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Tag Archives: Length of Stay (LoS)
Where Best Next Campaign: Reducing Length of Hospital Stay (NHS England)
Summary Approximately 350,000 patients spend more than three weeks in a hospital each year, often with poor outcomes: “Many older people, particularly those who are frail and may have dementia, actually deteriorate while in hospital – a stay of more … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Education England (HEE), Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, NHS Improvement, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, UK, Universal Interest
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Tagged ActNow: an e-Learning Tool (e-LfH), Acute Frailty Network (AFN), Acute Frailty Services, Better Care Support Programme, Care Closer to Home, Clinical Criteria for Discharge (CCD), Comprehensive Geriatric Assessment (CGA), Criteria Led Discharge, Deconditioning, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Discharge, Discharge at a Reasonable Time, Discharge Coordination, Discharge Coordinators, Discharge From General Inpatient Hospital Settings, Discharge Into the Care Sector, Discharge Patient Tracking List, Discharge Planning, Discharge Support, Dr Taj Hassan: President of Royal College of Emergency Medicine, e-Learning for Health (e-LfH) Hub (HEE), Emergency Care Intensive Support Team, Emergency Care Intensive Support Team (ECIST), Emergency Medicine and Urgent Care, End PJ Paralysis, Expected Date of Discharge, Expected Date of Discharge (EDD), Foci for Maximum Impact in Reducing Length of Stay, Guide to Reducing Long Hospital Stays: NHS Improvement, Health and Social Care Integration, Healthcare Associated Infections, Healthcare Associated Infections: Patient Safety, HEE: Health Education England, Hilary Garratt: Deputy Chief Nursing Officer for England, Holistic Needs Assessment (HNA), Home First: Supporting Patient Choice, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Identifying and Managing Frailty at the Front Door, Improving Hospital Discharge Into Care Sector, Improving Patient Care, Integrated Multi-Agency Care, Kettering General Hospital NHS Foundation Trust, Length of Stay (LoS), Local Government Association, Long-Stay Patient Reviews, Long-Stay Patients, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary and Multi-Agency Working, Multiagency Teams, Patient Deconditioning Effect Related to Hospital Bed Rest (aka Pyjama Paralysis / PJ Paralysis), Patient Harms, Patient Harms and Harm Free Care, Patient Safety, PDSA (Plan-Do-Study-Act) Cycles, People First: Manage What Matters, Plan Do Study and Act (PDSA), Professor Stephen Powis: NHS England's National Medical Director, Pyjama Paralysis, Quality Improvement, Reducing Healthcare Associated Infections in Hospitals, Reducing Hospital Length of Stay, Reducing Length of Hospital Stay, Reducing Length of Stay (RLoS) Programme, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 1: Plan for Discharge From the Start, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 2: Involve Patients and Families in Discharge Decisions, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 3: Establish Systems and Processes for Frail People, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 4: Embed Multi-Disciplinary Team Reviews, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 5: Encourage a Supported Home First Approach, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Reducing Waste in Dementia Care, Reducing Waste in the NHS, Rockwood Clinical Frailty Score, Royal College of Emergency Medicine (RCEM), SAFER Patient Flow Bundle, South Warwickshire NHS Foundation Trust, South Warwickshire NHS Foundation Trust (SWFT), Supported Home First Approaches, What Matters Most (Healthwatch), Where Best Next Campaign (NHS England August 2019), Where Best Next? Campaign (NHS England), Why Not Home: Why Not Today, Why Not Home? Why Not Today? Campaign
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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 the NHS Long Term Plan (DHSC / NHS England / BBC News / NAO / King’s Fund)
Summary The NHS Long Term Plan was released earlier this week. The plan is backed by the commitment of an extra £20.5 billion funding for the NHS per year. “The 10-year plan includes measures to prevent 150,000 heart attacks, strokes … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, King's Fund, Management of Condition, Mental Health, National, National Audit Office, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Academic Health Science Networks (AHSNs), Accelerated Turnaround Process (ATP), Access to Personal Health Records Online, Access to Primary Care, Advisory Committee on Resource Allocation: Adjustment to Funding Formulae for Health Inequalities, Ageing Population, Air Pollution, Alcohol Abuse, Alcohol and Drug Consumption, Alcohol Care Teams, Alcohol Consumption, Alcohol Drugs and Tobacco, Alcohol Misuse, Alcohol or Tobacco Withdrawal, Alcohol-Related Activity in Hospitals, Alcohol-Related Admissions to Hospital, Alcohol-Related Burden on the NHS, Alcohol-Related Harm, Andy Bell: Centre for Mental Health, Antimicrobial Resistance (AMR), Antipsychotics Limitation in Dementia, Back Pain, BBC Health News, BBC Reality Check Team, Benefits of Detection and Early Intervention, Benefits of Early Detection, Berkshire, Blackpool, Bradford City, Cambridge, Cambridge University Hospitals NHS Foundation Trust, Cancer Survival, Cancer Survival Rates in England, Carer Support, Carers: Greater Recognition and Support, Case Studies Illustrating Aspects of the NHS Long Term Plan, Celia Ingham Clark: NHS England’s National Director for Reducing Premature Deaths, Chief Clinical Information Officer (CCIO), Chief Information Officer (CIO), Childhood Obesity, Children and Young People's Health Services, Choice and Control, Choice and Control Over Decisions, Community First Responders – Making a Difference, Community Multidisciplinary Teams, Community Resilience, Community-Based Care, Community-Based Interventions, Community-Based Services, Community-Based Support, Control and Independence, Dame Donna Kinnair: Royal College of Nursing, Delayed Transfers of Care, Delivering Enhanced Care Across the Whole System - Dementia ‘Virtual Ward’, Dementia Diagnosis Rate, Dementia Risk Reduction and Prevention, Dementia Virtual Wards, Detentions Under the Mental Health Act: Reduced by Street Triage Teams, Developing People: Improving Care, Diabetes, Diabetes Prevention, Diabetes Prevention Programme, Diagnosing Lung Cancer Earlier in Manchester, Diet, Diet and Exercise, Diet-Related Ill Health, Dietary Risk Factors, Digital Enablement, Digital Health Innovations, Digital Health Services, Digital Innovation, Digital Innovation Hubs, Digital Innovations in Health, Digital Service Transformation, Digital Services, Digital Services for Patients, Digital Technology, Digital Technology and Innovation, Digital-First Primary Care, Digitally-Enabled Access to Care, Digitally-Enabled Care, Digitally-Enabled Primary and Outpatient Care, Dr Jennifer Dixon CBE (Health Foundation), Dr Ron Daniels: Chief Executive of UK Sepsis Trust, Dr Simon Eccles: Chief Clinical Information Officer at NHSX, Dr Simon Eccles: Chief Clinical Information Officer for Health and Care at NHS England, Dr Tim Nutbeam: Clinical Advisor for UK Sepsis Trust, E-Sepsis: Early Detection and Treatment Helping to Save Lives, Early Detection of Disease, Early Detection of Preclinical Disease, Early Intervention in Psychosis Service - Support to Children And Young People, Early Recognition and Treatment of Delirium Using Digital Technology, Early Recognition and Treatment of Pre-existing Mental Health History Using Digital Technology, Early Recognition and Treatment of Sepsis Using Digital Technology, Economic Sustainability, Efficiencies and Productivity Gains, Efficiency and Effectiveness, Efficiency Opportunities, Efficiency Savings, Elective Care Transformation Programme, Elective Care Transformation Programme Team, Electronic Care Record (ECR), Electronic Health Records, Electronic Health Records (EHRs), Electronic Patient Record (EPR), Electronic Patient Record Systems, Emergency Mental Health Support, Enabling Self-management and Coping with Arthritic Pain Through Exercise (ESCAPE-Pain), Enhanced Health in Care Homes (EHCH) Vanguards, Financial Recovery Fund (FRF), First Contact Practitioners (FCPs), Former Prime Minster: Rt Hon Theresa May MP, GDE Blueprints, Genetic Testing, Genomics and Personalised Medicine, Getting It Right First Time (GIRFT), Global Burden of Disease Study, Global Digital Exemplar (GDE), Global Digital Exemplar Community Platform, Gloucestershire Hospitals NHS Foundation Trust, GoodSAM app, Growing the Medical Workforce, Health Centre Makeover Helps People With A Learning Disability And Dementia, Health Information Technology, Health Innovation, Healthier Fleetwood - Transforming Care For Patients, Healthier You: NHS Diabetes Prevention Programme Delivers Fast Results, Healthy Ageing, Healthy Behaviours, Healthy Communities, Healthy Lifestyles, Heart Patient Receives Life-Saving Support, High in Fat Salt and Sugar (HFSS), Homefirst Scheme, Horizon-Scanning, Hospital Stays for Alcohol-Related Harm (Adults’ Health and Lifestyle), Ian Dalton: Chief Executive of NHS Improvement, Improving Access to Psychological Therapies (IAPT), Improving Population Health, Increasing Personal Independence Through a New Personalised Budget, Information Technology, Informed Choices About Health and Social Care, Informed Decision-Making, Innovative Approach to Intermediate Care in Doncaster, Innovative Children’s Hospital App Transforms Patient Care, Integrated Care Systems (ICSs), Integrated Mental Health Care is Helping to Boost Employment Prospects, Integrated Out-of-Hospital Care, Integrated Prevention Approaches, International Recruitment, IPS Services, Joint Care From Community Stroke Team and Stroke Association’s Reablement Service - Promoting Health and Wellbeing of Stroke Survivors, Jonathan Ashworth: Shadow Health Secretary, Karen Kirkham: NHS England’s National Clinical Advisor for Primary Care, Leadership and Talent Management, Learning Disabilities Mortality Review Programme (LeDeR), Learning Disability and Autism, Length of Stay (LoS), Lifestyle Risk Factors, Liverpool, Living Longer Living Better Programme, Local Health and Care Record (LHCR) Programme, Local Health and Care Records (LHCRs), Long Term Plan (LTP), Long-Term Funding Settlement for NHS, Lynda Thomas: Macmillan Cancer Support, Manchester: Changing How Health and Social Care Services Are Delivered, Maternal Health and Wellbeing, Maternal Mental Health, Maternity and Neonatal Services, Maternity App at Gateshead Health NHS Trust, Maternity Services, Matt Hancock: Secretary of State for Health and Social Care, Medtech Funding Mandate, Mental Health Safety Improvement Programme, Minding The Gap: Support Through Transition, NAO: NHS Financial Sustainability Report 2017-18, National Audit Office (NAO), National Childhood Obesity Strategy, National Early Warning Score 2 (NEWS2), National Early Warning Scores (NEWS2), National Learning Disabilities Mortality Review Programme, Neighbourhood Midwives, New Emotional Support Service, NHS 111 Pharmacy Scheme Reduces Pressure on Wider Health System, NHS as an Anchor Institution, NHS England Test Beds, NHS Export Collaborative, NHS Financial Sustainability Report 2017-18: National Audit Office, NHS Funding, NHS Leadership Code, NHS Leadership Pipeline, NHS Long Term Plan (2019), NHS Long Term Plan Case Studies: Community First Responders – Making a Difference, NHS Long Term Plan Case Studies: Delivering Enhanced Care Across the Whole System - Dementia ‘Virtual Ward’, NHS Long Term Plan Case Studies: Diagnosing Lung Cancer Earlier in Manchester, NHS Long Term Plan Case Studies: E-Sepsis: Early Detection and Treatment Helping to Save Lives, NHS Long Term Plan Case Studies: Early Intervention in Psychosis Service - Support to Children And Young People, NHS Long Term Plan Case Studies: Health Centre Makeover Helps People With a Learning Disability And Dementia, NHS Long Term Plan Case Studies: Healthier Fleetwood - Transforming Care For Patients, NHS Long Term Plan Case Studies: Healthier You: NHS Diabetes Prevention Programme Delivers Fast Results, NHS Long Term Plan Case Studies: Heart Patient Receives Life-Saving Support, NHS Long Term Plan Case Studies: Increasing Personal Independence Through a New Personalised Budget, NHS Long Term Plan Case Studies: Innovative Approach to Intermediate Care in Doncaster, NHS Long Term Plan Case Studies: Innovative Children’s Hospital App Transforms Patient Care, NHS Long Term Plan Case Studies: Integrated Mental Health Care is Helping to Boost Employment Prospects, NHS Long Term Plan Case Studies: Joint Care From Community Stroke Team and Stroke Association’s Reablement Service - Promoting Health and Wellbeing of Stroke Survivors, NHS Long Term Plan Case Studies: Living Longer Living Better Programme, NHS Long Term Plan Case Studies: Manchester: Changing How Health and Social Care Services Are Delivered, NHS Long Term Plan Case Studies: Maternity App at Gateshead Health NHS Trust, NHS Long Term Plan Case Studies: Minding The Gap: Support Through Transition, NHS Long Term Plan Case Studies: Neighbourhood Midwives, NHS Long Term Plan Case Studies: New Emotional Support Service, NHS Long Term Plan Case Studies: NHS 111 Pharmacy Scheme Reduces Pressure on Wider Health System, NHS Long Term Plan Case Studies: Perinatal Mental Health Services, NHS Long Term Plan Case Studies: Pregnancy Advice Line, NHS Long Term Plan Case Studies: Rapid Access Diagnostic Clinic for Patients with Vague Symptoms at Guy’s and St Thomas’, NHS Long Term Plan Case Studies: Remote-Monitoring Service for People Living With Heart and Lung Diseases Reduces A&E Admissions in Norfolk, NHS Long Term Plan Case Studies: Sheffield Health And Social Care NHS Foundation Trust: Living Well With Back Pain Course, NHS Long Term Plan Case Studies: Simple Red Bag Improving Care For Care Home Residents, NHS Long Term Plan Case Studies: Social Prescribing Across the Herts and West Essex Sustainability and Transformation Partnership, NHS Long Term Plan Case Studies: Supporting People to Live Well With and Beyond Breast Cancer, NHS Long Term Plan Case Studies: Supporting People With Learning Disabilities to Live Independently, NHS Long Term Plan Case Studies: Technology Helps Clinicians Monitor the Health Of Dementia Patients in Their Homes, NHS Long Term Plan Case Studies: West Yorkshire And Harrogate Cancer Alliance - Tackling Lung Cancer, NHS Long Term Plan Case Studies: Youngsters in Ealing Benefitting From Intensive Therapeutic And Short Break Service, NHS Long Term Plan: Case Studies, NHS Long-Term Plan, NHS Networks, NHS Sustainability, NHS Ten Year Plan, NHS Workforce, NHSX’s Global Digital Exemplar Programme, Optimising Benefits of Digital Technology, Optimising Patient Outcomes Using Digital Technology, Optimising Use of Digital Technology, Ottawa Model for Smoking Cessation, Out-of-Hospital Care, Paul Farmer (Mind), Perinatal Mental Health Services, Personal Budgets (PBs), Personal Budgets for Older People, Personalised Medicine, PharmaTimes Magazine, PharmaTimes Online, Physiotherapists Based in Community GP Surgeries, Physiotherapists with Enhanced Skills Based in GP Practices, Population Health, Pre-Hospital Urgent Care, Pregnancy Advice Line, Preventative Care, Preventative Services, Preventing Avoidable Emergency Admissions, Prevention, Prevention Agenda, Prevention Agenda Linking Dementia and Other Non-Communicable Diseases, Prevention and Self Care, Prevention Programmes, Preventive Care, Preventive Services, Primary Care Networks (PCNs), Proactive Population Health, Professor Bryan Williams: Chair of NEWS Development Group, Professor Bryan Williams: Royal College of Physicians Clinical Lead for NEWS, Professor Carrie MacEwen: Chair of the Academy of Medical Royal Colleges (AoMRC), Professor Karen Middleton: Chief Executive of the Chartered Society of Physiotherapy, Rapid Access Diagnostic Clinic for Patients with Vague Symptoms at Guy’s and St Thomas’, Recruitment, Recruitment and Retention, Red Bag Initiative: Hospital Transfer Pathway, Red Bags, Reducing Alcohol-Related Harm, Reducing Delayed Transfers of Care, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Reducing Waste in the NHS, Referral to Treatment (RTT), Reforms to Hospital Emergency Care: Same Day Emergency Care, Regional Test Bed Clusters, Remote Monitoring Systems, Remote-Monitoring Service for People Living With Heart and Lung Diseases Reduces A&E Admissions in Norfolk, Research and Innovation, Royal Berkshire NHS Foundation Trust, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Rt Hon Matt Hancock MP, Rt Hon Theresa May MP (Former Prime Minster), Same Day Emergency Care (SDEC), Sandwell and West Birmingham Hospitals NHS Trust, Saving Babies Lives Care Bundle (SBLCB), Secondary Uses Service (SUS), Self-Care, Self-Determination, Self-Management Support, Service User Involvement, Sheffield Health And Social Care NHS Foundation Trust: Living Well With Back Pain Course, Simon Gillespie: Chief Executive of British Heart Foundation, Simon Stevens: Chief Executive of NHS England, Simple Red Bag Improving Care For Care Home Residents, Sir Amyas Morse: Head of National Audit Office, Smoking, Smoking Cessation, Social Care Green Paper, Social Prescribing Across the Herts and West Essex Sustainability and Transformation Partnership, Software as a Service (SaaS), Somerset Sustainability and Transformation Partnership (STP), Specialist Alcohol Care Teams Trials, Spreading Innovation, STOMP: Stopping Over Medication of People With a Learning Disability Autism or Both, Stop the Over-Medication of People With a Learning Disability or Autism (STOMP) Campaign, Street Triage Teams (Mental Health), Stroke Care, Supply Chain Coordination Limited (SCCL), Support for Self-Care, Supporting Healthy Lifestyles, Supporting People to Age Well, Supporting People to Live Well With and Beyond Breast Cancer, Supporting People With Learning Disabilities to Live Independently, Supporting Research and Innovation, Supporting Treatment and Appropriate Medication in Paediatrics (STAMP), Sustainability, Technology Helps Clinicians Monitor the Health Of Dementia Patients in Their Homes, Telehealth (Remote Monitoring), Theresa May's Mental Health Reforms, Thinking Like a Patient and Acting Like a Taxpayer, Tobacco, Tobacco Advisory Group: Royal College of Physicians, Tobacco Consumption, Tobacco Dependency, Tobacco Smoking, Tower Hamlets Chronic Kidney Disease e-Clinics, Transformational Technologies, Transformative Health Technology, Transformative Technology, Transforming Outpatients in MSK and Gastroenterology Elective Care, Treating Patients Closer to Home, Triple Integration, UK Antimicrobial Resistance Strategy and Action Plan, UK Cancer Survival Rates, Unhealthy Lifestyles, Urgent Community Response and Recovery Support, Urgent Treatment Centres (UTCs), Use of Technology to Predict Illnesses and Target Advice, Video Consultations in General Practice, Video Consultations to Avoid Outpatient Attendances, Video Consultations With GPs, Voluntary and Community and Social Enterprise (VCSE) Sector, Volunteering Programmes, Volunteers, Wearable Monitoring Equipment, West Yorkshire And Harrogate Cancer Alliance - Tackling Lung Cancer, Will Smart: NHS England's Chief Information Officer for Health and Care, Wilmington Consulting Team, Wilmington Healthcare, Workforce Competencies, Workforce Development, Workforce Implementation Plan, Workforce Issues, Young Carers, Youngsters in Ealing Benefitting From Intensive Therapeutic And Short Break Service
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Improving Patient Care by Reducing Length of Hospital Stay (NHS Improvement / NHS England)
Summary The NHS, with the cooperation of local authorities, plans to reduce unnecessarily long stays in hospital for patients by a quarter. The aim is to free-up over 4,000 beds in readiness for anticipated Winter pressures on hospitals. Currently, around … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Models of Dementia Care, National, NHS, NHS England, NHS Improvement, Non-Pharmacological Treatments, Person-Centred Care, Practical Advice, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged 6As for Managing Emergency Admissions, Ambulatory Emergency Care, Ambulatory Emergency Care (AEC), Ambulatory Emergency Care (Improving Patient Flow in Urgent and Emergency Care), Better Use of Care at Home, Breaking the Cycle SAFER Patient Flow Bundle, Care Closer to Home, Clinical Criteria for Discharge, Clinical Criteria for Discharge (CCD), Criteria Led Discharge, Daily Transfers of Care (DTOC), Deconditioning, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Discharge, Discharge at a Reasonable Time, Discharge Coordination, Discharge Coordinators, Discharge From General Inpatient Hospital Settings, Discharge Into the Care Sector, Discharge Planning, Discharge Support, Discharge to Assess (D2A) Model, Emergency Day Care, Emergency Medicine and Urgent Care, Expected Date of Discharge, Expected Date of Discharge (EDD), Foci for Maximum Impact in Reducing Length of Stay, Guide to Reducing Long Hospital Stays: NHS Improvement, Health and Social Care Integration, Health and Social Care Multiagency Peer Reviews, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Ian Dalton: Chief Executive of NHS Improvement, Improving Hospital Discharge Into Care Sector, Improving Patient Care, Integrated Care Pathway for Frailty, Integrated Multi-Agency Care, Length of Stay (LoS), Local Multiagency Dementia Partnerships, Long-Stay Patient Reviews, Long-Stay Patients, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary and Multi-Agency Working, Multiagency Discharge Event (MADE), Multiagency Teams, New Front Door to Urgent and Emergency Care Services, NHS Confederation Conference (2018), Patient Administration System (PAS), Patient Deconditioning Effect Related to Hospital Bed Rest (aka Pyjama Paralysis / PJ Paralysis), Patient Harms, Patient Harms and Harm Free Care, Patient Safety, PDSA (Plan-Do-Study-Act) Cycles, Plan Do Study and Act (PDSA), Pyjama Paralysis, Quality Improvement, Rachel Power: Chief Executive of Patients Association, Red2Green Days, Reducing Hospital Length of Stay, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Length of Hospital Stay, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Reducing Waste in Dementia Care, Reducing Waste in the NHS, SAFER Patient Flow Bundle, SAFER Patient Flow Bundle and Red2Green Days (Improving Patient Flow in Urgent and Emergency Care), Sally Copley: Director of Policy and Campaigns at Alzheimer’s Society, Supporting Patients’ Choices To Avoid Long Hospital Stays, Why Not Home: Why Not Today (reducingdtoc.com)
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NHS Operational Productivity: GIRFT Meets Mental Health and Community Health Services (Lord Carter / DHSC)
Summary Lord Carter’s latest report in the NHS Operational Productivity series shifts the attention to unwarranted variations in mental health and community health services. Potential savings of around £1 billion in efficiencies could be made by 2020/21, allegedly, if the … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, NHS, NHS England, NHS Improvement, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged 2gether NHS Foundation Trust, 5 Boroughs Partnership NHS Foundation Trust, Acute and Urgent Mental Healthcare Pathway, Average Length of Stay (Hospitals), Avoidable Admissions, Avoidable Hospital Admissions, Barnet Enfield and Haringey Mental Health NHS Trust, Birmingham Community Healthcare NHS Trust, Care Hours Per Patient Day (CHPPD), Carter Review of Operational Productivity in NHS Community Health Services, Carter Review of Operational Productivity in NHS Mental Health Services, Central and North West London NHS Foundation Trust, Central London Community Healthcare NHS Trust, Child and Adolescent Mental Health Services (CAMHS) Acute Care Pathway, CHPPD and Cost Per Care Hour, Clinical Engagement, Clinical Leadership, Clinical Quality Improvement, Clinically-Led Quality and Efficiency Project (GIRFT), Co-Morbidities and Dementia, Co-Morbidities In Older Patients, Co-Morbidities of Old Age, Community Hospitals, Community Mental Health Teams (CMHTs), Community Nursing, Continuous Improvement, Continuous Learning, Continuous Learning Culture, Cooperation, Corporate Services, Cost of Inpatient Care and Care Hours Per Patient Day, Cost Savings, Cost-Improvement Programmes (CIPs), Dashboards, Delayed Discharges, Delayed Transfers of Care, Derbyshire Community Health Services NHS Foundation Trust, Digital Technology, Digital Technology and Innovation, Duplication of Effort / Expense, e-Rostering, East London NHS Foundation Trust, Economies of Scale, Efficiency Opportunities, Efficiency Savings, Engagement Champions, Estates and Facilities Management, Example Patient Journeys, Facilities Management, Finance and Procurement, FP10 Prescriptions, Future Operating Model for Procurement and Supply Chain in NHS, Getting it Right First Time, GIRFT Approach, GIRFT Approach Applied to Community Health Services, GIRFT Approach Applied to Mental Health Services, Healthcare Continuum, Healthcare Quality Improvement, Healthy Workforce Framework, Hertfordshire Community NHS Trust, Hertfordshire Partnership University NHS Foundation Trust, Homecare and Community Pharmacy Dispensed FP10 Prescriptions, Improving People Policies and Practices, Integrated Performance Framework, Kent Community Health NHS Trust, Lancashire Care NHS Foundation Trust, Learning Culture, Learning for Improvement, Leeds Community Healthcare NHS Trust, Leicestershire Partnership NHS Trust, Length of Stay (LoS), Lifetime Healthcare Costs, Lincolnshire Partnership NHS Foundation Trust, Local Health and Care Economies, Local Health Economies, Lord Carter of Coles, Lord Carter Review, Lord Carter: Chair of NHS Procurement and Efficiency Board, Lower Leg Wounds (Ineffective Treatments / Delays), Management of Co-Morbidities, Meaningful Use of Standards and Incentives, Medicines Optimisation, Metrics, Metrics and Information, Model Hospital: Template for Standardisation, NHS Acute Hospitals, NHS England’s Five Year Forward View, NHS Estates, NHS Finance, NHS Finances, NHS Financial Leadership, NHS Operational Productivity, NHS Procurement, NHS Procurement and Efficiency Board, NHS Procurement Transformation Programme (PTP), NHS Productivity, NHS Sustainability, Norfolk Community Health and Care NHS Trust, Northumberland Tyne and Wear NHS Foundation Trust, Nottinghamshire Healthcare NHS Foundation Trust, Nursing Cost Per Bed, Openness and Transparency, Operational Productivity and Performance (Carter Report), Operational Productivity in NHS Providers, Opportunities for Standardisation, Optimising Clinical Resources, Optimising Non-Clinical Resources, Oxford Health NHS Foundation Trust, Patient Safety, Procurement Performance Metrics, Procurement Review, Procurement Transformation Programme, Productivity, Quality and Efficiency Opportunities, Quality Efficiency and Performance (Often Go Together), Quality Improvement, Reducing Delayed Transfers of Care, Reducing Hospital Length of Stay, Reducing Variations in Clinical Costs, Reducing Waste in the NHS, Rehabilitation and Complex Needs Pathway, Restricted Patients, Restricted Patients: Offenders Diagnosed with Mental Health Disorders, South West London and St George’s Mental Health NHS Trust, South West London and St. George’s NHS Mental Health Trust, Sussex Partnership NHS Foundation Trust, Sustainability, Tackling Variation, Torbay and South Devon NHS Foundation Trust, Unwarranted Variations, Variations in Procurement, Variations in Spending, Wasted Resources, Well-Led (CQC Inspection Question), Well-Led Framework for Governance Reviews, Well-Led Indicators (CQC), Wirral Community NHS Trust, Wound Care
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Physical Exercise (For Example Cycling) May Boost the Immune System (BBC News / Aging Cell / NHS England)
Summary Research indicates that physical activity improves the effectiveness of the body’s immune system, even in the elderly. “Being sedentary goes against evolution because humans are designed to be physically active”. Steve Harridge, King’s College London. Full Text Link Reference … Continue reading →
Posted in Acute Hospitals, BBC News, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, NHS England, Non-Pharmacological Treatments, Practical Advice, Quick Insights, UK, Universal Interest
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Tagged 70-Day Challenge (NHS 70th Birthday), Active Lifestyle, Adults’ Health and Lifestyle, Aging Cell (Journal), Audax: Long-Distance Cycling Organisation, BBC Health News, Behavioural Risk Factors, Birmingham, Centre of Human and Aerospace Physiological Sciences: King's College London, Cycling, Environmental and Lifestyle Factors, Healthy Lifestyles, immune Senescence, Immune System, Immunesenescence, Institute of Inflammation and Ageing: University of Birmingham, Jane Cummings: Chief Nursing Officer for England, Kings College London, Length of Stay (LoS), Lifestyle Factors, Lifestyle Risk Factors, Medical Research Council (MRC), Modifiable Risk Factors, MRC-Arthritis Research UK Centre for Musculoskeletal Ageing Research: University of Birmingham, Neuroprotective Lifestyles, NIHR Biomedical Research Centre in Inflammation: University Hospital Birmingham, Patient Deconditioning Effect Related to Hospital Bed Rest (aka Pyjama Paralysis / PJ Paralysis), Physical Activity, Physical Activity and Health Benefits, Prevention, Prevention Agenda, Pyjama Paralysis, Reducing Hospital Length of Stay, Regular Physical Activity, Sedentary Behaviour, Sedentary Lifestyles, Thymic Output, Thymus, University Hospital Birmingham NHS Foundation Trust, University of Birmingham, Walking and Cycling
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Helping Hospital Patients Stay Active and a Winter Framework For Speedier Discharge (NHS England / BMJ / BJN / NIHR Signal / JAN)
Summary Jane Cummings, the Chief Nursing Officer for NHS England has written about a Winter Framework designed to reduce delayed discharges by maximising the use of care homes across each Sustainability and Transformation Partnership (STP). Therapy-led units, too, will be … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, NHS Improvement, NICE Guidelines, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Physiotherapy, Quick Insights, Standards, UK, Universal Interest
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Tagged 2018 Chief Nursing Officer Summit, 70-Day National Challenge: End Pyjama (PJ) Paralysis, Accountable Care Organisations, Accountable Care Organisations (ACOs), Accountable Care Systems, Accountable Care Systems (ACSs), ActNow: an e-Learning Tool (e-LfH), Acute Care, Acute Hospitals, Adults With Social Care Needs, Ageing Population, Assessment Before Discharge, Australian Institute for Musculoskeletal Science (AIMSS): University of Melbourne, Barriers and Challenges in Discharge Planning, BBC Radio 4, BBC Radio 4's Inside Health Programme, Birmingham Council, Birmingham Cross City Birmingham South Central and Solihull (Proposed Transforming Care Partnership), Birmingham Cross City CCG, BMJ Publishing Group Ltd, British Journal of Nursing, British Medical Journal (BMJ), Care Home Digital Tools, Care Homes and Therapy-Led Units for Patients Medically Fit for Discharge, Care Transitions, Care Transitions Involving Adults With Social Care Needs, Care Transitions of Older People, Chief Nursing Officer's Summit (2018), CNO Summit (2018), Collaboration, Collaborative Care, Collaborative Care Planning, Colombia, Colombia Department of Science Technology and Innovation (COLCIENCIAS), Community Health Services Ease Winter Pressures on Hospitals, Criteria Led Discharge, Daily Transfers of Care (DTOC), Deconditioning, Deconditioning in Hospital, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Department of Rehabilitation Medicine: Nepean Hospital, Destination on Discharge, Discharge, Discharge at a Reasonable Time, Discharge Coordination, Discharge Coordinators, Discharge From General Inpatient Hospital Settings, Discharge Into the Care Sector, Discharge Planning, Discharge Support, Discharge to Assess (D2A) Model, e-Learning for Health (e-LfH), e-Learning for Health (e-LfH) Hub (HEE), Early Mobilisation, Early Mobilisation in Hospitals, Early Patient Mobilisation, Eat Drink Move, End Pyjama (PJ) Paralysis, Excessive Bed Rest (Patient Harm), Frailty Care on Surgical Ward: Lavenham Ward at Ipswich Hospital, Frailty Care on Surgical Wards, Framework for Maximising Use of Care Homes for Patients Medically Fit for Discharge, Framework for Maximising Use of Therapy-Led Units for Patients Medically Fit for Discharge, Framework to Support Winter Pressures (2017-18), Fundación Cardioinfantil - Instituto de Cardiología (Bogotá Colombia), Get Up and Dressed, Get Up For Breakfast, Harms of Bed Rest, Hawkesbury District Health Service - St John of God Health Care (New South Wales), Health Care of Older People (HCOP) Specialty: Nottingham University NHS Trust, Hospital Discharge, Hospital-Associated Deconditioning, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Hospital-Related Deconditioning, Hospital-Related Deconditioning: Cognitive, Hospital-Related Deconditioning: Physical, Hospital-Related Deconditioning: Psychological, Hospital-Related Deconditioning: Social, Implementation of Care Home Digital Tools, In-Hospital Mobilisation, In-Reach Teams, Initiatives to Decrease DTOCs, Integrated Discharge Process, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Integration of Primary Secondary and Community Care, Ipswich Hospital NHS Trust, Ipswich Hospital User Group (IHUG), Jane Cummings: Chair of the Transforming Care Delivery Board, Jane Cummings: Chief Nursing Officer for England, Journal of Advanced Nursing, Journal of Geriatric Physical Therapy, Last 1000 Days, Lavenham Ward Reablement Project (Ipswich Hospital), Lavenham Ward: Ipswich Hospital NHS Trust, Length of Stay (LoS), Local Monitoring to Identify Care Homes at Risk of Closure, Local Sustainability and Transformation Plans (STPs), Local UEC Delivery Boards, Managing Transitions, MDTs: Multidisciplinary Teams, Medically Fit for Discharge Ward (MFFD), Mobility Bundle, Musculoskeletal Ageing Research Program: Sydney Medical School Nepean, National Institute for Health and Care Excellence (NICE), National Institute for Health Research (NIHR) Signal, Nepean Hospital (New South Wales), Newcastle upon Tyne NHS Foundation Trust, NHS East of England 100 Day 100000 Patient Days Campaign, NHS South Warwickshire CCG, NIHR Signal, Nottingham University Hospitals NHS Trust, Nursing Department of Clínica FOSCAL (Bucaramanga Colombia), Nursing Department of Clínica: Palermo-Congregación de las Hermanas de la Caridad Dominicas de la Presentación de la Santísima Virgen, Operating Model for Therapy-Led Units (TLUs), Operational Models to Optimise Care of Patients Who are Medically Fit for Discharge (MFFD), Oxford Institute of Nursing Midwifery and Allied Health Research (OxINMAHR), Palermo-Congregación de las Hermanas de la Caridad Dominicas de la Presentación de la Santísima Virgen (Bogotá Colombia), Patient Deconditioning Effect Related to Hospital Bed Rest (aka Pyjama Paralysis / PJ Paralysis), Patient Discharge, Patient Flows, PJ Paralysis, Post-Discharge Support, Proactive Specialist In-Reach, Professor Brian Dolan: Founder of Time-Valuing Movements, Professor Brian Dolan: Oxford Institute of Nursing Midwifery and Allied Health Research (OxINMAHR), Pyjama Paralysis, Pyjama Paralysis on Hospital Wards, Re-ablement Services, Reablement, Reablement Guidance, Reablement Services, Real Time System Surveillance, Real Time System Surveillance Enabling Technology, Real Time System Surveillance Tools, Recovery Rehabilitation and Reablement (RRR), Recovery Rehabilitation and Reablement Services, Red2Green, Reducing Bed Days, Reducing Delayed Transfers of Care, Reducing Early Hospital Readmissions, Reducing Waste in the NHS, Research Department and Nursing Department: Fundación Cardioinfantil - Instituto de Cardiología (Bogotá), SAFER Patient Flow Bundle, South Warwickshire Foundation Trust: Castle Brook Transitional Unit, South Warwickshire NHS Foundation Trust, South Warwickshire NHS Foundation Trust (SWFT), South Warwickshire NHS Foundation Trust: Wasps Team, Stranded Patient Metric, Surgical Wards: Frailty Care, Sustainability and Transformation Partnerships, Sustainability and Transformation Plans (STPs), Sydney Medical School Nepean: University of Sydney, The Last 1000 Days: Poem / Video by Molly Case - Commissioned by Professor Jane Cummings, Therapy-Led Units, Therapy-Led Units for Patients Medically Fit for Discharge, Time-Valuing Movements: #endPJparalysis, Time-Valuing Movements: #last1000days, TLUs: Therapy-Led Units, Transition Between Inpatient Hospital Settings and Community or Care Home Settings, Transition Planning, Transitions, Transitions Between Health and Social Care, University of Melbourne, University of Sydney, Warwick Hospital, Western Health (Australia), Where Best Next Campaign (NHS England August 2019), Where Best Next? Campaign (NHS England), Whole Winter Framework, Winter Framework, Winter Pressures, Winter Pressures: Role of Community Health Services, Winter Support Package (2017), Worcestershire Acute Hospitals NHS Trust (Evergreen Ward), Yeovil District Hospital: Intermediate Care in Cookson’s Court Nursing Home
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