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Found 65 results
  1. Community Post
    Hi All, I was looking through a recent coroners case ( https://www.judiciary.uk/wp-content/uploads/2020/01/Julie-Taylor-2019-0454.pdf ) Where a learning disability patient deteriorated while in an acute care setting. One of the recommendations was that the Trust should have used a 'reasonable adjustment care plan'. I haven't heard or seen one of these before. So I had a quick look on the internet and found this. http://www.bristol.ac.uk/sps/media/cipold_presentations/workshop3presentation1-linda-swann.pdf Does anyone else use a care plan that they wouldn't mind sharing? Thanks - Claire
  2. Community Post
    How are people getting on with the NatSSIPs? PDF version to share NatSSIPs headline booklet.pdf
  3. Content Article
    Ward rounds happen each day with your clinical team. In order for them to standardise the way they are conducted East Lancashire Hospital NHS Trust has designed a ward round check list, this is to ensure that everyone gets the same safety checks and important discussions are had for every patient.
  4. Content Article
    Adverse events and poor health outcomes are continuing challenges for nursing home residents and staff. Research has shown that many resident harms are avoidable and may be caused by situations in which residents do not receive needed care, often called omissions of care. Omissions of care research in nursing home settings is limited and definitions of omissions of care vary. Therefore, the US Agency of Healthcare Research and Quality (AHRQ) has developed a definition of omissions of care for nursing homes intended to be meaningful to stakeholders, including residents and caregivers, and actionable for research or improving quality of care. They developed the definition through a literature review and feedback from subject matter experts and stakeholders in the US. To develop and describe the definition, project staff produced an environmental scan and final report, including resources to help nursing homes operationalise and apply the definition of omissions of care.
  5. Content Article
    In this Editorial published in BMJ Quality & Safety, Major and Aphinyanaphongs discuss the challenges in translating mortality risk to the point of care. Despite advances in medicine, prognostication remains inaccurate for many patients. Physicians tend to overestimate survival, even in advanced cancer and terminal illness groups. Over half of terminally ill patients express they do not want prolonging of life if their quality of life would decline. End-of-life interventions such as advanced care planning have shown improved adherence to patient’s wishes, improvement in satisfaction and reductions in stress, anxiety and depression, but clinicians remain reluctant to initiate end-of-life discussions with terminal patients if they are currently asymptomatic. Automated systems can complement clinician judgement to prompt earlier end-of-life discussions.
  6. Community Post
    What training have you had to have that crucial end of life conversation with a patient and their relatives? What has helped you have those conversations?
  7. Content Article
    This model from NHS Improvement will help you understand the demand and capacity needs of services with a complex pathway.
  8. Content Article
    Based on the testimony of eight families, this drama-documentary was commissioned in response to a series of investigations where poor carer experience was a particular feature.
  9. Content Article
    In Northern Ireland (NI), leg ulcer clinical guidelines were developed by CREST (Guidelines for the Assessment and Management of Leg Ulceration) in 1998 and although never updated were superseded by NICE guidelines in 2006. Leg ulceration affects approximately 1% of the population of the UK, with a further 400,000 people experiencing recurrence.  The aim of this audit was to assess the standard of care provided to patients with lower leg ulceration and to understand who provides care and where this care is provided.
  10. Content Article
    The Care Quality Commission (CGC) is the independent regulator of health and adult social care in England. They make sure that health and social care services provide people with safe, effective, compassionate, high-quality care and encourage care services to improve.  Independent acute hospitals play an important role in delivering healthcare services in England, providing a range of services, including surgery, diagnostics and medical care. As the independent regulator, the CQC, hold all providers of healthcare to the same standards, regardless of how they are funded. 
  11. Content Article
    In this guest blog from NHS England, the Director of Policy for National Voices throws his support behind NHS England’s refreshed statutory guidance on the importance of involving patients and the public in commissioning.
  12. Content Article
    In this thought paper published by The Health Foundation, Dr Rebecca Lawton and Dr Gerry Armitage look at ways to involve patients in clinical safety and the readiness of patients and health professionals to adopt new roles. They discuss the importance of involving patients in the development of patient engagement and involvement strategies. Genuine patient involvement in their own care requires a fundamental cultural shift in the relationship between patients and clinicians. 
  13. Content Article
    Based on a previous ‘Hospital Passport’ this version is designed to be used by everyone within a variety of care settings. The content was developed together by Surrey and Borders Partnership NHS Foundation Trust Acute Liaison, Specialist Therapies and Older Adults services, Royal Surrey County Hospital and the Surrey Alzheimer’s Association.
  14. Content Article
    Good Hydration! is a quality improvement initiative designed by care homes for care homes to reduce urinary tract infections (UTIs) through structured drinks rounds. Developed in partnership with East Berkshire Clinical Commissioning Group, it is now delivering sustained improvements and spreading further afield. Oxford Academic Health Science Network has produced a range of useful resources for care homes to use.
  15. Content Article
    Presentation by Andrew Brent (Sepsis Clinical Lead, Oxford AHSN & Oxford University Hospitals NHS Foundation Trust) and Bethan Page (Oxford AHSN) in collaboration with Dr Matt Inada-Kim (Wessex AHSN).
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