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Tag Archives: General Hospitals
Latest Dementia Assessment and Referral Data for 2018 (NHS England)
Summary NHS England has published dementia assessment and referral statistics, as of November 2018. These statistics aim to monitor and improve (i) the identification of older patients with dementia and delirium, (ii) assessment and appropriate referral and (iii) follow-up after people have been … Continue reading
Posted in Acute Hospitals, Commissioning, Community Care, Delirium, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged Acute Care, Acute Hospitals, Acute Trusts, Acute Trusts: Find and Assess/Investigate Measures, Assessment, Assessment and Referral, Case Finding, Case Finding for Patients with Dementia, Checks for Dementia at Age 75 Years, Clinical Commissioning Group (CCG): Refer/Inform Measures, Clinical Commissioning Groups (CCGs), Community and Mental Health Trusts, Community Service Providers, Community Service Providers (Community and Mental Health Trusts), Community Services, Community Services Providers, Dementia Assessment and Referral 2015-16, Dementia Assessment and Referral Data, Dementia Assessment and Referral Data Collection, Dementia Assessment and Referral Statistics, Dementia Care in Acute General Hospital, Dementia Care in Acute Settings, Dementia Care in Emergency Departments, Dementia Care in General Hospitals, Dementia Case Finding, Dementia Case Finding Scheme, Dementia Commissioning for Quality and Innovation (CQUIN), Dementia CQUIN, Dementia CQUIN: FAIR (Find; Assess and Investigate; Refer), Dementia Diagnostic Assessment, Dementia Friendly Acute Hospitals, Dementia Liaison Services, Dementia Statistics, Diagnosis and Referral, Discharge Planning, Early Diagnosis, FAIR (Find; Assess and Investigate; Refer), FAIRI: Find Assess/Investigate Refer/Inform, FAR: Find Assess Refer, General Hospitals, General Practice, General Practice Performance Data, Identification and Referral, Incentive Payments, Liaison Mental Health Services, Liaison Psychiatry Services, Liaison Services, Mental Health and Community Services, National Commissioning for Quality and Innovation (CQUIN) Payment Framework, National Commissioning for Quality and Innovation “CQUIN” Payment Framework (Department of Health), National Dementia CQUIN, Performance Incentives, Referral and Assessment, Referrals, Timely Diagnosis
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Progress Towards Achieving Better Value / Reducing Waste in the NHS (King’s Fund / NHS Providers)
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
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Sustainability and Transformation Plans: Reviewing Details (BBC News / King’s Fund / Red Cross)
Summary A recent King’s Fund report explores the content of the Sustainability and Transformation Plans (STPs) for reform of health and care services in England. According to BBC News 28 of these 44 proposals involve closures or downgrading of hospital … Continue reading
Posted in BBC News, Commissioning, In the News, Integrated Care, King's Fund, Local Interest, Mental Health, National, NHS, NHS England, Non-Pharmacological Treatments, UK
Tagged 5YFV: NHS Five Year Forward View, Abolition of the Purchaser/Provider Split, Accountability and Transparency, Accountable Care Organisations (ACOs), Achieving Better Value, Acute Care, Acute Hospital Care, Acute Stroke Care, Ageing Population, Ageing Society, Bath Swindon and Wiltshire STP Footprint, BBC Health News, Better Value in the NHS, Birmingham and Solihull STP Footprint, Bristol North Somerset and South Gloucestershire STP Footprint, British Red Cross, Buckinghamshire Oxfordshire and Berkshire West STP Footprint, Cambridgeshire and Peterborough STP Footprint, Casualty Ward Closures Overnight, Challenges of Reconfiguration, Cheshire and Merseyside STP Footprint, Coast Humber and Vale STP Footprint, Collaboration, Collaborative Commissioning, Collaborative Working, Cornwall and the Isles of Scilly STP Footprint, Coventry and Warwickshire STP Footprint, Derbyshire STP Footprint, Devon STP Footprint, Dorset STP Footprint, Durham Darlington Tees Hambleton Richmondshire and Whitby STP Footprint, Economic Sustainability, Efficiency Opportunities, Efficiency Savings, Emergency Care Improvement Programme (ECIP), Estimates of Social Care Funding Gap (Health Foundation), Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Financial Planning, Financial Position of NHS Trusts, Financial Pressure in the NHS, Financial Pressure on Hospitals, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Five Year Forward View (NHS England), Frail Older People, Frail Older People With Complex Needs, Frimley Health STP Footprint, Funding Challenges, Funding Deficits, Funding Gap in Secondary Care, General Hospitals, Gloucestershire STP Footprint, Greater Manchester STP Footprint, Hampshire and the Isle of Wight STP Footprint, Health and Social Care Configuration, Herefordshire and Worcestershire STP Footprint, Hertfordshire and West Essex STP Footprint, House of Commons Library, House of Commons Library Briefing Paper CBP-8093, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integration of Health and Social Care, Kent and Medway STP Footprint, Lancashire and South Cumbria STP Footprint, Leicester Leicestershire and Rutland STP Footprint, Lincolnshire STP Footprint, Local Health and Care Services, Local Health Economies, Mid and South Essex STP Footprint, Milton Keynes Bedfordshire and Luton STP Footprint, NHS Challenges and New Solutions, NHS Efficiency Savings, NHS England’s Five Year Forward View, NHS Five Year Forward View (5YFV), NHS Funding, NHS Health Check, NHS Health Check Series: BBC News (2017), NHS Spending, NHS Sustainability, Norfolk and Waveney STP Footprint, North Central London STP Footprint, North East London STP Footprint, North West London STP Footprint, Northamptonshire STP Footprint, Northumberland Tyne and Wear STP Footprint, Nottinghamshire STP Footprint, Overnight A&E / Casualty Ward Closures, Policy Context, Population Health, Population Health Systems, Population Healthcare, Prevention, Prevention Agenda, Prevention in Action (Red Cross), Provider Collaboration, Purchaser/Provider Split, Red Cross, Redesigning Local Healthcare Systems, Shropshire and Telford and Wrekin STP Footprint, Simon Stevens: Chief Executive of NHS England (2014-), Social Care Funding Gap, Somerset STP Footprint, South East London STP Footprint, South West London STP Footprint, South Yorkshire and Bassetlaw STP Footprint, Staffordshire STP Footprint, STP Footprints, Stroke Care, Suffolk and North East Essex STP Footprint, Surrey Heartlands STP Footprint, Sussex and East Surrey STP Footprint, Sustainability, Sustainability and Transformation Plans (STPs), Sustainability and Transformation Plans: Content and Implementation, Sustainability and Transformation Plans: Questions Over Opaque Development Practices, System Leadership, The Black Country STP Footprint, Thinking Like a Patient and Acting Like a Taxpayer, Transformation Footprints, Triple Definition of Prevention, Unmet Needs, Voluntary and Community Sector, Voluntary and Community Sector Organisations, West North and East Cumbria STP Footprint, West Yorkshire STP Footprint, Weston Area Health NHS Trust, Weston General Hospital
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NHS Reconfiguration + STPs = Cut-Backs?: Two Sides of Same Equation? (NHS England / King’s Fund / Nuffield Trust / BBC News)
Summary The “Keep calm and carry on”-style narrative from officialdom. Full Text Link Reference NHS England statement on Sustainability and Transformation Plans. [Online]: NHS England, August 26th 2016. Theoretical clarification concerning STPs, from the King’s Fund Full Text Link Reference … Continue reading
Posted in Acute Hospitals, BBC News, Charitable Bodies, 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, King's Fund, Management of Condition, National, NHS, NHS England, NHS Improvement, Nuffield Trust, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged 38 Degrees (Campaign Group), 5YFV: NHS Five Year Forward View, Accountability and Transparency, Achieving Better Value, Acute Care, Acute Hospital Care, Ageing Population, Ageing Society, £1.8 Billion One-Off NHS Trust Deficits Bailout, Better Care Fund (BCF), Better Care Together (BCT), Better Value, Better Value Healthcare, Better Value in the NHS, Challenges of Reconfiguration, Chorley and South Ribble Hospital, Chris Hopson: Chief Executive of NHS Providers, Collaboration, Collaboration for Coordinated Care, Collaboration: Working Across Boundaries, Councillor Izzi Seccombe: Local Government Association (LGA), County Hospital (Previously Stafford Hospital), David Pearson: Director of Adult Social Care of Nottinghamshire County Council - Nottinghamshire STP Footprint Lead, Deficits in the NHS 2016 (King’s Fund), Dr Clifford Mann: President of the College of Emergency Medicine, Economic Sustainability, Efficiency Opportunities, Efficiency Savings, Emergency Care Improvement Programme (ECIP), Emergency Preparedness Resilience and Response (EPRR), Faustian Pact: Trading £8 Billion in Extra Funding For £22 Billion in Efficiency Savings, Financial Constraints, Financial Context, Financial Difficulties, Financial Incentives Across Local Health and Social Care Systems (Proposals), Financial Performance, Financial Planning, Financial Position of NHS Trusts, Financial Pressure in the NHS, Financial Pressure on Hospitals, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Five Year Forward View (NHS England), Frail Older People, Frail Older People With Complex Needs, Funding Challenges, Funding Deficits, Funding Gap in Secondary Care, General Hospitals, Grantham and District Hospital, Health and Social Care Configuration, Honesty and Transparency, Hospital Productivity, Hospital Reconfiguration, House of Commons Health Committee’s Inquiry Into Winter Pressures (2016), How Things Went £3.7 Billion Wrong, Implications of Sustainability and Transformation Plans (STPs): Inadequate Public Consultation (King’s Fund Allegation), Implications of Sustainability and Transformation Plans (STPs): Pre-Determined Solutions, Improving Patient Flow, Incipient Negativism, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integration of Health and Social Care, Jeremy Taylor (Chief Executive of National Voices), Leeds Teaching Hospitals Trust, Leicester, Leicester Leicestershire and Rutland STP Footprint, LLR STP, Local Solutions: Place-Based Approaches, Medical Director of NHS England: Professor Sir Bruce Keogh, Midlands and East Commissioning Region, Midlands and East of England Commissioning Region, Multi-Agency Collaboration, Multisectoral Collaboration, NHS Challenges and New Solutions, NHS Efficiency Savings, NHS England Funding, NHS Expenditure, NHS Finances to 2020, NHS Financial Leadership, NHS Foundation Trust Performance, NHS Foundation Trusts, NHS Foundation Trusts (NHSFTs), NHS Funding, NHS Funding Gap, NHS Midlands and East, NHS Performance, NHS Performance Indicators, NHS Productivity, NHS Providers, NHS Safe Staffing, NHS Service Reconfiguration, NHS Spending, NHS Sustainability, NHS Timebomb [sic], Openness and Collaboration, Optimism Bias (In the Face of Difficulties), Partnership and Collaboration, Performance Indicators, Performance Targets, Policy, Policy Context, Population Health, Population Health Systems, Population Healthcare, Productivity, Productivity in the NHS, RDEL, Redesigning Care Pathways, Redesigning Services, Reducing Drains on the NHS, Reducing Overuse Underuse and Misuse, Richard Murray: Director of Policy at the King’s Fund, Richard Taylor Effect [sic], Rising Expectations, Safe Staffing, Sir Bruce Keogh (Former Chief Executive of the NHS Commissioning Board; now NHS England), Stevens Challenge, STP Footprints, STP Process Timeline Summary, Sustainability, Sustainability and Transformation Fund (STF), Sustainability and Transformation Leaders, Sustainability and Transformation Plan, Sustainability and Transformation Plan (STP), Sustainability and Transformation Plans (STPs), Sustainability and Transformation Plans: Questions Over Opaque Development Practices, System Control Totals (Financial Targets), System Leadership, Thinking Like a Patient and Acting Like a Taxpayer, Toby Sanders: Accountable Officer of West Leicestershire CCG - Leicester of Leicestershire and Rutland STP Footprint Lead, Toby Sanders: Chief Officer at NHS West Leicestershire CCG, Top-Down Policy (Masquerading as Collaboration), Towards Excellence in Adult Social Care Programme (LGA), Transformation Footprints, Transformation Funding, Transparency, Transparency Versus The Richard Taylor Effect, Troubled NHS Foundation Trusts, Turning the Ship Around (Avoidance of NHS Unsustainability), Unit Costs Up + Activity Up = Commissioners Go Bust, Upward Spending Pressures, Waiting Time Standards, Waiting Time Target Breaches, Weston Area Health NHS Trust, Weston General Hospital, Winter Pressures, Winter Pressures Beyond Winter (Winter Re-Defined?)
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Patients Aged Over of 75 Caused Over Half of Physical Assaults on NHS Staff? (BBC News / BBC Radio 5 Live / NHS Protect)
Summary Statistics from NHS Protect on physical assaults against NHS employees indicate that patients aged 75 and over accounted for 57% of violent incidents on wards, between 2010 and 2015 in England. It is estimated that 4% of the assaults … Continue reading
Posted in Acute Hospitals, BBC News, Delirium, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Management of Condition, Mental Health, National, NHS, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged Acute Care, Acute Hospitals, Acute NHS Trusts, Aggression, Agitation and Aggression, Anger, BBC 5 Live, BBC Health News, BBC Radio 5 Live, Behavioural and Psychological Symptoms of Dementia (BPSD), Bites and Pinches, Care in General Hospitals, Centenarians, Dignity, Dignity and Respect, General Hospitals, Health and Social Care Information Centre (HSCIC), NHS Assaults, NHS Protect, Over-75s as Perpetrators of NHS Assaults, Patients Not Always Treated With Dignity And Respect: By Individual Hospital Trust (2012), Physical Assaults on NHS Staff, Physical Assaults on NHS Staff By Centenarians, Physical Assaults on NHS Staff By Elderly Patients, Triggers of Violence and Aggression, Violence and Aggression, Violence and Aggression Against Hospital Staff (in England), Workforce Issues
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Record Levels of NHS Trust Deficits (BBC News / King’s Fund)
Summary Hospitals and other NHS trusts have announced record combined financial deficits, well in excess of £2 billion. A whistleblower has alleged dubious accounting procedures, in the form of unorthodox “financial alchemy”, to disguise the true level of deficits. Full … 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, King's Fund, National, NHS, NHS England, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged Acute Care, Acute Hospital Care, Ageing Population, Ageing Society, Agency Overheads, Agency Staff, Agency Staff Spending Capped, Ambulance Patients: Long A&E Handover Delays, Ambulance Quality Indicators, Ambulance Response Times, Ambulance Targets, Anita Charlesworth: Health Foundation, BBC Health News, Better Value in the NHS, Chris Hopson: Chief Executive of NHS Providers, Delayed Discharges, Difficult Headlines: Troubled Times in NHS, Financial Alchemy (Fiddling Books: Allegation), Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Financial Planning, Financial Position of NHS Trusts, Financial Pressure in the NHS, Financial Pressure on Hospitals, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Funding Challenges, Funding Deficits, General Hospitals, Government Response to the House of Commons Health Select Committee Report on the Spending Review (2016), Hospital Activity Rates and Funding, Key Performance Indicators, King’s Fund Quarterly Monitoring Report, Management Consultants, Monitor, NHS Ambulance Trusts, NHS Expenditure, NHS Financial Leadership, NHS Funding, NHS Funding Gap, NHS Overspends, NHS Performance, NHS Performance Indicators, NHS Productivity, NHS Spending, NHS Spending on Private Ambulance Providers, NHS Timebomb [sic], NHS Trust Development Authority, NHS Trust Development Authority (NHS TDA), NHS Trust Financial Deficits, NHS Trusts’ and Foundation Trusts’ Income and Expenditure, NHS Waiting Times, Operational Performance, Quarterly Monitoring Reports, Reducing Drains on the NHS, Reducing Waste in the NHS, Thinking Like a Patient and Acting Like a Taxpayer, Trends in Hospital Activity and Funding, Upward Spending Pressures, Waiting Time Standards, Waiting Time Target Breaches
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Brief Audit of the New Cross Hospital Specialised Dementia Unit: a “New” Discovery (European Geriatric Medicine)
Summary A short conference abstract relating to the New Cross Hospital Dementia Project has been discovered, entirely fortuitously, over three years after the event held in Brussels. This brief piece communicates the results of an audit into the effectiveness of … Continue reading
Posted in Acute Hospitals, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Local Interest, Management of Condition, Models of Dementia Care, New Cross Dementia Project, New Cross Hospital, Person-Centred Care, Quick Insights, Royal Wolverhampton NHS Trust, Royal Wolverhampton NHS Trust Authorial Affiliation, Standards, Statistics, UK, Wolverhampton
Tagged Acute Care, Acute Hospital Care, Acute Medical Ward for Dementia, Care Bundle Approach, Care in General Hospitals, Caring for People with Dementia on Hospital Wards, Congress of the EUGMS (Brussels 2012), Critique and Evaluation of Dementia Care at New Cross Hospital, Critique and Evaluation of Specialist Hospital Dementia Care in the UK, Dementia Care Bundle (DCB), Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Dementia Care in an Acute Hospital (New Cross Hospital), Dementia Care in General Hospitals, Dementia Care in the Acute Hospital. Wolverhampton, Dementia Friendly Acute Hospitals, Dementia in General Hospital Inpatients, Department of Geriatric Medicine: Royal Wolverhamptom NHS Trust, Education Health and Care Plans (EHCP), European Geriatric Medicine, General Hospital Care, General Hospitals, Geriatric Medicine: Good Hope Hospital, Good Hope Hospital: Heart of England NHS Foundation Trust, National Audit of Dementia Care, National Audit of Dementia Care in Hospitals 2011, New Cross Hospital Dementia Care Bundle, New Cross Hospital Dementia Project, New Cross Hospital Dementia Ward, NHS West Midlands, Patients With Physical Illness and Dementia, Physical Illness and Dementia Ward, Purpose-Designed Dementia Ward, Retrospective Case-Notes Audit, Royal Wolverhampton NHS Trust
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