Tag Archives: Readmissions for Patients with Long Term Conditions

Intermediate Care Including Reablement: Quality Standard QS173 (NICE)

Posted on September 7, 2018 by Dementia and Elderly Care News

Summary National Institute for Health and Care Excellence (NICE) has produced a quality standard on intermediate care, including reablement. This is intended to contribute to improvements across many fronts, including: Integration of health and social care. Patient and carer-related quality … Continue reading →

Posted in Commissioning, Integrated Care, Local Interest, National, NICE Guidelines, UK | Tagged Alternatives to Hospital Admission, Alternatives to Hospital Care, Bed-Based Intermediate Care Services, Community-Based Interventions, Community-Based Rehabilitation Services, Community-Based Services, Community-Based Support, Crisis Response, Delayed Discharges, Delayed Transfers of Care, Demand for Intermediate Care, Discharge of Hospital Patients With Care and Support Needs, Discharge Planning, Home Based Intermediate Care, Home Based Services, Hospital Discharge, Integrated and Community-Based Care, Intermediate Care, Intermediate Care Including Reablement: NICE Quality Standard QS173, Multi-Agency Integration, Multi-Disciplinary Team (MDT), Multimorbidity, National Audit of Intermediate Care, NHS Benchmarking, NICE Quality Standard QS173, NICE Quality Standards, Partnership Working, People's Experience of Using Adult Social Care Services, Prevention of Avoidable Emergency Admissions: Intermediate Care, Quality Measures, Quality Statements, Re-ablement Services, Re-admission Avoidance Scheme (RAS), Reablement, Reablement Services, Reablement Services for People Leaving Hospital, Readmissions for Patients with Long Term Conditions, Recovery, Recovery Based Approaches, Recovery Rehabilitation and Reablement (RRR), Recovery Rehabilitation and Reablement Services, Recovery. Rehabilitation, Redesigning Services, Regaining Independence, Rehabilitation and Self Management, Rehabilitation Care Pathways, Rehabilitation Services, Services Maximising Independence, Services Reducing Use of Hospitals, Social Care for Older People With Multiple Long-Term Conditions, Social Care Reablement Services, Supporting Health Wellbeing and Independence, Transition Between Inpatient Hospital Settings and Community or Care Home Settings | Leave a comment

National Audit of Intermediate Care 2017 (NAIC)

Posted on November 30, 2017 by Dementia and Elderly Care News

Summary The National Audit of Intermediate Care (NAIC)’s latest annual report attempts to provide comprehensive data on intermediate care services. It supplies a refreshed audit of intermediate care services delivering care and support to “older people living with complex conditions; … Continue reading →

Posted in Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Physiotherapy, Quick Insights, RCN, Royal College of Physicians, Standards, Statistics, UK, Universal Interest | Tagged Accessibility of Intermediate Care, Ageing Population, AGILE, AGILE: Professional Network of the Chartered Society of Physiotherapy, Alternatives to Hospital Admission, Alternatives to Hospital Care, Association of Directors of Adult Social Services (ADASS), Bed Based Intermediate Care, Bed Based Intermediate Care Services: Workforce, Bed Based Services, Bed Occupancy, Bed-Based Intermediate Care Services, Bed/Home and Step Up/Down Provision, Benchmarking, BGS, British Geriatrics Society, British Geriatrics Society (BGS), Care Integration, Challenging Behaviour, Challenging Behaviour in Dementia, Claire Holditch: Programme Director of NHS Benchmarking Network, Cognitive Impairment, College of Occupational Therapists, College of Occupational Therapists Specialist Section for Older People (COTSS-OP), Community Care Services, Community Hospitals, Community-Based Interventions, Community-Based Rehabilitation Services, Community-Based Services, Community-Based Support, COTSS-OP: College of Occupational Therapists Specialist Section for Older People, Crisis Home Treatment, Crisis Resolution and Home Treatment Team (CRHT), Crisis Response, Crisis Response Services, Crisis Support, David Bramley: Deputy Head and Programme Lead for Long-Term Conditions Older People and End of Life Care Team Medical Directorate at NHS England, Dawne Garrett: Older People and Dementia Care at Royal College of Nursing, Delayed Discharges, Delayed Transfers of Care, Demand for Intermediate Care, Demographics and Processes, Dependency Levels, Destination on Discharge, Discharge Destination, Discharge of Hospital Patients With Care and Support Needs, Discharge Planning, Dr Dawn Moody: Associate National Clinical Director for Older People (NHS England), Dr Martin Vernon: National Clinical Director for Older People and Integrated Care, Elderly Rehabilitation Services, Finance, Getting It Right First Time (GIRFT), Home Based Intermediate Care, Home Based Services, Hospital Discharge, Integrated and Community-Based Care, Integration, Intermediate Care, Intermediate Care Beds, Intermediate Care Capacity, Intermediate Care Geriatrician, Intermediate Care Teams, Intermediate Care: Commissioner Spend, Iola Shaw: Long Term Conditions Older People and EOLC Medical Directorate at NHS England, Later Life, Length of Stay, Length of Stay (LoS), Local Strategic Planning, Mental Health Provision in Intermediate Care Services, Modified Barthel Index (MBI), Multi-Agency Integration, Multi-Disciplinary Team (MDT), NAIC 2017, NAIC Steering Group, National Audit of Intermediate Care, National Audit of Intermediate Care (2017), National Audit of Intermediate Care: NAIC 2017, NHS Benchmarking, NHS Benchmarking Network, NHS RightCare, Occupational Therapists, Older People’s Specialists’ Forum, Partnership Working, Patient Flows, Patient Reported Experience Measure (PREM), RCP: Royal College of Physicians, Re-ablement Services, Re-admission Avoidance Scheme (RAS), Reablement, Reablement Services, Readmissions for Patients with Long Term Conditions, Recovery Rehabilitation and Reablement Services, Reference Costs, Referrals, Rehabilitation Services, Royal College of Nursing (RCN), Royal College of Physicians (RCP), Royal College of Speech and Language Therapists (RCSLT), Services Maximising Independence, Services Reducing Use of Hospitals, Skills / Disciplines Mix, Staffing Levels, Staffing Levels and Skill Mix, Step Down, Step Up, Strategic Planning, Strategic Planning and Commissioning, Sunderland Community Scheme, Therapy Outcome Measure (TOMS), Trans-Disciplinary Roles, Variation in Commissioning, Vulnerable Adults, Whole System Impact, Whole System Patient Flows, Workforce | Leave a comment

On the Unrealised Potential of Intermediate Care (SCIE / Nuffield Trust)

Posted on July 30, 2017 by Dementia and Elderly Care News

Summary The Social Care Institute for Excellence (SCIE)’s “SCIE Highlights No.1” briefing explores the largely untapped potential of intermediate care. It is asserted that intermediate care could deliver better outcomes for patients, while reducing the pressures of demand faced by … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, Non-Pharmacological Treatments, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, SCIE, Statistics, UK, Universal Interest | Tagged Accountable Care Systems (ACSs), Acute Hospitals: Bed-Based Services, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoidable Rehospitalisations, Bed Based Intermediate Care, Bed Based Services, Bed Occupancy, Bed-Based Intermediate Care Services, Bed/Home and Step Up/Down Provision, Better Care Fund (BCF), Capitated Budgets, Care Closer to Home, Communication and Information Sharing, Community Hospitals: Bed-Based Services, Community-Based Interventions, Community-Based Rehabilitation Services, Community-Based Services, Community-Based Support, Control and Independence, Cookson's Court (Yeovil), Crisis Home Treatment, Crisis Response Services, Crisis Support, Delayed Discharges, Delayed Transfers of Care, Demographic Time-Bomb, Dependency Levels, Destination on Discharge, Dignified Independent Living With Care, Discharge Destination, Discharge of Hospital Patients With Care and Support Needs, Discharge Planning, Economic Sustainability, Elderly Rehabilitation Services, Emergency Admissions, Emergency Readmissions, Emergency Readmissions to Hospital, Funding and Payment Mechanisms, Geographical Variations, Health and Social Care Integration, Health and Social Care Reform, Home Based Intermediate Care, Home Based Services, Hospital Discharge, Independence, Independence and Wellbeing, Independent Sector Facilities: Bed-Based Services, Information Resources on Intermediate Care: Social Care Institute for Excellence (SCIE), Information Sharing, Integrated and Community-Based Care, Integration, Intermediate Care, Intermediate Care - Draft Guideline: National Institute for Health and Care Excellence (2017), Intermediate Care Beds, Intermediate Care Capacity, Intermediate Care Teams, Intermediate Care: Elements of Effective Implementation, Intermediate Care: Evidence of Effectiveness, Intermediate Care: Return on Investment, Intermediate Care: SCIE Highlights No.1, Length of Stay, Length of Stay (LoS), Lessons and Challenges of Intermediate Care: Social Care Institute for Excellence (SCIE), Local Authority Facilities: Bed-Based Services, Local Sustainability and Transformation Plans (STPs), Local Variations, Maintaining Independence, Moving Healthcare Closer to Home, Multi-Disciplinary Case Management, Multi-Disciplinary Teams, Multi-Disciplinary Working, NHS Sustainability, Nursing Homes: Bed-Based Services, Other Bedbased Settings: Bed-Based Services, Partnership Working, Patient Flows, Policy Context and Models of Intermediate Care, Pooled Health and Social Care Budgets, Preventing Avoidable Emergency Admissions, Preventing Future Crises, Prevention, Prevention Agenda, Prevention and Wellbeing, Quality and Sustainability, Rapid Response Services: Intermediate Services, Re-ablement Services, Reablement, Reablement Services, Reablement: Stabilise and Make Safe (Trafford), Readmissions for Patients with Long Term Conditions, Recovery Rehabilitation and Reablement Services, Regaining Independence, Rehabilitation Services, Residential Care Homes: Bed-Based Services, Return on Investment, Services Maximising Independence, Services Reducing Use of Hospitals, Single Point of Access (SPA), Social Care Institute for Excellence (SCIE), Social Care Institute for Excellence (SCIE)’s SCIE Highlights No.1: Intermediate Care, Somerset Care, Somerset Care and Yeovil District Hospital: Cooksons Court, Somerset County Council, Stabilise and Make Safe (SAMS), Stabilise and Make Safe (Trafford), Standalone Intermediate Care Facilities: Bed-Based Services, Staying Independent, Supporting Health Wellbeing and Independence, Sustainability, Sustainability and Transformation Plans (STPs), Sustainable Care, Sustainable Health and Social Care, System Leadership, Theoretical Benefits of Intermediate Care, Tipping Point in Sustainability of Adult Social Care (Alleged), Trafford Council, Turning the Ship Around (Avoidance of NHS Unsustainability), Unacceptable Variations, Unwarranted Variations, Variations in Service, Waiting Times for Intermediate Care, Whole System Impact, Whole System Patient Flows, Whole System Performance, Whole-System Approaches, Year of Care Commissioning, Year of Care Funding Model, Yeovil District Hospital | Leave a comment

National Audit of Intermediate Care: NAIC 2014 (Year 3: Continuing Under-Provision) (NHS England / NHS Benchmarking Network)

Posted on December 19, 2014 by Dementia and Elderly Care News

Summary Professor John Young, National Clinical Director for Integration and Frail Elderly at NHS England has commented on the problem of continuing under-provision regarding intermediate care services. “The core function of intermediate care is in providing alternatives to hospital care, … Continue reading →

Posted in Commissioning, Community Care, 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 England, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Physiotherapy, Quick Insights, RCN, Royal College of Physicians, Standards, Statistics, UK, Universal Interest | Tagged 7 Day Services, AGILE, AGILE: Professional Network of the Chartered Society of Physiotherapy, Alternatives to Hospital Admission, Alternatives to Hospital Care, Association of Directors of Adult Social Services (ADASS), Bed Based Intermediate Care, Bed Based Intermediate Care Services: Workforce, Bed Based Services, Bed Occupancy, Bed-Based Intermediate Care Services, Bed/Home and Step Up/Down Provision, Benchmarking, Better Care Fund (BCF), BGS, British Geriatrics Society, British Geriatrics Society (BGS), Care Integration, Claire Holditch: Programme Director of NHS Benchmarking Network, College of Occupational Therapists, College of Occupational Therapists Specialist Section for Older People (COTSS-OP), Community Care Services, Community Hospitals, Community Unit Models, Community-Based Interventions, Community-Based Rehabilitation Services, Community-Based Services, Community-Based Support, COTSS-OP: College of Occupational Therapists Specialist Section for Older People, Crisis Home Treatment, Crisis Resolution and Home Treatment Team (CRHT), Crisis Response, Crisis Response Services, Crisis Support, Cynthia Murphy: Vice Chair at College of Occupational Therapists Specialist Section Older People, Delayed Discharges, Delayed Transfers of Care, Dependency Levels, Destination on Discharge, Discharge Destination, Discharge of Hospital Patients With Care and Support Needs, Discharge Planning, Dr Peter Carter (Chief Executive & General Secretary of Royal College of Nursing), Duration of Service (Home Based Services), Elderly Rehabilitation Services, Healthcare Quality Improvement Partnership (HQIP), Home Based Intermediate Care, Home Based Services, Hospital Discharge, Integrated and Community-Based Care, Integration, Intermediate Care, Intermediate Care Beds, Intermediate Care Capacity, Intermediate Care Geriatrician, Intermediate Care Teams, Julia Skelton: Director of Professional Operations at College of Occupational Therapists, Length of Stay, Length of Stay (LoS), Local Strategic Planning, Modified Barthel Index (MBI), Multi-Agency Integration, Multi-Disciplinary Team (MDT), NAIC 2014, National Audit of Intermediate Care, National Audit of Intermediate Care Report 2014, National Audit of Intermediate Care. Summary Report 2014, National Audit of Intermediate Care: Commissioner Report 2014, National Audit of Intermediate Care: NAIC 2014, National Audit of Intermediate Care: Provider Report 2014, NHS Benchmarking Network, Nursing Skill Mix, Occupational Therapists, Older People’s Specialists’ Forum, Partnership Working, Patient Flows, Patient Rated Experience Measures (PREMs), Patient Reported Experience Measure (PREM), Patient-reported Experience Measures (PREMs) Tool, Patients Association, Professor John Young, Professor John Young: Former National Clinical Director for Integration and Frail Elderly at NHS England, Professor Karen Middleton: Chief Executive at Chartered Society of Physiotherapy, RCP: Royal College of Physicians, Re-ablement Services, Re-admission Avoidance Scheme (RAS), Reablement, Reablement Services, Readmissions for Patients with Long Term Conditions, Recovery Rehabilitation and Reablement Services, Reference Costs, Rehabilitation Services, Royal College of Nursing (RCN), Royal College of Physicians (RCP), Royal College of Speech and Language Therapists (RCSLT), Services Maximising Independence, Services Reducing Use of Hospitals, Step Down, Step Up, Strategic Planning, Strategic Planning and Commissioning, Variation in Commissioning, Vulnerable Adults, Whole System Impact, Whole System Patient Flows, Whole System Performance, Whole-System Approaches | Leave a comment

Guidance for CCGs on Proactive Care Programme (NHS England)

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

Summary NHS England’s guidance for CCGs about avoiding unplanned admissions is available. This enhanced service to reduce avoidable unplanned admissions operates by improving services for vulnerable patients and persons with complex physical or mental health needs. Full Text Link Reference … Continue reading →

Posted in Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, Mental Health, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged 2014/15 Enhanced Service, Access to General Practice, Avoidable Admissions, Avoiding Unplanned Admissions Enhanced Service (ES), Care for Vulnerable Older People, CCGs, CCGs: Clinical Commissioning Groups, Clinical Commissioning Groups (CCGs), Commissioning Support Units (CSUs), Complex Needs, Emergency Admissions, Emergency Readmissions, Emergency Readmissions to Hospital, Everyone Counts, General Practice, GP Contracts, GPs, Guidance on Proactive Care Programme, High-Risk Patients, Hospital Admissions, Hospital-Avoidance Programmes, Improving General Practice, Long-Term Conditions (LTCs), NHS England Risk Stratification Guidance, Non-Elective Admissions, Out-of-Hours General Practice, Patient Targeting and Risk Stratification, Positive and Proactive Care, Preventable Hospital Admissions, Proactive Care, Proactive Care Programme, Readmissions, Readmissions for Patients with Long Term Conditions, Reducing Re-Admissions NHS Hospitals, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Risk Stratification, Risk Stratification for Case Finding, Risk Stratification Programmes, Unplanned Admissions, Unplanned Hospital Admissions, Vulnerable Older People | Leave a comment

Patient Empowerment (All Party Parliamentary Group)

Posted on May 19, 2014 by Dementia and Elderly Care News

Summary A recent All Party Parliamentary Group(s) report explains the benefits from the global patient empowerment movement. The aim is to promote a more active role for individuals in their own healthcare. Full Text Link Reference Patient empowerment: for better … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, Management of Condition, National, Patient Care Pathway, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Standards, Systematic Reviews, UK, Universal Interest, World Health Organization (WHO) | Tagged Active Engagement, All Party Health Group, All Party Parliamentary Group(s), APPG on Global Health, APPG on Global Tuberculosis, APPG on HIV/AIDS, APPG on Patient and Public Involvement in Health and Social Care, APPG on Population Development and Reproductive Health, Australia, Australian Commission on Safety and Quality of Healthcare, Avoidable Rehospitalisations, Bangladesh, Barriers to Engagement, Barriers to Involvement, Berkshire Healthcare NHS Foundation Trust, BEUC: The European Consumer Organization, Care Companion Programme (Narayana Hrudayalaya Hospital in India), Care Companion Project, Care Companion Project: India, Carer Satisfaction, Choice, Chronic and Severe Illness, Chronic Care, Co-Production, Cumbria Partnership NHS Foundation Trust, Danish Society for Patient Safety, Denmark, Department for International Development, DFID: Department for International Development, Economic Sustainability, Economics of Co-Production, Empowerment, Engagement, EPP: Expert Patients Programme, European Health Futures Forum, European Society for Quality in Healthcare, Evidence for Action, Expert Patient Programme, Fondazione Piero e Lucille Corti Onlus, General Practice and Primary Care: University of Glasgow, Glasgow, Global Context, Global Leadership, Global Outlook, Global Perspectives on Healthcare, Health Decision Sciences Centre at Massachusetts General Hospital, Health Literacy, Healthy Behaviours, HMP Grendon, Holistic Approaches, Holistic Quality Improvement, Improving Patient Safety, India, Informed Medical Decisions Foundation, Institute of Health and Wellbeing: University of Glasgow, International Alliance of Patients’ Organizations, INVOLVE: Public Involvement in Research, JAMA Internal Medicine, John D Stoeckle Centre for Primary Care Innovation: Massachusetts General Hospital, Just Ask, Just Ask Campaign: Denmark, Knowledge and Evaluation Research Unit: Mayo Clinic, Kwame Nkrumah University of Science and Technology, Liam Donaldson: WHO Envoy for Patient Safety, Littlefox Communications, Local Empowerment, Luke O’Shea: Head of Patient Participation at NHS England, Maikhanda Trust, Malawi, Mandate to NHS England, Marie Stopes International, Massachusetts General Hospital, Mayo Clinic, Mayo Clinic Center for the Science of Healthcare Delivery, MI: Motivational Interviewing, Narayana Health, National Coproduction Advisory Group, National Voices, Nepal, NHS Constitution, NHS Continuing Healthcare, NHS Expert Patient Programme (EPP), NHS Fife: One Size Fits One, NHS Mandate, Nigeria, Non-Involvement, Participatory Women’s Groups (Bangladesh India Malawi and Nepal), Partnering with Patients Families and Communities for Health, Partnerships With Patients and Consumers, Patient Choice, Patient Empowerment, Patient Empowerment Movement, Patient Engagement, Patient Engagement Strategies, Patient First Ambassadors (Australia), Patient Focus, Patient Handbook: A Patient’s Guide to a Safer Hospital Stay, Patient Held Records (Denmark and Malawi), Patient Involvement, Patient Involvement in Research, Patient Safety, Patient Satisfaction, Patients for Patient Safety Canada, Patients' Co-Ownership of Medical Records, PDA: Patient Decision Aid, Personal Health Budgets (PHBs), Preventable Hospital Admissions, Public Involvement in Research (INVOLVE), Quality and Sustainability, Readmissions for Patients with Long Term Conditions, Reducing Early Hospital Readmissions, Respectful Maternity Care (Nepal and Nigeria), RMC: Respectful Maternity Care, Scaling Up Shared Decision-Making (USA), Scotland, SDM: Shared Decision Making, Self Management of Chronic Disease, Self-Administration, Self-Care, Self-Determination, Self-Directed Services, Self-Directed Support, Self-Help, Self-Management in Chronic Illness, Service User Involvement, Sheffield-Gulu Mental Health Partnership, St Louis University School of Medicine, Stockholm Research Network: Patient Power, Strategies for Informing Educating and Involving Patients, Sustainability, Sustainable Health and Social Care, TASO: The AIDS Support Organisation, Telehealth and Self Care, Transparency, TrygFonden, Uganda, United Nations, University of Central Lancashire, University of Minnesota, US National Institutes of Health (NIH), User Involvement, White Ribbon Alliance, WHO Collaborating Centre for Mental Health, WHO Patient Safety Programme, World Health Organization, World Health Organization’s Patients for Patient Safety Programme, World Innovation Summit for Health (WISH) | Leave a comment

Audit of Intermediate Care Commissioning and Provision in England (NHS Benchmarking)

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

Summary The 2012 audit covered health-related bed and home intermediate care services. NHS Benchmarking’s “National Audit of Intermediate Care Report 2013” has been extended to cover crisis response and social care reablement services. “only 53% of home based services have … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Physiotherapy, Quick Insights, RCN, Royal College of Physicians, Standards, UK, Universal Interest | Tagged AGILE, Association of Directors of Adult Social Services (ADASS), Avoidable Rehospitalisations, BBC Health News, Bed Based Intermediate Care, Bed Based Services, Bed Occupancy, Bed-Based Intermediate Care Services, Bed/Home and Step Up/Down Provision, BGS, British Geriatrics Society, British Geriatrics Society (BGS), Care Integration, CCGs: Clinical Commissioning Groups, Clinical Commissioning Groups (CCGs), College of Occupational Therapists, College of Occupational Therapists Specialist Section for Older People (COTSS-OP), Commissioning Task, Community Care Services, Community Hospitals, Community Unit Models, Community-Based Interventions, Community-Based Rehabilitation Services, Community-Based Services, Community-Based Support, COTSS-OP: College of Occupational Therapists Specialist Section for Older People, Crisis Home Treatment, Crisis Resolution and Home Treatment Team (CRHT), Crisis Response, Crisis Support, Delayed Discharges, Delayed Transfers of Care, Discharge of Hospital Patients With Care and Support Needs, Discharge Planning, Duration of Service (Home Based Services), Elderly Rehabilitation Services, Emergency Admissions, Emergency Readmissions, Emergency Readmissions to Hospital, Failed Discharges, Frail Older People’s Board (FOPB), Halfway Home, Health and Social Care Integration, Health and Social Care Reform, Heart of England NHS Foundation Trust, Home Based Intermediate Care, Home Based Services, Hospital Discharge, Integrated and Community-Based Care, Integration, Intermediate Care, Intermediate Care and Reablement Services Bristol Community Health (BCH), Intermediate Care Capacity, Intermediate Care Geriatrician, Intermediate Care Teams, Length of Stay (LoS), Local Strategic Planning, Multi-Agency Integration, Multi-Disciplinary Team (MDT), NAIC 2013, National Audit of Intermediate Care Report 2013, NHS Benchmarking, NHS Benchmarking Network, Occupational Therapists, Older People’s Specialists’ Forum, Partnership Working, Patient Rated Experience Measures (PREMs), Patient-reported Experience Measures (PREMs) Tool, Patients Association, Re-ablement Activity, Re-admission Avoidance Scheme (RAS), Reablement, Reablement Services, Readmissions for Patients with Long Term Conditions, Rehabilitation Services, Royal College of Nursing (RCN), Royal College of Speech and Language Therapists (RCSLT), Single Point of Access (SPA), Social Care Reablement Services, Staffing (Intermediate Care), Step Down, Step Up, Strategic Planning, Strategic Planning and Commissioning, Variation in Commissioning, Vulnerable Adults, Whole System Impact, Whole System Performance, Whole Systems Approach, Whole-System Approaches | Leave a comment

Integrated Care for People with Complex Chronic Conditions: Research Summary (King’s Fund)

Posted on October 27, 2013 by Dementia and Elderly Care News

Summary This King’s Fund report summarises the findings from a 2-year research project (funded by Aetna and the Aetna Foundation) which involved looking at five UK-based programmes delivering coordinated care for people with long-term and complex needs. The aim has … Continue reading →

Posted in Commissioning, Community Care, End of Life Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, King's Fund, Management of Condition, Mental Health, Models of Dementia Care, National, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Standards, UK, Universal Interest, Wales | Tagged Advanced Practice Nurse (APN), Advice and Support, Aetna (US), Aetna Foundation, Alternatives to Hospital Admission, Assigned Accountability, Avoidable Admissions, Avoidable Rehospitalisations, Better Understanding of Dementia for Sandwell (BUDS), Bexley, Bexley Advanced Dementia Care At Home Project, BUDS: Better Understanding of Dementia for Sandwell, Burden on Caregivers, Care Closer to Home Project, Care Co-ordination, Care Coordinators, Care Integration, Care Pathway, Care Plan, Care Planning, Caregiver Distress, Caregiver Support, Carer Assessment, Carer Burden in Dementia, Carer Education, Carer Resilience, Carer Support, Case Finding, Chronic Conditions Nurse Practitioners (CCNPs), Clinical Nurse Specialists (CNS), Co-Production, Community Care, Community Mental Health Services, Community Mental Health Teams, Community Psychiatric Nurse (CPN), Community Resource Teams (CRTs), Community Resource Teams in Pembrokeshire, Community Support, Community Support Services, Community-Based End of Life Nurse, Community-Based Interventions, Community-Based Palliative Care Service, Community-Based Rehabilitation Services, Community-Based Services, Community-Based Support, Complex Care, Complex Chronic Conditions, Complex Needs, Continuing Care, Continuing Care Services in the Community, Coordinated Care, Core 10 (Assessment Tool), Core 10 and WEMWBS, Core-OM, Corenet Software, Cost Analysis, Cost Savings, Cost-Effectiveness, Costs, Counselling Services, Deaths in Usual Place of Residence (DiUPR), Dementia Liaison Services, Dementia Nurse Specialist, Dementia Specialist End of Life Nurse, Dementia Support Services, DiUPR: Deaths in Usual Place of Residence, Dying at Home, End of Life Care, End of Life Care Plans, End-of-Life Care at Home, EOL, Esteem Team: Sandwell, Experiences, Family Support, Functional Integration, Gold Standards Framework (GSF), GPs, Greenwich, Greenwich Advanced Dementia Service (GADS), Greenwich and Bexley, Hampshire, Health and Social Care Integration, Healthcare at Home, Holistic Approaches, Holistic Care Assessments, Holistic Co-ordinated Care, Home Support, Hospice at Home, Hospital at Home, Hywel Dda Health Board, IAPT Programme, IAPT: Improving Access to Psychological Therapies, Improving Access to Psychological Therapies (IAPT) Programme, Information and Advice Services, Integrated and Community-Based Care, Integrated Care Coordinators, Integrated Services, Integrated Services Across Local Authorities, Integration, Integration of Health and Social Care, Liaison Services, Liverpool Care Pathway (LCP), Liverpool Care Pathway for the Dying Patient (LCP), Living at Home, Local Partnerships, Long-Term Conditions (LTCs), Macmillan Cancer Support, MDTs: Multidisciplinary Teams, Mental Health Liaison Services, Metropolitan Borough of Sandwell, Midhurst Macmillan Service, Midhurst Macmillan Service Referral and Discharge, Multi-Disciplinary Working, Multidisciplinary Specialist Teams, Multidisciplinary Team Care, Multidisciplinary Teams, Multiple Referrals to a Single Entry Point, NHS Continuing Care, NHS Electronic Patient Records, NHS West Midlands, Oxleas Advanced Dementia Service, Oxleas NHS Foundation Trust, Oxleas Service Model, Palliative and End-of-Life Care at Home, Palliative Care, Partnership, Partnership and Collaboration, Partnership Working, Patient Experience, Patient Focus, Patient Involvement, Pembrokeshire County Council, Personalised Care Planning, Personalised Care Plans, Preferred Place of Death, Preventable Hospital Admissions, Primary Care, Projecting Older People Population Information, Psychiatric Liaison Services, QUALID: Quality of Life in Late Stage Dementia, Readmissions for Patients with Long Term Conditions, Reducing Admissions to Nursing Care, Reducing Admissions to Residential Care, Reducing Re-Admissions NHS Hospitals, Reducing Unscheduled Admissions, Referrals, Relationship Building, Relative Stress Scale (RSS), Resilience, Responsive Provider Networks, Sandwell and West Birmingham Clinical Commissioning Group, Sandwell Esteem Team, Sandwell Integrated Primary Care Mental Health and Wellbeing Service, Sandwell Wellbeing Hub, Sandwell: West Midlands, Service Integration, Social Services, Specialist Palliative Care, Split Care Assessment and Co-ordination Functions, Standardised Referral Form, Staying at Home, Staying Put, Stepped Care Approach, Stress Reduction, Stress Reduction for Unpaid Family Carers, Support for Carers, Support for People with Complex Needs, Support Networks, Support Workers, Supportive Care, Surrey, Sussex Community Trust, Team Culture, Team Working, Teams, Unplanned Hospital Admissions, User Experience, Volunteers, Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), West Midlands, West Sussex | Leave a comment

Oxleas Advanced Dementia Service (King’s Fund)

Posted on September 9, 2013 by Dementia and Elderly Care News

Summary The King’s Fund (funded by Aetna and the Aetna Foundation) is releasing a series of five case studies examining co-ordinated care for people with complex chronic conditions. New approaches to care co-ordination in primary care settings are investigated, across … Continue reading →

Transforming Health Care: Ten Priorities for Commissioners (King’s Fund)

Posted on April 9, 2013 by Dementia and Elderly Care News

Summary This paper outlines priorities for commissioners in the NHS, with a view to changes to the healthcare system from April 2013. “The ageing population and increased prevalence of chronic diseases require a strong re-orientation away from the current emphasis on acute and episodic care towards … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, King's Fund, Management of Condition, Mental Health, National, NHS, NHS England, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Age and Ageing, Ageing Population, Ambulatory Care-Sensitive Conditions (ACS), Ambulatory Care-Sensitive Conditions (ACSCs), Avoidable Admissions, Care and Support White Paper 2012, Care Management, Clinical Commissioning, Clinical Commissioning Groups (CCGs), Commissioning Task, Elective Admissions, Emergency Admissions, Emergency Care, Emergency Readmissions to Hospital, Emergency Services, EOL, Health and Social Care, Health and Social Care Act (2012), Health and Social Care Integration, Health Care Reform, High Quality Commissioning, Integrated Commissioning, Intermediate Care Teams, Long-Term Care (LTC), Long-Term Conditions, Long-Term Conditions (LTCs), Medication Errors, Mental Health and Wellbeing, NHS Reform, Outcome-Based Commissioning, Place of Death, Prescription Management, Preventable Hospital Admissions, Preventative Care, Prevention, Preventive Care, Primary Prevention, Priorities for Commissioners (King's Fund), Public Health Reform, Readmissions for Patients with Long Term Conditions, Secondary Prevention, Self-Care, Self-Management, Social Care Reform, Unplanned Hospital Admissions | Leave a comment

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