Tag Archives: Patient Care

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

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

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

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

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

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

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

Posted in Acute Hospitals, BBC News, Commissioning, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Models of Dementia Care, National, National Audit Office, NHS, NHS England, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Acute Care, Acute Hospital Care, Adult Social Care, Adult Social Care Services, Adult Social Care Transformation Programme at Greater Manchester Health and Social Care Partnership, Ageing and Society, Ageing Population, Avoidable Harm, BBC Health News, Bed Days, Bed-Blockers, Capacity Tracker, Capacity Tracker: Local Availability of Care Homes Vacancies, Care for Vulnerable Older People, Colombia Department of Science Technology and Innovation (COLCIENCIAS), Community-Based Care, Community-Based Services, Community-Based Support, Costs and Harms of Delays in Discharging Older Patients From Hospital, Deconditioning in Hospital, Delayed Discharges, Delayed Transfers of Care, Dementia Care in Acute District General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Discharge Coordination, Discharge Planning, Discharge Support, Early Mobilisation, Early Mobilisation in Hospitals, Early Mobilisation to Reduce Length of Stay, Early Patient Mobilisation, Glen Garrod: President of the Association of Directors of Adult Social Services (ADASS), Greater Manchester Health and Social Care Partnership, Health and Social Care, Health and Social Care Integration, Hospital Beds, Hospital Discharge, Hospital-Associated Deconditioning, Hospital-Related Deconditioning, Inpatient Beds, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integration, Integration of Health and Social Care, Integration of Primary Secondary and Community Care, Jo Chilton: Programme Director of Adult Social Care Transformation Programme at Greater Manchester Health and Social Care Partnership, Journal of Advanced Nursing, Length of Stay (LoS), Long Hospital Stays, Loss of Mobility During Long Hospital Stays, Loss of Older Patients' Muscle Strength Per Day of Hospital Treatment, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary Working, National Audit Office (NAO), National Institute for Health Research (NIHR) Signal, NIHR Signal, Patient Care, Patient Deconditioning Effect Related to Hospital Bed Rest (aka Pyjama Paralysis / PJ Paralysis), Patient Discharge, Patient Flows, Patient Safety, Post-Discharge Support, Reducing Bed Days, Reducing Hospital Length of Stay, Reducing Waste in the NHS, Ruth May: Chief Nursing Officer for England, Social Care Delays (Impact on Hospital Bed-Days and LoS), Sustainability, Sustainable Health and Social Care, Thinking Like a Patient and Acting Like a Taxpayer, Vulnerable Older People, Wasted Resources, Whole System Patient Flows | Leave a comment

Annual Reviews of Avoidable Harm in Hospitals / Weekly NHS Reviews (BBC News / Department of Health)

Posted on February 10, 2015 by Dementia and Elderly Care News

Summary Health Secretary Jeremy Hunt has announced a programme of annual reviews into avoidable deaths in English hospitals. The plan is to improve patient safety and promote the culture of openness and honesty in the NHS. Full Text Link Reference … Continue reading →

Posted in Acute Hospitals, BBC News, Department of Health, 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, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Accountability in Health and Social Care, Action Against Medical Accidents, Acute Care, Acute Hospital Care, Acute Hospitals, Alignment of Services Across Health and Social Care Sectors, Annual Reviews of Avoidable Harm in Hospitals, Avoidable Harm, Avoidable Hospital Mortality, Avoidable Mortality, Basildon and Thurrock University Hospitals NHS Foundation Trust, Bernard Jenkin: Chair of House of Commons Public Administration Select Committee, Buckinghamshire Healthcare NHS Trust, Buddying, Buddying Schemes, Burton Hospitals NHS Foundation Trust, Care in General Hospitals, Chief Medical Examiners, Clinical Incidents in the NHS, Colchester Hospital University NHS Foundation Trust, Commons Public Administration Select Committee (PASC), County Hospital Louth, Dame Julie Mellor: Parliamentary and Health Ombudsman Service, Deaths Associated with Hospitalisation, Delayed Discharges, Dr Foster, Dr Foster Intelligence, Dr Katherine Rake OBE, East Lancashire Hospitals NHS Trust, Eric Pickles: Communities Secretary, Former Health Secretary Jeremy Hunt, General Hospital Care, General Hospitals, General Medical Wards, George Eliot Hospital NHS Trust, Governance, Governance and Accountability, Grantham and District Hospital, Health and Social Care, Health and Social Care Integration, Health and Social Care Leaders, Hospital Standardised Mortality Ratios (HSMRs), House of Commons Public Administration Select Committee, House of Commons Public Administration Select Committee (PASC), Imperial College (Dr Foster Unit), Integration of Health and Social Care, Investigative Capacity for NHS Patient Safety, Joined-Up Care, Keogh Mortality Review, Keogh Review, Lincoln County Hospital, Medical Accidents, Medical Accidents: Investigation, Medway NHS Foundation Trust, Never Events, Never Events Data, NHS England's Sign Up to Safety Campaign, NHS Medical Accidents Investigation Unit (Proposal), NHS Trusts and Foundation Trusts in Special Measures: 18 Months On, North Cumbria University Hospitals NHS Trust, Northern Lincolnshire and Goole Hospitals NHS Foundation Trust, Northern Lincolnshire and Goole NHS Foundation Trust, Oliver Letwin: Cabinet Office Minister, Openness and Transparency, Openness. Transparency, Parliamentary and Health Service Ombudsman (PHSO), Patient and Public Participation, Patient Care, Patient Safety, Patient Satisfaction, Patient-Safety-Related Hospital Deaths in England, Pilgrim Hospital Boston, Preventable Hospital Deaths, Preventable Hospital Mortality, Proactive Weekly NHS Performance Reviews, Professor Nick Black, Providers, Public Administration Select Committee (PASC), Quality Improvement, Quality of Care, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Sherwood Forest Hospitals NHS Foundation Trust, Sign up to Safety, Sign Up to Safety Campaign, Simon Stevens: Chief Executive of NHS England, Sir Jeremy Heywood, Summary Hospital-level Mortality indicator (SHMI), Surgical Never Events, Tameside NHS Foundation Trust, Transitions Between Health and Social Care, Transparency and Accountability, Troubleshooting Reviews of NHS Performance, United Lincolnshire Hospitals NHS Trust, Weekly Ministerial-Level Troubleshooting Reviews of NHS Performance, Weekly NHS Reviews: De-Weaponising the NHS | Leave a comment

Improvements for Patients at NHS Trusts in Special Measures (Monitor / CQC / NHSTDA)

Posted on August 23, 2014 by Dementia and Elderly Care News

Summary Monitor, the Care Quality Commission and the NHS Trust Development Authority have published a report on the progress made at the 11 trusts placed in special measures in July 2013. Practical measures resulting in significant changes include recruitment of extra staff, use of … Continue reading →

Compassion in Practice: 6Cs Live! Week of Action (NHS England)

Posted on July 9, 2014 by Dementia and Elderly Care News

Summary The Compassion in Practice 6CsLive! Week of Action, hosted by the national Nursing Support Team at NHS England, starts on Monday July 21st 2014. Read more: Compassion in Practice 6Cs Live! Week of Action 21st July – 25th July 2014.

Posted in Acute Hospitals, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), In the News, Local Interest, Management of Condition, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged 6 C’s of Nursing, 6Cs Live!, 6Cs Live! Communications Hub, Assessment of Competence, Care and Compassion, Care Is Our Business, Chief Nursing Officer for England (CNO), Commitment, Communication, Compassion, Compassion and Care, Compassion in Practice, Compassion in Practice 6Cs Live! Week of Action (2014), Compassion in Practice: 6Cs Live!, Compassion in Practice: Action Areas, Compassionate Care, Compassionate Care in Acute Hospital Settings, Competence, Courage, Cultural Barometer, Culture, Culture Change, Customer Service and Communication, Enabling Compassionate Care in Acute Hospital Settings, NHS Constitution, Nursing Support Team at NHS England, Patient Care, Personal Behaviour, Professional Conduct, Professionalism, Shaping Culture, Six C’s (Jane Cummings: Chief Nursing Officer for England), The 6 Cs, The 6Cs, User Experience | Leave a comment

Reducing Poor Language Skills Among Care Workers (BBC News)

Posted on May 8, 2014 by Dementia and Elderly Care News

Summary A government advisor has recommended that recruitment agencies should ensure care workers can speak English to a minimum acceptable standard before placing them in the homes of vulnerable people. Similar restrictions would presumably apply to the recruitment and selection … Continue reading →

Posted in BBC News, Community Care, Department of Health, For Carers (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Management of Condition, National, NHS, Patient Information, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Adult Social Care Workers, BBC Health News, Care Agencies, Care and Communication, Care for Vulnerable Older People, Care Workers, Care Workers With Poor Language Skills, Communication, Communication Problems, Communication Skills, Communication Support, Dr Shereen Hussein: Social Care Workforce Research Unit, Good Communication, HCAs, Healthcare Assistants, Healthcare Support Workers, Home Care Workers, Kings College London, Language Skills, Management of HCAs, Minimum Standards for Healthcare Assistants, NHS Workforce, Nursing Assistants, Nursing Auxiliaries, Overall Quality of NHS Hospitals, Patient Care, Patient Safety, Patients First and Foremost, Poor Communication, Poor Language Skills Among Care Workers, Protecting Vulnerable People, Quality of Care, Quality of Care and Support, Quality of Care for People With Dementia, Recruitment Agencies, Recruitment of HCAs, Recruitment Training and Management of HCAs, Safeguarding of Vulnerable Adults (SOVA), Social and Professional Status (of Elderly Care Workers), Social Care Support Workers, Social Care Workforce, Social Care Workforce Research Unit, Social Care Workforce Research Unit: King’s College London, UK Home Care Association, Vulnerable Adults, Vulnerable Older People | Leave a comment

Certificate of Fundamental Care for Health Care Assistants (BBC News)

Posted on May 5, 2014 by Dementia and Elderly Care News

Summary The BBC has revealed that new care workers will be required to attain a training certificate within 12 weeks of starting their first job. This follows recommendations made in the independent Cavendish report, which reviewed inconsistencies in training throughout … Continue reading →

Posted in BBC News, For Carers (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Management of Condition, Models of Dementia Care, National, NHS, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Abuse of Vulnerable Adults (AVA), Acute Hospital Care, BBC Health News, Camilla Cavendish, Care for Vulnerable Older People, Care Homes, Care Quality, Care Support, Career Ladder, Career Pathways for HCAs, Caring: a Career, Cavendish Review, Certificate of Fundamental Care, Common Induction Standards (CIS), Compassionate Care, Consequences of the Francis Inquiry Report, Culture of Compassionate Care, Dementia Awareness, Dignity, Dignity and Respect, Dismissal of Unsatisfactory Staff, Education, Education and Training, Enabling Compassionate Care in Acute Hospital Settings, Engagement and Support (HCAs), General Hospital Care, HCAs, HCAs as Part of Nursing Team: Not a Separate Tribe, Healthcare Assistants, Healthcare Support Workers, Home Care Workers, Management of HCAs, MDTs: Multidisciplinary Teams, Mid Staffordshire NHS Foundation Trust Inquiry, Minimum Standards for Healthcare Assistants, Minimum Training Standards for Healthcare Support Workers, Modernisation of the Nursing Workforce, Modernization of the Nursing Workforce: Valuing the Healthcare Assistant, Multidisciplinary Teams, National Minimum Training Standards for Healthcare Support Workers, NHS Career Framework, NHS Workforce, Nursing Assistants, Nursing Auxiliaries, Overall Quality of NHS Hospitals, Patient Care, Patient Safety, Patients First and Foremost, Protecting Vulnerable People, Quality of Care, Quality of Care and Support, Quality of Care for People With Dementia, Reactions to the Francis Inquiry Report, Recruitment of HCAs, Recruitment Training and Management of HCAs, Safeguarding of Vulnerable Adults (SOVA), Social Care Support Workers, Social Care Workforce, Status of Caring in Health and Social Care, Supervising and Leading HCAs, Support Workers in Social Care, Transforming General Hospital Care, Underappreciated, Underpaid, Valuing the Healthcare Assistants, Vulnerable Adults, Workforce and Skill Mix, Workforce Development, Workforce Training | 1 Comment

South Devon and Torbay: Community Virtual Wards and Proactive Case Management (King’s Fund)

Posted on October 29, 2013 by Dementia and Elderly Care News

Summary This King’s Fund case study (funded by Aetna and the Aetna Foundation) investigates community virtual wards based in GP practices within South Devon and Torbay Clinical Commissioning Group (CCG). The community virtual wards were introduced by Devon Primary Care … Continue reading →

Posted in Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, King's Fund, Management of Condition, Models of Dementia Care, National, NHS, Patient Care Pathway, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Aetna (US), Aetna Foundation, Avoidable Admissions, Care Coordinators, Case Management, CCGs, Chronic and Severe Illness, Chronic Care, Chronic Diseases, Chronic Illnesses, Clinical Commissioning Groups (CCGs), Combined Predictive Model, Community Care, Community Care Services, Community Nursing, Community Support Services, Community Virtual Wards, Coordinated Care, Coordination of Care, Dedicated Care Coordination, Devon County Council, Devon Predictive Model (DPM), Devon Primary Care Trust, Direct Enhanced Service (DES) Payments, Emergency Admissions, Emergency Readmissions, Emergency Readmissions to Hospital, Exeter City Council, GP Facilitators, GP Practice, GP-Led Commissioning, GPs, Holistic Approaches, Holistic Care, Holistic Care Assessments, Holistic Co-ordinated Care, Holistic Needs Assessment, Integrated Care Coordinators, Integration, Locality Working, Long-Term Conditions (LTCs), Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary Working, Multiagency Teams, Multidisciplinary Rehabilitation Team Care, Multidisciplinary Team Care, Multiple Chronic Disease, Multiple Needs, Patient Assessment, Patient Assessment of Chronic Illness Care (PACIC), Patient Care, Personalised Case Management, Plymouth, Predictive Modelling, Predictive Risk Models, Preventable Hospital Admissions, Prevention, Preventive Care, Preventive Services, Preventive Support: Risk Stratification for Case Finding, Proactive Care, Proactive Case Management, Quality of Care, Responsible GPs, Risk Prediction and Stratification Activities, Risk Stratification, Risk Stratification for Case Finding, Secondary Uses Service (SUS), Shortlisting, South Devon, South Devon and Torbay, South Devon and Torbay Clinical Commissioning Group (CCG), Torbay, Torbay Council, Torbay Primary Care Trust (PCT), Virtual Wards, Virtual Wards to Reduce Readmissions | Leave a comment

NHS Improving Quality (NHS IQ)

Posted on October 22, 2013 by Dementia and Elderly Care News

Summary NHS Improving Quality (NHS IQ) was established on April 1st 2013. NHS IQ is the driving force for improvement across the NHS in England, and is hosted by NHS England. NHS IQ is an improvement organisation geared to the needs and challenges of … 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, National, NEoLCP, NHS, NHS Improvement, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Advance Care Planning (ACP), AMBER Care Bundle, Benefits of Integrated Care, CCG Capability, Clinical Commissioning Group (CCG) Capability Building, Continuous Improvement, Electronic Palliative Care Coordination System (EPaCCS), Electronic Palliative Care Coordination Systems, GRASP Suite, GRASP-AF Tool, GRASP-COPD, GRASP-HF Tool, Health Improvement, Institute for Innovation and Improvement, Integrated Care and Support, Integrated Care Pathway, Integrated Commissioning, Integrated Provision, Integrated Services, Integrated Teams, Long-Term Care and Support, Long-Term Conditions (LTCs), National Cancer Action Team (NHS IQ: Legacy Organisation), National End of Life Care Programme (NHS IQ: Legacy Organisation), NHS Change Model, NHS Diabetes and Kidney Care (NHS IQ: Legacy Organisation), NHS England (Formerly the NHS Commissioning Board), NHS Health Check Programme, NHS Improvement (NHS IQ: Legacy Organisation), NHS Improving Quality (NHS IQ), NHS Institute for Innovation and Improvement, NHS Institute for Innovation and Improvement (NHS IQ: Legacy Organisation), NHS IQ Legacy Organisations, NHS Outcomes Framework, NHS Outcomes Framework Domains, Patient Care, Patient Experience, Patient Safety, Quality Improvement, Rapid Discharge Home to Die Pathway, Seven Day Services, Seven Day Services Improvement Programme, Supporting Integrated Care, Transform Programme, Transforming End of Life Care in Acute Hospitals | Leave a comment

Briefing on the Francis Inquiry for Social Care Providers (VODG / NCF / Sue Ryder)

Posted on September 15, 2013 by Dementia and Elderly Care News

Summary The Voluntary Organisations and Disability Groups (VODG), with the National Care Forum (NCF) and Sue Ryder, have produced a joint two-part briefing to explain the importance and relevance of the Francis Inquiry, and the resulting NHS reforms, from the perspective … Continue reading →

Posted in Charitable Bodies, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, National, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Accountability, Adult Social Care, Adult Social Care Services, Berwick Review of Patient Safety, Care and Compassion, Care and Corporate Neglect Report, Care Quality Commission (CQC), Cavendish Review, Changing Our Lives, Chief Inspector for Social Care, Code of Conduct and National Minimum Training Standards, Compassionate Care, Consequences of the Francis Inquiry Report, Culture Change, Driving Up Quality Alliance, Expert Inspectors, Francis Action Plans, Francis Inquiry Report, Fundamental Standards, Good Practice in Care Homes, Good Practice Standards, Implications of the Francis Inquiry Report, Improving Patient Care, Leadership, Leadership for Culture Change, Local Government Association’s Knowledgehub, Local HealthWatch, National Care Forum (NCF), National Minimum Training Standards for Healthcare Support Workers, National Skills Academy, NCF, Openness, Patient Care, Patient Safety, Ratings for Adult Social Care Services, Reactions to the Francis Inquiry Report, Registration, Single Ratings System, Skills for Care, Social Care, Social Care Commitment, Social Care Providers, Statutory Duty of Candour, Sue Ryder, Surveillance, Swartz Centre Rounds, Transparency and Accountability, VODG, Voluntary Organisations and Disability Groups (VODG), Zero Harm | Leave a comment

Tag Archives: Patient Care

Improvements for Patients at NHS Trusts in Special Measures (Monitor / CQC / NHSTDA)

Compassion in Practice: 6Cs Live! Week of Action (NHS England)

Recent Posts

Archives

Categories

Google Translate (100+ Languages)

Recommended Sites