Tag Archives: Reducing Expenditure

Potentially Ineffective / Low-Value Treatments in the NHS Under Review (BBC News)

Posted on July 3, 2018 by Dementia and Elderly Care News

Summary NHS England is actively considering proposals to discontinue or reduce the availability of 17 routine procedures considered to be either ineffective or risky. The aim is to improve patient outcomes, reduce waste in the NHS (by an estimated 200 … Continue reading →

A Growing Awareness of Lifestyle Risk Factors and Preventative Healthcare (BBC News / NHS Digital / Health Foundation)

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

Summary Awareness of lifestyle risk factors and evidence-based preventative lifestyle interventions may soon have a greater influence in medical education. “The health landscape of the UK has dramatically changed over the last 30 or 40 years and I think the … 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), Health Foundation, In the News, Integrated Care, National, NHS, Non-Pharmacological Treatments, Nutrition, Person-Centred Care, Quick Insights, Statistics, UK, Universal Interest | Tagged Adult Diet, Adult Obesity: Prevalence, Airedale, Alcohol-Style Guidelines for Sleep and Rest, Anti-Obesogenic Environments, Basic Cookery Skills (Healthy Eating), BBC Health News, BBC One: The Truth About Obesity, BBC Radio 4, BBC Radio 4’s Food Programme, BBC’s BMI Calculator, BDA: British Dental Association, Behavioural Insights Team, Behavioural Risk Factors, Betting Shops, Body Clock, Bookmakers, Brighton and Sussex Medical School, Britain's Fat Fight (BBC One), British Dental Association: BDA, British Journal of Cancer, Cancer Attributable to Modifiable Risk Factors, Cancer Research UK, Cancer Risk Factors, Cancer Risk From Red and Processed Meats, Castleford Tigers, Centre for Cancer Prevention: Queen Mary University of London, Centre for Public Health: Queen's University Belfast, Childhood Diet, Childhood Obesity, Childhood Obesity Strategy, Childhood Obesity: Prevalence by Level of Deprivation, Councillor Jacquie Speight: Wakefield Council, Department of Primary Care and Public Health: Brighton and Sussex Medical School, Deprivation, Determinants of Health, Diabetes Epidemic, Diabetes Prevention, Diabetes Prevention Services, Diet, Diet and Exercise, Diet-Related Ill Health, Diet: Free Sugars and Saturated Fats Consumption, Diet: Oily Fish and Red / Processed Meat Consumption, Dietary Behaviour, Dietary Factors, Dietary Interventions, Dietary Risk Factors, Dieticians, Eastmoor, Eastmoor Community Garden (Wakefield), Epidemiology, Epidemiology and Statistics, Faculty of Dental Surgery, Fast Food Outlets, Financial Sustainability in the NHS, Fitzwilliam, Food Programme (BBC Radio 4), Fruit and Vegetable Consumption, Greenhill Primary School (Wakefield), Healthy Ageing, Healthy Behaviours, Healthy Communities, Healthy Eating, Healthy Lifestyles, Healthy Lives Strategy (Health Foundation), Healthy Sleeping, Improving Local Public Health, Institute for Public Policy Research (ippr), Integrated Prevention Approaches, Journal of Public Health, Kent County Council, Kinsley, Kinsley and Fitzwilliam Community Centre, Local Authority Commissioned Public Health Preventative Interventions (UK), Medical Education and Training, Mood Disorders and Disruptions to Body Clock, National Cancer Registration and Analysis Service: Public Health England, National Childhood Obesity Strategy, National Guidance on Daily Recommended Hours of Sleep for Different Age Groups, NHS Diabetes Prevention Programme, NHS Digital, NHS Digital (Formerly the Health and Social Care Information Centre), NHS National Services Scotland: Information Services Division, Nordic Walking, Northern Ireland Cancer Registry: Queens University Belfast, NutriNet-Santé, Nutrition and Exercise, Nutritional and Metabolic Disorders, Obesity, Obesity - Burden of Ill-Health Links, Obesity and Diabetes, Obesity Epidemic, Obesity in the UK, Obesity is the New Smoking, Obesity Risk Factor, Obesity-Related Hospital Admissions, Payday Lenders, Physical Activity, Policy and Information Directorate: Cancer Research UK, Poor Diets, Prescription Items for Treatment of Obesity, Prevention, Prevention Agenda, Prevention Approaches, Problem Gambling, Processed Foods, Professor Jonathan Valabhji: National Clinical Director for Diabetes and Obesity at NHS England, Professor Louis Levy: Head of Nutrition Science at Public Health England, Professor Russell Viner: President of Royal College of Paediatrics and Child Health, Protected Sleep Time for NHS Hospital Patients, Public Health Department: Kent County Council, Public Health England, Public Health Preventative Interventions, Public Health Wales, Queen Mary University of London, Queen's University Belfast, Reducing Expenditure, Reducing Health Inequalities, Richter Scale of Health (RSPH), Risk Factors, Royal College of Paediatrics and Child Health (RCPCH), Sleep Hygiene, Social Determinants of Health, Social Determinants of Health Inequalities, Social Epidemiology, Soft Drinks Industry Levy, Soft Drinks Industry Levy (aka the Sugar Tax), Solariums, Statistics on Obesity Physical Activity and Diet (England), Subsidies Taxes and Prices, Sugar Tax, Sugar-Free Schools, Tax on Unhealthy Food (Proposed), The Royal Society for Public Health (RSPH), Three Area Project (TAP), Type 2 Diabetes, Type 2 Diabetes in Children, UK's Unhealthiest High Streets, UK's Unhealthiest High Streets: Blackpool, UK's Unhealthiest High Streets: Grimsby, UK's Unhealthiest High Streets: Walsall, Ultra-Processed Foods, Ultra-Processed Foods and Premature Mortality: SUN Study, Ultra-Processed Foods: Potential Cancer Risk, Under-Reporting and Apparent Fall in Calorie Intake, Unhealthy High Streets, Wakefield, Wakefield Council, Wakefield TAP (Three Area) Project, Welsh Cancer Intelligence and Surveillance Unit, Wolfson Institute of Preventive Medicine: Queen Mary University of London | Leave a comment

NHS England’s Pharmacy Integration Fund (NHS England / BBC News)

Posted on March 18, 2018 by Dementia and Elderly Care News

Summary Care home residents often have multiple long-term conditions and are often prescribed several different medicines (polypharmacy). NHS England plans to fund recruitment of 180 pharmacists and 60 pharmacy technicians who will work with care homes to try to reduce … Continue reading →

Posted in BBC News, Commissioning, Community Care, Falls Prevention, 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, Models of Dementia Care, National, NHS, NHS England, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Achieving Better Value, Ageing Population, Alternatives to Hospital Admission, BBC Health News, Better Value, Better Value Healthcare, Better Value in the NHS, Care and Support for People With Dementia in Care Homes, Care Home Pharmacists, Care Home Pharmacists to Cut Overmedication, Care Homes, Care of Frail Older People With Complex Needs, Care of Older People Living in Care Homes, Clinical Pharmacists, Community Pharmacists, Community-Based Interventions, Community-Based Services, Community-Based Support, Confusion in Care Homes, Dementia Care in Care Homes, Discontinuation of Multiple Medications in Older Adults, Drug Cost Savings, East and North Hertfordshire NHS Trust, Economic Sustainability, English Pharmacy Board, Financial Constraints, Financial Sustainability in the NHS, Frail Older People, Good Practice in Care Homes, Harms of Too Much Medicine, Hospital Pharmacists, Hospital‑Based Multidisciplinary Teams: Pharmacists, Imelda Redmond: Healthwatch England, Improving Care for Frail Older People, Improving Patient Safety, Improving Pharmaceutical Care in Care Homes, Improving Prescribing Practice, Improving Standards in Care Homes, Inappropriate Drug Use, Inappropriate Medication, Inappropriate Prescribing, Integrated Care in Northumberland, Interdisciplinary Teams, Later Life, Less is More, Liaison and In-Reach Services for Frail Older People, Living Well in Care Homes, Long-Term Conditions (LTCs), Lowering Costs, Managing Medicines in Care Homes, MDTs: Multidisciplinary Teams, Medical Overuse, Medication Reviews, Medication Reviews in Care Homes, Models of Enhanced Health in Care Homes, Multi-Disciplinary Team (MDT), Multi-Disciplinary Teams, Multi-Disciplinary Working, Multi-Morbidities, Multimorbidities and Long-Term Conditions, Multiple Long-Term Conditions, Multiple Medications (Polypharmacy), NHS East and North Hertfordshire CCG, NHS England Local Area Teams: Frail Older People With Complex Needs, NHS England Pharmacy Integration Fund, Northumberland, Older Care Home Residents, Older People, Older People With Complex Needs, Older People's Care, Oral Nutritional Support, Over-Medication, Over-Prescribing, Over-Treatment, Overdiagnosis and Overtreatment, Overmedicaton in Care Homes, Overprescription, Overuse of Medication, Patient Harms, Patient Safety, Patients With Polypharmacy Risks, Pharmacist-Led Care Home Medication Reviews, Pharmacist-Led Medication Reviews, Pharmacists, Pharmacists to Cut Unnecessary Hospital Admissions, Pharmacy Integration Fund (NHS England), Pharmacy Technicians, Polypharmacy, Potentially Inappropriate Prescribing, Preventable Hospital Admissions, Preventative Care, Preventing Acute Admissions from Care Homes, Prevention, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Preventive Care, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Proactive Specialist In-Reach, Protecting Resources and Promoting Value, Redesigning Services, Reducing Expenditure, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Unplanned Hospital Admissions, Reducing Waste in the NHS, Reducing Wasted Medications, Research in Care Homes, Sandra Gidley: Chair of Royal Pharmaceutical Society’s English Pharmacy Board, Simon Stevens: Chief Executive of NHS England, Thinking Like a Patient and Acting Like a Taxpayer, Transforming Care for Frail Older People, Unnecessary Hospital Admissions, Value for Money, Value Improvement, Wellbeing in Care Homes | Leave a comment

Questioning the Disproportionate Flood of Publications Praising the Benefits of Early Detection: Too Much of a Good Thing? (BMJ)

Posted on May 10, 2017 by Dementia and Elderly Care News

Summary A brief Norwegian review has highlighted an unbalanced surge in publications about the benefits of the earlier detection of diseases (which are typically taken unquestioningly as a “given”). The authors allege that articles discussing the benefits of early detection … Continue reading →

Posted in Acute Hospitals, Community Care, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, International, Person-Centred Care, Quick Insights, Statistics, Universal Interest | Tagged Benefits of Early Detection, BMJ, BMJ Publishing Group Ltd, Department of Health Sciences in Gjøvik: Norwegian University of Science and Technology, Department of Public Health and Nursing: Norwegian University of Science and Technology, Early Detection of Disease, Early Diagnosis, Early Screening, General Health Checks in Adults, Harms From Overdiagnosis, Harms of Too Much Medicine, Health Screening Programmes, Improving Patient Safety, Improving Value in Diagnostic Services, Incentivised GP Health Checks, Lean and Quality Improvement, Less is More, Lowering Costs, Medical and Surgical Overtreatment, Medical Overuse, Medicalisation, Medicalising Unhappiness, Norway, Norwegian University of Science and Technology, Over-Diagnosis, Over-Medicalisation (Speculative Concept), Over-Treatment, Overdiagnosis and Overtreatment, Overuse of Diagnostic or Monitoring Tests / Procedures, Overuse of Medication, Patient Harms, Patient Safety, Protecting Resources and Promoting Value, Reducing Expenditure, Reducing Productive Waste, Screening, Screening Populations, Screening Programmes, Screening Tests, Timely Diagnosis, Too Much Medicine, Unnecessary Tests | Leave a comment

Choosing Wisely: A New Review of Overdiagnosis and Overtreatment (BBC News / Academy of Medical Royal Colleges / BMJ)

Posted on October 24, 2016 by Dementia and Elderly Care News

Summary Continuing the debate concerning avoidable overuse in medical care, the Academy of Medical Royal Colleges has drawn-up a list of forty treatments which are thought to confer little or no benefit to patients. Full Text Link Reference Doctors name … Continue reading →

Posted in BBC News, Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Academy of Medical Royal Colleges (AoMRC), Achieving Better Value, Approaches to Quantifying Overdiagnosis, BBC Health News, Better Value, Better Value Healthcare, Better Value in the NHS, BMJ Publishing Group Ltd, British Medical Journal (BMJ), Broadening of Disease Definitions, Choosing Wisely, Choosing Wisely Campaign, Choosing Wisely in the NHS, CIPFA, Clinical Responsibility for Patients (Choosing Wisely and New Deal), Department of Medicine and Center for Health Policy and Outcomes: Memorial Sloan Kettering Cancer Cente, Division of General Internal Medicine: Icahn School of Medicine at Mount Sinai, Drivers of Overdiagnosis, Estimated Proportions of Cancers Representing Likely Overdiagnosis, False Positives, Financial Incentives for Screening and Testing, Financial Sustainability in the NHS, Forty Treatments With Little or No Benefit For Patients (Academy of Medical Royal Colleges), Great Prostate Mistake, Great Prostate Mistake (PSA sic Promoting Stress and Anxiety), Harms From Overdiagnosis, Harms of Too Much Medicine, Health Screening Programmes, Icahn School of Medicine at Mount Sinai (New York), Improving Patient Safety, Improving Prescribing Practice, Improving Value in Diagnostic Services, Labeling, Labeling of Patients, Lack of Clarity Regarding Disease Severity Spectrum, Lean and Quality Improvement, Less is More, Lowering Costs, Lowering of Diagnostic Thresholds, Medical Overuse, Memorial Sloan-Kettering Cancer Center: New York, Overdiagnosis and Overtreatment, Overdiagnosis in Context of Benefits and Harms of Prostate Cancer Screening, Overdiagnosis in Primary Care, Overestimation of Benefit of Therapy in Mild or Low Risk Disease, Overmedicalization, Overuse of Diagnostic or Monitoring Tests / Procedures, Overuse of Medication, Patient Harms, Patient Safety, Prostate Cancer Screening, Protecting Resources and Promoting Value, Quantifying Overdiagnosis, Reducing Expenditure, Reducing Inappropriate Laboratory Investigations, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Productive Waste, Reducing Waste in the NHS, Screening and Overdiagnosis in Primary Care, Screening Programmes, Screening Tests, Terms Related to Overdiagnosis, Too Much Medicine, Unnecessary Tests, Value for Money, Value Improvement, Valueing Diagnosis for Own Sake | Leave a comment

More on the Avoidable Costs of Lifestyle Risk Factors (BBC News / PHE / Lancet)

Posted on September 26, 2016 by Dementia and Elderly Care News

Summary Public Health England (PHE) has estimated that health problems associated with unhealthy lifestyle practices – such as poor diet, obesity, physical inactivity, drinking and smoking – cost the NHS in England approximately £11 billion per year. A new approach … Continue reading →

Posted in BBC News, Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Local Interest, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Public Health England, Quick Insights, Statistics, UK, Universal Interest | Tagged 2016 Local Health Profiles, Access to Green Spaces, Access to Rural Green Spaces, Access to Urban Green Spaces, Adult Obesity and Type 2 Diabetes, Ageing and Society, Ageing Population, Allotment and Gardening Projects, Anti-Obesogenic Environments, Basic Cookery Skills (Healthy Eating), BBC Health News, Behavioural Risk Factors, Chris Askew: Chief Executive of Diabetes UK, Chronic Bronchitis, Commissioning for Maximum Value, Commissioning for Outcomes, Commissioning for Value, Dementia and Age-Friendly Neighbourhoods, Dementia Friendly Outdoor and Public Environments, Dementia Garden (Fleetwood), Dementia-Friendly Cities, Dementia-Friendly Communities, Dementia-Friendly Community Model, Dementia-Friendly Design, Dementia-Friendly Environmental Design, Dementia-Friendly Environments, Deprived Communities, Determinants of Health, Diabetes Epidemic, Diabetes Prevention, Diabetes Prevention Services, Dr Mark Spencer: Mount View Practice (Healthier Fleetwood Project), Dr Rebecca Wagstaff: PHE, Exercise, Exercise Regimens, Fast Food, Fast Food Consumption, Fast Food Outlets, Fast-Food-Free Zones, Fast-Food-Free Zones (Around Schools), Financial Sustainability in the NHS, Fleetwood, Fleetwood Town Football Club, Garden Areas, Gardening, Gardens and Health, Green Spaces, Health and Housing, Health Benefits of Green Space, Health Inequalities, Health Inequalities in England, Healthier Fleetwood (Case Study), Healthier Fleetwood Project, Healthy Ageing, Healthy Behaviours, Healthy Communities, Healthy Eating, Healthy Lifestyles, Healthy Living, Healthy New Towns, Healthy New Towns Programme, Healthy Weight, Improving Access to Green Spaces, Improving Local Public Health, Integrated Prevention Approaches, Lancashire, Lifestyle, Lifestyle Intervention Programmes, Lifestyle Risk Factors, Lifestyle Weight Management, Local Action on Reducing Health Inequalities, Local Green Spaces, Local Health and Wellbeing, Local Health: Public Health England, Local Public Health, Local Public Health Services, Maintaining Healthy Weight and Preventing Excess Weight Gain Among Children and Adults, Manifesto for a Healthy and Health-Creating Society (Lancet), Obesity, Obesity - Burden of Ill-Health Links, Obesity and Diabetes, Obesity Epidemic, Obesity in the UK, Obesity is the New Smoking, Obesity Risk Factor, Obesogenic Environments, Office of National Statistics (ONS), Parks and Gardens, PHE: Public Health England, Physical Activity, Physical Activity and the Environment, Physical Activity Prescriptions, Physical Exercise, Prevalence of Type 2 Diabetes, Preventing and Managing Demand, Prevention, Prevention Agenda, Prevention Agenda Linking Dementia and Other Non-Communicable Diseases, Prevention Approaches, Professor Jonathan Valabhji: National Clinical Director for Obesity and Diabetes at NHS England, Protecting Resources and Promoting Value, Public Health, Public Health England (PHE), Redesigning Local Healthcare Systems, Reducing Demand (Treatment and Recovery), Reducing Downstream Spending (Prevention Public Health and Self-Care), Reducing Expenditure, Reducing Health Inequalities, Risk Factors, Smoking-Related Bronchitis, Social Determinants of Health (SDH), Social Determinants of Health Inequalities, Social Epidemiology, Social Prescribing, Social Wellbeing, Societal Determinants of Health, Socio-Economic Deprivation, Tithebarn (Lancashire), Type 2 Diabetes, Type 2 Diabetes: Prevention, Wasted Resources, Weight Management, Wellbeing, Willow Garden Project, Willow Garden Project (Fleetwood), Y-Active Project, York Health Economics Consortium | Leave a comment

Update on Overuse: Further Information on the Potential Costs and Risks of Over-Diagnosis and Over-Treatment (JAMA Internal Medicine)

Posted on September 21, 2016 by Dementia and Elderly Care News

Summary An updated systematic review indicates a growing awareness and debate concerning overuse of medical care. The literature on a broadly Too Much Medicine and / or a Less is More theme has grown rapidly, whereby reviewers found 821 relevant … Continue reading →

Posted in Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, International, Person-Centred Care, Quick Insights, Standards, Statistics, Universal Interest | Tagged Center for Disease Dynamics Economics and Policy (Washington USA), Commissioning for Maximum Value, Department of Epidemiology and Public Health: University of Maryland School of Medicine, Department of Hospital Epidemiology: Veterans Affairs Maryland Health Care System, Department of Medicine: Johns Hopkins University School of Medicine, Department of Medicine: Memorial Sloan Kettering Cancer Center, Department of Veterans Affairs (Connecticut USA), Financial Sustainability in the NHS, Harms of Too Much Medicine, Improving Patient Safety, Improving Prescribing Practice, Improving Value in Diagnostic Services, JAMA Internal Medicine, Johns Hopkins University School of Medicine, Lean and Quality Improvement, Less is More, Lowering Costs, Medical Overuse, Memorial Sloan-Kettering Cancer Center: New York, Overuse of Diagnostic or Monitoring Tests / Procedures, Overuse of Medication, Patient Harms, Patient Safety, Protecting Resources and Promoting Value, Reducing Expenditure, Reducing Inappropriate Laboratory Investigations, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Productive Waste, Reducing Waste in the NHS, Robert Wood Johnson Foundation Clinical Scholars Program: Yale University School of Medicine, Too Much Medicine, University of Maryland School of Medicine, Unnecessary Tests, Value for Money, Value Improvement, Veterans Affairs Maryland Health Care System (Baltimore), Wasted Resources, Yale University School of Medicine | Leave a comment

Tag Archives: Reducing Expenditure

Potentially Ineffective / Low-Value Treatments in the NHS Under Review (BBC News)

Questioning the Disproportionate Flood of Publications Praising the Benefits of Early Detection: Too Much of a Good Thing? (BMJ)

Update on Overuse: Further Information on the Potential Costs and Risks of Over-Diagnosis and Over-Treatment (JAMA Internal Medicine)

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