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Recent Posts
- Dementia-Friendly Communities Provision, Viewed as a Social Determinant of Health (JGCR / NHS England / WHO)
- International Perspectives on the Possible Impact of the COVID-19 Pandemic and Lockdown on Abuse of the Elderly (JGCR / American Journal of Geriatric Psychiatry / JAGS)
- Updates Relating to the Lancet Commission on Dementia Prevention, Intervention, and Care (Lancet / Alzheimer’s Research and Therapy / Alzheimer’s and Dementia)
- A Brief Review of How the COVID-19 Pandemic Relates to Elderly Care and Research (JGCR)
- Some Speculated / Potential Benefits of COVID-19 (JGCR / BBC Radio 4’s Rethink / BGS)
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Tag Archives: Reducing Expenditure
Potentially Ineffective / Low-Value Treatments in the NHS Under Review (BBC 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
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, National, NHS, NHS England, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
Tagged Academy of Medical Royal Colleges (AoMRC), Achieving Better Value, BBC Health News, BBC Radio 4's Today Programme, BBC Radio 4: Today Programme, Better Value, Better Value Healthcare, Better Value in the NHS, Choosing Wisely, Dr Graham Jackson: Co-Chair of NHS Clinical Commissioners, Economic Sustainability, Improving Patient Safety, Improving Prescribing Practice, Ineffective or Risky Interventions, Lean and Quality Improvement, Less is More, Low Value Prescription Items, Low-Value Care, Low-Value Elective Procedures, Low-Value General Surgical Procedures, Low-Value Medicines, Lowering Costs, Medical Overuse, NHS Funding and Rationing, NHS Sustainability, Overdiagnosis and Overtreatment, Overuse of Medication, Patient Harms, Patient Safety, Potentially Ineffective / Low-Value Treatments Consultation: Breast Reduction, Potentially Ineffective / Low-Value Treatments Consultation: Carpal Tunnel Syndrome Release, Potentially Ineffective / Low-Value Treatments Consultation: Chalazia (Lesions on Eyelids) Removal, Potentially Ineffective / Low-Value Treatments Consultation: Dilatation and Curettage for Heavy Menstrual Bleeding, Potentially Ineffective / Low-Value Treatments Consultation: Dupuytren's Contracture Release for Tightening of Fingers, Potentially Ineffective / Low-Value Treatments Consultation: Ganglion Excision: Removal of Noncancerous Lumps on the Wrist or Hand, Potentially Ineffective / Low-Value Treatments Consultation: Grommets for Glue Ear, Potentially Ineffective / Low-Value Treatments Consultation: Haemorrhoid Surgery, Potentially Ineffective / Low-Value Treatments Consultation: Hysterectomy for Heavy Menstrual Bleeding, Potentially Ineffective / Low-Value Treatments Consultation: Injections for Non-Specific Back Pain, Potentially Ineffective / Low-Value Treatments Consultation: Knee Arthroscopy for Osteoarthritis, Potentially Ineffective / Low-Value Treatments Consultation: Removal of Benign Skin Lesions, Potentially Ineffective / Low-Value Treatments Consultation: Removal of Bone Spurs for Shoulder Pain, Potentially Ineffective / Low-Value Treatments Consultation: Surgery for Snoring, Potentially Ineffective / Low-Value Treatments Consultation: Tonsillectomy for Sore Throats, Potentially Ineffective / Low-Value Treatments Consultation: Trigger Finger Release, Potentially Ineffective / Low-Value Treatments Consultation: Varicose Vein Surgery, Professor Carrie MacEwen: Chair of the Academy of Medical Royal Colleges (AoMRC), Professor Stephen Powis: NHS England's National Medical Director, Protecting Resources and Promoting Value, Rationing (Possibly Misplaced Allegation), Reducing Expenditure, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Productive Waste, Reducing Waste in the NHS, Sustainability, Targeting Low-Value Care, Value for Money, Value Improvement
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NHS England’s Pharmacy Integration Fund (NHS England / BBC 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
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Questioning the Disproportionate Flood of Publications Praising the Benefits of Early Detection: Too Much of a Good Thing? (BMJ)
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
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Update on Overuse: Further Information on the Potential Costs and Risks of Over-Diagnosis and Over-Treatment (JAMA Internal Medicine)
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
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