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Found 31 results
  1. Content Article
    The West of England's A&S-SIP ambitions: Support an increase in the proportion of patients in acute hospitals receiving every element (for which they are eligible) of the British Thoracic Society COPD discharge care bundle. Support an increase in the proportion of eligible sites adopting three evidence-based tracheostomy safety interventions. From April 2021, support an increase in the proportion of patients in acute hospitals receiving every element (for which they are eligible) of the asthma discharge care bundle. From April 2021, to support an increase in the p
  2. Content Article
    Whilst there have been examples of good practice and praise from carers, the report found a number of areas of consistent concern: Patients, in some cases, were provided with very low levels of care but needed much more. This questions whether they should have been placed on a higher pathway and given an adequate level of support. Carers were not consulted about or involved in discharge. Consideration was not always given to a patient’s ability to remember or recall important information putting the patient’s and, at times, the carer’s health at risk. Some carers were
  3. News Article
    Nursing shortages are allowing “profiteering” staffing agencies to triple their rates, care leaders have warned, raising the risk of vulnerable patients being forced to move care homes and increasing the burden on the NHS. The crisis is forcing some nursing homes to become standard residential care homes without support for people with chronic diseases. The shortage also makes it harder for NHS hospitals to discharge patients. Some hospitals have redeployed their own staff into nursing homes to free beds in hospitals. In other places, NHS trusts are competing for staff with care prov
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  5. News Article
    Trusts in more than half English local authorities still do not have an agreed safe place to discharge recovering covid patients to, despite the government asking councils to identify at least one such ‘designated setting’ by the end of October. The situation is leading to an increase in delayed discharges from hospital just as the service comes under increased pressure from the second covid wave and returning elective and emergency demand. In a letter last month, the government told local authorities to identify at least one “designated setting” – typically a care home – which hosp
  6. News Article
    Almost half of hospital patients have been discharged without receiving the results of their coronavirus test – including some patients who were sent to care homes, new research from Healthwatch and British Cross has revealed. Independent national patient body Healthwatch England said it had learned many patients were discharged from hospitals between March and August this year without proper assessments with many vulnerable people sent home without medication, equipment or the care they needed. At the start of the pandemic thousands of patients were discharged to care homes as NHS E
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    The next few months will be full of grim updates about the spread of the new coronavirus, but they will also be full of homecomings. Patients hospitalised with severe COVID-19, some having spent weeks breathing with the help of a mechanical ventilator, will set about resuming their lives. Many will likely deal with lingering effects of the virus — and of the emergency treatments that allowed them to survive it. “The issue we’re all going to be faced with the most in the coming months is how we’re going to help these people recover,” says Lauren Ferrante, a pulmonary and critical care
  12. News Article
    A major new model of post-acute care is needed for the discharge and rehabilitation of patients following COVID-19 infection, say Alice Murray, Clare Gerada, and Jackie Morris. A comprehensive plan must be made for the 50% of COVID-19 patients who will require some form of ongoing care following admission to intensive care, with the goal of improving their long-term outcomes and freeing-up much-needed acute hospital capacity. While the current focus is quite rightly on emergent cases, planning should be set in place to create post-acute care resources and facilities for the surge in
  13. Content Article
  14. News Article
    Serious patient safety and wellbeing concerns about the latest hospital discharge guidance have been raised to HSJ by senior clinicians and charities. Senior geriatricians warned that the guidance could prompt an increase in “urgent readmissions”, “permanent disability” and “excess mortality”, while charities said families could be left with “unsustainable caring responsibilities” because of the new rules. The government guidance, Hospital Discharge Service: policy and operating model, published in August, said clinicians should consider discharging patients when they were “medically
  15. News Article
    A major NHS hospital is under such pressure that it has decided to discharge people early even though it admits that patients may be harmed and doctors think the policy is unwise. The Royal Cornwall Hospitals NHS trust has told staff to help it reduce the severe overcrowding it has been facing in recent weeks by discharging patients despite the risks involved. In a memo sent on 8 January, three trust bosses said the Royal Cornwall hospital in Truro, which is also known as Treliske hospital and has the county’s only A&E department, “has been under significant pressure for the last
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  19. News Article
    Problems with hospital discharges in England, highlighted in the largest annual patient survey, reinforce the need for greater integration between health and social care, the sector regulator has said. The Care Quality Commission inpatient survey found that a majority of patients were positive about their hospital care but a significant minority experienced problems on discharge. A third of respondents who were frail said the care and support they expected when they left hospital was not available when they needed it. Three in 10 frail people said they had not had discussions with st
  20. News Article
    The government said it will set up ‘dedicated team’ to look for innovative ways for the NHS to continue treating people for coronavirus, while also providing care for non-covid health issues. In its pandemic recovery strategy published today, the government also said step-down and community care will be “bolstered” to support earlier discharge from acute hospitals. The 60-page document contained little new information about plans for NHS services, but said: “The government will seek innovative operating models for the UK’s health and care settings, to strengthen them for the long ter
  21. News Article
    Government plans to cut off funding for hospital discharge at the end of March will slow down the NHS recovery of planned care, and threatens ‘distress’ for families asked to quickly take over patients’ care. Since the pandemic began the Department of Health and Social Care has funded measures to smooth discharge from hospital, to help free up capacity. From September last year this was via a £588m national pot for up to six weeks’ funded care and support after discharge. But a letter from NHS England director of community health Matthew Winn last week confirmed the funding will cea
  22. Content Article
    Key findings Feeling safe from risk Most patients (83%) said they felt safe from the risk of catching coronavirus in hospital: those diagnosed while in hospital felt least safe (68%) compared with those who did not receive a coronavirus diagnosis (84%). Confidence and trust in staff Over 8 in ten people surveyed (83%) said they ‘always’ had confidence and trust in the staff treating them: 77% said they were involved ‘a great deal’ or ‘a fair amount’ in the decisions made about their treatment 70% felt they ‘always’ received enough emotional support fro
  23. News Article
    Delays in discharging patients from hospitals is making pressure on the NHS from the second wave of coronavirus worse, hospital chiefs have warned. Some hospitals are already reporting almost all of their beds are full with patients as the number of coronavirus cases continues to surge with more patients needing hospital care every day. Doctors have told The Independent the lack of discharges means fewer beds are free and some hospitals are seeing long waits in A&E for beds to become available. NHS Providers chief executive Chris Hopson said: “Some of our chief exec
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    The session described three things. Firstly, the importance of improving flow in hours – so when a bed is available and how quickly can we fill it. Secondly, reducing length of stay in days and, thirdly, working to safely keep more patients at home. During this event, where 70 people joined the conversation, colleagues in the Netherlands described the methodology of ‘Real Time Demand Capacity’ which they have implemented. It is Improvement Cymru's aim in 2021 to help improve the understanding of the science of flow using lean and to support implement these principles into our health
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