Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 29
National evaluation of partnerships for older people projects: interim report of progress: briefing paper: cost-effectiveness: measuring effects: emergency bed-day use
- Author:
- UNIVERSITY OF HERTFORDSHIRE
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2007
- Pagination:
- 7p.
- Place of publication:
- London
This is an interim report of an ongoing evaluation of the National POPP programme. It is a statement of progress providing very early findings, lessons learnt and key messages from the experience of the POPP pilots to date.
Going home from hospital - an appreciative inquiry study
- Authors:
- REED Jan, et al
- Journal article citation:
- Health and Social Care in the Community, 10(1), January 2002, pp.36-45.
- Publisher:
- Wiley
Reports on a project that involved a number of agencies and groups, including older people, working together to examine and develop practice in going home from hospital. The project was stimulated by a whole-system event, and was based on appreciative inquiry (AI) methodology, which has roots in both action research and organisational development. In AI, the research is directed towards appreciating what it is about the social world that is positive, and exploring this. The study was planned around three workshops to streamline data collection and analysis. Group members were also required to carry out some activities between workshops. Invitations were sent out to groups and individuals previously identified as involved or interested in the discharge process across one health district. Provides overview of the study, and explores some of the issues involved when working with service users and providers as co-researchers.
Action on hospital discharge
- Authors:
- PHILLIPSON Julia, WILLIAMS Jenny
- Publisher:
- National Institute for Social Work
- Publication year:
- 1995
- Pagination:
- 48p.,bibliog.
- Place of publication:
- London
Describes a joint initiative for improving the process of hospital discharge for older people by dissemminating the research findings of Neill and Williams (1992) to health and social care practitioners through a series of workshops.
Proactive geriatric comanagement of nursing home patients by a new hospital-based liaison geriatric unit: a new model for the future
- Authors:
- MATEOS-NOZAL Jesus, et al
- Journal article citation:
- Journal of the American Medical Directors Association, 23(2), 2022, pp.308-310.
- Publisher:
- Elsevier (for the American Medical Directors Association)
During the SARS-CoV-2 pandemic, hospital-based liaison geriatric units (LGUs) were created in Spanish hospitals with the aim to improve health care coordination between nursing homes (NHs) and hospitals. Our university hospital created a comprehensive, proactive LGU serving 31 public and private NHs of different sizes and characteristics to offer support to more than 2500 residents. In the first 3 months of 2021, this LGU performed 1252 assessments (81% as outpatients, 12% at the emergency department, and 7% during hospitalization), avoiding an estimated 49 hospital transfers and 29 hospitalizations. Other activities included giving NHs support and advice during COVID-19 outbreaks, comanagement of selected residents with other hospital-based specialists (implementing telemedicine), and implementation of a protocol that allowed using drugs only approved for hospital use in selected NHs. This model of LGU has been shown to be feasible, to improve residents' health care, and avoid hospital referrals. Long-term care needs to be re-imagined, and hospital geriatric departments need to prove that they are able to offer expertise to support NH health care professionals. (Edited publisher abstract)
Review of delayed transfers of care: Cardiff and Vale Health and Social Care Community
- Author:
- AUDITOR GENERAL FOR WALES
- Publisher:
- Wales Audit Office
- Publication year:
- 2016
- Pagination:
- 34
- Place of publication:
- Cardiff
A review of Cardiff and Vale Integrated Health and Social Care (IHSC) partnership (the Partnership), carried out between March and June 2016, to assess ambitious whether their plans to integrate health and social care services have led to improvements in levels of delayed transfers of care from hospital. The review found that the independence of older people is being prioritised through joint working and the implementation of an integrated service model. It also found good use of the intermediate care fund, but highlights that there are no contingency plans in place if the fund was to stop. It also found that partners had develop a strong governance, performance monitoring and evaluation arrangements. Although delayed transfers of care remain the second highest in Wales, performance is steadily improving. The report concludes that partners are working well together to manage delayed transfers of care, whilst realising their plans for a whole systems model. The report makes two recommendations. The appendices includes four good practice case studies of initiatives that other health and social care services in England and Wales are using to reduce delayed transfers of care. (Edited publisher abstract)
Partnership in practice: mental health working with general hospital wards
- Authors:
- ASHTON Sally, CARTER Christine
- Journal article citation:
- Working with Older People, 13(1), March 2009, pp.32-34.
- Publisher:
- Emerald
Older people occupy a significant proportion of hospital beds, with many suffering from depression, delirium, dementia, anxiety and other conditions. This article describes the mainstreaming of Gloucestershire Primary Care Trust's mental health liaison service within general hospital wards. It includes two case studies of the mental health liaison nurses' (MHLN) involvement in patient's care planning.
The war on the wards
- Author:
- TAYLOR Amy
- Journal article citation:
- Community Care, 13.12.07, 2007, pp.26-28.
- Publisher:
- Reed Business Information
The decline in NHS bed blocking in encouraging but emergency readmission rates continue to rise. This article looks at why this is happening and the power battles that are taking place in many hospital wards between hospital social workers and health staff.
Effective partnership working: a case study of hospital discharge
- Author:
- HENWOOD Melanie
- Journal article citation:
- Health and Social Care in the Community, 14(5), September 2006, pp.400-407.
- Publisher:
- Wiley
This paper examines partnership working between health and social care by exploring the specific issues which this case study of hospital discharge provides. The analysis highlights the importance of understanding the dynamics of partnership working on the ground. It also underlines the need for a new relationship between central government and local agencies when old-style models of command and control are no longer fit for purpose. A new approach is required that addresses the complex and multiple relationships which characterise the new partnership agenda.
Who cares wins: improving the outcome for older people admitted to the general hospital: guidelines for the development of liaison mental health services for older people
- Author:
- ROYAL COLLEGE OF PSYCHIATRISTS. Faculty of Old Age Psychiatry
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 2005
- Place of publication:
- London
This report draws attention to the neglected clinical problem of mental disorder affecting older people admitted to general hospitals and calls for the development of specialist liaison mental health services for older people. It takes account of the best level of evidence where it applies to older people. Older people occupy two-thirds of NHS beds and 60% of older people admitted to general hospital will have or develop a mental disorder. This mental disorder will predict a poor outcome for the older person and the service. The present delivery of mental health services for older people in general hospitals is by the process of consultation. The superior method of multidisciplinary liaison is established for working age adults as a developed speciality. This approach should be established for older people and a failure to do so represents an ageist policy. Better management of these disorders improves outcome and this has major implications for the care of older people, the efficiency of acute hospitals and the utilisation of health and social care resources.
Discharge of duty
- Author:
- GILBERT Helen
- Journal article citation:
- Care and Health Magazine, 45, 24.9.03, 2003, pp.26-27.
- Publisher:
- Care and Health
Reports on a joined up approach in Hertfordshire which aims to reduce delays and potential costs from delayed discharge of patients from hospital.