Tag Archives: Urgent and Emergency Care Pathways

Transformational Change in Health and Care: Learning From Case Studies (King’s Fund)

Posted on June 12, 2018 by Dementia and Elderly Care News

Summary A recent King’s Fund report explores diverse examples of successful transformational change, i.e. those which tend to focus on improving the lives of patients, to see if there are lessons for leadership style and organisational culture. Four case studies … Continue reading →

Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, King's Fund, Local Interest, Management of Condition, Mental Health, National, NHS, Person-Centred Care, Quick Insights, UK, Universal Interest | Tagged 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, Ageing Population, Birmingham (UK), Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham and Solihull NHS Mental Health Trust, Bromley by Bow Centre, Bromley by Bow Health Partnership, Bromley-by-Bow Healthy Living Centre in East London, Buurtzorg Model: Netherlands, Buurtzorg Nederland, Buurtzorg: Netherlands, Capability and Culture, Challenges of Urgent and Emergency Care, Change Bystanders, Change Leaders, Change Participants, Change Recipients, Change Sparks, Change Sponsors, Collaborative Leadership, Collaborative Working, Collective Leadership, Continuous Learning and Improvement, Continuous Learning Culture, Culture and Leadership, Culture Change, Culture Change in Health and Care, Culture Change in the NHS, Defining Ethos and Brand, Don Berwick: International Visiting Fellow at the King’s Fund, Dual Focus: Change and Stability, East London, Emergency and Urgent Care Services, Emergency Attendances, Emergency Care, Emergency Care Networks, Emergency Centres, High-Quality Home Care (Buurtzorg: Netherlands), Hospital Liaison Psychiatry Services, Information Technology, Innovative Technology, Involvement and Participation, Leadership and Culture, Leadership Style, Learning Culture, Learning-Based Approaches, Liaison Psychiatry, Liaison Psychiatry in the Hospital Setting, Liaison Psychiatry Services, Long Term Care in the Netherlands, Netherlands, New Care Models, Northumbria Healthcare NHS Foundation Trust, Northumbria Specialist Emergency Care Hospital, Over-Optimism (NHS Reform Versus Institutional Inertia), Overcoming Inertia, Potential of Technology, Power Dynamics: Old Power Versus New Power, Professor Don Berwick, Quality Improvement, Quality Improvement and Transformational Change, Rapid Access Ambulatory Care Clinics, Rapid Assessment Interface and Discharge (RAID), Reconfiguration of Emergency Care System, Reducing Complexity, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Storytelling Approaches (to Research), Systems Complexity, Team-Based Approaches, Theory X Versus Theory Y (Basic Motivational Models), Transformational Change in Health and Care, Transformational Leadership, Transforming Urgent and Emergency Care Services, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Widening Participation, Work Complexity | Leave a comment

Observations on Approaches to the Care of Persons With Dementia Who Have Had a Fall (Systematic Reviews)

Posted on February 26, 2018 by Dementia and Elderly Care News

Summary Falls are believed to occur for between 47% – 90% of people with dementia, and such falls are a common cause of hospital admissions / re- admissions. A recent narrative review examines the effectiveness of interventions intended to improve … Continue reading →

Posted in Acute Hospitals, Community Care, Falls, Falls Prevention, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Models of Dementia Care, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Systematic Reviews, UK, Universal Interest | Tagged Activities of Daily Living, Activities of Daily Living (ADLs), Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Care of Persons With Dementia Who Have Had a Fall, Dementia Research Collaborative: University of East Anglia, Emergency Care, Emergency Services, Evidence-based Practice Center: Center for Health Research (USA), Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Fall-Related Outcomes, Falls and Fracture Prevention, Falls in Cognitive Impairment and Dementia, Falls in Dementia, Institute of Health and Society: Newcastle University, Institute of Neuroscience: Newcastle University, Intravenous Zoledronic Acid, Kaiser Permanente Research Affiliates, NEADL: Nottingham Extended Activities of Daily Living Index, Newcastle University, Norfolk and Suffolk NHS Foundation Trust, Norwich, Norwich Medical School: University of East Anglia, Nottingham Extended Activities of Daily Living Index (NEADL), Persons With Dementia Who Have Had a Fall, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention, Prevention Agenda, Proactive Falls Prevention Schemes, Re-Admissions to Hospitals, Readmission Rates, Realist And Meta-narrative Evidence Syntheses: Evolving Standards (RAMESES), Reasons for Short Stay Emergency Admissions, Recurrent Falls, Reducing Re-Admissions to NHS Hospitals, Reducing Recurrence of Fractures, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Systematic Reviews, Systematic Reviews and Meta-Analyses, United States, University of East Anglia, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, USA, Zoledronic Acid | Leave a comment

Alternative Approaches to Reducing Hospital Admissions / Re-Admissions (BBC News / British Red Cross / NESTA / King’s Fund)

Posted on February 8, 2018 by Dementia and Elderly Care News

Summary The British Red Cross has proposed that home assessments, and comparatively simple interventions, when discharging old and vulnerable people for hospitals would help to reduce avoidable but predictable hospital re-admissions (and prevent many hospital admissions in the first place). … Continue reading →

Posted in BBC News, Charitable Bodies, Commissioning, Community Care, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, King's Fund, Management of Condition, National, NHS, Person-Centred Care, Personalisation, Quick Insights, UK, Universal Interest | Tagged Acute Hospital Care, Age Friendly Homes, Age-Friendly Housing, Ageing and Society, Ageing Population, Assessment Before Discharge, Assisting Patients Inside Their Homes (Opportunity to Check Home Environment), Aston University, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, BBC Health News, Bed Occupancy Rates, Between Home and Hospital: With British Red Cross, Birmingham, British Red Cross, Community Service Volunteers (CSV), Community-Based Care, Community-Based Support, Community-Based Volunteering, Costs and Harms of Delays in Discharging Older Patients From Hospital, Crises Facing Independent Living Service Users, Crisis Prevention, Criteria Led Discharge, Delayed Discharge: Patient Awaiting Care Package in Own Home, Delayed Discharge: Social Care Delays, Discharge Checklists, Discharge Decisions, Discharge Planning, Discharge Support, Discharging Older Patients From Hospital, Dr Nick Scriven: Society of Acute Medicine, Early Discharge Support, Emergency Attendances, Emergency Care, Emergency Medicine Journal, Emergency Readmissions to Hospital Within 28 Days of Discharge, Emergency Readmissions Within 30 Days, Emergency Services, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Failed Discharges, Feeling Unsafe, Frail Patients on Discharge From Hospital, Future Healthcare Journal, Health and Housing, Health Volunteering, Heart of England NHS Foundation Trust (HEFT), Helping in Hospitals, Home Assessments (on Hospital Discharge), Home Assessments (Prior to Discharge), Hospital Discharge, Hospital Re-Admission Risks, Housing and Care for Older People, Housing Quality, Imelda Redmond: Healthwatch England, In and Out of Hospital (British Red Cross), In-Home Assessments, Inappropriate Discharge, Living Alone, MDTs: Multidisciplinary Teams, Mike Adamson: Chief Executive of British Red Cross, Missed Opportunities, Multidisciplinary Teams, National Data for Better Analysis of Emergency Readmissions (Proposal), National Endowment for Science Technology and the Arts (NESTA), NESTA: National Endowment for Science Technology and the Arts, NHS Winter Pressures (aka Winter Crisis 2017-2018), Overnight Effect, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention, Prevention Agenda, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Proactive Management of Home Conditions, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Proactive Falls Prevention Schemes, Re-Admissions to Hospitals, Readmission Rates, Reasons for Short Stay Emergency Admissions, Red Cross, Reducing Re-Admissions to NHS Hospitals, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, School of Health and Related Research: University of Sheffield, Social Prescribing, Solihull, Solihull Hospital, Solihull Metropolitan Borough Council, South Warwickshire Foundation Trust, South Warwickshire NHS Foundation Trust, Struggling and Caring For Others, Struggling With Everyday Tasks, Tackling Health Inequality Through Housing, University of Sheffield, University of Wolverhampton (Walsall), Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Vanguards: Solihull Together for Better Lives, Value of Volunteering, Voluntary and Community Sector (VCS), Volunteering in General Practice, Volunteering in Hospitals, Warmer and Safer Homes, Winter Pressures | Leave a comment

UK’s First Dedicated A&E for Elderly Patients? (BBC News)

Posted on November 10, 2017 by Dementia and Elderly Care News

Summary Norfolk and Norwich University Hospitals NHS Foundation Trust are to open the first specialist A&E department for patients over 80 years old. This hospital’s existing emergency department typically receives 350 people per day, of whom 50 may be aged … Continue reading →

Quality Improvement in Urgent and Emergency Care (NHS Improvement / NHS England / Department of Health)

Posted on August 18, 2017 by Dementia and Elderly Care News

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 →

Approaches to the Reduction of Preventable Hospital Admissions: a Systematic Review (BMJ Open)

Posted on August 10, 2017 by Dementia and Elderly Care News

Summary A recent systematic review examined the alternatives to hospital admission for older patients at risk of unplanned hospitalisation. The broad categories of interventions considered were (i) improved use of paramedic / emergency care practitioners, (ii) interventions based in emergency … Continue reading →

Carers UK’s Pressure Points Report: Building on the Role of Carers in Supporting the NHS (Carers UK)

Posted on October 13, 2016 by Dementia and Elderly Care News

Summary A recent Carers UK report examined the potential role(s) of carers in helping to reduce emergency admissions and re-admissions to hospital; and to minimise delayed transfers of care from hospital. Around 40% carers who have taken their dependents to A&E … Continue reading →

Posted in Acute Hospitals, Carers UK, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, NHS, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Ageing and Society, Ageing Policy in the UK, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Building Carer Friendly Communities, Care in the Community, Caregivers, Caregiving (Carers), Carer Awareness, Carer Experience, Carer Fatigue, Carer Friendly Communities, Carer Friendly NHS, Carer Friendly NHS Programme, Carer Friendly Primary Care Services, Carer Isolation, Carer Passports, Carer Support, Carer Support Services, Carer's Needs, Carer’s Perspective, Carers and Families, Carers UK’s Pressure Points Report, Carers’ Rights at Discharge, Case Management, Co-Production, Co-Production in Commissioning, Commissioning for Carers Principles, Community-Based Care, Crisis Resolution Teams, Delayed Discharges, Delayed Transfer of Care to Social Care (DToC), Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Care, Emergency Centres, Emergency Departments, Emergency Services, Experiences of Health Care Services, Experiences of Social Care Services, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Families, Family Caregivers, Family Carers, Funding, Health and Social Care in the Community, Heléna Herklots: Chief Executive of Carers UK, Informal Caregiving, Informal Carers, Integrated and Community-Based Care, Integrated Approach to Identifying and Assessing Carer Health and Wellbeing (NHS England Toolkit), Integrated Discharge Process, Interface Between Primary and Secondary Care, Listening to Carers, Local Sustainability and Transformation Plans (STPs), 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, Proactive Personalised Care in the Community, Readmissions, Reasons for Delayed Discharge, Reducing Delayed Transfers of Care, Reducing Early Hospital Readmissions, Reducing Emergency Admissions Through Community-Based Interventions, Reducing Re-Admissions to NHS Hospitals, Role of Carers in Supporting the NHS, Sustainability and Transformation Plans (STPs), Sustainable Caring, Undervalued Hidden Workforce, Unnecessary Hospital Admissions, Unpaid Caregivers (Carers), Unpaid Carers, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England, Valuing Carers, Working Together to Support Carers | Leave a comment

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