Tag Archives: Time to Care

Dying Matters Awareness Week 2015: Plus Related Information and Developments (Dying Matters Coalition / BBC News / PHSO / Nursing Times)

Posted on May 21, 2015 by Dementia and Elderly Care News

Summary The “Dying Matters Awareness Week”, this year having the theme “Talk, Plan, Live”, occurs between May 18th – 24th 2015. The aim is to support more open discussion about dying, death and bereavement. Making end of life wishes known, … Continue reading →

Posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, Community Care, End of Life Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, National, Non-Pharmacological Treatments, Patient Care Pathway, Patient Information, Person-Centred Care, Personalisation, Quick Insights, RCN, Standards, Statistics, UK, Universal Interest | Tagged BBC Health News, Canterbury Christ Church University, Comfort and Pain Management, Dame Julie Mellor: Parliamentary and Health Ombudsman Service, Dying Matters, Dying Matters Awareness Week, Dying Matters Awareness Week (2015), Dying Matters Awareness Week: Talk Plan Live (2015 Theme), Dying Matters Coalition, Dying Without Dignity (PHSO), East Kent Hospitals University Foundation Trust, End-of-Life Care at Home, End-of-Life Care Delivered At Home, End-of-Life Care in Acute Hospitals, End-of-Life Care Pathways, End-of-Life Dementia Care Barriers: Access to Palliative Care, End-of-Life Dementia Care Barriers: Inappropriate Hospital Admissions, End-of-Life Dementia Care Barriers: Inappropriate Interventions, End-of-Life Dementia Care Barriers: Inconsistency in Care Standards in Hospitals, End-of-Life Dementia Care Barriers: Lack of Continuity of Care, End-of-Life Dementia Care Barriers: Lack of Support for Carers, End-of-Life Dementia Care Barriers: Poor Pain Management, Good Death in Acute Hospitals, Lynda Thomas: Macmillan Cancer Support, Macmillan Cancer Support, Nursing Times, Pain Management, Pain Management in Older People with Dementia, Palliative and End-of-Life Care at Home, Palliative and End-of-Life Care in Hospitals, Palliative Care, Parliamentary and Health Service Ombudsman, Parliamentary and Health Service Ombudsman (PHSO), Preferred Place of Death, Professor Sir Mike Richards: Former Chief Inspector of Hospitals (CQC), Responsibility for End-of-Life Care in Care Homes, Royal College of Nursing (RCN), Time to Care | Leave a comment

Key to Care Report: the Burstow Commission on the Future of the Home Care Workforce (BBC News / LGiU)

Posted on December 27, 2014 by Dementia and Elderly Care News

Summary The “Key to Care” report, published in early December by the Local Government Information Unit (LGiU) and the home care provider Mears, predicted that the home care system in England could be close to crisis because of the extent … Continue reading →

Guidance on Care Contact Time (NHS England)

Posted on December 8, 2014 by Dementia and Elderly Care News

Summary The Chief Nursing Officer for England has issued a guide for providers and commissioners to calculate the amount of “care contact time” required to deliver safe and effective care. This guidance complements pre-existing NQB guidance, NICE guidelines and NICE … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, National, NHS England, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Acute Care, Acute Hospital Care, Adult Inpatient Wards in Acute Hospitals, Avoidable Mortality, BBC Health News, Berwick Review, Care and Compassion, Care Contact Time, Care Planning, Cavendish Review, Checking Medication, Chief Nursing Officer, Chief Nursing Officer for England (CNO), Communication, Compassion and Care, Compassion in Practice: Action Areas, Compassionate Care, Compassionate Care in Acute Hospital Settings, Computer-Based Multiple-Choice Examination, Consequences of the Francis Inquiry Report, Creating Time to Care, Dignity, Dignity and Respect, Dignity in Care, Dignity on the Ward, Discharge Planning, Eating and Drinking, Elderly Care Nurses, Enabling Compassionate Care in Acute Hospital Settings, Fluid Management, Guidance on Care Contact Time, Guide to Assessing Care Contact Hours, Jane Cummings: Chief Nursing Officer for England, National Institute for Health and Care Excellence (NICE), National Quality Board, National Quality Board (NQB), NHS Safe Staffing, NICE Safe Staffing Guideline (SG1), NQB: National Quality Board, Nurse Sensitive Outcomes, Nurse Staffing Levels, Nurse Staffing of Adult Wards, Responses to the Francis Inquiry Report, Royal College of Nursing (RCN), Safe Nurse Staffing of Adult Wards, Safe Nursing Indicators, Safe Staffing, Safe Staffing Advisory Committee (NICE), Safe Staffing for Nursing in Adult Inpatient Wards in Acute Hospitals, Safe Staffing for Older People in Hospitals, Safe Staffing for Older People’s Ward Calculator (RCN), Safe Staffing for Older People’s Wards, Safe Staffing Levels, Safe Staffing on Older People’s Wards, Safe Staffing Toolkit, Safer Staffing: Guide to Care Contact Time, Setting Ward Nursing Staff Requirements, SSAC: Safe Staffing Advisory Committee, Staff Wellbeing, Staffing, Staffing (Hospitals), Staffing Level Indicators: Nurse to Patient Ratios, Staffing Levels, Staffing Ratios in Nursing, Stress, Stress in the Workplace, Time Pressure-Missed Care, Time Pressures, Time to Care, Work-Related Stress, Workplace Culture, Workplace Stress Risk Assessments | Leave a comment

Guidance on Nurse Staffing Levels (BBC News / NICE)

Posted on July 15, 2014 by Dementia and Elderly Care News

Summary The National Institute for Health and Care Excellence (NICE) has released guidelines for hospitals in England on safe staffing levels for nurses. The draft guidelines, and the extensive research behind them, were unveiled earlier in May 2014. The ratio of … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Local Interest, Management of Condition, National, NHS, NICE Guidelines, Patient Care Pathway, Person-Centred Care, Proposed for Next Newsletter, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Acute Care, Acute Hospital Care, Adaptation to Midwifery Programme (AMP), Adult Inpatient Wards in Acute Hospitals, Agency Staff (Exorbitant Waste of NHS Funding), Avoidable Mortality, BBC Health News, Berwick Review, Care and Compassion, Care Planning, Cavendish Review, Checking Medication, Communication, Compassion and Care, Compassionate Care, Compassionate Care in Acute Hospital Settings, Computer-Based Multiple-Choice Examination, Consequences of the Francis Inquiry Report, Dignity, Dignity and Respect, Dignity in Care, Dignity on the Ward, Discharge Planning, Earn As You Learn, Earn While You Learn, East Cheshire NHS Trust, Eating and Drinking, Enabling Compassionate Care in Acute Hospital Settings, Fluid Management, Foreign Nurses, Foreign Nurses: Recruitment, Former Health Secretary Jeremy Hunt, Francis Effect, Francis Inquiry, General Hospital Care, General Hospitals, Gloucestershire Hospitals NHS Foundation Trust, Hampshire Hospitals NHS Foundation Trust, Hard Truths, Heart of England NHS Foundation Trust, Hospital Mortality, Hydration and Nutrition, Hygiene, Immigration Rules, Improvement of Working Conditions, Institute for Employment Studies, Janet Davies, Janet Davies: Chief Executive and General Secretary of the Royal College of Nursing, Janet Davies: RCN General Secretary, Keogh Review, Management of Equipment, Mary Trevelyan (NHS Nurse), Medication, Migration Advisory Committee, Migration Rules, Mouth Care, National Institute for Health and Care Excellence (NICE), Newcastle Hospitals, Newcastle upon Tyne Hospitals NHS Foundation Trust, NHS Employers, NHS Safe Staffing, NICE Safe Staffing Guideline (SG1), Nurse Sensitive Outcomes, Nurse Staffing Levels, Nurse Staffing of Adult Wards, Nurse Supply and Demand Survey, Nurse-Sensitive Adverse Events, Nurses and Midwives Educated Outside the European Economic Area (EEA), Nurses and Midwives Educated Outside the European Union (EU), Nurses Trained Overseas, Nurses Vacancy Rates by Region: England (RCN 2017), Nurses Vacancy Rates by Sector: England (RCN 2017), Nurses: Summer of Protest Activity (2017), Nursing and Midwifery Council (NMC), Nursing Apprentices, Nursing Associates, Nursing Older People, Nursing Red Flags, Nursing Staff, Nursing Staff Requirements, Nursing Workforce, Nursing Workforce Planning, Nursing Workforce Reforms (October 2017), Nursing Workforce Statistics, Objective Structured Clinical Examination (OSCE), Observations, Open Culture, Openness, Openness and Transparency, OSCE Test of Competence, Overseas (Non-EU / EEA) Nurses and Midwives, Overseas Nursing Programme (ONP), Participation and Social Mobility, Patient Acuity, Patient and Relative Education, Patient Dependency, Patient Escorts, Patient Outcomes, Patient Safety, Patient to Nurse Ratios, Patient Turnover, Patients Per Nurse, Pay Threshold for Non-European Workers, Practical Exam (OSCE), Pressure Area Care, Preventable Hospital Mortality, Procedures and Treatments (Nursing), Proportion of Foreign Nurses in UK, Red Flag Events (Safe Staffing), Repercussions From the Francis Inquiry Report, Responses to the Francis Inquiry Report, Return to Practice Campaign, Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, Royal College of Nursing (RCN), Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Safe Nurse Staffing of Adult Wards, Safe Nursing Indicators, Safe Staffing Advisory Committee (NICE), Safe Staffing for Nursing in Adult Inpatient Wards in Acute Hospitals, Safe Staffing for Older People in Hospitals, Safe Staffing for Older People’s Wards, Safe Staffing Levels, Setting Ward Nursing Staff Requirements, Sheffield Teaching Hospitals NHS Foundation Trust, Shrewsbury and Telford Hospital NHS Trust, SSAC: Safe Staffing Advisory Committee, Staffing, Staffing (Hospitals), Staffing Level Indicators: Nurse to Patient Ratios, Staffing Levels, Staffing Ratios in Nursing, Stress in the Workplace, Time Pressure-Missed Care, Time Pressures, Time to Care, Toileting, Transparency, Transparency and Accountability, University College London Hospitals (UCLH), University College London Hospitals NHS Foundation Trust, University Hospitals of North Midlands, University Hospitals of North Midlands (Previously University Hospital of North Staffordshire), Ward and Trust Level Staffing, Ward Rounds, Ward Staffing Levels, Work-Related Stress, Workforce and Staffing Level Indicators, Workforce Planning and Development, Workforce Planning Implications From Francis 2013, Working Conditions (Nurses), YouGov | Leave a comment

Draft Guidance on Nurse Staffing Levels (BBC News / NICE)

Posted on May 10, 2014 by Dementia and Elderly Care News

Summary The National Institute for Health and Care Excellence (NICE) has released draft guidance indicating to hospital managers that there is a higher risk of harm to patients when the ratio of nurses to patients falls below a certain level; … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, National, NHS, NICE Guidelines, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Acute Care, Acute Hospital Care, Avoidable Mortality, BBC Health News, Care and Compassion, Care Planning, Centre for Innovation and Leadership in Health Sciences: University of Southampton, Checking Medication, Communication, Compassion and Care, Compassionate Care, Compassionate Care in Acute Hospital Settings, Cost-Effectiveness Analysis (CEA), Department of Health Care Management and Policy (DHCMP): University of Surrey, DHCMP: Department of Health Care Management and Policy, Dignity, Dignity and Respect, Dignity in Care, Dignity on the Ward, Discharge Planning, Eating and Drinking, Enabling Compassionate Care in Acute Hospital Settings, Fluid Management, Francis Effect, General Hospital Care, General Hospitals, Hospital Mortality, Hydration and Nutrition, Hygiene, International RN4Cast Consortium, Management of Equipment, Medication, Missed Care Episodes, mobilisation, Mouth Care, National Institute for Health and Care Excellence (NICE), National Nursing Research Unit, National Nursing Research Unit: King's College London, New Zealand Public Health Sector, NHS Costs of Falls, NHS Safe Staffing, NICE, Nurse Sensitive Outcomes, Nurse Staffing Levels, Nurse Staffing of Adult Wards, Nurse-Sensitive Adverse Events, Nursing Older People, Nursing Red Flags, Nursing Staff, Nursing Staff Requirements, Nursing Workforce, Observations, Open Culture, Openness, Openness and Transparency, Patient Acuity, Patient and Relative Education, Patient Dependency, Patient Escorts, Patient Outcomes, Patient Safety, Patient to Nurse Ratios, Patient Turnover, Patients Per Nurse, Pressure Area Care, Preventable Hospital Mortality, Procedures and Treatments (Nursing), Repercussions From the Francis Inquiry Report, Responses to the Francis Inquiry Report, RN4CAST Consortium, Royal College of Nursing, Safe Nurse Staffing of Adult Wards, Safe Nurse Staffing of Adult Wards in Acute Hospitals: Guideline Consultation, Safe Nursing Indicators, Safe Staffing Advisory Committee (NICE), Safe Staffing Alliance, Safe Staffing for Older People (RCN), Safe Staffing for Older People in Hospitals, Safe Staffing for Older People’s Wards, Safe Staffing Levels, Setting Ward Nursing Staff Requirements, SSAC: Safe Staffing Advisory Committee, Staffing, Staffing (Hospitals), Staffing Level Indicators: Nurse to Patient Ratios, Staffing Levels, Staffing Ratios in Nursing, Stress, Stress in the Workplace, Time Pressure-Missed Care, Time Pressures, Time to Care, Toileting, Transparency, Transparency and Accountability, UK Nursing Database (UKND), UKND Dataset, University of Southampton, University of Surrey, Ward and Trust Level Staffing, Ward Rounds, Ward Staffing Levels, Work-Related Stress, Workforce and Staffing Level Indicators, Workforce Planning and Development, Workforce Planning Implications From Francis 2013 | Leave a comment

Hospitals in England to Report Staffing Levels for Public Scrutiny (BBC News / RCN)

Posted on November 19, 2013 by Dementia and Elderly Care News

Summary From April 2014 onwards, hospitals in England will be required to publish monthly details about their standards of care on a new national safety website. An important element of the information supplied will indicate whether each hospital has enough nurses on the wards to meet recommended safe-staffing levels. This development … Continue reading →

Posted in Acute Hospitals, BBC News, CQC: Care Quality Commission, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Management of Condition, National, NHS, NICE Guidelines, Patient Care Pathway, Person-Centred Care, Quick Insights, RCN, Standards, UK, Universal Interest | Tagged Acute Care, Acute Hospital Care, Avoidable Mortality, BBC Health News, Berwick Review, Berwick Review of Patient Safety, Care and Compassion, Commons Health Select Committee, Compassion and Care, Compassionate Care, Compassionate Care in Acute Hospital Settings, Dignity, Dignity and Respect, Dignity in Care, Dignity on the Ward, e-Rostering Systems, Elderly Care Nurses, Electronic Rostering Systems, Enabling Compassionate Care in Acute Hospital Settings, General Hospital Care, General Hospitals, HCSWs, Health Select Committee, Hospital Mortality, Hospital-Based Carer Support Worker (HCSW), House of Commons Health Select Committee, House of Commons Health Select Committee (HSC), Jane Cummings: Chief Nursing Officer for England, Keogh Mortality Review, Kronos UK, Mid Staffordshire NHS Foundation Trust, National Institute for Health and Care Excellence (NICE), Neglect, NHS Culture, NHS Networks, NHS Safe Staffing, Nurse Staffing Levels, Nurse-Sensitive Adverse Events, Nursing Older People, Nursing Staff, Nursing Workforce, Open Culture, Openness, Openness and Transparency, Patient Outcomes, Patient Safety, Patient to Nurse Ratios, Patients Per Nurse, Policy Analysis Centre, Reactions to the Francis Inquiry Report, Registered Nurses, Responses to the Francis Inquiry Report, Royal College of Nursing, Safe Staffing Alliance, Safe Staffing for Older People (RCN), Safe Staffing for Older People in Hospitals, Safe Staffing for Older People’s Ward Calculator (RCN), Safe Staffing for Older People’s Wards, Safe Staffing Levels, Salford Royal Hospital, Skill Mix, Staff Rostering, Staffing (Hospitals), Staffing Level Indicators: Complaints / Incident Reports, Staffing Level Indicators: Nurse to Patient Ratios, Staffing Level Indicators: Rates of Staff Sickness, Staffing Level Indicators: Skill Mix, Staffing Level Indicators: Staff Turnover, Staffing Level Indicators: Supernumerary Status of Ward Sister / Manager, Staffing Level Indicators: Use of Agency / Bank Nursing Staff, Staffing Levels, Staffing Ratios in Nursing, Stress, Stress in the Workplace, Time Pressures, Time to Care, Transparency, Transparency and Accountability, Unregistered Nursing Staff, Ward Staffing Levels, Workforce and Staffing Level Indicators, Workforce Planning and Development, Workforce Planning Implications From Francis 2013 | Leave a comment

Minimum Standards for Healthcare Assistants: Certificate of Fundamental Care (BBC News)

Posted on July 10, 2013 by Dementia and Elderly Care News

Summary The Cavendish Review to ensure vulnerable patients are treated with dignity says healthcare assistants (HCAs) should need to comply with a universal training system and gain accreditation before they are allowed work unsupervised. This review was carried out after the Francis Inquiry to offer recommendations … Continue reading →

Posted in Acute Hospitals, BBC News, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), Health Education England (HEE), In the News, Management of Condition, National, NHS, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged 12-Hour Shifts (HCAs), Acute Hospital Care, Allowing HCAs to Use Title “Nursing Assistant", Appraisals, Apprenticeships, Axiological Inventory (Philosophical Study of Values), “Higher Certificate of Fundamental Care, Barchester Healthcare: Higher-Level Apprenticeship, BBC Health News, Belfast Health and Social Care Trust’s Band 3 Healthcare (Nursing) Support Worker Programme, Board Level Responsibility for the Recruitment Training and Management of HCAs, Bridging Programmes for Progression of HCAs and Support Workers into Nursing Programmes, Bridging Programmes: Progression of HCAs and Support Workers into Nursing Programmes, Bureaucracy, Camilla Cavendish, Capitated and Outcome-Based Incentivised Contracts (COBICS), Care for Vulnerable Older People, Care Homes, Care Quality Commission (CQC), Care Support, Career Ladder, Career Pathways for HCAs, Caring: a Career, Cavendish Review, Certificate of Fundamental Care, City and Guilds Diploma Level 2 in Clinical Healthcare Support (CHS), Clearer Simpler Job Titles, Coaching, Coaching and Mentoring, Commissioning Based on Outcomes, Commissioning by Results, Common Induction Standards (CIS), Compassionate Care, Consequences of the Francis Inquiry Report, Crew Resource Management (CRM) Training, Culture of Compassionate Care, Dementia Awareness, Directors of Nursing, Disconnected Landscape, Dismissal of Unsatisfactory Staff, Education, Education and Training, Education Outcomes Framework, Employers’ Lack of Faith in Qualifications, Enabling Compassionate Care in Acute Hospital Settings, Engagement and Support (HCAs), False Economy: Local Authority Home Care Contracts, False Economy: Long Shifts, False Economy: Not Paying Home Care Workers for Travel, Financial Constraints, First Line Managers, Foundations for Growth, General Hospital Care, Great Interactions (MacIntyre), Guy's and St Thomas' NHS Foundation Trust, Hartman Values Profile Tool, HC-One: Touch, HCAs, HCAs AfC Pay Bandings, HCAs as Part of Nursing Team: Not a Separate Tribe, HCAs: Voice of the Frontline, Healthcare Assistants, Healthcare Support Workers, Heart of England NHS Foundation Trust, HEE: Health Education England, High Attrition Rates (HCAs), Higher Apprenticeships (Skills for Care NMC and Skills for Health), Higher-Level Apprenticeship, Home Care Workers, Home Care Workers' Travel Time, Improving Accountability for Performance: Codes of Conduct, Institute of Vocational Learning: Buckinghamshire New University, Intelligent Kindness: More Than Basic Care, Intolerance of Poor Performance, Kings College London, Leadership, Local Education and Training Boards (LETBs), MacIntyre Profile, Macmillan Values Based Standard, Management of HCAs, Mid Staffordshire NHS Foundation Trust Inquiry, Minimum Standards for Healthcare Assistants, Minimum Training Standards for Healthcare Support Workers, Modernisation of the Nursing Workforce, Modernization of the Nursing Workforce: Valuing the Healthcare Assistant, Multi-Disciplinary Team (MDT), National Minimum Data Set for Social Care, National Minimum Data Set for Social Care: Skills for Care, National Minimum Training Standards for Healthcare Support Workers, National Minimum Wage, National Occupational Standards, National Skills Academy, NHS Career Framework, Nursing and Midwifery Council (NMC), Nursing Assistant: Title, Nursing Auxiliaries, Office of Qualifications and Examinations regulation (Ofqual), Outcomes-Based Commissioning, Overly Generous Appraisals, Paperwork, Patient Advisory Liaison Service (PALS), Patient Care, Patient Safety, Patient Safety and Service Quality Centre (PSSQ), Patients First and Foremost, Paying Home Care Workers for Travel, Payment of Travel Time, Performance Management, Personal Development Plans, Positive Appraisals, Positive Culture, Priory Group, Professional Silos, Professional Standards Authority for Health and Social Care, Professional Standards Authority for Health and Social Care (PSA), Progression of HCAs and Support Workers into Nursing Programmes, Protecting Vulnerable People, QCF: Qualifications and Credit Framework, Qualifications, Qualifications and Credit Framework, Queen Alexandra Royal Army Nursing Corps (QARANC), Queen Elizabeth Hospital in Birmingham: HCAs Called Nursing Auxiliaries, Reactions to the Francis Inquiry Report, Recruiting for Values (Caring), Recruitment, Recruitment of HCAs, Recruitment Training and Management of HCAs, Reduction in Bureaucracy, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Residential Care Homes, Salford Royal NHS Foundation Trust, Shared Responsibility, Skills for Care, Skills for Care National Minimum Data Set for Social Care (NMDS-SC), Social Care Support Workers, St Christopher’s Hospice, Staff Motivation, Staff Retention, Staff Sickies, Staff Training, Staffing Levels, Status of Caring in Health and Social Care, Supervising and Leading HCAs, Supervision, Supervision and Support, Support (Getting the Best Out of People), Support Workers in Social Care, Team-Building, Teambuilding, Tick Box Culture, Tick Sheets, Time to Care, Training, Transferable Role Templates, Transferable Role Templates (TRTs), Transferable Skills, Turnover, UK Home Care Association, UKHCA Commissioning Survey: Care is not a Commodity, Under Performers, Underappreciated, Underpaid, University Hospital Birmingham (UHB) NHS Foundation Trust, University Hospitals Birmingham NHS Foundation Trust, Valuing the Healthcare Assistant, Virtual Interactive Teaching and Learning (VITAL), Voluntary Register(s) for Healthcare Support Workers, Vulnerable Adults, Vulnerable Older People, Widening Participation, Widening Participation in Healthcare, Widening Participation into Pre-registration Nursing Programmes, Wiltshire Council, Workforce Training, York Hospitals NHS Foundation Trust, Zero-Hours Contracts | Leave a comment

Tag Archives: Time to Care

Recent Posts

Archives

Categories

Google Translate (100+ Languages)

Recommended Sites