Tag Archives: Reconfiguration of Emergency Care System

Transformational Change in Health and Care: Learning From Case Studies (King’s Fund)

Posted on June 12, 2018 by Dementia and Elderly Care News

Summary A recent King’s Fund report explores diverse examples of successful transformational change, i.e. those which tend to focus on improving the lives of patients, to see if there are lessons for leadership style and organisational culture. Four case studies … Continue reading →

Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, King's Fund, Local Interest, Management of Condition, Mental Health, National, NHS, Person-Centred Care, Quick Insights, UK, Universal Interest | Tagged 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, Ageing Population, Birmingham (UK), Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham and Solihull NHS Mental Health Trust, Bromley by Bow Centre, Bromley by Bow Health Partnership, Bromley-by-Bow Healthy Living Centre in East London, Buurtzorg Model: Netherlands, Buurtzorg Nederland, Buurtzorg: Netherlands, Capability and Culture, Challenges of Urgent and Emergency Care, Change Bystanders, Change Leaders, Change Participants, Change Recipients, Change Sparks, Change Sponsors, Collaborative Leadership, Collaborative Working, Collective Leadership, Continuous Learning and Improvement, Continuous Learning Culture, Culture and Leadership, Culture Change, Culture Change in Health and Care, Culture Change in the NHS, Defining Ethos and Brand, Don Berwick: International Visiting Fellow at the King’s Fund, Dual Focus: Change and Stability, East London, Emergency and Urgent Care Services, Emergency Attendances, Emergency Care, Emergency Care Networks, Emergency Centres, High-Quality Home Care (Buurtzorg: Netherlands), Hospital Liaison Psychiatry Services, Information Technology, Innovative Technology, Involvement and Participation, Leadership and Culture, Leadership Style, Learning Culture, Learning-Based Approaches, Liaison Psychiatry, Liaison Psychiatry in the Hospital Setting, Liaison Psychiatry Services, Long Term Care in the Netherlands, Netherlands, New Care Models, Northumbria Healthcare NHS Foundation Trust, Northumbria Specialist Emergency Care Hospital, Over-Optimism (NHS Reform Versus Institutional Inertia), Overcoming Inertia, Potential of Technology, Power Dynamics: Old Power Versus New Power, Professor Don Berwick, Quality Improvement, Quality Improvement and Transformational Change, Rapid Access Ambulatory Care Clinics, Rapid Assessment Interface and Discharge (RAID), Reconfiguration of Emergency Care System, Reducing Complexity, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Storytelling Approaches (to Research), Systems Complexity, Team-Based Approaches, Theory X Versus Theory Y (Basic Motivational Models), Transformational Change in Health and Care, Transformational Leadership, Transforming Urgent and Emergency Care Services, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Widening Participation, Work Complexity | Leave a comment

Some Implications of Seven Day Hospital Services Explored (Nuffield Trust)

Posted on February 20, 2017 by Dementia and Elderly Care News

Summary The Nuffield Trust’s “London Quality Standards” report evaluates recently introduced standards to improve acute and emergency care in London hospitals. London-wide experiments with Seven Day Services Standards are soon to feature in STPs elsewhere in the UK. These standards … Continue reading →

Posted in Acute Hospitals, Charitable Bodies, Commissioning, 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, Nuffield Trust, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged 7 Day Hospital Services Self-Assessment Results (NHS England), Access to Urgent and Emergency Care, Acute Medical Units (AMUs), Barriers and Enablers to Implementation of LQS, Barriers to Engagement, Challenges of Reconfiguration, Clinical Engagement, Clinical Leadership, Costing Seven Day Services, Costs and Benefits of Seven-Day Services for Emergency Hospital Admissions, Disconnectedness Between Senior Level Staff and Clinicians, Disconnects in NHS Reform, Emergency Care, Employee Engagement, Hospital Reconfiguration, Local Sustainability and Transformation Plans (STPs), London Health Programmes (LHP), London Quality Standards, London Quality Standards (LQS), LQS Audit Process, NHS Service Reconfiguration, NHS Services Seven Days a Week, Out-of-Hours Urgent Care, Perceived Impact of Implementing the LQS in Hospitals, Perceived Strengths and Weaknesses of the LQS, Reconfiguration of Emergency Care System, Seven Day Care in England, Seven Day Services Standards, Seven-Day Consultant-Delivered Care, Seven-Day Hospital Services, Seven-Day Hospital Services Self-Assessment Results (NHS England), Seven-Day NHS Services, Seven-day Rounds and Supporting Services, Seven-Day Services for Emergency Hospital Admissions: Costs Versus Benefits, Seven-Day Services in Hospital, Seven-Day Working, Staff Engagement, Sustainability and Transformation Plans (STPs), Urgent and Emergency Care (UEC), Weekend Working, Workforce Issues, Workforce Issues (Feeling Undervalued) | Leave a comment

Health and Social Care Integration: a Tale of Over-Optimism? (NAO / BBC News)

Posted on February 19, 2017 by Dementia and Elderly Care News

Summary A recent National Audit Office (NAO) report warns that progress towards the integration of health and social care has been slower and less successful than expected. It has not yet delivered the efficiencies and savings that the Department of … Continue reading →

More on the NHS Culture of Openness: Lessons From Two Francis Inquiries (Department of Health)

Posted on February 13, 2015 by Dementia and Elderly Care News

Summary The Government has published a report explaining progress in the NHS since the Francis Inquiry report (February 2013) . It supports the full adoption, in principle, of Freedom to Speak Up review recommendations to protect whistleblowers who raise legitimate … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Acute Care, Acute Hospitals, Assessing Risk of Harm (Not Just Past Harm), Avoidable Harm, BBC Health News, Behaviours to Enable Whistleblowing, Berwick Review, Berwick Review of Patient Safety, Better Care for Older Patients With Dementia, Building Capability, Candour, Care Certificate, Cavendish Review, Centrally-Driven Proposals, Challenges of Reconfiguration, Character Assassination of Whistleblowers, Closed Ranks Culture (Mid Staffordshire Public Inquiry), Clwyd and Hart Review Into Hospital Complaints, Code of Conduct for Healthcare Support Workers, Commonwealth Fund, Compassion in Practice, Compassionate Care, Configuration of Services, Consequences of the Francis Inquiry Report, Culture Change, Culture Change in the NHS, Culture Change in the NHS: Lessons of Two Francis Inquiries, Culture of Compassionate Care, Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Dementia Care in Hospitals, Duty of Candour, EU Council’s Recommendations on Patient Safety and Health Care Associated Infections, Fit and Proper Persons Requirement for Directors, Francis Effect, Francis Inquiry, Francis Inquiry Report, Francis Report, Francis Report: Part of a Linked Set of Reports on Quality, Freedom and Responsibility to Speak Up (Francis Review Whistleblowing), Freedom to Speak Up Guardians, Freedom To Speak Up Review (Sir Robert Francis QC), Freedom to Speak Up? (Whistleblowing Review), Fundamental Standards, General Hospitals, General Medical Council (GMC), Government Response to Francis Inquiry Report, Harassment of Whistleblowers, Hard Truths, Health Education England Commission on Education and Training for Patient Safety, Health Education for Safety, Helene Donnelly OBE: Ambassador for Cultural Change at Staffordshire and Stoke on Trent Partnership NHS Trust, Honesty, Honesty and Transparency, Implications of the Francis Inquiry Report, Incident Reporting, Initiatives and Reviews into Quality of Hospital Care 2012/13, James Titcombe: National Advisor on Patient Safety and Culture & Quality at Care Quality Commission, Jane Cummings: Chief Nursing Officer for England, Keogh Mortality Review, Listening to Patients, Listening to Staff, Local Patient Safety Collaboratives, Medical Schools Council, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, Mid Staffordshire NHS Foundation Trust Public Inquiry, Mistreatment of Whistleblowers, MyNHS Website: Comparing Safety Data, National Patient Safety Alerting System (NPSAS), NHS Culture, NHS England National Patient Safety Alerting System, NHS Leadership Academy’s Executive Fast Track Programme, NHS Litigation Authority, NHS Managerial Self-Interest, NHS Reform, NHS Safe Staffing, NHS Trust Development Authority, NHS Trusts and Foundation Trusts in Special Measures: 18 Months On, Nurse Staffing Levels, Nursing and Midwifery Council (NMC), Nursing Standards, Open and Honest Incident Reporting, Open Culture, Openness, Openness and Transparency, Outcome Metrics, Overbearing NHS Managerial Style, Patient Safety, Patient Safety Collaboratives Programme, Patient Safety Improvement, Patient-Centred Leadership, Patients First and Foremost, Person-Centred Model of Care for Patients with Dementia, Preventing Poor Care, Professor Don Berwick, Professor Sir Mike Richards: Former Chief Inspector of Hospitals (CQC), Professor Sir Norman Williams: President of Royal College of Surgeons, Professor Steve Field: Former Chief Inspector of General Practice (CQC), Public Interest Disclosure (Prescribed Persons), Putting Patients First, Quality Improvement, Quality Standards, Quality: Above Money, Raising Concerns, Reactions to the Francis Inquiry Report, Reconfiguration of Emergency Care System, Repercussions From the Francis Inquiry Report, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Reporting Culture, Reporting Culture in the NHS, Review of NHS Complaints System, Safe Staffing, SAFE: Safety Action for England, Safety Action for England Team (SAFE), Safety and Quality Standards, Safety Metrics, Safety Surveillance, Salford Royal NHS Foundation Trust, Serious Incident Framework, Sign Up to Safety Campaign, Sir David Dalton: Chief Executive of Salford Royal NHS Foundation Trust, Sir Robert Francis QC, Speaking Up Charter, Special Measures, Staff Whistleblowing Rights, Staffing, Standards of Care, State of Care 2013/14 (CQC), Structures to Enable Whistleblowing, Surgical Never Events Task Force Reference Group, Systems to Support Whistleblowing, Technology Enhanced Learning, Transparency, Ward Staffing Levels, Whistleblowing, Whistleblowing Helpline, Whistleblowing in the NHS | Leave a comment

Watershed Changes in NHS Culture Since February 2013 (Department of Health)

Posted on February 11, 2015 by Dementia and Elderly Care News

Summary February 6th 2015 marked the second anniversary of publication of Sir Robert Francis’s Inquiry into Mid Staffordshire NHS Foundation Trust. Full Text Link Reference Francis two years on: What’s changed in the NHS? London: Department of Health, February 9th … Continue reading →

Posted in Acute Hospitals, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Acute Care, Acute Hospitals, Assessing Risk of Harm (Not Just Past Harm), BBC Health News, Berwick Review, Berwick Review of Patient Safety, Better Care for Older Patients With Dementia, Building Capability, Candour, Cavendish Review, Centrally-Driven Proposals, Challenges of Reconfiguration, Clwyd and Hart Review Into Hospital Complaints, Code of Conduct for Healthcare Support Workers, Compassion in Practice, Compassionate Care, Configuration of Services, Consequences of the Francis Inquiry Report, Culture of Compassionate Care, Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Dementia Care in Hospitals, Francis Effect, Francis Inquiry, Francis Inquiry Report, Francis Report, Francis Report: Part of a Linked Set of Reports on Quality, Freedom To Speak Up Review (Sir Robert Francis QC), Freedom to Speak Up? (Whistleblowing Review), Fundamental Standards, General Hospitals, Government Response to Francis Inquiry Report, Hard Truths, Initiatives and Reviews into Quality of Hospital Care 2012/13, Keogh Mortality Review, Listening to Patients, Listening to Staff, Mid Staffordshire NHS Foundation Trust, NHS Culture, NHS Reform, NHS Safe Staffing, Nurse Staffing Levels, Nursing Standards, Openness, Openness and Transparency, Outcome Metrics, Overbearing NHS Managerial Style, Patient Safety Improvement, Patient-Centred Leadership, Patients First and Foremost, Person-Centred Model of Care for Patients with Dementia, Quality Improvement, Quality Standards, Quality: Above Money, Raising Concerns, Reactions to the Francis Inquiry Report, Reconfiguration of Emergency Care System, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Review of NHS Complaints System, Safe Staffing, Safety and Quality Standards, Safety Metrics, Salford Royal NHS Foundation Trust, Sir Robert Francis QC, Staffing, Standards of Care, Transparency, Ward Staffing Levels | Leave a comment

NHS Model(s) of Care Essential for Ageing Population (NHS England / Guardian)

Posted on January 20, 2015 by Dementia and Elderly Care News

Summary Professor Sir Bruce Keogh, NHS England’s National Medical Director, has written about the NHS needing a revised model of care to meet rising demands for treatment from an ageing population. The existing model of delivery and service, involving an … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged A&E Four-Hour Wait Standard, Accident & Emergency, Accident and Emergency Departments, Acute Care, Acute Hospital Care, Affordability, Affordability of Care, Ageing, Ageing and Society, Ageing Population, Ageing Society, Avoidable Admissions, Avoidable Rehospitalisations, Care in Appropriate Settings, Care Integration, Challenges of Reconfiguration, Community-Based Care, Community-Based Services, Community-Based Support, Complex Care, Complex Chronic Conditions, Complex Needs, Configuration of Services, Constrained Funding, Cost Pressures in Hospitals, Cost Savings, Demographic Change and Public Services, Demographic Changes, Demographic Time-Bomb, Economic Sustainability, Emergency and Urgent Care Services, Emergency Bed Use, Emergency Care, Emergency Departments, Emergency Services, Enhanced Services from GPs, Factors Behind Increasing Emergency Admissions, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Financial Planning, Financial Position of NHS Trusts, Financial Pressure in the NHS, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Financing of Health Care, Five Year Forward View (NHS England), Frail Older People With Complex Needs, Funding Challenges, Funding Deficits, Funding of Care and Support, General Hospitals, GP Surgeries, Gridlock (Under-Capacity) in A&E Departments / Hospitals, Guardian, Health and Social Care, Health and Social Care Configuration, Health and Social Care Integration, Hospital Reconfiguration, Integrated and Community-Based Care, Integration of Health and Social Care, Medical Director of NHS England: Professor Sir Bruce Keogh, NHS England Five Year Forward View, NHS England's Five Year Forward View (2014), NHS Financial Leadership, NHS Funding, NHS Funding Gap, NHS Service Reconfiguration, NHS Spending, NHS Timebomb [sic], Out of Hours Services, Professor Sir Bruce Keogh, Reconfiguration of Emergency Care System, Sustainability, Sustainable Care, Sustainable Health and Care Services, The Current NHS Model is Outdated, Thinking Like a Patient and Acting Like a Taxpayer, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Upward Spending Pressures, Urgent and Emergency Care, Urgent and Emergency Services, Urgent Care Services Outside of Hospitals, Waiting Time Targets in the NHS in England, Winter Pressure Funding, Winter Pressures | Leave a comment

Better Care Fund: Questions and Assumptions? (BBC News / NAO)

Posted on November 12, 2014 by Dementia and Elderly Care News

Summary Questions have arisen about the scale of savings achievable from the £5.3bn Better Care Fund (BCF). The BCF aims to improve integration between NHS and social care. A National Audit Office (NAO) review of the assumptions behind the BCF … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, National Audit Office, NHS, NHS England, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest, Wolverhampton | Tagged Adult Mental Health Services, Aids and Adaptations, Association of Directors of Adult Social Services (ADASS), BBC Health News, BCF: Existing Funding But No New Money, BCF: Fund Accountability System Statement, BCF: Local Planning, BCF: Programme Governance, BCF: Risks to Acute Providers and Clinical Commissioning Groups, BCF: Risks to Local Authority Adult Social Care Services, BCF: September Fund, Better Care Exchange, Better Care Fund, Better Care Fund (BCF), Better Care Fund (BCF) Planning, Better Care Fund Implementation Support Programme, Better Care Fund Plans, Better Care Fund Timeline, Care in the Community, Care Planning, Care Planning (Community), Clinical Commissioning Groups (CCGs), Collaborative Care Planning, Commissioning Older People’s Mental Health Services, Community Care, Community Care Services, Community Rehabilitation, Community-Based Services, Continuity of Care, Data Sharing, DCLG: Department for Communities and Local Government, Delayed Transfers of Care, Department for Communities and Local Government, Discharge Planning, Early Referral System to Mental Health Services (Wolverhampton), Early Referral to Mental Health Services, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Readmissions, Emergency Readmissions to Hospital, End-User Experience, Financial Constraints, Financial Issues, Financial Pressures, Five Year Forward View (NHS England), Funding and Accountability for the BCF, Funding Transfer to Local Authorities, Health and Social Care in the Community, Health and Social Care Integration Fund, Health and Social Care Services, Health and Social Care: Integration Transformation Fund, Health and Wellbeing Boards, Health and Wellbeing Boards (HWBs), Home Adaptations, Housing Adaptations, Inappropriate Accident and Emergency Department Attendances, Independence, Independent Living, Individual Care Plans (Complex Needs), Information Sharing, Integrated and Community-Based Care, Integrated Care and Support, Integrated Care and Support: Our Shared Commitment, Integrated Care Pathway, Integrated Commissioning, Integrated Discharge Process, Integrated Home and Community Care Services, Integrated Services, Integration of Physical and Mental Health, Integration Transformation Fund, Joint Assessments, LGA: Local Government Association, Local Authorities, Local Government Association, Local Health and Wellbeing Boards, Local Planning, Mental Health, Multidisciplinary Care, Multidisciplinary Teams, Named Accountable Clinician, Named Care Coordinators, Named Case Managers, Named Contacts Providing Continuity, Named GPs, National Audit Office (NAO), NHS Funding, NHS Spending, Partnership and Collaboration, Partnership Working, Patient Experience, Personalised Care Plans, Planning for Better Care Fund, Polypharmacy, Post-Discharge Support, Predictive Modelling, Preventable Hospital Admissions, Preventative Care, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Primary Care Service Interventions, Primary Healthcare Provision, Professional Sharing, Public Accounts Committee, Reablement, Reablement Funding, Reablement Services, Reconfiguration of Emergency Care System, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Referral and Assessment, Rehabilitation, Self-Care, Service Transformation, Service User Experience, Seven-Day GP Access, Seven-Day Services in the Community, Seven-Day Working, Seven‑Day Working, Sharing Information, Social Care Reablement Services, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, User Experience, Value for Money, Whole System Integration, Whole Systems Approach, Wolverhampton Dementia Hub, Wolverhampton Mental Health / Dementia Hub | Leave a comment

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