Tag Archives: Financial Constraints

Progress Towards Achieving Better Value / Reducing Waste in the NHS (King’s Fund / NHS Providers)

Posted on October 6, 2018 by Dementia and Elderly Care News

Summary A King’s Fund report investigates recent work on the value agenda, i.e. efforts aimed at reducing unnecessary costs while maintaining or improving the quality of care. This is based mostly on experience at three diverse NHS acute hospital trusts: … Continue reading →

Posted in Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, King's Fund, NHS, NHS Improvement, Person-Centred Care, Quick Insights, UK, Universal Interest | Tagged Achieving Better Value, Acute Care, Acute Hospital Care, Ageing Population, Allocative Efficiencies, Allocative Value, Better Procurement, Better Value, Better Value Healthcare, Better Value in the NHS, Better-Value Services, Bolton NHS Foundation Trust, Bradford Teaching Hospitals NHS Foundation Trust, Centralised Procurement, Centralised Procurement (Economies of Scale), Choosing Wisely, Choosing Wisely Campaign, Choosing Wisely in the NHS, Choosing Wisely in the UK, Clinical and Corporate Leadership, Clinical Leadership, Clinical Practice Groups (CPGs), Clinical Quality Improvement, Collaboration, Collaboration for Coordinated Care, Collaboration: Working Across Boundaries, Community Virtual Wards, Consultant-Led Services in the Community, Cost Reductions, Culture and Leadership, Delegated Decision Making, Devolved Budgets, Devolved Decision-Making, Economic Sustainability, Efficiencies and Productivity Gains, Efficiency, Efficiency Agenda, Efficiency Opportunities, Efficiency Savings, Empowerment, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Funding Challenges, Funding Deficits, Funding Gap in Secondary Care, General Hospitals, Getting It Right First Time (GIRFT), Health and Social Care Configuration, Healthcare Quality Improvement, Healthcare Value Improvement, Hospital Productivity, Hospital Reconfiguration, IHI Triple Aim, Innovative Leadership, Leadership, Lean and Quality Improvement, Local Health and Care Services, Local Health Economies, Lord Carter Review, Low-Value Care, Maximising Health Outcomes, Minimising NHS Costs, Model Hospital, Model Hospital: Template for Standardisation, NHS Challenges and New Solutions, NHS Efficiency Savings, NHS England’s Ten-Point Efficiency Plan, NHS Funding Gap, NHS Inappropriate Care: Overuse Underuse and Misuse, NHS Performance, NHS Productivity, NHS Providers, NHS RightCare, NHS Sustainability, Personalised Value, Practical Approaches to Delivering Better Value in NHS Clinical Services (King’s Fund), Productivity, Productivity in the NHS, QI: Quality Improvement, Quality and Efficiency Opportunities, Quality Improvement, Quality Improvement Culture, Redesigning Care Pathways, Redesigning Services, Reducing Drains on the NHS, Reducing Overuse Underuse and Misuse, Reducing Waste in the NHS, Royal Free NHS Foundation Trust, Service Cost Reductions, Service Redesign, Service Redesign for Productivity, Service Redesign for Value Agenda, Shared Clinical Pathways, Staff Empowerment, Staff Empowerment in the NHS, Staff Engagement, Staff Engagement in the NHS, Strategic Leadership, Sustainability, System Efficiencies, Targeting Low-Value Care, Technical Value, Thinking Like a Patient and Acting Like a Taxpayer, Triple Aim Initiative, Triple Aim: (1) Improved Health and Wellbeing (2) Redesigned Care and (3) Wise Financial Stewardship, Troubled NHS Foundation Trusts, Unacceptable Variations, Unwarranted Variations, Use of Resources Assessments (NHS Improvement), Value Agenda, Value Improvement, Variations in Care, Virtual Ward Approaches, Virtual Wards, Virtual Wards to Reduce Readmissions, Workforce Engagement | Leave a comment

More on Integrated Care: Government Response to the House of Commons Health and Social Care Committee’s Report (House of Commons / DHSC / King’s Fund / Duke University)

Posted on September 9, 2018 by Dementia and Elderly Care News

Summary In June 2018, the House of Commons Health and Social Care Committee published the “Integrated care: organisations, partnerships and systems” report, which included 42 conclusions and recommendations. Full Text Link Reference Integrated care: organisations, partnerships and systems. Seventh Report … Continue reading →

More on the Tipping-Point for Sustainability of Adult Social Care: a Solution Expected This Autumn? (BBC News / Lancet Public Health)

Posted on August 31, 2018 by Dementia and Elderly Care News

Summary Estimates of the rising demand for round-the-clock home care, from Newcastle University / the London School of Economics and Political Science and published in Lancet Public Health, suggest that the number of people aged 85 and over requiring 24-hour … Continue reading →

Posted in Universal Interest | Tagged Adult Social Care, Ageing Population, Ageing With Multimorbidity, BBC Health News, Burden of Dementia, Care Funding, Caroline Abrahams: Director of Age UK, CFAS II Study, Chronic and Severe Illness, Chronic Conditions, Cognitive Function and Ageing Studies (CFAS) Collaboration, Cognitive Function and Ageing Studies (CFAS) Project, Cognitive Function and Ageing Study II, Cognitive Functioning and Ageing Study (CFAS), Commissioning Home Care, Commissioning Home Care for Older People, Commissioning of Domiciliary Care, Commissioning of Homecare Services, Community Care, Comorbidity and Dementia, Coordinated Health and Social Care, Costs and Cost Pressures, Council Tax, Cross-Party and Public Consensus On Sustainable Funding, Delivering Home Care for Older People, Dementia and Homecare, Dementia and Multimorbidity, Dementia and the Management of Other Long-Term Conditions, Dementia Incidence, Domiciliary Care, English Local Authorities, English Longitudinal Study of Ageing, English Longitudinal Study of Ageing (ELSA), Epidemiology, Epidemiology and Statistics, Financial Constraints, Financial Context, Financial Difficulties, Financial Pressures, Financial Resilience, Forecasting The Care Needs Of Older Population In England, Funding of Adult Social Care, Future Financial Sustainability, Future of NHS and Social Care, Health and Social Care, Health and Social Care Configuration, Health and Social Care in the Community, Health and Social Care Integration, High Dependency, Home Care, Home Care Needs of Older Population in England, Home Care Packages (HCP), Home Care Services, Home Care Standards, Home Care Support, Home Care Workers, Independence at Home, Independent Living With Care, Integration of Health and Social Care for Older People, Late-Life Dependency, LGA: Local Government Association, Local Authorities, Local Government Association: LGA, Long Grass: No More Long Grass Remaining For Social Care Funding Gap, Long-Term Conditions (LTCs), Long-Term Funding of Adult Social Care, Medical Research Council's Cognitive Function and Ageing Studies (CFAS) Project, Modelling the Outcome and Cost Impacts of Interventions for Dementia Project (MODEM), MODEM (Modelling the Outcome and Cost Impacts of Interventions for Dementia) Project, MODEM Project, MRC Cognitive Function and Ageing Studies (CFAS), Mutual Care Between Older Spouses With Physical Disabilities, Newcastle University Institute for Ageing, Nick Forbes: Senior Vice-Chair of Local Government Association, Older Adults Higher Levels of Dependency Dementia and Comorbidity, Older Adults With Medium or High Dependency and Dementia, Population Ageing and Care Simulation (PACSim) Modelling Study, Prevalence of Dementia, Professor Louise Robinson: Director Newcastle University Institute for Ageing, Projections of Multi-Morbidity in Older Population in England to 2035, Social Care, Social Care Expenditure, Social Care Funding, Social Care Funding Shortfalls, Social Care Needs of Older Population in England, Social Epidemiology, Staying Independent, Sustainability, Sustainable Long-Term Funding of Adult Social Care, Tipping Point in Sustainability of Adult Social Care (Alleged), Trends in Disability and Life Expectancy in England and Wales, Unpaid Care, Upward Spending Pressures | Leave a comment

Proposals for a Social Care Premium: Grasping the Nettle or Another Modest Proposal? (BBC News / House of Commons)

Posted on June 29, 2018 by Dementia and Elderly Care News

Summary If social care is to become free at the point of delivery, with a definite cap on the burden to be carried by individual families, the Government’s Green Paper planned for Autumn 2018 has to solve a funding gap … Continue reading →

NHS England’s Pharmacy Integration Fund (NHS England / BBC News)

Posted on March 18, 2018 by Dementia and Elderly Care News

Summary Care home residents often have multiple long-term conditions and are often prescribed several different medicines (polypharmacy). NHS England plans to fund recruitment of 180 pharmacists and 60 pharmacy technicians who will work with care homes to try to reduce … Continue reading →

Posted in BBC News, Commissioning, Community Care, 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, Local Interest, Management of Condition, Models of Dementia Care, National, NHS, NHS England, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Achieving Better Value, Ageing Population, Alternatives to Hospital Admission, BBC Health News, Better Value, Better Value Healthcare, Better Value in the NHS, Care and Support for People With Dementia in Care Homes, Care Home Pharmacists, Care Home Pharmacists to Cut Overmedication, Care Homes, Care of Frail Older People With Complex Needs, Care of Older People Living in Care Homes, Clinical Pharmacists, Community Pharmacists, Community-Based Interventions, Community-Based Services, Community-Based Support, Confusion in Care Homes, Dementia Care in Care Homes, Discontinuation of Multiple Medications in Older Adults, Drug Cost Savings, East and North Hertfordshire NHS Trust, Economic Sustainability, English Pharmacy Board, Financial Constraints, Financial Sustainability in the NHS, Frail Older People, Good Practice in Care Homes, Harms of Too Much Medicine, Hospital Pharmacists, Hospital‑Based Multidisciplinary Teams: Pharmacists, Imelda Redmond: Healthwatch England, Improving Care for Frail Older People, Improving Patient Safety, Improving Pharmaceutical Care in Care Homes, Improving Prescribing Practice, Improving Standards in Care Homes, Inappropriate Drug Use, Inappropriate Medication, Inappropriate Prescribing, Integrated Care in Northumberland, Interdisciplinary Teams, Later Life, Less is More, Liaison and In-Reach Services for Frail Older People, Living Well in Care Homes, Long-Term Conditions (LTCs), Lowering Costs, Managing Medicines in Care Homes, MDTs: Multidisciplinary Teams, Medical Overuse, Medication Reviews, Medication Reviews in Care Homes, Models of Enhanced Health in Care Homes, Multi-Disciplinary Team (MDT), Multi-Disciplinary Teams, Multi-Disciplinary Working, Multi-Morbidities, Multimorbidities and Long-Term Conditions, Multiple Long-Term Conditions, Multiple Medications (Polypharmacy), NHS East and North Hertfordshire CCG, NHS England Local Area Teams: Frail Older People With Complex Needs, NHS England Pharmacy Integration Fund, Northumberland, Older Care Home Residents, Older People, Older People With Complex Needs, Older People's Care, Oral Nutritional Support, Over-Medication, Over-Prescribing, Over-Treatment, Overdiagnosis and Overtreatment, Overmedicaton in Care Homes, Overprescription, Overuse of Medication, Patient Harms, Patient Safety, Patients With Polypharmacy Risks, Pharmacist-Led Care Home Medication Reviews, Pharmacist-Led Medication Reviews, Pharmacists, Pharmacists to Cut Unnecessary Hospital Admissions, Pharmacy Integration Fund (NHS England), Pharmacy Technicians, Polypharmacy, Potentially Inappropriate Prescribing, Preventable Hospital Admissions, Preventative Care, Preventing Acute Admissions from Care Homes, Prevention, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Preventive Care, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Proactive Specialist In-Reach, Protecting Resources and Promoting Value, Redesigning Services, Reducing Expenditure, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Unplanned Hospital Admissions, Reducing Waste in the NHS, Reducing Wasted Medications, Research in Care Homes, Sandra Gidley: Chair of Royal Pharmaceutical Society’s English Pharmacy Board, Simon Stevens: Chief Executive of NHS England, Thinking Like a Patient and Acting Like a Taxpayer, Transforming Care for Frail Older People, Unnecessary Hospital Admissions, Value for Money, Value Improvement, Wellbeing in Care Homes | Leave a comment

Examining Alternative Visions of Funding Social Care for Older People in England (King’s Fund / Health Foundation)

Posted on February 22, 2018 by Dementia and Elderly Care News

The Kings Fund and the Health Foundation have produced a report on “Approaches to social care funding”. It considers the various advantages and disadvantages of a variety of proposed approaches to funding social care for older people, which include (quotation): … Continue reading →

Posted in Charitable Bodies, Commissioning, Community Care, 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), Health Foundation, In the News, Integrated Care, King's Fund, Management of Condition, Models of Dementia Care, National, NHS, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged 2017 General Election, Access to Health and Social Care Support, Adult Social Care Workforce, Care Costs: Cap and Means Test, Care Tax (So-Called Dementia Tax), Conservative Party’s 2017 Election Manifesto, Consultation on Adult Social Care Workforce (2018), Continuing Healthcare Framework (NHS CHC), Coordinated Health and Social Care, Dementia Tax, Department of Health and Social Care Green Paper on Care and Support for Older People, Economic Sustainability, English Local Authorities, Entitlements to Health and Social Care, Facing the Facts Shaping the Future: Adult Social Care Workforce Consultation, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Funding Social Care for Older People in England, Health and Social Care Integration, Hypothecated Tax for Health and Social Care, Hypothecated Tax for Social Care, Hypothecated Taxes, Hypothecation, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Intergenerational Cohesion, Intergenerational Fairness, Intergenerational Inequality, Intergenerational Relations, Local Authorities (LAs), Means Test, Skills for Care (SfC), Social Insurance, Sustainability, Sustainable Care, Sustainable Funding, Sustainable Health and Care Services, Sustainable Local Funding, Thinking Like a Patient and Acting Like a Taxpayer, Upward Spending Pressures | Leave a comment

Seventy Thousand Extra Care Home Places Required in England by 2025? (BBC News / Lancet)

Posted on August 16, 2017 by Dementia and Elderly Care News

Summary Researchers at Newcastle University have confirmed the general view that people are living longer, but that the later years of life often require high levels care (whether in people’s own homes or in residential care). They estimate that there … Continue reading →

Posted in BBC News, Commissioning, Community Care, Department of Health, 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, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Access to Health and Social Care Support, Adult Social Care, Adult Social Care Funding, Adult Social Care Funding (England), Adult Social Care in England, Ageing Population, BBC Health News, BBC Radio 4, BBC Radio 4’s You and Yours, BBC Radio Four, Cambridge Institute of Public Health: University of Cambridge, Causes and Prevention of Frailty, Cognitive Function and Ageing Studies (CFAS) Collaboration, Cognitive Function and Ageing Studies Collaboration, Commissioning of Domiciliary Care, Demographic Change, Demographic Change and Public Services, Demographic Time-Bomb, Department of Public Health and Primary Care: University of Cambridge, Dependency Levels, Disability and Home Care in England’s Older Population, Domiciliary Care, Economic Sustainability, Epidemiology and Statistics, Faculty of Medicine: Newcastle University, Financial Constraints, Financial Eligibility, Financial Issues, Financial Pressures, Frail Older People, Funding of Care and Support (Dilnot Commission), Further Care Home Places Required in England by 2025 (Projection), Further Social Care Requirements in England by 2025 (Projection), Health and Social Care Configuration, Health and Social Care in the Community, Health and Social Care Integration, Health and Social Care Providers, Health and Social Care Services, Home and Community Care Services, Home Care, Home Care Services, Hull-York Medical School: University of Hull, Improving Long-Term Care and Support, Institute of Health and Society: Newcastle University, Integration of Health and Social Care for Older People, Lancet, Late-Life Dependency, London School of Economics and Political Science, Long-Term Care (LTC), Long-Term Care and Support, Medical Research Council's Cognitive Function and Ageing Studies (CFAS) Project, MRC Biostatistics Unit: University of Cambridge, MRC Cognitive Function and Ageing Studies (CFAS), Newcastle University, Newcastle University Institute for Ageing, People Living With Frailty, Personal Social Services Research Unit: London School of Economics and Political Science, Prevention, Quality and Sustainability, Social Care, Social Care Expenditure, Social Care Funding, Social Care Funding Gap, Social Care Funding Shortfalls, Social Demographics, Sustainability, Sustainable Care, Sustainable Funding, Sustainable Health and Care Services, Sustainable Health and Social Care, Tipping Point in Sustainability of Adult Social Care (Alleged), Transforming Care for Frail Older People, UK Demographics, University of Cambridge, University of Hull, What’s Wrong With Social Care in England, You and Yours (BBC Radio 4) | 2 Comments

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