An evaluation of hospital use among 526 residents aged 65 or over living in 15 vanguard nursing or residential care homes in Wakefield between February 2016 and March 2017, compared with a local matched control group.
The enhanced support they received had three main strands: voluntary sector engagement, a multidisciplinary team and enhanced primary care support.
Estimations show that vanguard residents experienced 27% fewer potentially avoidable admissions than the matched control group – the effect was stronger among those who had been resident in a care home fo
Walking by is not what I want to do but walking by is what I do on a regular basis. I am ashamed to write this, to think this, to do this. I don’t think I am alone as I have seen others do it too.
We are not bad people, but I can’t help but think that we have turned into bad nurses. The last thing I wanted to be was a bad nurse.
This was never the plan… it’s crept in, without me knowing it was happening. Until now. How has this happened? How have I become the nurse I despise?
I work on an acute medical admissions unit. We have patients that are admitted from the emergency depa
NHS England and NHS Improvement have worked with a number of partners to identify five key principles which can help ensure that patients are discharged in a safe, appropriate and timely way.
The five principles relate to different stages of a patient’s stay: some to the moment of admission, some to their time on a ward and some to the end of their stay.
Plan for discharge from the start
Involve patients and their families in discharge decisions
Establish systems and processes for frail people
Embed multidisciplinary team reviews
Encourage a supported ‘Home F