Tag Archives: Wasted Resources

Statistical Process Control Applied to Delayed Transfers of Care (NHS Improvement)

Posted on June 22, 2019 by Dementia and Elderly Care News

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 | Leave a comment

Renewed Policy Emphasis on Social Prescribing and Arts Therapies? (DHSC / Cochrane Database / JGCR / Dementia)

Posted on November 10, 2018 by Dementia and Elderly Care News

Summary Matt Hancock, Health and Social Care Secretary, takes a positive view of social prescribing, including greater use the arts and social activities as means of enhancing health and wellbeing. “…we will create a National Academy for Social Prescribing to … Continue reading →

Posted in Charitable Bodies, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, King's Fund, Management of Condition, Mental Health, Models of Dementia Care, National, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Systematic Reviews, UK, Universal Interest | Tagged Academic Unit of Psychiatry and Behavioural Sciences: University of Leeds, Ageing Population, Agency for Healthcare Research and Quality (AHRQ), Alchemy Project (Lambeth), All Party Parliamentary Group on Arts Health and Wellbeing, ALOIS: a Comprehensive Register of Dementia Studies, ALOIS: Cochrane Dementia and Cognitive Improvement's Specialized Register, American Psychiatric Association (APA), Art Therapists, Art Therapy, Arts and Dementia Research: Hermeneutics, Arts and Dementia Research: Methodological Challenges, Arts and Dementia Research: Phenomenological Issues, Arts and Mental Wellbeing, Arts and Music in Dementia, Arts and Social Activities, Arts Council, Arts for Health, Arts for Health Activities in Care Homes, Arts in Health, Arts Practices in Healthcare, Arts Therapies, Association Between Physical Exercise and Mental Health, Association for Dementia Studies: University of Worcester, British Association of Art Therapists, Canada, Care Homes, Choosing Wisely, Choosing Wisely in the NHS, Choosing Wisely in the UK, Cochrane Database, Cochrane Database of Systematic Reviews, Cochrane Dementia and Cognitive Improvement Group (CDCIG), Committee on Care Interventions for Individuals with Dementia and Their Caregivers: National Academies of Sciences Engineering and Medicine, Community Classes, Complex Interventions, Complex Interventions (Arts-Based Activities for People With Dementia), Complexity, Creative Health: the Arts for Health and Wellbeing, Creative Health: The Arts for Health and Wellbeing (National Alliance for Arts Health and Wellbeing), Cultural Manifesto for Wellbeing, Dance for Psychosis, DCMS, Dementia (Journal), Division of Psychiatry and Applied Psychology: University of Nottingham, Edge Hill University, Emotional and Psychological Wellbeing, Epistemology, Epistemology Relating to Research Methodologies, Evaluation of Arts-Based Interventions, Evaluation of Complex Interventions, Evidence: Hierarchies and Typologies, GP Contract Reform to Implement the NHS Long Term Plan: NHS England, Healthy Diet, Healthy Eating, Healthy Lifestyles, Hierarchies of Evidence (Reappraised), Informed Choices, Informed Decision-Making, Institute of Mental Health: University of Nottingham, Intrinsic Value Versus Instrumental Value, Japan, Jeremy Wright: Culture Secretary, Journal of Geriatric Care and Research (JGCR), Leeds Institute of Health Sciences: University of Leeds, Life-Long Learning, Lifelong Learning, Matt Hancock: Secretary of State for Health and Social Care, Meaning: Communication and Interpretation, Mental Wellbeing, Mental Wellbeing and Older People, Methodological Challenges, Methodological Challenges in Arts and Dementia Research, Multi-Disciplinary Teams in Primary Care, Museums, Music Playlists for Persons With Dementia, National Academies Press (US), National Academy for Social Prescribing, National Academy for Social Prescribing (Proposed Formation), National Center for Geriatrics and Gerontology (Japan), Network Contract Directed Enhanced Service, Nordoff Robbins: Music Therapy Charity, Nutritional Advice, Older Adults, Over-Medicalisation (Speculative Concept), Over-Medication, Participation in Social Activities, Personalised Care Group, Physical Exercise, Physical Exercise Programmes, Playlist for Life, Post-Stroke Recovery, Prevention, Prevention Agenda, Primary Care Networks (PCNs), Psychological Wellbeing, Qualitative Research, Quality of Life, Reducing Waste in Dementia Care, Reducing Waste in the NHS, Royal Philharmonic Orchestra and Hull’s Stroke Recovery Service, RSPH First International Research Conference on the Arts and Dementia, Rt Hon Matt Hancock MP, School of Medicine: University of Nottingham, Self-Care, Self-Care Programmes, Singing for Chronic Lung Conditions, Social Activities, Social Prescribing, Social Prescribing and Community-Based Support, Social Prescribing: Fundamental to Prevention, Social Prescribing: Link Workers, Societal Determinants of Health, Southbank Centre, Staying Healthy for Longer, Stroke Recovery Service (Hull), Support for Self-Care, Supporting Healthy Lifestyles, Systematic Reviews and Meta-Analyses, TAnDem (The Arts and Dementia) Doctoral Training Centre, TAnDem Doctoral Training Centre, Tolerance of Ambiguity, United States: National Academies of Sciences Engineering and Medicine, University of Leeds, University of Nottingham, University of Worcester, Wasted Resources, Wellbeing | Leave a comment

NHS Operational Productivity: GIRFT Meets Mental Health and Community Health Services (Lord Carter / DHSC)

Posted on June 3, 2018 by Dementia and Elderly Care News

Summary Lord Carter’s latest report in the NHS Operational Productivity series shifts the attention to unwarranted variations in mental health and community health services. Potential savings of around £1 billion in efficiencies could be made by 2020/21, allegedly, if the … Continue reading →

An Innovative Approach Hospital Overcrowding / Inadequate Bed Availability, Worthy of More Serious Consideration? (BBC News / CareRooms)

Posted on October 28, 2017 by Dementia and Elderly Care News

Summary The narrative about various inter-related crises in health and social care typically concerns the problem of excess demand for, and limited supply of, places in the community providing support for persons needing to be discharged from hospitals. Commentators commonly … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Housing, In the News, Integrated Care, Management of Condition, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest | Tagged Acute Hospital Care, Adult Social Care, Adult Social Care Services, Ageing Population, Airbnb Beds Plan (Proposed), Alternative Residential Care Settings, Alternatives to Hospital Care, Barriers and Challenges in Discharge Planning, Barriers in Access to Transformative Care in the Community: Dominance of Residential Care Homes Paradigm, Barriers to Innovation, Barriers to Innovation: Dominance of Mainstream Preconceptions, Barriers to Innovation: Dominance of Vested Interests, Barriers to Innovation: Vested Interests in Opposition to New Market Entries, Barriers to Joined-Up Care, Barriers to Support, Barriers: Lack of Continuity of Care, BBC Essex, BBC Health News, Bed Availability and Occupancy, Bed Days, Bed Shortages, Bed-Blockers, Bed-Blocking Patients (Non-Recommended Term), Care Closer to Home, Care for Vulnerable Older People, Care Home Admission Delay, Care of Older People, CareRooms, Cross-Sector Partnerships, Delayed Discharges, Delayed Discharges Higher in Mental Health Trusts, Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Demand and Capacity, Disruptive Innovation, Dr Harry Thirkettle: CareRooms, Economic Sustainability, Efficiency Opportunities, Fewer Older People Receiving Help with Social Care, Financial Incentives Across Local Health and Social Care Systems (Proposals), Financial Sustainability in the NHS, Fragility of Adult Social Care Provider Market, Funding Deficits, Funding for Front-Line Healthcare Versus Social Care, Future of Residential Care, Health and Adult Social Care Providers, Health and Care of Older People, Health and Care Suitable for an Ageing Population, Health and Social Care, Health and Social Care in the Community, Health and Social Care Integration, Health Demand, Hospital Beds, Hospital Overcrowding, Inadequate Bed Availability, Innovation for an Ageing Population, Innovative Disruption (To a Failing Market), Loneliness and Isolation, Loss of Mobility During Long Hospital Stays, Market Failure, Market Failure in Social Care, NHS Airbnb-Style Scheme, NHS Sustainability, Operations Cancelled Due to Bed Shortages, Overcoming Barriers, Patient Discharge, Patient Flows, Patient Handover Delays, Patient Safety, Philip Dunne: Minister of State for Health, Physical Therapy, Physiotherapists, Physiotherapy, Poor Identification of People’s Capacity For Involvement in Their Care Planning and Management (Barriers to Involvement), Post-Discharge Support, Preventing Loneliness, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Proportionality in Safeguarding, Quality and Sustainability, Reablement, Reablement Services, Reducing Bed Days, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Over-Reliance on Social Care, Reducing Pressure on Primary Care, Reducing Waste in the NHS, Safeguarding, Safeguarding Adults at Risk, Social Isolation and Loneliness, Southend University Hospital NHS Foundation Trust, Sustainability, Sustainable Health and Social Care, Thinking Like a Patient and Acting Like a Taxpayer, Tom Abell: Deputy Chief Executive at Southend University Hospital NHS Foundation Trust, Under-Utilisation of Housing Stock, Vested Interests, Vulnerable Older People, Wasted Resources, Whole System Patient Flows | Leave a comment

Financial Sustainability in the NHS: Holding Up a Mirror? Reflection (BBC News / NHS Improvement / NHS England / BMJ / OECD / BJS)

Posted on August 6, 2017 by Dementia and Elderly Care News

Summary The authors of the Getting It Right First Time (GIRFT) report believe that the NHS may not actually need further money from the taxpayer, asserting that efficiency savings identified (in the field of general surgery alone, and without looking … 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, International, Mental Health, National, NHS, NHS England, NHS Improvement, Quick Insights, Standards, Statistics, UK, Universal Interest, World Health Organization (WHO) | Tagged American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP), Anatomy of the Model Hospital, £22 Billion Efficiency Savings by 2020-21, BBC Health News, Bedford Musculoskeletal Disorders (MSK) Referral Management Centre, Bedford Referral Management Centre (RMC), Better Together Vanguard, Birmingham and Solihull United Maternity and Newborn Pathway (BUMP) Early Adopter, BMJ Publishing Group Ltd, British Journal of Surgery, British Medical Journal (BMJ), BUMP: Birmingham and Solihull United Maternity and Newborn Pathway, Chris Hopson: Chief Executive of NHS Providers, Closing the Finance and Efficiency Gap, Closing the Funding and Efficiency Gap, Consumer Experiences of Health and Social Care, Continuous Learning Culture, Cumbria CCG’s Pain Management Service, Delayed Transfers of Care (DTOC), Diabetes and Obesity, Durham and Darlington Children’s and Young Person’s Mental Health Services Crisis and Liaison team (CYPMHS), Duty of Best Value, East and North Hertfordshire CCG Vanguard, Economic Sustainability, Efficiency and Effectiveness, Efficiency Frontiers, Efficiency Opportunities, Efficiency Savings, End-User Experience, Enhanced Health in Care Homes, Estates and Technology Transformation Fund, Exemplar Clinical Pathways, Failing Services (NHS and Social Care), Financial Constraints, Financial Context, Financial Difficulties, Financial Issues, Financial Management, Financial Performance, Financial Planning, Financial Pressure in the NHS, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Financial Sustainability of NHS Bodies, Financing of Health Care, Future Financial Sustainability, Future of NHS and Social Care, Fylde Coast Local Health Economy, General Surgery: GIRFT Programme National Specialty Report (August 2017), Geographical Variations, Getting it Right First Time, Getting It Right First Time (GIRFT), GIRFT and Other Improvement Initiatives, GIRFT Programme, GIRFT Programme National Specialty Report (August 2017), Global Health and Development Group: Imperial College London, Governance-Related Waste: Abuse, Governance-Related Waste: Administration Costs, Governance-Related Waste: Corruption, Governance-Related Waste: Fraud, Governance-Related Waste: Integrity Violations, Governance-Related Waste: Managerial Self-Interest, Governance-Related Waste: Managerial Spin and Self-Deception, Governance-Related Waste: Self-Regulation vs. Integrity Violations, Health and Social Care, Health and Social Care Costs, Health and Social Care Integration, Health and Social Care Services, Healthcare Quality Improvement Partnership (HQIP), Healthy New Towns, Imperial College London, Improvement Initiatives, Inappropriate Use of Antimicrobials, Institute of Global Health Innovation: Imperial College London, Integrated Personal Commissioning (IPC), Integrated Personal Commissioning (IPC) Programme, John Abercrombie: GIRFT Clinical Lead for General Surgery, Learning Culture, Learning from Data, Learning From Peers, Length of Stay (LoS), Local Health Services: Variations, Local Variations, Low-Value General Surgical Procedures, Mental Health and Dementia, Model Hospital: Template for Standardisation, National Innovation Accelerator, NHS and Social Care Spending, NHS Efficiency Challenge, NHS Efficiency Savings, NHS England (Formerly the NHS Commissioning Board), NHS England Annual Report and Accounts (2016/17), NHS Funding, NHS Funding Gap, NHS North Kirklees CCG, NHS Providers, NHS Stockport CCG, NHS Sustainability, NHS Waltham Forest CCG, NHSI: NHS Improvement, North East London Choice and Personalisation Pioneer, Operational Productivity and Performance (Carter Report), Operational Waste: Hospital Care, Operational Waste: Pharmaceuticals, Organisation for Economic Cooperation and Development (OECD), Overdiagnosis and Overtreatment, Overtreatment (Speculative Concept), Patient Experiences, Patients Waiting More Than Four Hours For Hospital Beds (Trolley Waits), Paul Baumann: Chief Financial Officer at NHS England, Personalised Medicine, Potential NHS Provider Productivity improvements, PPIB: Purchasing Price Index Benchmark and Benchmark Tool, PricewaterhouseCoopers LLP, Productivity, Professor Sir Malcolm Grant, Professor Tim Briggs: GIRFT Programme Chair, Professor Tim Briggs: National Director for Clinical Quality and Efficiency at NHS Improvement, Public Opinion, pwc, Quality and Sustainability, Reducing Delayed Transfers of Care, Reducing Waste in the NHS, Renal e-clinics in Tower Hamlets, Right First Time, Road to Recovery: Delivering Financial Sustainability in NHS (PwC), Royal College of Surgeons (RCS), Royal College of Surgeons of England (RCSENG), Royal National Orthopaedic Hospital, Royal National Orthopaedic Hospital NHS Trust, Science and Innovation, Simon Stevens: Chief Executive of NHS England, Sir Malcolm Grant: Chair of NHS England, Sustainability, Sustainable Care, Sustainable Funding, Sustainable Health and Care Services, Tackling Barriers to Innovation, Tackling Variation, Thinking Like a Patient and Acting Like a Taxpayer, Tower Hamlets Together, Transformational Commissioning, Transformational Technologies, Transparency, Unacceptable Variations, Unwarranted Variations, Upward Spending Pressures, Urgent Response Assess at Home Pathway, Variation in General Surgery, Variations in Care, Variations in Procurement, Variations in Quality of Care, Variations in Spending, Wasted Resources, Wasteful Clinical Care, Winter Pressures Beyond Winter (Winter Re-Defined?), World Health Organisation (WHO) | Leave a comment

Innovation for Efficiency, Productivity and Affordability in Healthcare (ILC-UK / EY)

Posted on June 11, 2017 by Dementia and Elderly Care News

Summary A report from the International Longevity Centre covers seven examples of UK-based and international schemes involving innovation. These examples are: Memory First: an integrated dementia service run by a consortium of 162 GPs across 41 practices in Staffordshire. Urban … Continue reading →

Posted in Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, Management of Condition, Models of Dementia Care, National, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Accelerating Innovation, Access to Care, Access to General Practice, Access to GP Services, Adopters and Adoption of Innovation, Affordability, Affordability of Care, Ageing Population, Barriers to Innovation, Belgium, Benefits of Case Management, Care Coordination / Case Management Approaches For People With Dementia Living at Home, Case Management, Closing the NHS Funding Gap, EASYCare, EASYCare Project, Economic Sustainability, Effective Innovation for Affordable Healthcare, Efficiencies and Productivity Gains, Encouraging Innovation, Ernst & Young, EY, Health and Social Care Integration, Home Dialysis, ILC-UK: International Longevity Centre UK, Innovation, Innovation and Improvement, Innovation for an Ageing Population, Integrated Dementia Care, International Longevity Centre UK (ILC-UK), Manchester Royal Infirmary, Memory Assessment Services, Memory Clinics, Memory First, Memory First (Staffordshire), Memory Services, NHS Belongs to the People, NHS Efficiency Challenge, NHS Funding, NHS Funding Gap, Operational Productivity and Performance (Carter Report), Personalised Case Management, Potential NHS Provider Productivity improvements, Productivity, Productivity and Prevention (QIPP) Programme, Productivity in the NHS, Protocol 3 (P3), Redesigning Care Pathways, Redesigning Services, Research and Innovation, Rio de Janeiro, Science and Innovation, Service Redesign (Telehealth), Service Redesign for Productivity, Service Transformation, SOS 2020, Staffordshire, Supporting Economic Growth, Supporting Research and Innovation, Sustainability, Tackling Barriers to Innovation, Tackling Variation, Task Force on E-Health, Transformational Commissioning, Transformational Technologies, Transformative Technology, Transparency, Unwarranted Variations, Urban E-Health Pilot, Variations in Procurement, Variations in Spending, Wasted Resources | Leave a comment

The Reproducibilty Problem / Replication Crisis in Science: a Pervasive Issue in Medicine? (BBC News / Nature / Elife)

Posted on February 26, 2017 by Dementia and Elderly Care News

Summary It has been estimated that between 65% and 90% of researchers typically fail to reproduce fellow scientists’ research results. The Reproducibility Project: Cancer Biology has raised awareness of the prevalence of this problem in biomedical science. The issues are … Continue reading →

Posted in BBC News, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, International, Non-Pharmacological Treatments, Pharmacological Treatments, Quick Insights, Standards, Statistics, Universal Interest | Tagged BBC Radio 4 Today, BBC Radio 4: Today Programme, BBC Science and Environment News, BBC Science News, Belief and Culture, Biomedical Research, Canada, Cancer Research, Cancer Research in the UK, Center for Open Science (Charlottesville USA), Culture and Leadership, Culture Change, Culture of Impact Over Scientific Substance / Rigour (Alleged), Dame Ottoline Leyser: Director of Sainsbury Laboratory at the University of Cambridge, Dementia Research and Drug Development, Elife, Evidence Uncertainties, Learning Culture, Living With Uncertainty, Making Sense of Uncertainty, McGill University in Montreal, Nature, Replicability, Replication, Reproducibility Project: Cancer Biology, Reproducibilty, Reproducibilty Crisis (sic), Research and Innovation, Research Culture, Research Culture Good Practice, Sainsbury Laboratory at the University of Cambridge, Uncertainty, United States, University of Edinburgh, University of Virginia, University of Virginia's Centre for Open Science, USA, Wasted Resources | Leave a comment

Tag Archives: Wasted Resources

The Reproducibilty Problem / Replication Crisis in Science: a Pervasive Issue in Medicine? (BBC News / Nature / Elife)

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