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The denial of NHS continuing healthcare in Northern Ireland
- Authors:
- CROSS Judith, KEARNS Brenda
- Publisher:
- Age NI
- Publication year:
- 2014
- Pagination:
- 70
- Place of publication:
- Belfast
This is a report of an investigation undertaken by Age NI to examine the provision of NHS Continuing Healthcare to older people in Northern Ireland. The report examines the principles that underpin the NHS, outlines the role of NHS Continuing Healthcare and discusses the contribution of the Health and Social Care Trust towards nursing care. It also discusses the demographic and public policy agenda in Northern Ireland. Finally, it details the actions that Age NI undertook to investigate the provision of NHS Continuing Healthcare in Northern Ireland and sets out a series of recommendations to clarify and ensure a consistent approach to NHS Continuing Healthcare across Northern Ireland. The report finds that while there is provision for NHS Continuing Healthcare in Northern Ireland its impact is modest as assessment for eligibility does not appear to be consistent across the HSC Trusts. The report calls for government guidance and for a formal investigation into the provision NHS Continuing Healthcare. (Edited publisher abstract)
Commission on hospital care for frail older people: main report
- Author:
- HSJ/SERCO COMMISSION ON HOSPITAL CARE FOR FRAIL OLDER PEOPLE
- Publisher:
- Health Service Journal
- Publication year:
- 2014
- Pagination:
- 16
- Place of publication:
- London
A report from the HSJ/Serco Commission, addressing the problem of how the NHS should care for the country's increasing number of frail older people. The commission's central conclusion is that hospital providers and commissioners should not rely on government plans for greater integration between health and social care as a solution - they must and can take action now themselves to tackle the problem. The report sets out five key findings: there is a myth that providing more and better care for frail older people in the community, increasing integration between health and social care services and pooling health and social care budgets will lead to significant, cashable financial savings in the acute hospital sector and across health economies; the commonly made assertion that better community and social care will lead to less need for acute hospital beds is probably wrong as improving community care may postpone the need for hospital care, but it will make frail older people neither invincible nor immortal; more realism is needed in the debate about the quality and quantity of care that can be provided in an environment of funding that is declining relative to demand; hospitals should not be used to provide care that should more appropriately be provided elsewhere; while acute hospital admission is often the right thing to do for frail older people, being in hospital also creates risks for older people and hospitals need to gear up to provide the very best care for frail older people, who are now their most frequent users, involving geriatricians from the start of the admission together with the other appropriate specialists. Alongside the report HSJ has published a series of case studies showing good practice from around the NHS. Further evidence that led to the commissioners' conclusions and a full bibliography is also available. (Edited publisher abstract)
Debates in personalisation
- Editors:
- NEEDHAM Catherine, GLASBY Jon
- Publisher:
- Policy Press
- Publication year:
- 2014
- Pagination:
- 232
- Place of publication:
- Bristol
This book brings together advocates and critics of the personalisation agenda in English social care services to debate key issues relating to personalisation. Perspectives from service users, practitioners, academics and policy commentators come together to give an account of the practicalities and controversies associated with the implementation of personalised approaches. The book consider personalisation in relation to older people, safeguarding, self-funders, direct payments, the workforce and the NHS, including personal health budgets. The conclusion examines how to make sense of the divergent accounts presented, asking if there is a value-based approach to person-centred care that all sides share. (Edited publisher abstract)
Priorities for the next government
- Author:
- KING'S FUND
- Publisher:
- King's Fund
- Publication year:
- 2014
- Pagination:
- 12
- Place of publication:
- London
Sets out the key health and social care challenges and priorities for the next government. These include: meeting the financial needs, with a renewed drive to improve productivity, the establishment of a health and social care transformation fund and a new settlement for health and social care; transforming services for patients, through integrated care delivered at scale and pace, a new deal for general practice and political backing for service changes; improving the quality of care, by engendering a new culture of care, parity of esteem for mental health and a revolution in the care of older people; and a new approach to NHS reform, with a new political settlement to demarcate the role of politicians, a focus on reform from within and investment in the right kind of leadership. (Edited publisher abstract)
Heatwave plan for England 2014: protecting health and reducing harm from severe heat and heatwaves
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2014
- Pagination:
- 44
- Place of publication:
- London
The Heatwave Plan for England is intended to protect the population from heat-related harm to health. It aims to prepare for, alert people to, and prevent, the major avoidable effects on health during periods of severe heat in England. It recommends a series of steps to reduce the risks to health from prolonged exposure to severe heat for: the NHS, local authorities, social care, and other public agencies, professionals working with people at risk; and individuals, local communities and voluntary groups. The plan describes the Heat-Health Watch system which operates in England from 1 June to 15 September each year. The system comprises five main levels (Levels 0-4), from long-term planning for severe heat, through summer and heatwave preparedness, to a major national emergency. Each alert level triggers a series of appropriate actions which are detailed in the Heatwave Plan. (Edited publisher abstract)
Reshaping care for older people
- Authors:
- AUDIT SCOTLAND, ACCOUNTS COMMISSION
- Publisher:
- Audit Scotland
- Publication year:
- 2014
- Pagination:
- 48
- Place of publication:
- Edinburgh
Reshaping Care for Older People (RCOP), Scotland's programme to improve care for older people has brought together the different bodies involved in services costing £4.5 billion a year. These organisations now need to better target resources at preventing or delaying illness and at helping people to keep living at home. This report reviews progress three years into the Scottish Government’s ten-year project to improve health and social services for people aged 65 or over. The Scottish Government is supporting the project with a 4-year, £300 million Change Fund, but this report suggests better information is needed on its impact. RCOP is a complex programme, requiring joint action by a number of organisations if it to be successful, and has yet to demonstrate how significant changes will be achieved. This report indicates that national data shows significant variation in how NHS boards and councils use money to provide services for older people across Scotland; and that to implement RCOP successfully, partners need to make better use of data, focus on reducing unnecessary variation, monitor and spread successful projects, and have clear plans for shifting resources to community-based services. (Edited publisher abstract)
A helpful hand to stop unsuitable prescriptions
- Author:
- OBOH Lelly
- Journal article citation:
- Health Service Journal, 124(6415), 19 September 2014, pp.25-27.
- Publisher:
- Emap Healthcare
In 2011 NHS London set up a clinically led Dementia and Prescribing Antipsychotic Project to support 31 London primary care organisations to reduce antipsycotic prescribing for behavioural and psychological symptoms in dementia (BPSD). This article reveals the process that led to the reduction of prescriptions and shares learning about what works using examples from successful primary care organisations - mainly Bexley, Bromley, Croydon, Richmond and Wandsworth. It also highlights the valuable contributions made by lead pharmasist and medicines management teams to drive the process, including using existing networks and systems to overcome barriers. (Edited publisher abstract)
Public perceptions of the NHS and social care tracker survey: Spring 2013 wave
- Author:
- IPSOS MORI
- Publisher:
- Ipsos MORI
- Publication year:
- 2014
- Pagination:
- 94
- Place of publication:
- London
This survey, carried out by IPSOS Mori on behalf of the Department of Health, explores public attitudes towards, and perceptions of, the NHS and social care services. It is based on 1005 interviews among a representative sample of adults in England between 20 May and 26 June 2013. Contents cover overall satisfaction with the NHS, key perceptions of the NHS, changes to the NHS, choice and patient involvement, social care, care for older people, and communications and technology. The Spring 2013 survey includes a new question on whether people are treated with compassion when they use NHS and social care services. (Edited publisher abstract)