London School of Economics. Centre for Analysis of Social Exclusion
Publication year:
2015
Pagination:
210
Place of publication:
London
The report uses the Adult Inpatient Survey 2012 to build up an in-depth quantitative evidence base on older people’s experiences of dignity and nutrition during hospital stays in England. It shows that just under one-quarter of inpatients reported that they were not treated with dignity and respect, or were only sometimes treated with dignity and respect during their hospital stay. The analysis of inadequate nursing quantity and quality, and lack of choice of food, stand out as having consistent, large associations with lack of support with eating during hospital stays. The report concludes that there was a widespread and systematic pattern of inconsistent or poor standards of dignity and respect, and help with eating, in hospitals in England in 2012, and these were a significant general problem
(Edited publisher abstract)
The report uses the Adult Inpatient Survey 2012 to build up an in-depth quantitative evidence base on older people’s experiences of dignity and nutrition during hospital stays in England. It shows that just under one-quarter of inpatients reported that they were not treated with dignity and respect, or were only sometimes treated with dignity and respect during their hospital stay. The analysis estimates that this is equivalent to around 2.8 million people on an annual basis - of whom about 1 million are aged 65 or over. Inconsistent and poor standards of help with eating during hospital stays were also a key concern. In 2012, about a quarter of all survey respondents indicated that they needed support with eating during their hospital stay. This is a substantial proportion and points towards the issue of support with eating being a major issue for significant numbers of inpatients – just under three and a half million each year - rather than being a marginal or specialist issue. Of those who needed help with eating, more than 1 in 3 reported that they only sometimes received enough help with eating from staff, or did not receive enough help from staff. Logistic regression analysis suggests that, after other factors are controlled for, the risk of not being helped with eating is significantly higher for women rather than men and for individuals who experience a longstanding limiting illness or disability such as deafness or blindness, a physical condition, a mental health condition or a learning difficulty, or a longstanding illness such as heart disease, stroke or cancer. Perceptions of inadequate nursing quantity and quality, and lack of choice of food, stand out as having consistent, large associations with lack of support with eating during hospital stays. The report concludes that there was a widespread and systematic pattern of inconsistent or poor standards of dignity and respect, and help with eating, in hospitals in England in 2012, and these were a significant general problem affecting inpatients in the vast majority of NHS acute hospital trusts
(Edited publisher abstract)
Subject terms:
surveys, older people, dignity, nutrition, user views, NHS, hospitals;
A stay in hospital can often be stressful in itself, but to be treated with a lack of dignity and respect causes real distress. In March 2011 the Older People’s Commission for Wales published the findings of its Dignified Care? Review. The report contained 12 recommendations aimed at improving the delivery of hospital care and subsequent patient experience for older people across Wales. One year on, this report sets out the Commissioner’s assessment of the progress made and outline how further review will be undertaken. The report finds there has been an improvement in how seriously the NHS and Welsh Government are taking the issue of dignity in care, and that there is real action underway. Some Health Boards report more progress than others, with all reporting that work has begun across the 12
A stay in hospital can often be stressful in itself, but to be treated with a lack of dignity and respect causes real distress. In March 2011 the Older People’s Commission for Wales published the findings of its Dignified Care? Review. The report contained 12 recommendations aimed at improving the delivery of hospital care and subsequent patient experience for older people across Wales. One year on, this report sets out the Commissioner’s assessment of the progress made and outline how further review will be undertaken. The report finds there has been an improvement in how seriously the NHS and Welsh Government are taking the issue of dignity in care, and that there is real action underway. Some Health Boards report more progress than others, with all reporting that work has begun across the 12 recommendations. However, it is not yet possible to judge the extent to which a tangible improvement in the hospital experience of patients is being delivered at a ward level. The findings demonstrate that there is still significant unacceptable practice taking place on hospital wards. Chief Executives of Health Boards must ensure that within the next 18 months they move to full compliance with the agreed action plans.
Subject terms:
hospitals, NHS, older people, patients, dignity, good practice;
Drawing on the data from the Patient Association National Helpline and findings from focus groups, listening events and surveys in 2014, this report sets out people's experience of care in the NHS, focusing on GP services, quality of care, end of life care, access to mental health services, and complaints handling. Some patient stories have been included, written personally by patients and their relatives. The report highlights a huge gap between the commitments set out in the NHS Constitution and the reality of being a patient in the health and social care system today and argues that the NHS is failing many of the most vulnerable members of society. To plug this gap, the report identifies two crucial themes that need to be addressed: inconsistencies in the provision of care and poor standards of care and compassion; and lack of openness and transparency in communication between health and social care staff, patients and their families.
(Edited publisher abstract)
Drawing on the data from the Patient Association National Helpline and findings from focus groups, listening events and surveys in 2014, this report sets out people's experience of care in the NHS, focusing on GP services, quality of care, end of life care, access to mental health services, and complaints handling. Some patient stories have been included, written personally by patients and their relatives. The report highlights a huge gap between the commitments set out in the NHS Constitution and the reality of being a patient in the health and social care system today and argues that the NHS is failing many of the most vulnerable members of society. To plug this gap, the report identifies two crucial themes that need to be addressed: inconsistencies in the provision of care and poor standards of care and compassion; and lack of openness and transparency in communication between health and social care staff, patients and their families.
(Edited publisher abstract)
Subject terms:
NHS, health care, user views, helplines, quality assurance, dignity, standards, staff-user relationships, communication, social care;
... and communications and technology. Questions include whether the public think they are treated with dignity by NHS and social care services, and whether the public think NHS and social care services work well together.
(Original abstract)
This survey, carried out by IPSOS Mori on behalf of the Department of Health, explores public attitudes towards, and perceptions of, the NHS and social care services. It is based on 1016 interviews among a representative sample of adults in England between 18 November and 16 December 2013. Contents cover overall satisfaction with the NHS, key perceptions of the NHS, funding, changes to the NHS, and communications and technology. Questions include whether the public think they are treated with dignity by NHS and social care services, and whether the public think NHS and social care services work well together.
(Original abstract)
Subject terms:
social care provision, public opinion, surveys, NHS, user views, dignity, social care, social services, financing;
This statistical bulletin provides information on bereaved peoples’ views on the quality of care provided to a friend or relative in the last three months of life, for England. It provides an overview of care quality throughout NHS Area Teams across the country. Areas covered include: quality of care, including quality of care across a variety of settings: dignity and respect; relief of pain; preferences and choice at end of life; support for relatives and carers. The key findings were that overall quality of care was consistent across the majority of NHS Area Teams in England; reports of ‘always’ being treated with dignity and respect are high across all medical professions; relief of pain is managed least well at home; and across NHS Area Teams, between 48% and 58% of people died
(Edited publisher abstract)
This statistical bulletin provides information on bereaved peoples’ views on the quality of care provided to a friend or relative in the last three months of life, for England. It provides an overview of care quality throughout NHS Area Teams across the country. Areas covered include: quality of care, including quality of care across a variety of settings: dignity and respect; relief of pain; preferences and choice at end of life; support for relatives and carers. The key findings were that overall quality of care was consistent across the majority of NHS Area Teams in England; reports of ‘always’ being treated with dignity and respect are high across all medical professions; relief of pain is managed least well at home; and across NHS Area Teams, between 48% and 58% of people died in their preferred place of death.
(Edited publisher abstract)
Subject terms:
surveys, end of life care, relatives, choice, dignity, pain, NHS, carers, death;
In March 2007, Mencap published ‘Death by indifference’, which reported the death of 6 people with learning disability as a result of failings in the NHS. This report triggered an independent inquiry ‘Healthcare for all’ which set out 10 key recommendations, all of which were accepted by the government. This report looks at what progress has been made since these publications. It confirms that, although some positive steps have been taken, many health professionals are still failing to provide adequate care to people with a learning disability. It describes the deaths of 74 people with a learning disability in NHS care over the last 10 years believed to be as a direct result of institutional discrimination. It highlights an NHS that continues to fail people with a learning disability, doctors whose practices appear to show no regard to the Equality Act or Mental Capacity Act, and nurses who fail to provide even basic nursing care to people with a learning disability. The report calls on the government to ensure that people with a learning disability receive the same quality of care as the rest of the population. Among the recommendations are for: annual health checks to become a permanent part of the GP contract; all health professionals to get training around the Equality Act and Mental Capacity Act; regulatory bodies to conduct rigorous investigations and deliver appropriate sanctions; and a standard hospital passport for all people with a learning disability.
In March 2007, Mencap published ‘Death by indifference’, which reported the death of 6 people with learning disability as a result of failings in the NHS. This report triggered an independent inquiry ‘Healthcare for all’ which set out 10 key recommendations, all of which were accepted by the government. This report looks at what progress has been made since these publications. It confirms that, although some positive steps have been taken, many health professionals are still failing to provide adequate care to people with a learning disability. It describes the deaths of 74 people with a learning disability in NHS care over the last 10 years believed to be as a direct result of institutional discrimination. It highlights an NHS that continues to fail people with a learning disability, doctors whose practices appear to show no regard to the Equality Act or Mental Capacity Act, and nurses who fail to provide even basic nursing care to people with a learning disability. The report calls on the government to ensure that people with a learning disability receive the same quality of care as the rest of the population. Among the recommendations are for: annual health checks to become a permanent part of the GP contract; all health professionals to get training around the Equality Act and Mental Capacity Act; regulatory bodies to conduct rigorous investigations and deliver appropriate sanctions; and a standard hospital passport for all people with a learning disability.
This report summarises the results from a national inspection programme of NHS hospitals in England. Inspects focused on two outcomes: looking at whether older people are treated with respect and whether they get food and drink that meets their needs. The inspections took place between March and June 2011 and used teams made up of CQC inspectors, a practising and experienced nurse and an ‘expert by experience’ (someone with experience of caring or receiving care). One hundred NHS hospitals were inspected and all the inspections were unannounced. Of those inspected: 45 hospitals met both standards; 35 met both standards but needed to improve in one or both; 20 hospitals did not meet one or both standards. Problems identified included: patients’ privacy not being respected; call bells being put out of patients’ reach, or not answered soon enough; staff speaking to patients in a dismissive or disrespectful way; patients not being given the help they needed to eat; and patients being interrupted during meals and having to leave their food unfinished. Appendices include details on what the Care Quality Commission looks for in an inspection and a list of hospitals inspected. Individual hospital reports giving findings at the time of each visit are also available from the Care Quality Commission.
This report summarises the results from a national inspection programme of NHS hospitals in England. Inspects focused on two outcomes: looking at whether older people are treated with respect and whether they get food and drink that meets their needs. The inspections took place between March and June 2011 and used teams made up of CQC inspectors, a practising and experienced nurse and an ‘expert by experience’ (someone with experience of caring or receiving care). One hundred NHS hospitals were inspected and all the inspections were unannounced. Of those inspected: 45 hospitals met both standards; 35 met both standards but needed to improve in one or both; 20 hospitals did not meet one or both standards. Problems identified included: patients’ privacy not being respected; call bells being put out of patients’ reach, or not answered soon enough; staff speaking to patients in a dismissive or disrespectful way; patients not being given the help they needed to eat; and patients being interrupted during meals and having to leave their food unfinished. Appendices include details on what the Care Quality Commission looks for in an inspection and a list of hospitals inspected. Individual hospital reports giving findings at the time of each visit are also available from the Care Quality Commission.
This survey, carried out by IPSOS Mori on behalf of the Department of Health, explores public attitudes towards, and perceptions of, the NHS and social care services. It is based on 1005 interviews among a representative sample of adults in England between 20 May and 26 June 2013. Contents cover overall satisfaction with the NHS, key perceptions of the NHS, changes to the NHS, choice and patient involvement, social care, care for older people, and communications and technology. The Spring 2013 survey includes a new question on whether people are treated with compassion when they use NHS and social care services.
(Edited publisher abstract)
This survey, carried out by IPSOS Mori on behalf of the Department of Health, explores public attitudes towards, and perceptions of, the NHS and social care services. It is based on 1005 interviews among a representative sample of adults in England between 20 May and 26 June 2013. Contents cover overall satisfaction with the NHS, key perceptions of the NHS, changes to the NHS, choice and patient involvement, social care, care for older people, and communications and technology. The Spring 2013 survey includes a new question on whether people are treated with compassion when they use NHS and social care services.
(Edited publisher abstract)
Subject terms:
public opinion, surveys, social care, social services, NHS, older people, dementia, user views, dignity, social care provision, financing;
Help the Aged,|Policy Research Institute on Ageing and Ethnicity (PRIAE)
Publication year:
2001
Pagination:
16p.bibliog.
Place of publication:
London
The purpose of this report is to identify black, minority and ethnic elders' experiences and expectations of hospital care. By doing so it is hoped to establish the key elements in improving hospital care and so contribute to national plan changes. Contents include: black and minority ethnic experiences; interviews with managers; analysis and recommendations.
The purpose of this report is to identify black, minority and ethnic elders' experiences and expectations of hospital care. By doing so it is hoped to establish the key elements in improving hospital care and so contribute to national plan changes. Contents include: black and minority ethnic experiences; interviews with managers; analysis and recommendations.
Subject terms:
hospitals, managers, management, NHS, older people, patients, hospital admission, planning, user views, black and minority ethnic people, cultural identity, dignity;