WHAT IS THE NIN TELLING US?

2015 ◽  
Vol 86 (11) ◽  
pp. e4.160-e4
Author(s):  
Paul Morrish
Keyword(s):  
Public Health ◽  
Quality Of Care ◽  
Social Care ◽  
Anticonvulsant Drugs ◽  
Seizure Freedom ◽  
Information Centre ◽  
Neurological Illness ◽  
Health And Social Care ◽  
Care Information

Data collected by the Health and Social Care Information Centre and Public Health England is throwing light on the way neurology services are needed and delivered in England. GP recorded epilepsy prevalence varied between CCG's, from 456 to 1115 people with epilepsy per 100,000 population. Community spending on anticonvulsant drugs varied between £210,000 and £690,000 per 100,000 population. Percentage of epilepsy patients with 12 months seizure freedom varied between 45% and 74%. Admissions due to epilepsy ranged between 2 and 17 admissions per 100,000 residents. Community spending on headaches and migraine varied between £69,000 and £12,000 per 100,000 residents whilst admissions due to headache and migraine varied between 8 and 134 admissions in 2012–3. Admissions with Parkinson's disease varied between 2 and 21 per 100,000 residents whilst community spending on this illness varied between £183,000 and £36,000 per 100,000. In 2012–3 there was a sevenfold difference between CCG's in neurology appointments provided, from 809 to 5,633 appointments per 100,000 population. 46 CCG's provided no new neurology appointments in their own area, whilst 14 CCG's provided over 90% of new appointments in their own area. 4.86% of all neurology appointments in England were provided by one hospital trust.These sample headlines show how data are being collected and can be analysed to prompt questions and research, to inform commissioners and providers and to improve the quality of care for patients with neurological illness in England.

Safeguarding the elderly

2019 ◽  
Vol 15 (10) ◽  
pp. 504-505
Author(s):  
Priya Sharma
Keyword(s):  
Elderly People ◽  
Social Care ◽  
The Elderly ◽  
Information Centre ◽  
Health And Social Care ◽  
Care Information

The Health and Social Care Information Centre (HSCIC) has shown a 4% rise in the number of alleged cases of abuse against elderly people. Priya Sharma investigates your role in protecting them

How NHS Sutton Clinical Commissioning Group is working with care homes to improve the health and wellbeing of older residents

2015 ◽  
Vol 19 (2) ◽  
pp. 60-68
Author(s):  
Christine Harger
Keyword(s):  
Quality Of Care ◽  
Social Care ◽  
Care Homes ◽  
Ageing Population ◽  
Residential Homes ◽  
London Borough ◽  
Content Type ◽  
Health And Wellbeing ◽  
Health And Social Care

Purpose – The purpose of this paper is to describe how NHS Sutton Clinical Commissioning Group (Sutton CCG) is working with nursing homes, residential homes and other health and social care organisations in Sutton to improve the quality of provision for residents in nursing and residential homes “care homes”. Design/methodology/approach – The paper explains how Sutton CCG engaged with care homes initially to seek their views on whether they wanted support and what support they would value. It describes what arrangements Sutton CCG put in place for managers and staff in local care homes to provide support face-to-face. The paper outlines the key areas for improvement that Sutton CCG and the care homes are focusing on. It includes examples of work carried out jointly by the care homes and Sutton CCG to improve the quality of care for residents. It goes on to describe joint-working arrangements between the CCG, London Borough of Sutton and other health and social care organisations to ensure the overall quality of care homes in Sutton. Findings – The paper outlines feedback from care home managers and staff who were invited to share their views about what support they wanted from Sutton CCG. It includes early feedback from care homes about the support put in place and the areas where they have found it most useful. Practical implications – In the UK many older people live in care homes. Britain has an ageing population so the need for residential and nursing homes and the numbers of people living in care homes is only likely to increase. Our ageing population also places additional demands on the NHS, with residents in care homes often spending time in A&E and lengthy spells in hospital. This paper highlights how CCGs and other health and social care organisations can work with care homes to improve the health and wellbeing of older residents in care homes and reduce pressures on other health services. Originality/value – Sutton CCG has put in place new arrangements for working with care homes that aim to support carers to improve the lives of their older residents. The paper shares practical examples of support that the CCG has provided which has successfully improved care and decision making in care homes; early indications show this has reduced 999 calls and conveyances to hospital. Sutton CCG, London Borough of Sutton and other statutory organisations with responsibility for care homes in Sutton have also set up a joint intelligence group to gain an overall picture of the quality of the borough’s care homes.

scholarly journals Sexual violence and abuse and the care programme approach

2016 ◽  
Vol 209 (5) ◽  
pp. 359-360 ◽  
Author(s):  
Charles G. D. Brooker ◽  
Karen Tocque ◽  
Martin Brown ◽  
Angela Kennedy
Keyword(s):  
Sexual Violence ◽  
Social Care ◽  
Care Programme ◽  
Information Centre ◽  
Health And Social Care ◽  
Care Information ◽  
Data Request

SummaryIn 2008 it became policy that all those on the care programme approach were assessed for sexual violence/abuse. The implementation of this policy was assessed 8 years on. The findings of a survey and data request to Health and Social Care Information Centre are disappointing. We argue that this important initiative needs to be reinvigorated.

The importance of respecting accreditation indicators to improve quality of care

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A F Marino ◽  
E Centurione ◽  
R Cofano ◽  
L Garau ◽  
A Ferrara ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Quantitative Analysis ◽  
Health Service ◽  
Social Care ◽  
Standards Of Care ◽  
Health And Social Care ◽  
Care Facilities ◽  
Inspection Schedule ◽  
Critical Situations

Abstract Issue The health and social-care facilities (HSF) of the Lombardy Region provide services specifically conceived for fragile populations, including elderly, disabled, addicts etc. Through its Accreditation Units, the Agency for Health Protection (ATS) in the Metropolitan City of Milan is responsible for overseeing authorization and accreditation indicators of HSFs in all afferent districts. Assessed requirements include the qualitative standard (presence of mandatory professional figures) and the quantitative standard (guaranteed weekly minimum time of care per patient) of operating staff, based on current legislation. Description of the problem These standards are evaluated at site-inspection by examining staff qualifications and by matching staff working hours to actual daily presence of patients, randomly selecting a recent past week. The resulting standards may thus not be fully representative of the whole year. In 2019, the Health and Social-care facilities Accreditation Unit of ATS began a retrospective quali-quantitative analysis of health service staffing data for 2017 and 2018. Data were extrapolated from two main databases: “Scheda Struttura”, a data collection tool regarding work hours, qualifications, waiting lists etc. compiled yearly by HSF managers; and economic data detailing reimbursements by the regional health service, based on effective daily presence of patients at the HSF. Results Preliminary results relating to 2017 showed that around 4% of HSFs do not guarantee qualitative staffing standards, and almost 30% do not guarantee quantitative staffing standards throughout the year. Lessons The proposed tool is useful for emphasizing potentially critical situations and may help define the annual inspection schedule with the aim of continuously improving quality of care among regional HSFs. Key messages Data management tools can help local health authorities monitor and identify facilities at risk of falling below the defined standards of care. Qualitative and quantitative analysis of health service staffing is useful for emphasizing potentially critical situations and may help define the annual inspection schedule.

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