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Recent Posts
- Dementia-Friendly Communities Provision, Viewed as a Social Determinant of Health (JGCR / NHS England / WHO)
- 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)
- Updates Relating to the Lancet Commission on Dementia Prevention, Intervention, and Care (Lancet / Alzheimer’s Research and Therapy / Alzheimer’s and Dementia)
- 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)
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Tag Archives: Emergency and Urgent Care Services
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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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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Transformational Change in Health and Care: Learning From Case Studies (King’s Fund)
Summary A recent King’s Fund report explores diverse examples of successful transformational change, i.e. those which tend to focus on improving the lives of patients, to see if there are lessons for leadership style and organisational culture. Four case studies … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, King's Fund, Local Interest, Management of Condition, Mental Health, National, NHS, Person-Centred Care, Quick Insights, UK, Universal Interest
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Tagged 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, Ageing Population, Birmingham (UK), Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham and Solihull NHS Mental Health Trust, Bromley by Bow Centre, Bromley by Bow Health Partnership, Bromley-by-Bow Healthy Living Centre in East London, Buurtzorg Model: Netherlands, Buurtzorg Nederland, Buurtzorg: Netherlands, Capability and Culture, Challenges of Urgent and Emergency Care, Change Bystanders, Change Leaders, Change Participants, Change Recipients, Change Sparks, Change Sponsors, Collaborative Leadership, Collaborative Working, Collective Leadership, Continuous Learning and Improvement, Continuous Learning Culture, Culture and Leadership, Culture Change, Culture Change in Health and Care, Culture Change in the NHS, Defining Ethos and Brand, Don Berwick: International Visiting Fellow at the King’s Fund, Dual Focus: Change and Stability, East London, Emergency and Urgent Care Services, Emergency Attendances, Emergency Care, Emergency Care Networks, Emergency Centres, High-Quality Home Care (Buurtzorg: Netherlands), Hospital Liaison Psychiatry Services, Information Technology, Innovative Technology, Involvement and Participation, Leadership and Culture, Leadership Style, Learning Culture, Learning-Based Approaches, Liaison Psychiatry, Liaison Psychiatry in the Hospital Setting, Liaison Psychiatry Services, Long Term Care in the Netherlands, Netherlands, New Care Models, Northumbria Healthcare NHS Foundation Trust, Northumbria Specialist Emergency Care Hospital, Over-Optimism (NHS Reform Versus Institutional Inertia), Overcoming Inertia, Potential of Technology, Power Dynamics: Old Power Versus New Power, Professor Don Berwick, Quality Improvement, Quality Improvement and Transformational Change, Rapid Access Ambulatory Care Clinics, Rapid Assessment Interface and Discharge (RAID), Reconfiguration of Emergency Care System, Reducing Complexity, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Storytelling Approaches (to Research), Systems Complexity, Team-Based Approaches, Theory X Versus Theory Y (Basic Motivational Models), Transformational Change in Health and Care, Transformational Leadership, Transforming Urgent and Emergency Care Services, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Widening Participation, Work Complexity
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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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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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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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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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Health and Social Care Integration: a Tale of Over-Optimism? (NAO / BBC News)
Summary A recent National Audit Office (NAO) report warns that progress towards the integration of health and social care has been slower and less successful than expected. It has not yet delivered the efficiencies and savings that the Department of … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, National Audit Office, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Statistics, UK
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Tagged Accountability in Health and Social Care, Ashley McDougall: Director of National Audit Office, Barriers to Integration, BBC Health News, Better Care Fund (BCF), Better Care Fund 2015-16 Performance, Care for People with Dementia in the Community, Care in the Community, CCGs: Clinical Commissioning Groups, Clinical Commissioning Groups (CCGs), Community Care, Community Care Services, Community Rehabilitation, Community-Based Services, Continuity of Care, DCLG: Department for Communities and Local Government, Department for Communities and Local Government, 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), 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 Integration Pioneers, Health and Social Care Services, Health and Social Care: Integration Transformation Fund, Implications of Sustainability and Transformation Plans (STPs): Pre-Determined Solutions, 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 Emergency Department (A&E), Integrated Home and Community Care Services, Integrated Personal Commissioning (IPC), Integrated Services, Integrating Health and Social Care Services Across England by 2020, Integration of Health and Social Care, Integration Transformation Fund, Integration Transformation Fund (ITF), IPC: Integrated Personal Commissioning, Local Authorities, Local Sustainability and Transformation Plans (STPs), National Audit Office (NAO), New Care Models, New Care Models Programme, New Care Models: Vanguard Sites, NHS England’s Five Year Forward View, NHS Five Year Forward View (5YFV), NHS Funding, NHS Spending, NHS Sustainability, Over-Optimism (Brilliant Plans - Sluggish Systems), Over-Optimism (NHS Reform Versus Institutional Inertia), 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, Professor Jane Dacre: President of Royal College of Physicians, Reconfiguration of Emergency Care System, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Self-Care, Service Transformation, Service User Experience, Sir Amyas Morse: Head of National Audit Office, Sustainability, Sustainability and Transformation Plans (STPs), Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Urgent and Emergency Care, Urgent and Emergency Care Services, Urgent and Emergency Services, Vanguards: New Care Models Programme, Web of Care For Patients With Dementia, Whole System Integration, Whole Systems Approach, Whole Systems Design, Whole-System Approaches
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Carers UK’s Pressure Points Report: Building on the Role of Carers in Supporting the NHS (Carers UK)
Summary A recent Carers UK report examined the potential role(s) of carers in helping to reduce emergency admissions and re-admissions to hospital; and to minimise delayed transfers of care from hospital. Around 40% carers who have taken their dependents to A&E … Continue reading →
Posted in Acute Hospitals, Carers UK, 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, National, NHS, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Ageing and Society, Ageing Policy in the UK, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Building Carer Friendly Communities, Care in the Community, Caregivers, Caregiving (Carers), Carer Awareness, Carer Experience, Carer Fatigue, Carer Friendly Communities, Carer Friendly NHS, Carer Friendly NHS Programme, Carer Friendly Primary Care Services, Carer Isolation, Carer Passports, Carer Support, Carer Support Services, Carer's Needs, Carer’s Perspective, Carers and Families, Carers UK’s Pressure Points Report, Carers’ Rights at Discharge, Case Management, Co-Production, Co-Production in Commissioning, Commissioning for Carers Principles, Community-Based Care, Crisis Resolution Teams, Delayed Discharges, Delayed Transfer of Care to Social Care (DToC), Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Care, Emergency Centres, Emergency Departments, Emergency Services, Experiences of Health Care Services, Experiences of Social Care Services, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Families, Family Caregivers, Family Carers, Funding, Health and Social Care in the Community, Heléna Herklots: Chief Executive of Carers UK, Informal Caregiving, Informal Carers, Integrated and Community-Based Care, Integrated Approach to Identifying and Assessing Carer Health and Wellbeing (NHS England Toolkit), Integrated Discharge Process, Interface Between Primary and Secondary Care, Listening to Carers, Local Sustainability and Transformation Plans (STPs), 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, Proactive Personalised Care in the Community, Readmissions, Reasons for Delayed Discharge, Reducing Delayed Transfers of Care, Reducing Early Hospital Readmissions, Reducing Emergency Admissions Through Community-Based Interventions, Reducing Re-Admissions to NHS Hospitals, Role of Carers in Supporting the NHS, Sustainability and Transformation Plans (STPs), Sustainable Caring, Undervalued Hidden Workforce, Unnecessary Hospital Admissions, Unpaid Caregivers (Carers), Unpaid Carers, 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, Valuing Carers, Working Together to Support Carers
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