Search results for ‘Subject term:"older people"’ Sort:
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All dressed up
- Author:
- DOBSON Alex
- Journal article citation:
- Care and Health Magazine, 8.10.03, 2003, pp.10-11.
- Publisher:
- Care and Health
Local authorities have barely three months to implement new policies to ensure older people are moved out of hospitals quickly or face daily fines. Reports on how councils are meeting this challenge.
Local system review progress report: Stoke-on-Trent
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2019
- Pagination:
- 23
- Place of publication:
- Newcastle upon Tyne
Updates on progress made in Stoke-on-Trent following on local system review in September 2017. The review focused on how older people move between health and social care services, including delayed transfers of care. This progress report shows there has been significant improvement in the health social care system for older people living in Stoke-on-Trent. The report outlines progress against six areas for improvement; leadership and governance; strategy and commissioning; information and data sharing; performance and outcomes; workforce; service improvement. Improvements identified included: improved relationships, more effective communication, and a shared across the system; improvements in the quality of care in the independent social care market and how commissioners worked with providers; and evidence of improved joint planning in relation to winter 2018/19. Suggestions of areas for further improvement included better involvement of the voluntary, community and social enterprise (VCSE) sector in health and social care and better information and data sharing across health and social care organisations. (Edited publisher abstract)
Sheffield: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2018
- Pagination:
- 52
- Place of publication:
- London
This report is one of 20 targeted local reviews looking at how people move through the health and social care system, with a focus on how services work together for older people. Specifically, it looks at how the local system is functioning within and across three key areas: maintaining the wellbeing of a person in usual place of residence; crisis management; and step down, return to usual place of residence and/ or admission to a new place of residence. The review found there was a system-wide commitment to serving the people of Sheffield, but that system partners had not always worked effectively together. It found that although there had been improvements in information sharing and joint working, social care providers felt they were not meaningfully involved in market shaping or service development. It also found admission avoidance services were under developed and that there was a lack of integration of health and social care. Other findings included that people at risk of deterioration reported not being listened to and experiencing a crisis before they received the support they needed; and that people did not always experience safe discharges to their usual place of residence because of a lack of communication and coordination, adequate assessment and provision of services. The report suggests a number of areas for improvement. These include the need for system leaders to continue to engage with people who use services, families and carers and undertake a review of people’s experiences to target improvements; an evaluation of health and social care professionals’ skills in communication and interaction with people to establish where improvements are needed; and for health and social care to be equal partners in the system transformation programme. (Edited publisher abstract)
Liverpool: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2018
- Pagination:
- 49
- Place of publication:
- London
This report is one of 20 targeted reviews of local authority areas looking at how people move through the health and social care system, with a focus on how services work together. The reviews look at how hospitals, community health services, GP practices, care homes and homecare agencies work together to provide seamless care for older people living in a local area. The review found that there was a clear strategic direction for health and social care in Liverpool which was focused on the needs of people living in the city and described in the strategy ‘One Liverpool’. However, the review found the experiences of people using health and social care services varied. People were not always seen in the right place, at the right time by the right person; there were inconsistencies in commissioning and provision of services. Other findings were that local people were not actively enabled to participate in service planning and delivery and that people using services and their carers were not always supported to take control in making decisions about their care. Although a neighbourhood model had been developed to bring together primary, community, mental health and social care services, the model was not being implemented with a consistent approach, with GPs not always participating in multidisciplinary meetings. The report makes suggestions of areas for the local system to focus on to secure improvement including: organisational development work to strengthen relationships, improve communication and ensure there is a shared understanding among staff; improve information flows between services, including independent care providers, to facilitate safe and timely discharges from acute hospitals; and develop the personalisation agenda with more people supported to access personal budgets and direct payments. (Edited publisher abstract)
Councils pushing patients through hospitals' revolving doors'
- Author:
- KENNY Craig
- Journal article citation:
- Community Care, 28.10.04, 2004, pp.18-19.
- Publisher:
- Reed Business Information
Reports on findings of a Commission for Social Care Inspection (CSCI) study which examined the effects of delayed discharge reimbursement. The report suggests the fines system has been successful in unblocking NHS beds, but could be leading to the rise in the readmission of older patients to hospital. Some councils are also turning to residential care as a quick fix to avoid fines, at the expense of intensive home care and rehabilitation services. The researchers looked at 151 case files at seven local authorities, and interviewed 70 older people about their experiences of discharge.
Responsibility discharged?
- Author:
- WINCHESTER Ruth
- Journal article citation:
- Community Care, 25.4.02, 2002, pp.30-32.
- Publisher:
- Reed Business Information
Looks at the latest policy announced by the government to prevent delayed discharge of older people from hospital, which means that local authorities will need to reimburse hospitals for the cost of delayed discharges.
Framework for maximising the use of care homes and use of therapy-led units for patients medically fit for discharge
- Author:
- NHS ENGLAND
- Publisher:
- NHS England
- Publication year:
- 2017
- Pagination:
- 22
- Place of publication:
- London
A best practice framework outlines two models which are in use and making a difference to discharging patients and maximising use of care home bed outside the hospital setting. It aims to support Sustainability and Transformation Partnerships (STP) and their provider organisations to maximising the use of care homes, providing support to those that may be at risk of closure, and making best use of available beds so patients do not have to stay in hospital longer than they need to. It also describes the use of therapy-led units in caring for the patients who are medically fit for discharge, where the focus of care is on reablement and rehabilitation. (Edited publisher abstract)
Discharging older people from acute hospitals: twelfth report of session 2016-17: report, together with formal minutes relating to the report
- Author:
- GREAT BRITAIN. Parliament. House of Commons. Committee of Public Accounts
- Publisher:
- House of Commons
- Publication year:
- 2016
- Pagination:
- 81
- Place of publication:
- London
Report from the Public Accounts Committee into the scale and cost of delays in discharging older patients from hospital. The report considers variation in performance across different areas, the impact of adult social care provider markets, levels of information sharing and the adoption of good practice in discharging older patients from hospital, and levels of integration of local health and social care organisations. Organisations providing evidence to the Committee included the Department of Health, NHS England, NHS Improvement the Local Government Association, the Association of Directors of Adult Social Services, Northumbria Healthcare NHS Foundation Trust and Independent Age. The Committee found a poor understanding of the scale and cost of the problem of delayed discharge, with official figures not accurately capturing the number of older patient delayed. It found that although good practice on discharging patients from hospital is well understood, implementation is patchy across local areas resulting in unacceptable variation in local performance. The sharing of patient information was also identified a barrier to the smooth transition of patients into and out of hospital, and the report identifies the need to improve the health and social care sectors sharing information and taking up good practice. It also finds that the Department of Health and NHS England should be doing more to increase the pace of integration and make local accountability systems more effective. (Edited publisher abstract)
Unplanned admissions of older people: exploring the issues
- Authors:
- HENDERSON Catherine, et al
- Publisher:
- National Institute for Health Research. Service Delivery and Organisation Programme
- Publication year:
- 2011
- Pagination:
- 255
- Place of publication:
- Southampton
National strategies, local initiatives, cross-agency agreements, various targets and financial incentives have all been deployed in an effort to reverse the growth in emergency bed days (EBDs). Within this rapidly changing context, there was another effort underway: the Improving the Future for Older People (IFOP) programme of the Innovation Forum. A group of nine English councils created their own network in 2003, with the primary aim of reducing use of emergency bed days. Specifically, they agreed to work in partnership with health and third sector organisations to achieve the ‘headline target’ of a 20% reduction in EBDs for people aged 75 and over, over a three-year period from 2004 to 2007. This research used a multi-method approach, working with all nine councils and local PCTs . This report describes site characteristics (e.g. demographics and supply of hospital beds); their performance on relevant indicators (e.g. delayed discharge); and governance structures. The report also considers: local initiatives to reduce unplanned hospital stays; the role of non-NHS agencies; reducing emergency bed days; and patients’ carers’ and professionals’ experiences of different governance models. Patient journeys were also examined, which offered examples of “good practice” but also demonstrated ways in which practice fell short of expectations. No simple association was found between the model of governance adopted and outcomes achieved within the study site examined. (Edited publisher abstract)
Delayed transfers of care follow-through
- Author:
- WALES AUDIT OFFICE
- Publisher:
- Wales Audit Office
- Publication year:
- 2009
- Pagination:
- 45p.
- Place of publication:
- Cardiff
This follow up review aimed to investigate whether early progress in tackling the causes of delayed transfers of care found in the 'Independent Review of Delayed Transfers of Care' were likely to be sustained. In the review a range of methods were used including a document review; a brief survey of selected NHS trusts, LHBs and local authorities, a data analysis of performance indicators and structured interviews with key stakeholders. The findings are discussed in two main sections which provide evidence of improvement and also highlight longer-term system barriers that still exist. It is concluded that there has been some positive progress which will only lead to sustainable improvement if partners seize longer-term opportunities to design the whole system in a way that more effectively promotes independence.