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Tag Archives: Royal College of Emergency Medicine (RCEM)
Where Best Next Campaign: Reducing Length of Hospital Stay (NHS England)
Summary Approximately 350,000 patients spend more than three weeks in a hospital each year, often with poor outcomes: “Many older people, particularly those who are frail and may have dementia, actually deteriorate while in hospital – a stay of more … 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), Health Education England (HEE), Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, NHS Improvement, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, UK, Universal Interest
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Tagged ActNow: an e-Learning Tool (e-LfH), Acute Frailty Network (AFN), Acute Frailty Services, Better Care Support Programme, Care Closer to Home, Clinical Criteria for Discharge (CCD), Comprehensive Geriatric Assessment (CGA), Criteria Led Discharge, Deconditioning, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Discharge, Discharge at a Reasonable Time, Discharge Coordination, Discharge Coordinators, Discharge From General Inpatient Hospital Settings, Discharge Into the Care Sector, Discharge Patient Tracking List, Discharge Planning, Discharge Support, Dr Taj Hassan: President of Royal College of Emergency Medicine, e-Learning for Health (e-LfH) Hub (HEE), Emergency Care Intensive Support Team, Emergency Care Intensive Support Team (ECIST), Emergency Medicine and Urgent Care, End PJ Paralysis, Expected Date of Discharge, Expected Date of Discharge (EDD), Foci for Maximum Impact in Reducing Length of Stay, Guide to Reducing Long Hospital Stays: NHS Improvement, Health and Social Care Integration, Healthcare Associated Infections, Healthcare Associated Infections: Patient Safety, HEE: Health Education England, Hilary Garratt: Deputy Chief Nursing Officer for England, Holistic Needs Assessment (HNA), Home First: Supporting Patient Choice, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Identifying and Managing Frailty at the Front Door, Improving Hospital Discharge Into Care Sector, Improving Patient Care, Integrated Multi-Agency Care, Kettering General Hospital NHS Foundation Trust, Length of Stay (LoS), Local Government Association, Long-Stay Patient Reviews, Long-Stay Patients, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary and Multi-Agency Working, Multiagency Teams, Patient Deconditioning Effect Related to Hospital Bed Rest (aka Pyjama Paralysis / PJ Paralysis), Patient Harms, Patient Harms and Harm Free Care, Patient Safety, PDSA (Plan-Do-Study-Act) Cycles, People First: Manage What Matters, Plan Do Study and Act (PDSA), Professor Stephen Powis: NHS England's National Medical Director, Pyjama Paralysis, Quality Improvement, Reducing Healthcare Associated Infections in Hospitals, Reducing Hospital Length of Stay, Reducing Length of Hospital Stay, Reducing Length of Stay (RLoS) Programme, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 1: Plan for Discharge From the Start, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 2: Involve Patients and Families in Discharge Decisions, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 3: Establish Systems and Processes for Frail People, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 4: Embed Multi-Disciplinary Team Reviews, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 5: Encourage a Supported Home First Approach, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Reducing Waste in Dementia Care, Reducing Waste in the NHS, Rockwood Clinical Frailty Score, Royal College of Emergency Medicine (RCEM), SAFER Patient Flow Bundle, South Warwickshire NHS Foundation Trust, South Warwickshire NHS Foundation Trust (SWFT), Supported Home First Approaches, What Matters Most (Healthwatch), Where Best Next Campaign (NHS England August 2019), Where Best Next? Campaign (NHS England), Why Not Home: Why Not Today, Why Not Home? Why Not Today? Campaign
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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, NHS Improvement, 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), British Medical Association (BMA), British Medical Journal (BMJ), 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), Katherine Henderson: President of the Royal College of Emergency Medicine, Long A&E Waits, Long Waiting Times, Luton and Dunstable University Hospital NHS Foundation Trust, 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 in Winter (BBC News), NHS Winter Crisis, NHS111 Directory of Services (DoS), NHSI: NHS Improvement, Non-Medical Workforce, November 2017 Quarterly Monitoring Report (King's Fund), Out-of-Hours GP Services Co-Located With A&E Department, Patient flow, Patient Flow Within Hospitals, Pauline Philip: Chief Executive of Luton & Dunstable University Hospital NHS Foundation Trust - Milton Keynes of Bedfordshire and Luton STP Footprint Lead, 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, Working on Edge of Safety (NHS Providers Allegation)
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BBC’s State of the NHS: Keep Calm and Carry-On (BBC News)
Summary Continuing in the vein of the broad theme of BMJ’s mini-series on the NHS in 2017, BBC News is currently running a short season of news pieces on the State of the NHS (and social care). Concentrating the Mind … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Delirium, Department of Health, For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Mental Health, National, NHS, NHS England, Northern Ireland, Person-Centred Care, Quick Insights, Scotland, Standards, Statistics, UK, Universal Interest, Wales
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Tagged A&E Four-Hour Wait Standard, Ageing Population, Assaults, Barking Havering and Redbridge University Hospitals NHS Trust, BBC Health News, BBC News: Today (Radio 4), BBC Panorama, BBC Politics News, BBC Radio 4's Today Programme, BBC's NHS Week (2017), BBC's World At One Programme, Beacon Medical Group (Plymouth), Bed Availability and Occupancy, Bed Availability and Occupancy: NHS Statistical Trends, Bed Shortages, Better Care Fund (BCF), Bristol Royal Infirmary, Care Closer to Home, Care Home Admission Delay, Care of Older People, Chris Hopson: Chief Executive of NHS Providers, Councillor Izzi Seccombe: Local Government Association (LGA), David McNulty: Surrey County Council, David Williams: Chief Officer for Glasgow City Health and Social Care Partnership, Delayed Discharges, Delayed Transfers of Care, Demand and Capacity, Demand for A&E, Economic Sustainability, Fewer Older People Receiving Help with Social Care, Financial Sustainability in the NHS, Former Health Secretary Jeremy Hunt, Funding Deficits, Funding for Front-Line Healthcare Versus Social Care, Germany, Germany's Healthcare System, Gesundes Kinzigtal, Gesundes Kinzigtal Model, Glasgow City Council, Health and Care of Older People, Health and Social Care in the Community, Health and Social Care Integration, Health Demand, Historic Increases in NHS Funding Slowing (Relatively), Hospital Discharge Delays, Humanitarian Crisis in NHS Hospitals and Ambulance Services (Allegation), Hywel Dda University Health Board, Increases in NHS Spending Slowed (Relatively), International Comparisons, Ipsos Mori, Ipsos MORI Issues Index (January 2017), Izzi Seccombe: Warwickshire County Council Leader, Local Government Association: LGA, London Borough of Newham, London Borough of Sutton, Long Waiting Times, Low Morale, Milton Keynes University Hospital NHS Foundation Trust, More Spent on Front-Line Healthcare Than Social Care, Moving Healthcare Closer to Home, Multidisciplinary Teams, Multidisciplinary Teamwork, National Living Wage in Social Care Sector, NHS Assaults, NHS Greater Glasgow and Clyde, NHS Health Check Series: BBC News (2017), NHS in 2017: Service Under Pressure, NHS Protect, NHS Protect: Formerly NHS Counter Fraud Services, NHS Sustainability, Niall Dickson: NHS Confederation, Operations Cancelled Due to Bed Shortages, Panorama (BBC TV), Patient Handover Delays, Patient Safety, Physical Assaults on NHS Staff, Primary Care Home Model, Primary Care Homes, Professor Keith Willett: NHS England, Proportion of Public Spending on Health, Provider Sustainability, Public Perceptions of the NHS and Social Care Tracker (Ipsos MORI), Quality and Sustainability, RCEM’s Steps to Rebuilding Emergency Medicine, Reverse-Acting Hawthorne Effect (Speculative Construct), Robert Bosch Foundation, Routine Operations (Cancellations), Royal Blackburn Hospital, Royal College of Emergency Medicine (RCEM), Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Sir Robert Francis QC, Social Care Funding 2017: Reality Checks (BBC News), Staffing Levels, State of the NHS (BBC News), Steps to Rebuilding Emergency Medicine (RCEM), Sustainability, Sustainability and Transformation Plans (STPs), Sustainable Funding, Thinking Like a Patient and Acting Like a Taxpayer, Today, Urgent and Emergency Services: 2016-7 Winter From Hell (Allegation), Waiting Times, Wakefield Vanguard Care Homes Scheme, Winter From Hell: 2016-7 (Allegation), Winter Pressures, Wirral University Teaching Hospital NHS Foundation Trust, Wrightington Wigan and Leigh NHS Foundation Trust
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Five Priorities for NHS and Social Care in 2017 (King’s Fund / BBC News / BMJ / Nuffield Trust)
Summary 2017 is going to be challenging for the NHS and social care, as the demand for care outstrips the supply of funding / resources. A King’s Fund briefing identifies five main priorities for the year ahead: Supporting new care … Continue reading →
Posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, Community Care, 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, Nuffield Trust, Quick Insights, RCN, Royal College of Psychiatrists, Standards, UK, Universal Interest
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Tagged A&E Four-Hour Wait Standard, A&E Safe Staffing Levels, Accountable Care Organisations (ACOs), Adult Social Care Funding, Ageing Policy in the UK, Ageing Population, Alleged Humanitarian Crisis in NHS (Under-Funding for Social Care), Ambulance Diversions (Away From Over-Stretched Hospitals), Ambulance Diversions (“Diverts”), Available Beds, Bailouts and Rewards for Failure, Barker Commission, BBC News: Today (Radio 4), BBC Newsnight, BBC Politics News, BBC Radio 4 Today, BBC Radio 4's Today Programme, BBC Radio 4: Today Programme, BBC Regional News: Hereford and Worcester, Bed Availability and Occupancy, Black Alerts, BMJ Publishing Group Ltd, Brexit, British Medical Journal (BMJ), British Red Cross, Cancelled Cancer Operations, Cancelled Elective Operations, Cancelled Non-Elective Operations, Cancelled Operations, Cancer Waiting Times, Cancer: Waiting Times for Testing and Treatment, Capped Expenditure Process, Commission on the Future of Health and Social Care in England (Barker Commission), County Durham and Darlington NHS Foundation Trust, Cross-Party and Public Consensus On Sustainable Funding, Demand and Capacity, Demand for Social Care, Demand Versus Capacity Gaps, Department of Health Revenue Underspend (2016/17), Dr Mark Holland, Dr Mark Holland: President of Society For Acute Medicine (SAM), Dr Taj Hassan: President of Royal College of Emergency Medicine, East London NHS Foundation Trust, East Midlands Ambulance Service, Efficiencies and Productivity Gains, Financial Flows in NHS and Social Care, Four-Hour A&E Waiting Time Target, Frimley Park NHS Foundation Trust, Funding Deficits, Health and Social Care in the Community, Health Demand, Healthwatch Worcestershire, Hip and Knee Operations: Rationing, Humanitarian Crisis in NHS Hospitals and Ambulance Services (Allegation), Ian Eardley: Vice President of RCS, Inadequate Staffing, Jacqueline McKenna: Director of Nursing and Professional Leadership at NHS Improvement, Jeremy Corbyn (Labour Party Leader), Katherine Murphy: Chief Executive of the Patients Association, King’s Fund Barker Commission, Leadership Development, Long Waiting Times, Lord Carter Review, Lord Rose Report on Leadership in the NHS, Lord Rose Report: Better Leadership for Tomorrow, Low Morale, Mike Adamson: Chief Executive of British Red Cross, Mixed-Sex Accommodation (MSA) Breaches, Mixed-Sex Hospital Accommodation, New Care Models, New Models of Care, New Models of Service, NHS England’s Five Year Forward View, NHS England’s New Models of Care Programme, NHS Five Year Forward View (5YFV), NHS in 2017: Service Under Pressure, NHS Rationing, NHS Redditch and Bromsgrove CCG, NHS Safe Staffing, NHS South Worcestershire CCG, NHS Sustainability, NHS Trust Financial Deficits, NHS Waiting Times, NHS Wyre Forest CCG, Non-Emergency Waiting Times, Northumbria Healthcare NHS Trust, Nurse Staffing Levels, OPEL Level 3 Alerts, OPEL Level 4 Alerts, Operational Pressures Escalation Levels, Operational Pressures Escalation Levels (OPELs), Operational Pressures Escalation Levels Framework (NHS England), Operational Productivity and Performance (Carter Report), Patient Safety, Patients Seen in 4 Hours: NHS Local Performance Tracking Service (NHS Winter Project), Patients Waiting More Than Four Hours For Hospital Beds (Trolley Waits), Pennine Acute Hospitals NHS Trust, Peter Pinfield: Chairman of Healthwatch Worcestershire, Population Health, Priorities for Health and Social Care (King’s Fund), Priorities For NHS and Social Care in 2017, Productivity Improvements, Productivity in the NHS, Professor Keith Willett: NHS England’s Director of Acute Care, Public Dissatisfaction With Austerity, Red Cross, Referral to Treatment Waiting Times, Restrictions on Non-Emergency Surgery, Reverse-Acting Hawthorne Effect (Speculative Construct), Royal College of Emergency Medicine (RCEM), Royal College of Nursing (RCN), Royal College of Physicians (RCP), Royal College of Surgeons (RCS), Sick Man of Europe (Redefined), Simon Stevens: Chief Executive of NHS England, Society for Acute Medicine (SAM), South Tyneside NHS Foundation Trust, Staffing Levels, Sustainability, Sustainability and Transformation Plans (STPs), Sustainable Funding, The #OurNHS March (2017), Thinking Like a Patient and Acting Like a Taxpayer, Unhealthy Lifestyles, Unspoken Political Context: Weaponising the NHS (Speculative Construct), Urgent and Emergency Services: 2016-7 Winter From Hell (Allegation), Vacant NHS Posts, Waiting Times, Waiting Times for Planned Treatments, Western Sussex NHS Foundation Trust, Winter From Hell: 2016-7 (Allegation), Winter Pressures, Worcestershire Acute Hospitals NHS Trust, Worcestershire Royal Hospital
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Guideline on Sepsis Recognition, Diagnosis and Early Management (NICE / BBC News / RCEM)
Summary The National Institute for Health and Care Excellence (NICE) recently published “Sepsis: recognition, diagnosis and early management – guidance” (NG51). This presents recommendations on the identification and assessment people with suspected sepsis; risk factors and risk stratification; and the … Continue reading →
Posted in Acute Hospitals, Community Care, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Management of Condition, NICE Guidelines, Standards, UK
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Tagged Acute Sepsis, Antibiotic Treatment in People With Suspected Sepsis, Antimicrobial Stewardship, Avoidable Hospital Mortality, Avoidable Mortality, AVPU (Alert Voice Pain Unresponsive) Scale, AVPU: Alert V oice pain, BBC Health News, Dr Foster, Dr Foster Intelligence, Dr Ron Daniels: Chief Executive of UK Sepsis Trust, Emergency Medicine and Urgent Care, Glasgow Coma Scale (GCS), Improving Sepsis Recognition and Treatment, Infection and Infectious Diseases, National Institute for Health and Care Excellence (NICE), NICE Guidance on Sepsis Recognition Diagnosis and Early Management (NG51), Patient Safety, Premature Mortality, Preventable Hospital Mortality, Professor Sir Brian Jarman, Quality Improvement, Raising Sepsis Awareness, Royal College of Emergency Medicine, Royal College of Emergency Medicine (RCEM), Russells Hall Hospital (Dudley), Sepsis, Sepsis Awareness, Sepsis Bundles, Sepsis Recognition, Sepsis: Risk Stratification Tools, Severe Sepsis and Septic Shock: RCEM National Clinical Audit 2016/17, Sir Brian Jarman, unresponsiv e') scale
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On Personal Responsibility and Demand-Management (BBC News / NHS England / Nuffield Trust)
Summary NHS England and the Royal College of Emergency Medicine have released advice to the public which urges people suffering from viral coughs, flu and minor ailments to recover at home, use NHS 111 and / or visit their local … Continue reading →
Posted in BBC News, Charitable Bodies, For Carers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, Nuffield Trust, Practical Advice, Quick Insights, Standards, UK, Universal Interest
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Tagged A&E Waiting Times and Activity, Accident and Emergency: NHS Performance Indicators, AIMS: Alcohol Intoxication Management Services (Drunk Tanks), Alcohol, Alcohol Abuse, Alcohol Intoxication Management Services (AIMS), Alcohol Misuse, Alcohol Poisoning, Alcohol Strategy, Alcohol-Related Activity in Hospitals, Alcohol-Related Admissions to Hospital, Alcohol-Related Burden on the NHS, Alcohol-Related Harm, Alcohol-Related Liver Disease (ARLD), Alcohol-Specific Activity in Hospitals in England, Aston Pharmacy School, Better-Behaved Patients (sic), Citizen Responsibility for Families, Community Pharmacists, Demand, Demand and Capacity, Demand Management, Demand-Side Effectiveness, Demand-Side Factors, Dr Clifford Mann: President of the College of Emergency Medicine, Drunk Tanks, East Surrey Hospital, Mobile Units for Alcohol Abusers (Drunk Tanks), NHS 111, NHS in Winter (BBC News), Patient Factors (Demand Side), Personal Responsibility, Personal Responsibility for Health, Post-Christmas Demand Surge, Preventing and Managing Demand, Professor Keith Willett: NHS England’s Director of Acute Care, RCEM Winter Flow Project, Reducing Waste in the NHS, Royal College of Emergency Medicine, Royal College of Emergency Medicine (RCEM), Seasonal Pressures, Stay Well This Winter Campaign, Wasted Resources, Whole System Patient Flows, Winter Pressures, Winter Pressures: Role of Community Health Services
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On the Interdependence Between Social Care Provision and NHS Performance: a “Perfect Storm” Brewing for Winter? (BBC News / Nuffield Trust / ILC-UK / RCEM)
Summary While the Government’s Spending Review gave scope for more money to be made available to support social care services, (i) by allowing local authorities to raise council tax by 2% and (ii) increasing the amount of money available for … Continue reading →
Posted in Acute Hospitals, Age UK, BBC News, Charitable Bodies, 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, Management of Condition, National, NHS, NHS Confederation, Northern Ireland, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Quick Insights, Scotland, Standards, Statistics, UK, Universal Interest, Wales
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Tagged A&E Waiting Times and Activity, Accident and Emergency: NHS Performance Indicators, Active Bed Management, Acute Bed Capacity, Adult Social Care, Adult Social Care Funding, Adult Social Care in England, Adult Social Care Services, Ageing Population, Association of Directors of Adult Social Services (ADASS), BBC Health News, Bed Availability and Occupancy: NHS Performance Indicators, Better Care Fund (BCF), Black Country Partnership NHS Foundation Trust, British Social Attitudes Survey, Care Funding Advice Network (CFAN), Care Provider Alliance, Centre for Later Life Funding, College of Emergency Medicine, ComRes Survey for BBC 5 Live, Coordinated Health and Social Care, Costs and Cost Pressures, Delayed Discharges, Delayed Transfers of Care (DETOCs), Delayed Transfers of Care: NHS Performance Indicators, Discharge, Elderly People With Complex Health and Social Care Needs, Elective Operations Cancelled, Ensuring Health and Social Care Services Work Together, EU Referendum Debate: BBC News Reality Check, European Union Referendum, European Union Referendum Debate: BBC Reality Check, Front-Loaded NHS Investment for 2016–17, Health and Social Care, Health and Social Care Configuration, Health and Social Care in the Community, Health and Social Care Integration, Health and Social Care Leaders, Health and Social Care Providers, Health and Social Care Services, ILC-UK, ILC-UK: International Longevity Centre UK, Integrating Health and Social Care, Integration of Health and Social Care for Older People, Interdependencies, International Longevity Centre UK (ILC-UK), Jane Cummings: Chief Nursing Officer for England, Journal of Geriatric Care and Research (JGCR), Living Wage, Local NHS Performance Tracking Service (NHS Winter Project), Lost Beds Problem (sic), Maintenance of Old and Expensive Hospital Buildings (Jane Cummings), Making Our Care and Health Systems Fit for An Ageing Population, Monthly Performance Statistics for February 2016, NatCen Social Research, National Living Wage, NHS Performance, NHS Performance Indicators, NHS Providers, NHS Sustainability, NHS Winter 2015-16: Weekly A&E Tracker, NHS Winter Tracker (BBC), Norman Lamb MP, Nuffield Trust Parliamentary Briefing, Observer Effect, Patient Flows, Population Winter Pressures, Public Satisfaction With the NHS, Queen Elizabeth Hospital Birmingham, RCEM Winter Flow Project, Richard Barker: NHS England's Interim National Director of Commissioning Operations and Information, Royal College of Emergency Medicine, Royal College of Emergency Medicine (RCEM), Rt Hon. Alan Milburn, Rt Hon. Stephen Dorrell MP, Seasonal Pressures, Spending Review 2015, Sustainability, Sustainable Care, Sustainable Funding, Sustainable Health and Care Services, Sustainable Local Funding, Sustainable Social Care Programme, UHB NHS Trust Queen Elizabeth Hospital Birmingham, Upward Spending Pressures, Whole System Patient Flows, Winter Pressures, Winter Pressures: Role of Community Health Services
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Co-Location of Alternative Out-Of-Hours Services With A&E Departments: Building on Popular Persistence of A&E Brand? (BBC News / BMJ / RCEM / RCP)
Summary The Royal College of Emergency Medicine (RCEM) has proposed that the A&E brand has such a dominant and ingrained persistence in the minds of the public that it might be futile to try persuading people not to make unnecessary … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Patient Care Pathway, Quick Insights, Royal College of Physicians, Standards, UK, Universal Interest
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Tagged A&E Brand (sic), A&E Waiting Times and Activity, Aarhus University (Denmark), Access to Care, Access to Dental Services, Access to GP Services, Access to Healthcare, Access to Hospital Services, Access to Urgent and Emergency Care, Acute Hospital A&E and Liaison Mental Health Teams, Anthony Sinclair: Chief Pharmacist at Birmingham Children’s Hospital, Barriers to Integration, Barriers to Joined-Up Care, Barriers to Older People Accessing Help and Support, Barriers to Support, BBC Health News, BMJ, Brand Recognition, Brand Stretching, British Journal of General Practice, British Medical Journal (BMJ), Building on A&E Brand, Care Fragmentation, Co-Location, Co-Location Models, Co-Location of Other Out-Of-Hours Services With A&E Departments, Co-Location of Out-Of-Hours Services With Emergency Departments, Crowding and Exit Block in Emergency Departments, Demography, Department of Primary Care and Public Health Sciences: King's College London, Dr Clifford Mann: President of the College of Emergency Medicine, English Index of Multiple Deprivation (IMD), Exit Block in Emergency Departments, Facts About A&E (RCEM Video), Four-Hour A&E Waiting Time Target, Fragmentation of Services and Commissioning, Fragmented Care, Fragmented Resource Allocation, General Practice Patient Survey (GPPS) Variables, GP Out-of-Hours Services, GP Services Co-Located With A&E Department, GPs Co-Located With A&E Department, Improving Access to Mental Health Services, Index of Multiple Deprivation (IMD), Information Needs of Carers, Information Needs of Patients, Institute for Health and Society: Newcastle University, Institute of Public Health: Aarhus University, Kings College London, Mental Health Crisis Care, Newcastle University, Organisational and Cultural Barriers, Out-of-Hours General Practice, Out-of-Hours GP Services Co-Located With A&E Department, Out-of-Hours GP Services in England, Out-of-Hours Urgent Care, Overcoming Barriers, Patient Awareness of Alternative Services to A&E for Urgent Health Needs, Patient Experience of Fragmented Care When Trying to Negotiate NHS Services, Patient Flow Within Hospitals, Patient Flows, Patient Perspectives on Urgent and Emergency Care, Patient Perspectives on Urgent Care and A&E, Patients Association, Preferred Treatment Location for Patients with Urgent Health Needs, Primary Care Co-Location, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Royal College of Emergency Medicine, Royal College of Emergency Medicine (RCEM), Royal College of Physicians (RCP), Simon Abrams: Chairman of Urgent Health UK, Socio-Economic Deprivation, Socioeconomic Deprivation and Accident and Emergency Attendances, Stretching the A&E Brand, Time to Act, Transforming Mental Health Crisis Care, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care (UEC), Urgent and Emergency Care Commissioning, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England, Urgent and Emergency Services, Urgent Care Services Outside of Hospitals, Urgent Health UK, Waiting Time Target Breaches, Walk-in Centres (WiCs), Winter Preparedness, Winter Pressures
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Patient Perspectives on Urgent and Emergency Care (Royal College of Emergency Medicine / Patients’ Association)
Summary The Royal College of Emergency Medicine (RCEM) and the Patients Association have published a joint report, entitled “Time to Act. Urgent Care and A&E: the Patient Perspective”, which incorporates results of a survey of patients conducted between September 2014 … 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, Local Interest, Management of Condition, National, NHS, NHS Confederation, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Quick Insights, Scotland, Standards, Statistics, UK, Universal Interest
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Tagged 2020 Vision for the NHS, Acute and Emergency Care: Prescribing the Remedy, Care Quality Commission (CQC), Co-Location, Co-Location Models, Co-Location of Other Out-Of-Hours Services With A&E Departments, Collaborative Approach to Unscheduled Care, College of Emergency Medicine Scotland, CQC’s Right Here Right Now Report, Diagnosis of Acute Myocardial Infarction in Emergency Departments, Elecsys Troponin T High-Sensitive Assay for Diagnosis of Acute Myocardial, Emergency Care, Future of GP Out of Hours Care: Royal College of General Practitioners (RCGP), GP Cooperatives and Out-of-Hours Services, GP Out-of-Hours Services, Information Needs of Carers, Information Needs of Patients, Integrated Joint Boards, Martin McKechnie: Scottish Vice-President of the College of Emergency Medicine, NHS 111, Out-of-Hours General Practice, Out-of-Hours GP Services in England, Out-of-Hours Urgent Care, Patient Awareness of Alternative Services to A&E for Urgent Health Needs, Patient Perspectives on Urgent and Emergency Care, Patient Perspectives on Urgent Care and A&E, Patients Association, Preferred Treatment Location for Patients with Urgent Health Needs, Prescribing the Remedy: Ignoring the Prescription, Reducing Inappropriate NHS 111 Referrals to 999 and A&E, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Referrals From NHS 111 to A&E, Royal College of Emergency Medicine, Royal College of Emergency Medicine (RCEM), Royal College of General Practitioners (RCGP), Royal College of Nursing Scotland, Scottish Government, Scottish Government’s 2020 Vision for the NHS, Signposting, Signposting Patient Information, Signposting Services and Knowledge, Signposting to Sources of Practical Help, Theresa Fyffe: Director of the Royal College of Nursing Scotland, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care (UEC), Urgent and Emergency Care Commissioning, Urgent and Emergency Care Forum, Urgent and Emergency Care Networks, 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 Services, Urgent Care Services Outside of Hospitals, Urgent Health UK, Walk-in Centres (WiCs)
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