NICE Shared Learning

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Enhanced health in care homes

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.

Full report: Enhanced health in care homes: learning from experiences so far

National Audit of Inpatient Falls

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:

falls audit
Image source: http://www.rcplondon.ac.uk
  • 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

Spending constraints associated with a higher than expected number of deaths

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

Related: Excess deaths could be linked to health spending cuts

The care of older people in care homes

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.

advancing care
Image source: http://www.dc.nihr.ac.uk

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

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.

state of care
Image source: http://www.cqc.org.uk

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

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