Tag Archives: Patient flow

Quality Improvement in Urgent and Emergency Care (NHS Improvement / NHS England / Department of Health)

Posted on August 18, 2017 by Dementia and Elderly Care News

Summary An earlier BBC News description of the problem: Full Text Link Reference Cawley, L. (2017). Four-hour accident and emergency waits rise 300% at some hospitals. London: BBC Health News, March 16th 2017. Further context and introductory analysis: Full Text … Continue reading →

Patient Flow or Patient Gridlock? (Health Foundation / BBC News)

Posted on December 8, 2016 by Dementia and Elderly Care News

Summary The Health Foundation’s latest report on whole systems approaches to patient flow attempts to supply a definitive guide on this topic for local health and social care economies in the UK. It summarises the state of current knowledge about … Continue reading →

Posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, In the News, Integrated Care, Local Interest, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Adult Social Care and Wellbeing, Advancing Quality Alliance (AQuA), Advancing Quality Alliance (AQuA) Programme, Advancing Quality Alliance’s (AQuA) Integrated Care Discovering Communities, Ambulance Delays at Emergency Departments, Ambulance Delays at Hospitals, Ambulance NHS Trusts, Ambulance Patients: Long A&E Handover Delays, Ambulance Pressures - Possible Service Innovations or Stratagems: Deploying Paramedics to Manage Queues, Ambulance Pressures - Possible Service Innovations or Stratagems: Giving Call Handlers Longer to Assess Calls, Ambulance Pressures - Possible Service Innovations or Stratagems: Tackling Timewasters and Hoax Calls, Ambulance Pressures - Possible Service Innovations or Stratagems: Treating Fewer Patients as Emergencies, Ambulance Pressures - Possible Service Innovations or Stratagems: Working With Mental Health Patients, Ambulance Quality Indicators, Ambulance Response Times, Ambulance Response Times: NHS Performance Indicators, Ambulance Services, Ambulance Targets, Anyborough Diagram of Local Health and Social Care Economy Care Journeys, AQuA (NHS Organisation), Bottlenecks, Challenges of Urgent and Emergency Care, Darlington Dementia Collaborative, Delayed Transfers of Care (DETOCs), Demand and Capacity, Discharge to Assess (D2A) Model, District Health Board for Canterbury (New Zealand), Dysfunctional Patient Flow, ECIP: Emergency Care Improvement Programme, Emergency Care Improvement Programme (ECIP), Failure Demand, Flow Cost Quality, Health and Social Care, Health and Social Care Configuration, Health and Social Care Integration, Health Foundation’s Flow Cost Quality Programme, Ideal Patient Flows, Improving Patient Flow, Integrated Care Partnership (ICP) Board: Wigan Borough, Integration of Health and Social Care for Older People, Joined-Up Strategy to Improve Whole System Flow, Local Health and Care Economies, Local Health and Care Services, Local Health and Social Care Economy Care Pathways, Local Health and Social Care Economy Enablers, Local Health Economies, Managing Patient Flow, Measuring Whole System Performance, Mental Health Triage, National System Change Levers, NHS Performance, NHS Performance Indicators, Patient flow, Patient Flow Within Hospitals, Patient Flows, Patients Waiting More Than Four Hours For Hospital Beds (Trolley Waits), Performance Targets, Reducing Delayed Transfers of Care, Royal Bolton Hospital NHS Foundation Trust, Safer Faster Better: Good Practice in Delivering Urgent and Emergency Care, Scottish Government’s 2020 Vision for the NHS, Sheffield Big Room, Sheffield Microsystem Coaching Academy: Improving Flow Programme, Sheffield Patient Flow, Sherwood Forest Hospitals Foundation Trust, Sherwood Forest Hospitals NHS Foundation Trust, Smoother Patient Flows, Tackling Failure Demand in Scotland, Transforming Urgent and Emergency Care Services in England, Trolley Wait Between 4 and 12 Hours: NHS Local Performance Tracking Service (NHS Winter Project), Trolley Waits, Urgent and Emergency Care, Whole System Integration, Whole System Patient Flows, Whole System Transformation, Whole Systems Approach, Whole Systems Design, Wigan Deal: Adult Social Care and Wellbeing, Wigan Integrated Care Partnership Board, Winona Health Transformation (USA), Wrightington Wigan and Leigh NHS Foundation Trust, WWLFT: Wrightington Wigan and Leigh NHS Foundation Trust | Leave a comment

Benefits of Comprehensive Older Person’s Evaluation (COPE) Zones Embedded Within Emergency Assessment Units (Clinical Medicine)

Posted on June 18, 2016 by Dementia and Elderly Care News

Summary Promising results have been reported from Salford Royal NHS Foundation Trust (SRFT): “ …introduction of an embedded frailty unit within the EAU at SRFT has allowed resources to be focused on older patients with the greatest need. We have … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, Diagnosis, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Royal College of Physicians, Royal Wolverhampton NHS Trust, Standards, UK | Tagged A&E, Access to Urgent and Emergency Care, Accident and Emergency Doctors, Acute Hospital Care, Acute Hospital Care for Frail Older People, Acute Medical Care of Elderly People, Ageing and Society, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Benchmarking, British Geriatric Society (BGS), Case Management, CGAs and Medicines Optimisation in Primary Care Settings, CGAs: Comprehensive Geriatric Assessments, Complex Care, Complex Needs, Comprehensive Geriatric Assessment (CGA), Comprehensive Geriatric Assessment Needs Assessment Tool (Nuffield Trust), Comprehensive Older Person's Evaluation (COPE) Zones, COPE Zones Embedded Within Emergency Assessment Units (EAUs), COPE Zones in Emergency Assessment Units (EAUs), COPE Zones: Comprehensive Older Person's Evaluation, Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Department for Ageing and Complex Medicine: Salford Royal NHS Foundation Trust, Department of Acute Medicine: Salford Royal NHS Foundation Trust, Department of Biostatistics: Keele University, Department of Elderly Care: University Hospitals of North Midlands NHS Trust, Department of Research and Development: University Hospitals of North Midlands NHS Trust, East Lancashire Hospitals NHS Trust, Embedded Comprehensive Geriatric Assessment in Emergency Assessment Units (EAUs), Emergency Admissions, Emergency and Urgent Care Services, Emergency Assessment Unit (EAU), Emergency Assessment Units, Emergency Assessment Units (EAUs), Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Centres, Emergency Departments, Emergency Medical Services (EMS), Emergency Medicine Consultants, Emergency Services, Flow Within Hospitals, Frailty, Future Hospital Commission, General Practices, Geriatricians’ Recommendations for Medicines Optimisation (CGAs), Identifying People Living With Frailty, Improving General Practice, Inappropriate Accident and Emergency Department Attendances, Integrated and Community-Based Care, Integrated Emergency Department (A&E), Keele University, MDTs: Multidisciplinary Teams, Medicines Optimisation, Medicines Optimisation in Primary Care, Multi-Disciplinary Team (MDT), Needs Assessment Toolkit for Comprehensive Geriatric Assessment (Nuffield Trust), NHS Benchmarking, NHS Benchmarking Network, NHS Stoke on Trent CCG, North Staffordshire, North Staffordshire and Stoke, Patient flow, Patient Flow Within Hospitals, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Crisis Resolution Teams, Prevention of Avoidable Emergency Admissions: Intermediate Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Primary Care: Stoke-on-Trent Clinical Commissioning Group, Professor John Gladman: BGS / East Midlands AHSN Frail Older People’s Programme, Reasons for Short Stay Emergency Admissions, Recognition and Diagnosis of Frailty, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Salford, Salford Royal Foundation Trust (SRFT), Salford Royal NHS Foundation Trust, Short Stay Admissions, Staffordshire, Stoke-on-Trent, Team-Based Interventions in A&E, University Hospitals of North Midlands NHS Trust, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England, Vision of Patient Care: Future Hospital Commission | Leave a comment

The Emergency Care Improvement Programme (NHS England / UEC Review Team / ECIP / ECIST / BMJ Open)

Posted on January 3, 2016 by Dementia and Elderly Care News

Summary The Emergency Care Improvement Programme (ECIP) has created possibly the ultimate collection of online resources to help hospitals understand and manage the challenges in improving the quality and performance of urgent and emergency care systems (and to address the … Continue reading →

Reducing Length of Stay in Hospitals (Nuffield Trust / Monitor)

Posted on September 16, 2015 by Dementia and Elderly Care News

Summary Variations in patients’ length of stay imply there should be significant opportunities to reduce length of hospital stay; whether through improvements to internal processes or development of alternative community-based services. This Nuffield Trust report explores which approaches to reducing … Continue reading →

Transforming Urgent and Emergency Care Services in England (Monitor / NHS England / UEC Review Team / ECIP / ECIST)

Posted on September 6, 2015 by Dementia and Elderly Care News

Summary An overview of work underway to improve urgent and emergency care: Improving patient flow in the rest of the hospital. Getting a better understanding of the impact of social and community care. Supporting the mid-long term sustainability of A&E … Continue reading →

Rising Deficits and the Search for Better Value in the NHS: New Approaches to Financial Sustainability? (King’s Fund / BBC News / Health Foundation / BMJ)

Posted on August 4, 2015 by Dementia and Elderly Care News

Summary Regulators have demanded that hospitals and NHS trusts in England review their financial plans, because rising deficits indicate that existing plans are increasingly unaffordable. Full Text Link Reference Health regulator tells NHS trusts to ‘look again’ at finances. London: … Continue reading →

Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, In the News, Integrated Care, International, King's Fund, Mental Health, National, NHS, Non-Pharmacological Treatments, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Achieving Better Value, Acute Care, Acute Hospital Care, Ageing Population, Ageing Society, Alder Hey Children’s Hospital, Alignment of Financial Incentives, Atlas of Health Care, Avoiding Avoidable Care, Benchmarking, Better Value, Better Value Healthcare, Better Value in the NHS, Bond University, Bond University (Robina: Australia), Canada’s CAD800m Primary Health Care Transition (PHCT) Fund, Canada’s Primary Health Care Transition Fund, Care of Frail Older People With Complex Needs, Center For Medical Consumers: Why Too Much Medicine Is Making Us Sicker And Poorer, Centre for Research in Evidence-Based Practice: Bond University, Chartered Institute of Public Finance and Accountancy, Choosing Wisely, Choosing Wisely Campaign, Choosing Wisely in the NHS, CIPFA, Clinical Responsibility for Patients (Choosing Wisely and New Deal), CNWL: NHS Camden Provider Services, Cost-Effectiveness, Cost-Effectiveness in Health Care, Creative Use of NHS Estate, Crisis Response Falls Team (CRFT), Dartmouth Atlas of Health Care (US), Dartmouth Institute for Health and Clinical Practice, Deinstitutionalisation of UK Mental Health Services, Denmark’s Quality Fund, Discharge to Assess Programme, Drivers of Improvement, Dysfunctional Patient Flow, East Midlands Ambulance Service NHS Trust, Efficiency Savings, Estimated Cost Savings From Implementing NICE Guidelines, Faustian Pact: Trading £8 Billion in Extra Funding For £22 Billion in Efficiency Savings, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Financial Planning, Financial Position of NHS Trusts, Financial Pressure in the NHS, Financial Pressure on Hospitals, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Frail Older People, Frail Older People With Complex Needs, Funding Challenges, Funding Deficits, General Hospitals, Geographical Variations, Girls’ Education Challenge (GEC) Fund, Health of Health Finances CIPFA Briefing, Heart of England NHS Foundation Trust, Higher Quality Care at Lower Cost: Examples from NICE Local Practice Collection, Hospital Productivity, Improving Patient Flow, Improving Prescribing Practice, Inappropriate Care, Inappropriate Prescribing, Integrated Care and Support, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Key Performance Indicators, Length of Stay (LoS), Local Variations, London Challenge, Long-Term Care (LTC), Long-Term Conditions (LTCs), Low-Value Care, Low-Value Elective Procedures, Management of Repeat Prescriptions in Walsall, Medical Overuse, Medication Errors and Adverse Drug Reactions, Misuse: Resulting in Preventable Complications or Harm, Models of Care Across Organisational Boundaries, Monitor, Multimorbidities, Multimorbidities and Long-Term Conditions, National Service Framework for Mental Health in England (NSF-MH), NHS Benchmarking, NHS Challenges and New Solutions, NHS Efficiency Savings, NHS England Funding, NHS Expenditure, NHS Financial Leadership, NHS Five Year Forward View (5YFV), NHS Foundation Trust Performance, NHS Foundation Trusts, NHS Foundation Trusts (NHSFTs), NHS Funding, NHS Funding Gap, NHS Inappropriate Care: Overuse Underuse and Misuse, NHS Performance, NHS Performance Indicators, NHS Productivity, NHS Safe Staffing, NHS Spending, NHS Timebomb [sic], NHS Trust Development Authority, NHS Trust Development Authority (NHS TDA), NHS Trust Financial Deficits, NHS Trusts’ and Foundation Trusts’ Income and Expenditure, NHS Walsall CCG, NHSFT Sector, NICE Local Practice Collection: Examples of Higher Quality Care at Lower Cost, Nicholson Challenge, Non-Foundation Trusts (Finances), Nurse Staffing Levels, Operating Expenses, Outcomes and Monitoring, Overkill: Unnecessary Medical Care, Overprescribing, Overuse, Overuse of Diagnostic or Monitoring Tests / Procedures, Overuse of Medication, Overuse Underuse and Misuse, Oxford University Hospitals, Patient flow, Patient Flow for Older People (in Sheffield), Patient Flows, Patient Safety Incidents in England, Performance Indicators, Performance Targets, Plymouth Hospitals NHS Trust, Policy, Policy Context, Preventable Harm, Preventing Falls in the NHS, Preventing Overdiagnosis Conference, Productivity, Productivity in the NHS, RDEL, Redesigning Care Pathways, Redesigning Services, Reducing Drains on the NHS, Reducing Overuse Underuse and Misuse, Reducing Prescribing Costs, Reducing Waste in the NHS, Releasing Value From Surplus Estate, Repeat Prescriptions, Rising Expectations, Safe Staffing, Selling Sickness, Sheffield Patient Flow, Sheffield Teaching Hospitals NHS Foundation Trust, Smith Review, Stevens Challenge, Stroke REACH Early Discharge Scheme (REDS), Stroke Services at Plymouth Hospitals NHS Trust, Targeting Low-Value Care, Transformation Fund, Transformation Fund for the NHS, Troubled NHS Foundation Trusts, Unacceptable Variations, Underuse, Underuse of Effective Interventions, Unwarranted Variations, Variation in Commissioning, Variations in Care, Variations in Procurement, Variations in Spending, Whole System Patient Flows | Leave a comment

Tag Archives: Patient flow

Reducing Length of Stay in Hospitals (Nuffield Trust / Monitor)

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