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Reducing emergency hospital stays for older people: Innovation Forum first year report
- Authors:
- WISTOW Gerald, KING Derek
- Publisher:
- Innovation Forum
- Publication year:
- 2006
- Pagination:
- 54p.
- Place of publication:
- London
This report from the Innovation Forum is based on the idea that good housing, a range of facilities for transport, leisure and entertainment, families and friends can all help older people thrive and stay healthy thereby reducing the need for emergency hospital stays. And, if any of this is to come about, it means a firmer strategy than currently exists to ensure there is a sufficiently significant transfer of funding from acute to community settings.
Hospital discharge and community care: early days
- Authors:
- HENWOOD Melanie, WISTOW Gerald
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1993
- Pagination:
- 58p.
- Place of publication:
- London
Report based on a study of 6 English localities which were believed to have well advanced arrangements for the hospital discharge of older people. Provides a snapshot of the position around April 1993 when community care changes were starting to be implemented. Points up issues for continuing concern, as well as elements of good practice.
Working with the NHS
- Author:
- WISTOW Gerald
- Journal article citation:
- Research Matters, 2, October 1996, pp.23-26.
- Publisher:
- Community Care
Argues that despite having been the focus of much attention since the early days of the community care reforms, hospital discharge is still an area which needs improvement and better co-ordination between agencies.
Working with the NHS
- Author:
- WISTOW Gerald
- Journal article citation:
- Research Matters, 1, April 1996, pp.26-28.
- Publisher:
- Community Care
Joint arrangements between hospitals and social services for discharging patients are still unsatisfactory in many areas, with tensions between the competing demands of cost-effectiveness and thorough assessments of service users' needs. Reports on two recent studies which show things are improving and identify key areas for change.
Anticipating the new Health Act: messages from the innovation forum
- Authors:
- WISTOW Gerald, HENDERSON Catherine
- Journal article citation:
- Journal of Integrated Care, 18(5), October 2010, pp.4-14.
- Publisher:
- Emerald
Nine councils in the Innovation Forum for high performing local authorities voluntarily set a target of reducing unscheduled hospital bed days for people aged over 75 years by 20% over the 3 years to 2006/07. The aim was to reduce their hospital stays so that they could retain their independence and experience a better quality of life. The prospectus for the project ‘improving the future for older people’ (IFOP) was drawn up by Kent County Council and the Department of Health with inputs from other participating councils. It adopted a whole-systems perspective on needs and outcomes. The councils were required to use their commissioning expertise and their local networks to promote community health and well-being, to maintain independent living and to improve care and treatment services. Each council and its partners initiated the service developments they judged necessary to achieve the headline target. Progress was assessed for the group as a whole. Five types of project accounted for more than half the total: expansion of intermediate care services; case management of chronic conditions; falls prevention; improving care pathways from hospital to community; and supporting care homes with health staff. The headline target was exceeded by all the councils and their partners. The authors comment that this success supports the new NHS White Paper’s proposed transfer of functions and responsibilities from Primary Care Trusts (PCTs) to councils. It suggests that councils can successfully adopt, in appropriate circumstances, the lead responsibility for ensuring strategic coordination of place-based commissioning in health and well-being.