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Tag Archives: Multiple Medications (Polypharmacy)
Potential Harms From Polypharmacy in the Elderly (BBC News / Age UK / EJCP / Bazian / Lancet Psychiatry)
Summary An Age UK report investigates the potential harms of over-prescribing medicines for older people. Older persons often remain on too many prescribed medicines, putting them at risk of side-effects, potentially resulting in falls and other forms of serious harm. … Continue reading →
Posted in Age UK, Antipsychotics, BBC News, Charitable Bodies, Commissioning, Community Care, Depression, Falls, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Hypertension, In the News, Integrated Care, Management of Condition, National, Personalisation, Pharmacological Treatments, Quick Insights, UK, Universal Interest
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Tagged Achieving Better Value, Addictions Department - Division of Academic Psychiatry: King's College London, Addictive Prescription Medicines, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, Ageing Population, Alcohol Drugs Tobacco and Justice Division: Public Health England, AntiCholinergic Burden, Anticholinergic Drugs, Anticholinergics, Antidepressants, Anxiolytics and Hypnotics (Including Benzodiazepines), ARMOUR Tool, Australian Prescribing Indicators, Austrian Criteria, Barenholtz Levy, Bazian, BBC Health News, Beers Criteria, Behind the Headlines, Benzodiazepines, Better Value, Better Value Healthcare, Better Value in the NHS, Brown Model, Cantrill Indicators, Care Home Pharmacists, Care Home Pharmacists to Cut Overmedication, Care Homes, Care of Frail Older People With Complex Needs, Care of Older People Living at Home, Care of Older People Living in Care Homes, Care Planning: Relating New Prescribing Decisions to Existing Medicines, Care Quality Improvement Department: Royal College of Physicians, Case Management and Enhanced Rapid Response, Challenging Behaviour in Dementia, Choosing Wisely, Choosing Wisely in the NHS, Choosing Wisely in the UK, Clinical Pharmacists, CMS List, Communication Between Community Pharmacists and GPs, Community Pharmacies, Community Pharmacists, Community Pharmacy, Community-Based Services, Community-Based Support, Comorbidity, Comorbidity and Dementia, Comorbidity and Polypharmacy in People With Dementia, Dementia Friendly Community Pharmacists, Department of Family Medicine: University of California Los Angeles, Department of Primary Care and Public Health: Imperial College London, Dependence and Withdrawal Associated With Prescribed Medicines (PHE Review), Deprescribing, Discontinuation of Multiple Medications in Older Adults, Doubling-Up, Drug Burden Index, Drug Cost Savings, Economic Sustainability, Elderly Malnutrition, European Journal of Clinical Pharmacology, FORTA Criteria, Four or More Medicines (FOMM) Support Service, Frail Older People, Frailty, Gabapentinoids, Geriatric Medication Algorithm, German PRISCUS List of Potentially Inappropriate Medications, Good Practice in Care Homes, Guy's and St Thomas' NHS Foundation Trust, Hamdy Criteria, Hanoi Medical University, Harms of Too Much Medicine, Health Improvement Directorate: Public Health England, High Quality Medicines Reviews, Holmes Criteria, Hospital Pharmacists, Hospital‑Based Multidisciplinary Teams: Pharmacists, Hull-York Medical School: University of Hull, Imperial College London, Improving Care for Frail Older People, Improving Patient Safety, Improving Pharmaceutical Care in Care Homes, Improving Prescribing in the Elderly Tool, Improving Prescribing Practice, Improving Standards in Care Homes, Inappropriate Drug Use, Inappropriate Medication, Inappropriate Prescribing, Institute of Psychiatry Psychology and Neuroscience: King’s College London, Integrated Care Clinical Pharmacist (ICP) for Frail Older People, Integrated Care Pharmacists (ICPs), Kaiser Permanente Model, Kings College London, KPC Criteria, Lambeth Addictions: South London and Maudsley NHS Mental Health Foundation Trust, Lancet Psychiatry, Laroche Criteria, Later Life, Lechevallier Criteria, Less is More, Liaison and In-Reach Services for Frail Older People, Lindblad’s List, Lipton’s Tool, Living at Home, Living Well in Care Homes, Long-Term Conditions (LTCs), Lowering Costs, Maio Criteria, Malnutrition, Malnutrition in Later Life, Malone’s List, Management of Challenging Behaviour, Managing Comorbidity and Complexity, Managing Medicines in Care Homes, Matsumura Alert System, McLeod Criteria, MDTs: Multidisciplinary Teams, Medical Overuse, Medication Adherence, Medication Appropriateness Index, Medication Creep, Medication Nonadherence, Medication Reviews, Medication Reviews in Care Homes, Medication Without Harm (WHO), Medication-Related Harm, Medications Management Outcome Monitor, Medicine Combinations, Medicines Management, Multi-Morbidities, Multimorbidities and Long-Term Conditions, Multiple Comorbidities, Multiple Long-Term Conditions, Multiple Medications (Polypharmacy), National Guideline Centre: Royal College of Physicians, NCOA Criteria, New Mexico Criteria, NHS Business Services Authority (NHSBSA), NHS Community Pharmacies, Non-Adherence: Medication-Related Harm, Norwegian General Practice (NORGEP) Criteria, Oborne’s Prescribing Indicators, Older Adults Higher Levels of Dependency Dementia and Comorbidity, Older People, Older People Supported and Involved in Decisions About Medicines, Older People With Complex Needs, Older People's Care, Opioid Painkillers, Opioids, Optimising Prescribing and Deprescribing in Older Adults, Over-Medication, Over-Prescribing, Over-Treatment, Overdiagnosis and Overtreatment, Overmedicalization, Overmedicaton in Care Homes, Overprescribing, Overprescription, Overuse of Medication, Owen’s Steps, Patient Harms, Patient Preference and Adherence, Patient Safety, Patients With Polypharmacy Risks, People With Dementia Living at Home, Pharmacist-Led Care Home Medication Reviews, Pharmacist-Led Home Medication Reviews, Pharmacist-Led Information Technology Intervention (PINCER), Pharmacist-Led Medication Reviews, Pharmacists, Pharmacists to Cut Unnecessary Hospital Admissions, PINCER, PINCER Intervention, PMDRP, Polypharmacy, Polypharmacy and Frailty, Polypharmacy in the Elderly STOPP and START Criteria, Poor Medicines Management, Potentially Inappropriate Medications (PIMs), Potentially Inappropriate Medications in the Elderly: the PRISCUS List, Potentially Inappropriate Medicine Combinations, Potentially Inappropriate Prescribing, Potentially Inappropriate Prescribing (PIP), Potentially Inappropriate Prescribing in Older People With Dementia, Prescribing Cascades, Prescribing Optimisation Method, Prescription Drugs, Prescription Drugs Dependency, Prescription Drugs: Long-Term Use, Prescription of Psychotropic Drugs, Prevalence of Potentially Inappropriate Prescribing in Older People With Dementia, Preventable Hospital Admissions, Preventative Care, Preventing Acute Admissions from Care Homes, Prevention, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Preventive Care, Primary Care, Primary Care Adverse Drug Reactions, PRISCUS List, Proactive Specialist In-Reach, Professor Paul Cosford: Director for Health Protection and Medical Director at Public Health England, Protecting Resources and Promoting Value, Psychotropic Drug Cessation, Psychotropic Drugs, Public Health England, Rancourt Criteria, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Unplanned Hospital Admissions, Reducing Waste in the NHS, Reducing Wasted Medications, Robertson’s Flow Charts, Royal College of Physicians, School of Preventive Medicine and Public Health: Hanoi Medical University, Sloane List, Social Prescribing, Social Prescribing Approach to Reducing Default to Medicines / Drug-Based Treatments, South London and Maudsley NHS Mental Health Foundation Trust, START Criteria, STOPP and START Criteria, STOPP Criteria, STOPP START Criteria, Suboptimal Prescribing, Summary Care Records, Summary Care Records (SCRs), Sustainability, Sustainability in the NHS, Thinking Like a Patient and Acting Like a Taxpayer, TIMER Tool, Too Much Medicine, Tools for Measuring Potentially Inappropriate Prescribing in Older People With Dementia, Transforming Care for Frail Older People, United States, University of California Los Angeles, University of Hull, Unnecessary Hospital Admissions, Unsafe Drug Combinations, USA. Fielding School of Public Health: University of California Los Angeles, Value for Money, Value Improvement, Vietnam, Wellbeing in Care Homes, Wolfson Centre for Palliative Care Research: University of Hull, Z-Drugs (Sleeping Tablets), Zhan Criteria
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Multi-Morbidity Re-Visited (BBC News / Academy of Medical Sciences / Health Foundation / JGCR)
Summary The Academy of Medical Sciences has produced a report on the unprecedented burden of “multi-morbidity”, i.e. the clustering of two or more physical and mental health conditions in the same patient. This is a summary of emerging evidence on … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Depression, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, In the News, Integrated Care, International, Management of Condition, Mental Health, National, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Statistics, Systematic Reviews, UK, Universal Interest
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Tagged Academy of Medical Sciences, Academy of Medical Sciences: King's College London, Accountable Care Organisations (ACOs), Accountable Care Systems, Accountable Care Systems (ACSs), Ageing Population, Barriers to Joined-Up Care, BBC Health News, Burden of Multimorbidity, Caring for the Whole Person, Clustering of Conditions, Clustering of Mental and Physical Health Conditions, Co-Morbid Physical and Mental Health Conditions, Common Dementia Comorbidities, Comorbidity, Comorbidity and Dementia, Complex Care and Multimorbidity, Complex Comorbidities, Complexity, Definitions of Multimorbidity, Dementia and Comorbidity, Dementia Comorbidities, Demographic and Epidemiological Change, Depressive Mood Disorders, Determinants of Multimorbidity, Diabetes and Obesity, Digital Technologies in Management of Multimorbidity, Economic Burden of Multimorbidity, Epidemiology, Epidemiology and Statistics, Ethnicity as a Determinant of Multimorbidity, Faculty of Public Health and Policy: London School of Hygiene and Tropical Medicine, Financial Cost of Multimorbidity, Gender (Sex) as a Determinant of Multimorbidity, General Practice and the Multiple Conditions Challenge, George Institute for Global Health (Australia), George Institute for Global Health (India), Guidelines International Network (G-I-N) Multimorbidity Resources, Harvard Medical School, Health Inequalities, Holistic Approaches, Holistic Assessments, Holistic Care, Holistic Care Assessments, Holistic Co-ordinated Care, Holistic Medical Reviews, Holistic Medical Reviews by GPs, Holistic Needs Assessment, Holistic Needs Assessment (HNA), Impact of Multimorbidity on Carers, Impact of Multimorbidity on Healthcare Costs, Impact of Multimorbidity on Healthcare Duplication and Waste, Impact of Multimorbidity on Healthcare Professionals, Impact of Multimorbidity on Patients, Imperial College London, Influence of Alcohol Consumption on Multimorbidity, Influence of Obesity on Multimorbidity, Influence of Physical Activity on Multimorbidity, Influence of Tobacco Consumption on Multimorbidity, Integrated Physical and Mental Health, Integration of Physical and Mental Health, Interaction between Physical and Mental Health, International Research Community on Multimorbidity, Joined-Up Care, Journal of Comorbidity;, Journal of Geriatric Care and Research (JGCR), King’s College London, King’s Global Health Institute, Management of Multimorbidity, Managing Comorbidity and Complexity, Managing Ongoing Physical and Mental Health Conditions, Mechanisms of Comorbidity of Mental Disorders With Other Non-Communicable Diseases, Multi-Morbidities, Multi-Morbidity, Multicondition, Multidisciplinary Holistic Assessments, Multimorbidities, Multimorbidities and Long-Term Conditions, Multimorbidity, Multimorbidity and Patterns of Services Delivered, Multimorbidity and the Cost of Healthcare, Multimorbidity Measures, Multimorbidity Prevalence (International Comparisons), Multimorbidity Prevalence by Age, Multimorbidity Versus Comorbidity, Multipathology, Multiple Comorbidities, Multiple Health Conditions, Multiple Health Conditions: Health Foundation (2018), Multiple Medications (Polypharmacy), National Innovation Centre for Ageing: Newcastle University, Needs of People With Multiple Health Conditions, Newcastle University, Newcastle University Institute for Ageing, Obesity, Optimising Medications for Older People With Multiple Comorbidities, Over-Medication, Overlapping Risk Factors, Patients With Polypharmacy Risks, Patterns of Multimorbidity, Pluripathology, Polymorbidity, Polypathology, Polypharmacy, Potentially Inappropriate Medications (PIM), Potentially Inappropriate Prescribing, Prevalence of Multimorbidity, Prevention of Multimorbidity, Principles For System-Wide Action on Comorbidities, Reducing Inappropriate Polypharmacy, Risk Factors, Socioeconomic Status as a Determinant of Multimorbidity, System-Wide Action on Comorbidities, Treatment of Multimorbidity, University College London (UCL), University of Dundee, University of Leicester, University of Liverpool, University of Oxford, University of the Witwatersrand (South Africa), Untreated Comorbidities, Whole Person Medicine, Whole System Patient Flows, Whole-Person Care
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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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Potentially Inappropriate Prescribing for Older Persons: Revisited (APPG on Dementia / Newsmax / European Journal of Clinical Pharmacology)
Summary The All-Party Parliamentary Group on Dementia (APPG), back in 2008, asserted that perhaps half of dementia patients may be receiving inappropriate medications. While the extent to which this position may have changed in recent years is debatable, the allegation … Continue reading →
Posted in Acute Hospitals, All-Party Parliamentary Group (APPG) on Dementia, Antipsychotics, Commissioning, Community Care, Falls Prevention, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, International, Mental Health, Models of Dementia Care, National, Person-Centred Care, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged All-Party Parliamentary Group (APPG), APPG on Dementia, Dementia Specialists LLP, England, Estonia, EU(7)-PIM List: Potentially Inappropriate Medications for Older People, European Journal of Clinical Pharmacology, European List of Potentially Inappropriate Medications (PIM), Faculty of Health: University of Witten/Herdecke, Finland, France, Functional Decline Associated With Polypharmacy, German PRISCUS List of Potentially Inappropriate Medications, Germany, Inappropriate Care, Inappropriate Drug Use, Inappropriate Hospital Admissions, Inappropriate Interventions, Inappropriate Medication, Inappropriate Prescribing, Institute of General Practice and Family Medicine: University of Witten/Herdecke, Multiple Medications (Polypharmacy), Netherlands, Newsmax; Health, Polypharmacy, Polypharmacy in the Elderly STOPP and START Criteria, Potentially Inappropriate Medications (PIM), Potentially Inappropriate Medications in the Elderly: the PRISCUS List, Potentially Inappropriate Prescribing, Potentially Inappropriate Prescribing (PIP), Prevalence of Potentially Inappropriate Prescribing of Antipsychotic Drugs, Prevention, PRISCUS List, PRISCUS Research Consortium, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Inappropriate Applications, Reducing Inappropriate Polypharmacy, Reducing Inappropriate Use of Antipsychotics in Dementia, RightTimePlaceCare - Seventh Framework European Project, RightTimePlaceCare Consortium, RightTimePlaceCare Study, Seventh Framework European Project: RightTimePlaceCare, Spain, STOPP and START Criteria, Sweden, University Hospital Parc de Salut Mar (Barcelona), University of Witten / Herdecke (Germany), Washington University School of Medicine
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Primary Care Home: a New Model of Primary Care (NAPC / Nuffield Trust / SCIE / PA Consulting Group)
Summary The National Association of Primary Care (NAPC) has recently proposed an alternative model pf primary care, which is intended to realign primary care resources around the health and social needs of local communities. It involves “primary, community, mental, social … Continue reading →
Posted in Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, National, NHS, Non-Pharmacological Treatments, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, SCIE, Standards, UK, Universal Interest, Wolverhampton
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Tagged 1st Care Cumbria: Primary Care Home (PCH) Test Site, 3Sixty Care: Primary Care Home (PCH) Community of Practice Partner, Accountable Care Organisations (ACOs), Accountable Care Systems (ACSs), Alternatives to Hospital Admission, Ashford Clinical Providers Network Ltd (Federation): Primary Care Home (PCH) Community of Practice Partner, Avoidable Hospital Admissions, Barriers to the PCH Model, Beacon Medical Group: Primary Care Home (PCH) Test Site, Better Out-of-Hospital Care to Prevent Attendance and Admissions, Beyond Integrated Care: Population Health Systems, Broadstairs PCH: Primary Care Home (PCH) Community of Practice Partner, Burgess Hill and Villages PCH: Primary Care Home (PCH) Community of Practice Partner, Care Closer to Home, Care Homes, Central Crewe Cluster: Primary Care Home (PCH) Community of Practice Partner, Clarity of Terminology (Improvement), Clinical Commissioning Groups (CCGs), Collaboration, Collaboration: Working Across Boundaries, Collaborative Care, Collaborative Care or Combined Teams, Collaborative Care Planning, Collaborative Care Teams, Collaborative Working, Community Health Initiatives, Community Involvement, Complex Patients at Risk of Hospital Admission, Derwentside Healthcare LTD: Primary Care Home (PCH) Community of Practice Partner, Diabetes Care, Diabetes Epidemic, Diabetes Prevention, Discharge and Out of Hospital Care, Dorking Primary Care Home: Primary Care Home (PCH) Community of Practice Partner, Durham Dales Easington and Sedgefield CCG: Primary Care Home (PCH) Community of Practice Partner, East Cornwall Primary Care Home: Primary Care Home (PCH) Community of Practice Partner, East Norfolk Medical Practice: Primary Care Home (PCH) Community of Practice Partner, Economic Sustainability, Enablers for the PCH Model, Evaluation of PCH Model, Financial Sustainability in the NHS, Five Year Forward View - Next Steps: Sustainability and Transformation Partnerships, Frail Patients on Discharge From Hospital, Frailty, Frailty Clinics, Hammersmith and Fulham GP Federation (Network3): Primary Care Home (PCH) Community of Practice Partner, Hampstead Primary Care Neighbourhood: Primary Care Home (PCH) Community of Practice Partner, Hard to Reach Groups, Hard-to-Engage Diabetics, Haywards Heath PCH: Primary Care Home (PCH) Community of Practice Partner, Health and Social Care Integration, Health and Social Care Services, Healthy East Grinstead Partnership: Primary Care Home (PCH) Test Site, Herne Bay Health Care: Primary Care Home (PCH) Community of Practice Partner, Horsham PCH: Primary Care Home (PCH) Community of Practice Partner, IHI Triple Aim, Improving Local Public Health, Improving Population Health, Inappropriate Hospital Admissions, Integrated care Exeter: Primary Care Home (PCH) Community of Practice Partner, Integrated Out-of-Hospital Care, Integrated Teams, Integrated Teams of Practice and Community Staff, Integrating Health and Social Care, Inter-Team Working, Interdisciplinary Teams, Joint Working, Joint Working Between NHS and Social Care Systems, Larwood and Bawtry Primary Care Home: Primary Care Home (PCH) Test Site, Leadership Across Local Areas, Lewes Health Hub: Primary Care Home (PCH) Community of Practice Partner, Lichfield / Burntwood Network: Primary Care Home (PCH) Community of Practice Partner, Local Health and Social Care Economies, Local Leadership, Local Leadership for Healthy Communities, Local Public Health, Local Solutions: Place-Based Approaches, Local Sustainability and Transformation Plans (STPs), Long-Term Care (LTC), Long-Term Conditions (LTCs), Lostwithiel Fowey St Blazey Primary Care Network : Primary Care Home (PCH) Community of Practice Partner, Luton Primary Care Cluster: Primary Care Home (PCH) Test Site, Margate PCH: Primary Care Home (PCH) Community of Practice Partner, Middlewood Ltd: Primary Care Home (PCH) Community of Practice Partner, Moving Healthcare Closer to Home, Multi-Disciplinary Teams, Multiple Medications (Polypharmacy), National Association of Primary Care (NAPC), National Association of Primary Care (NAPC) Pilots, New Care Models, New Care Models Programme, New Models of Care, New Models of Primary Care, New Models of Service, Newgate Medical Group: Primary Care Home (PCH) Community of Practice Partner, Newport District Neighbourhood Project: Primary Care Home (PCH) Community of Practice Partner, Newport Pagnell Medical Centre: Primary Care Home (PCH) Community of Practice Partner, NHS England’s New Care Models Team, NHS England’s New Models of Care Programme, NHS Networks, NHS Sustainability, NHS Terminology, NHS Wolverhampton CCG, Nimbus Care York: Primary Care Home (PCH) Community of Practice Partner, North Cornwall MCP: Primary Care Home (PCH) Community of Practice Partner, Nottingham North and East Community Alliance: Primary Care Home (PCH) Test Site, OneLeeds PCH: Primary Care Home (PCH) Community of Practice Partner, Out of Hospital Community Care, Out-of-Hospital Care, Out-of-Hospital Services, PA Consulting, PA Consulting Group, Patients Needing Specialist Intervention, Patients Not Complying With Traditional Services, Patients With Diabetes, Patients With General Practice Access Issues, Patients With Polypharmacy Risks, PCH Rapid Test Sites (RTSs), Penwith PCH: Primary Care Home (PCH) Community of Practice Partner, Perranporth and Penryn PCH: Primary Care Home (PCH) Community of Practice Partner, Place-Based Collaboratives, Place-Based Leadership, Polypharmacy, Pooling Budgets, Population Health, Population Health Improvement, Population Health Perspective, Population Health Systems, Population Healthcare, Population-Level Data, Preventable Hospital Admissions, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Primary Care Home (PCH) Community of Practice Partners, Primary Care Home (PCH) Model, Primary Care Home (PCH) Test Sites, Primary Care Home Community of Practice, Primary Care Home in Wolverhampton, Primary Care Home Programme, Primary Care Home Test Sites: by CCG and STP Footprint, Primary Care Transformation, Provider Sustainability, Quality and Sustainability, Quex PCH: Primary Care Home (PCH) Community of Practice Partner, Ramsgate PCH: Primary Care Home (PCH) Community of Practice Partner, Redditch and Bromsgrave Alliance: Primary Care Home (PCH) Community of Practice Partner, Redhill and Merstham: Primary Care Home (PCH) Community of Practice Partner, Reducing Inappropriate Polypharmacy, Reducing Unplanned Hospital Admissions, Regional Naming Authorities (RNAs), Richmond Primary Care Home: Primary Care Home (PCH) Test Site, Right Name Forever (RNF), Riverside Health Centre: Primary Care Home (PCH) Community of Practice Partner, Rugeley Practices PCH: Primary Care Home (PCH) Test Site, Rutland Medical Group: Primary Care Home (PCH) Community of Practice Partner, Social Care Institute for Excellence (SCIE), South Bristol Primary Care Collaborative: Primary Care Home (PCH) Test Site, South Camden Primary Care Neighbourhood: Primary Care Home (PCH) Community of Practice Partner, South Cheshire and Vale Royal Primary Care Home Network: Primary Care Home (PCH) Community of Practice Partner, South Durham Health CIC: Primary Care Home (PCH) Test Site, South Kent Coast Integrated Accountable Care : Primary Care Home (PCH) Community of Practice Partner, South Kerrier Locality PCH: Primary Care Home (PCH) Community of Practice Partner, St. Austell Healthcare: Primary Care Home (PCH) Test Site, Stafford Primary Care Alliance: Primary Care Home (PCH) Community of Practice Partner, STP Footprints, Strategic Nomenclature and Nuancing Unit (SNNU), Sustainability, Sustainability and Transformation Partnerships, Sustainability and Transformation Plans (STPs), Targeting Hard-to-Reach Groups, Thanet Health CIC: Primary Care Home (PCH) Test Site, The Breckland Alliance: Primary Care Home (PCH) Test Site, Treating Patients Without Hospital Admission, Triple Aim Initiative, Triple Aim: (1) Improved Health and Wellbeing (2) Redesigned Care and (3) Wise Financial Stewardship, Truro PCH: Primary Care Home (PCH) Community of Practice Partner, Unnecessary Hospital Admissions, West Midlands Fire Service (WMFS), Winsford Group: Primary Care Home (PCH) Test Site, Wirral GP Provider Federation: Primary Care Home (PCH) Community of Practice Partner, Wolverhampton Care Collaborative: Primary Care Home (PCH) Community of Practice Partner, Wolverhampton Health Federation CIC, Wolverhampton Total Health Care (WTHC), Wolverhampton Total Health Care: Primary Care Home (PCH) Test Site, Working Across Boundaries, Wyre Forest Alliance: Primary Care Home (PCH) Community of Practice Partner
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MATCH-D: Medication Appropriateness Tool for Comorbid Health Conditions in Dementia (Internal Medicine Journal / BMJ Open)
Summary The Medication Appropriateness Tool for Comorbid Health conditions in Dementia (MATCH-D) criteria were developed to provide consensus guidance on the use of medications for people with dementia. Full Text Link Reference Page, AT. Potter, K. Clifford, RM. [et al] … Continue reading →
Posted in Acute Hospitals, Antipsychotics, Commissioning, Community Care, 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, Universal Interest
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Tagged Australia, BMJ Open, BMJ Publishing Group Ltd, Brighton and Sussex Medical School: University of Sussex, Centre for Education and Research on Ageing: University of Sydney, Comorbid Health Conditions in Dementia, Comorbidity, Comorbidity and Dementia, Complex Comorbidities, Concord Hospital (Sydney Australia), Dementia and Comorbidity, Dementia Comorbidities, Deprescribing, Drug-Drug Interactions, Faculty of Pharmacy: University of Sydney, Healthcare Provision for People With Dementia and Comorbidity, Inappropriate Prescribing, Internal Medicine Journal, Ireland, Managing Comorbidity and Complexity, MATCH-D: Medication Appropriateness Tool for Comorbid Health conditions in Dementia, Medication Appropriateness Tool for Comorbid Health conditions in Dementia (MATCH-D), Medication Management, Medication-Related Risks, Medications: Best Usage, Medicines Optimisation, Multiple Comorbidities, Multiple Medications (Polypharmacy), New South Wales (Australia), Optimising Medications for Older People With Multiple Comorbidities, Optimising Prescribing and Deprescribing in Older Adults With Dementia, Over-Medication, Potentially Inappropriate Prescribing, Potentially Inappropriate Prescribing in Advanced Dementia, Royal College of Surgeons in Ireland, School of Allied Health: University of Western Australia, School of Medicine: University of Western Australia, School of Pharmacy: Royal College of Surgeons in Ireland, University of Sussex, University of Sydney, University of Western Australia, Western Australian Centre for Health and Ageing: University of Western Australia
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All-Party Parliamentary Group on Dementia Concerned About Disjointed and Substandard Care For Common Dementia Comorbidities (ILC-UK / Alzheimer’s Society / Pharma Times Online / APPG on Dementia)
Summary Inadequate care and systemic failures in the prevention, diagnosis and treatment of comorbidities experienced by people with dementia is believed to result in (i) unnecessary costs for the NHS, (ii) widespread and preventable reduced quality of life among patients … Continue reading →
Posted in Acute Hospitals, Alzheimer's Society, Charitable Bodies, Commissioning, Community Care, Depression, Diagnosis, Falls, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Hip Fractures, Hypertension, In the News, Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged All-Party Parliamentary Group (APPG), All-Party Parliamentary Group on Dementia, Amenable Mortality, APPG on Dementia, Average Annual Cost Per Person With Dementia, Average Annual Cost Per Person With Dementia: All Severity Levels, Average Annual Cost Per Person With Dementia: Mild Dementia, Average Annual Cost Per Person With Dementia: Moderate Dementia, Average Annual Cost Per Person With Dementia: People With Dementia Living in Residential Care, Average Annual Cost Per Person With Dementia: People With Dementia Living in the Community, Average Annual Cost Per Person With Dementia: Severe Dementia, Avoidable Hospital Mortality, Avoidable Mortality, Avoidable Premature Mortality, Baroness Sally Greengross (APPG on Dementia), Baroness Sally Greengross: Chief Executive of the International Longevity Centre UK, Barriers to Self-Management for People with Dementia, Barriers to Self-Management in Early Stage Dementia, Co-Morbidities, Co-Morbidities and Dementia, Co-Morbidities In Older Patients, Common Dementia Comorbidities, Comorbidities Framework, Complex Conditions, Cost of Co-Morbidities, Cost of Mismanaging Dementia and Diabetes Depression and Urinary Tract Infections (£1 Billion Per Year), Costs to the National Health Service (NHS): Type 2 Diabetes, CQC Inspection Regimes To Assess Quality of Care Pathways Across Health and Social Care Settings (Proposal), Deaths Associated with Hospitalisation, Debbie Abrahams MP: Co-Chair of APPG on Dementia, Dementia and Comorbidities: Ensuring Parity of Care (ILC-UK), Dementia and Depression, Dementia and Diabetes, Dementia and Mortality, Dementia and Urinary Tract Infections, Dementia Co-Morbidities, Dementia Comorbidities, Dementia Rarely Travels Alone: All-Party Parliamentary Group (APPG) on Dementia 2016 Report, Dementia Risk Factors, Depression and Dementia, Diabetes, Diabetes and Multiple Morbidities, Diabetes Self-Management Education and Support, Diabetes Self-Management Support (DSMS), Disjointed and Substandard Care, Elderly People With Complex Health and Social Care Needs, Health and Social Care Integration, Holistic Annual Health Review Coordinated by GPs (Proposal), Holistic Approaches, Holistic Assessments, Holistic Care, Holistic Care Assessments, Holistic Co-ordinated Care, Holistic Consolidated Review of Separate Conditions (Proposal), Holistic Medical Reviews, Holistic Needs Assessment (HNA), Hospital Mortality, ILC-UK, ILC-UK: International Longevity Centre UK, Impact of Dementia on Hospital Mortality, Integration of Health and Care, Integration of Health and Social Care, Integration of Health and Social Care for Older People, International Longevity Centre UK (ILC-UK), Management of Co-Morbidities, Medication Management, Mental Health Co-Morbidities, Multiple Long-Term Conditions, Multiple Medications (Polypharmacy), Parity of Care Report (ILC-UK), Perverse Incentives, Pharma Times Online, PharmaTimes, Premature Death, Preventable Deaths in English Acute Hospitals, Quality Outcomes Framework (QOF), Quality Outcomes Framework (QOF): Perverse Incentives, Quality Outcomes Framework (QOF): Tick-Box Culture, Reducing Catheter Associated Urinary Tract Infections, Revision of Quality Outcomes Framework Which Currently Incentivises Separate Reviews (Proposal), Risk Factors, Self-Care, Self-Management in Chronic Illness, Self-Management in People With Early Stage Dementia, Self-Management of Long-Term Illnesses, Self-Management Support, Standards To Avoid Perverse Incentives, Support for Self-Care, Supporting Self-Care, Type 2 Diabetes, Untreated Comorbidities, Urinary Tract Infections, Urinary Tract Infections (in Patients with Catheters), Urinary Tract Infections (UTIs), Urinary Tract Infections and Dementia
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Fit for Frailty Guidance: Part 1 and Part 2 (BGS)
Summary The British Geriatrics Society (BGS) has issued guidance on the care of frail older people in community and outpatient settings. Their “Fit for Frailty” guidance emerged from workshop meetings in June 2014. Part 1 supplies advice in the form … Continue reading →
Posted in Age UK, Charitable Bodies, Commissioning, Community Care, Delirium, Falls, 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, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Academic Unit of Elderly Care and Rehabilitation: University of Leeds, Adult Social Services, Assessment of Capacity, BGS, British Geriatrics Society, British Geriatrics Society (BGS), Care and Support Plans (CSP), Causes and Prevention of Frailty, Causes and Prevention of Frailty: Deficit Model, Causes and Prevention of Frailty: Phenotype Model, Clinical Frailty Scale (CFS), Commissioners of Services, Common Problems of Frailty, Complications Screening Program (CSP), Comprehensive Geriatric Assessment (CGA), Cumulative Deficit Model, Dementia Long-Term Services, Fit for Frailty Guidance (BGS), Fit for Frailty Project, Frail Older People, Frailty, Frailty Services, Frailty Syndromes, General Practitioners, Geriatricians, GP Assessment, Groningen Frailty Indicator Questionnaire, Health Service Managers, Holistic Medical Reviews, Holistic Medical Reviews by GPs, Identifying People Living With Frailty, Immobility, Incontinence, John Young: Academic Unit of Elderly Care and Rehabilitation at University of Leeds, John Young: NHS England, Long-Term Care and Support, Long-Term Conditions (LTCs), Medication Reviews, Multiple Medications (Polypharmacy), National Voices, Older People’s Mental Health Teams, People Living With Frailty, PRISMA 7 Questionnaire, Professor John Young, Professor John Young: Former National Clinical Director for Integration and Frail Elderly at NHS England, RCGP, Recognition and Diagnosis of Frailty, Reshaping Care for Older People, Rockwood Clinical Frailty Scale (CFS), Royal College of General Practitioners, Royal College of General Practitioners (RCGP), Self-Reported Health, Social Service Managers, Social Services, Susceptibility to Side-Effects of Medication, Timed Up and Go Test (TUGT Measures), Walking Speed (Gait Speed)
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