Tag Archives: Patient Discharge

Statistical Process Control Applied to Delayed Transfers of Care (NHS Improvement)

Posted on June 22, 2019 by Dementia and Elderly Care News

Summary Delayed transfers of care (DToC) are widely recognised to be a significant cause of unnecessary harm to patients, and potentially avoidable financial costs to the taxpayer. NHS Improvement’s “Delayed transfer of care (DToC) improvement tool” incorporates the latest data from … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, National, NHS, NHS Improvement, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Acute Hospital Care, Adult Social Care, Adult Social Care Services, Ageing Population, Areas With the Highest Delayed Transfers of Care, Care for Vulnerable Older People, Clinical Commissioning Groups (CCGs), Cross-Sector Partnerships, Dashboards, Delayed Transfer of Care (DToC) Improvement Tool (NHS Improvement), Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Discharge From Acute and Mental Health Trusts, DToCs Dashboard, Efficiency Opportunities, English Local Authorities, Geographical Variations, Health and Adult Social Care Providers, Health and Social Care, Health and Social Care Integration, Hospital Discharge, Hospital Discharge and Transfers, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integration of Health and Social Care, Local Authorities (LAs), Local Health Services: Variations, NHS Improvement's Delayed Transfers of Care Improvement Tool, Patient Discharge, Patient Flows, Pivot Table Slicers (Excel Tool), Post-Discharge Support, QI: Quality Improvement, Quality and Efficiency Opportunities, Quality Improvement, Quality Improvement Approaches, Reducing Bed Days, Reducing Waste in the NHS, Regional Variations, Social Care Delays (Impact on Hospital Bed-Days and LoS), Social Care Providers, Statistical Process Control, Statistical Process Control (SPC) Principles, Statistical Process Control Methodology, 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, Vulnerable Older People, Wasted Resources, Whole System Dashboards, Whole System Patient Flows | Leave a comment

National Audit of Dementia Care in General Hospitals: Spotlight Audit on the Assessment of Delirium (HQIP / RCP / JGCR)

Posted on August 11, 2018 by Dementia and Elderly Care News

Summary The Healthcare Quality Improvement Partnership (HQIP) has published a spotlight audit on delirium in the care received by people with dementia in general hospitals in England and Wales. This audit finds: A large proportion (32%) of patients with dementia admitted … Continue reading →

Posted in Acute Hospitals, Commissioning, Delirium, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Royal College of Psychiatrists, Standards, Statistics, UK, Universal Interest, Wales | Tagged Acute Care, Acute Hospital Care, Arts Alive Wales, Arts Alive Wales Based at Brecon War Memorial Hospital, Assessment for Delirium, Auckland (New Zealand), Auckland District Health Board, Audit Into Assessment of Delirium in Hospitals, Audits, Best Practice in Dementia Care (Triangle of Care), Brecon War Memorial Hospital, Capacity and Consent to Change of Residence, Care in General Hospitals, Carer Engagement, Carer Engagement Strategies, Carer Expectations, Carer Involvement in Healthcare, Carer Passports, Caring for Persons With Delirium, Centre for Quality Improvement (CCQI), Championing Dementia: Supporting Staff, Clinical Records, Collaborative Decision Making, College Centre for Quality Improvement (CCQI), Comorbid Delirium-Dementia, Complex Best Interests Decision Making, Confusion Assessment Method (CAM), Consent to Change of Residence, Delirium, Delirium Diagnosis, Delirium in Elderly Patients, Delirium in Hospitalised Patients, Delirium in Older People in Acute Hospitals, Delirium in Round 3 of NAD, Delirium Management, Delirium Policies / Protocols, Delirium Prevention and Management, Delirium Recording: Requires Improvement, Delirium Superimposed on Dementia (DSD), Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Dementia Care in the Acute Hospital, Dementia Friendly Acute Hospitals, Dementia in General Hospital Inpatients, Dementia Matters in Powys (DMiP), Dementia-Friendly Wards, Discharge, Discharge Coordination, Discharge Information and Delirium, Discharge Planning, Discharge Records, Discharge Summaries, Education and Staff Training, Electronic Medical Records, Governance Leadership and Support (Organisational Checklist), Healthcare Quality Improvement Partnership (HQIP), Hospital Scores Tables, Involving the Person With Dementia in Decision Making, John’s Campaign: Allowing Carers Accompany People With Dementia When Admitted to Hospital, Journal of Geriatric Care and Research (JGCR), Misdiagnosis of Delirium, Multidisciplinary Teams, NAD Recommendations, National Audit of Dementia, National Audit of Dementia (Care in General Hospitals), National Audit of Dementia (NAD), National Audit of Dementia Care, National Audit of Dementia Care in General Hospitals 2016-2017 - Third Round of Audit Report: Royal College of Psychiatrists (2017), National Audit of Dementia Project Team, National Audit of Dementia Steering Group, National Audit of Dementia: Messages for Hospital Managers and Commissioners, National Clinical Audit and Patient Outcomes Programme (NCAPOP), National Clinical Audit Programme, New Zealand, Nutrition and Hydration, Nutritional Needs of People With Dementia, Patient Discharge, Patient Discharge Summaries, Patient Notes, Patient Records, Personal Information Documents in Round 3 of NAD, Personal Information to Support Better Care, Poor Communication, Prevalence of Delirium in Hospitalised Older Adult Patients in New Zealand, QI: Quality Improvement, Quality Improvement, Royal College of Psychiatrists, Royal College of Psychiatrists Centre for Quality Improvement (CCQI), Royal College of Psychiatrists National Audit Tool, Royal College of Psychiatrists: National Audit of Dementia Care in General Hospitals, Royal College of Psychiatrists’ Centre for Quality Improvement, Screening for Delirium, SDM: Shared Decision Making, Specialty Medicine and Health of Older People: Waitemata DHB, Spotlight Audit on Assessment of Delirium in Hospitals (HQIP / RCP), Spotlight Audit: Assessment of Delirium in Hospital for People with Dementia, Staff Training, Third Round NAD Report: Royal College of Psychiatrists (2017), This is Me, This is Me: Person-Centred Care, Triangle of Care for Dementia, University of Auckland, Waitemata DHB (Auckland New Zealand), Welsh Government | Leave a comment

Helping Hospital Patients Stay Active and a Winter Framework For Speedier Discharge (NHS England / BMJ / BJN / NIHR Signal / JAN)

Posted on December 29, 2017 by Dementia and Elderly Care News

Summary Jane Cummings, the Chief Nursing Officer for NHS England has written about a Winter Framework designed to reduce delayed discharges by maximising the use of care homes across each Sustainability and Transformation Partnership (STP). Therapy-led units, too, will be … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, NHS Improvement, NICE Guidelines, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Physiotherapy, Quick Insights, Standards, UK, Universal Interest | Tagged 2018 Chief Nursing Officer Summit, 70-Day National Challenge: End Pyjama (PJ) Paralysis, Accountable Care Organisations, Accountable Care Organisations (ACOs), Accountable Care Systems, Accountable Care Systems (ACSs), Acute Care, Acute Hospitals, Adults With Social Care Needs, Ageing Population, Assessment Before Discharge, Australian Institute for Musculoskeletal Science (AIMSS): University of Melbourne, Barriers and Challenges in Discharge Planning, BBC Radio 4, BBC Radio 4's Inside Health Programme, Birmingham Council, Birmingham Cross City Birmingham South Central and Solihull (Proposed Transforming Care Partnership), Birmingham Cross City CCG, BMJ Publishing Group Ltd, British Journal of Nursing, British Medical Journal (BMJ), Care Home Digital Tools, Care Homes and Therapy-Led Units for Patients Medically Fit for Discharge, Care Transitions, Care Transitions Involving Adults With Social Care Needs, Care Transitions of Older People, Chief Nursing Officer's Summit (2018), CNO Summit (2018), Collaboration, Collaborative Care, Collaborative Care Planning, Colombia, Colombia Department of Science Technology and Innovation (COLCIENCIAS), Community Health Services Ease Winter Pressures on Hospitals, Criteria Led Discharge, Daily Transfers of Care (DTOC), Deconditioning, Deconditioning in Hospital, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Department of Rehabilitation Medicine: Nepean Hospital, Destination on Discharge, Discharge, Discharge at a Reasonable Time, Discharge Coordination, Discharge Coordinators, Discharge From General Inpatient Hospital Settings, Discharge Into the Care Sector, Discharge Planning, Discharge Support, Discharge to Assess (D2A) Model, Early Mobilisation, Early Mobilisation in Hospitals, Early Patient Mobilisation, Eat Drink Move, End Pyjama (PJ) Paralysis, Excessive Bed Rest (Patient Harm), Frailty Care on Surgical Ward: Lavenham Ward at Ipswich Hospital, Frailty Care on Surgical Wards, Framework for Maximising Use of Care Homes for Patients Medically Fit for Discharge, Framework for Maximising Use of Therapy-Led Units for Patients Medically Fit for Discharge, Framework to Support Winter Pressures (2017-18), Fundación Cardioinfantil - Instituto de Cardiología (Bogotá Colombia), Get Up and Dressed, Get Up For Breakfast, Harms of Bed Rest, Hawkesbury District Health Service - St John of God Health Care (New South Wales), Health Care of Older People (HCOP) Specialty: Nottingham University NHS Trust, Hospital Discharge, Hospital-Associated Deconditioning, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Hospital-Related Deconditioning, Hospital-Related Deconditioning: Cognitive, Hospital-Related Deconditioning: Physical, Hospital-Related Deconditioning: Psychological, Hospital-Related Deconditioning: Social, Implementation of Care Home Digital Tools, In-Hospital Mobilisation, In-Reach Teams, Initiatives to Decrease DTOCs, Integrated Discharge Process, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Integration of Primary Secondary and Community Care, Ipswich Hospital NHS Trust, Ipswich Hospital User Group (IHUG), Jane Cummings: Chair of the Transforming Care Delivery Board, Jane Cummings: Chief Nursing Officer for England, Journal of Advanced Nursing, Journal of Geriatric Physical Therapy, Last 1000 Days, Lavenham Ward Reablement Project (Ipswich Hospital), Lavenham Ward: Ipswich Hospital NHS Trust, Length of Stay (LoS), Local Monitoring to Identify Care Homes at Risk of Closure, Local Sustainability and Transformation Plans (STPs), Local UEC Delivery Boards, Managing Transitions, MDTs: Multidisciplinary Teams, Medically Fit for Discharge Ward (MFFD), Mobility Bundle, Musculoskeletal Ageing Research Program: Sydney Medical School Nepean, National Institute for Health and Care Excellence (NICE), National Institute for Health Research (NIHR) Signal, Nepean Hospital (New South Wales), Newcastle upon Tyne NHS Foundation Trust, NHS East of England 100 Day 100000 Patient Days Campaign, NHS South Warwickshire CCG, NIHR Signal, Nottingham University Hospitals NHS Trust, Nursing Department of Clínica FOSCAL (Bucaramanga Colombia), Nursing Department of Clínica: Palermo-Congregación de las Hermanas de la Caridad Dominicas de la Presentación de la Santísima Virgen, Operating Model for Therapy-Led Units (TLUs), Operational Models to Optimise Care of Patients Who are Medically Fit for Discharge (MFFD), Oxford Institute of Nursing Midwifery and Allied Health Research (OxINMAHR), Palermo-Congregación de las Hermanas de la Caridad Dominicas de la Presentación de la Santísima Virgen (Bogotá Colombia), Patient Deconditioning Effect Related to Hospital Bed Rest (aka Pyjama Paralysis / PJ Paralysis), Patient Discharge, Patient Flows, PJ Paralysis, Post-Discharge Support, Proactive Specialist In-Reach, Professor Brian Dolan: Founder of Time-Valuing Movements, Professor Brian Dolan: Oxford Institute of Nursing Midwifery and Allied Health Research (OxINMAHR), Pyjama Paralysis, Pyjama Paralysis on Hospital Wards, Re-ablement Services, Reablement, Reablement Guidance, Reablement Services, Real Time System Surveillance, Real Time System Surveillance Enabling Technology, Real Time System Surveillance Tools, Recovery Rehabilitation and Reablement (RRR), Recovery Rehabilitation and Reablement Services, Red2Green, Reducing Bed Days, Reducing Delayed Transfers of Care, Reducing Early Hospital Readmissions, Reducing Waste in the NHS, Research Department and Nursing Department: Fundación Cardioinfantil - Instituto de Cardiología (Bogotá), SAFER Patient Flow Bundle, South Warwickshire Foundation Trust: Castle Brook Transitional Unit, South Warwickshire NHS Foundation Trust, South Warwickshire NHS Foundation Trust (SWFT), South Warwickshire NHS Foundation Trust: Wasps Team, Stranded Patient Metric, Surgical Wards: Frailty Care, Sustainability and Transformation Partnerships, Sustainability and Transformation Plans (STPs), Sydney Medical School Nepean: University of Sydney, The Last 1000 Days: Poem / Video by Molly Case - Commissioned by Professor Jane Cummings, Therapy-Led Units, Therapy-Led Units for Patients Medically Fit for Discharge, Time-Valuing Movements: #endPJparalysis, Time-Valuing Movements: #last1000days, TLUs: Therapy-Led Units, Transition Between Inpatient Hospital Settings and Community or Care Home Settings, Transition Planning, Transitions, Transitions Between Health and Social Care, University of Melbourne, University of Sydney, Warwick Hospital, Western Health (Australia), Whole Winter Framework, Winter Framework, Winter Pressures, Winter Pressures: Role of Community Health Services, Winter Support Package (2017), Worcestershire Acute Hospitals NHS Trust (Evergreen Ward), Yeovil District Hospital: Intermediate Care in Cookson’s Court Nursing Home | Leave a comment

An Innovative Approach Hospital Overcrowding / Inadequate Bed Availability, Worthy of More Serious Consideration? (BBC News / CareRooms)

Posted on October 28, 2017 by Dementia and Elderly Care News

Summary The narrative about various inter-related crises in health and social care typically concerns the problem of excess demand for, and limited supply of, places in the community providing support for persons needing to be discharged from hospitals. Commentators commonly … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Housing, In the News, Integrated Care, Management of Condition, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest | Tagged Acute Hospital Care, Adult Social Care, Adult Social Care Services, Ageing Population, Airbnb Beds Plan (Proposed), Alternative Residential Care Settings, Alternatives to Hospital Care, Barriers and Challenges in Discharge Planning, Barriers in Access to Transformative Care in the Community: Dominance of Residential Care Homes Paradigm, Barriers to Innovation, Barriers to Innovation: Dominance of Mainstream Preconceptions, Barriers to Innovation: Dominance of Vested Interests, Barriers to Innovation: Vested Interests in Opposition to New Market Entries, Barriers to Joined-Up Care, Barriers to Support, Barriers: Lack of Continuity of Care, BBC Essex, BBC Health News, Bed Availability and Occupancy, Bed Days, Bed Shortages, Bed-Blockers, Bed-Blocking Patients (Non-Recommended Term), Care Closer to Home, Care for Vulnerable Older People, Care Home Admission Delay, Care of Older People, CareRooms, Cross-Sector Partnerships, Delayed Discharges, Delayed Discharges Higher in Mental Health Trusts, Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Demand and Capacity, Disruptive Innovation, Dr Harry Thirkettle: CareRooms, Economic Sustainability, Efficiency Opportunities, Fewer Older People Receiving Help with Social Care, Financial Incentives Across Local Health and Social Care Systems (Proposals), Financial Sustainability in the NHS, Fragility of Adult Social Care Provider Market, Funding Deficits, Funding for Front-Line Healthcare Versus Social Care, Future of Residential Care, Health and Adult Social Care Providers, Health and Care of Older People, Health and Care Suitable for an Ageing Population, Health and Social Care, Health and Social Care in the Community, Health and Social Care Integration, Health Demand, Hospital Beds, Hospital Overcrowding, Inadequate Bed Availability, Innovation for an Ageing Population, Innovative Disruption (To a Failing Market), Loneliness and Isolation, Loss of Mobility During Long Hospital Stays, Market Failure, Market Failure in Social Care, NHS Airbnb-Style Scheme, NHS Sustainability, Operations Cancelled Due to Bed Shortages, Overcoming Barriers, Patient Discharge, Patient Flows, Patient Handover Delays, Patient Safety, Philip Dunne: Minister of State for Health, Physical Therapy, Physiotherapists, Physiotherapy, Poor Identification of People’s Capacity For Involvement in Their Care Planning and Management (Barriers to Involvement), Post-Discharge Support, Preventing Loneliness, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Proportionality in Safeguarding, Quality and Sustainability, Reablement, Reablement Services, Reducing Bed Days, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Over-Reliance on Social Care, Reducing Pressure on Primary Care, Reducing Waste in the NHS, Safeguarding, Safeguarding Adults at Risk, Social Isolation and Loneliness, Southend University Hospital NHS Foundation Trust, Sustainability, Sustainable Health and Social Care, Thinking Like a Patient and Acting Like a Taxpayer, Tom Abell: Deputy Chief Executive at Southend University Hospital NHS Foundation Trust, Under-Utilisation of Housing Stock, Vested Interests, Vulnerable Older People, Wasted Resources, Whole System Patient Flows | Leave a comment

Mental Health in General Hospitals: Patient Safety Improvement (NHS England / NCEPOD / NCCMH / NICE)

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

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 →

Five Year Forward View For Mental Health: Government’s Response (Department of Health / BBC News)

Posted on January 11, 2017 by Dementia and Elderly Care News

Summary The government has published a response to the independent Mental Health Taskforce’s “NHS Five Year Forward View for Mental Health” report, as produced for NHS England. The government accepts all of the taskforce report’s 58 recommendations, in full. Responses … Continue reading →

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

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

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

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