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Critical success factors that enable individuals to die in their preferred place of death: a report based on the contributions from end of life care commissioners and providers of services within seven PCTs areas
- Author:
- NHS. National End of Life Care Programme
- Publisher:
- NHS. National End of Life Care Programme
- Publication year:
- 2012
- Pagination:
- 88p.
- Place of publication:
- London
Highlighting good practice from seven Primary Care Trusts across the country, this report identifies the critical success factors associated with improving end of life care and enabling a person to die in the place of their choice. The report is intended as a starting point to help those commissioning and planning services to see what has worked well in other areas, however it does not suggest that one size fits all. The factors that are considered critical are: strong commissioning and clinical leadership; use of nationally recognised drivers that attract payment; flexible budgets and care packages; use of nationally recognised tools or their local equivalent; shared electronic information systems; clearly defined access to 24 hour cover; development of care homes; use of facilitator roles and co-ordination of care across boundaries; training to support staff delivering end of life care.
The Equality Act 2010 and adult mental health services: achieving non-discriminatory age-appropriate services: joint guidance from the Royal College of Psychiatrists' Faculties of Old Age and General and Community Psychiatry
- Author:
- ROYAL COLLEGE OF PSYCHIATRISTS
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 2011
- Pagination:
- 11p.
- Place of publication:
- London
As of April 2012, age discrimination will be banned in the UK and health and social care services will be legally required to promote age equality in their adult mental health services. Of all health and social care services, older people’s mental healthcare has been highlighted as one of the worst examples of discrimination. There is a danger that commissioners and providers of mental health services, in an attempt to meet the need for equality and to save money, might attempt to merge adult and older people’s services into ‘age-blind’ services. However, this does not recognise age-appropriateness and will result in indirect age discrimination. This document explains what age discrimination is, gives examples of age discrimination in action, describes the requirements under the Equality Act 2010, and provides guidance on responding to the equality challenge in a non-discriminatory age-appropriate way.
A positive outlook: a good practice toolkit to improve discharge from inpatient mental health care
- Author:
- NATIONAL INSTITUTE FOR MENTAL HEALTH IN ENGLAND
- Publisher:
- National Institute for Mental Health in England
- Publication year:
- 2007
- Pagination:
- 34p.
- Place of publication:
- Leeds
This toolkit provides best practice guidance to show what works in reducing the current levels of delayed discharge being experienced by adults and older people in mental health services. It focuses on the practical steps which can be taken to improve discharge.
Guidance for people previously considered clinically extremely vulnerable from COVID-19
- Authors:
- GREAT BRITAIN. Department of Health and Social Care, PUBLIC HEALTH ENGLAND
- Publishers:
- Great Britain. Department of Health and Social Care, Public Health England
- Publication year:
- 2021
- Place of publication:
- London
Guidance for people, including children, who are at very high risk of severe illness from coronavirus (COVID-19), because of an underlying health condition, and for their family, friends and carers. It is intended for use in situations where the extremely vulnerable person is living in their own home, with or without additional support. This includes the extremely clinically vulnerable people living in long-term care facilities, either for older people or people with special needs. In September 2021 the shielding programme ended so this guidance was updated to provide information for people previously considered clinically extremely vulnerable from COVID-19 .This guidance was first published with the title 'Guidance on protecting people who are clinically extremely vulnerable from COVID-19'. [Published 21/03/2020. Last updated 01/04/2022] (Edited publisher abstract)
COVID-19: guidance on shielding and protecting people defined on medical grounds as extremely vulnerable
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2020
- Place of publication:
- London
Guidance for people, including children, who are at very high risk of severe illness from coronavirus (COVID-19), because of an underlying health condition, and for their family, friends and carers. It is intended for use in situations where the extremely vulnerable person is living in their own home, with or without additional support. This includes the extremely clinically vulnerable people living in long-term care facilities, either for older people or people with special needs. Note, since 19 July 2021, the guidance for clinically extremely vulnerable people has been to follow the same advice as the rest of the population, with the suggestion of additional precautions people may wish to take. [Published 21/03/2020. Last updated 20/09/2021] (Edited publisher abstract)
Care home charter for medicines (adults)
- Author:
- PATIENTS ASSOCIATION
- Publisher:
- Patients Association
- Publication year:
- 2019
- Pagination:
- 1
- Place of publication:
- Harrow
A charter to improve medication practices for people living in care homes across the UK. The Charter aims to help support residents living in care homes to be actively involved in decisions about their care and also provides a guideline for care home staff to follow. It contains a list of statements for both care home residents and professionals. The Charter has been developed by the Patients Association in collaboration with an expert panel, and has been endorsed by a range of organisations, including the National Institute for Health and Care Excellence. It has also been piloted in 22 care homes across England, Wales and Northern Ireland.
The community mental health framework for adults and older adults
- Authors:
- NHS ENGLAND, NHS IMPROVEMENT, NATIONAL COLLABORATING CENTRE FOR MENTAL HEALTH
- Publisher:
- NHS England
- Publication year:
- 2019
- Pagination:
- 22
- Place of publication:
- Redditch
This Framework describes how the NHS Long Term Plan’s vision for a place-based community mental health model can be realised, and how community services should modernise to offer whole-person, whole-population health approaches, aligned with the new Primary Care Networks. The integrated approach will provide benefits for both service users and staff, though integrated assessment, fewer referrals and more direct contact time between staff and service users. The Framework includes links to resources and good practice examples. It has been in partnership with an Expert Reference Group drawn from a range of disciplines and professions across health, social care, the VCSE sector, community groups, and users and carers. (Edited publisher abstract)
Building better care homes for adults: design, planning and construction considerations for new or converted care homes for adults
- Author:
- CARE INSPECTORATE
- Publisher:
- Care Inspectorate
- Publication year:
- 2018
- Pagination:
- 44
- Place of publication:
- Dundee
The design of a care home can impact significantly on dignity, respect, compassion, inclusion, responsive care and support and wellbeing. This updated guidance provides information on Scottish regulations, National Care Standards and guidance used by the Care Inspectorate to assess building plans or when giving advice. It includes quotations from people living in care homes and their carers throughout, which illustrate the difference that high-quality design can make to people’s experience of living in a care home. It also includes links to good practice documents. The document will be of interest to service providers, developers, architects, builders, local authority and NHS commissioners, as well as those looking for or using a registered care home for adults. (Edited publisher abstract)
Managing adult malnutrition in the community: a spotlight on information, help and support available for patients and carers in England
- Author:
- PATIENTS ASSOCIATION
- Publisher:
- Patients Association
- Publication year:
- 2015
- Pagination:
- 57
- Place of publication:
- Harrow
This report sets out our recommendations to improve the quality of nutrition and hydration support, drawing on information from patient sources, from a review of recent work into malnutrition by government and concerned charitable organisations, from two specific dedicated surveys and from a Freedom of Information request to NHS Trusts. There are currently more than three million people in the UK who are either malnourished or at risk of malnutrition. The report looks at malnutrition prevalence, policy and practice; prevention and treatment of malnutrition; nutritional care in hospitals and the view from patients and professionals; and nutritional support in the community. The report makes a set of recommendations, including: developing a nutrition measurement and audit tool for nutritional care in all care settings; raising awareness; ensuring that nutrition and hydration care is integral to any training provided to care professionals in all care settings; and ensuring GPs and other community healthcare professionals take an active role in monitoring and addressing malnutrition. (Edited publisher abstract)
Good clinical practice guidelines for care home residents with diabetes: a revision document prepared by Task and Finish Group of Diabetes UK
- Author:
- DIABETES UK
- Publisher:
- Diabetes UK
- Publication year:
- 2012
- Pagination:
- 120p.
- Place of publication:
- London
A revision of the 1999 Guidelines of Practice for Residents with Diabetes in Care Homes, this document aims to enhance diabetes care within residential care settings. Based on published evidence and interpretation by a multidisciplinary group of diabetes experts, it is designed as a national policy of good clinical practice for diabetes care in residential and nursing homes and as a framework for assessment of the quality of diabetes care within these settings. It summarises and reviews the evidence base, identifies barriers to providing effective diabetes care, and sets out key principles and features of good clinical practice for adult and older adult residents with diabetes within institutional settings, including the agreement of individual care plans for each resident with diabetes. It also outlines recommendations covering residents of care homes, care home institutions, and the district organisation of diabetes care.