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- International Perspectives on the Possible Impact of the COVID-19 Pandemic and Lockdown on Abuse of the Elderly (JGCR / American Journal of Geriatric Psychiatry / JAGS)
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- Some Speculated / Potential Benefits of COVID-19 (JGCR / BBC Radio 4’s Rethink / BGS)
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Tag Archives: Urgent and Emergency Care
Qualitative Research Into the Acute Hospital Care Weekend Effect (BMC Health Services Research)
Summary While much recent research has cast doubt upon the validity of the “Weekend Effect” construct, the authors of this qualitative research focus instead on the perceptions of patients and hospital workers regarding the quality and safety of care at … Continue reading →
Posted in Acute Hospitals, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Local Interest, Management of Condition, NHS, Person-Centred Care, Quick Insights, UK, Universal Interest
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Tagged 7 Day Services, Access to Urgent and Emergency Care, Accident and Emergency (A&E) Departments, Acute and Hospital Services, Acute Care, Acute Care and Quality, Acute Hospital Care, Acute Hospitals, Birmingham (UK), BMC Health Services Research, Care in General Hospitals, Care of Deteriorating Patients, Consultant Delivered Care, Consultant Input, Day-of-the-Week Effect, Delays in Clinical Decision-Making (Weekends), Department of Health Sciences: University of Leicester, Deteriorating Patients, Elevated Weekend Hospital Mortality, Emergency Admissions, Emergency Hospital Admission (EHA), Emergency Hospital Treatment, Emergency Medicine, General Hospital Care, High Intensity Specialist Led Acute Care (HiSLAC), High-Intensity Specialist-Led Acute Care (HiSLAC) Project, HiSLAC (High Intensity Specialist-Led Care) Study, Hospital Discharge, Hospital Discharge and Transfers, Hospital Mortality, Hospital Mortality Rates, Improving Patient Safety, Leicester (UK), Monday to Friday Culture, Monitoring and Responding to Deteriorating Patients, Mortality, Mortality Associated With After Hours and Weekend Admissions, Mortality at the Weekend, Mortality by Day of the Week, Mortality Rates, Mortality Statistics, Patient and Public Involvement (PPI), Patient Flows, Patient Safety, Patient Safety Improvement, Positive Deviance, Preventable Hospital Mortality, Qualitative Research, Quality Improvement, Quality of Care, Quality of Care at Weekend, Queen Elizabeth Hospital Birmingham, Reduced Continuity of Clinical Care (Weekends), Rescue and Stabilisation of Sick Patients, Resilience and Risk of Error (Weekends), Seven-Day Hospital Services, Seven-Day Working, Staffing Levels, Staffing Levels and Skill Mix, Thematic Analyses, Therapeutic Pathway Flow, University Hospitals Birmingham, University Hospitals Birmingham NHS Foundation Trust, University of Leicester, Urgent and Emergency Care, Variations in Quality of Care, Weekend Effect, Weekend Hospitalisation and Additional Risk of Death, Weekend Mortality for Emergency Admissions, Weekend Specialist to Patient Ratio in Hospitals, Weekend Working
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Preparations for Winter Pressures: Funding Announced (DHSC / BBC News)
Summary The Department of Health and Social Care has announced £240 million extra funding, aimed at providing local authorities the assistance required to reduce anticipated Winter pressures in the NHS. It is hoped that reducing delayed transfers of care / … Continue reading →
Posted in Acute Hospitals, 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, Local Interest, Management of Condition, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Universal Interest
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Tagged Access to Primary Care, Adult Social Care, Adult Social Care Relative Needs Formulae, Ageing Population, BBC Health News, Crisis Planning, Delayed Discharges, Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Demand and Capacity, Demand Management, Demand Versus Capacity Gaps, East Kent Hospitals University NHS Foundation Trust, Emergency Medicine, Emergency Medicine and Urgent Care, Emergency Planning and Resilience, Extended Access to Primary Care, Health and Social Care, Health and Social Care Integration, Hear and Treat and See and Treat Services (Reducing A&E Attendances), Home Adaptations, Home Care, Hospital Beds, Housing Adaptations, Lancashire Teaching Hospitals NHS Foundation Trust, Long Hospital Stays, Make Ready Hubs at Ambulance Trust Headquarters, Matt Hancock: Secretary of State for Health and Social Care, New Allocation Formulae for Funding Care Act Reforms, NHS Ambulance Trusts, NHS Sustainability, NHS Tracker Service (BBC's NHS Winter Project), NHS Tracker Service (BBC), NHS Winter Project (BBC News NHS Tracker Service), Personal Social Services Research Unit: University of Kent, Quality and Sustainability, Reablement, Reablement Funding, Reablement Services, Reablement Services for People Leaving Hospital, Relative Needs Allocation Formulae for Adult Social Care, Relative Needs Formulae for Adult Social Care Funding, Relative Needs Formulae for Adult Social Care Funding (Study to Review and Update RNF Allocation Formulae for Adult Social Care), Relative Needs Formulae: Prioritising Adult Social Care Funding, Revision of the Relative Needs Formulae for Adult Social Care Funding and New Allocation Formulae for Funding Care Act Reforms (PSSRU: University of Kent), Royal Stoke University Hospital (Previously City General), Same-Day Emergency Care, Social Care Delays (Impact on Hospital Bed-Days and LoS), Social Care Reablement Services, Stephen Barclay MP: Minister of State for Health, Sustainability, Sustainable Health and Social Care, Thinking Like a Patient and Acting Like a Taxpayer, University Hospital of North Midlands, University of Kent: Personal Social Services Research Unit, Urgent and Emergency Care, Urgent and Emergency Services, Urgent and Emergency Services: 2018-9 Winter Preparedness, Winter Preparedness, Winter Pressures
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More on Self-Care, Patient Activation and NHS Sustainability (Health Foundation / BMJ Quality and Safety / Self Care Forum / NHS England / AMROC)
Summary A Health Foundation briefing explores the potential of increasing patient activation for better self-care in the management of long-term conditions (including asthma, diabetes and depression) and reducing avoidable hospital admissions. “ …patients who were most able to manage their … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, Depression, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, Integrated Care, Management of Condition, Mental Health, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Statistics, UK, Universal Interest
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Tagged 24-Hour Community-Based Services, Academy of Medical Royal Colleges (AoMRC), Academy of Medical Royal Colleges: Please Write to Me Initiative, Accident and Emergency Admissions, Accountable Integrated Care Systems (AICS), Ageing Society, Asthma, Asthma Hospital Admissions, Asthma: Avoidable Admissions, Avoidable Emergency Admissions, Awareness and Campaigns, Awareness and Understanding, Awareness Campaigns, Awareness Raising, Black Country STP, BMJ Publishing Group Ltd, BMJ Quality and Safety, Bridport Integrated Hub, Collaborative Working, Collaborative Working in Local Communities, Community and Voluntary Sector, Community Matrons' Late Visiting Service, Community Pharmacies, Community Pharmacists, Community Pharmacy, Community Virtual Wards, Community-Based Care, Community-Based Care for People With Frailty, Community-Based Support, Comprehensive Model of Personalised Care, Connecting Care+ (Wakefield), Data Analytics Team: Health Foundation, Data Analytics: Health Foundation, Debbie Newton: Director of Community Services at Mid Yorkshire Hospitals NHS Trust, Demand Management, Diabetes, Diabetes Self-Management Education and Support, Diabetes Self-Management Support (DSMS), Dorset County Hospital NHS Foundation Trust, Dr Hugh Rayner: Please Write to Me Initiative (Academy of Medical Royal Colleges), Dr Phil Earnshaw: Chair at NHS Wakefield CCG, Dr Riaz Dharamshi: Bridport Integrated Hub, Economic Sustainability, Education and Awareness, Electronic Care Records, Email Not Letters, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Department Utilisation and Patient Activation, Epidemiological Concepts, Epidemiology, Financial Sustainability in the NHS, Good Practice in Managing Emergency Admissions, Health and Wellbeing, Health Policy, Health Wellbeing and Independence, Healthy Ageing, Healthy Behaviours, Healthy Communities, Integrated and Community-Based Care, Integrated Care Systems (ICSs), Integrated Neighbourhood Teams (INT), Jo Webster: West Yorkshire and Harrogate Clinical Commissioning Group Lead, Kamila Hawthorne: Vice-Chair of Royal College of General Practitioners (RCGP), Karen Kirkham: NHS England’s National Clinical Advisor for Primary Care, Late Visiting Service: Community Matrons, Leicester, Leicestershire Planned Care Policies Report, Long-Term Conditions (LTCs), Matt Hancock: Secretary of State for Health and Social Care, Merran McRae: Chief Executive at Wakefield Council, Mid Yorkshire Hospitals NHS Trust, National Self Care Week (2018), NHS and Social Care Hubs, NHS England Integrated Care Case Studies, NHS Wakefield CCG, Outpatient Clinics: Writing Letters to Patients, PAM: Patient Activation Measure, Patient Activation, Patient Activation Measure (PAM), Patient Autonomy, Patient Efficacy, Patient Engagement, Patient Experience, Patient Factors (Demand Side), Patient Involvement, Personal Integrated Care (PIC) - Electronic Care Record, Pharmacist Involvement, PIC Files: Personal Integrated Care (PIC) Files, Please Write to Me: Academy of Medical Royal Colleges, Preventative Care, Preventative Services, Preventing Avoidable Emergency Admissions, Prevention, Prevention and Self Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Prevention Programmes, Preventive Care, Preventive Services, Proactive Care Planning, Proactive Management of Long-Term Conditions, Public and Patient Involvement, Quality of Life for People With Long Term Conditions, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Reducing Waste in the NHS, Ruth Williams: Clinical Directorate Lead at Sandwell and West Birmingham Hospitals NHS Trust, Sandwell and West Birmingham Hospitals NHS Trust, Sandwell iCares Scheme, Self Care For Life, Self Care Forum, Self Care Week, Self Care Week (2018), Self Care Week 2018 Resources, Self Care Week 2018: Choosing Self Care for Life, Self-Care, Self-Care Continuum, Self-Care Programme, Self-Determination, Self-Directed Services, Self-Directed Support, Self-Directed Support for Long Term Conditions, Self-Efficacy, Self-Efficacy (Carers), Self-Efficacy (Patients), Self-Help, Self-Management, Self-Management in Chronic Illness, Self-Management Support, Service User Involvement, Staying Healthy for Longer, Support for People with Complex Needs, Support for Self-Care, Supported Self-Care, Supporting People to Manage Their Health, Supporting Self-Care, Sustainability, The Black Country STP Footprint, Understanding Self Care for Life, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Urgent and Emergency Care, User Involvement, Virtual Wards, Virtual Wards to Reduce Readmissions, Wakefield, Wakefield (West Yorkshire), Wakefield Council, West Dorset GPs, West Leicestershire Clinical Commissioning Group (CCG), West Yorkshire and Harrogate Health and Care Partnership, Weymouth and Bridport (Dorset), Writing Outpatient Clinic Letters to Patients
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Observations on Approaches to the Care of Persons With Dementia Who Have Had a Fall (Systematic Reviews)
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
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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, Defence R&D Organisation (Delhi), Dementia Research Collaborative: University of East Anglia, Department of Human Physiology with Community Health: Vidyasagar University, Department of Physiology: City College (Kolkata India), Emergency Care, Emergency Services, Ergonomics and Sports Physiology Division: Vidyasagar University, Ergonomics Group: Defence Institute of Physiology and Allied Sciences (DIPAS), 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, Falling Status Among Geriatric Population (India), Falls and Fracture Prevention, Falls in Cognitive Impairment and Dementia, Falls in Dementia, Falls Risk Factors, India, Institute of Health and Society: Newcastle University, Institute of Neuroscience: Newcastle University, Intravenous Zoledronic Acid, Journal of Geriatric Care and Research (JGCR), 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), Pain Related Discomfort (PRD), 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, Vidyasagar University (Midnapore West Bengal), Zoledronic Acid
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Alternative Approaches to Reducing Hospital Admissions / Re-Admissions (BBC News / British Red Cross / NESTA / King’s Fund)
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
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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
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Preparations for the NHS’s 70th Birthday Year: Happy Watershed Moment? (NHS England / Department of Health and Social Care / BBC News / King’s Fund / HFMA)
Summary In preparation for the NHS’s 70th Birthday on July 5th 2018, NHS England has started work, with numerous partner organisations, on plans for celebrating the NHS’s past achievements and ongoing aims / philosophy. Full Text Link Reference About NHS … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, 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, Local Interest, National, National Voices, NHS, NHS Confederation, NHS Digital (Previously NHS Choices), NHS Employers, NHS England, NHS Improvement, Quick Insights, Statistics, UK, Universal Interest
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Tagged Ageing Population, Ashley Hodges: Executive Director of Speakers for Schools, Barker Commission, Bed Days Occupied by Delayed Transfers of Care, Boris Johnson, Capacity Pressures in the Health and Social Care System, Chris Hopson: Chief Executive of NHS Providers, Chronic Disease and Frailty, Commissioning For Value and RightCare, Coordinated Health and Social Care, Daily Telegraph, DCLG: Department for Communities and Local Government, Delayed Transfers of Care (DETOCs), Department for Housing Communities and Local Government (Formerly DCLG), Department of Communities and Local Government (DCLG), Department of Health and Social Care (Formerly the Department of Health), Dilnot Commission Recommendations, Dilnot Commission Report on Funding of Care and Support, Former Health Secretary Jeremy Hunt, Funding of Care and Support (Dilnot Commission), Getting It Right First Time (GIRFT), Health and Social Care Reform, Health Finance Managers Association (HFMA), History of the NHS in England (NHS Choices' Potted Summary), Integration, Integration of Health and Social Care, Jeremy Hunt: Former Secretary of State for Health and Social Care, Joined-Up Care, Joined-Up Strategy to Improve Whole System Flow, Katy Hampshire: Inspiring the Future, Knowing Your NHS, Knowing Your NHS (Lesson Plan for Secondary Schools), Long-Term Care (LTC), Long-Term Care and Support, National Audit Office (NAO), National Audit Office Report (HC 719), New Settlement for Health and Social Care, NHS 70 (NHS 70th Birthday), NHS 70 Celebration Partner: Academic Health Science Networks, NHS 70 Celebration Partner: Academy of Medical Royal Colleges, NHS 70 Celebration Partner: Association of NHS Charities, NHS 70 Celebration Partner: British Medical Association, NHS 70 Celebration Partner: Department of Health, NHS 70 Celebration Partner: Health and Wellbeing Alliance, NHS 70 Celebration Partner: Health Education England, NHS 70 Celebration Partner: Health Service Executive (NHS in Ireland), NHS 70 Celebration Partner: Healthwatch England, NHS 70 Celebration Partner: Local Government Association, NHS 70 Celebration Partner: National Institute for Health Research, NHS 70 Celebration Partner: National Voices, NHS 70 Celebration Partner: NHS Blood and Transplant, NHS 70 Celebration Partner: NHS Clinical Commissioners, NHS 70 Celebration Partner: NHS Confederation, NHS 70 Celebration Partner: NHS Digital, NHS 70 Celebration Partner: NHS Employers, NHS 70 Celebration Partner: NHS Leadership Academy, NHS 70 Celebration Partner: NHS Providers, NHS 70 Celebration Partner: NHS Scotland, NHS 70 Celebration Partner: NHS Wales, NHS 70 Celebration Partner: Patients Association, NHS 70 Celebration Partner: Public Health England, NHS 70 Celebration Partner: Royal College of Midwives, NHS 70 Celebration Partner: Royal College of Nursing, NHS 70 Celebration Partner: Unison, NHS 70 Celebration Partner: Unite, NHS 70 Celebration Partners, NHS 70 Celebrations, NHS 70 Partners, NHS 70: Objectives and Narrative, NHS 70th Birthday, NHS Constitution, NHS Efficiency Challenge, NHS Efficiency Map, NHS Efficiency Map: Chronic Disease and Frailty, NHS Efficiency Map: Commissioning For Value and RightCare, NHS Efficiency Map: Enablers for Efficiency, NHS Efficiency Map: Improving Arrangements For Enhanced Nursing Care, NHS Efficiency Map: Managing Cost Improvement Programmes, NHS Efficiency Map: Prevention and Self-Care, NHS Efficiency Map: Provider Efficiency, NHS Efficiency Map: System Efficiency, NHS Efficiency Map: Theatre Management, NHS Efficiency Map: Turning Around Procurement Function, NHS Efficiency Map: Urgent and Emergency Care, NHS Efficiency Savings, NHS Finance, NHS Five Year Forward View, NHS Statistics Facts and Figures (NHS Confederation Summary), NHS Sustainability, NHS Winter Crisis, NHS Winter Pressures (aka Winter Crisis 2017-2018), NHS’s 70th Birthday, Partnership and Collaboration, Partnership Working, Patient Safety, Paying for Long-Term Care, Population Winter Pressures, Prevention and Self Care, Prioritisation, Productivity Improvements, Productivity in the NHS, Proportion of Public Spending on Health, Quality and Sustainability, Rationing, Re-Branding Department of Health (January 2018 Cabinet Re-Shuffle), Reducing Waste in the NHS, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health and Social Care, Self-Care, Self-Management, Spending on Front-Line Healthcare Versus Social Care, Spending Review 2015, Study of Science Technology Engineering and Maths (STEM) Subjects subjects, Sustainability, Sustainability and Transformation in the NHS (NAO 2018), Thinking Like a Patient and Acting Like a Taxpayer, Transparency Culture and the NHS Constitution, Tredegar Workmen’s Medical Aid Society, Urgent and Emergency Care, Using Services Wisely, Value of Volunteering, Voluntary Sector, Voluntary Sector Provision, Voluntary Sector Strategic Partnerships, Volunteering
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UK’s First Dedicated A&E for Elderly Patients? (BBC 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 →
Posted in Acute Hospitals, Age UK, BBC News, Commissioning, 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, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged A&E, Access to Urgent and Emergency Care, Acute Care Services, Acute Hospital Care, Acute Medical Care for Frail Older People, Acute Medical Care of Elderly People, Admission Transfer and Discharge (Improving Patient Flow in Urgent and Emergency Care), Ageing and Society, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, BBC Health News, BBC Norfolk News, Demand Management, Embedded Comprehensive Geriatric Assessment in Emergency Assessment Units (EAUs), Emergency Admissions, Emergency and Urgent Care Services, Emergency Assessment Unit (EAU), Emergency Assessment Units, Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Centres, Emergency Departments, Emergency Departments (Improving Patient Flow in Urgent and Emergency Care), Emergency Services, Evolving Demand, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Flow Within Hospitals, Geriatric Assessment and Care, Norfolk and Norwich University Hospital, Norfolk and Norwich University Hospitals NHS Foundation Trust, Preparations for Winter, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Services Dedicated to Elderly
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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
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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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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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Approaches to the Reduction of Preventable Hospital Admissions: a Systematic Review (BMJ Open)
Summary A recent systematic review examined the alternatives to hospital admission for older patients at risk of unplanned hospitalisation. The broad categories of interventions considered were (i) improved use of paramedic / emergency care practitioners, (ii) interventions based in emergency … Continue reading →
Posted in Acute Hospitals, 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, Models of Dementia Care, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Statistics, Stroke, Systematic Reviews, UK, Universal Interest
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Tagged Acute Hospital Care, Ageing and Society, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, BMJ Open, BMJ Publishing Group Ltd, Bristol, Bristol Randomised Trials Collaboration: University of Bristol, Brunelcare: Saffron Gardens (Bristol), Case Management, Centre for Academic Primary Care: University of Bristol, Chronic Obstructive Pulmonary Disease (COPD), Community Hospitals, COPD: Chronic Obstructive Pulmonary Disease, Crisis Resolution Teams, Department of Emergency Medicine: University Hospitals Bristol NHS Foundation Trust, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Care, Emergency Centres, Emergency Departments, Emergency Medical Services (EMS), Emergency Services, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Faculty of Health and Applied Sciences: University of the West of England, HaH Interventions, HaH: Hospital at Home, Health Economics at Bristol: University of Bristol, Heart Failure, Independent Prescribing by Paramedics, Intermediate Care, Paramedic Prescribing, Pneumonia, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Crisis Resolution Teams, Prevention of Avoidable Emergency Admissions: Intermediate Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Prevention of Avoidable Emergency Admissions: Telehealth, Proactive Management of Long-Term Conditions, Pulmonary Embolism, Reasons for Short Stay Emergency Admissions, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, School of Social and Community Medicine: University of Bristol, Systematic Review, Systematic Reviews and Meta-Analyses, Uncomplicated Diverticulitis, University Hospitals Bristol NHS Foundation Trust, University of Bristol, University of the West of England, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England
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