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Tag Archives: Unwarranted Variations
Statistical Process Control Applied to Delayed Transfers of Care (NHS Improvement)
Summary Delayed transfers of care (DToC) are widely recognised to be a significant cause of unnecessary harm to patients, and potentially avoidable financial costs to the taxpayer. NHS Improvement’s “Delayed transfer of care (DToC) improvement tool” incorporates the latest data from … 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, Local Interest, Management of Condition, National, NHS, NHS Improvement, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged Acute Hospital Care, Adult Social Care, Adult Social Care Services, Ageing Population, Areas With the Highest Delayed Transfers of Care, Care for Vulnerable Older People, Clinical Commissioning Groups (CCGs), Cross-Sector Partnerships, Dashboards, Delayed Transfer of Care (DToC) Improvement Tool (NHS Improvement), Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Discharge From Acute and Mental Health Trusts, DToCs Dashboard, Efficiency Opportunities, English Local Authorities, Geographical Variations, Health and Adult Social Care Providers, Health and Social Care, Health and Social Care Integration, Hospital Discharge, Hospital Discharge and Transfers, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integration of Health and Social Care, Local Authorities (LAs), Local Health Services: Variations, NHS Improvement's Delayed Transfers of Care Improvement Tool, Patient Discharge, Patient Flows, Pivot Table Slicers (Excel Tool), Post-Discharge Support, QI: Quality Improvement, Quality and Efficiency Opportunities, Quality Improvement, Quality Improvement Approaches, Reducing Bed Days, Reducing Waste in the NHS, Regional Variations, Social Care Delays (Impact on Hospital Bed-Days and LoS), Social Care Providers, Statistical Process Control, Statistical Process Control (SPC) Principles, Statistical Process Control Methodology, Sustainability, Sustainable Health and Social Care, Thinking Like a Patient and Acting Like a Taxpayer, Transition Between Inpatient Hospital Settings and Community or Care Home Settings, Unacceptable Variations, Unwarranted Variations, Variation in Performance, Vulnerable Older People, Wasted Resources, Whole System Dashboards, Whole System Patient Flows
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Big Hopes Riding on Research Project to Help Unpaid Carers? (NIHR)
Summary There are an estimated 850,000 people with dementia, and 670,000 unpaid carers, in the UK; involving more than half a million people with dementia living at home and being supported by unpaid carers, according to the Carers Trust. The … Continue reading
Posted in Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NIHR, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, UK, Universal Interest
Tagged Ageing Population, Ageing Population Carer Support, Building Carer Friendly Communities, Burden on Caregivers, Care South West Peninsula (NIHR PenCLAHRC), Caregiver Assessments, Caregiver Burden, Caregivers, Caregiving (Carers), Carer Awareness, Carer Burden in Dementia, Carer Experience, Carer Fatigue, Carer Friendly Communities, Carer Friendly Policies, Carer Friendly Society, Carer Isolation, Carer Support, Carer Support Services, Carer's Needs, Carer’s Perspective, Carers, Carers and Families, Carers Trust, Caring for Carers, China, Commissioning Carer Support Services, Community-Based Dementia Support Workers, Complex Health and Care Needs in Older People, Dementia Learning Community (DLC), Dementia Support Workers, Dementia Support Workers (DSWs), Dementia-Friendly GP Surgeries, Devon Partnership NHS Trust, Empowering Carers, Enhancing Support for Carers, Faculty of Medicine and Dentistry: University of Plymouth, Family Caregivers, Family Carers, GP Surgeries, Ian Sherriff: Academic Partnership Lead for Dementia at University of Plymouth, Ian Sherriff: Chair of Prime Minister’s Dementia Task and Finish Group, Impact of Caring on Carers, Improving Lives of Carers, Informal Caregiving, Informal Carers, Innovative Access to Primary Care Service, Institute of Translational and Stratified Medicine (ITSMed): University of Plymouth, Japan, London School of Economics and Political Science, National Institute for Health Research (NIHR), National Institute for Health Research (NIHR)’s Improving Dementia Care Initiative, Newcastle University, NIHR CLAHRC South West Peninsula, NIHR CLAHRC South West Peninsula (PenCLAHRC), NIHR CLAHRC South West Peninsula: Plymouth University, NIHR Collaboration for Leadership in Applied Health Research and Care South West Peninsula (PenCLAHRC), NIHR Programme Grants for Applied Research (PGfAR) Programme, NIHR Research Design Service (RDS), Peninsula Clinical Trials Unit (PenCTU), Peninsula Clinical Trials Unit: NIHR Collaboration for Leadership in Applied Health Research and Care South West Peninsula (PenCLAHRC), Plymouth University, Plymouth University Peninsula Schools of Medicine and Dentistry (PU PSMD), Primary Care, Primary Care Research: University of Plymouth, Singapore, UK National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for the South West Peninsula, Undervalued Hidden Workforce, University of Exeter, University of Manchester, University of Plymouth, University of Plymouth’s Institute of Translational and Stratified Medicine, Unpaid Carers, Unwarranted Variations, Valuing Carers
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Progress Towards Achieving Better Value / Reducing Waste in the NHS (King’s Fund / NHS Providers)
Summary A King’s Fund report investigates recent work on the value agenda, i.e. efforts aimed at reducing unnecessary costs while maintaining or improving the quality of care. This is based mostly on experience at three diverse NHS acute hospital trusts: … Continue reading
Posted in Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, King's Fund, NHS, NHS Improvement, Person-Centred Care, Quick Insights, UK, Universal Interest
Tagged Achieving Better Value, Acute Care, Acute Hospital Care, Ageing Population, Allocative Efficiencies, Allocative Value, Better Procurement, Better Value, Better Value Healthcare, Better Value in the NHS, Better-Value Services, Bolton NHS Foundation Trust, Bradford Teaching Hospitals NHS Foundation Trust, Centralised Procurement, Centralised Procurement (Economies of Scale), Choosing Wisely, Choosing Wisely Campaign, Choosing Wisely in the NHS, Choosing Wisely in the UK, Clinical and Corporate Leadership, Clinical Leadership, Clinical Practice Groups (CPGs), Clinical Quality Improvement, Collaboration, Collaboration for Coordinated Care, Collaboration: Working Across Boundaries, Community Virtual Wards, Consultant-Led Services in the Community, Cost Reductions, Culture and Leadership, Delegated Decision Making, Devolved Budgets, Devolved Decision-Making, Economic Sustainability, Efficiencies and Productivity Gains, Efficiency, Efficiency Agenda, Efficiency Opportunities, Efficiency Savings, Empowerment, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Funding Challenges, Funding Deficits, Funding Gap in Secondary Care, General Hospitals, Getting It Right First Time (GIRFT), Health and Social Care Configuration, Healthcare Quality Improvement, Healthcare Value Improvement, Hospital Productivity, Hospital Reconfiguration, IHI Triple Aim, Innovative Leadership, Leadership, Lean and Quality Improvement, Local Health and Care Services, Local Health Economies, Lord Carter Review, Low-Value Care, Maximising Health Outcomes, Minimising NHS Costs, Model Hospital, Model Hospital: Template for Standardisation, NHS Challenges and New Solutions, NHS Efficiency Savings, NHS England’s Ten-Point Efficiency Plan, NHS Funding Gap, NHS Inappropriate Care: Overuse Underuse and Misuse, NHS Performance, NHS Productivity, NHS Providers, NHS RightCare, NHS Sustainability, Personalised Value, Practical Approaches to Delivering Better Value in NHS Clinical Services (King’s Fund), Productivity, Productivity in the NHS, QI: Quality Improvement, Quality and Efficiency Opportunities, Quality Improvement, Quality Improvement Culture, Redesigning Care Pathways, Redesigning Services, Reducing Drains on the NHS, Reducing Overuse Underuse and Misuse, Reducing Waste in the NHS, Royal Free NHS Foundation Trust, Service Cost Reductions, Service Redesign, Service Redesign for Productivity, Service Redesign for Value Agenda, Shared Clinical Pathways, Staff Empowerment, Staff Empowerment in the NHS, Staff Engagement, Staff Engagement in the NHS, Strategic Leadership, Sustainability, System Efficiencies, Targeting Low-Value Care, Technical Value, Thinking Like a Patient and Acting Like a Taxpayer, Triple Aim Initiative, Triple Aim: (1) Improved Health and Wellbeing (2) Redesigned Care and (3) Wise Financial Stewardship, Troubled NHS Foundation Trusts, Unacceptable Variations, Unwarranted Variations, Use of Resources Assessments (NHS Improvement), Value Agenda, Value Improvement, Variations in Care, Virtual Ward Approaches, Virtual Wards, Virtual Wards to Reduce Readmissions, Workforce Engagement
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Seven Principles at the Heart of the Government’s Planned Social Care Green Paper (Department of Health / SCIE / BBC News)
Summary Jeremy Hunt, the Health and Social Care Secretary, has made a speech outlining the seven key principles for social care which will feature in a Green Paper expected to be published by Summer 2018. The principles, announced on World Social … Continue reading
Posted in BBC News, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), 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, NHS, NHS Confederation, Person-Centred Care, Personalisation, Quick Insights, SCIE, Standards, UK, Universal Interest
Tagged Adult Social Care Workforce, Ageing Grand Challenge, Ageing Population, Annual Care Supplement (Centre for Policy Studies Proposal), Atlas of Variation, BBC Care Tool, BBC Care Tool (Chillida SR and Jarvis S), BBC Politics News, BBC Radio 4’s You and Yours, Better Care Fund (BCF), Capacity Pressures in the Health and Social Care System, Care and Support Reform, Care and Support Services: Choice and Control, Care for People with Dementia in the Community, Care in an Ageing Society, Caregiver Burden, Caregiving (Carers), Carer Awareness, Carer Isolation, Carer Quality of Life: Demands of Caring, Carer Stress, Carer Support, Carer Support Services, Carer's Needs, Carer’s Perspective, Carers, Carers and Families, Carers for People with Dementia, Centre for Policy Studies, Choice and Control, Collaborative Working, Collaborative Working in Local Communities, Competition and Markets Authority (CMA), Coordinated Health and Social Care, Damian Green, Delivering Better Health and Care Outcomes, Dementia Tax, Department of Health and Social Care (Formerly the Department of Health), Department of Health and Social Care Green Paper on Care and Support for Older People, Dilnot Commission Recommendations, Dilnot Commission Report on Funding of Care and Support, Families and Carers, Fixing the Care Crisis: Centre for Policy Studies (2019), Former Health Secretary Jeremy Hunt, Frank's Law (Scotland), Funding of Care and Support (Dilnot Commission), Gloucestershire, Health and Care of Older People, Health and Care Suitable for an Ageing Population, Health and Social Care Reform, Honesty and Transparency, House of Commons Library, House of Commons Library: International Social Care System Comparisons (Supplied for Centre for Policy Studies), Inequity, Innovation Fund to Support Healthy Ageing, Integrated Care Records, Integrated Health and Care Budgets, Integrated Personalised Commissioning (IPC), Integration, Integration of Health and Care, Integration of Health and Social Care, International Social Care System Comparisons Supplied to Centre for Policy Studies by House of Commons Library, Jeremy Hunt: Former Secretary of State for Health and Social Care, Joined-Up Care, Joined-Up Strategy to Improve Whole System Flow, Joint Health and Care and Support Plans, Joint Health and Social Care Assessments, Lincolnshire, Local Variations, London Borough of Waltham Forest, Long-Term Care (LTC), Long-Term Care and Support, Malcolm Royle, Mum Test, New Technology, NHS 10 Year Workforce Strategy, NHS 70 (NHS 70th Birthday), NHS 70th Birthday, NHS and Social Care Workforce, NHS Atlas of Variation, NHS Pay Deal (2018), NHS Reform in England, Nottinghamshire, Partnership Working, Personal Budgets (PBs), Personal Budgets Across Health and Care, Personal Budgets for Older People, Personal Budgets in Adult Social Care, Personal Health Budgets (PHBs), Personal Integrated Budgets, Personalised Care and Support Planning. Choice and Control, Postcode Lottery, Protection of Care Home Residents From Unfair Practices, Quality and Sustainability, Reducing Variation, Relationship-Based Care, RightCare’s NHS Atlas of Variation, Risk-Pooling and Social Insurance to Moderate Impact of Dementia Tax, Rt Hon Damian Green MP, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health and Social Care, SCIE’s Dignity Factors: Choice and Control, SCIELine Bulletin, Seven Key Principles for Social Care Reform (Jeremy Hunt), Shared Responsibility, Social Care Workforce Development, Sustainability, Sustainable Funding, Technology Supporting People Living With Dementia and Their Carers, Tipping Point in Sustainability of Adult Social Care (Alleged), Tony Hunter: Chief Executive of the Social Care Institute for Excellence (SCIE), Tracey Crouch: Minister for Loneliness, Transparency and Accountability, Unacceptable Variations, Universal Care Entitlement (Centre for Policy Studies Proposal), Unpaid Caregivers (Carers), Unpaid Carers, Unwarranted Variations, Variations in Quality of Care, Variations in Social Care in England, Variations in Social Care Quality and Spending in England, Waltham Forest East London and City (WELC) Integrated Care Programme, Workforce Centrality, Workforce Development, Workforce Issues, Workforce Issues (Feeling Undervalued), World Social Work Day, You and Yours (BBC Radio 4)
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BBC’s NHS Tracker Service: Re-Launched (BBC News)
Summary The BBC has launched a new improved version of the online NHS Tracker, in readiness for anticipated Winter-pressures. This service allows local variations in service performance to be viewed by postcode. Updates will be added to reflect monthly and … Continue reading
Posted in Acute Hospitals, BBC News, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, Northern Ireland, Quick Insights, Scotland, Standards, Statistics, UK, Universal Interest, Wales
Tagged 62 Day Cancer Waiting Standard, A&E Four-Hour Wait Standard, A&E Quality Indicators, Access Targets, Access Times for Planned Treatments, Access to Hospital Care, Accident & Emergency, Accident and Emergency Departments, Accident and Emergency: NHS Performance Indicators, Acute Care, Acute Hospital Care, Ageing and Society, Ageing Population, BBC Data Team, BBC Health News, BBC News Reality Check, BBC Reality Check Team, BBC's NHS Winter Project, Cancer Care Waiting Time Target, Four-Hour A&E Waiting Time Target, Geographical Variations, Jeane Freeman: Scottish Cabinet Secretary for Health and Sport, Katherine Henderson: President of the Royal College of Emergency Medicine, Key Performance Indicators, Local NHS Performance Tracking Service (NHS Winter Project), Local Variations, London North West Healthcare NHS Trust, London North West Healthcare NHS Trust: Preparations Ahead of Winter 2017/8 (Extra Funding), NHS Funding and Performance: Wales Versus England (BBC Reality Check), NHS in Winter (BBC News), NHS Pensions Row (2019), NHS Performance Indicators, NHS Performance Tracker, NHS Sustainability, NHS Tracker Service (BBC's NHS Winter Project), NHS Tracker Service (BBC), NHS Winter Crisis, NHS Winter Project (BBC News NHS Tracker Service), NHS Winter Project (BBC News), North Tees and Hartlepool NHS Foundation Trust, Northwick Park Hospital, Performance Indicators, Performance Targets, Planned Operations Waiting Time Target, Planned Treatment, Quality and Sustainability, Quality of Health Care, Quality Standards, Sustainability, Target Culture, Target-Driven Behaviour, Target-Driven Priorities, Targets and Performance Management, University Hospital Of North Tees, Unscheduled Admissions, Unwarranted Variations, Urgent and Emergency Care, Urgent and Emergency Care Review, Urgent and Emergency Services, Variations in Service, Waiting Time Target Breaches, Waiting Time Targets in the NHS in England, Waiting Times for Planned Treatments, Winter Preparedness, Winter Pressures
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Under-Claimed SMI Council Tax Discount? (BBC News / MoneySavingExpert)
Summary People diagnosed as severely mentally impaired (SMI) should by rights be exempt from paying council tax, with the result that two-person households often qualify for a 25% discount on council tax. Persons with a severe mental impairment living alone … Continue reading
Posted in BBC News, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Local Interest, Management of Condition, Models of Dementia Care, National, Patient Information, Person-Centred Care, Practical Advice, Quick Insights, Scotland, Standards, Statistics, UK, Universal Interest, Wales
Tagged Advice and Information: Incorrect Information, BBC Health News, Council Tax, Council Tax Discounts, Council Tax Reduction Scheme in Wales, DCLG: Department for Communities and Local Government, Department for Communities and Local Government, False Information, FOI: Freedom of information, Geographical Variations, Government's 'Apply for Council Tax Reduction' Service, Hilda Hayo: Chief Executive of Dementia UK, Local Authorities (LAs), Local Councils, Local Government Association, Martin Lewis: MSE Founder, Martin Lewis: SMI Council Tax Discount, Misinformation, MoneySavingExpert.com, MSE: MoneySavingExpert.com, Mystery Shopper, Postcode Lottery, Postcode Lottery in Access to Severely Mentally Impaired (SMI) Council Tax Discount, Severely Mentally Impaired (SMI) Council Tax Discount, SMI Council Tax Discount, SMI Diagnosis: Severely Mentally Impaired: Council Tax Discount, SMI Discount: Possibly 100000 Individuals Overcharged, Unacceptable Variations, Unwarranted Variations, Variations in Service
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More on the Persistence of Variations in Care and Health Inequalities (BBC News / MTG / King’s Fund)
Summary The Medical Technology Group’s analysis of data from the 209 Clinical Commissioning Groups (CCGs), concerning regional inequalities in patient access to treatments and assessments involving medical technology, discovered unacceptable variations (including inequalities between the North and South of England). … Continue reading
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, King's Fund, Local Interest, Management of Condition, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged 18 Week Wait and Patient Access, Acute Stroke Management, Acute Stroke Services, Assessment and Diagnosis, BBC Health News, BBC Panorama, BBC Panorama: Get Rich or Die Young, BBC Panorama: Stockton - England’s Most Unequal Town, Cataract Operations, CCG Performance Statistics, CCGs: Clinical Commissioning Groups, CLAHRC: Collaboration for Leadership in Applied Health Research and Care, CLAHRCs: NIHR Collaborations for Leadership in Applied Health Research and Care, Clinical Commissioning Groups (CCGs), Collaboration for Leadership in Health Research and Care (CLAHRC), Colonoscopy and CT Colonoscopy, Commissioning Task, CT Colonoscopies, DEMETRIQ Project, Diagnosis and Referral, Diagnostic Imaging, Diagnostic Services Atlas, Diagnostic Testing Rates, Diagnostic Waiting Times, English Health Inequalities Strategy, Geographical Health Inequalities, Geographical Variations, Getting it Right First Time, Getting It Right First Time (GIRFT), Health and Care of Older People, Health Inequalities, Health Inequalities in England, Hip Replacement, Hip Replacements, Imaging Services, Impact of English Health Inequalities Strategy, Improvement Opportunities in Local Commissioning, Life Expectancy by Neighbourhood, Limb Amputations, Local Commissioning, Local Health Economies, Local Health Profiles, Local Health Services: Variations, Local Variations, Medical Technology Access, Medical Technology Group (MTG), Mortality Rates Among Older People, National Institute for Health Research (NIHR): Collaboration for Leadership in Health Research and Care (CLAHRC), NHS Atlas of Variation, NHS Atlas of Variations in Diagnostic Services, NHS Atlases of Variation, NHS Clinical Commissioners (NHSCC), NHS Postcode Lottery, NHS Variations in Diagnostic Services, NHS Waiting Times, North-South NHS Divide, Postcode Lottery, Postcode Lottery in Access to Care, Postcode Lottery in Access to Treatment, Postcode Lottery in Standards of Healthcare, Quality Improvement, Reducing Variation, Regional Variations, Right First Time, RightCare’s NHS Atlas of Variation, Slope Index of Inequality, Slope Index of Inequality (SII) for Life Expectancy and Healthy Life Expectancy in England, Slope Index of Inequality in Life Expectancy, Specialist Stroke Units, Stockton, Stockton-on-Tees, Stockton: England’s Most Unequal Town, Stroke, Stroke Care Bundles, Stroke Units, Top Performing CCGs, Trends in NHS Outcomes Framework: Health Inequality Indicators, Trends in Public Health Outcomes Framework: Health Inequality Indicators, Unacceptable Variations, Unwarranted Variations, Unwarranted Variations in Diagnostic Testing Rates, Value Opportunities in Local Commissioning, Variation Analysis, Variation in Commissioning, Variations in Care, Variations in Quality of Care, Worst Performing CCGs
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