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Recent Posts
- Dementia-Friendly Communities Provision, Viewed as a Social Determinant of Health (JGCR / NHS England / WHO)
- International Perspectives on the Possible Impact of the COVID-19 Pandemic and Lockdown on Abuse of the Elderly (JGCR / American Journal of Geriatric Psychiatry / JAGS)
- Updates Relating to the Lancet Commission on Dementia Prevention, Intervention, and Care (Lancet / Alzheimer’s Research and Therapy / Alzheimer’s and Dementia)
- A Brief Review of How the COVID-19 Pandemic Relates to Elderly Care and Research (JGCR)
- Some Speculated / Potential Benefits of COVID-19 (JGCR / BBC Radio 4’s Rethink / BGS)
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Tag Archives: Multi-Disciplinary Working
Reducing Hospital Admissions From Care Homes (Health Foundation / PCC)
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 →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, End of Life Care, 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, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Nutrition, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Access to Health and Social Care Support, Acute Lower Respiratory Tract Infections, Ageing Population, Avoidable Hospital Admissions, Barnet Enfield and Haringey Mental Health NHS Trust, Care Home Assessment Teams (CHATs), Care Home-Associated Deconditioning, Care Homes, Care Homes Wellbeing, Care Homes-Related Deconditioning, Chronic Disease and Frailty, Chronic Lower Respiratory Tract Infections, Co-Production, Co-Production for Wellbeing, Co-Production in Commissioning, Co-production in Quality Improvement, Continuing Health Care, Coproduction, Deconditioning, Deconditioning in Hospital, Dementia Care in Care Homes, Dementia: People With Dementia in Care Homes, Embedding Co-Production, Emergency Medicine and Urgent Care, Enfield Care Home Assessment Team (CHAT), Enhanced Care Packages (Care Homes), Enhanced Health in Care Homes, Enhanced Health in Care Homes (EHCH) Framework, Enhanced Specification of General Practice Care for Frail Older People Living in Care Homes, Enhanced Support, Frailty, Haringey, Health and Social Care Configuration, Health and Social Care Delivery Models, Health and Social Care in the Community, Health and Social Care Integration, Hospital Admissions, Hospital-Associated Deconditioning, Hospital-Related Deconditioning, Hydration and Nutrition, Improved Support from Community Nurses for Nurses Employed in Care Homes, Improvement Analytics Unit (IAU), Improvement Analytics Unit (NHS England and Health Foundation Partnership), Improvement Analytics Unit: Health Foundation, Influence of Primary Care Quality Upon Hospital Admissions by People with Dementia in England, Integrated and Community-Based Care, Integration of Health and Care, Interface Between Primary and Secondary Care, Later Life, Living Well in Care Homes, Long-Term Conditions (LTCs), Medication Reviews, Medication Reviews in Care Homes, Medicine Reviews, Models of Enhanced Health in Care Homes, Multi-Disciplinary Team (MDT), Multi-Disciplinary Teams, Multi-Disciplinary Working, Multiple Long-Term Conditions, Multispecialty Community Providers (Integrated Out-of-Hospital Care), Multispecialty Community Providers (MCPs), Named GPs, Named GPs for Over-75s, New Care Models, New Care Models: Vanguard Sites, New Models of Care, New Models of Primary Care, NHS Nottingham City CCG, Nottingham City, Out-of-Hours Urgent Care, People with Dementia in Care Homes, Pharmacist-Led Care Home Medication Reviews, Pneumonia, Pneumonitis (Inflammation of Lung Tissue) Caused by Inhaled Food or Liquid, Pressure Sores, Pressure Ulcers, Preventable Hospital Admissions, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Quality and Safety Improvement Approaches in Care Homes, Quality Improvement, Quality of Life for People Living in Care Homes, Rates of Hospital Admissions by Care Home Residents, Reducing Hospital Attendance, Reducing Unplanned Hospital Admissions, Regular Medication Reviews, Residential Care Homes, Rushcliffe, Staff Training, Support for Care Homes, Sustainability, Sustainable Health and Social Care, Sutton, Sutton Homes of Care Vanguard, Training and Support, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Urinary Tract Infections, Urinary Tract Infections (UTIs), Wakefield, Wakefield Clinical Commissioning Group (CCG)
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Interim NHS People Plan (NHS Improvement / BBC News)
Summary The Interim NHS People Plan, formerly the Workforce Implementation Plan promised in the NHS Long Term Plan, covers staffing levels, recruitment and education issues. It also states a commitment to making the NHS the best place to work; to … Continue reading →
Posted in BBC News, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, National, NHS, NHS Improvement, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Acute and Community Service Provider Integration, Advanced Clinical Practice, Allied Health Professionals (AHPs), Barriers to Movement of Staff Between Organisations, BBC Health News, BBC Reality Check Team, BBC Reality Check: International Nurses and Doctors Recruitment, Culture and Leadership, Delivering 21st Century Care (Workforce Skills), Dentists, Digital Leaders, Digital Skills, Digital Skills of NHS Workforce, Digital Skills Training, Digital Workforce, Diversity in Leadership, Electronic Staff Record (ESR), Embedding Scientific and Technological Developments: Genomics Robotics and Artificial Intelligence (AI), Flexible Career Development, Flexible Workforce, Flexible Working, Flexible Working Arrangements, Future Medical Workforce, Future Workforce, GP Career Plus, GP Health Service, GP Recruitment, GP Retention, GP Retention Scheme, GP Workforce, Growing the Medical Workforce, Healthcare Scientists, ICS Maturity Framework, Improving Leadership Culture, Inclusive and Compassionate Leadership, Informaticians and Data Scientists, Integrated Care Systems (ICSs), Interim NHS People Plan. NHS Improvement (2019), Interim NHS People Plan: Future Allied Health Professions and Psychological Professions Workforce. NHS Improvement, Interim NHS People Plan: Future Dental Workforce. NHS Improvement, Interim NHS People Plan: Future Healthcare Science Workforce. NHS Improvement, Interim NHS People Plan: Future Medical Workforce. NHS Improvement, Interim NHS People Plan: Future Pharmacy Workforce. NHS Improvement, International Doctors Recruitment, International Medical Graduates, International Medical Graduates Recruitment, International Nurses Recruitment, Kark Report: Leadership in the NHS, Leadership and Talent Management, Leadership Styles for Integrated Care Systems (ICSs), Learning Support Fund (LSF), Local GP Retention Fund, Making the NHS the Best Place to Work, Merging the Interfaces of Primary and Secondary Care, Multi-Disciplinary Team (MDT), Multi-Disciplinary Teams, Multi-Disciplinary Working, Multidisciplinary Healthcare Teams, New Operating Model for Workforce re: ICSs, NHS Black and Minority Ethnic (BME) Staff (Experiences), NHS Digital Academy, NHS Graduate Management Training Scheme, NHS Improvement: Developing People Improving Care, NHS Improvement: Interim NHS People Plan, NHS Long Term Plan (2019), NHS Long Term Plan: GP Services, NHS Long Term Plan: Implementation, NHS People Plan, NHS Workforce, Non-Clinical Professionals, Nursing Associates, Nursing Workforce, Nursing: Changing Perceptions, Nursing: Stimulating Demand / Supply and Shifting Perceptions, Pharmacists, Physician Associates, Preparing the Healthcare Workforce for the Digital Future. Final Report (Topol Review), Prerana Issar: Chief People Officer for NHS England and NHS Improvement, Professional Integration, Professor Em Wilkinson-Brice: Deputy Chief People Officer for NHS England and NHS Improvement, Releasing Time for Care, Talent Management, Topol Programme for Digital Fellowships in Healthcare, Topol Review: Health Education England, Vertical Integration (of Primary and Secondary Care), Volunteers and Carers, Workforce Implementation Plan, Workforce Skills
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Recent Report on the State of Care (CQC / DHSC / BBC News / NHS England / SCIE)
Summary The Care Quality Commission (CQC) recently released their annual State of Care report, which examines the performance and effectiveness of health and social care in England, on every front. It appears that patients’ experiences of care tend to depend on how well the components … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, Department of Health and Social Care (DHSC), For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, SCIE, Standards, Statistics, UK, Universal Interest
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Tagged Acute Hospital Care, Acute Hospitals, Adult Safeguarding, Adult Social Care, Adult Social Care Provision (CQC), Adult Social Care Services, Adult Social Care Staff Vacancy Rates, Adult Social Care Workforce, Air Ambulances, Allied Healthcare, Ambulance Services, Asset-Based Approaches, Asset-Based Approaches to Health and Wellbeing, Autumn Budget (2018), Barriers to Joined-Up Care, BBC Health News, BBC Politics News, BBC Reality Check Team, Bed Occupancy, Beyond Alternative Approaches to Performance Management, Beyond Barriers Report: Alternative Approaches to Performance Management, Beyond Barriers Report: Local System Reviews, Beyond Barriers: Birmingham, Beyond Barriers: Bracknell Forest, Beyond Barriers: Bradford, Beyond Barriers: Coventry, Beyond Barriers: CQC Report (2018), Beyond Barriers: Cumbria, Beyond Barriers: East Sussex, Beyond Barriers: Halton and. Hampshire, Beyond Barriers: Hartlepool, Beyond Barriers: Liverpool, Beyond Barriers: Manchester, Beyond Barriers: Northamptonshire, Beyond Barriers: Oxfordshire, Beyond Barriers: Plymouth, Beyond Barriers: Sheffield, Beyond Barriers: Stockport, Beyond Barriers: Stoke-on-Trent, Beyond Barriers: Trafford, Beyond Barriers: Wiltshire, Beyond Barriers: York, Budget 2018: Key Points At-a-Glance, Care Quality Commission (CQC), Caring (CQC Inspection Question), Case Tracking, Chancellor Philip Hammond, Collaborative Working, Community Assets, Community Health Services, Comprehensive Model of Personalised Care, CQC Challenge to Health and Adult Social Care System, CQC Inspection Questions (Safe Effective Caring Responsive Well-Led), CQC Inspections of GP Surgeries, CQC Review of NHS Radiology Services (Planned), Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Dementia Care in the Acute Hospital, Deprivation of Liberty Safeguards (DoLS), Digital Interoperability, East London NHS Foundation Trust, Effective (CQC Inspection Question), End to Silo Working, Everett McKinley Dirksen (Quotation: Apocryphal?), Extended Access to Primary Care, Future of Care Report: Number 8 (SCIE), General Practice Workforce, Geographical Variations, GP Cooperatives and Out-of-Hours Services, GP Out-of-Hours Services, GP Practices, High Impact Change Model, High Impact Change Model (HICM), Hospital Bed Capacity, Hospital Beds, Improved Better Care Fund (iBCF), Improvements Following Re-inspection, Improving Patient Safety, Incentivising Better Joint Working, Independent Ambulance Services, Inspection of GP Out-of-Hours Services, Inspection of GP Practices, Institutional Silos, Joined-Up Care, Joint Commissioning, Joint Workforce Planning, Leadership, Local Community Assets, Local System Reviews, Local Systems Reviews Report (CQC), Local Variations, Mental Health Crisis Care, Mental Health Crisis Centres in Every Accident and Emergency Unit, Mental Health Crisis Hotline, Mental Health Services, Multi-Disciplinary Working, New Settlement for Health and Social Care, NHS Budget, NHS Community Health Services, NHS Hospital Bed Numbers, NHS Mental Health Services, NHS Sustainability, Number of Nursing Home Beds, Nursing Home Beds, Older People: Moving Between Health and Social Care Services, Paradigm Shift: From Service Silos to Systems Outcomes, Patient Safety, Prevention Green Paper, Primary Medical Services, Quality and Sustainability, Quality Improvement, Reablement, Recruitment and Retention, Responsive (CQC Inspection Question), Responsiveness, Risk Sharing: Sharing Risks and Rewards Between Health and Social Care Organisations, Safe (CQC Inspection Question), Safeguarding, Safeguarding Adults at Risk, Safeguarding Vulnerable Adults, Silo Working, Single Point of Access (SPA), Social Care Green Paper, Social Care Institute for Excellence (SCIE), Social Care Workforce, Staff Shortages, Staffing, State of Care 2017/18 (CQC), State of Care 2017/18 Report, State of Care 2017/8. Care Quality Commission (CQC): 2018, State of Care Report, State of Health Care and Adult Social Care in England 2017/18, Step Down, Sustainability, Training and Competency, Transforming Care and Support: Future of Care Report (SCIE), UK Homecare Association (UKHCA), UKHCA: UK Homecare Association, Unacceptable Variations, Urgent and Emergency Care (UEC), Variations in Quality of Care, Well-Led (CQC Inspection Question), Well-Led Indicators (CQC), Workforce Challenges, Workforce Issues
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Improving Care for Older People (NHS England / Age UK / PHE / Chief Fire Officer’s Association / JGCR)
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
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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
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On the Not Yet Fully Realised Potential of Integrated Care (NHS England)
Summary It has been said before probably, but perhaps by none so great? Full Text Link Reference Leading healthcare professor Don Berwick says NHS could be world number one if it integrates care. [Online]: NHS England, May 1st 2018.
Posted in Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, NHS, NHS England, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Barriers to Joined-Up Care, Collaborative Working, Collaborative Working in Local Communities, Economic Sustainability, Frimley Health and Care: Integrated Care System (ICS), Health and Social Care Integration, Holistic Co-ordinated Care, IHI Triple Aim, IHI: Institute for Healthcare Improvement, Institute for Healthcare Improvement (IHI), Integrated Care Pioneers, Integrated Care Systems, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Integration of Physical and Mental Health, Joined-Up Care, Joy in Work, Long-Term Conditions (LTCs), Making the NHS Among the Best in Europe, Making the NHS Among the Best in the World, Multi-Disciplinary Teams, Multi-Disciplinary Working, New Care Models, New Models of Care, New Models of Seamless Care, New Models of Service, NHS 70 (NHS 70th Birthday), NHS Sustainability, NHS: Safest Healthcare System in the World (Ambition), Potboiler, Professor Don Berwick, Quadruple Aim for All, Reducing Waste in the NHS, Sustainability, Triple Aim: (1) Improved Health and Wellbeing (2) Redesigned Care and (3) Wise Financial Stewardship
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NHS England’s Pharmacy Integration Fund (NHS England / BBC News)
Summary Care home residents often have multiple long-term conditions and are often prescribed several different medicines (polypharmacy). NHS England plans to fund recruitment of 180 pharmacists and 60 pharmacy technicians who will work with care homes to try to reduce … Continue reading →
Posted in BBC News, Commissioning, Community Care, Falls Prevention, 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, Models of Dementia Care, National, NHS, NHS England, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Achieving Better Value, Ageing Population, Alternatives to Hospital Admission, BBC Health News, Better Value, Better Value Healthcare, Better Value in the NHS, Care and Support for People With Dementia in Care Homes, Care Home Pharmacists, Care Home Pharmacists to Cut Overmedication, Care Homes, Care of Frail Older People With Complex Needs, Care of Older People Living in Care Homes, Clinical Pharmacists, Community Pharmacists, Community-Based Interventions, Community-Based Services, Community-Based Support, Confusion in Care Homes, Dementia Care in Care Homes, Discontinuation of Multiple Medications in Older Adults, Drug Cost Savings, East and North Hertfordshire NHS Trust, Economic Sustainability, English Pharmacy Board, Financial Constraints, Financial Sustainability in the NHS, Frail Older People, Good Practice in Care Homes, Harms of Too Much Medicine, Hospital Pharmacists, Hospital‑Based Multidisciplinary Teams: Pharmacists, Imelda Redmond: Healthwatch England, Improving Care for Frail Older People, Improving Patient Safety, Improving Pharmaceutical Care in Care Homes, Improving Prescribing Practice, Improving Standards in Care Homes, Inappropriate Drug Use, Inappropriate Medication, Inappropriate Prescribing, Integrated Care in Northumberland, Interdisciplinary Teams, Later Life, Less is More, Liaison and In-Reach Services for Frail Older People, Living Well in Care Homes, Long-Term Conditions (LTCs), Lowering Costs, Managing Medicines in Care Homes, MDTs: Multidisciplinary Teams, Medical Overuse, Medication Reviews, Medication Reviews in Care Homes, Models of Enhanced Health in Care Homes, Multi-Disciplinary Team (MDT), Multi-Disciplinary Teams, Multi-Disciplinary Working, Multi-Morbidities, Multimorbidities and Long-Term Conditions, Multiple Long-Term Conditions, Multiple Medications (Polypharmacy), NHS East and North Hertfordshire CCG, NHS England Local Area Teams: Frail Older People With Complex Needs, NHS England Pharmacy Integration Fund, Northumberland, Older Care Home Residents, Older People, Older People With Complex Needs, Older People's Care, Oral Nutritional Support, Over-Medication, Over-Prescribing, Over-Treatment, Overdiagnosis and Overtreatment, Overmedicaton in Care Homes, Overprescription, Overuse of Medication, Patient Harms, Patient Safety, Patients With Polypharmacy Risks, Pharmacist-Led Care Home Medication Reviews, Pharmacist-Led Medication Reviews, Pharmacists, Pharmacists to Cut Unnecessary Hospital Admissions, Pharmacy Integration Fund (NHS England), Pharmacy Technicians, Polypharmacy, Potentially Inappropriate Prescribing, Preventable Hospital Admissions, Preventative Care, Preventing Acute Admissions from Care Homes, Prevention, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Preventive Care, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Proactive Specialist In-Reach, Protecting Resources and Promoting Value, Redesigning Services, Reducing Expenditure, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Unplanned Hospital Admissions, Reducing Waste in the NHS, Reducing Wasted Medications, Research in Care Homes, Sandra Gidley: Chair of Royal Pharmaceutical Society’s English Pharmacy Board, Simon Stevens: Chief Executive of NHS England, Thinking Like a Patient and Acting Like a Taxpayer, Transforming Care for Frail Older People, Unnecessary Hospital Admissions, Value for Money, Value Improvement, Wellbeing in Care Homes
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The Latest CQC State of Care Report (BBC News / CQC / File on Four)
Summary The Care Quality Commission (CQC) annual State of Care report assesses the overall status of health and social care in England. The head of the CQC has alleged that parts of the NHS and social care may soon be … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, CQC: Care Quality Commission, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Local Interest, Management of Condition, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Acute Hospital Care, Acute Hospitals, Adult Safeguarding, Adult Social Care, Adult Social Care Provision (CQC), Adult Social Care Services, Adult Social Care Staff Vacancy Rates, Ambulance Services, Barriers to Joined-Up Care, BBC Health News, BBC News Hampshire and Isle of Wight, BBC Radio Four’s “File on Four” Programme, Bed Occupancy, Care Quality Commission (CQC), Caring (CQC Inspection Question), Collaborative Working, Community Health Services, CQC Challenge to Health and Adult Social Care System, CQC Inspection Questions (Safe Effective Caring Responsive Well-Led), CQC Inspections of GP Surgeries, CQC Review of NHS Radiology Services (Planned), Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Dementia Care in the Acute Hospital, Deprivation of Liberty Safeguards (DoLS), East London NHS Foundation Trust, Effective (CQC Inspection Question), Embedding Equality, File on Four (BBC Radio 4), Geographical Variations, GP Cooperatives and Out-of-Hours Services, GP Out-of-Hours Services, GP Practices, Hospital Bed Capacity, Hospital Beds, Improvements Following Re-inspection, Improving Patient Safety, Independent Ambulance Services, Inspection of GP Out-of-Hours Services, Inspection of GP Practices, Joined-Up Care, Leadership, Local Variations, London Ambulance Service NHS Trust, Lung Cancer: False Negatives, Medicines Optimisation, Mental Health Care, Misdiagnosis of Chest X-Rays, Missed Lung Cancer, Multi-Disciplinary Working, NHS Community Health Services, NHS Future Precarious (CQC Allegation), NHS Hospital Bed Numbers, NHS Mental Health Services, NHS Radiology Services, NHS Sustainability, Northamptonshire Healthcare NHS Foundation Trust, Number of Nursing Home Beds, Nursing Home Beds, Patient Safety, Portsmouth Hospitals NHS Trust, Primary Medical Services, Quality and Sustainability, Quality Improvement, Queen Alexandra Hospital, Queen Alexandra Hospital (Portsmouth), Responsive (CQC Inspection Question), Responsiveness, Safe (CQC Inspection Question), Safeguarding, Safeguarding Adults at Risk, Safeguarding Vulnerable Adults, Staff Shortages, Staffing, State of Care 2016/17 (CQC), State of Care 2016/17 Report, State of Care Report, Sustainability, Tipping Point in Sustainability of Adult Social Care (Alleged), Training and Competency, Unacceptable Variations, Variations in Quality of Care, Well-Led (CQC Inspection Question), Well-Led Indicators (CQC)
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On the Unrealised Potential of Intermediate Care (SCIE / Nuffield Trust)
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
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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
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Pharmacist Involvement in Hospital Ward Teams and Rates of Hospital Readmission (European Journal of Clinical Pharmacology)
Summary A recent Swedish trial was conducted to assess whether comprehensive medication reviews performed by clinical pharmacists working on hospital wards as part of healthcare multidisciplinary team might reduce drug-related hospital readmission rates for people with dementia or cognitive impairment. … Continue reading →
Posted in Acute Hospitals, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, International, Management of Condition, Models of Dementia Care, Person-Centred Care, Pharmacological Treatments, Quick Insights, Statistics, Universal Interest
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Tagged Acute Care, Acute Hospital Care, Adverse Drug Reactions (ADRs), Avoidable Acute Hospital Admission in Older People, Caring for People with Dementia on Hospital Wards, Clinical Pharmacists, Cognition Disorders, Collaboration for Coordinated Care, Comprehensive Medication Reviews, Dementia Care in the Acute Hospital, Dementia in the Acute Hospital, Department of Community Medicine and Rehabilitation: Umeå University, Department of Pharmacology and Clinical Neuroscience: Umeå University, Division of Clinical Pharmacology: Umeå University, Drug-Related Hospital Readmission Rates for People with Dementia or Cognitive Impairment, Drug-Related Hospital Readmissions, Drug-Related Problems (DRPs), European Journal of Clinical Pharmacology, Geriatric Medicine: Umeå University, Hospital Pharmacies, Hospital Pharmacists, Hospital Pharmacy Services, Hospital Re-Admission Rates, Hospital-Based Multi-Disciplinary Teams, Impact of Ward Pharmacist Involvement on Hospital Readmission, Inappropriate Drug Use, Inappropriate Medication, Inappropriate Prescribing, Interdisciplinary Teams, MDTs: Multidisciplinary Teams, Medication Reviews, Multi-Disciplinary Team (MDT), Multi-Disciplinary Teams, Multi-Disciplinary Working, Overprescription, Pharmacist Involvement in Hospital Ward Teams, Pharmacist Participation in Hospital Ward Teams, Pharmacist Participation in Ward MDTs, Pharmacist-Led Medication Reviews, Rates of Hospital Readmissions, Re-Admissions to Hospitals, Readmission Rates, Readmissions, Readmissions to Hospital, Reducing Inappropriate Polypharmacy, Reducing Readmission Rates, Reduction of Drug-Related Problems and Readmissions Among Old People With Dementia (NCT01504672), Skellefteå County Hospital, Sweden, Umeå (Sweden), Umeå University (Sweden), Umeå University Hospital
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Mental Health in General Hospitals: Patient Safety Improvement (NHS England / NCEPOD / NCCMH / NICE)
Summary This year’s National Confidential Enquiry into Patient Outcome and Death (NCEPOD) “Treat as one” report identifies a number of problems in the treatment of patients with mental health problems admitted to acute hospitals. Recommendations are supplied. Professor Tim Kendall, … Continue reading →
Posted in Acute Hospitals, Commissioning, Department of Health, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Patient Information, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged 5YFV: NHS Five Year Forward View, A&E Psychiatric Patients, Access and Choice, Access to Mental Health Services, Achieving Better Access to 24/7 Urgent and Emergency Mental Health Care, Achieving Better Access to 24/7 Urgent and Emergency Mental Health Care (NCCMH), Achieving Better Access to 24/7 Urgent and Emergency Mental Health Care: Part 1: Implementing the Evidence-Based Treatment Pathway for ‘Blue Light’ Services for All Ages, Achieving Better Access to 24/7 Urgent and Emergency Mental Health Care: Part 2: Implementing the Evidence-Based Treatment Pathway for Liaison Mental Health Services for Adults, Achieving Better Access to 24/7 Urgent and Emergency Mental Health Care: Part 3: Implementing the Evidence-Based Treatment Pathway for Community Mental Health Services for Adults, Achieving Better Access to 24/7 Urgent and Emergency Mental Health Care: Part 4: Implementing the Evidence-Based Treatment Pathway for Mental Health Services for Children and Young People, Acute And Crisis Care, Acute Hospitals Liaison Mental Health Fund (NHS England), Acute Medicine, Adult Mental Health Services (AMHS), Adult Mental Health: Common Mental Health Problems, Best Practice in Memory Services, Best Practice In Memory Services: Learning From Across England, Care Packages and Pathway Consortium (CCCP), Care Packages and Pathway Consortium (Resources Archive), Care Planning, Care Planning (Community), Care Planning (Inpatient), Central Southern Commissioning Support Unit, Child and Adolescent Mental Health Services (CAMHS), Children and Young People (CYP), Co-Morbid Physical and Mental Health Conditions, Commissioning for Parity of Esteem, Common Mental Health Problems (CMHP), Communication and Information Sharing, Core 24, Crisis and Acute Care for Adults, Crisis Care Concordat, Crisis Resolution and Home Treatment Teams (CRHTTs), Data Sharing, Delays in Liaison Psychiatry Review, Delivering Parity of Esteem, Delivery of Five Year Forward View for Mental Health, Dementia Diagnosis and Care in England, Dementia Diagnosis and Care in England: Learning from Clinical Commissioning Groups (CCGs), Dementia Profile: PHE Fingertips Tool, Discharge and Death, Discharge Decisions, Discharge Planning, Early Intervention in Psychosis (EIP), Early Referral to Mental Health Services, Eating Disorder (ED), Eating Disorder Guidance, EBTP Clock Starts, EBTP Clock Stops, EBTP Standards, Education and Training, Emergency Department Psychiatric Service (EDPS) at Oxford, Emergency Department Referral to Liaison Psychiatry, Evidence-Based Treatment Pathway for Urgent and Emergency Liaison Mental Health Services, Evidence-Based Treatment Pathways (EBTPs), Five Year Forward View, Five Year Forward View Mental Health Taskforce, Guy's and St Thomas' NHS Foundation Trust, Healthcare Quality Improvement Partnership (HQIP), Hospital Discharge and Transfers, Hospital Discharge Delays, Hospital-Based Multi-Disciplinary Teams, Hospital‑Based Multidisciplinary Teams: Mental Health Practitioners, IAPT Workforce Census Report (2015), IAPT: Improving Access to Psychological Therapies, Implementing the Mental Health Forward View, Improving Access to Mental Health Services, Improving Access to Psychological Therapy (IAPT), Improving Coding, Improving Patient Safety, Improving Perinatal Mental Health, Information Sharing, Information Sharing Between Trusts, Information Sharing by Mental Health Services, Information Sharing: Care Plans, Integrated Care Pathway in North West London, Integrating Mental and Physical Healthcare, Integration of Primary Community and Secondary Healthcare, Investment in Mental Health, Joint Commissioning Panel (JCPMH), Liaison Mental Health Services, Liaison Mental Health Teams, Liaison Psychiatry, MDTs: Multidisciplinary Teams, Medical and Surgical Clinical Outcome Review Programme into Medical and Surgical Care, Mental and Physical Health, Mental Capacity Assessments, Mental Health Access and Waiting Times Standards, Mental Health and Wellbeing, Mental Health Crisis, Mental Health Crisis Care, Mental Health Crisis Care Concordat, Mental Health in General Hospitals, Mental Health in General Hospitals: Treat as One (2017), Mental Health Liaison Services in Emergency Departments and Inpatient Wards, Mental Health Problems, Mental Health Professionals in Emergency Departments, Mental Health Service Budgets, Mental Health Services, Mental Health Services in Accident and Emergency Units, Mental Health Urgent and Emergency Care Pathways, Models of Dementia Assessment and Diagnosis: Indicative Cost Review, Multi-Disciplinary Teams, Multi-Disciplinary Working, Multidisciplinary Care, National Collaborating Centre for Mental Health (NCCMH), National Confidential Enquiry into Patient Outcome and Death (NCEPOD), NHS England’s Acute Hospital Liaison Mental Health Fund, NHS England’s Resource Collection on Mental Health Commissioning: Child and Adolescent Mental Health Services (CAMHS), NHS England’s Resource Collection on Mental Health Commissioning: Dementia, NHS England’s Resource Collection on Mental Health Commissioning: Mental Health Access and Waiting Times, NHS England’s Resource Collection to Support Mental Health Commissioning, North West London Optimal Model, Oxford Health and Healthcare Decisions, Parity Between Mental and Physical Health, Parity of Esteem, Patient Discharge, Patient Record Sharing, Patient Safety, Patients With Mental Disorders Admitted to General Hospitals, Payment Approaches for Mental Health Services: Capitated Payment, Payment Approaches for Mental Health Services: Episodic Payment, Presentation to Hospital (Admission Processes), Priorities For Mental Health, Public Health England Fingertips Tool, Quality and Experience, Quality Improvement, Rapid Assessment Interface and Discharge (RAID), Rapid Assessment Interface Discharge (RAID), Reducing the Divide Between Mental and Physical Healthcare, South London and Maudsley NHS Foundation Trust, Sustainability and Transformation Plans (STPs), Tim Kendall: National Clinical Director for Mental Health at NHS England, Treat as One: Bridging the Gap Between Mental and Physical Healthcare in General Hospitals (NCEPOD 2017), Waiting Times for Mental Health Services, Well Pathway for Dementia, Well Pathway for Dementia (NHS England): Commissioning Well, Well Pathway for Dementia (NHS England): Diagnosing Well, Well Pathway for Dementia (NHS England): Integrating Well, Well Pathway for Dementia (NHS England): Monitoring Well, Well Pathway for Dementia (NHS England): Supporting Well, Workforce and Skill Mix
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