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Tag Archives: Patient flow
Quality Improvement in Urgent and Emergency Care (NHS Improvement / NHS England / Department of Health)
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 →
Posted in Acute Hospitals, BBC News, Commissioning, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS Confederation, NHS England, NHS Evidence, NHS Improvement, Non-Pharmacological Treatments, Nuffield Trust, Person-Centred Care, Quick Insights, Royal Wolverhampton NHS Trust, Standards, UK, Universal Interest, Wolverhampton
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Tagged 2017-19 Integration and Better Care Fund Policy Framework, A&E, A&E Waiting Times and Activity, Access to Urgent and Emergency Care, Accident and Emergency Doctors, Accountable Care Organisations (ACOs), Acute Assessment (Improving Patient Flow in Urgent and Emergency Care), Acute Bed Capacity, Acute Care, Acute Care Collaboration, Acute Care Services, Acute Hospital A&E and Liaison Mental Health Teams, Acute Hospital A&E and Liaison Mental Health Teams: Transforming Mental Health Crisis Care (NHS England), Acute Hospital Care, Acute Medical Care for Frail Older People, Acute Medical Care of Elderly People, Acute Medical Unit Consultant Input, Acute Medicine Units (AMUs), Admission Transfer and Discharge (Improving Patient Flow in Urgent and Emergency Care), Ageing and Society, Ageing Population, Ambulance Handovers, Ambulance Handovers (Improving Patient Flow in Urgent and Emergency Care), Ambulance Response Programme (ARP), Ambulance Service Targets, Ambulance Services, Ambulatory Emergency Care (Improving Patient Flow in Urgent and Emergency Care), Association of Ambulance Chief Executives (AACE), Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Barts Health NHS Trust, BBC Health News, Bristol Royal Infirmary, British Geriatrics Society (BGS), British Medical Association (BMA), British Medical Journal (BMJ), Cambridgeshire and Peterborough NHS Foundation Trust (CPFT), Centrally Coordinated Patient Flow (Use of Data in Hospital’s Dashboard), Centre for Urgent and Emergency Care, Chris Hopson: Chief Executive of NHS Providers, Clinical Decision Units (CDUs), Clinical Decision Units (Improving Patient Flow in Urgent and Emergency Care), Cm, Commons Health Select Committee, Consultant Input, Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Demand Driven by Alcohol Consumption, Demand Management, Developing Trusted Assessment Schemes, Discharge and Out of Hospital Care, Dispatch on Disposition (DoD), Dysfunctional Patient Flow, Early Senior Assessment, Early Senior Review of Patients, Early Supported Discharge (ESD), East and North Hertfordshire Care Home Vanguard, ECIP, ECIP: Emergency Care Improvement Programme, Emergency Admissions, Emergency Ambulance Services, Emergency and Urgent Care Services, Emergency Assessment Unit (EAU), Emergency Assessment Units, Emergency Assessment Units (EAUs), Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Care ACP Curriculum, Emergency Care Improvement Programme (ECIP), Emergency Care Intensive Support Team (ECIST), Emergency Centres, Emergency Departments, Emergency Departments (Improving Patient Flow in Urgent and Emergency Care), Emergency Flow Improvement Tool, Emergency Medical Services (EMS), Emergency Medicine Consultants, Emergency Services, Evolving Demand, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Flow Within Hospitals, Four-Hour A&E Waiting Time Target, Frailty, Frailty (Improving Patient Flow in Urgent and Emergency Care), Funding, Government Response to Health Select Committee Report on Winter Pressure in Accident and Emergency Departments (2017), GP Services Co-Located With A&E Department, GPs Co-Located With A&E Department, Health Education England West Midlands, Health First (USA), Health Select Committee, Health Select Committee (HSC), Health Select Committee Inquiry, Health Select Committee Report on Winter Pressure in Accident and Emergency Departments, High Impact Change Model (HICM), Homes Regional Medical Centre (Florida), Hospital Bed Capacity, House of Commons Health Select Committee, Improving Patient Flow in Urgent and Emergency Care, Inappropriate Accident and Emergency Department Attendances, Increasing Bed Capacity, Integrated and Community-Based Care, Integrated Emergency Department (A&E), Katherine Henderson: President of the Royal College of Emergency Medicine, Long A&E Waits, Long Waiting Times, Luton and Dunstable University Hospital NHS Foundation Trust, Luton and Dunstable University NHS Foundation Trust, Management of System, MDTs: Multidisciplinary Teams, Medical Workforce, Mental Health (Improving Patient Flow in Urgent and Emergency Care), Mental Health Crisis First Response Service (FRS) and Sanctuaries, Mid-Cheshire NHS Foundation Trust, National Priorities for Acute Hospitals (2017), Next steps on the NHS Five Year Forward View (2017), NHS England Urgent and Emergency Care Review Team, NHS in Winter (BBC News), NHS Winter Crisis, NHS111 Directory of Services (DoS), NHSI: NHS Improvement, Non-Medical Workforce, November 2017 Quarterly Monitoring Report (King's Fund), Out-of-Hours GP Services Co-Located With A&E Department, Patient flow, Patient Flow Within Hospitals, Pauline Philip: Chief Executive of Luton & Dunstable University Hospital NHS Foundation Trust - Milton Keynes of Bedfordshire and Luton STP Footprint Lead, Pauline Philip: NHS England's National Director for Urgent and Emergency Care, Payment Mechanisms, Pharmacist Involvement, Poole Hospital NHS Foundation Trust, Poole Hospital NHS Foundation Trust: Acute Frailty Service, Preparations for Winter, 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 Streaming (Improving Patient Flow in Urgent and Emergency Care), Priorities for Acute Hospitals, Rapid Improvement Guide to Trusted Assessors, Real Time Locating Software (RTLS), Real-Time Locating Software (RTLS) to Improve Patient Flow, Reasons for Short Stay Emergency Admissions, Recognition and Diagnosis of Frailty, Red2Green Bed Days, Red2Green Rapid Improvement Guide, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Review of Winter 2016/17 (NHS Improvement and NHS England), Royal Berkshire NHS Foundation Trust Emergency Department, Royal College of Emergency Medicine (RCEM), Royal College of Physicians (RCP), Royal College of Surgeons (RCS), SAFER Patient Flow Bundle, SAFER Patient Flow Bundle and Red2Green Days (Improving Patient Flow in Urgent and Emergency Care), Salford Royal NHS Foundation Trust, Salford Royal NHS Foundation Trust (SRFT), Sarah Wollaston: Chair of the House of Commons Health Select Committee, Sarasota Memorial Health Care System, Sarasota Memorial Hospital, Senior Clinical Input, Senior Review of Patients, Short Stay Admissions, Society for Acute Medicine (SAM), South Warwickshire NHS Foundation Trust, South Warwickshire’s Trusted Assessment Form, Specialties (Improving Patient Flow in Urgent and Emergency Care), Staffing, Supporting Adult Social Care to Maintain Patient Flow, Team-Based Interventions in A&E, Tele-tracking Technology, TeleTracking, TeleTracking Technologies Inc, Trusted Assessment (Improving Patient Flow in Urgent and Emergency Care), Trusted Assessment Implementation Checklist, Trusted Assessors, University Hospitals Bristol NHS Foundation 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 Review, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England, Using Primary Care to Reduce Demand, Western Sussex Hospitals NHS Foundation Trust, Winter From Hell: 2016-7 (Allegation), Winter Preparedness, Winter Pressure in Accident and Emergency Departments (House of Commons Health Select Committee: HC 277), Winter Pressures, Working on Edge of Safety (NHS Providers Allegation)
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Patient Flow or Patient Gridlock? (Health Foundation / BBC 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
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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
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Benefits of Comprehensive Older Person’s Evaluation (COPE) Zones Embedded Within Emergency Assessment Units (Clinical Medicine)
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
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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, American Heart Association, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Benchmarking, British Geriatric Society (BGS), Cardiac Intensive Care Units (CICUs), Cardiovascular System Disorders, Case Management, CGAs and Medicines Optimisation in Primary Care Settings, CGAs: Comprehensive Geriatric Assessments, CICU Care, Circulation (Journal), 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, Critical Care, 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, Geriatric Syndromes in Cardiac Intensive Care Units (CICUs), 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, Later Life, 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, Older Adults in Cardiac Intensive Care Units, 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
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The Emergency Care Improvement Programme (NHS England / UEC Review Team / ECIP / ECIST / BMJ Open)
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 →
Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, International, King's Fund, Local Interest, Management of Condition, National, NHS, NHS England, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK
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Tagged A&E Waiting Times and Activity, Access to Urgent and Emergency Care, Accountable Care Organisations (ACOs), Accountable Care Organisations (in United States and England), ACOs in the United States, Acute Care, Acute Care Collaboration, Acute Care Services, Acute Frailty Unit, Acute Hospital A&E and Liaison Mental Health Teams, Acute Hospital A&E and Liaison Mental Health Teams: Transforming Mental Health Crisis Care (NHS England), Acute Medical Care for Frail Older People, Acute Medicine Units (AMUs), AEC at Dudley Group NHS FT, Ageing Population, Alfred Squire Road Health Centre (Wolverhampton), Alison Tonge: Director of Commissioning Operations at NHS England (West Midlands), Alternative Quality Contract (AQC), Assertive Holistic Management of Frail and Vulnerable Patients Back Into Community, Better Care Together (Morecambe Bay Health Community) (Integrated Primary and Acute Care System), Better Care Together (Morecambe Bay Health Community) Vanguard, BMJ Open, Bradley Health Centre (Wolverhampton), Breaking the Cycle SAFER Patient Flow Bundle, Canada, Centers for Medicare and Medicaid Services (CMS) Programme, CMS Group Practice Demonstration Programme, Co-Location, Co-Location Models, Co-Location of Other Out-Of-Hours Services With A&E Departments, Colchester Hospital University NHS Foundation Trust, Council of Accountable Physician Practices (CAPPs), Crowding and Exit Block in Emergency Departments, Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Demand Management, Discharge and Out of Hospital Care, Dr Dan DeRosa: Chair of NHS Wolverhampton CCG, Dr Helen Thomas: National Medical Adviser for Integrated Urgent Care (Formerly NHS 111), Dr Vincent Connolly: Medical Director of Emergency Care Improvement Programme, Dysfunctional Patient Flow, Early Supported Discharge (ESD), ECIP, ECIP Safer Faster Better Webinars, ECIP: Emergency Care Improvement Programme, Emergency Admissions, Emergency Ambulance Services, Emergency and Urgent Care Services, Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Care Data Set, Emergency Care Improvement Programme (ECIP), Emergency Care Intensive Support Team (ECIST), Emergency Care Leads, Emergency Centres, Emergency Departments, Emergency Medical Services (EMS), Emergency Services, Enablers of Integrated Care, Experience Based Design, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Faculty of Nursing: University of Laval, Faculty of Nursing: University of Montreal, Four-Hour A&E Waiting Time Target, GP Out-of-Hours Services, GPs, Handover, Hospital Waiting Times, Improving Patient Flow, Independent Practice Associations (IPAs), Inpatient Admissions and Bed Management in NHS Acute Hospitals, Integrated Care in Northumberland, Integrated Primary and Acute Care Systems (PACS), Integrated Primary Care Teams (IPCT) Pilot Project, Integrated Primary Care Teams (IPCTs), Integrated Urgent Care (Formerly NHS 111), Integrated Urgent Care (NHS England), Integrated Urgent Care Services in Wolverhampton, Interdisciplinarity, Intermountain Healthcare (US), John Harrison: Chief Executive of West Midlands Doctors Urgent Care (WDUC), Kaiser Permanente, Lea Road Medical Practice (Wolverhampton), Liaison Mental Health Services, Liaison Mental Health Teams, Local Integration, Local System Resilience Groups, Long Waiting Times, Long-Term Conditions (LTCs), Low Hill Health Centre (Wolverhampton), Massachusetts Alternative Quality Contract (AQC), Medical Directors, Mental Health Crisis Care Concordat, MGS Medical Practice (Wolverhampton), Monitor, Moving Healthcare Closer to Home, Multi-Disciplinary Accelerated Discharge Event, Multi-Specialty Group Practices, Multimorbidities and Long-Term Conditions, New Cross Hospital, New Cross Hospital’s Urgent Care Centre (UCC), NHS 111, NHS Community Pharmacies, NHS England’s Five Year Forward View, NHS England’s Urgent and Emergency Care (UEC) Review Programme, NHS Five Year Forward View (5YFV), NHS Waiting Times, Northumberland, Nurse Practitioner-Led Clinics (NPLCs), Optimising Acute Frailty, Out of Hospital Community Care, Out-of-Hospital Urgent Care, Out-of-Hospital Urgent Care Programme, Out-of-Hours General Practice, Out-of-Hours Primary Care, Pathways for Frail and Vulnerable People, Patient flow, Patient Flow Within Hospitals, Patient Flows, Patient Handovers, Patient Safety, Pioneer and the Shared Savings Programme, Pioneer Programme, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Primary and Acute Care Systems (PACS), Primary Care and Community Pharmacy Network, Primary Care Co-Location, Primary Care Nurse Practitioners (PCNPs), Primary Care Out-of-Hours (OOH) Services, Primary Care Vertical Integration, Primary Care Vertical Integration Pilot: Royal Wolverhampton NHS Trust (RWT), Primary Healthcare Teams, Professor Geoff Layer: Vice Chancellor of the University of Wolverhampton, Quality and Service Improvement Tools, Quality and Sustainability, Rapid Response Service, Rapid Response Teams, Reducing Mortality by Reducing Occupancy, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Risks of Unnecessary Waiting, Royal Wolverhampton NHS Trust, Royal Wolverhampton NHS Trust (RWT), Ruskin Road Surgery (Wolverhampton), SAFER Bundle, Safer Faster Better, Safer Faster Better Guide, Safer Faster Better: Good Practice in Delivering Urgent and Emergency Care, SAFER Patient Flow Bundle, Safer Start Campaign, SBAR (Situation Background Assessment Recommendation), Seasonal Pressures, Service Redesign, Shared Savings Programme, Situation Background Assessment and Recommendation, Smoother Patient Flows, Social and Community Care, SRGs: System Resilience Groups, Surgical Networks, Sustainable Care, Sustainable Health and Care Services, System Grid Lock, System Resilience Groups, System Resilience Groups (SRGs), Transforming Care for Frail Older People, Transforming Urgent and Emergency Care Services, Transforming Urgent and Emergency Care Services in England, UEC Review Team, UEC Review: NHS England’s Review of Urgent and Emergency Care, UEC Vanguards, UECNs and SRGs, University Hospitals North Midlands Exemplar Ward Programme (Helen Lingham), University Hospitals of Leicester NHS Trust's Acute Frailty Unit, University of Laval (Québec), University of Montreal, University of Québec (Rimouski Québec), University of Sherbrook, University of Sherbrook: School of Nursing, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care (UEC), Urgent and Emergency Care (UEC) Review, Urgent and Emergency Care Commissioning, Urgent and Emergency Care Forum, Urgent and Emergency Care Networks, Urgent and Emergency Care Networks (UECNs), Urgent and Emergency Care Pathways, Urgent and Emergency Care Review, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England, Urgent and Emergency Care Vanguard Sites, Urgent and Emergency Care Vanguards, Urgent and Emergency Services, Urgent Care Centre at New Cross Hospital, Urgent Care Centres (UCCs), Urgent Care Centres (Walk-In and Minor Injuries Units), Urgent Care Services Outside of Hospitals, Vertical Integration, Vertical Integration (of Primary and Secondary Care), Virtual Physician Organisations (VPOs), Waiting Time Target Breaches, West Midlands Doctors Urgent Care (WDUC), Whole System Integration, Whole System Partnership, Whole System Patient Flows, Whole Systems Approach, Whole Systems Redesign, Winter Preparedness, Winter Pressures, Wolverhampton Clinical Commissioning Group, Wolverhampton Urgent and Emergency Care Strategy
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Reducing Length of Stay in Hospitals (Nuffield Trust / Monitor)
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 →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Delirium, Diagnosis, End of Life Care, Falls, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Acute Hospital Care, Acute Hospitals, Acute Savings per Bed Day, Advance Planning, Alignment of Routine Follow-Up Intensity to Patient Risk Profiles, Assessment Before Discharge, Average Length of Stay (Hospitals), Bed Days, Bed Use (Acute Hospitals), Bed-Blockers, Bed-Blocking Patients (Non-Recommended Term), Blaylock Assessment, British Geriatrics Society (BGS), Bundled Approaches, Care Bundle Approach, Care of Frail Older People With Complex Needs, Care Seven Days a Week, Care Transitions, Care Transitions of Older People, Clinical Engagement, Communication During Handovers, Complex Discharge, Complex Needs, Comprehensive Geriatric Assessment (CGA), Consultant Led Ward Rounds, Continuous Improvement, Continuous Learning, Continuous Monitoring, Culture of Assumed Trust and Professionalism, Culture: Constantly Challenging Preconceptions That Patients Need to be in Hospital, David Bennett: Chief Executive of Monitor, Day-of-Surgery Admission, Delirium Superimposed on Dementia, Dementia Care in the Acute District General Hospital, Dementia Care in the Acute Hospital, Dementia Friendly Acute Hospitals, Dementia in the Acute Hospital, Devolved Decision-Making, Discharge, Discharge Coordination, Discharge Coordinators, Discharge Planning, Discharge Seven Days a Week, Discharge Support, Early Discharge Support, Emergency Care Intensive Support Team, End-of-Life Care in Acute Hospitals, Enhanced Recovery, Enhanced Recovery (ER) Pathways, Enhanced Recovery Care Pathways, Enhanced Recovery Programmes (ERPs), Frail Older People With Complex Needs, Frailty Units, Frailty Units and Services, Greater Manchester Commissioning Support Unit, Handover, Handover Records, Healthcare Closer to Home (Monitor), Hospital Discharge, Hospital-Acquired Infections, Identification of Patients At Risk of Complex Discharge on Admission, Immobility, Impact of Delirium on Length of Stay, Impact of Dementia on Length of Stay, Improving Patient Flow, Improving Productivity in Elective Care: Operational Opportunities, Information Systems, Inpatient Palliative Care, Integrated Care for Older People With Complex Needs, Integrated Care Pathways, Integrated Discharge Process, Integrated Out-of-Hospital Care, Lean Enterprise Academy, Length of Stay, Length of Stay (LoS), Managing Transitions, Mayo Audit Tool: Northumbria Healthcare NHS Foundation Trust, MDTs: Multidisciplinary Teams, Medical Care Assessment Protocol (MCAP), Monitor, Moving Healthcare Closer to Home, Multidisciplinary Patient Management, Multidisciplinary Team Care, Multidisciplinary Teams, National Patient Safety Agency (NPSA), Nine Areas of Operational Improvement in Elective Care: Alignment of Routine Follow-Up Intensity to Patient Risk Profiles, Nine Areas of Operational Improvement in Elective Care: Day-of-Surgery Admission, Nine Areas of Operational Improvement in Elective Care: Optimised Theatre Scheduling and Management, Nine Areas of Operational Improvement in Elective Care: Proactive management of infections and readmissions, Nine Areas of Operational Improvement in Elective Care: Specialisation and Extended Roles in Theatre or Outpatient Procedure Teams, Nine Areas of Operational Improvement in Elective Care: Standardisation of Ward Care and Enhanced Recovery, Nine Areas of Operational Improvement in Elective Care: Stratification of Patients by Risk, Nine Areas of Operational Improvement in Elective Care: Streamlined Outpatients and Diagnostics, Nine Areas of Operational Improvement in Elective Care: Surgical Teams Informed and Supported to Use Theatres Effectively, Northumbria Healthcare NHS Foundation Trust, Nutrition and Hydration, Oak Group and Greater Manchester Commissioning Support Unit, Optimised Theatre Scheduling and Management, Out-of-Hospital Care, Out-of-Hospital Services, Palliative Care, Patient Discharge, Patient flow, Patient Flow Within Hospitals, Patient Flows, Patient Handovers, Patient Transfer to Alternative Settings, Positive and Proactive Care, Pressure Ulcers: Prevention, Priorites Within Acute Hospitals, Proactive Care Plans, Proactive Case Management, Proactive management of infections and readmissions, Proactive Patient Management, Proactive Patient Rounds, Productivity in Elective Care, Quality Improvement, Reducing Catheter Associated Urinary Tract Infections, Reducing Immobility, Rehabilitation in Acute Hospitals, Separating Elective Surgical Admissions, Seven Day Consultant Led Multidisciplinary Ward Rounds, Seven Day Services, Seven-Day Hospital Services, Seven-Day NHS Services, Seven-day Rounds and Supporting Services, Seven-Day Services in Hospital, Seven-Day Working, Shared Decision-Making, Short Stay Units for Elderly Patients, Short-Stay Observation and Assessment Units, Short-Stay Units, Single Point of Access (SPA), Smoother Patient Flows, SPA: Single Point of Access, Specialisation and Extended Roles in Theatre or Outpatient Procedure Teams, Specialist Frailty Services, Specialist Frailty Units, Staff Engagement, Standardisation of Ward Care and Enhanced Recovery, Stratification of Patients by Risk, Streamlined Outpatients and Diagnostics, Surgical Teams Informed and Supported to Use Theatres Effectively, Targeted Care, Tracking Patient Progress, Transition Planning, Transitions, Trends in Acute Activity: Trends to 2022, Trends in Emergency Admissions in England, Understanding Patient Flow in Hospitals (Nuffield Trust), Urinary Tract Infections (UTIs), Ward Rounds, Weekend Ward Rounds, Whole System Patient Flows
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Transforming Urgent and Emergency Care Services in England (Monitor / NHS England / UEC Review Team / ECIP / ECIST)
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 →
Posted in Acute Hospitals, Commissioning, Community Care, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Local Interest, National, NHS, NHS England, Patient Care Pathway, Quick Insights, Statistics, UK, Universal Interest
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Tagged 24/7 Access to Urgent and Emergency Care, A&E Four-Hour Wait Standard, A&E Waiting Times and Activity, Access to Urgent and Emergency Care, Acute Care, Acute Care Collaboration, Acute Care Services, Acute Hospital A&E and Liaison Mental Health Teams, Acute Hospital A&E and Liaison Mental Health Teams: Transforming Mental Health Crisis Care (NHS England), Acute Medical Care for Frail Older People, Acute Medicine Units (AMUs), Ageing Population, Allied Health Professionals, Ambulatory Care-Sensitive Conditions (ACSCs), Ambulatory Emergency Care (AEC), BBC Reality Check Team, Care Closer to Home, Care Trust CEs, CCG Accountable Officers, CCG Clinical Leaders, Clinical Decision Units, Community Care, Community Care Services, Community Hospitals, Community Nursing, Community Pharmacy, Comprehensive Local Directory of Services, Consultant Delivered Care, Crowding and Exit Block in Emergency Departments, CSU Managing Directors, Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Demand Management, Directors of Adult Social Services, Directors of Childrens Services, Directors of Nursing, Discharge and Out of Hospital Care, Dysfunctional Patient Flow, Early Supported Discharge (ESD), ECIP, ECIP: Emergency Care Improvement Programme, Emergency Admissions, Emergency Ambulance Services, Emergency and Urgent Care Services, Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Care Data Set, Emergency Care Improvement Programme (ECIP), Emergency Care Intensive Support Team (ECIST), Emergency Care Leads, Emergency Centres, Emergency Departments, Emergency Medical Services (EMS), Emergency Services, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Foundation Trust CEs, Four-Hour A&E Waiting Time Target, GP Out-of-Hours Services, GPs, Handover, Hospital Waiting Times, Improving Patient Flow, Inpatient Admissions and Bed Management in NHS Acute Hospitals, Jeane Freeman: Scottish Cabinet Secretary for Health and Sport, Liaison Mental Health Services, Liaison Mental Health Teams, Local Authority CEs, Local Directory of Services (DOS), Long Waiting Times, Long-Term Conditions (LTCs), Medical Directors, Mental Health Crisis Care Concordat, Monitor, Moving Healthcare Closer to Home, Multimorbidities and Long-Term Conditions, National Audit Office (NAO), National Early Warning Score (NEWS), National Institute for Health and Care Excellence (NICE), National Services Information Campaign, NHS 111, NHS Community Pharmacies, NHS England Regional Directors, NHS England: Directors of Commissioning Operations, NHS England’s Community Pharmacy Call to Action, NHS England’s Five Year Forward View, NHS England’s Urgent and Emergency Care (UEC) Review Programme, NHS Five Year Forward View (5YFV), NHS TDA: NHS Trust Development Authority, NHS Trust Board Chairs, NHS Trust Development Authority (NTDA), NHS Trust Development Authority (TDA), NHS Waiting Times, NHS Winter Crisis, Out of Hospital Community Care, Out-of-Hospital Urgent Care, Out-of-Hospital Urgent Care Programme, Out-of-Hours General Practice, Out-of-Hours Primary Care, Pathways for Frail and Vulnerable People, Patient flow, Patient Flow Within Hospitals, Patient Flows, Patient Handovers, Patients Seen in 4 Hours: NHS Local Performance Tracking Service (NHS Winter Project), Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Primary Care and Community Pharmacy Network, Primary Care Out-of-Hours (OOH) Services, Productive Models of Elective Care, Productive Models of Elective Care Research Team, Public Health England (PHE), Rapid Response Service, Rapid Response Teams, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Residential Care Homes, Revised Planning Guidance for 2015/16, SAFER Bundle, Safer Faster Better, Safer Faster Better Guide, Safer Faster Better: Good Practice in Delivering Urgent and Emergency Care, Seasonal Pressures, Services Information Campaign, Smoother Patient Flows, Social and Community Care, Special HA CEs, SRGs: System Resilience Groups, Surgical Networks, System Resilience Groups, System Resilience Groups (SRGs), Transforming Urgent and Emergency Care Services, Transforming Urgent and Emergency Care Services in England, UEC Review Team, UEC Review: NHS England’s Review of Urgent and Emergency Care, UEC Vanguards, UECNs and SRGs, UECR Phase 1 Report Evidence Base, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care (UEC), Urgent and Emergency Care (UEC) Review, Urgent and Emergency Care Commissioning, Urgent and Emergency Care Forum, Urgent and Emergency Care Networks, Urgent and Emergency Care Networks (UECNs), Urgent and Emergency Care Pathways, Urgent and Emergency Care Review, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England, Urgent and Emergency Care Vanguard Sites, Urgent and Emergency Care Vanguards, Urgent and Emergency Services, Urgent Care Centres (UCCs), Urgent Care Centres (Walk-In and Minor Injuries Units), Urgent Care Services Outside of Hospitals, Waiting Time Target Breaches, Walk-in Centres (WiCs), Whole System Integration, Whole System Partnership, Whole System Patient Flows, Whole Systems Approach, Whole Systems Redesign, Winter Preparedness, Winter Pressures
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Rising Deficits and the Search for Better Value in the NHS: New Approaches to Financial Sustainability? (King’s Fund / BBC News / Health Foundation / BMJ)
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
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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
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