All Admissions and discharge articles – Page 2
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NewsRevealed: the ICSs where delayed discharge rates have doubled in a year
More than half of integrated care systems have managed to cut their rates of delayed discharges this year, but performance worsened in 16 ICSs.
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NewsNew discharge target on its way, NHSE confirms
NHS England has published its first framework for intermediate care services, calling for much better capacity planning, and confirming it is developing a national standard for rapid discharge into step-down care.
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NewsCommunity discharge delays much worse than acutes’
Nearly nine in 10 medically fit patients are unable to go home on any given day in community hospitals because of struggles arranging onward care.
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HSJ PartnersLooming winter pressures eased by targeted AI initiatives
Paul McGinness, chief executive, Lenus Health, highlights the need for proactive measures to support the NHS in reducing unnecessary respiratory-related admissions.
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Expert BriefingThe Integrator: Moving the blockage
Insider tales and must-read analysis on how integration is reshaping health and care systems, NHS providers, primary care, and commissioning. This week by deputy editor Dave West.
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NewsDelayed discharges ‘shunted onto community services’
Efforts to reduce delayed discharges in acute hospitals with more step-down care may have been shunting problems onto community services, data suggests.
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News‘Cosy’ health and care relationships should be avoided, says NHSE director
Integrated care systems ‘where everybody’s getting on well’ tend to avoid tackling ‘uncomfortable’ – but critical – issues, according to NHS England’s national director of intermediate care and rehabilitation.
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News‘Local innovation’ can improve A&E without central funding, says NHSE
An NHS England director has said innovations in urgent and emergency care should be possible without extra central funding, as she set out plans to manage the coming winter.
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Expert BriefingThe Integrator: The race to the neighbourhood NHS
Insider tales and must-read analysis on how integration is reshaping health and care systems, NHS providers, primary care, and commissioning. This week by deputy editor Dave West.
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Expert BriefingThe Integrator: Will this winter be better or worse?
Insider tales and must-read analysis on how integration is reshaping health and care systems, NHS providers, primary care, and commissioning. This week by deputy editor Dave West.
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NewsPritchard vows action to increase trust CEO tenure
NHS England chief executive Amanda Pritchard said there had been higher turnover of trust chief executives during the ‘extremely hard’ recovery from the pandemic, and that actions were being taken to try to increase CEO tenure.
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NewsAcute trust plans sixfold expansion of domiciliary care service
A leading acute trust which made the pioneering move of becoming a direct provider of social care last year is planning a major expansion of its services.
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CommentThe impact of junior doctor strikes on patient outcomes
A recent study on the impact of junior doctor strikes in the English NHS suggests that overall patient outcomes were not significantly worse, but certain patient groups, particularly black patients, experienced higher readmission rates. Careful consideration is needed in responding to future strikes to avoid potential inequalities in care quality
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Expert BriefingNorth by North West: The good, the bad, and the overlooked
Essential insight into NHS matters in the North West of England. Contact me in confidence here.
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CommentCrisis deepens as government fails to restore rehab space
Urgent action is needed as the government’s failure to restore rehab space is leading to dire consequences for patients, staff, and the healthcare system, exacerbating waiting lists and compromising patient care
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NewsMore hospital beds ‘squeezing out rehab and keeping people out of work’
Extra beds squeezed into hospitals as part of winter planning are crowding out space for rehab, pushing up length of stay and knock-on costs, and increasing the chance of readmission, NHS leaders have been warned.
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CommentTackling the postcode lottery of intermediate care
To address the ongoing issue of delayed patient discharges in hospitals and ensure prompt patient discharges, collaboration between trusts and system partners is crucial, as well as governmental support and financial commitment, explains Hannah Hayes
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NewsMore integration ‘metrics’ despite Hewitt’s call for fewer targets
New guidance has introduced a ‘wider range of metrics’ that will be used to measure the contribution made by systems and trusts to the development of integrated care – in the same week that a major report called for fewer national targets.
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Expert BriefingThe Integrator: When ‘no strategy’ is best
Insider tales and must-read analysis on how integration is reshaping health and care systems, NHS providers, primary care, and commissioning. This week by deputy editor Dave West.
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NewsDelayed discharges rise in 17 ICSs despite Barclay’s £250m fund
A high-profile £250m government intervention to free up hospital beds has so far failed to deliver any significant reduction in delayed discharges – with multiple systems instead reporting large increases.