmissions to Hospital, End the Dementia Care Cost Betrayal Campaign (Daily Mail 2019), Fix Dementia Care Campaign, Free Personal Care (Proposal): Labour Party Conference (2019), Health and Care of Older People, Health and Care Suitable for an Ageing Population, Health and Social Care Reform, Holistic Care Assessments, Holistic Co-ordinated Care, Holistic Needs Assessment, Home Care, Home Care Services, Hospital Discharge, Inequity, Integrated Discharge Process, Integration, Integration of Health and Care, Integration of Health and Social Care, Joined-Up Care, Joined-Up Strategy to Improve Whole System Flow, Joint Health and Care and Support Plans, Labour Party Conference (2019), Named Clinician, Named Consultants, Named GPs, Named Nurses, New Settlement for Health and Social Care, NHS 70 (NHS 70th Birthday), Patient Experience, Power to People: Proposals to Reboot Adult Care and Support in Northern Ireland, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Primary Care Navigators (PCNs), Proactive Care, Re-Admission NHS Hospitals, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Responsible Consultants, Responsible GPs, Responsible Nurses, Scott Mitchell, Social Care Crisis, Social Care Crisis: Abandoned by the System, Social Care for Adults Aged 18-64: Health Foundation, Tipping Point in Sustainability of Adult Social Care (Alleged), Turning Up the Volume (Alzheimer’s Society), Workforce Development, Workforce Issues, Workforce Training
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UK’s First Dedicated A&E for Elderly Patients? (BBC News)
Summary Norfolk and Norwich University Hospitals NHS Foundation Trust are to open the first specialist A&E department for patients over 80 years old. This hospital’s existing emergency department typically receives 350 people per day, of whom 50 may be aged … Continue reading →
Posted in Acute Hospitals, Age UK, BBC News, Commissioning, 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, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged A&E, Access to Urgent and Emergency Care, Acute Care Services, Acute Hospital Care, Acute Medical Care for Frail Older People, Acute Medical Care of Elderly People, Admission Transfer and Discharge (Improving Patient Flow in Urgent and Emergency Care), Ageing and Society, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, BBC Health News, BBC Norfolk News, Demand Management, Embedded Comprehensive Geriatric Assessment in Emergency Assessment Units (EAUs), Emergency Admissions, Emergency and Urgent Care Services, Emergency Assessment Unit (EAU), Emergency Assessment Units, Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Centres, Emergency Departments, Emergency Departments (Improving Patient Flow in Urgent and Emergency Care), Emergency Services, Evolving Demand, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Flow Within Hospitals, Geriatric Assessment and Care, Norfolk and Norwich University Hospital, Norfolk and Norwich University Hospitals NHS Foundation Trust, Preparations for Winter, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Services Dedicated to Elderly
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Quality Improvement in Urgent and Emergency Care (NHS Improvement / NHS England / Department of Health)
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 →
Posted in Acute Hospitals, BBC News, Commissioning, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS Confederation, NHS England, NHS Evidence, NHS Improvement, Non-Pharmacological Treatments, Nuffield Trust, Person-Centred Care, Quick Insights, Royal Wolverhampton NHS Trust, Standards, UK, Universal Interest, Wolverhampton
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Tagged 2017-19 Integration and Better Care Fund Policy Framework, A&E, A&E Waiting Times and Activity, Access to Urgent and Emergency Care, Accident and Emergency Doctors, Accountable Care Organisations (ACOs), Acute Assessment (Improving Patient Flow in Urgent and Emergency Care), Acute Bed Capacity, Acute Care, Acute Care Collaboration, Acute Care Services, Acute Hospital A&E and Liaison Mental Health Teams, Acute Hospital A&E and Liaison Mental Health Teams: Transforming Mental Health Crisis Care (NHS England), Acute Hospital Care, Acute Medical Care for Frail Older People, Acute Medical Care of Elderly People, Acute Medical Unit Consultant Input, Acute Medicine Units (AMUs), Admission Transfer and Discharge (Improving Patient Flow in Urgent and Emergency Care), Ageing and Society, Ageing Population, Ambulance Handovers, Ambulance Handovers (Improving Patient Flow in Urgent and Emergency Care), Ambulance Response Programme (ARP), Ambulance Service Targets, Ambulance Services, Ambulatory Emergency Care (Improving Patient Flow in Urgent and Emergency Care), Association of Ambulance Chief Executives (AACE), Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Barts Health NHS Trust, BBC Health News, Bristol Royal Infirmary, British Geriatrics Society (BGS), British Medical Association (BMA), British Medical Journal (BMJ), Cambridgeshire and Peterborough NHS Foundation Trust (CPFT), Centrally Coordinated Patient Flow (Use of Data in Hospital’s Dashboard), Centre for Urgent and Emergency Care, Chris Hopson: Chief Executive of NHS Providers, Clinical Decision Units (CDUs), Clinical Decision Units (Improving Patient Flow in Urgent and Emergency Care), Cm, Commons Health Select Committee, Consultant Input, Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Demand Driven by Alcohol Consumption, Demand Management, Developing Trusted Assessment Schemes, Discharge and Out of Hospital Care, Dispatch on Disposition (DoD), Dysfunctional Patient Flow, Early Senior Assessment, Early Senior Review of Patients, Early Supported Discharge (ESD), East and North Hertfordshire Care Home Vanguard, ECIP, ECIP: Emergency Care Improvement Programme, Emergency Admissions, Emergency Ambulance Services, Emergency and Urgent Care Services, Emergency Assessment Unit (EAU), Emergency Assessment Units, Emergency Assessment Units (EAUs), Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Care ACP Curriculum, Emergency Care Improvement Programme (ECIP), Emergency Care Intensive Support Team (ECIST), Emergency Centres, Emergency Departments, Emergency Departments (Improving Patient Flow in Urgent and Emergency Care), Emergency Flow Improvement Tool, Emergency Medical Services (EMS), Emergency Medicine Consultants, Emergency Services, Evolving Demand, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Flow Within Hospitals, Four-Hour A&E Waiting Time Target, Frailty, Frailty (Improving Patient Flow in Urgent and Emergency Care), Funding, Government Response to Health Select Committee Report on Winter Pressure in Accident and Emergency Departments (2017), GP Services Co-Located With A&E Department, GPs Co-Located With A&E Department, Health Education England West Midlands, Health First (USA), Health Select Committee, Health Select Committee (HSC), Health Select Committee Inquiry, Health Select Committee Report on Winter Pressure in Accident and Emergency Departments, High Impact Change Model (HICM), Homes Regional Medical Centre (Florida), Hospital Bed Capacity, House of Commons Health Select Committee, Improving Patient Flow in Urgent and Emergency Care, Inappropriate Accident and Emergency Department Attendances, Increasing Bed Capacity, Integrated and Community-Based Care, Integrated Emergency Department (A&E), Katherine Henderson: President of the Royal College of Emergency Medicine, Long A&E Waits, Long Waiting Times, Luton and Dunstable University Hospital NHS Foundation Trust, Luton and Dunstable University NHS Foundation Trust, Management of System, MDTs: Multidisciplinary Teams, Medical Workforce, Mental Health (Improving Patient Flow in Urgent and Emergency Care), Mental Health Crisis First Response Service (FRS) and Sanctuaries, Mid-Cheshire NHS Foundation Trust, National Priorities for Acute Hospitals (2017), Next steps on the NHS Five Year Forward View (2017), NHS England Urgent and Emergency Care Review Team, NHS in Winter (BBC News), NHS Winter Crisis, NHS111 Directory of Services (DoS), NHSI: NHS Improvement, Non-Medical Workforce, November 2017 Quarterly Monitoring Report (King's Fund), Out-of-Hours GP Services Co-Located With A&E Department, Patient flow, Patient Flow Within Hospitals, Pauline Philip: Chief Executive of Luton & Dunstable University Hospital NHS Foundation Trust - Milton Keynes of Bedfordshire and Luton STP Footprint Lead, Pauline Philip: NHS England's National Director for Urgent and Emergency Care, Payment Mechanisms, Pharmacist Involvement, Poole Hospital NHS Foundation Trust, Poole Hospital NHS Foundation Trust: Acute Frailty Service, Preparations for Winter, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Crisis Resolution Teams, Prevention of Avoidable Emergency Admissions: Intermediate Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Primary Care Streaming (Improving Patient Flow in Urgent and Emergency Care), Priorities for Acute Hospitals, Rapid Improvement Guide to Trusted Assessors, Real Time Locating Software (RTLS), Real-Time Locating Software (RTLS) to Improve Patient Flow, Reasons for Short Stay Emergency Admissions, Recognition and Diagnosis of Frailty, Red2Green Bed Days, Red2Green Rapid Improvement Guide, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Review of Winter 2016/17 (NHS Improvement and NHS England), Royal Berkshire NHS Foundation Trust Emergency Department, Royal College of Emergency Medicine (RCEM), Royal College of Physicians (RCP), Royal College of Surgeons (RCS), SAFER Patient Flow Bundle, SAFER Patient Flow Bundle and Red2Green Days (Improving Patient Flow in Urgent and Emergency Care), Salford Royal NHS Foundation Trust, Salford Royal NHS Foundation Trust (SRFT), Sarah Wollaston: Chair of the House of Commons Health Select Committee, Sarasota Memorial Health Care System, Sarasota Memorial Hospital, Senior Clinical Input, Senior Review of Patients, Short Stay Admissions, Society for Acute Medicine (SAM), South Warwickshire NHS Foundation Trust, South Warwickshire’s Trusted Assessment Form, Specialties (Improving Patient Flow in Urgent and Emergency Care), Staffing, Supporting Adult Social Care to Maintain Patient Flow, Team-Based Interventions in A&E, Tele-tracking Technology, TeleTracking, TeleTracking Technologies Inc, Trusted Assessment (Improving Patient Flow in Urgent and Emergency Care), Trusted Assessment Implementation Checklist, Trusted Assessors, University Hospitals Bristol NHS Foundation Trust, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Review, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England, Using Primary Care to Reduce Demand, Western Sussex Hospitals NHS Foundation Trust, Winter From Hell: 2016-7 (Allegation), Winter Preparedness, Winter Pressure in Accident and Emergency Departments (House of Commons Health Select Committee: HC 277), Winter Pressures, Working on Edge of Safety (NHS Providers Allegation)
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Approaches to the Reduction of Preventable Hospital Admissions: a Systematic Review (BMJ Open)
Summary A recent systematic review examined the alternatives to hospital admission for older patients at risk of unplanned hospitalisation. The broad categories of interventions considered were (i) improved use of paramedic / emergency care practitioners, (ii) interventions based in emergency … Continue reading →
Posted in Acute Hospitals, BBC News, 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, Models of Dementia Care, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Statistics, Stroke, Systematic Reviews, UK, Universal Interest
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Tagged Acute Hospital Care, Ageing and Society, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, BMJ Open, BMJ Publishing Group Ltd, Bristol, Bristol Randomised Trials Collaboration: University of Bristol, Brunelcare: Saffron Gardens (Bristol), Case Management, Centre for Academic Primary Care: University of Bristol, Chronic Obstructive Pulmonary Disease (COPD), Community Hospitals, COPD: Chronic Obstructive Pulmonary Disease, Crisis Resolution Teams, Department of Emergency Medicine: University Hospitals Bristol NHS Foundation Trust, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Care, Emergency Centres, Emergency Departments, Emergency Medical Services (EMS), Emergency Services, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Faculty of Health and Applied Sciences: University of the West of England, HaH Interventions, HaH: Hospital at Home, Health Economics at Bristol: University of Bristol, Heart Failure, Independent Prescribing by Paramedics, Intermediate Care, Paramedic Prescribing, Pneumonia, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Crisis Resolution Teams, Prevention of Avoidable Emergency Admissions: Intermediate Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Prevention of Avoidable Emergency Admissions: Telehealth, Proactive Management of Long-Term Conditions, Pulmonary Embolism, Reasons for Short Stay Emergency Admissions, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, School of Social and Community Medicine: University of Bristol, Systematic Review, Systematic Reviews and Meta-Analyses, Uncomplicated Diverticulitis, University Hospitals Bristol NHS Foundation Trust, University of Bristol, University of the West of England, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England
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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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Recent Assessments of Health and Social Care Integration in England: the Problems and the Promise (House of Commons Library / SCIE)
Summary The following House of Commons Library briefing investigates the challenges involved in the integration of health and social care. Recent Government policies to promote more integrated care are described, including Health and Wellbeing Boards, local strategic planning forums and … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, 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, Models of Dementia Care, National, NHS, Person-Centred Care, Quick Insights, SCIE, Standards, Statistics, UK, Universal Interest
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Tagged Barriers to Integration, Barriers to Integration: Costs for NHS bodies and Local Authorities When Integrating Services, Barriers to Integration: Different Funding Incentives for the NHS and Local Authorities, Barriers to Integration: Different Funding Models, Barriers to Integration: Different Inspection Frameworks, Barriers to Integration: Different Workforce Cultures, Barriers to Integration: Difficulties in Effective Information Sharing, Barriers to Integration: Government Policy Priorities Competing With Integration Agenda, Barriers to Integration: Integration of Budgets, Barriers to Integration: NHS Services Free Versus Means-Tested Social Care, Barriers to Integration: Organisational Integration, Barriers to Integration: Problems Regarding Joint-Departmental Oversight, BBC Panorama, BBC Panorama: Home Care Providers Investigation, Birmingham, Care for People with Dementia in the Community, Care in the Community, CCGs: Clinical Commissioning Groups, Clenton Farquharson: Director of Community Navigator Services, Clinical Commissioning Groups (CCGs), Community Care, Community Care Services, Community Rehabilitation, Community-Based Services, Continuity of Care, Creating the Five Year Forward View for Social Care (SCIE), Discharge Planning, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Care, Emergency Readmissions, Emergency Readmissions to Hospital, Financial Issues, Financial Pressures, Five Year Forward View (NHS England), Five Year Forward View for Social Care (SCIE), Funding Transfer to Local Authorities, Health and Social Care, Health and Social Care Delivery Models, Health and Social Care in the Community, Health and Social Care Integration, Health and Social Care Integration Fund, Health and Social Care Services, Health and Social Care: Integration Transformation Fund, Health and Wellbeing Boards (HWBs), House of Commons Library, House of Commons Library Briefing Paper CBP-7902, House of Commons Library Briefing Paper CBP07902, Inappropriate Accident and Emergency Department Attendances, Innovation in Health and Social Care, Integrated and Community-Based Care, Integrated Care and Support, Integrated Care and Support Pioneers, Integrated Care and Support Pioneers Programme, Integrated Commissioning, Integrated Discharge Process, Integrated Home and Community Care Services, Integration of Budgets, Integration of Health and Social Care, Integration Transformation Fund, Local Authorities, New Care Models, New Care Models Programme, NHS England’s Five Year Forward View, NHS Five Year Forward View (5YFV), NHS Funding, NHS Spending, NHS Sustainability, Organisational Integration, Over-Optimism (Brilliant Plans - Sluggish Systems), Over-Optimism (NHS Reform Versus Institutional Inertia), Panorama (BBC TV), Partnership and Collaboration, Partnership Working, Patient Experience, Preventable Hospital Admissions, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Primary Care Service Interventions, Primary Healthcare Provision, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, SCIE’s Total Transformation of Care and Support, Self-Care, Service Transformation, Service User Experience, Social Care Institute for Excellence (SCIE), Support at Home (SHIELD), Sustainability, Total Transformation of Care and Support (SCIE), Total Transformation of Care and Support: Case Studies, Total Transformation of Care and Support: Local Total Transformation Conversations, Total Transformation of Care and Support: Logic Model(s), Total Transformation of Care and Support: Models of Care, Total Transformation of Care and Support: Vision, Transformation of Care and Support, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Whole System Integration, Whole Systems Approach, Whole Systems Design, Whole-System Approaches
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