Tag Archives: Emergency Medicine and Urgent Care

Where Best Next Campaign: Reducing Length of Hospital Stay (NHS England)

Posted on August 19, 2019 by Dementia and Elderly Care News

Summary Approximately 350,000 patients spend more than three weeks in a hospital each year, often with poor outcomes: “Many older people, particularly those who are frail and may have dementia, actually deteriorate while in hospital – a stay of more … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, NHS Improvement, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, UK, Universal Interest | Tagged Acute Frailty Network (AFN), Acute Frailty Services, Better Care Support Programme, Care Closer to Home, Clinical Criteria for Discharge (CCD), Comprehensive Geriatric Assessment (CGA), Criteria Led Discharge, Deconditioning, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Discharge, Discharge at a Reasonable Time, Discharge Coordination, Discharge Coordinators, Discharge From General Inpatient Hospital Settings, Discharge Into the Care Sector, Discharge Patient Tracking List, Discharge Planning, Discharge Support, Dr Taj Hassan: President of Royal College of Emergency Medicine, Emergency Care Intensive Support Team, Emergency Care Intensive Support Team (ECIST), Emergency Medicine and Urgent Care, End PJ Paralysis, Expected Date of Discharge, Expected Date of Discharge (EDD), Foci for Maximum Impact in Reducing Length of Stay, Guide to Reducing Long Hospital Stays: NHS Improvement, Health and Social Care Integration, Healthcare Associated Infections, Healthcare Associated Infections: Patient Safety, Holistic Needs Assessment (HNA), Home First: Supporting Patient Choice, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Identifying and Managing Frailty at the Front Door, Improving Hospital Discharge Into Care Sector, Improving Patient Care, Integrated Multi-Agency Care, Kettering General Hospital NHS Foundation Trust, Length of Stay (LoS), Local Government Association, Long-Stay Patient Reviews, Long-Stay Patients, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary and Multi-Agency Working, Multiagency Teams, Patient Deconditioning Effect Related to Hospital Bed Rest (aka Pyjama Paralysis / PJ Paralysis), Patient Harms, Patient Harms and Harm Free Care, Patient Safety, PDSA (Plan-Do-Study-Act) Cycles, People First: Manage What Matters, Plan Do Study and Act (PDSA), Professor Stephen Powis: NHS England's National Medical Director, Pyjama Paralysis, Quality Improvement, Reducing Healthcare Associated Infections in Hospitals, Reducing Hospital Length of Stay, Reducing Length of Hospital Stay, Reducing Length of Stay (RLoS) Programme, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 1: Plan for Discharge From the Start, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 2: Involve Patients and Families in Discharge Decisions, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 3: Establish Systems and Processes for Frail People, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 4: Embed Multi-Disciplinary Team Reviews, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 5: Encourage a Supported Home First Approach, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Reducing Waste in Dementia Care, Reducing Waste in the NHS, Rockwood Clinical Frailty Score, Royal College of Emergency Medicine (RCEM), SAFER Patient Flow Bundle, South Warwickshire NHS Foundation Trust, South Warwickshire NHS Foundation Trust (SWFT), Supported Home First Approaches, What Matters Most (Healthwatch), Where Best Next Campaign (NHS England August 2019), Where Best Next? Campaign (NHS England), Why Not Home: Why Not Today, Why Not Home? Why Not Today? Campaign | Leave a comment

Reducing Hospital Admissions From Care Homes (Health Foundation)

Posted on August 2, 2019 by Dementia and Elderly Care News

Summary A Health Foundation report indicates that perhaps over 40% of emergency hospital admissions on the part of permanent care home residents aged ≥65 years could have been avoided with better preventive primary care, community support / NHS care in care … Continue reading →

Independent Mental Health Act Review (BBC News / DHSC / Centre for Mental Health / NHS England)

Posted on December 8, 2018 by Dementia and Elderly Care News

Summary The independent review of the Mental Health Act 1983, chaired by Professor Sir Simon Wessely, presents recommendations for reform based on four principles: Choice and autonomy. Least restriction. Therapeutic benefit. Understanding people as individuals: whereby patients are recognised and … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), Diagnosis, 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, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest, Wales | Tagged Advance Care Planning (ACP), Advance Care Planning for People With Mental Illness, Aftercare, Alternative Forms of Support and Respite, Alternatives to Inpatient Care for People With Learning Disabilities, Autonomy, Autonomy and Choice, Autonomy and Safety, Baroness Julia Neuberger, Black and Minority Ethnic (BAME) Communities, Black and Minority Ethnic (BME) Groups, BME Communities, BME People with Mental Illness, Care and Compassion, Care and Treatment Plan (CTP), Care Closer to Home, Carly Lynch: Mental Health Lead at London Ambulance Service, Centre for Mental Health, Claire Murdoch: NHS England’s National Director for Mental Health, Coercion, Community Services, Community Treatment Orders (CTOs), Community-Based Services, Compassionate Care, Compulsory Community Treatment to Prevent Readmissions, Compulsory Detentions in Psychiatric Hospitals, Compulsory Hospitalisation, Compulsory Treatment Orders, Control of Patient's Care if Sectioned: Nominated Persons, Criminal Justice System (CJS), Crisis Home Treatment, Crisis Prevention, Crisis Resolution and Home Treatment Teams (CRHTTs), Crisis Response Teams (CRTs), Crisis Support, Criteria for Detention, Culture of Compassionate Care, Dangerous and Severe Personality Disorder (DSPD), Delivering Race Equality (DRE) Programme, Deprivation of Liberty Safeguards (DoLS), Dignity, Dignity and Consent, Dignity and Respect, Dignity in Care, Disproportionate Proportion of Black and Minority Ethnic Groups Detained, Early Intervention and Prevention, East London Foundation Trust (ELFT), Emergency Medicine and Urgent Care, End-User Experience, Engagement and Patient Preferences., Ethnic Variations in Detention Under the Mental Health Act, European Convention on Human Rights (ECHR), Experiences of Assessment and Detention Under Mental Health Legislation, Formal Legal Detentions (Under Mental Health Legislation), Fusion of MHA and MCA (Proposed), Gellinudd Recovery Centre (Hafal in Wales), Health and Care of People With Learning Disabilities, Health Inequalities and Premature Mortality for People With Learning Disabilities, How the Law Should Change: Final Report of Independent Review of the Mental Health Act 1983 Recommendations, Inappropriate Discharge and Aftercare: Persistent Failings in Mental Health Services in England, Independent Mental Health Act Review (2018), Independent Review of the Mental Health Act 1983, Informal Admission, Information Sharing: Advance Care Plans, Learning Disability and Autism, Least Restriction, Length of Detention, Less Frequent Use of Police Cars to Transport Patients, Liberty Protection Safeguards, Lived Experience Working Group (LEWG), London Ambulance Mental Health Nurse and Paramedic Pioneer Scheme, Maintaining Contact with Family and Outside World, Mark Winstanley: Chief Executive of Rethink Mental Illness, Mental Capacity, Mental Health Act (MHA), Mental Health Act 1983, Mental Health Act and Community Treatment Orders, Mental Health Aftercare, Mental Health and Community Services, Mental Health and Illness, Mental Health Car (London Ambulance Service Scheme), Mental Health Hospitals, Mental Health Legislation, Mode of Transport for Patients, Modernisation of Mental Health Act, Modernisation of Mental Health Care System, Nominated Person (NP) to Replace the Nearest Relative (Proposal), Opportunities to Challenge Detention (More Frequent), Organisational Competence Framework (OCF), Patient and Carer Race Equality Framework (PCREF), Patient Autonomy, Patient Preferences, Patients in Criminal Justice System (CJS), Patients Treated as Rounded Individuals, Patterns of Compulsory Hospitalisation, Paul Farmer (Mind), Person as an Individual, Personal Preferences, Police Custody, Professor Sir Simon Wessely: President of Royal College of Psychiatrists, Professor Wendy Burn: President of Royal College of Psychiatrists, Proportion of Re-Detentions Under Section 136 Within 90 Days of Previous Section 136 Detention, Psychiatric Hospitals, Recommendations in Final Report of Independent Review of the Mental Health Act 1983, Reducing Compulsory Psychiatric Admissions, Reducing Mental Health-Related Hospital Admissions, Reducing the Use of Police Cells, Reduction in Use of Compulsory Treatment Orders, Requirement of Doctors to Record When and Why Patient Requests Ignored, Respect for Autonomy, Restraint and Restrictions, Restriction, Right to Carer Input, Right to Choose a Nominated Person to Control of Patient's Care if Sectioned, Rights of Patients to Challenge Their Treatment (Legal Extensions), Rising Rates of Compulsory Detentions in Psychiatric Hospitals, Safe and Compassionate Care, SDM: Shared Decision Making, Second Opinion Appointed Doctor (SOAD), Second Opinion Appointed Doctors, Section 117 Aftercare, Sectioning under the Mental Health Act, Service User Experience, Service User Experience in Adult Mental Health, Service User Experience in Adult Mental Health Services, Shared Decision-Making, Statement of Wishes and Preferences, Statutory Care and Treatment Plan (CTP), Suicide and Safety in Mental Health, Themes from the Mental Health Act Survey: Independent Mental Health Act Review (Centre for Mental Health), Therapeutic Benefit, Therapeutic Benefit: Patients Supported to Recover, Thinking Ahead - Advance Care Planning, Trisha Bain: Chief Quality Officer at London Ambulance Service, UK National Preventive Mechanism (UKNPM), United Nation Convention on the Rights of Persons with Disabilities (UNCRPD), Use of Ambulances (Section 136 Conveyances), Use of Police Custody as a Place of Safety for People with Mental Health Needs, User Experience, Workforce Race Equality Standard (WRES) | Leave a comment

Preparations for Winter Pressures: Funding Announced (DHSC / BBC News)

Posted on October 7, 2018 by Dementia and Elderly Care News

Summary The Department of Health and Social Care has announced £240 million extra funding, aimed at providing local authorities the assistance required to reduce anticipated Winter pressures in the NHS. It is hoped that reducing delayed transfers of care / … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Universal Interest | Tagged Access to Primary Care, Adult Social Care, Adult Social Care Relative Needs Formulae, Ageing Population, BBC Health News, Crisis Planning, Delayed Discharges, Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Demand and Capacity, Demand Management, Demand Versus Capacity Gaps, East Kent Hospitals University NHS Foundation Trust, Emergency Medicine, Emergency Medicine and Urgent Care, Emergency Planning and Resilience, Extended Access to Primary Care, Health and Social Care, Health and Social Care Integration, Hear and Treat and See and Treat Services (Reducing A&E Attendances), Home Adaptations, Home Care, Hospital Beds, Housing Adaptations, Lancashire Teaching Hospitals NHS Foundation Trust, Long Hospital Stays, Make Ready Hubs at Ambulance Trust Headquarters, Matt Hancock: Secretary of State for Health and Social Care, New Allocation Formulae for Funding Care Act Reforms, NHS Ambulance Trusts, NHS Sustainability, NHS Tracker Service (BBC's NHS Winter Project), NHS Tracker Service (BBC), NHS Winter Project (BBC News NHS Tracker Service), Personal Social Services Research Unit: University of Kent, Quality and Sustainability, Reablement, Reablement Funding, Reablement Services, Reablement Services for People Leaving Hospital, Relative Needs Allocation Formulae for Adult Social Care, Relative Needs Formulae for Adult Social Care Funding, Relative Needs Formulae for Adult Social Care Funding (Study to Review and Update RNF Allocation Formulae for Adult Social Care), Relative Needs Formulae: Prioritising Adult Social Care Funding, Revision of the Relative Needs Formulae for Adult Social Care Funding and New Allocation Formulae for Funding Care Act Reforms (PSSRU: University of Kent), Royal Stoke University Hospital (Previously City General), Same-Day Emergency Care, Social Care Delays (Impact on Hospital Bed-Days and LoS), Social Care Reablement Services, Stephen Barclay MP: Minister of State for Health, Sustainability, Sustainable Health and Social Care, Thinking Like a Patient and Acting Like a Taxpayer, University Hospital of North Midlands, University of Kent: Personal Social Services Research Unit, Urgent and Emergency Care, Urgent and Emergency Services, Urgent and Emergency Services: 2018-9 Winter Preparedness, Winter Preparedness, Winter Pressures | Leave a comment

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

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

Summary The NHS, with the cooperation of local authorities, plans to reduce unnecessarily long stays in hospital for patients by a quarter. The aim is to free-up over 4,000 beds in readiness for anticipated Winter pressures on hospitals. Currently, around … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Models of Dementia Care, National, NHS, NHS England, NHS Improvement, Non-Pharmacological Treatments, Person-Centred Care, Practical Advice, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged 6As for Managing Emergency Admissions, Ambulatory Emergency Care, Ambulatory Emergency Care (AEC), Ambulatory Emergency Care (Improving Patient Flow in Urgent and Emergency Care), Better Use of Care at Home, Breaking the Cycle SAFER Patient Flow Bundle, Care Closer to Home, Clinical Criteria for Discharge, Clinical Criteria for Discharge (CCD), Criteria Led Discharge, Daily Transfers of Care (DTOC), Deconditioning, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Discharge, Discharge at a Reasonable Time, Discharge Coordination, Discharge Coordinators, Discharge From General Inpatient Hospital Settings, Discharge Into the Care Sector, Discharge Planning, Discharge Support, Discharge to Assess (D2A) Model, Emergency Day Care, Emergency Medicine and Urgent Care, Expected Date of Discharge, Expected Date of Discharge (EDD), Foci for Maximum Impact in Reducing Length of Stay, Guide to Reducing Long Hospital Stays: NHS Improvement, Health and Social Care Integration, Health and Social Care Multiagency Peer Reviews, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Ian Dalton: Chief Executive of NHS Improvement, Improving Hospital Discharge Into Care Sector, Improving Patient Care, Integrated Care Pathway for Frailty, Integrated Multi-Agency Care, Length of Stay (LoS), Local Multiagency Dementia Partnerships, Long-Stay Patient Reviews, Long-Stay Patients, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary and Multi-Agency Working, Multiagency Discharge Event (MADE), Multiagency Teams, New Front Door to Urgent and Emergency Care Services, NHS Confederation Conference (2018), Patient Administration System (PAS), Patient Deconditioning Effect Related to Hospital Bed Rest (aka Pyjama Paralysis / PJ Paralysis), Patient Harms, Patient Harms and Harm Free Care, Patient Safety, PDSA (Plan-Do-Study-Act) Cycles, Plan Do Study and Act (PDSA), Pyjama Paralysis, Quality Improvement, Rachel Power: Chief Executive of Patients Association, Red2Green Days, Reducing Hospital Length of Stay, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Length of Hospital Stay, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Reducing Waste in Dementia Care, Reducing Waste in the NHS, SAFER Patient Flow Bundle, SAFER Patient Flow Bundle and Red2Green Days (Improving Patient Flow in Urgent and Emergency Care), Sally Copley: Director of Policy and Campaigns at Alzheimer’s Society, Supporting Patients’ Choices To Avoid Long Hospital Stays, Why Not Home: Why Not Today (reducingdtoc.com) | Leave a comment

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)

Posted on October 2, 2017 by Dementia and Elderly Care News

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 →

Guideline on Sepsis Recognition, Diagnosis and Early Management (NICE / BBC News / RCEM)

Posted on July 24, 2016 by Dementia and Elderly Care News

Summary The National Institute for Health and Care Excellence (NICE) recently published “Sepsis: recognition, diagnosis and early management – guidance” (NG51). This presents recommendations on the identification and assessment people with suspected sepsis; risk factors and risk stratification; and the … Continue reading →

Posted in Acute Hospitals, Community Care, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Management of Condition, NICE Guidelines, Standards, UK | Tagged Acute Sepsis, Antibiotic Treatment in People With Suspected Sepsis, Antimicrobial Stewardship, Avoidable Hospital Mortality, Avoidable Mortality, AVPU (Alert Voice Pain Unresponsive) Scale, AVPU: Alert V oice pain, BBC Health News, Dr Foster, Dr Foster Intelligence, Dr Ron Daniels: Chief Executive of UK Sepsis Trust, Emergency Medicine and Urgent Care, Glasgow Coma Scale (GCS), Improving Sepsis Recognition and Treatment, Infection and Infectious Diseases, National Institute for Health and Care Excellence (NICE), NICE Guidance on Sepsis Recognition Diagnosis and Early Management (NG51), Patient Safety, Premature Mortality, Preventable Hospital Mortality, Professor Sir Brian Jarman, Quality Improvement, Raising Sepsis Awareness, Royal College of Emergency Medicine, Royal College of Emergency Medicine (RCEM), Russells Hall Hospital (Dudley), Sepsis, Sepsis Awareness, Sepsis Bundles, Sepsis Recognition, Sepsis: Risk Stratification Tools, Severe Sepsis and Septic Shock: RCEM National Clinical Audit 2016/17, Sir Brian Jarman, unresponsiv e') scale | Leave a comment

Tag Archives: Emergency Medicine and Urgent Care

Guideline on Sepsis Recognition, Diagnosis and Early Management (NICE / BBC News / RCEM)

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