Tag Archives: Integrated and Community-Based Care

Reducing Hospital Admissions From Care Homes (Health Foundation)

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

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

Statistical Process Control Applied to Delayed Transfers of Care (NHS Improvement)

Posted on June 22, 2019 by Dementia and Elderly Care News

Summary Delayed transfers of care (DToC) are widely recognised to be a significant cause of unnecessary harm to patients, and potentially avoidable financial costs to the taxpayer. NHS Improvement’s “Delayed transfer of care (DToC) improvement tool” incorporates the latest data from … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, National, NHS, NHS Improvement, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Acute Hospital Care, Adult Social Care, Adult Social Care Services, Ageing Population, Areas With the Highest Delayed Transfers of Care, Care for Vulnerable Older People, Clinical Commissioning Groups (CCGs), Cross-Sector Partnerships, Dashboards, Delayed Transfer of Care (DToC) Improvement Tool (NHS Improvement), Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Discharge From Acute and Mental Health Trusts, DToCs Dashboard, Efficiency Opportunities, English Local Authorities, Geographical Variations, Health and Adult Social Care Providers, Health and Social Care, Health and Social Care Integration, Hospital Discharge, Hospital Discharge and Transfers, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integration of Health and Social Care, Local Authorities (LAs), Local Health Services: Variations, NHS Improvement's Delayed Transfers of Care Improvement Tool, Patient Discharge, Patient Flows, Pivot Table Slicers (Excel Tool), Post-Discharge Support, QI: Quality Improvement, Quality and Efficiency Opportunities, Quality Improvement, Quality Improvement Approaches, Reducing Bed Days, Reducing Waste in the NHS, Regional Variations, Social Care Delays (Impact on Hospital Bed-Days and LoS), Social Care Providers, Statistical Process Control, Statistical Process Control (SPC) Principles, Statistical Process Control Methodology, Sustainability, Sustainable Health and Social Care, Thinking Like a Patient and Acting Like a Taxpayer, Transition Between Inpatient Hospital Settings and Community or Care Home Settings, Unacceptable Variations, Unwarranted Variations, Variation in Performance, Vulnerable Older People, Wasted Resources, Whole System Dashboards, Whole System Patient Flows | Leave a comment

Improving Care for Older People (NHS England / Age UK / PHE / Chief Fire Officer’s Association / JGCR)

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

Summary The guide to Improving Care for Older People, developed by NHS England in partnership with Age UK, Public Health England, and the Chief Fire Officer’s Association, is actually a collection of resources (some dating back several years). This collection … Continue reading →

Posted in Age UK, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Practical Advice, Public Health England, Quick Insights, UK, Universal Interest | Tagged Active Ageing, Active and Healthy Ageing, Age and Ageing, Age-Friendly Housing, Age-Related Hearing Loss (ARHL), Ageing Population, Ageing Population Carer Support, Ageing Society, Ageing Well, Ageing Well and Supporting People Living With Frailty (NHS England), Ageing Well With Technology, Amenable Mortality, Avoidable Harm, Avoidable Hospital Admissions, Avoidable Mortality, Avoidable Premature Mortality, Avoidable Rehospitalisations, Bladder Problems, Burden on Caregivers, Care for Vulnerable Older People, Care Home Admission Delay, Care in an Ageing Society, Care of Frail Older People With Complex Needs, Caregiver Assessments, Caregiver Burden, Caregivers, Caregiving (Carers), Carer Awareness, Carer Experience, Carer Fatigue, Carer Isolation, Carer Organisations, Carer Support, Carer Support Services, Carer's Needs, Carer’s Perspective, Carers Strategy, Carers Trust, Carers UK Adviceline, Carers' Assessments, Carers’ Benefits, Carers’ Health and Wellbeing, Caring and Family Finances, Caring into Later Life, Case Finding and Risk Stratification, Chief Fire Officers Association, Chief Fire Officers Association (CFOA), Chief Fire Officers Association: Ageing Safely Strategy, Cognitive Impairment, Cold Homes, Collaboration, Collaborative Commissioning, Collaborative Models of Delivery, Collaborative Working, Collaborative Working in Local Communities, Community Care Assessments, Community Response Intervention Teams, Community Risk Intervention, Community Risk Intervention Team (CRIT), Community Volunteering, Community-Based Services, Complex Needs, Consensus Statement on Improving Health and Wellbeing (2015), Consent to Share Information, Cooking Arrangements, Coping With Stress, Culture Change in Health and Care, Delivering Better Health and Care Outcomes, Dementia-Friendly Housing, Design Principles for Safe and Well Visits, Determinants of Health, Electronic Frailty Index, electronic Frailty Index (eFI), Emily Holzhausen: Director of Policy and Public Affairs at Carers UK, Falls Prevention, Falls Reduction, Falls Risk Assessment Tool (FRAT), Family Caregivers, Family Carers, Feeling Under the Weather (Campaign), Fire and Rescue Service Delivering Home Modifications, Fire and Rescue Services (FRS), Fire and Rescue Services (FRS): Health Ambassadors, Fire and Rescue Services Act (2004), Fire and Rescue Services Checks on Older People, Fire and Rescue Services Checks on People With Long Term Health Conditions, Fire as a Health Asset: Consensus, Fire Safety Check Programmes, Fires, Frail Older People, Frailty, Frailty Identification and Frailty Care, Frailty Services, Frailty Syndromes, FRS Volunteers, Geriatric Care and Research Organisation (GeriCaRe), Greater Manchester FRS Community Risk Intervention Teams (CRITs), Guide to Healthy Ageing, Happiness and Wellbeing, Health and Care of Older People, Health and Social Care Integration, Health and Wellbeing, Healthy Ageing, Healthy Ageing Conference 2018 (India), Healthy Ageing in India, Healthy Caring Guide, Healthy Feet, Hearing, Hearing Loss, Hoarding, Home Adaptations, Home Modifications, Home Safety, Home Security, Hydration and Nutrition, Identification of Frailty, Identification of Frailty (Routine Screening), Identifying People Living With Frailty, Identifying Vulnerable People, Impact of Caring on Carers, Improving Care for Frail Older People, Improving Care for Older People (NHS England), Improving General Practice, Improving Lives of Carers, Improving Quality in General Practice, Improving the Quality of Care in General Practice, Inappropriate Hospital Admissions, Independence, Independence at Home, Independent Living, Independent Living At Home, India, India (State of Odisha), Informal Caregiving, Informal Carers, Information Needs of Carers, Information Technology, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integrated Prevention Approaches, Integration of Health and Care, Integration of Health and Social Care, Journal of Geriatric Care and Research (JGCR), Keep Warm Keep Well, LGA: Local Government Association, Lifestyle Risk Factors, Links Between Mental Health and Fire Risk, Local Government Association: LGA, Local Government Authority: Beyond Fighting Fires, Local Health and Care Services, Loneliness, Loneliness and Social Isolation, Long Term Health Conditions, Long-Term Care (LTC), Long-Term Care and Support, Long-Term Conditions, Long-Term Conditions (LTCs), Maintaining Independence, Maintaining Relationships, Mental Health Needs of Carers, Mental Wellbeing, Mental Wellbeing and Older People, Mobile Technology, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary Working, Multi-Morbidity, Needs of Carers, NHS England Risk Stratification Guidance, Older Community-Dwelling Adults, Older People At Home, Older People With Complex Needs, Older People: Independence and Mental Wellbeing, Opportunities to Treat Patients Without Hospital Admission, Partnership and Collaboration, Partnership Working, Partnership(s) Between NHS and Fire Service, Pathways for Frail and Vulnerable People, Patient Targeting and Risk Stratification, People Living With Frailty, Personalised Care and Support Planning Handbook, PHE: Public Health England, Portable Heaters and Open Fires, Potentially Modifiable Socio-Environmental Risk Factors, Preparations for Winter, Preventable Hospital Admissions, Prevention, Prevention Agenda, Primary Care, Provision of Risk Appropriate Domestic Fire Detection and Warning, Public Health England (PHE), Recognising and Managing Frailty in Primary Care, Reducing Unplanned Hospitalisation, Regaining Independence, Rehospitalisations, Risk and Protective Factors for Mental Wellbeing, Risk of Nursing Home Admission, Risk Stratification, Social Media, Support for Carers, Support for People with Complex Needs, Supporting Health Wellbeing and Independence, Sustainable Caring, Targeted Screening, Targeting Resources on Vulnerable Populations, Treating Patients Without Hospital Admission, Unpaid Caregivers (Carers), Unpaid Carers, Unplanned Hospital Admissions, Unplanned Hospitalisation, Urinary Incontinence, Urinary Infections, Use of Social Media, Vaccination Programmes, Visual Impairment, Voluntary and Community Sector, Voluntary Sector, Warm Homes, Winter Friends | Leave a comment

Intermediate Care Including Reablement: Quality Standard QS173 (NICE)

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

Summary National Institute for Health and Care Excellence (NICE) has produced a quality standard on intermediate care, including reablement. This is intended to contribute to improvements across many fronts, including: Integration of health and social care. Patient and carer-related quality … Continue reading →

Posted in Commissioning, Integrated Care, Local Interest, National, NICE Guidelines, UK | Tagged Alternatives to Hospital Admission, Alternatives to Hospital Care, Bed-Based Intermediate Care Services, Community-Based Interventions, Community-Based Rehabilitation Services, Community-Based Services, Community-Based Support, Crisis Response, Delayed Discharges, Delayed Transfers of Care, Demand for Intermediate Care, Discharge of Hospital Patients With Care and Support Needs, Discharge Planning, Home Based Intermediate Care, Home Based Services, Hospital Discharge, Integrated and Community-Based Care, Intermediate Care, Intermediate Care Including Reablement: NICE Quality Standard QS173, Multi-Agency Integration, Multi-Disciplinary Team (MDT), Multimorbidity, National Audit of Intermediate Care, NHS Benchmarking, NICE Quality Standard QS173, NICE Quality Standards, Partnership Working, People's Experience of Using Adult Social Care Services, Prevention of Avoidable Emergency Admissions: Intermediate Care, Quality Measures, Quality Statements, Re-ablement Services, Re-admission Avoidance Scheme (RAS), Reablement, Reablement Services, Reablement Services for People Leaving Hospital, Readmissions for Patients with Long Term Conditions, Recovery, Recovery Based Approaches, Recovery Rehabilitation and Reablement (RRR), Recovery Rehabilitation and Reablement Services, Recovery. Rehabilitation, Redesigning Services, Regaining Independence, Rehabilitation and Self Management, Rehabilitation Care Pathways, Rehabilitation Services, Services Maximising Independence, Services Reducing Use of Hospitals, Social Care for Older People With Multiple Long-Term Conditions, Social Care Reablement Services, Supporting Health Wellbeing and Independence, Transition Between Inpatient Hospital Settings and Community or Care Home Settings | Leave a comment

More on Self-Care, Patient Activation and NHS Sustainability (Health Foundation / BMJ Quality and Safety / Self Care Forum / NHS England / AMROC)

Posted on August 28, 2018 by Dementia and Elderly Care News

Summary A Health Foundation briefing explores the potential of increasing patient activation for better self-care in the management of long-term conditions (including asthma, diabetes and depression) and reducing avoidable hospital admissions. “ …patients who were most able to manage their … Continue reading →

Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, Depression, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, Integrated Care, Management of Condition, Mental Health, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Statistics, UK, Universal Interest | Tagged 24-Hour Community-Based Services, Academy of Medical Royal Colleges (AoMRC), Academy of Medical Royal Colleges: Please Write to Me Initiative, Accident and Emergency Admissions, Accountable Integrated Care Systems (AICS), Ageing Society, Asthma, Asthma Hospital Admissions, Asthma: Avoidable Admissions, Avoidable Emergency Admissions, Awareness and Campaigns, Awareness and Understanding, Awareness Campaigns, Awareness Raising, Black Country STP, BMJ Publishing Group Ltd, BMJ Quality and Safety, Bridport Integrated Hub, Collaborative Working, Collaborative Working in Local Communities, Community and Voluntary Sector, Community Matrons' Late Visiting Service, Community Pharmacies, Community Pharmacists, Community Pharmacy, Community Virtual Wards, Community-Based Care, Community-Based Care for People With Frailty, Community-Based Support, Comprehensive Model of Personalised Care, Connecting Care+ (Wakefield), Data Analytics Team: Health Foundation, Data Analytics: Health Foundation, Debbie Newton: Director of Community Services at Mid Yorkshire Hospitals NHS Trust, Demand Management, Diabetes, Diabetes Self-Management Education and Support, Diabetes Self-Management Support (DSMS), Dorset County Hospital NHS Foundation Trust, Dr Hugh Rayner: Please Write to Me Initiative (Academy of Medical Royal Colleges), Dr Phil Earnshaw: Chair at NHS Wakefield CCG, Dr Riaz Dharamshi: Bridport Integrated Hub, Economic Sustainability, Education and Awareness, Electronic Care Records, Email Not Letters, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Department Utilisation and Patient Activation, Epidemiological Concepts, Epidemiology, Financial Sustainability in the NHS, Good Practice in Managing Emergency Admissions, Health and Wellbeing, Health Policy, Health Wellbeing and Independence, Healthy Ageing, Healthy Behaviours, Healthy Communities, Integrated and Community-Based Care, Integrated Care Systems (ICSs), Integrated Neighbourhood Teams (INT), Jo Webster: West Yorkshire and Harrogate Clinical Commissioning Group Lead, Kamila Hawthorne: Vice-Chair of Royal College of General Practitioners (RCGP), Karen Kirkham: NHS England’s National Clinical Advisor for Primary Care, Late Visiting Service: Community Matrons, Leicester, Leicestershire Planned Care Policies Report, Long-Term Conditions (LTCs), Matt Hancock: Secretary of State for Health and Social Care, Merran McRae: Chief Executive at Wakefield Council, Mid Yorkshire Hospitals NHS Trust, National Self Care Week (2018), NHS and Social Care Hubs, NHS England Integrated Care Case Studies, NHS Wakefield CCG, Outpatient Clinics: Writing Letters to Patients, PAM: Patient Activation Measure, Patient Activation, Patient Activation Measure (PAM), Patient Autonomy, Patient Efficacy, Patient Engagement, Patient Experience, Patient Factors (Demand Side), Patient Involvement, Personal Integrated Care (PIC) - Electronic Care Record, Pharmacist Involvement, PIC Files: Personal Integrated Care (PIC) Files, Please Write to Me: Academy of Medical Royal Colleges, Preventative Care, Preventative Services, Preventing Avoidable Emergency Admissions, Prevention, Prevention and Self Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Prevention Programmes, Preventive Care, Preventive Services, Proactive Care Planning, Proactive Management of Long-Term Conditions, Public and Patient Involvement, Quality of Life for People With Long Term Conditions, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Reducing Waste in the NHS, Ruth Williams: Clinical Directorate Lead at Sandwell and West Birmingham Hospitals NHS Trust, Sandwell and West Birmingham Hospitals NHS Trust, Sandwell iCares Scheme, Self Care For Life, Self Care Forum, Self Care Week, Self Care Week (2018), Self Care Week 2018 Resources, Self Care Week 2018: Choosing Self Care for Life, Self-Care, Self-Care Continuum, Self-Care Programme, Self-Determination, Self-Directed Services, Self-Directed Support, Self-Directed Support for Long Term Conditions, Self-Efficacy, Self-Efficacy (Carers), Self-Efficacy (Patients), Self-Help, Self-Management, Self-Management in Chronic Illness, Self-Management Support, Service User Involvement, Staying Healthy for Longer, Support for People with Complex Needs, Support for Self-Care, Supported Self-Care, Supporting People to Manage Their Health, Supporting Self-Care, Sustainability, The Black Country STP Footprint, Understanding Self Care for Life, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Urgent and Emergency Care, User Involvement, Virtual Wards, Virtual Wards to Reduce Readmissions, Wakefield, Wakefield (West Yorkshire), Wakefield Council, West Dorset GPs, West Leicestershire Clinical Commissioning Group (CCG), West Yorkshire and Harrogate Health and Care Partnership, Weymouth and Bridport (Dorset), Writing Outpatient Clinic Letters to Patients | Leave a comment

Non-Pharmacological Community-Based Interventions for Persons With Dementia: Deciding What Works and What Does Not (Trials)

Posted on May 4, 2018 by Dementia and Elderly Care News

Summary Work is underway in developing a standardised Core Outcome Set (COS) for use in the evaluation of non-pharmacological health and social care interventions for people living with dementia at home. “ …this study will move closer to providing researchers … Continue reading →

Posted in Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Models of Dementia Care, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest | Tagged Community-Based Arts and Health interventions, Community-Based Care, Community-Based Interventions for Persons With Dementia, Community-Based Support, Consensus-Based Standards for the Selection of Health Measurement (COSMIN), Core Outcome Measures in Effectiveness Trials, Core Outcome Measures in Effectiveness Trials (COMET), Cost-Effectiveness, Cost-Effectiveness in Health Care, Effectiveness and Cost-Effectiveness of Dementia Care, Efficacy of Dementia Care Interventions, Efficacy of Non-Pharmacological Community-Based Interventions for Persons With Dementia, Efficiency and Effectiveness, Greater Manchester Mental Health NHS Foundation Trust, Increasing Comparability Across Dementia Studies, Integrated and Community-Based Care, Lancaster University, Linköping University, Manchester Metropolitan University, Non-Pharmacological Community-Based Interventions for Persons With Dementia, Opportunities for Standardisation, Participation in Research, Participation in Research Studies, Public Participation in Research, Reducing Reporting Bias, Reducing Waste in Dementia Care, Reducing Waste in the NHS, Standardisation, Sweden, Trials, Unconscious Bias, University of Liverpool, University of Manchester | Leave a comment

National Audit of Intermediate Care 2017 (NAIC)

Posted on November 30, 2017 by Dementia and Elderly Care News

Summary The National Audit of Intermediate Care (NAIC)’s latest annual report attempts to provide comprehensive data on intermediate care services. It supplies a refreshed audit of intermediate care services delivering care and support to “older people living with complex conditions; … Continue reading →

Posted in Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Physiotherapy, Quick Insights, RCN, Royal College of Physicians, Standards, Statistics, UK, Universal Interest | Tagged Accessibility of Intermediate Care, Ageing Population, AGILE, AGILE: Professional Network of the Chartered Society of Physiotherapy, Alternatives to Hospital Admission, Alternatives to Hospital Care, Association of Directors of Adult Social Services (ADASS), Bed Based Intermediate Care, Bed Based Intermediate Care Services: Workforce, Bed Based Services, Bed Occupancy, Bed-Based Intermediate Care Services, Bed/Home and Step Up/Down Provision, Benchmarking, BGS, British Geriatrics Society, British Geriatrics Society (BGS), Care Integration, Challenging Behaviour, Challenging Behaviour in Dementia, Claire Holditch: Programme Director of NHS Benchmarking Network, Cognitive Impairment, College of Occupational Therapists, College of Occupational Therapists Specialist Section for Older People (COTSS-OP), Community Care Services, Community Hospitals, Community-Based Interventions, Community-Based Rehabilitation Services, Community-Based Services, Community-Based Support, COTSS-OP: College of Occupational Therapists Specialist Section for Older People, Crisis Home Treatment, Crisis Resolution and Home Treatment Team (CRHT), Crisis Response, Crisis Response Services, Crisis Support, David Bramley: Deputy Head and Programme Lead for Long-Term Conditions Older People and End of Life Care Team Medical Directorate at NHS England, Dawne Garrett: Older People and Dementia Care at Royal College of Nursing, Delayed Discharges, Delayed Transfers of Care, Demand for Intermediate Care, Demographics and Processes, Dependency Levels, Destination on Discharge, Discharge Destination, Discharge of Hospital Patients With Care and Support Needs, Discharge Planning, Dr Dawn Moody: Associate National Clinical Director for Older People (NHS England), Dr Martin Vernon: National Clinical Director for Older People and Integrated Care, Elderly Rehabilitation Services, Finance, Getting It Right First Time (GIRFT), Home Based Intermediate Care, Home Based Services, Hospital Discharge, Integrated and Community-Based Care, Integration, Intermediate Care, Intermediate Care Beds, Intermediate Care Capacity, Intermediate Care Geriatrician, Intermediate Care Teams, Intermediate Care: Commissioner Spend, Iola Shaw: Long Term Conditions Older People and EOLC Medical Directorate at NHS England, Later Life, Length of Stay, Length of Stay (LoS), Local Strategic Planning, Mental Health Provision in Intermediate Care Services, Modified Barthel Index (MBI), Multi-Agency Integration, Multi-Disciplinary Team (MDT), NAIC 2017, NAIC Steering Group, National Audit of Intermediate Care, National Audit of Intermediate Care (2017), National Audit of Intermediate Care: NAIC 2017, NHS Benchmarking, NHS Benchmarking Network, NHS RightCare, Occupational Therapists, Older People’s Specialists’ Forum, Partnership Working, Patient Flows, Patient Reported Experience Measure (PREM), RCP: Royal College of Physicians, Re-ablement Services, Re-admission Avoidance Scheme (RAS), Reablement, Reablement Services, Readmissions for Patients with Long Term Conditions, Recovery Rehabilitation and Reablement Services, Reference Costs, Referrals, Rehabilitation Services, Royal College of Nursing (RCN), Royal College of Physicians (RCP), Royal College of Speech and Language Therapists (RCSLT), Services Maximising Independence, Services Reducing Use of Hospitals, Skills / Disciplines Mix, Staffing Levels, Staffing Levels and Skill Mix, Step Down, Step Up, Strategic Planning, Strategic Planning and Commissioning, Sunderland Community Scheme, Therapy Outcome Measure (TOMS), Trans-Disciplinary Roles, Variation in Commissioning, Vulnerable Adults, Whole System Impact, Whole System Patient Flows, Workforce | Leave a comment

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