Hospitals send patients home without confirming home situation is adequate, report says

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Vulnerable patients are being discharged from hospital unsafely and sent home to situations where they have inadequate support because of lack of coordination between health, social care, and community services, an investigation by the healthcare consumer organisation Healthwatch England has found.

The investigation was based on the experiences of discharge of 3230 people considered as vulnerable (elderly people, homeless people, and people with mental health conditions) and on information gathered from trusts through freedom of information legislation and from surveys of patients.

News from NHS Networks – Acute

NHS England will transfer £1,100 million from the mandate to local authorities.
The number of opiate and crack cocaine users in England has fallen again according to independent research published by Public Health England.
Action to tackle smoking, drinking, sedentary behaviour and poor diet could reduce the risk of dementia in later life alongside other conditions such as heart disease, stroke and many cancers, according to the UK Health Forum and Public Health England..
NHS England has issued guidance to trusts with inpatient beds on publishing staffing data on NHS Choices.
Many more news topics available from NHS Networks

Good practice in social care …Health & Social Care in the Community

Abstract

This article reports findings from a scoping review of the literature on good practice in social care for disabled adults and older people with severe and complex needs. Scoping reviews differ from systematic reviews, in that they aim to rapidly map relevant literature across an area of interest. This review formed part of a larger study to identify social care service models with characteristics desired by people with severe and complex needs and scope the evidence of effectiveness.

Follow the title link to read the full article.

News from NICE

NICE recommends blood pressure device that can help prevent strokes

A new device that allows GPs and practice nurses to detect pulse irregularities and pick up cases of atrial fibrillation whilst measuring blood pressure has been recommended by NICE.   Atrial fibrillation (AF) causes the heart to beat with an irregular rhythm. It can be difficult to detect and subsequently diagnose as it is often asymptomatic and can be intermittent.

People with AF are at increased risk of developing blood clots and subsequent stroke, with 423,000 people aged 65 and over expected to have AF, of whom some will be will living with the condition yet are undiagnosed.

In its medical technology guidance on WatchBP Home A, NICE says the device reliably detects AF and may increase the rate of detection when used in primary care. This will consequently allow for preventative treatment to be given and to reduce the incidence of AF-related stroke.

Statement of collaboration between NICE and Public Heath England
NICE and Public Health England agreed to collaborate on future work.
February 8, 2013
Dementia, stroke and cancer among potential indicators for latest CCG Outcomes Indicator Set
Dementia, stroke, cancer, and end-of-life care are among 32 new indicators put forward for inclusion in the Clinical Commissioning Group Outcomes Indicator Set (CCG OIS).
February 4, 2013
Have your say on NICE’s social care work 
The Department of Health has launched a 12 week consultation to gather views on the topics for NICE’s new quality standards and guidance for social care.
February 1, 2013

News from The Kings Fund: 14 October

How is the NHS performing? October 2011 quarterly monitoring report
This report concludes that many NHS hospitals will struggle to deliver productivity improvements essential to maintaining quality and avoid significant cuts to services. It looks behind national figures for waiting times and infection rates to find significant variations in performance between hospitals.

Statements on the Health and Social Care Bill: second reading

The Health and Social Care Bill had its second reading on 11 October 2011.

Please see below for a selection of comments and statements on this.

Achievement of foundation trust status by NHS hospital trusts
This report finds that the difficulty of achieving foundation trust status is magnified by the challenge trusts face in making year-on-year cost savings of at least four per cent. It concludes that many trusts will have to achieve even greater savings than this to show that they are financially viable.