- Evidencing best practice against NICE Quality Standards across geographically dispersed care homes and using the standards to encourage iterative improvement
- Networked approach to implementing NG61 (End of life care for infants, children & young people)
- Introducing mobility champions to improve the 24 hour approach to patient rehabilitation
NHS England has published Framework for maximising the use of care homes and use of therapy-led units for patients medically fit for discharge. The purpose of this framework is to supplement local escalation plans by describing standards of care and ways of working, which are in use and making a difference to discharging patients and maximising use of beds outside the hospital setting.
Enhanced health in care homes: learning from experiences so far | The King’s Fund
This report draws on published literature about joining up and co-ordinating care homes and health services. It also draws on interviews with a range of providers, local authorities and CCGs. It aims to help care homes and NHS providers (including GPs), local authorities and CCGs who are thinking through how to join up and co-ordinate services locally and how to manage the complexities involved.
The report makes recommendations for extending enhanced health in care homes to all areas, supporting and developing leaders, and ensuring that people living in care homes can access high-quality health care.
The National Audit of Inpatient Falls (NAIF) is designed to capture data from acute, community and mental health hospitals relating to falls | Royal College of Physicians
This report provides:
- aggregated national results for the organisational aspects of leadership responsibilities, policies and procedures, highlighting deficiencies and changes since 2015
- aggregated national averages for the clinical audit items, focusing on change since 2015, particularly where little progress has been made overall, or where there is a large variation in what has been achieved
- detailed results from all individual hospitals, enabling comparison with their own performance in 2015, their performance against the guidance standards and a comparison with other hospitals.
Full report: NAIF audit report 2017
Study published in the British Medical Journal suggests cuts to public funding of health and social care since 2010 could be linked to almost 120,000 excess deaths in England | BMJ | OnMedica
The study reports that between 2010 and 2014, the NHS in England had a real-term annual increase in funding of 1.3%, despite rising patient demand and healthcare costs. Real-term spend on social care has fallen by 1.19% every year during the same period.
Researchers compared actual death rates for 2011 to 2014 with those that would be expected, based on trends before spending cuts came into play, and taking account of national and economic factors, such as unemployment rates and pensions.
The researchers’ analysis of the data showed that between 2001 and 2010, deaths in England fell by an average of 0.77% every year, but rose by an average of 0.87% every year between 2011 and 2014.
The spending restraints were associated with 45,368 higher than expected numbers of deaths between 2010 and 2014 compared with equivalent trends before 2010.
Full reference: Watkins J. et al. | Effects of health and social care spending constraints on mortality in England: a time trend analysis | BMJ Open 2017
National Institute for Health Research (NIHR) Themed Review: Advancing Care: Research with care homes
There are more than twice as many people living in care homes in England and Wales, than there are people staying in hospital. Yet we know far more about effective treatments in hospital and less about what works most effectively to improve care for older people in care homes. Research in care homes is a relatively new and emerging field.
Advancing Care provides an overview of recent NIHR research on improving the health and care of care home residents. It highlights current research taking place now and explores new approaches being developed in this important area.
The review brings together NIHR research on three themes relating to the care of older people in care homes: Living well – maintaining good health and quality of life, ageing well – managing long term conditions associated with ageing, and dying well – ensuring a good quality end of life. It features:
- 23 published studies
- 21 ongoing studies
- Quotes from care home owners, managers, staff and researchers
- Where next for care home research?
The state of adult social care services 2014 to 2017 presents findings from the Care Quality Commission’s comprehensive programme of adult social care inspections.
The CQC has published its The state of adult social care services 2014 to 2017 report, which is the first time that such focused analysis on a national scale has been possible following the formal introduction of the CQC’s new regulatory regime for adult social care in 2014.
The report found that more than three-quarters of adult social care services were currently rated as ‘good’ (77%) and 2% were currently rated as ‘outstanding’.
However, there was considerable variation with nearly a fifth (19%) of services being rated as ‘requires improvement’ and 2% as ‘inadequate’ on ensuring residents are safe.
Age UK says these figures reveal a ‘Russian roulette’ for care and has urged the Government to make a much greater investment into care services.
The full report can be downloaded here
- Latest CQC findings reveal a ‘Russian roulette’ for care services | Age UK
- Vulnerable ‘playing Russian roulette’ choosing care | BBC News