Tag Archives: Length of Stay (LoS)

Financial Sustainability in the NHS: Holding Up a Mirror? Reflection (BBC News / NHS Improvement / NHS England / BMJ / OECD)

Posted on August 6, 2017 by Dementia and Elderly Care News

Summary The authors of the Getting It Right First Time (GIRFT) report believe that the NHS may not actually need further money from the taxpayer, asserting that efficiency savings identified (in the field of general surgery alone, and without looking … 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, International, Mental Health, National, NHS, NHS England, Quick Insights, Standards, Statistics, UK, Universal Interest, World Health Organization (WHO) | Tagged American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP), Anatomy of the Model Hospital, £22 Billion Efficiency Savings by 2020-21, BBC Health News, Bedford Musculoskeletal Disorders (MSK) Referral Management Centre, Bedford Referral Management Centre (RMC), Better Together Vanguard, Birmingham and Solihull United Maternity and Newborn Pathway (BUMP) Early Adopter, BMJ Publishing Group Ltd, British Medical Journal (BMJ), BUMP: Birmingham and Solihull United Maternity and Newborn Pathway, Chris Hopson: Chief Executive of NHS Providers, Closing the Finance and Efficiency Gap, Closing the Funding and Efficiency Gap, Consumer Experiences of Health and Social Care, Continuous Learning Culture, Cumbria CCG’s Pain Management Service, Delayed Transfers of Care (DTOC), Diabetes and Obesity, Durham and Darlington Children’s and Young Person’s Mental Health Services Crisis and Liaison team (CYPMHS), Duty of Best Value, East and North Hertfordshire CCG Vanguard, Economic Sustainability, Efficiency and Effectiveness, Efficiency Frontiers, Efficiency Opportunities, Efficiency Savings, End-User Experience, Enhanced Health in Care Homes, Estates and Technology Transformation Fund, Exemplar Clinical Pathways, Failing Services (NHS and Social Care), Financial Constraints, Financial Context, Financial Difficulties, Financial Issues, Financial Management, Financial Performance, Financial Planning, Financial Pressure in the NHS, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Financial Sustainability of NHS Bodies, Financing of Health Care, Future Financial Sustainability, Future of NHS and Social Care, Fylde Coast Local Health Economy, General Surgery: GIRFT Programme National Specialty Report (August 2017), Geographical Variations, Getting it Right First Time, Getting It Right First Time (GIRFT), GIRFT and Other Improvement Initiatives, GIRFT Programme, GIRFT Programme National Specialty Report (August 2017), Global Health and Development Group: Imperial College London, Governance-Related Waste: Abuse, Governance-Related Waste: Administration Costs, Governance-Related Waste: Corruption, Governance-Related Waste: Fraud, Governance-Related Waste: Integrity Violations, Governance-Related Waste: Managerial Self-Interest, Governance-Related Waste: Managerial Spin and Self-Deception, Governance-Related Waste: Self-Regulation vs. Integrity Violations, Health and Social Care, Health and Social Care Costs, Health and Social Care Integration, Health and Social Care Services, Healthcare Quality Improvement Partnership (HQIP), Healthy New Towns, Imperial College London, Improvement Initiatives, Inappropriate Use of Antimicrobials, Institute of Global Health Innovation: Imperial College London, Integrated Personal Commissioning (IPC), Integrated Personal Commissioning (IPC) Programme, John Abercrombie: GIRFT Clinical Lead for General Surgery, Learning Culture, Learning from Data, Learning From Peers, Length of Stay (LoS), Local Health Services: Variations, Local Variations, Mental Health and Dementia, Model Hospital: Template for Standardisation, National Innovation Accelerator, NHS and Social Care Spending, NHS Efficiency Challenge, NHS Efficiency Savings, NHS England (Formerly the NHS Commissioning Board), NHS England Annual Report and Accounts (2016/17), NHS Funding, NHS Funding Gap, NHS Improvement, NHS North Kirklees CCG, NHS Providers, NHS Stockport CCG, NHS Sustainability, NHS Waltham Forest CCG, NHSI: NHS Improvement, North East London Choice and Personalisation Pioneer, Operational Productivity and Performance (Carter Report), Operational Waste: Hospital Care, Operational Waste: Pharmaceuticals, Organisation for Economic Cooperation and Development (OECD), Overdiagnosis and Overtreatment, Overtreatment (Speculative Concept), Patient Experiences, Patients Waiting More Than Four Hours For Hospital Beds (Trolley Waits), Paul Baumann: Chief Financial Officer at NHS England, Personalised Medicine, Potential NHS Provider Productivity improvements, PPIB: Purchasing Price Index Benchmark and Benchmark Tool, Productivity, Professor Sir Malcolm Grant, Professor Tim Briggs: GIRFT Programme Chair, Professor Tim Briggs: National Director for Clinical Quality and Efficiency at NHS Improvement, Public Opinion, Quality and Sustainability, Reducing Delayed Transfers of Care, Reducing Waste in the NHS, Renal e-clinics in Tower Hamlets, Right First Time, Royal College of Surgeons (RCS), Royal College of Surgeons of England (RCSENG), Royal National Orthopaedic Hospital, Royal National Orthopaedic Hospital NHS Trust, Science and Innovation, Simon Stevens: Chief Executive of NHS England, Sir Malcolm Grant: Chair of NHS England, Sustainability, Sustainable Care, Sustainable Funding, Sustainable Health and Care Services, Tackling Barriers to Innovation, Tackling Variation, Thinking Like a Patient and Acting Like a Taxpayer, Tower Hamlets Together, Transformational Commissioning, Transformational Technologies, Transparency, Unacceptable Variations, Unwarranted Variations, Upward Spending Pressures, Urgent Response Assess at Home Pathway, Variation in General Surgery, Variations in Care, Variations in Procurement, Variations in Quality of Care, Variations in Spending, Wasted Resources, Wasteful Clinical Care, Winter Pressures Beyond Winter (Winter Re-Defined?), World Health Organisation (WHO) | Leave a comment

On the Unrealised Potential of Intermediate Care (SCIE / Nuffield Trust)

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

Summary The Social Care Institute for Excellence (SCIE)’s “SCIE Highlights No.1” briefing explores the largely untapped potential of intermediate care. It is asserted that intermediate care could deliver better outcomes for patients, while reducing the pressures of demand faced by … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, Non-Pharmacological Treatments, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, SCIE, Statistics, UK, Universal Interest | Tagged Accountable Care Systems (ACSs), Acute Hospitals: Bed-Based Services, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoidable Rehospitalisations, Bed Based Intermediate Care, Bed Based Services, Bed Occupancy, Bed-Based Intermediate Care Services, Bed/Home and Step Up/Down Provision, Better Care Fund (BCF), Capitated Budgets, Care Closer to Home, Communication and Information Sharing, Community Hospitals: Bed-Based Services, Community-Based Interventions, Community-Based Rehabilitation Services, Community-Based Services, Community-Based Support, Control and Independence, Cookson's Court (Yeovil), Crisis Home Treatment, Crisis Response Services, Crisis Support, Delayed Discharges, Delayed Transfers of Care, Demographic Time-Bomb, Dependency Levels, Destination on Discharge, Dignified Independent Living With Care, Discharge Destination, Discharge of Hospital Patients With Care and Support Needs, Discharge Planning, Economic Sustainability, Elderly Rehabilitation Services, Emergency Admissions, Emergency Readmissions, Emergency Readmissions to Hospital, Funding and Payment Mechanisms, Geographical Variations, Health and Social Care Integration, Health and Social Care Reform, Home Based Intermediate Care, Home Based Services, Hospital Discharge, Independence, Independence and Wellbeing, Independent Sector Facilities: Bed-Based Services, Information Resources on Intermediate Care: Social Care Institute for Excellence (SCIE), Information Sharing, Integrated and Community-Based Care, Integration, Intermediate Care, Intermediate Care - Draft Guideline: National Institute for Health and Care Excellence (2017), Intermediate Care Beds, Intermediate Care Capacity, Intermediate Care Teams, Intermediate Care: Elements of Effective Implementation, Intermediate Care: Evidence of Effectiveness, Intermediate Care: Return on Investment, Intermediate Care: SCIE Highlights No.1, Length of Stay, Length of Stay (LoS), Lessons and Challenges of Intermediate Care: Social Care Institute for Excellence (SCIE), Local Authority Facilities: Bed-Based Services, Local Sustainability and Transformation Plans (STPs), Local Variations, Maintaining Independence, Moving Healthcare Closer to Home, Multi-Disciplinary Case Management, Multi-Disciplinary Teams, Multi-Disciplinary Working, NHS Sustainability, Nursing Homes: Bed-Based Services, Other Bedbased Settings: Bed-Based Services, Partnership Working, Patient Flows, Policy Context and Models of Intermediate Care, Pooled Health and Social Care Budgets, Preventing Avoidable Emergency Admissions, Preventing Future Crises, Prevention, Prevention Agenda, Prevention and Wellbeing, Quality and Sustainability, Rapid Response Services: Intermediate Services, Re-ablement Services, Reablement, Reablement Services, Reablement: Stabilise and Make Safe (Trafford), Readmissions for Patients with Long Term Conditions, Recovery Rehabilitation and Reablement Services, Regaining Independence, Rehabilitation Services, Residential Care Homes: Bed-Based Services, Return on Investment, Services Maximising Independence, Services Reducing Use of Hospitals, Single Point of Access (SPA), Social Care Institute for Excellence (SCIE), Social Care Institute for Excellence (SCIE)’s SCIE Highlights No.1: Intermediate Care, Somerset Care, Somerset Care and Yeovil District Hospital: Cooksons Court, Somerset County Council, Stabilise and Make Safe (SAMS), Stabilise and Make Safe (Trafford), Standalone Intermediate Care Facilities: Bed-Based Services, Staying Independent, Supporting Health Wellbeing and Independence, Sustainability, Sustainability and Transformation Plans (STPs), Sustainable Care, Sustainable Health and Social Care, System Leadership, Theoretical Benefits of Intermediate Care, Tipping Point in Sustainability of Adult Social Care (Alleged), Trafford Council, Turning the Ship Around (Avoidance of NHS Unsustainability), Unacceptable Variations, Unwarranted Variations, Variations in Service, Waiting Times for Intermediate Care, Whole System Impact, Whole System Patient Flows, Whole System Performance, Whole-System Approaches, Year of Care Commissioning, Year of Care Funding Model, Yeovil District Hospital | Leave a comment

Reducing Pressures on Hospitals: Exploring the Potential Impact of Occupational Therapists (BBC News / COT / BAOT)

Posted on November 9, 2016 by Dementia and Elderly Care News

Summary A report from the College of Occupational Therapists demonstrates the role(s) which occupational therapists (and physiotherapists) can play in helping to reduce avoidable admissions / re-admissions to hospitals and subsequent delayed discharges of care in transitioning patients back into … Continue reading →

A Tipping Point in the Sustainability of Health and Care? (BBC News / King’s Fund / Nuffield Trust)

Posted on September 19, 2016 by Dementia and Elderly Care News

Summary A King’s Fund / Nuffield Trust report identifies a 26% decline in the number of older people receiving social care, due largely to six years of cuts to local authority funding. Social care providers are found to be under pressure … Continue reading →

Posted in Age UK, BBC News, Charitable Bodies, Commissioning, Community Care, For Carers (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, Non-Pharmacological Treatments, Nuffield Trust, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Adult Social Care, Adult Social Care Funding, Adult Social Care in England, Adult Social Care Services, Ageing Population, Association of Directors of Adult Social Services (ADASS), BBC Health News, Bed Availability and Occupancy: NHS Performance Indicators, Bed-Blockers, Bed-Blocking Patients (Non-Recommended Term), Better Care Fund (BCF), Better Care Fund Plans, Care for Vulnerable Older People, Caroline Abrahams: Director of Age UK, Coordinated Health and Social Care, Costs and Cost Pressures, Cross-Sector Partnerships, Delayed Discharges, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Delayed Transfers of Care (DTOC), Delayed Transfers of Care: NHS Performance Indicators, Discharge, Discharge Programme Board, Efficiency Opportunities, Eldercare Vouchers, Elderly Failed By Shameful Care System (Allegation From Age UK and Alzheimer’s Society), Elderly People With Complex Health and Social Care Needs, Endless Winter in NHS (Allegation), Eternal Winter, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Fragility of Adult Social Care Provider Market, Health and Social Care, Health and Social Care Configuration, Health and Social Care in the Community, Health and Social Care Integration, Health and Social Care Providers, Health and Social Care Services, Home Truths: Social Care For Older People (2016), Integration of Health and Social Care, Integration of Health and Social Care for Older People, Interdependencies, Lady Ros Altmann, Length of Stay (LoS), Lost Beds Problem (sic), Making Our Care and Health Systems Fit for An Ageing Population, NHS Funding, NHS Funding Gap, NHS Overspends, NHS Performance, NHS Performance Indicators, NHS Productivity, Patient Flows, Population Winter Pressures, Quarterly Monitoring Report, Quarterly Monitoring Reports, Richmond Group of Charities, Social Care For Older People: Home Truths, Society of Acute Medicine: Meltdown Warning, Submissions Ahead of Chancellor Philip Hammond's Autumn Statement (2016), Sustainability, Sustainable Care, Sustainable Funding, Sustainable Health and Care Services, Sustainable Local Funding, Tax Breaks on Saving For Care, Thinking Like a Patient and Acting Like a Taxpayer, Transition Between Inpatient Hospital Settings and Community or Care Home Settings, UK Home Care Association, UK Homecare Association (UKHCA), Unacceptable Variations, Unwarranted Variations, Upward Spending Pressures, Variation in Performance, Variations in Quality of Care, Variations in Service, Variations in Spending, Vulnerable Older People, Waiting Time Standards, Waiting Time Target Breaches, Wasted Resources, Whole System Patient Flows, Winter Pressures, Winter Pressures Beyond Winter (Winter Re-Defined?), Winter Pressures: Role of Community Health Services | Leave a comment

“Poverty of Ambition” on Reducing Delayed Transfers of Care? Improvements Recommended (BBC News / House of Commons PAC)

Posted on July 27, 2016 by Dementia and Elderly Care News

Summary The House of Commons Public Accounts Committee’s latest report challenges the government, NHS Improvement and NHS England to tackle the extent of (i) the harm to patients and (ii) the financial costs, arising from delays in discharging older patients … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, NICE Guidelines, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Accountability and Integration, Acute Hospital Care, Adult Social Care, Adult Social Care Services, Ageing Population, Areas With the Highest Delayed Transfers of Care, BBC Health News, BBC Radio 4, BBC Radio Four: Six O'Clock News, Bed Days, Bed-Blockers, Bed-Blocking Patients (Non-Recommended Term), Care for Vulnerable Older People, Cross-Sector Partnerships, Cumbria County Council, Delayed Discharges, Delayed Discharges Higher in Mental Health Trusts, Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Delayed Transfers of Care by Responsible Organisation, Discharge From Acute and Mental Health Trusts, Discharge Programme Board, Efficiency Opportunities, Financial Incentives Across Local Health and Social Care Systems (Proposals), Fragility of Adult Social Care Provider Market, Geographical Variations, Good Practice, Good Practice Standards, Health and Adult Social Care Providers, Health and Social Care, Health and Social Care Integration, Hospital Beds, Hospital Beds Use: Variations, Hospital Discharge, Hospital Discharge and Transfers, Hospital Long-Waiters, House of Commons, House of Commons Public Accounts Committee, Inpatient Beds, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integration of Health and Social Care, Integration Transformation Fund (aka Better Care Fund), James Paget University Hospitals NHS Foundation Trust, Length of Stay (LoS), Local Health Services: Variations, Local System Resilience Groups, Local Variations, Long Hospital Stays, Lord Carter Review, Loss of Mobility During Long Hospital Stays, Loss of Older Patients' Muscle Strength Per Day of Hospital Treatment, Measures to Capture the Number of Older People Who No Longer Benefit From Acute Hospital Care (Proposal), Meg Hiller MP: Chair of Public Accounts Committee, Mental Health Trusts, National Audit Office (NAO), National Discharge Programme Board, National Institute for Health and Care Excellence (NICE), National Market Position Statement, NHS Improvement, NHS Mental Health Trusts in England, NHS Sustainability, Northumbria Healthcare NHS Foundation Trust, Parliamentarians, Patient Care, Patient Discharge, Patient Flows, Patient Safety, Personal Budgets in Adult Social Care, Post-Discharge Support, Public Accounts Committee (PAC), Public Accounts Commons Select Committee, Reducing Bed Days, Reducing Waste in the NHS, Regional Variations, Sharing Good Practice, Sharing Patient Information, Sir James Munby: President of Family Division of the High Court, Social Care Delays (Impact on Hospital Bed-Days and LoS), Social Care Providers, 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, Variations in Quality of Care, Variations in Service, Variations in Spending, Vulnerable Older People, Wasted Resources, Whole System Patient Flows | Leave a comment

Delayed Transfers of Care, Public Health and Sustainability in the NHS: the Home Adaptations Dimension (Care & Repair England / BBC News)

Posted on June 9, 2016 by Dementia and Elderly Care News

Summary The Care and Repair England Integration Briefing No.3 “Home adaptation could ease delayed transfers of care”, which has the backing of Public Health England (PHE), explains how increased funding for home adaptations has the potential to help reduce delayed … Continue reading →

Posted in Assistive Technology, BBC News, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Housing, In the News, Integrated Care, Management of Condition, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Practical Advice, Public Health England, Quick Insights, Standards, UK, Universal Interest | Tagged Adult Social Care Outcomes Framework, Adult Social Care Outcomes Framework (ASCOF), Age-Friendly Housing, Ageing Population, Assistive Technology and Telecare, BBC Health News, Bed Days, Bed-Blockers, Bed-Blocking Patients (Non-Recommended Term), Better Care Fund, Better Care Fund (BCF), Better Care Fund: Policy Framework, Building Research Establishment (BRE), Care & Repair England, Care & Repair England’s Catch 22 Project, Care Act 2014, Care and Repair England, Care and Repair England Integration Briefing No.1, Care and Repair England Integration Briefing No.2, Care and Repair England Integration Briefing No.3, Care for Vulnerable Older People, Centre for Ageing Better (CfAB), Cost to the NHS of Poor Housing, Delayed Discharges, Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Dementia-Friendly Housing, Determinants of Health, Directors of Public Health, Disabled Facilities Grant, Disabled Facilities Grant (DFG), Disabled Facilities Grant Finance, Disabled Facilities Grant Funding via Better Care Funds, Disabled Facilities Grants, Discharge Coordination, Discharge Planning, Discharge Support, EAC FirstStop, Falls Prevention, Handyman, Health and Housing Policy, Health and Social Care, Health and Social Care Delivery Models, Health and Social Care Integration, Health and Wellbeing Boards, Home Adaptations, Home Adaptations Consortium, Home Adaptations Wigan, Home Adaptations: Integration and Care Act, Hospital Beds, Hospital Discharge, Housing and Care for Older People, Housing and Dementia, Housing for Older People, Housing in Later Life, Housing Learning and Improvement Network (LIN), Housing LIN, Independence, Independence at Home, Independent Living, Independent Living At Home, Inpatient Beds, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integrated Prevention Approaches, Integration, Integration and Care Act, Integration of Health and Social Care, Integration Transformation Fund (aka Better Care Fund), Length of Stay (LoS), Local Councillors, Local Examples of Integrated Provision and Funding for Home Adaptations, Lord Carter Review, Money Well Spent, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary Working, NHS Outcomes Framework, NHS Sustainability, Patient and Service User Representatives, Patient Discharge, Patient Flows, PHE: Public Health England, Post-Discharge Support, Preventative Housing Interventions, Preventing and Managing Demand, Prevention, Prevention Agenda, Public Health England (PHE), Public Health Outcomes Framework, Public Health Social Care and NHS Outcomes To Which Home Adaptations Contribute, Reducing Bed Days, Reducing Waste in the NHS, Secondary Prevention, Tertiary Prevention | Leave a comment

More On the Costs and Harms of Delays in Discharging Older Patients From Hospital (BBC News / NAO)

Posted on May 27, 2016 by Dementia and Elderly Care News

Summary The National Audit Office (NAO)’s report on delayed discharges from hospital clarifies the extent to which such delays cause unnecessary harm to older patients and waste NHS money. Delays in discharging older patients cost an estimated £820 million per … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Models of Dementia Care, National, National Audit Office, NHS, NHS England, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Acute Care, Acute Hospital Care, Adult Social Care, Adult Social Care Services, Ageing and Society, Ageing Population, Avoidable Harm, BBC Health News, Bed Days, Bed-Blockers, Care for Vulnerable Older People, Community-Based Care, Community-Based Services, Community-Based Support, Costs and Harms of Delays in Discharging Older Patients From Hospital, Delayed Discharges, Delayed Transfers of Care, Dementia Care in Acute District General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Discharge Coordination, Discharge Planning, Discharge Support, Health and Social Care, Health and Social Care Integration, Hospital Beds, Hospital Discharge, Inpatient Beds, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integration, Integration of Health and Social Care, Integration of Primary Secondary and Community Care, Length of Stay (LoS), Long Hospital Stays, Loss of Mobility During Long Hospital Stays, Loss of Older Patients' Muscle Strength Per Day of Hospital Treatment, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary Working, National Audit Office (NAO), Patient Care, Patient Discharge, Patient Flows, Patient Safety, Post-Discharge Support, Reducing Bed Days, Reducing Waste in the NHS, Social Care Delays (Impact on Hospital Bed-Days and LoS), Sustainability, Sustainable Health and Social Care, Thinking Like a Patient and Acting Like a Taxpayer, Vulnerable Older People, Wasted Resources, Whole System Patient Flows | Leave a comment

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