Working in partnership with care providers, professional associations, commissioners and people living with HIV, the British HIV Association has produced a set of quality standards for the care of those with HIV in the UK. Treatment outcomes of people living with HIV in the UK are said to be among the best in the world. The current concern is maintaining this standard in the light of financial pressures, new structures that are emerging within the NHS, and the new providers and commissioners that are entering the health economy. These standards are intended to provide a benchmark against which to judge the quality of HIV care. Derived from the best available evidence, the standards focus on 12 key themes that have particular relevance for delivering equitable high-quality services. The themes are; diagnostic testing; access to, and retention in, treatment and care; provision of outpatient treatment and HIV care, and access to care for complex co-morbidity; safe ARV prescribing and effective medicines management; inpatient care for people living with HIV; psychological care; sexual health and secondary HIV prevention; reproductive health; self management; service user engagement/involvement; competencies; and information for public health surveillance, commissioning, audit and research.
Working in partnership with care providers, professional associations, commissioners and people living with HIV, the British HIV Association has produced a set of quality standards for the care of those with HIV in the UK. Treatment outcomes of people living with HIV in the UK are said to be among the best in the world. The current concern is maintaining this standard in the light of financial pressures, new structures that are emerging within the NHS, and the new providers and commissioners that are entering the health economy. These standards are intended to provide a benchmark against which to judge the quality of HIV care. Derived from the best available evidence, the standards focus on 12 key themes that have particular relevance for delivering equitable high-quality services. The themes are; diagnostic testing; access to, and retention in, treatment and care; provision of outpatient treatment and HIV care, and access to care for complex co-morbidity; safe ARV prescribing and effective medicines management; inpatient care for people living with HIV; psychological care; sexual health and secondary HIV prevention; reproductive health; self management; service user engagement/involvement; competencies; and information for public health surveillance, commissioning, audit and research.
Subject terms:
HIV AIDS, standards, health care, good practice, comorbidity;
Online resource bringing together data and evidence about what works in removing health inequalities experienced by people living with mental illness. The resource sets out the scale of the problem and looks at some of the factors that drive health inequalities. It then outlines some of the actions that local areas can take to reduce health inequalities, so that people with mental illness can achieve the same health outcomes and life expectancy as the rest of the population. These include addressing the social factors and improving living and working conditions; building stronger communities and social connectors; early intervention; and improving access to services; and building a competent workforce. The resource is aimed at health and care professionals, local commissioners and system partners, including the community and voluntary sector. The focus is on adults with more severe and enduring mental health problems, but many of the actions will be of benefit to all people experiencing mental illness.
(Edited publisher abstract)
Online resource bringing together data and evidence about what works in removing health inequalities experienced by people living with mental illness. The resource sets out the scale of the problem and looks at some of the factors that drive health inequalities. It then outlines some of the actions that local areas can take to reduce health inequalities, so that people with mental illness can achieve the same health outcomes and life expectancy as the rest of the population. These include addressing the social factors and improving living and working conditions; building stronger communities and social connectors; early intervention; and improving access to services; and building a competent workforce. The resource is aimed at health and care professionals, local commissioners and system partners, including the community and voluntary sector. The focus is on adults with more severe and enduring mental health problems, but many of the actions will be of benefit to all people experiencing mental illness.
(Edited publisher abstract)
Subject terms:
severe mental health problems, comorbidity, health inequalities, prevention, intervention, mental health problems, health needs;
Despite the majority of urgent care being delivered in the primary care setting, an increasing number of older people are attending emergency departments and accessing urgent care services. There is a pressing need to address how older people are cared for over the first 24 hours of an urgent care episode. The aim of this book is to address the care for older people, specifically frail older people, during the first 24 hours of an urgent care episode. It recommends ways in which emergency admissions can be reduced and the experience of those admitted improved. It considers all the clinical contacts which a patient might have during an emergency and suggests minimum standards and responses for each service. A core focus is the skills and competencies needed by healthcare staff to ensure they are better able to assess and manage frail older people. This includes: appropriate communication skills (both with patients and other health and social care professionals); clinical reasoning and assessment skills in respect of complex co-morbidities, poly-pharmacy and altered physiological response to trauma and illness; and risk management skills surrounding discharge planning with knowledge of community services. The book suggests that in acute medical units, greater use of geriatric liaison services should increase the proportion of older people able to be managed in community settings.
Despite the majority of urgent care being delivered in the primary care setting, an increasing number of older people are attending emergency departments and accessing urgent care services. There is a pressing need to address how older people are cared for over the first 24 hours of an urgent care episode. The aim of this book is to address the care for older people, specifically frail older people, during the first 24 hours of an urgent care episode. It recommends ways in which emergency admissions can be reduced and the experience of those admitted improved. It considers all the clinical contacts which a patient might have during an emergency and suggests minimum standards and responses for each service. A core focus is the skills and competencies needed by healthcare staff to ensure they are better able to assess and manage frail older people. This includes: appropriate communication skills (both with patients and other health and social care professionals); clinical reasoning and assessment skills in respect of complex co-morbidities, poly-pharmacy and altered physiological response to trauma and illness; and risk management skills surrounding discharge planning with knowledge of community services. The book suggests that in acute medical units, greater use of geriatric liaison services should increase the proportion of older people able to be managed in community settings.
Subject terms:
interagency cooperation, medical treatment, older people, safeguarding adults, assessment, emergency health services, comorbidity;
This policy brief identified six skill-mix interventions as most promising to tackle current and emerging challenges in primary and ambulatory care and in improving the integration of care of patients with chronic conditions and multimorbidity. These are: (1) Shifting tasks and roles to achieve new divisions of work with advanced practitioners (nurses and pharmacists) taking on management of aspects of care and coordinating processes in close collaboration with physicians; (2) Relocation of care to other settings for example to nurse-led clinics or patients’ homes; (3) Introduction of (an explicit) care coordination role with different professionals (case managers, patient navigators) developing shared care plans and monitoring patients’ health and well-being; (4) Empowering patients and caregivers through specialist staff (educators, community health workers) who provide information and training to strengthen patients’ self-management and support behavioural change; (5) Introduction of dedicated prevention roles in primary care with nurses, pharmacists, community health workers or patient navigators fostering health literacy, offering advice and counselling, and promoting healthy lifestyles; (6) Establishment of teamwork and collaboration in multi-professional teams enabling different professions (GPs, specialists, nurses, therapists, social workers, community health workers, housing staff) to work together across sectoral boundaries to organize and coordinate joint care and link health and care services.
(Edited publisher abstract)
This policy brief identified six skill-mix interventions as most promising to tackle current and emerging challenges in primary and ambulatory care and in improving the integration of care of patients with chronic conditions and multimorbidity. These are: (1) Shifting tasks and roles to achieve new divisions of work with advanced practitioners (nurses and pharmacists) taking on management of aspects of care and coordinating processes in close collaboration with physicians; (2) Relocation of care to other settings for example to nurse-led clinics or patients’ homes; (3) Introduction of (an explicit) care coordination role with different professionals (case managers, patient navigators) developing shared care plans and monitoring patients’ health and well-being; (4) Empowering patients and caregivers through specialist staff (educators, community health workers) who provide information and training to strengthen patients’ self-management and support behavioural change; (5) Introduction of dedicated prevention roles in primary care with nurses, pharmacists, community health workers or patient navigators fostering health literacy, offering advice and counselling, and promoting healthy lifestyles; (6) Establishment of teamwork and collaboration in multi-professional teams enabling different professions (GPs, specialists, nurses, therapists, social workers, community health workers, housing staff) to work together across sectoral boundaries to organize and coordinate joint care and link health and care services.
(Edited publisher abstract)
Subject terms:
integrated care, long term conditions, care workforce, interagency cooperation, comorbidity, multidisciplinary teams, interprofessional relations, innovation;
An online resource highlighting NICE guidance, quality standards, advice and practical tools that can help local partnerships to support people living with frailty. The resource signposts to relevant information from NICE, explains how NICE quality standards can be used to improve care and support, links to tools to support quality improvement, and shared learning case studies. It is one of a series of resources designed to help tackle priorities across local health and social care systems and help systems work together to provide consistent, high-quality care, based on the best evidence.
(Edited publisher abstract)
An online resource highlighting NICE guidance, quality standards, advice and practical tools that can help local partnerships to support people living with frailty. The resource signposts to relevant information from NICE, explains how NICE quality standards can be used to improve care and support, links to tools to support quality improvement, and shared learning case studies. It is one of a series of resources designed to help tackle priorities across local health and social care systems and help systems work together to provide consistent, high-quality care, based on the best evidence.
(Edited publisher abstract)
Subject terms:
older people, long term conditions, comorbidity, good practice, standards, quality improvement, joint working, case studies;
... pathways and interventions; treating comorbidity; and planned completion and transfer of care.
These standards were written to support the response that young people with substance misuse problems and other co-existing difficulties receive from a wide range of practitioners, workers, professionals and services. They bring together guidance based on the available evidence and emphasise the need for a sensitive, non-judgemental and collaborative approach to identifying risk, assessing all needs, and offering help and support. Because complexity is common there is a strong focus on multi-agency approaches. The importance of developing trusting relationships, involving young people’s family or carers, and working with practitioners who are already engaged with the young person is promoted and highlighted throughout. The standards were developed in consultation with stakeholders across health, education, social and voluntary sectors. They were also informed by consultations with the young advisors for the CAMHS standards developed at the Royal College of Psychiatrists College for Quality Improvement (CCQI). Topics covered in the standards include: identification and brief assessment; misuse screening and assessment instruments; interviewing young people; integrated care planning, pathways and interventions; treating comorbidity; and planned completion and transfer of care.
Subject terms:
multidisciplinary services, smoking, social work approaches, staff-user relationships, standards, young people, assessment, alcohol misuse, care planning, drug misuse, families, comorbidity;