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Let's all get home safely: a commentary on NICE and SCIE guidelines (NG27) transition between inpatient hospital settings and community or care home settings
- Authors:
- WINFIELD Anna, BURNS Eileen
- Journal article citation:
- Age and Ageing, 45(6), 2016, pp.757-760.
- Publisher:
- Oxford University Press
Safe and appropriate transition between inpatient settings and the community is one of the major challenges facing the modern NHS. The National Institute for Health and Care Excellence in conjunction with the Social Care Institute for Excellence published guidance on this challenging area in December 2015. This commentary provides context, summary and discussion of the key areas covered. The guidance particularly emphasises the importance of a person-centred approach in which patients are individuals and equal partners in the multidisciplinary team who should be treated with dignity and respect. Additionally, communication and information sharing is crucial both on admission and when taking a proactive approach to discharge, including the role of the discharge coordinator in liaising with community teams and arranging follow-up post-discharge. Self-care and the significance of carers are also highlighted as valuable in facilitating safe discharge and reducing readmissions. It is clear that in older people with complex needs, safe appropriate transition between hospital and community settings has a positive impact on patients and their carers. Given the financial and capacity pressures facing the NHS, strategies to reduce readmissions and prevent delays in discharge are increasingly important. These guidelines are therefore both timely and advocated to improve care for older people. (Publisher abstract)
Older people at home: practical issues
- Editors:
- MULLEY Graham, PENN Neil, BURNS Eileen
- Publisher:
- BMJ Books
- Publication year:
- 1998
- Pagination:
- 148p.,illus.,bibliog.
- Place of publication:
- London
Practical text focusing on everyday situations that GPs have identified as being particularly problematic when dealing with older patients. Follows a problem based approach with special emphasis on the needs of older people living at home. Includes chapters on: loneliness; elder abuse; some legal aspects of mental incapacity; what an old age psychiatrist does; rehabilitation and older people; aids to compliance with medication; public transport; money problems and financial help; care homes; housing; carers; community health services; and community care provided by the public and independent sectors.