Tag Archives: Holistic Needs Assessment (HNA)

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), Health Education England (HEE), 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 ActNow: an e-Learning Tool (e-LfH), 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, e-Learning for Health (e-LfH) Hub (HEE), 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, HEE: Health Education England, Hilary Garratt: Deputy Chief Nursing Officer for England, 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

Review of Community-Based Services Designed to Avoid or Delay Residential Care Home Admissions (BMC Geriatrics)

Posted on August 12, 2019 by Dementia and Elderly Care News

Summary An Australian systematic review investigated the effectiveness of community-based care interventions for the elderly in terms of their role in avoiding or delaying admission to residential care. It was found that multi-factorial, individualised community programmes are more effective, while … Continue reading →

Posted in Commissioning, Community Care, Falls Prevention, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Models of Dementia Care, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Systematic Reviews, Universal Interest | Tagged Admissions to Residential Care, Australia, BMC Geriatrics, Case Management, Centre-Based Wellness Programmes, Community-Based Services, Community-Based Services to Avoid or Delay Residential Care Home Admissions, Community-Based Support, Complex Interventions, Complex Interventions (Multifactorial Preventative Home Visits), Consumer Directed Care (CDC), Dementia Specific Interventions, Discharge From Hospital to Primary Care, Division of Health Sciences: University of South Australia, ECH Incorporated (South Australia), Edith Cowan University (Australia), Holistic Needs Assessment (HNA), Independence, Independence at Home, Independent Living, Independent Living At Home, Multi-Factorial Falls Assessments and Care Plans, Multifactorial Assessment (Falls), Multifactorial Falls Risk Assessment (MFRA), Multifactorial Preventative Home Visits, Preventative Home Visiting, Re-Enablement (Restorative Home Care), School of Medical and Health Sciences: Edith Cowan University, South Australia, Staying at Home, Staying Put, University of South Australia, Unwillingness to Consider Residential Care, Western Australia | Leave a comment

Multi-Morbidity Re-Visited (BBC News / Academy of Medical Sciences / Health Foundation / JGCR)

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

Summary The Academy of Medical Sciences has produced a report on the unprecedented burden of “multi-morbidity”, i.e. the clustering of two or more physical and mental health conditions in the same patient. This is a summary of emerging evidence on … Continue reading →

All-Party Parliamentary Group on Dementia Concerned About Disjointed and Substandard Care For Common Dementia Comorbidities (ILC-UK / Alzheimer’s Society / Pharma Times Online / APPG on Dementia)

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

Summary Inadequate care and systemic failures in the prevention, diagnosis and treatment of comorbidities experienced by people with dementia is believed to result in (i) unnecessary costs for the NHS, (ii) widespread and preventable reduced quality of life among patients … Continue reading →

Posted in Acute Hospitals, Alzheimer's Society, Charitable Bodies, Commissioning, Community Care, Depression, Diagnosis, Falls, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Hip Fractures, Hypertension, In the News, Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged All-Party Parliamentary Group (APPG), All-Party Parliamentary Group on Dementia, Amenable Mortality, APPG on Dementia, Average Annual Cost Per Person With Dementia, Average Annual Cost Per Person With Dementia: All Severity Levels, Average Annual Cost Per Person With Dementia: Mild Dementia, Average Annual Cost Per Person With Dementia: Moderate Dementia, Average Annual Cost Per Person With Dementia: People With Dementia Living in Residential Care, Average Annual Cost Per Person With Dementia: People With Dementia Living in the Community, Average Annual Cost Per Person With Dementia: Severe Dementia, Avoidable Hospital Mortality, Avoidable Mortality, Avoidable Premature Mortality, Baroness Sally Greengross (APPG on Dementia), Baroness Sally Greengross: Chief Executive of the International Longevity Centre UK, Barriers to Self-Management for People with Dementia, Barriers to Self-Management in Early Stage Dementia, Co-Morbidities, Co-Morbidities and Dementia, Co-Morbidities In Older Patients, Common Dementia Comorbidities, Comorbidities Framework, Complex Conditions, Cost of Co-Morbidities, Cost of Mismanaging Dementia and Diabetes Depression and Urinary Tract Infections (£1 Billion Per Year), Costs to the National Health Service (NHS): Type 2 Diabetes, CQC Inspection Regimes To Assess Quality of Care Pathways Across Health and Social Care Settings (Proposal), Deaths Associated with Hospitalisation, Debbie Abrahams MP: Co-Chair of APPG on Dementia, Dementia and Comorbidities: Ensuring Parity of Care (ILC-UK), Dementia and Depression, Dementia and Diabetes, Dementia and Mortality, Dementia and Urinary Tract Infections, Dementia Co-Morbidities, Dementia Comorbidities, Dementia Rarely Travels Alone: All-Party Parliamentary Group (APPG) on Dementia 2016 Report, Dementia Risk Factors, Depression and Dementia, Diabetes, Diabetes and Multiple Morbidities, Diabetes Self-Management Education and Support, Diabetes Self-Management Support (DSMS), Disjointed and Substandard Care, Elderly People With Complex Health and Social Care Needs, Health and Social Care Integration, Holistic Annual Health Review Coordinated by GPs (Proposal), Holistic Approaches, Holistic Assessments, Holistic Care, Holistic Care Assessments, Holistic Co-ordinated Care, Holistic Consolidated Review of Separate Conditions (Proposal), Holistic Medical Reviews, Holistic Needs Assessment (HNA), Hospital Mortality, ILC-UK, ILC-UK: International Longevity Centre UK, Impact of Dementia on Hospital Mortality, Integration of Health and Care, Integration of Health and Social Care, Integration of Health and Social Care for Older People, International Longevity Centre UK (ILC-UK), Management of Co-Morbidities, Medication Management, Mental Health Co-Morbidities, Multiple Long-Term Conditions, Multiple Medications (Polypharmacy), Parity of Care Report (ILC-UK), Perverse Incentives, Pharma Times Online, PharmaTimes, Premature Death, Preventable Deaths in English Acute Hospitals, Quality Outcomes Framework (QOF), Quality Outcomes Framework (QOF): Perverse Incentives, Quality Outcomes Framework (QOF): Tick-Box Culture, Reducing Catheter Associated Urinary Tract Infections, Revision of Quality Outcomes Framework Which Currently Incentivises Separate Reviews (Proposal), Risk Factors, Self-Care, Self-Management in Chronic Illness, Self-Management in People With Early Stage Dementia, Self-Management of Long-Term Illnesses, Self-Management Support, Standards To Avoid Perverse Incentives, Support for Self-Care, Supporting Self-Care, Type 2 Diabetes, Untreated Comorbidities, Urinary Tract Infections, Urinary Tract Infections (in Patients with Catheters), Urinary Tract Infections (UTIs), Urinary Tract Infections and Dementia | Leave a comment

Following-Up the Manifesto for Better Mental Health (Mental Health Policy Group / NHS Confederation / NHS England / BBC News / CQC)

Posted on June 9, 2015 by Dementia and Elderly Care News

Summary The Centre for Mental Health, Mental Health Foundation, the NHS Confederation’s Mental Health Network, Mind, Rethink Mental Illness and the Royal College of Psychiatrists have jointly released a “First 100 Days and Beyond” plan, which specifies five priorities for … Continue reading →

Posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, Community Care, CQC: Care Quality Commission, 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, Mental Health Foundation, Mental Health Network (NHS Confederation), National, NHS, NHS Confederation, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Royal College of Psychiatrists, Standards, UK, Universal Interest | Tagged 24-Hour Crisis Support, Acceptance and Commitment Therapy (ACT), Access and Waiting Time Standard for Children and Young People with an Eating Disorder, Access to Mental Health Services, Access to Work Funding for People With Mental Health Problems, Alistair Burt: Minister for Community and Social Care, BBC Health News, Best Practice Models of Care, Big White Wall (BWW), Brainstrust (Brain Cancer People), CAMHS Service Transformation: Phased Approach for 2015/16, Cancer Commissioning Board for London, Care Quality Commission (CQC), Care Quality Commission’s Inspection Regime, Centre for Mental Health, Child and Adolescent Mental Health Services, Child and Adolescent Mental Health Services (CAMHS) Transformation Plans, Children and Young People’s Improving Access to Psychological Therapies Programme (CYP IAPT), Children and Young People’s Mental Health, Children and Young People’s Mental Health Taskforce, Children and Young People’s Mental Health Taskforce: Future in Mind, Commissioning for Parity of Esteem, Community Care, Community Care Beds and Services, Community Mental Health, Community Mental Health Services, Community-Based Eating Disorder Services for Children, Community-Based Interventions, Community-Based Mental Health and Social Care Services, Community-Based Services, Community-Based Support, Crisis Care Concordat, Crisis Concordat, Crisis Response, Crisis Response Services, Croydon Clinical Commissioning Group, Delivering Parity of Esteem, Depression Care for People with Cancer (DCPC), Descartian False Premise: Mind and Body Exist Separately, Detentions Under the Mental Health Act in England (April 2014 to March 2015), Devon and Torbay Perinatal Health Team, Devon Partnership NHS Trust, Dr Geraldine Strathdee, Dr Geraldine Strathdee: NHS England’s National Clinical Director for Mental Health, Dr Jacqueline Cornish: NHS England’s National Clinical Director Children Young People and Transition to Adulthood, Dr Paul Lelliott: Deputy Chief Inspector of Hospitals (CQC Lead for Mental Health), Dr Phil Moore: Chairman of NHS Clinical Commissioners Mental Health Commissioners Network, Eating Disorder Services, Eating Disorder Services for Children, Eating Disorders: Hospital Admissions Statistics, eCHAT for Lifestyle and Mental Health Screening in Primary Care, Electronic Health Needs Assessment (eHNA), Employment and Support Allowance (ESA), Funding, Funding and Investment, Funding Gaps, Future of Mental Health, Guys’s and St Thomas’ NHS Foundation Trust (GSTT), Health Education England, Health+Care Commissioning Show (June 2015), Holistic Needs Assessment (HNA), IAPT Long Term Conditions / Medically Unexplained Symptoms (LTC/MUS) Project, Ieso Digital Health, IMPARTS Cancer Services, Improving Access to Mental Health Services by 2020, Improving Access to Psychological Therapies (IAPT) Programme, Improving England’s Mental Health: First 100 Days and Beyond, Improving Mental Health Care for Children and Young People, Improving Perinatal Mental Health, Individual Placement Support (IPS), Information and Support Centres (ISCs), Integrated Cancer Systems (ICS), Integrated Physical and Mental Health, Integrating Mental and Physical healthcare: Research Training and Services (IMPARTS), Integration of Health and Social Care, Integration of Physical and Mental Health, Jenny Edwards CBE (Mental Health Foundation), JMC Partners, LIFT Psychology in Swindon, Local Transformation Plans (LTPs), Local Transformation Plans (LTPs): Improving Mental Health Care for Children and Young People, Local Transformation Plans for Children and Young People’s Mental Health and Wellbeing, London Cancer, London Mental Health Strategic Clinical Network, London Mental Health Strategic Clinical Network (SCN), Macmillan Cancer Support: Recovery Package, Macmillan Centre at St Bart’s Hospital, Maggie’s Centres, Manifesto for Better Mental Health, Mark Winstanley: Chief Executive of Rethink Mental Illness, Maternal Mental Health Alliance, Medical Director of NHS England: Professor Sir Bruce Keogh, Mental Health and Wellbeing, Mental Health Bed Shortages, Mental Health Care, Mental Health Care and Treatment, Mental Health Commissioning, Mental Health Crisis, Mental Health Crisis Care Concordat, Mental Health Dementia and Neuroscience (SCN), Mental Health Foundation, Mental Health Foundation (MHF), Mental Health Network (MHN), Mental Health Policy Group, Mental Health Research, Mental Health Research Funding, Mental Health Service Transformation Programme, Mental Health Services, Mental Health Strategy, Mental Health Taskforce, Mind, Multispecialty Community Providers, Multispecialty Community Providers (MCPs), National Collaborating Centre for Mental Health, NHS Confederation Mental Health Network, NHS Confederation’s Mental Health Network (MHN), NHS Eastern Cheshire CCG, Norfolk and Suffolk NHS Foundation Trust, North and West Reading CCG, Parity Between Mental and Physical Health, Parity of Esteem, Paul Farmer (Mind), Professor Sir Bruce Keogh, Professor Sir Simon Wessely: President of Royal College of Psychiatrists, Psychological Support for People With Cancer, Psychological Therapies, Psychological Wellbeing, Public Mental Health, Public Mental Health Commissioning, Public Mental Health Priorities, Quality of Life, Rethink Mental Illness, Richard Barker: NHS England Regional Director (North), Sean Duggan: Chief Executive of Centre for Mental Health, South London and the Maudsley NHS Trust, Stephen Dalton: Mental Health Network, Survivorship Into ACTion Pilot, Time to Change, Time to Change Programme, Transforming Cancer Services Team for London, UK Health Research Budget, Victoria Derbyshire Programme, WCA: Work Capability Assessment, Web-Based eCHAT (electronic Case-finding and Help Assessment Tool), Whole System Integration, Whole System Patient Flows, Whole Systems Approach, Work Programme and Work Choice, Young People’s Mental Health Services | Leave a comment

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