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Tag Archives: Reducing Unscheduled Admissions
More Questions About NHS Sustainability and Service Quality: A Further Round in the Debate (BBC News / King’s Fund / BMA / RCEM / NHS Digital / Department of Health / NHS England / NHS Confederation)
Summary Professor Ted Baker, the new Chief Inspector of Hospitals for the Care Quality Commission (CQC) has voiced concerns about unsuitable antiquated models of care in the NHS (due to a historic 15-20 year mis-direction of funding), growing pressures for … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, CQC: Care Quality Commission, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, King's Fund, Local Interest, National, NHS, NHS Confederation, NHS England, Quick Insights, RCN, Royal Wolverhampton NHS Trust, Standards, UK, Universal Interest
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Tagged A&E, A&E Waiting Times and Activity, Access to Urgent and Emergency Care, Accident and Emergency Doctors, Acute Bed Capacity, Acute Care, Acute Care Collaboration, Acute Care Services, Acute Hospital Care, Acute Medical Care for Frail Older People, Acute Medical Care of Elderly People, Acute Medicine Units (AMUs), Ageing Population, Ambulance Handovers, Ambulance Handovers (Improving Patient Flow in Urgent and Emergency Care), Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Barking Havering and Redbridge University Hospitals NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), BBC Health News, Bed Occupancy, British Medical Association (BMA), Care Quality Commission (CQC), Chelsea and Westminster Hospitals NHS Foundation Trusts: Preparations Ahead of Winter 2017/8 (Extra Funding), Chris Hopson: Chief Executive of NHS Providers, Collaborative Provider Arrangements, David Behan: Chief Executive of Care Quality Commission, Demand Management, Dr Chaand Nagpaul: British Medical Association, Dr Taj Hassan: President of Royal College of Emergency Medicine, Economic Sustainability, Emergency and Urgent Care Services, Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Medicine and Urgent Care, Emergency Services, Evolving Demand, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Financial Sustainability in the NHS, Finished Admission Episodes (FAEs), Finished Consultant Episodes (FCEs), Flow Within Hospitals, Four-Hour A&E Waiting Time Target, Frailty, Frailty (Improving Patient Flow in Urgent and Emergency Care), Funding, Future Sustainability of NHS Trust, Hampshire Hospitals NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Homerton University Hospital NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Hospital Admitted Patient Care Activity (2016-17), Hospital Admitted Patient Care Activity: 2016-17 (NHS Digital), Hospital Bed Capacity, Hospital Beds, Hull and East Yorkshire Hospitals NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Humanitarian Crisis in NHS Hospitals and Ambulance Services (Allegation), Improving Patient Flow, Integrated Urent Care Comissioning Standards, Integrated Urgent Care Clinical Assessment Service (IUC CAS), Integrated Urgent Care Delivery Team, Integrated Urgent Care Service Specification, Integrated Urgent Care Services, Integrated Urgent Care Services in Wolverhampton, Integrated Urgent Care Services: National Service Specification, Intermediate Care, Intermediate Care Capacity, Isle of Wight NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Lobbying, Local Sustainability and Transformation Plans (STPs), London Ambulance Service NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), London North West Healthcare NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Medway NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), National Clinical Assessment Service (NCAS), National Service Specification for Integrated Urgent Care Services, New Care Models, New Models of Care, New Models of Service, NHS Confederation: NHS on the Brink (2017 Allegation), NHS Digital, NHS Digital (Formerly the Health and Social Care Information Centre), NHS Future Precarious (CQC Allegation), NHS Hospital Bed Numbers, NHS Providers, NHS Sustainability, North Manchester General Hospital: Preparations Ahead of Winter 2017/8 (Extra Funding), Northern Lincolnshire and Goole NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Parliamentarians, Patient Flows, Pennine Acute Hospitals NHS Trust (Fairfield General Hospital): Preparations Ahead of Winter 2017/8 (Extra Funding), Pennine Acute Hospitals NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Philip Dunne: Minister of State for Health, Preparations Ahead of Winter 2017/8 (Extra Funding), Preparations for Winter, Professor Ted Baker: Chief Inspector of Hospitals at Care Quality Commission (CQC), Provider Sustainability, Quality and Sustainability, rcem, Reducing Reliance on Hospital Care, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Royal College of Emergency Medicine (RCEM), Royal Hampshire County Hospital: Winchester: Preparations Ahead of Winter 2017/8 (Extra Funding), Royal Liverpool and Broadgreen University Hospitals NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Royal Wolverhampton NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Safety and Quality of Emergency Care (Letter From Ted Baker to NHS Trusts), South Tyneside NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), St George’s University Hospitals NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), STP Proposals to Reduce Bed Numbers, Sustainability, Sustainability and Transformation Plans (STPs), Sustainable Funding, Thinking Like a Patient and Acting Like a Taxpayer, University Hospitals Bristol NHS Foundation Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), University Hospitals of North Midlands NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), West Middlesex University Hospital: Preparations Ahead of Winter 2017/8 (Extra Funding), Whittington Health NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), Winter Preparedness, Winter Pressures
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Quality Improvement in Urgent and Emergency Care (NHS Improvement / NHS England / Department of Health)
Summary An earlier BBC News description of the problem: Full Text Link Reference Cawley, L. (2017). Four-hour accident and emergency waits rise 300% at some hospitals. London: BBC Health News, March 16th 2017. Further context and introductory analysis: Full Text … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS Confederation, NHS England, NHS Evidence, Non-Pharmacological Treatments, Nuffield Trust, Person-Centred Care, Quick Insights, Royal Wolverhampton NHS Trust, Standards, UK, Universal Interest, Wolverhampton
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Tagged 2017-19 Integration and Better Care Fund Policy Framework, A&E, A&E Waiting Times and Activity, Access to Urgent and Emergency Care, Accident and Emergency Doctors, Accountable Care Organisations (ACOs), Acute Assessment (Improving Patient Flow in Urgent and Emergency Care), Acute Bed Capacity, Acute Care, Acute Care Collaboration, 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, Acute Medical Unit Consultant Input, Acute Medicine Units (AMUs), Admission Transfer and Discharge (Improving Patient Flow in Urgent and Emergency Care), Ageing and Society, Ageing Population, Ambulance Handovers, Ambulance Handovers (Improving Patient Flow in Urgent and Emergency Care), Ambulance Response Programme (ARP), Ambulance Service Targets, Ambulance Services, Ambulatory Emergency Care (Improving Patient Flow in Urgent and Emergency Care), Association of Ambulance Chief Executives (AACE), Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Barts Health NHS Trust, BBC Health News, Bristol Royal Infirmary, British Geriatrics Society (BGS), Cambridgeshire and Peterborough NHS Foundation Trust (CPFT), Centrally Coordinated Patient Flow (Use of Data in Hospital’s Dashboard), Centre for Urgent and Emergency Care, Chris Hopson: Chief Executive of NHS Providers, Clinical Decision Units (CDUs), Clinical Decision Units (Improving Patient Flow in Urgent and Emergency Care), Cm, Commons Health Select Committee, Consultant Input, Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Demand Driven by Alcohol Consumption, Demand Management, Developing Trusted Assessment Schemes, Discharge and Out of Hospital Care, Dispatch on Disposition (DoD), Dysfunctional Patient Flow, Early Senior Assessment, Early Senior Review of Patients, Early Supported Discharge (ESD), East and North Hertfordshire Care Home Vanguard, ECIP, ECIP: Emergency Care Improvement Programme, Emergency Admissions, Emergency Ambulance Services, Emergency and Urgent Care Services, Emergency Assessment Unit (EAU), Emergency Assessment Units, Emergency Assessment Units (EAUs), Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Care ACP Curriculum, Emergency Care Improvement Programme (ECIP), Emergency Care Intensive Support Team (ECIST), Emergency Centres, Emergency Departments, Emergency Departments (Improving Patient Flow in Urgent and Emergency Care), Emergency Flow Improvement Tool, Emergency Medical Services (EMS), Emergency Medicine Consultants, Emergency Services, Evolving Demand, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Flow Within Hospitals, Four-Hour A&E Waiting Time Target, Frailty, Frailty (Improving Patient Flow in Urgent and Emergency Care), Funding, Government Response to Health Select Committee Report on Winter Pressure in Accident and Emergency Departments (2017), GP Services Co-Located With A&E Department, GPs Co-Located With A&E Department, Health Education England West Midlands, Health First (USA), Health Select Committee, Health Select Committee (HSC), Health Select Committee Inquiry, Health Select Committee Report on Winter Pressure in Accident and Emergency Departments, High Impact Change Model (HICM), Homes Regional Medical Centre (Florida), Hospital Bed Capacity, House of Commons Health Select Committee, Improving Patient Flow in Urgent and Emergency Care, Inappropriate Accident and Emergency Department Attendances, Increasing Bed Capacity, Integrated and Community-Based Care, Integrated Emergency Department (A&E), Luton and Dunstable University NHS Foundation Trust, Management of System, MDTs: Multidisciplinary Teams, Medical Workforce, Mental Health (Improving Patient Flow in Urgent and Emergency Care), Mental Health Crisis First Response Service (FRS) and Sanctuaries, Mid-Cheshire NHS Foundation Trust, National Priorities for Acute Hospitals (2017), Next steps on the NHS Five Year Forward View (2017), NHS England Urgent and Emergency Care Review Team, NHS Improvement, NHS in Winter (BBC News), NHS Winter Crisis, NHS111 Directory of Services (DoS), NHSI: NHS Improvement, Non-Medical Workforce, Out-of-Hours GP Services Co-Located With A&E Department, Patient flow, Patient Flow Within Hospitals, Pauline Philip: NHS England's National Director for Urgent and Emergency Care, Payment Mechanisms, Pharmacist Involvement, Poole Hospital NHS Foundation Trust, Poole Hospital NHS Foundation Trust: Acute Frailty Service, Preparations for Winter, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Crisis Resolution Teams, Prevention of Avoidable Emergency Admissions: Intermediate Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Primary Care Streaming (Improving Patient Flow in Urgent and Emergency Care), Priorities for Acute Hospitals, Rapid Improvement Guide to Trusted Assessors, Real Time Locating Software (RTLS), Real-Time Locating Software (RTLS) to Improve Patient Flow, Reasons for Short Stay Emergency Admissions, Recognition and Diagnosis of Frailty, Red2Green Bed Days, Red2Green Rapid Improvement Guide, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Review of Winter 2016/17 (NHS Improvement and NHS England), Royal Berkshire NHS Foundation Trust Emergency Department, Royal College of Emergency Medicine (RCEM), Royal College of Physicians (RCP), Royal College of Surgeons (RCS), SAFER Patient Flow Bundle, SAFER Patient Flow Bundle and Red2Green Days (Improving Patient Flow in Urgent and Emergency Care), Salford Royal NHS Foundation Trust, Salford Royal NHS Foundation Trust (SRFT), Sarah Wollaston: Chair of the House of Commons Health Select Committee, Sarasota Memorial Health Care System, Sarasota Memorial Hospital, Senior Clinical Input, Senior Review of Patients, Short Stay Admissions, Society for Acute Medicine (SAM), South Warwickshire NHS Foundation Trust, South Warwickshire’s Trusted Assessment Form, Specialties (Improving Patient Flow in Urgent and Emergency Care), Staffing, Supporting Adult Social Care to Maintain Patient Flow, Team-Based Interventions in A&E, Tele-tracking Technology, TeleTracking, TeleTracking Technologies Inc, Trusted Assessment (Improving Patient Flow in Urgent and Emergency Care), Trusted Assessment Implementation Checklist, Trusted Assessors, University Hospitals Bristol NHS Foundation Trust, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Review, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England, Using Primary Care to Reduce Demand, Western Sussex Hospitals NHS Foundation Trust, Winter From Hell: 2016-7 (Allegation), Winter Preparedness, Winter Pressure in Accident and Emergency Departments (House of Commons Health Select Committee: HC 277), Winter Pressures
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Approaches to the Reduction of Preventable Hospital Admissions: a Systematic Review (BMJ Open)
Summary A recent systematic review examined the alternatives to hospital admission for older patients at risk of unplanned hospitalisation. The broad categories of interventions considered were (i) improved use of paramedic / emergency care practitioners, (ii) interventions based in emergency … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Statistics, Stroke, Systematic Reviews, UK, Universal Interest
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Tagged Acute Hospital Care, Ageing and Society, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, BMJ Open, BMJ Publishing Group Ltd, Bristol, Bristol Randomised Trials Collaboration: University of Bristol, Brunelcare: Saffron Gardens (Bristol), Case Management, Centre for Academic Primary Care: University of Bristol, Chronic Obstructive Pulmonary Disease (COPD), Community Hospitals, COPD: Chronic Obstructive Pulmonary Disease, Crisis Resolution Teams, Department of Emergency Medicine: University Hospitals Bristol NHS Foundation Trust, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Care, Emergency Centres, Emergency Departments, Emergency Medical Services (EMS), Emergency Services, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Faculty of Health and Applied Sciences: University of the West of England, HaH Interventions, HaH: Hospital at Home, Health Economics at Bristol: University of Bristol, Heart Failure, Intermediate Care, Pneumonia, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Crisis Resolution Teams, Prevention of Avoidable Emergency Admissions: Intermediate Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Prevention of Avoidable Emergency Admissions: Telehealth, Proactive Management of Long-Term Conditions, Pulmonary Embolism, Reasons for Short Stay Emergency Admissions, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, School of Social and Community Medicine: University of Bristol, Systematic Review, Systematic Reviews and Meta-Analyses, Uncomplicated Diverticulitis, University Hospitals Bristol NHS Foundation Trust, University of Bristol, University of the West of England, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England
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Recent Assessments of Health and Social Care Integration in England: the Problems and the Promise (House of Commons Library / SCIE)
Summary The following House of Commons Library briefing investigates the challenges involved in the integration of health and social care. Recent Government policies to promote more integrated care are described, including Health and Wellbeing Boards, local strategic planning forums and … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, 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, Person-Centred Care, Quick Insights, SCIE, Standards, Statistics, UK, Universal Interest
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Tagged Barriers to Integration, Barriers to Integration: Costs for NHS bodies and Local Authorities When Integrating Services, Barriers to Integration: Different Funding Incentives for the NHS and Local Authorities, Barriers to Integration: Different Funding Models, Barriers to Integration: Different Inspection Frameworks, Barriers to Integration: Different Workforce Cultures, Barriers to Integration: Difficulties in Effective Information Sharing, Barriers to Integration: Government Policy Priorities Competing With Integration Agenda, Barriers to Integration: Integration of Budgets, Barriers to Integration: NHS Services Free Versus Means-Tested Social Care, Barriers to Integration: Organisational Integration, Barriers to Integration: Problems Regarding Joint-Departmental Oversight, BBC Panorama, BBC Panorama: Home Care Providers Investigation, Birmingham, Care for People with Dementia in the Community, Care in the Community, CCGs: Clinical Commissioning Groups, Clenton Farquharson: Director of Community Navigator Services, Clinical Commissioning Groups (CCGs), Community Care, Community Care Services, Community Rehabilitation, Community-Based Services, Continuity of Care, Creating the Five Year Forward View for Social Care (SCIE), Discharge Planning, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Care, Emergency Readmissions, Emergency Readmissions to Hospital, Financial Issues, Financial Pressures, Five Year Forward View (NHS England), Five Year Forward View for Social Care (SCIE), Funding Transfer to Local Authorities, Health and Social Care, Health and Social Care Delivery Models, Health and Social Care in the Community, Health and Social Care Integration, Health and Social Care Integration Fund, Health and Social Care Services, Health and Social Care: Integration Transformation Fund, Health and Wellbeing Boards (HWBs), House of Commons Library, House of Commons Library Briefing Paper CBP-7902, House of Commons Library Briefing Paper CBP07902, Inappropriate Accident and Emergency Department Attendances, Innovation in Health and Social Care, Integrated and Community-Based Care, Integrated Care and Support, Integrated Care and Support Pioneers, Integrated Care and Support Pioneers Programme, Integrated Commissioning, Integrated Discharge Process, Integrated Home and Community Care Services, Integration of Budgets, Integration of Health and Social Care, Integration Transformation Fund, Local Authorities, New Care Models, New Care Models Programme, NHS England’s Five Year Forward View, NHS Five Year Forward View (5YFV), NHS Funding, NHS Spending, NHS Sustainability, Organisational Integration, Over-Optimism (Brilliant Plans - Sluggish Systems), Over-Optimism (NHS Reform Versus Institutional Inertia), Panorama (BBC TV), Partnership and Collaboration, Partnership Working, Patient Experience, Preventable Hospital Admissions, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Primary Care Service Interventions, Primary Healthcare Provision, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, SCIE’s Total Transformation of Care and Support, Self-Care, Service Transformation, Service User Experience, Social Care Institute for Excellence (SCIE), Support at Home (SHIELD), Sustainability, Total Transformation of Care and Support (SCIE), Total Transformation of Care and Support: Case Studies, Total Transformation of Care and Support: Local Total Transformation Conversations, Total Transformation of Care and Support: Logic Model(s), Total Transformation of Care and Support: Models of Care, Total Transformation of Care and Support: Vision, Transformation of Care and Support, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Whole System Integration, Whole Systems Approach, Whole Systems Design, Whole-System Approaches
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Health and Social Care Integration: a Tale of Over-Optimism? (NAO / BBC 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 →
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, National, National Audit Office, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Statistics, UK
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Tagged Accountability in Health and Social Care, Ashley McDougall: Director of National Audit Office, Barriers to Integration, BBC Health News, Better Care Fund (BCF), Better Care Fund 2015-16 Performance, Care for People with Dementia in the Community, Care in the Community, CCGs: Clinical Commissioning Groups, Clinical Commissioning Groups (CCGs), Community Care, Community Care Services, Community Rehabilitation, Community-Based Services, Continuity of Care, DCLG: Department for Communities and Local Government, Department for Communities and Local Government, Discharge Planning, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Care, Emergency Readmissions, Emergency Readmissions to Hospital, Financial Issues, Financial Pressures, Five Year Forward View (NHS England), Funding Transfer to Local Authorities, Health and Social Care, Health and Social Care Delivery Models, Health and Social Care in the Community, Health and Social Care Integration, Health and Social Care Integration Fund, Health and Social Care Integration Pioneers, Health and Social Care Services, Health and Social Care: Integration Transformation Fund, Implications of Sustainability and Transformation Plans (STPs): Pre-Determined Solutions, Inappropriate Accident and Emergency Department Attendances, Innovation in Health and Social Care, Integrated and Community-Based Care, Integrated Care and Support, Integrated Care and Support Pioneers, Integrated Care and Support Pioneers Programme, Integrated Commissioning, Integrated Discharge Process, Integrated Emergency Department (A&E), Integrated Home and Community Care Services, Integrated Personal Commissioning (IPC), Integrated Services, Integrating Health and Social Care Services Across England by 2020, Integration of Health and Social Care, Integration Transformation Fund, Integration Transformation Fund (ITF), IPC: Integrated Personal Commissioning, Local Authorities, Local Sustainability and Transformation Plans (STPs), National Audit Office (NAO), New Care Models, New Care Models Programme, New Care Models: Vanguard Sites, NHS England’s Five Year Forward View, NHS Five Year Forward View (5YFV), NHS Funding, NHS Spending, NHS Sustainability, Over-Optimism (Brilliant Plans - Sluggish Systems), Over-Optimism (NHS Reform Versus Institutional Inertia), Partnership and Collaboration, Partnership Working, Patient Experience, Preventable Hospital Admissions, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Primary Care Service Interventions, Primary Healthcare Provision, Professor Jane Dacre: President of Royal College of Physicians, Reconfiguration of Emergency Care System, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Self-Care, Service Transformation, Service User Experience, Sir Amyas Morse: Head of National Audit Office, Sustainability, Sustainability and Transformation Plans (STPs), Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Urgent and Emergency Care, Urgent and Emergency Care Services, Urgent and Emergency Services, Vanguards: New Care Models Programme, Web of Care For Patients With Dementia, Whole System Integration, Whole Systems Approach, Whole Systems Design, Whole-System Approaches
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Benefits of Comprehensive Older Person’s Evaluation (COPE) Zones Embedded Within Emergency Assessment Units (Clinical Medicine)
Summary Promising results have been reported from Salford Royal NHS Foundation Trust (SRFT): “ …introduction of an embedded frailty unit within the EAU at SRFT has allowed resources to be focused on older patients with the greatest need. We have … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, Diagnosis, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Royal College of Physicians, Royal Wolverhampton NHS Trust, Standards, UK
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Tagged A&E, Access to Urgent and Emergency Care, Accident and Emergency Doctors, Acute Hospital Care, Acute Medical Care of Elderly People, Ageing and Society, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Benchmarking, British Geriatric Society (BGS), Case Management, CGAs and Medicines Optimisation in Primary Care Settings, CGAs: Comprehensive Geriatric Assessments, Complex Care, Complex Needs, Comprehensive Geriatric Assessment (CGA), Comprehensive Older Person's Evaluation (COPE) Zones, COPE Zones Embedded Within Emergency Assessment Units (EAUs), COPE Zones in Emergency Assessment Units (EAUs), COPE Zones: Comprehensive Older Person's Evaluation, Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Department for Ageing and Complex Medicine: Salford Royal NHS Foundation Trust, Department of Acute Medicine: Salford Royal NHS Foundation Trust, Department of Biostatistics: Keele University, Department of Elderly Care: University Hospitals of North Midlands NHS Trust, Department of Research and Development: University Hospitals of North Midlands NHS Trust, East Lancashire Hospitals NHS Trust, Embedded Comprehensive Geriatric Assessment in Emergency Assessment Units (EAUs), Emergency Admissions, Emergency and Urgent Care Services, Emergency Assessment Unit (EAU), Emergency Assessment Units, Emergency Assessment Units (EAUs), Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Centres, Emergency Departments, Emergency Medical Services (EMS), Emergency Medicine Consultants, Emergency Services, Flow Within Hospitals, Frailty, Future Hospital Commission, General Practices, Geriatricians’ Recommendations for Medicines Optimisation (CGAs), Identifying People Living With Frailty, Improving General Practice, Inappropriate Accident and Emergency Department Attendances, Integrated and Community-Based Care, Integrated Emergency Department (A&E), Keele University, MDTs: Multidisciplinary Teams, Medicines Optimisation, Medicines Optimisation in Primary Care, Multi-Disciplinary Team (MDT), NHS Benchmarking, NHS Benchmarking Network, NHS Stoke on Trent CCG, North Staffordshire, North Staffordshire and Stoke, Patient flow, Patient Flow Within Hospitals, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Crisis Resolution Teams, Prevention of Avoidable Emergency Admissions: Intermediate Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Primary Care: Stoke-on-Trent Clinical Commissioning Group, Professor John Gladman: BGS / East Midlands AHSN Frail Older People’s Programme, Reasons for Short Stay Emergency Admissions, Recognition and Diagnosis of Frailty, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Salford, Salford Royal Foundation Trust (SRFT), Salford Royal NHS Foundation Trust, Short Stay Admissions, Staffordshire, Stoke-on-Trent, Team-Based Interventions in A&E, University Hospitals of North Midlands NHS Trust, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England, Vision of Patient Care: Future Hospital Commission
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The Emergency Care Improvement Programme (NHS England / UEC Review Team / ECIP / ECIST / BMJ Open)
Summary The Emergency Care Improvement Programme (ECIP) has created possibly the ultimate collection of online resources to help hospitals understand and manage the challenges in improving the quality and performance of urgent and emergency care systems (and to address the … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, International, King's Fund, Local Interest, Management of Condition, National, NHS, NHS England, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK
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Tagged A&E Waiting Times and Activity, Access to Urgent and Emergency Care, Accountable Care Organisations (ACOs), Accountable Care Organisations (in United States and England), ACOs in the United States, Acute Care, Acute Care Collaboration, Acute Care Services, Acute Frailty Unit, 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 Medical Care for Frail Older People, Acute Medicine Units (AMUs), AEC at Dudley Group NHS FT, Ageing Population, Alfred Squire Road Health Centre (Wolverhampton), Alison Tonge: Director of Commissioning Operations at NHS England (West Midlands), Alternative Quality Contract (AQC), Assertive Holistic Management of Frail and Vulnerable Patients Back Into Community, Better Care Together (Morecambe Bay Health Community) (Integrated Primary and Acute Care System), Better Care Together (Morecambe Bay Health Community) Vanguard, BMJ Open, Bradley Health Centre (Wolverhampton), Breaking the Cycle SAFER Patient Flow Bundle, Canada, Centers for Medicare and Medicaid Services (CMS) Programme, CMS Group Practice Demonstration Programme, Co-Location, Co-Location Models, Co-Location of Other Out-Of-Hours Services With A&E Departments, Colchester Hospital University NHS Foundation Trust, Council of Accountable Physician Practices (CAPPs), Crowding and Exit Block in Emergency Departments, Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Demand Management, Discharge and Out of Hospital Care, Dr Dan DeRosa: Chair of NHS Wolverhampton CCG, Dr Helen Thomas: National Medical Adviser for Integrated Urgent Care (Formerly NHS 111), Dr Vincent Connolly: Medical Director of Emergency Care Improvement Programme, Dysfunctional Patient Flow, Early Supported Discharge (ESD), ECIP, ECIP Safer Faster Better Webinars, ECIP: Emergency Care Improvement Programme, Emergency Admissions, Emergency Ambulance Services, Emergency and Urgent Care Services, Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Care Data Set, Emergency Care Improvement Programme (ECIP), Emergency Care Intensive Support Team (ECIST), Emergency Care Leads, Emergency Centres, Emergency Departments, Emergency Medical Services (EMS), Emergency Services, Enablers of Integrated Care, Experience Based Design, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Faculty of Nursing: University of Laval, Faculty of Nursing: University of Montreal, Four-Hour A&E Waiting Time Target, GP Out-of-Hours Services, GPs, Handover, Hospital Waiting Times, Improving Patient Flow, Independent Practice Associations (IPAs), Inpatient Admissions and Bed Management in NHS Acute Hospitals, Integrated Care in Northumberland, Integrated Primary and Acute Care Systems (PACS), Integrated Primary Care Teams (IPCT) Pilot Project, Integrated Primary Care Teams (IPCTs), Integrated Urgent Care (Formerly NHS 111), Integrated Urgent Care (NHS England), Integrated Urgent Care Services in Wolverhampton, Interdisciplinarity, Intermountain Healthcare (US), John Harrison: Chief Executive of West Midlands Doctors Urgent Care (WDUC), Kaiser Permanente, Lea Road Medical Practice (Wolverhampton), Liaison Mental Health Services, Liaison Mental Health Teams, Local Integration, Local System Resilience Groups, Long Waiting Times, Long-Term Conditions (LTCs), Low Hill Health Centre (Wolverhampton), Massachusetts Alternative Quality Contract (AQC), Medical Directors, Mental Health Crisis Care Concordat, MGS Medical Practice (Wolverhampton), Monitor, Moving Healthcare Closer to Home, Multi-Disciplinary Accelerated Discharge Event, Multi-Specialty Group Practices, Multimorbidities and Long-Term Conditions, New Cross Hospital, New Cross Hospital’s Urgent Care Centre (UCC), NHS 111, NHS Community Pharmacies, NHS England’s Five Year Forward View, NHS England’s Urgent and Emergency Care (UEC) Review Programme, NHS Five Year Forward View (5YFV), NHS Waiting Times, Northumberland, Nurse Practitioner-Led Clinics (NPLCs), Optimising Acute Frailty, Out of Hospital Community Care, Out-of-Hospital Urgent Care, Out-of-Hospital Urgent Care Programme, Out-of-Hours General Practice, Out-of-Hours Primary Care, Pathways for Frail and Vulnerable People, Patient flow, Patient Flow Within Hospitals, Patient Flows, Patient Handovers, Patient Safety, Pioneer and the Shared Savings Programme, Pioneer Programme, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Primary and Acute Care Systems (PACS), Primary Care and Community Pharmacy Network, Primary Care Co-Location, Primary Care Nurse Practitioners (PCNPs), Primary Care Out-of-Hours (OOH) Services, Primary Care Vertical Integration, Primary Care Vertical Integration Pilot: Royal Wolverhampton NHS Trust (RWT), Primary Healthcare Teams, Professor Geoff Layer: Vice Chancellor of the University of Wolverhampton, Quality and Service Improvement Tools, Quality and Sustainability, Rapid Response Service, Rapid Response Teams, Reducing Mortality by Reducing Occupancy, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Risks of Unnecessary Waiting, Royal Wolverhampton NHS Trust, Royal Wolverhampton NHS Trust (RWT), Ruskin Road Surgery (Wolverhampton), SAFER Bundle, Safer Faster Better, Safer Faster Better Guide, Safer Faster Better: Good Practice in Delivering Urgent and Emergency Care, SAFER Patient Flow Bundle, Safer Start Campaign, SBAR (Situation Background Assessment Recommendation), Seasonal Pressures, Service Redesign, Shared Savings Programme, Situation Background Assessment and Recommendation, Smoother Patient Flows, Social and Community Care, SRGs: System Resilience Groups, Surgical Networks, Sustainable Care, Sustainable Health and Care Services, System Grid Lock, System Resilience Groups, System Resilience Groups (SRGs), Transforming Care for Frail Older People, Transforming Urgent and Emergency Care Services, Transforming Urgent and Emergency Care Services in England, UEC Review Team, UEC Review: NHS England’s Review of Urgent and Emergency Care, UEC Vanguards, UECNs and SRGs, University Hospitals North Midlands Exemplar Ward Programme (Helen Lingham), University Hospitals of Leicester NHS Trust's Acute Frailty Unit, University of Laval (Québec), University of Montreal, University of Québec (Rimouski Québec), University of Sherbrook, University of Sherbrook: School of Nursing, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care (UEC), Urgent and Emergency Care (UEC) Review, Urgent and Emergency Care Commissioning, Urgent and Emergency Care Forum, Urgent and Emergency Care Networks, Urgent and Emergency Care Networks (UECNs), Urgent and Emergency Care Pathways, Urgent and Emergency Care Review, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England, Urgent and Emergency Care Vanguard Sites, Urgent and Emergency Care Vanguards, Urgent and Emergency Services, Urgent Care Centre at New Cross Hospital, Urgent Care Centres (UCCs), Urgent Care Centres (Walk-In and Minor Injuries Units), Urgent Care Services Outside of Hospitals, Vertical Integration, Vertical Integration (of Primary and Secondary Care), Virtual Physician Organisations (VPOs), Waiting Time Target Breaches, West Midlands Doctors Urgent Care (WDUC), Whole System Integration, Whole System Partnership, Whole System Patient Flows, Whole Systems Approach, Whole Systems Redesign, Winter Preparedness, Winter Pressures, Wolverhampton Clinical Commissioning Group, Wolverhampton Urgent and Emergency Care Strategy
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