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Tag Archives: Re-Admission NHS Hospitals
CEM Prescription for Acute and Emergency Care (College of Emergency Medicine)
Summary A recent policy paper from the College of Emergency Medicine (CEM), working with the Royal College of Paediatrics and Child Health, Royal College of Physicians and Royal College of Surgeons, proposes 13 recommendations to reduce the rising pressure on … Continue reading
Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, National, NHS, NHS Confederation, NHS Employers, Northern Ireland, Practical Advice, Quick Insights, Royal College of Physicians, Scotland, Standards, UK, Wales
Tagged 2015 Challenge Declaration (NHS Confederation): Workforce Challenge, 24/7 Access to Urgent and Emergency Care, 24/7 Consultant Cover, 24/7 Diagnostic Services, 24/7 Service, A&E, Access to Primary Care, Access to Urgent and Emergency Care, Acute Hospital Care, Admissions, Ageing and Society, Ageing Population, Alternatives to Hospital Admission, Avoidable Admissions, British Medical Association (BMA), Care Seven Days a Week, Case-Mix, Challenges of Urgent and Emergency Care, Chronic Diseases, College of Emergency Medicine, College of Emergency Medicine (CEM), Commissioning Urgent and Emergency Care for Older People, Community Care, Community Facilities, Community-Based Services, Complex Care, Complex Needs, Diagnostic Services, Education and Staff Training, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Centres, Emergency Departments, Emergency Medicine Consultants, Emergency Medicine Workforce Implementation Group (EMWIG), Emergency Planning and Resilience, Emergency Readmissions, Emergency Services, Emergency System Resilience, Funding, GP Out-of-Hours Services, Health Information Technology, Hospital Accident and Emergency Departments, Inappropriate Accident and Emergency Department Attendances, Information Technology, Integrated and Community-Based Care, Integrated Emergency Department (A&E), Integrated Home and Community Care Services, Integration, Integration and Communities, Integration of Primary Secondary and Community Care, Interventional Radiology 24/7 Services Provision, Investment in Information Technology, Kent Community Health NHS Trust, Leadership, Leadership Development, Local Urgent Care Boards, MDTs: Multidisciplinary Teams, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary Team (MDT), Multi-Disciplinary Working, NHS 111, NHS 24, NHS Confederation’s Hospitals Forum, NHS Confederation’s Urgent and Emergency Care Forum, NHS Direct, Preventable Hospital Admissions, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Primary Care Physicians, PwC LLP, RCP: Royal College of Physicians, Re-Admission NHS Hospitals, Reconfiguration of Emergency Care System, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Repeat Non-Emergency Attendees (Emergency Departments), Royal College of Paediatrics and Child Health, Royal College of Physicians (RCP), Royal College of Surgeons, Safe Staffing, Seven-Day Services in Hospital, Seven-Day Services in the Community, Skill Mix, Skills Mix, South Warwickshire NHS Foundation Trust, Staffing Levels and Skill Mix, Telephone Advice Services, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Urgent and Emergency Care, Urgent and Emergency Care Commissioning, Urgent and Emergency Care Forum, Urgent and Emergency Care Services, Urgent and Emergency Services, Workforce and Skill Mix, Workforce Design, Workforce Development, Workforce Issues, Workforce Planning, Yorkshire Ambulance Service (YAS), Yorkshire Ambulance Service NHS Trust
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How Primary Care Could Help Reduce Emergency Admissions (University of Bristol / NIHR / BMJ Open)
Summary Researchers at the University of Bristol’s Centre for Academic Primary Care reviewed the international evidence about how GPs might help reduce attendances at emergency departments. They have discovered that seeing the same GP each time patients visit their doctor’s … 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, International, Management of Condition, NIHR, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Standards, Statistics, Systematic Reviews, UK, Universal Interest
Tagged A&E, Access to Primary Care, Access to Urgent and Emergency Care, Acute Hospital Care, Ageing and Society, Ageing Population, Ambulatory Care-Sensitive Conditions (ACS), Ambulatory Care-Sensitive Conditions (ACSCs), BMJ Open, CAPC: University of Bristol Centre for Academic Primary Care (CAPC), Centre for Academic Primary Care (CAPC), Centre for Primary Care (University of Manchester), Centre of Academic Primary Care: School of Community and Social Medicine (University of Bristol), Chronic Diseases, Community Care, Community Facilities, Community-Based Services, Complex Care, Complex Needs, Continuity of Care, Coordinated Care, Coordination, Department of Primary Care Health Sciences: University of Oxford, Distance From Home to Emergency Care, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Centres, Emergency Departments, Emergency Services, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, GP Practice Features, GP Surgeries, GPs, Institute of Population Health: Centre for Primary Care (University of Manchester), Inverse Care Law (King's Fund), Low Educational Attainment, Multimorbidity, Multiple Chronic Disease, National Institute for Health Research (NIHR), National Institute for Health Research School for Primary Care Research (NIHR SPCR), National School of Primary Care Research (NSPCR), Patient Characteristics, Patient Factors, Patient Factors (Demand Side), Primary Care, Primary care and Population Health: Royal Free Campus (London), Primary Care Factors in Unscheduled Secondary Care, Primary Care Physicians, Primary Care Service Interventions, Proximity, Quality of Care, Re-Admission NHS Hospitals, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Repeat Non-Emergency Attendees (Emergency Departments), Royal Free Campus (London), Signposting to Sources of Practical Help, Socioeconomic Status, Supply-Side Factors, University of Bristol, University of Bristol’s Centre for Academic Primary Care (CAPC), University of Manchester, University of Oxford, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, 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, Urgent and Emergency Services, Whole Systems Approach
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Focus on Accident and Emergency: December 2013 (BBC News / HSCIC / BMJ Open / British Journal of General Practice / CEM)
Summary A statistical briefing from the Health and Social Care Information Centre (HSCIC) indicates that there has been a small – but significant – increase in the number of over-65s attending the major A&E units. The problem lies in the … Continue reading
Posted in Acute Hospitals, BBC News, Commissioning, 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, National, NHS, Patient Care Pathway, Quick Insights, Standards, Statistics, UK, Universal Interest, Wales
Tagged 999 Ambulance Service, A&E Quality Indicators, A&E Workforce, Accident and Emergency Weekly Situation Reports (WSitAE), Acute Care, Acute Hospital Care, Acute Hospitals, Adult Social Care, Age and Ageing, Ageing, Ageing Society, Alternatives to A&E, Alternatives to Hospital Admission, Ambulance Delays at Emergency Departments, Ambulance Queuing at Emergency Departments, Ambulance Services, Ambulance Waits at Emergency Departments, Ambulatory Care-Sensitive Conditions (ACS), Avoidable Admissions, Avoidable Rehospitalisations, BBC Health News, BMJ Open, British Journal of General Practice, Care Integration, Clinical Quality Indicators, College of Emergency Medicine (CEM), Community Health Centres, Configuration of Services, Coordinated Care, Delayed Handovers Between Ambulance and A&E Staff, Department of Epidemiology and Public Health: University of Exeter Medical School, Department of Family Medicine: University of Washington, Department of Primary Care Health Sciences: University of Oxford, Diagnostic Imaging Dataset (DID), Discharge and Out of Hospital Care, Emergency Admission Rates in UK, Emergency Admissions, Emergency Ambulance Services, Emergency and Urgent Care Services, Emergency Bed Use, Emergency Care, Emergency Care Intensive Support Team (ECIST), Emergency Departments, Emergency Medicine Specialty, Emergency Nurse Practitioners, Emergency Nurse Practitioners in Community Settings, Emergency Readmissions, Emergency Readmissions to Hospital, Emergency Readmissions to Hospital Within 28 Days of Discharge, Emergency Readmissions: Fractured Proximal Femur, Emergency Readmissions: Hysterectomy, Emergency Readmissions: Primary Hip Replacement Surgery, Emergency Readmissions: Stroke, Emergency Services, ENLIGHTENme, Factors Behind Increasing Emergency Admissions, Flow Within Hospitals, FOI: Freedom of information, Foundation Trust Network, Foundation Trust Network (FTN), Frail Older People With Complex Needs, Freedom of Information, General Hospitals, GP Cooperatives and Out-of-Hours Services, GP Out-of-Hours Services, GPs, Handover, Health and Social Care Information Centre (HSCIC), Health and Social Care Integration, Health and Social Care Services, Holistic Quality Improvement, Hospital Episodes Statistics (HES), HSCIC: Health and Social Care Information Centre, Inappropriate Accident and Emergency Department Attendances, Integration of Health and Social Care, Joined-Up Care, Mental Health Minimum Data Set (MHMDS), MercyAscot Hospitals: Auckland, Minor Injuries Units, Minor Injury Units (MIUs), New Zealand, NHS England: Improving A&E Performance, NHS Hospital and Community Health Service (HCHS) Workforce, NHS Safety Thermometer, NHS Written Complaints, Nursing Staff, Out of Hours GP Services, Out-of-Hours General Practice, Patient flow, Patient Flow Within Hospitals, Patient Handover Delays, Population Growth and Ageing, Preparations for Winter, Preventable Hospital Admissions, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Primary Care Service Interventions, QED: Quality in Emergency Care Dashboard Project, Quality in Emergency care Dashboard (QED) Project, Quarterly Monitoring of A&E (QMAE), Re-Admission NHS Hospitals, Reconfiguration of Emergency Care System, Recovery and Improvement Plans, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Safe Staffing, Skill Mix, Staffing Level Indicators: Skill Mix, Staffing of Urgent Care Centres, System Benchmarks, System Benchmarks (A&E), System Re-Design, Target Culture, Target-Chasing (Hitting the Target Missing the Point), Target-Driven Priorities, Targets, Tariffs and Informatics Systems, Telephone Triage Service, Trusts with Out of Hours GP Services, Trusts with Urgent Care Centres, Type 1 A&E Department (Major A&E), Type 2 A&E Department (Single Specialty), Type 3 A&E Department (Other A&E / Minor Injury Unit), United States, University of Exeter Medical School, University of Oxford, University of Washington, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Facilities, Urgent and Emergency Care, Urgent and Emergency Care Commissioning, Urgent and Emergency Services, Urgent Health UK, USA, Waiting Delays: Ambulances Outside A&E, Walk-in Centres (WiCs), Winter Pressures
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More on Emergency Admissions and Provision for Winter Pressures (NHS England / BBC News / BMJ Open / NHS Choices / Monitor / BMA)
Summary NHS England is distributing a further £150 million to help hospitals in England maintain their A&E services over winter. This is in addition to the £250 million allocated to the most at-risk hospitals in September, and is intended for … Continue reading
Posted in Acute Hospitals, BBC News, 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, Management of Condition, National, NHS, NHS Digital (Previously NHS Choices), NHS England, Patient Care Pathway, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged 7 Day GP Care in Durham to Ease A&E, Acute Care, Acute Hospital Care, Acute Hospitals, Adult Social Care, Age and Ageing, Ageing, Ageing Society, Ambulatory Care, Ambulatory Care-Sensitive Conditions (ACS), Avoidable Admissions, Avoidable Rehospitalisations, BBC Health News, Behind the Headlines, BMJ Open, Care Homes, Care in Appropriate Settings, Care Integration, Clinical Commissioning Groups (CCGs), Cold Weather Plan, Community Pharmacy, Consultant Input, Coordinated Care, County Durham and Darlington NHS Foundation Trust, Derbyshire Health United (DHU), Emergency Admission Rates in UK, Emergency Admissions, Emergency Ambulance Services, Emergency and Urgent Care Services, Emergency Bed Use, Emergency Care, Emergency Departments, Emergency Multidisciplinary Unit (EMU), Emergency Readmissions, Emergency Readmissions to Hospital, Emergency Services, Enhanced Rapid Response Service, Factors Behind Increasing Emergency Admissions, Frail Older People With Complex Needs, General Hospitals, GP Out-of-Hours Services, GP Services, GPs, Guy's and St Thomas' NHS Foundation Trust, Guy’s and St Thomas’ Home Ward and Enhanced Rapid Response Service, Health and Social Care, Health and Social Care Integration, Health and Social Care Reform, Health and Social Care Services, Hospital Bed Capacity, Inappropriate Care Settings, Integrated Care Condition, Integration of Health and Social Care, Intermediate Care, Intermediate Care Beds, Intermediate Care Capacity, Intermediate Care Teams, Joined-Up Care, Kettering General Hospital, Local GP Services, Medical Care Research Unit: University of Sheffield, Monitor, NHS 111, NHS Ambulance Trusts, NHS Direct and NHS 111, NHS England Winter Health Check, NHS Pathways Software, NHS Trust Development Authority, North of England Commissioning Support (NECS), Out-of-Hours Social Work, Oxford Health NHS Foundation Trust, Patient Inflow, Pharmacy Services: Community, Population Growth and Ageing, Population Winter Pressures, Preparations for Winter, Preventable Hospital Admissions, Public Health England (PHE), Re-Admission NHS Hospitals, Reducing Bed Days, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, RightCare Plans, ScHARR: University of Sheffield, Self-Care, South Tees Hospital in Middlesbrough, South Tees NHS Trust, St Lawrence Surgery in Worthing, Supporting Self-Care, Surveillance and Reporting, Systemic Pressures in the NHS, Telephone Triage Service, University of Sheffield, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Urgent and Emergency Care, Urgent and Emergency Services, Urgent Care Centres, Urgent Care Contacts, Urgent Care Services Outside of Hospitals, Urgent Care Working Groups, Urgent Care Working Groups (UCWGs), Walk-in Centres
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Avoidable Hospital Admissions Crisis (BBC News / NAO)
Summary Too many emergency admissions to hospitals in England take place according to the National Audit Office. There were 5.3 million such admissions during the last financial year, which represents a 47% rise over 15 years. Many of the individuals involved are frail elderly patients who … Continue reading
Posted in Acute Hospitals, BBC News, 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, Management of Condition, National, National Audit Office, NHS, NHS Confederation, Patient Care Pathway, Quick Insights, Standards, UK, Universal Interest
Tagged 999 Ambulance Service, Accident and Emergency Departments, Admission Avoidance, Alignment of Services Across Health and Social Care Sectors, Ambulance Services, Avoidable Admissions, Avoidable Rehospitalisations, BBC Health News, Bed Days, Bed Occupancy, Care of Frail Older People With Complex Needs, Demographic Changes, Demographic Time-Bomb, Demographics, Emergency Admission Rates in UK, Emergency Admissions, Emergency Bed Use, Emergency Care, Emergency Care Pathway, Emergency Readmissions, Emergency Readmissions to Hospital, Emergency Services, Factors Behind Increasing Emergency Admissions, Frail Older People With Complex Needs, Good Practice in Managing Emergency Admissions, Good Practice in Reducing Emergency Admissions, GP Home Visits, GP Out-of-Hours Services, Hospital Accident and Emergency Departments, Hospital Admission Rates, Hot Clinics, Marginal Rate Emergency Tariff, Multi-Specialty Teams Across Hospital and Community, NHS Direct / 111, Out of Hours Care, Out of Hours Services, Patient Admission, Patient Flow Diagrams, Patient Flows, Payment System for Hospital Activity, Preventable Hospital Admissions, Re-Admission NHS Hospitals, Reducing Bed Days, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Senior Clinical Input, Social Demographics, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Urgent and Emergency Care, Urgent and Emergency Services, Whole System Patient Flows
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Care in Specialist Medical and Mental Health Units Compared with Standard Care for Older People with Cognitive Impairment in General Hospitals (BMJ / NIHR TEAM Trial)
Summary This article reports on work to develop and evaluate best practice in the acute medical care of older people with cognitive impairment in general hospitals. 600 confused patients aged over 65 admitted for acute medical care into large acute general … Continue reading
Posted in Acute Hospitals, Delirium, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Management of Condition, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK
Tagged Acute Care, Acute Hospital Care, Acute Hospitals, Average Length of Stay (Hospitals), Bed Days, BMJ, Care in General Hospitals, Carer Satisfaction, Clinical Trials NCT01136148, Cognitive Impairment, Critique and Evaluation of Specialist Hospital Dementia Care in the UK, Dementia Care Bundle, Dementia Care in Acute General Hospitals, Dementia Care in General Hospitals, Dementia Quality of Life (DEMQOL), Division of Rehabilitation and Ageing: University of Nottingham, Emergency Readmissions, EuroQol EQ-5D, General Hospital Care, General Hospitals, General Medical Wards, Hospital Mortality, Hospital Mortality Rates, Length of Stay (LoS), Medical Crises in Older People Study Group, Mental Health Units, NIHR TEAM Trial, Nottingham, Nottingham University Hospitals NHS Trust, Patient Experience, Patient Satisfaction, Person Centred Working, Queens Medical Centre: Nottingham, Re-Admission NHS Hospitals, Specialist Delirium Units, Specialist Medical and Mental Health Units (in UK Hospitals), Specialist Medical and Mental Health Units: Compared with Standard Acute Care, Standard Acute Geriatric Wards, State University of New York, University of Nottingham
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