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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: Improving Patient Safety
More on Sustaining Quality Improvement (CQC / PHSO)
Summary The Care Quality Commission (CQC) has published further findings about sustaining improvement, based on the positive examples from four case studies, including: Cambridge University Hospitals NHS Foundation Trust. East Lancashire Hospitals NHS Trust. North Staffordshire Combined Healthcare NHS Trust. … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, CQC: Care Quality Commission, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, National, NHS, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Accountability and Assurance, ACOMHS: Royal College of Psychiatrists Accreditation for Community Mental Health Services, Advancing Quality Improvement Alliance (AQuA)., Assurance, Behrens R. CBE: Ombudsman and Chair of Parliamentary and Health Service Ombudsman, Cambridge University Hospitals NHS Foundation Trust, Cambridge University Hospitals NHS Foundation Trust (CUHFT), Care Quality Commission (CQC), Clinical Leaders, Clinical Leadership, Collaboration, Collaborative Care, Complaint Standards Framework, Complaint Standards Framework: Summary of Core Expectations (PHSO 2020), Complaint Standards Framework: Summary of Core Expectations for NHS Organisations and Staff, Complaint Themes, Complaints, Complaints About Acute Trusts in England, Complaints Advocacy, Complaints Handling, Complaints Support Services, Consumer Experiences of Health and Social Care, Continuous Improvement, Continuous Learning Culture, Cultural Leadership, Culture, Culture Change, Culture of Candour, Culture of Raising Concerns, Cumberlege Review (July 2020), Customer Contact & Complaints, Driving Improvement: Case Studies From 10 GP Practices, Driving Improvement: Case Studies From Eight Independent Hospitals, Driving Improvement: Case Studies From NHS Trusts (CQC), Driving Improvement: Case Studies From Nine Adult Social Care Services, Driving Improvement: Case Studies From Seven Mental Health NHS Trusts, East Lancashire Hospitals NHS Trust, Effective Complaints Handling, End-User Experience, Experiences, First Do No Harm: Report of the Independent Medicines and Medical Devices Safety Review, Formal Complaints, Formal Complaints Process, Future for Health and Social Care Complaints Handling, Governance, Health and Social Care Complaints System, Healthier Lancashire and South Cumbria Integrated Care System (ICS), Hospital Complaints, House of Commons Select Committee on Public Administration and Constitutional Affairs (PACAC), Improving Patient Safety, Independent Medicines and Medical Devices Safety Review (July 2020), Inspection, Integrated Care Partnerships (ICPs), Integrated Care Systems (ICSs), Involvement and Participation, Joined-Up Care, Joint Working, Joint Working Between Health and Social Care, Leadership, Leadership Development, Leadership Vision, Learning Culture, Lincolnshire Partnership NHS Foundation Trust, Lincolnshire Partnership NHS Foundation Trust (LPFT), Making Complaints Count: Supporting Complaints Handling (PHSO 2020), Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments, Mental Health Crisis Centre: Harplands Hospital, Moving Away From RAG Ratings, NHS Governance and Accountability, NHS Governance in Complaints Handling (PHSO), NHS Governance of Complaints Handling, NHS Hospital Complaints, NHS Hospital Complaints System, North Staffordshire Combined Healthcare NHS Trust, North Staffordshire Combined Healthcare NHS Trust: Quality Improvement in Mental Health Trusts Case Study, Openness, Openness and Transparency, Organisational Culture, Parliamentary and Health Service Ombudsman, Parliamentary and Health Service Ombudsman (PHSO), Patient Complaints, Patient Complaints Handling, Patient Experience, Patient Experiences of Complaints Handling, Patient Involvement, Patient Involvement in Quality Improvement, Patient Safety, Pennine Lancashire ICP, Principles of Good Complaint Handling, Professor Ted Baker: Chief Inspector of Hospitals at Care Quality Commission (CQC), Public and Patient Involvement, Public Services Complaints, Quality and Experience, Quality Assurance, Quality Assurance and Accreditation Schemes, Quality Improvement, Quality Improvement in Hospital Trusts: Sharing Learning From Trusts on QI Journey, Raising Concerns, Raising Concerns Policy, Raising Standards, Recruitment and Retention, Responding to CQC Inspection Reports / Ratings, Review of CQC’s Impact on Quality and Improvement in Health and Social Care, Self-Evaluation, Staff Empowerment, Staff Engagement, Staff Engagement in the NHS, Staff Motivation, Statistical Process Control (SPC) Principles, Sustaining Improvement (CQC), System Working, Systems Leadership, Transparency, Transparency and Accountability, Transparent Learning Culture, User Complaints, User Experience, User Participation, User-Led Vision of the Complaints System, Valuing Complaints, Vertical Integration, Vertical Integration (of Primary and Secondary Care), Ward Accreditation
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Annual Care Quality Commission State of Care Report (BBC News / CQC / Healthwatch)
Summary The Care Quality Commission (CQC) recently released the annual State of Care review. It concludes that most care provided across England is of good quality and improving. Community care services need to be improved. Innovations in new approaches to care should be … Continue reading →
Posted in Acute Hospitals, Age UK, BBC News, Commissioning, Community Care, CQC: Care Quality Commission, 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, Mental Health, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest
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Tagged Accelerating Innovation, Access to Health and Social Care Support, Access to Specialised Services (Including CAMHS and Secure Services), Accessible Information Standard, Accessible Information Standard (NHS England), Acute Hospital Care, Acute Hospitals, Adult Safeguarding, Adult Social Care, Adult Social Care Funding, Adult Social Care Provision (CQC), Adult Social Care Services, Adult Social Care Vacancy Rates, Adult Social Care: Overall and Key Question Ratings, Alzheimer’s Society’s Dementia Connect Tool, Barriers to Innovation, BBC Health News, Bed Occupancy Rates, British Red Cross, Cambridge University Hospitals NHS Foundation Trust (CUHFT), CAMHS Services, Cancelled Elective Operations, Caremark: PatchCare® Model, Child and Adolescent Mental Health Services (CAMHS), Choice Support, Co-op, Community Connectors, Community Hub Operating Centres (CHOCs), Coventry and Warwickshire Partnership NHS Trust, CQC Challenge to Health and Adult Social Care System, CQC Inspection Questions (Safe Effective Caring Responsive Well-Led), CQC Inspections of GP Surgeries, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Dementia Connect Service, Deprivation of Liberty Safeguards (DoLS), Dimensions of Health and Well-being Tool, Dr Nick Scriven: Society of Acute Medicine, East Lancashire Hospitals NHS Trust, Farnham Integrated Care Service, Frimley Health and Care, Funding and Commissioning Challenges, Geographical Variations, GP Practices: Overall and Key Question Ratings, Greater Manchester Health and Care Partnership, Health and Social Care Integration, Health and Social Care Providers, Health and Social Care Services, Healthwatch England, Healthwatch England's SpeakUp2020 Campaign, Ian Trenholm: Chief Executive of Care Quality Commission (CQC), Improvements Following Re-inspection, Improving Patient Safety, Innovation, Innovation and Improvement, Innovation and Technology, Integration and Innovation (Proposed), Intensive Home Support Service (IHSS), Joined-Up Care, Joint Commissioning, Leadership, Learning Disability and Autism, Learning Disability Hospitals, Learning Disability Services, Local Community Assets, Local System Reviews, Medvivo, Mental Health Beds: Local Availability, Mental Health Services, Midlands Partnership Foundation Trust, Multispecialty Community Providers (MCPs) - Vanguard Site: Encompass, NHS Acute Hospitals: Overall Core Service and Key Question Ratings, NHS Mental Health Trusts in England, NHS Mental Health Trusts: Overall Core Service and Key Question Ratings, Partnership Working, Patient Safety, Patients Waiting More Than Four Hours For Hospital Beds (Trolley Waits), Positive Behaviour Support (PBS), Primary Medical Services, Quality and Sustainability, Quality Improvement, Royal Stoke Hospital, Safe (CQC Inspection Question), Safeguarding, Safeguarding Adults at Risk, Safeguarding Vulnerable Adults, Social Care Practitioner (SCP) in Emergency Department (St Mary’s Hospital / Isle of Wight Council), Social Care Workforce, SpeakUp2020 Campaign (Healthwatch England), Staff Shortages, Staffing, State of Care 2018/19 (CQC), State of Care 2018/19 Report, State of Care 2018/9. Care Quality Commission (CQC): 2019, State of Care in England 2018/19, State of Care Report, Stoke-on-Trent, Surrey Heartlands Health and Care Partnership, Sustainability, Unacceptable Variations, Urgent and Emergency Care (UEC), Variations in Quality of Care, Well-Led (CQC Inspection Question), Well-Led Indicators (CQC), Whitstable Medical Practice - Encompass (MCP Vanguard), Workforce Challenges, Workforce Race Equality Standard (WRES)
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Quality Improvement: Strategies Needed to Reduce Preventable Patient Harm (NIHR Signal / BMJ / Future Healthcare Journal / WHO / Staffordshire University)
Summary A recent review found that around 6% patients in healthcare settings (internationally) experience potentially preventable harm; with approximately 1 in 8 such cases resulting in severe harm, permanent disability or death “Six types of patient harm were identified: drug … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, International, NHS, NHS England, NHS Improvement, NIHR, Non-Pharmacological Treatments, Person-Centred Care, Pharmacological Treatments, Quick Insights, Royal Wolverhampton NHS Trust, Systematic Reviews, UK, Universal Interest, World Health Organization (WHO)
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Tagged 10 Facts About Hospital Care (WHO), Avoidable Harm, Avoidable Hospital Mortality, Avoidable Mortality, Avoidable Patient Harm, BMJ, BMJ Publishing Group Ltd, British Medical Journal (BMJ), Centre for Pharmacoepidemiology and Drug Safety: University of Manchester, Clinical Quality Improvement, Clinical Safety Research: Imperial College London, Continuous Improvement, Continuous Learning and Improvement, Continuous Learning Culture, Division of Pharmacy and Optometry: University of Manchester, Division of Population Health: University of Manchester, Division of Primary Care: University of Nottingham, Dr Sarahjane Jones: Associate Professor in Patient Safety at Staffordshire University, Drug Errors, Future Healthcare Journal, Health Innovation Centre: Stafford Centre of Excellence for Healthcare Education (Staffordshire University), Health Services Research and Primary Care: University of Manchester, Honesty and Transparency, Hospital Patient Safety Strategies, Human Factors for Patient Safety: Staffordshire University, Imperial College London, Improving Patient Safety, Improving Safety Measurement Across Whole System, Information Sharing, Innovation and Improvement, Insight: Using Intelligence From Multiple Sources of Patient Safety Information, Lancashire Teaching Hospitals NHS Foundation Trust, Learning Culture, Learning from Deaths, LeDeR: Learning Disabilities Mortality Review, Lucie Musset: National Reporting and Learning System (NRLS), Medication Errors, Medication Errors and Adverse Drug Reactions, Medication Without Harm (WHO), Medicines Optimisation, National Institute for Health Research (NIHR), NHS Culture, NHS Culture Change, NHS Improvement Patient Safety Alerts, NHS Patient Safety Culture, NHS Patient Safety Strategy, NIHR DC: NIHR Dissemination Centre, NIHR Dissemination Centre, NIHR Greater Manchester Patient Safety Translational Research Centre, NIHR School for Primary Care Research: University of Manchester, NIHR Signal, Oxford Health NHS Foundation Trust, Oxford Healthcare Improvement, Patient Harm, Patient Harms, Patient Safety, Patient Safety Alerts, Patient Safety and Risk Management (WHO), Patient Safety Culture, Patient Safety Fact File (WHO), Prevalence of Patient Harm, Prevalence of Preventable Patient Harm, Preventable Patient Harm, QI Adoption and Spread Approach, Quality and Sustainability, Quality Improvement, Reducing Waste in the NHS, Research Into Safety in Health and Social Care Network (ReSNET), Research into Safety in health and social care Network (Staffordshire University - ReSNET), School of Medicine: University of Nottingham, Service Delivery and Safety (WHO), Staffordshire University, Systematic Reviews and Meta-Analyses, Ten Facts About Hospital Care (WHO), Transparent Learning Culture, Types of Preventable Patient Harm and Overall Patient Harm, UK General Medical Council, University of Manchester, University of Nottingham, University of Oxford, Vanda Carter: Practice Education Facilitator for Research at Royal Wolverhampton Hospitals NHS Trust, WHO: World Health Organization, World Health Organization (Geneva), World Health Organization (WHO), World Patient Safety Day, World Patient Safety Day (2020)
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Potential Harms From Polypharmacy in the Elderly (BBC News / Age UK / EJCP / Bazian / Lancet Psychiatry)
Summary An Age UK report investigates the potential harms of over-prescribing medicines for older people. Older persons often remain on too many prescribed medicines, putting them at risk of side-effects, potentially resulting in falls and other forms of serious harm. … Continue reading →
Posted in Age UK, Antipsychotics, BBC News, Charitable Bodies, Commissioning, Community Care, Depression, Falls, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Hypertension, In the News, Integrated Care, Management of Condition, National, Personalisation, Pharmacological Treatments, Quick Insights, UK, Universal Interest
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Tagged Achieving Better Value, Addictions Department - Division of Academic Psychiatry: King's College London, Addictive Prescription Medicines, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, Ageing Population, Alcohol Drugs Tobacco and Justice Division: Public Health England, AntiCholinergic Burden, Anticholinergic Drugs, Anticholinergics, Antidepressants, Anxiolytics and Hypnotics (Including Benzodiazepines), ARMOUR Tool, Australian Prescribing Indicators, Austrian Criteria, Barenholtz Levy, Bazian, BBC Health News, Beers Criteria, Behind the Headlines, Benzodiazepines, Better Value, Better Value Healthcare, Better Value in the NHS, Brown Model, Cantrill Indicators, Care Home Pharmacists, Care Home Pharmacists to Cut Overmedication, Care Homes, Care of Frail Older People With Complex Needs, Care of Older People Living at Home, Care of Older People Living in Care Homes, Care Planning: Relating New Prescribing Decisions to Existing Medicines, Care Quality Improvement Department: Royal College of Physicians, Case Management and Enhanced Rapid Response, Challenging Behaviour in Dementia, Choosing Wisely, Choosing Wisely in the NHS, Choosing Wisely in the UK, Clinical Pharmacists, CMS List, Communication Between Community Pharmacists and GPs, Community Pharmacies, Community Pharmacists, Community Pharmacy, Community-Based Services, Community-Based Support, Comorbidity, Comorbidity and Dementia, Comorbidity and Polypharmacy in People With Dementia, Dementia Friendly Community Pharmacists, Department of Family Medicine: University of California Los Angeles, Department of Primary Care and Public Health: Imperial College London, Dependence and Withdrawal Associated With Prescribed Medicines (PHE Review), Deprescribing, Discontinuation of Multiple Medications in Older Adults, Doubling-Up, Drug Burden Index, Drug Cost Savings, Economic Sustainability, Elderly Malnutrition, European Journal of Clinical Pharmacology, FORTA Criteria, Four or More Medicines (FOMM) Support Service, Frail Older People, Frailty, Gabapentinoids, Geriatric Medication Algorithm, German PRISCUS List of Potentially Inappropriate Medications, Good Practice in Care Homes, Guy's and St Thomas' NHS Foundation Trust, Hamdy Criteria, Hanoi Medical University, Harms of Too Much Medicine, Health Improvement Directorate: Public Health England, High Quality Medicines Reviews, Holmes Criteria, Hospital Pharmacists, Hospital‑Based Multidisciplinary Teams: Pharmacists, Hull-York Medical School: University of Hull, Imperial College London, Improving Care for Frail Older People, Improving Patient Safety, Improving Pharmaceutical Care in Care Homes, Improving Prescribing in the Elderly Tool, Improving Prescribing Practice, Improving Standards in Care Homes, Inappropriate Drug Use, Inappropriate Medication, Inappropriate Prescribing, Institute of Psychiatry Psychology and Neuroscience: King’s College London, Integrated Care Clinical Pharmacist (ICP) for Frail Older People, Integrated Care Pharmacists (ICPs), Kaiser Permanente Model, Kings College London, KPC Criteria, Lambeth Addictions: South London and Maudsley NHS Mental Health Foundation Trust, Lancet Psychiatry, Laroche Criteria, Later Life, Lechevallier Criteria, Less is More, Liaison and In-Reach Services for Frail Older People, Lindblad’s List, Lipton’s Tool, Living at Home, Living Well in Care Homes, Long-Term Conditions (LTCs), Lowering Costs, Maio Criteria, Malnutrition, Malnutrition in Later Life, Malone’s List, Management of Challenging Behaviour, Managing Comorbidity and Complexity, Managing Medicines in Care Homes, Matsumura Alert System, McLeod Criteria, MDTs: Multidisciplinary Teams, Medical Overuse, Medication Adherence, Medication Appropriateness Index, Medication Creep, Medication Nonadherence, Medication Reviews, Medication Reviews in Care Homes, Medication Without Harm (WHO), Medication-Related Harm, Medications Management Outcome Monitor, Medicine Combinations, Medicines Management, Multi-Morbidities, Multimorbidities and Long-Term Conditions, Multiple Comorbidities, Multiple Long-Term Conditions, Multiple Medications (Polypharmacy), National Guideline Centre: Royal College of Physicians, NCOA Criteria, New Mexico Criteria, NHS Business Services Authority (NHSBSA), NHS Community Pharmacies, Non-Adherence: Medication-Related Harm, Norwegian General Practice (NORGEP) Criteria, Oborne’s Prescribing Indicators, Older Adults Higher Levels of Dependency Dementia and Comorbidity, Older People, Older People Supported and Involved in Decisions About Medicines, Older People With Complex Needs, Older People's Care, Opioid Painkillers, Opioids, Optimising Prescribing and Deprescribing in Older Adults, Over-Medication, Over-Prescribing, Over-Treatment, Overdiagnosis and Overtreatment, Overmedicalization, Overmedicaton in Care Homes, Overprescribing, Overprescription, Overuse of Medication, Owen’s Steps, Patient Harms, Patient Preference and Adherence, Patient Safety, Patients With Polypharmacy Risks, People With Dementia Living at Home, Pharmacist-Led Care Home Medication Reviews, Pharmacist-Led Home Medication Reviews, Pharmacist-Led Information Technology Intervention (PINCER), Pharmacist-Led Medication Reviews, Pharmacists, Pharmacists to Cut Unnecessary Hospital Admissions, PINCER, PINCER Intervention, PMDRP, Polypharmacy, Polypharmacy and Frailty, Polypharmacy in the Elderly STOPP and START Criteria, Poor Medicines Management, Potentially Inappropriate Medications (PIMs), Potentially Inappropriate Medications in the Elderly: the PRISCUS List, Potentially Inappropriate Medicine Combinations, Potentially Inappropriate Prescribing, Potentially Inappropriate Prescribing (PIP), Potentially Inappropriate Prescribing in Older People With Dementia, Prescribing Cascades, Prescribing Optimisation Method, Prescription Drugs, Prescription Drugs Dependency, Prescription Drugs: Long-Term Use, Prescription of Psychotropic Drugs, Prevalence of Potentially Inappropriate Prescribing in Older People With Dementia, 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 Adverse Drug Reactions, PRISCUS List, Proactive Specialist In-Reach, Professor Paul Cosford: Director for Health Protection and Medical Director at Public Health England, Protecting Resources and Promoting Value, Psychotropic Drug Cessation, Psychotropic Drugs, Public Health England, Rancourt Criteria, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Unplanned Hospital Admissions, Reducing Waste in the NHS, Reducing Wasted Medications, Robertson’s Flow Charts, Royal College of Physicians, School of Preventive Medicine and Public Health: Hanoi Medical University, Sloane List, Social Prescribing, Social Prescribing Approach to Reducing Default to Medicines / Drug-Based Treatments, South London and Maudsley NHS Mental Health Foundation Trust, START Criteria, STOPP and START Criteria, STOPP Criteria, STOPP START Criteria, Suboptimal Prescribing, Summary Care Records, Summary Care Records (SCRs), Sustainability, Sustainability in the NHS, Thinking Like a Patient and Acting Like a Taxpayer, TIMER Tool, Too Much Medicine, Tools for Measuring Potentially Inappropriate Prescribing in Older People With Dementia, Transforming Care for Frail Older People, United States, University of California Los Angeles, University of Hull, Unnecessary Hospital Admissions, Unsafe Drug Combinations, USA. Fielding School of Public Health: University of California Los Angeles, Value for Money, Value Improvement, Vietnam, Wellbeing in Care Homes, Wolfson Centre for Palliative Care Research: University of Hull, Z-Drugs (Sleeping Tablets), Zhan Criteria
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Refusal and Resistance to Care in People With Dementia in Acute Hospitals (Patient Experience Library / NIHR / International Journal of Nursing Studies)
Summary Patients with dementia often have a poor experience of care in hospitals. Some hospitals are better than others, almost certainly, thanks to improvements in dementia-friendly hospital care, appropriate staff training and dementia awareness raising; however certain problems may persist … Continue reading →
Posted in Acute Hospitals, Commissioning, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, NHS, NIHR, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, UK, Universal Interest, Wales
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Tagged Abuse of Vulnerable Adults, Acute Care, Acute Hospital Care, Acute Hospitals, Acute Medical Ward for Dementia, Adult Safeguarding, Aneurin Bevan University Health Board, Avoidable Harm, Avoidable Hospital Mortality, Avoiding Long Hospital Stays, Cardiff, Cardiff University, Carers UK, Compassionate Care, Culture of Compassionate Care Versus Routine-Based Ward Culture, De Montfort University, De-Escalation Techniques, Deconditioning in Hospital, Delivering Safe and Compassionate Care, Dementia Awareness, Dementia Awareness Training, Dementia Training, Dementia Training for NHS Staff, Dementia UK, Department of Medicine for Older People Rehabilitation and Stroke: Portsmouth Hospitals NHS Trust, Deprivation of Liberty Safeguards, Deprivation of Liberty Safeguards (DoLS), DoLS in Hospitals, Education and Staff Training, Emergency Readmissions, Emergency Readmissions to Hospital, Ethical Considerations, Ethical Dilemmas, Ethnographic Research, Faculty of Health Sciences: University of Southampton, Fixed Timetables of Care (Potential Harms), Hermeneutic Approaches, Hospital Culture, Hospital-Acquired Deconditioning, Hospital-Associated Deconditioning, Hospital-Related Deconditioning, Improving Patient Experience, Improving Patient Safety, International Journal of Nursing Studies, Length of Hospital Stay, Length of Stay (LoS), Local Ward Cultures, Long Hospital Stays, National Institute for Health Research (NIHR), National Institute for Health Research (NIHR) Service Delivery and Organisation (SDO), NIHR CLAHRC Wessex, NIHR CLAHRC Wessex: Innovation Centre, NIHR Health Services Delivery Research, NIHR Journals Library, NIHR Service Delivery and Organisation Programme, Patient Expectations, Patient Experience, Patient Experience Library, Patient Safety, Planned Personal Care (Timetabled), Qualitative Health Research, Qualitative Research, Qualitative Studies, Queen Alexandra Hospital: Portsmouth Hospitals NHS Trust, Re-Admissions to Hospitals, Readmissions to Hospital, Reducing Avoidable Harm, Reducing Avoidable Premature Mortality, Reducing Health Inequalities, Reducing Length of Hospital Stay, Reducing Re-Admissions to NHS Hospitals, Refusal and Resistance to Care Among People With Dementia in Acute Hospitals, Research and Innovation Department: Portsmouth Hospitals NHS Trust, Resistance Refusal or Rejection of Care by People Living With Dementia, Restraint, Restraint and Restrictions, Restraint in Hospital Settings, Restrictive Practices, Rigid Routines, Routines-Based Hospitals Culture, Safeguarding, Safeguarding Adults at Risk, School of Allied Health Sciences: De Montfort University, School of Health Sciences and Social Work: University of Portsmouth, School of Health Sciences: University of Southampton, School of Healthcare Sciences: Cardiff University, Timetabled Mealtimes, Timetabled Medication Rounds, Training and Education, Understanding Refusal and Resistance to Care, University of Portsmouth, University of Southampton, Workforce Education
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More on Organisational Approaches to Quality Improvement (Health Foundation / BMJ)
Summary The Health Foundation’s report investigates lessons derived from sponsoring and evaluating quality improvement, whether at team, organisation and / or system levels. Case studies covering three NHS trusts in England with a CQC rating of “Outstanding” and which implemented … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Health Foundation, Integrated Care, National, NHS, Person-Centred Care, Quick Insights, UK, Universal Interest
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Tagged AQuA’s QI Maturity Matrix, Barriers to Engagement, Barriers to Involvement, BMJ, BMJ Publishing Group Ltd, British Medical Journal (BMJ), Chamberlain’s QI Building Blocks Framework, Co-production in Quality Improvement, Compassionate Care, Compassionate Inclusive and Effective Leaders, Compassionate Leadership, Compassionate Leadership and Innovation, Compassionate Leadership: Cultural Elements, Culture and Environment, Culture of Compassionate Care, Delivering Safe and Compassionate Care, Department of Applied Health Research: University College London (UCL), East London NHS Foundation Trust, East London NHS Foundation Trust (ELFT), East London NHS Foundation Trust (QI), ELFT QI Method, Enablers of Organisational Improvement, GenerationQ, Getting It Right First Time (GIRFT), Health Foundation's Quality Improvement Reports, Improving Patient Safety, Infrastructure and Resources, Innovative Leadership, Intermountain Healthcare Delivery Institute, Intrinsic Motivation, Involvement and Participation, Jönköping County Council, Jönköping County Council: Sweden, Jönköping County Council’s QI Programme (Sweden), Johns Hopkins Medicine, Kaizen, Leaders Comfortable With More Autonomy at All Levels, Leadership, Leadership and Culture, Leadership and Governance, Leadership for Improvement Board Development Programme, Leadership Style, Lean and Quality Improvement, Lean Programme, Learning Culture, Learning-Based Approaches, Macro Meso and Micro Contributions to Quality Improvement, Macro Meso and Micro Contributions to Quality of Healthcare, Maximising Health Outcomes, Minimising NHS Costs, NHS Challenges and New Solutions, NHS Culture, NHS Culture Change, NHS Efficiency Savings, NHS Partnership with Virginia Mason Institute, Northumbria Healthcare NHS Foundation Trust, Open Culture, ORCA Tool, Organisation-Wide Approaches to Quality Improvement, Organisational Barriers to Improvement, Organisational Improvement, ORIC Measure, Outstanding Care, Overcoming Challenges to Improving Quality, Overcoming Inertia, Patient Safety, Patient-Centred Culture, People-Driven Approaches to Change, Positive Culture, Positive Inclusion and Participation, Problem-Solving and Innovation, QI Culture, QI: Quality Improvement, QSIR, Quality Improvement, Quality Improvement Approaches, Quality Improvement Culture, Quality Improvement Resources, Quality Service Improvement and Redesign (QSIR) Programmes, Redesigning Care Pathways, Redesigning Services, Reducing Waste in the NHS, Research Culture, Respect for Autonomy, Return on Investment From QI, RUBIS.Qi, Sheffield Teaching Hospitals NHS Foundation Trust: Microsystems Coaching Academy, Skills and Workforce, Staff Empowerment, Staff Empowerment in the NHS, Staff Engagement, Staff Engagement in the NHS, Staff Motivation, Tackling Barriers to Innovation, Thedacare Accountable Care, Transformative Culture, Transparent Learning Culture, UCL Department of Applied Health Research, University College London (UCL), Virginia Mason Institute Production System, Western Sussex Hospitals NHS Foundation Trust
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Qualitative Research Into the Acute Hospital Care Weekend Effect (BMC Health Services Research)
Summary While much recent research has cast doubt upon the validity of the “Weekend Effect” construct, the authors of this qualitative research focus instead on the perceptions of patients and hospital workers regarding the quality and safety of care at … Continue reading →
Posted in Acute Hospitals, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Local Interest, Management of Condition, NHS, Person-Centred Care, Quick Insights, UK, Universal Interest
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Tagged 7 Day Services, Access to Urgent and Emergency Care, Accident and Emergency (A&E) Departments, Acute and Hospital Services, Acute Care, Acute Care and Quality, Acute Hospital Care, Acute Hospitals, Birmingham (UK), BMC Health Services Research, Care in General Hospitals, Care of Deteriorating Patients, Consultant Delivered Care, Consultant Input, Day-of-the-Week Effect, Delays in Clinical Decision-Making (Weekends), Department of Health Sciences: University of Leicester, Deteriorating Patients, Elevated Weekend Hospital Mortality, Emergency Admissions, Emergency Hospital Admission (EHA), Emergency Hospital Treatment, Emergency Medicine, General Hospital Care, High Intensity Specialist Led Acute Care (HiSLAC), High-Intensity Specialist-Led Acute Care (HiSLAC) Project, HiSLAC (High Intensity Specialist-Led Care) Study, Hospital Discharge, Hospital Discharge and Transfers, Hospital Mortality, Hospital Mortality Rates, Improving Patient Safety, Leicester (UK), Monday to Friday Culture, Monitoring and Responding to Deteriorating Patients, Mortality, Mortality Associated With After Hours and Weekend Admissions, Mortality at the Weekend, Mortality by Day of the Week, Mortality Rates, Mortality Statistics, Patient and Public Involvement (PPI), Patient Flows, Patient Safety, Patient Safety Improvement, Positive Deviance, Preventable Hospital Mortality, Qualitative Research, Quality Improvement, Quality of Care, Quality of Care at Weekend, Queen Elizabeth Hospital Birmingham, Reduced Continuity of Clinical Care (Weekends), Rescue and Stabilisation of Sick Patients, Resilience and Risk of Error (Weekends), Seven-Day Hospital Services, Seven-Day Working, Staffing Levels, Staffing Levels and Skill Mix, Thematic Analyses, Therapeutic Pathway Flow, University Hospitals Birmingham, University Hospitals Birmingham NHS Foundation Trust, University of Leicester, Urgent and Emergency Care, Variations in Quality of Care, Weekend Effect, Weekend Hospitalisation and Additional Risk of Death, Weekend Mortality for Emergency Admissions, Weekend Specialist to Patient Ratio in Hospitals, Weekend Working
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Recent Report on the State of Care (CQC / DHSC / BBC News / NHS England / SCIE)
Summary The Care Quality Commission (CQC) recently released their annual State of Care report, which examines the performance and effectiveness of health and social care in England, on every front. It appears that patients’ experiences of care tend to depend on how well the components … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, CQC: Care Quality Commission, 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, Management of Condition, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, SCIE, Standards, Statistics, UK, Universal Interest
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Tagged Acute Hospital Care, Acute Hospitals, Adult Safeguarding, Adult Social Care, Adult Social Care Provision (CQC), Adult Social Care Services, Adult Social Care Staff Vacancy Rates, Adult Social Care Workforce, Air Ambulances, Allied Healthcare, Ambulance Services, Asset-Based Approaches, Asset-Based Approaches to Health and Wellbeing, Autumn Budget (2018), Barriers to Joined-Up Care, BBC Health News, BBC Politics News, BBC Reality Check Team, Bed Occupancy, Beyond Alternative Approaches to Performance Management, Beyond Barriers Report: Alternative Approaches to Performance Management, Beyond Barriers Report: Local System Reviews, Beyond Barriers: Birmingham, Beyond Barriers: Bracknell Forest, Beyond Barriers: Bradford, Beyond Barriers: Coventry, Beyond Barriers: CQC Report (2018), Beyond Barriers: Cumbria, Beyond Barriers: East Sussex, Beyond Barriers: Halton and. Hampshire, Beyond Barriers: Hartlepool, Beyond Barriers: Liverpool, Beyond Barriers: Manchester, Beyond Barriers: Northamptonshire, Beyond Barriers: Oxfordshire, Beyond Barriers: Plymouth, Beyond Barriers: Sheffield, Beyond Barriers: Stockport, Beyond Barriers: Stoke-on-Trent, Beyond Barriers: Trafford, Beyond Barriers: Wiltshire, Beyond Barriers: York, Budget 2018: Key Points At-a-Glance, Care Quality Commission (CQC), Caring (CQC Inspection Question), Case Tracking, Chancellor Philip Hammond, Collaborative Working, Community Assets, Community Health Services, Comprehensive Model of Personalised Care, CQC Challenge to Health and Adult Social Care System, CQC Inspection Questions (Safe Effective Caring Responsive Well-Led), CQC Inspections of GP Surgeries, CQC Review of NHS Radiology Services (Planned), Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Dementia Care in the Acute Hospital, Deprivation of Liberty Safeguards (DoLS), Digital Interoperability, East London NHS Foundation Trust, Effective (CQC Inspection Question), End to Silo Working, Everett McKinley Dirksen (Quotation: Apocryphal?), Extended Access to Primary Care, Future of Care Report: Number 8 (SCIE), General Practice Workforce, Geographical Variations, GP Cooperatives and Out-of-Hours Services, GP Out-of-Hours Services, GP Practices, High Impact Change Model, High Impact Change Model (HICM), Hospital Bed Capacity, Hospital Beds, Improved Better Care Fund (iBCF), Improvements Following Re-inspection, Improving Patient Safety, Incentivising Better Joint Working, Independent Ambulance Services, Inspection of GP Out-of-Hours Services, Inspection of GP Practices, Institutional Silos, Joined-Up Care, Joint Commissioning, Joint Workforce Planning, Leadership, Local Community Assets, Local System Reviews, Local Systems Reviews Report (CQC), Local Variations, Mental Health Crisis Care, Mental Health Crisis Centres in Every Accident and Emergency Unit, Mental Health Crisis Hotline, Mental Health Services, Multi-Disciplinary Working, New Settlement for Health and Social Care, NHS Budget, NHS Community Health Services, NHS Hospital Bed Numbers, NHS Mental Health Services, NHS Sustainability, Number of Nursing Home Beds, Nursing Home Beds, Older People: Moving Between Health and Social Care Services, Paradigm Shift: From Service Silos to Systems Outcomes, Patient Safety, Prevention Green Paper, Primary Medical Services, Quality and Sustainability, Quality Improvement, Reablement, Recruitment and Retention, Responsive (CQC Inspection Question), Responsiveness, Risk Sharing: Sharing Risks and Rewards Between Health and Social Care Organisations, Safe (CQC Inspection Question), Safeguarding, Safeguarding Adults at Risk, Safeguarding Vulnerable Adults, Silo Working, Single Point of Access (SPA), Social Care Green Paper, Social Care Institute for Excellence (SCIE), Social Care Workforce, Staff Shortages, Staffing, State of Care 2017/18 (CQC), State of Care 2017/18 Report, State of Care 2017/8. Care Quality Commission (CQC): 2018, State of Care Report, State of Health Care and Adult Social Care in England 2017/18, Step Down, Sustainability, Training and Competency, Transforming Care and Support: Future of Care Report (SCIE), UK Homecare Association (UKHCA), UKHCA: UK Homecare Association, Unacceptable Variations, Urgent and Emergency Care (UEC), Variations in Quality of Care, Well-Led (CQC Inspection Question), Well-Led Indicators (CQC), Workforce Challenges, Workforce Issues
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Potentially Ineffective / Low-Value Treatments in the NHS Under Review (BBC News)
Summary NHS England is actively considering proposals to discontinue or reduce the availability of 17 routine procedures considered to be either ineffective or risky. The aim is to improve patient outcomes, reduce waste in the NHS (by an estimated 200 … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, National, NHS, NHS England, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Academy of Medical Royal Colleges (AoMRC), Achieving Better Value, BBC Health News, BBC Radio 4's Today Programme, BBC Radio 4: Today Programme, Better Value, Better Value Healthcare, Better Value in the NHS, Choosing Wisely, Dr Graham Jackson: Co-Chair of NHS Clinical Commissioners, Economic Sustainability, Improving Patient Safety, Improving Prescribing Practice, Ineffective or Risky Interventions, Lean and Quality Improvement, Less is More, Low Value Prescription Items, Low-Value Care, Low-Value Elective Procedures, Low-Value General Surgical Procedures, Low-Value Medicines, Lowering Costs, Medical Overuse, NHS Funding and Rationing, NHS Sustainability, Overdiagnosis and Overtreatment, Overuse of Medication, Patient Harms, Patient Safety, Potentially Ineffective / Low-Value Treatments Consultation: Breast Reduction, Potentially Ineffective / Low-Value Treatments Consultation: Carpal Tunnel Syndrome Release, Potentially Ineffective / Low-Value Treatments Consultation: Chalazia (Lesions on Eyelids) Removal, Potentially Ineffective / Low-Value Treatments Consultation: Dilatation and Curettage for Heavy Menstrual Bleeding, Potentially Ineffective / Low-Value Treatments Consultation: Dupuytren's Contracture Release for Tightening of Fingers, Potentially Ineffective / Low-Value Treatments Consultation: Ganglion Excision: Removal of Noncancerous Lumps on the Wrist or Hand, Potentially Ineffective / Low-Value Treatments Consultation: Grommets for Glue Ear, Potentially Ineffective / Low-Value Treatments Consultation: Haemorrhoid Surgery, Potentially Ineffective / Low-Value Treatments Consultation: Hysterectomy for Heavy Menstrual Bleeding, Potentially Ineffective / Low-Value Treatments Consultation: Injections for Non-Specific Back Pain, Potentially Ineffective / Low-Value Treatments Consultation: Knee Arthroscopy for Osteoarthritis, Potentially Ineffective / Low-Value Treatments Consultation: Removal of Benign Skin Lesions, Potentially Ineffective / Low-Value Treatments Consultation: Removal of Bone Spurs for Shoulder Pain, Potentially Ineffective / Low-Value Treatments Consultation: Surgery for Snoring, Potentially Ineffective / Low-Value Treatments Consultation: Tonsillectomy for Sore Throats, Potentially Ineffective / Low-Value Treatments Consultation: Trigger Finger Release, Potentially Ineffective / Low-Value Treatments Consultation: Varicose Vein Surgery, Professor Carrie MacEwen: Chair of the Academy of Medical Royal Colleges (AoMRC), Professor Stephen Powis: NHS England's National Medical Director, Protecting Resources and Promoting Value, Rationing (Possibly Misplaced Allegation), Reducing Expenditure, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Productive Waste, Reducing Waste in the NHS, Sustainability, Targeting Low-Value Care, Value for Money, Value Improvement
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Persistent Failings Versus Quality Improvement in Mental Health Care (PHSO / CQC)
Summary The Parliamentary and Health Service Ombudsman (PHSO) has published a report addressing failings in specialist mental health services in England, and their devastating impact on patients and their families. The complaints in this report predate the Five Year Forward … Continue reading →
Posted in Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, National, NHS, NHS England, Person-Centred Care, Personalisation, Quick Insights, SCIE, Standards, UK, Universal Interest
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Tagged Approved Mental Health Professionals Services, Calderstones Partnership NHS Foundation Trust: Quality Improvement in Mental Health Trusts Case Study, Care Quality Commission (CQC), Collaboration, Collaborative Care, Communication: Persistent Failings in Mental Health Services in England, Community and Mental Health Trusts, Complaints and Raising Concerns, Continuous Improvement, Continuous Learning Culture, Crisis Care Concordat, Culture of Raising Concerns, Diagnosis and Failure to Treat: Persistent Failings in Mental Health Services in England, Dignity and Human Rights: Persistent Failings in Mental Health Services in England, Driving Improvement in Mental Health Trusts: Seven Case Studies, Failings in Mental Health Care, Five Year Forward View for Mental Health, Five Year Forward View for Mental Health (2016), Five Year Forward View for Mental Health (5YFVMH), Governance, Improving Patient Safety, Inappropriate Discharge and Aftercare: Persistent Failings in Mental Health Services in England, Inspection, Involvement and Participation, Joined-Up Care, Joint Working, Joint Working Between Health and Social Care, Leadership, Learning Culture, Lincolnshire Partnership NHS Foundation Trust: Quality Improvement in Mental Health Trusts Case Study, Local Variations, Mental Health Care, Mental Health Care and Treatment, Mental Health Crisis Care Concordat, Mental Health Trusts, NHS Mental Health Services, NHS Mental Health Trusts in England, North Staffordshire Combined Healthcare NHS Trust: Quality Improvement in Mental Health Trusts Case Study, Organisational Culture, Oxleas NHS Foundation Trust: Quality Improvement in Mental Health Trusts Case Study, Parliamentary and Health Service Ombudsman (PHSO), Patient Involvement, Patient Involvement in Quality Improvement, Patient Safety, Persistent Failings in Mental Health Services in England: Parliamentary and Health Service Ombudsman, Public and Patient Involvement, Quality and Experience, Quality Improvement, Quality Improvement in Mental Health, Quality Improvement in Mental Health Trusts: Case Studies, Raising Concerns, Responding to CQC Inspection Reports / Ratings, Risk Assessment and Safety: Persistent Failings in Mental Health Services in England, SCIE Social Care Online, Sheffield Health and Social Care NHS Foundation Trust: Quality Improvement in Mental Health Trusts Case Study, Social Care Online, Somerset Partnership NHS Foundation Trust: Quality Improvement in Mental Health Trusts Case Study, South West Yorkshire Partnership NHS Foundation Trust: Quality Improvement in Mental Health Trusts Case Study, Staff Empowerment, Staff Engagement, Staff Engagement in the NHS, Staff Motivation, State of Health and Adult Social Care Report (2016), State of Health Care and Adult Social Care in England, State of Health Care and Adult Social Care in England 2015/16, Themes of Complaints (For PHSO Reflection), Transparent Learning Culture, Unexpected Deaths in Mental Health Trusts, User Participation
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