Tag: Clinical Issues


Study finding: people die more comfortably in a care home

Posted on January 18th, by geoff in CT Extra. Comments Off on Study finding: people die more comfortably in a care home

 

Caring Times, December 2017

Very old people are more likely to die comfortably if they die in a care home or at home, compared with dying in a hospital, suggests a new study from the University of Cambridge. Yet while the overwhelming majority of very old people reported symptoms at the end of life such as distress, pain and depression, the study found that these were not always treated effectively.

 

The researchers argue that their findings highlight the need to improve training in end-of-life care for all staff, in all settings, and in particular to address the current shortage of palliative care doctors in the NHS.

 

As life expectancy increases, so more and more people are dying at increasingly older ages, often affected by multiple conditions such as dementia, heart disease and cancer, which make their end-of-life care complicated. In the UK, in … Read More »


Delayed discharges lose almost 4m hospital days since 2011

Posted on November 30th, by geoff in Caring Times, CT Extra. Comments Off on Delayed discharges lose almost 4m hospital days since 2011

Caring Times, December 2017

National older people’s charity Age UK says that, since 2011 almost four million hospital bed days have been lost through delayed discharges due to problems securing social care, with delays getting homecare rocketing by 209% in six years.

The charity says it’s getting worse, with the starkest increase occurring between 2015/16 and 2016/17, when there was a 27.2% rise in the number of bed days lost through an inability to have social care arrangements in place, from 695,037 days, to 954,799 days.

And the latest available figures show that in the period between April and July 2017, there have been 13.2% more days lost to social care than during the same period in 2016. Whilst there is no age breakdown available for patients affected by delayed hospital discharge they are typically older people. Age UK charity director Caroline Abrahams … Read More »


Free flu jabs for care home workers

Posted on November 28th, by geoff in Caring Times. Comments Off on Free flu jabs for care home workers

Commenting on NHS England’s decision to offer free flu vaccinations to care home workers, Professor Martin Green, chief executive of independent provider representative body Care England, said his organisation had long campaigned on the issue.

“In the past the independent sector has been overlooked and providers have had to foot the bill themselves which, in a climate of severe financial pressures, has been difficult,” said Prof. Green.

“Being ready for winter and offering extra capacity to the already stretched NHS is yet another area where the independent sector can help.”

In a circular from NHS England, Department of Health and Public Health England the new programme for vaccinating people at risk was unveiled. It highlighted the virulent strain of flu in Australia and New Zealand and echoed messages of needing to prepare front line health and social care staff.

The International Longevity Centre – … Read More »


Study: people die more comfortably in a care home

Posted on November 23rd, by geoff in Caring Times. Comments Off on Study: people die more comfortably in a care home

Very old people are more likely to die comfortably if they die in a care home or at home, compared with dying in a hospital, suggests a new study from the University of Cambridge.

Yet while the overwhelming majority of very old people reported symptoms at the end of life such as distress, pain and depression, the study found that these were not always treated effectively.

Older people with dementia commonly report multiple symptoms as they approach the end-of-life, and if these symptoms are not adequately controlled, they may increase distress and worsen an individual’s quality of life.

The researchers argue that their findings highlight the need to improve training in end-of-life care for all staff, in all settings, and in particular to address the current shortage of palliative care doctors in the NHS.

Compared with people who died in hospital, the odds of … Read More »


‘Carebnb’ highlights need for new models

Posted on November 2nd, by geoff in Caring Times. Comments Off on ‘Carebnb’ highlights need for new models

Using people private homes as ‘Carebnbs’ to relieve pressure on the NHS drew national media attention in late October, reporting that Southend University Hospital had pulled-out of a trial of the scheme.

The hospital distanced itself from the widely-criticised Airbnb-style pilot scheme after it was criticised by both health groups and politicians.

However, health minister Philip Dunne, speaking to BBC Radio 5 Live, said he ‘wouldn’t immediately reject’ the idea as ‘one’s got to trial different things’.

“This is not national policy, anything innovative needs to be very carefully scrutinised and assessed before we proceed with it,” said Mr Dunne.

“I wouldn’t say that new models of care in the community are necessarily wrong.”

The scheme – now dubbed ‘Carebnb’ – would have been trialled in Essex with around 30 hospital patients staying in local residents’ spare rooms while they wait to be discharged.

Healthcare start-up … Read More »


Care workers urged to have flu jab

Posted on October 25th, by geoff in Caring Times, CT Extra. Comments Off on Care workers urged to have flu jab

Caring Times, November 2017

The International Longevity Centre – UK (ILC-UK), has called on the Government to work to ensure that more social care staff receive the winter flu vaccination.

Whilst the Government recommends that all adult social care workers receive the flu jab, they are not eligible to receive the vaccination on the NHS. The ILC says the flu epidemic in care homes in Wigan last winter, which led to 30 cases of flu, eight deaths, and Wigan Infirmary and the North West Ambulance Service facing additional pressures, is a case study of the toll that low uptake of flu vaccination among care home staff can have on residents and the NHS.

David Sinclair, director of the International Longevity Centre – UK said that, with Simon Stevens’ call for the NHS to ready itself for a particularly bad winter flu season, it … Read More »


Care professionals: masters of the bottom-up solution

Posted on October 5th, by geoff in Caring Times. Comments Off on Care professionals: masters of the bottom-up solution

‘Pioneers of social care’ was how Dr Claire Royston described the care professionals who attended the Best Practice conference in Birmingham on September 20.

Organised by Caring Times and sponsored by Four Seasons Health Care, the event brought together dozens of examples of forward-thinking and best practice from care homes across the country.

In her keynote address Dr Royston, who is group medical director for Four Seasons, said care homes needed to raise awareness of the many initiatives being taken to improve the lifes of elderly people and those with special needs.

“There are wonderful things happening in the sector but we don’t always shout about it,” said Dr Royston.

“It is a huge problem that many in the NHS feel that only they have the answers and that they need to tell the care sector what to do.

“We are all pioneers and it … Read More »


’Flu kills nursing home residents in Australia

Posted on September 5th, by geoff in Caring Times. Comments Off on ’Flu kills nursing home residents in Australia

Six people were reported to have died during an influenza outbreak at a nursing home in the Australian state of Tasmania.

The state’s public health department confirmed the deaths at the beginning of September and said there had been flu outbreaks in 21 nursing homes across the state nine still being monitored.

Those who died were all residents at the 37-bed Strathdevon aged care facility in Latrobe, run by Uniting Agewell, an organisation of the Australian United Church. The deaths came after it was confirmed seven elderly residents at St John’s Retirement Village in Wangaratta, in Victoria, died during an influenza outbreak. Uniting Agewell issued a statement saying there had been “an influenza A outbreak at its Strathdevon aged care facility . . . from August 9 to 30, with the outbreak cleared on 30 August 2017″. It also confirmed the six … Read More »


Survey says care homes are challenged in end of life care

Posted on August 11th, by geoff in Caring Times. Comments Off on Survey says care homes are challenged in end of life care

A survey of organisations providing specialist palliative care services to care homes has highlighted the good work they do and identified the key challenges they face.

Commissioned by Public Health England and undertaken by the Marie Curie Research Centre at Cardiff University, with input from the National Council for Palliative Care and Hospice UK, the survey examined the role of specialist palliative care in providing support to care homes in England.

One hundred and eight specialist palliative care services based in hospices, the community or hospitals were surveyed between November 2016 and January 2017. 90% of those surveyed had been providing services to care homes for 10 years or more. Just over half provided services within one Clinical Commissioning Group (CCG) area, while 5% covered 5 CCGs. 72% were specifically commissioned to provide palliative care support in care homes, while the other … Read More »


£30m care homes bill is ‘national scandal’

Posted on August 4th, by geoff in Caring Times. Comments Off on £30m care homes bill is ‘national scandal’

Angry care home owners in Wales say they’re owed over £30m in unpaid fees because of a legal battle over who should pay a £20 a week fee for

nursing care provided by care homes.

After more than three years of wrangling, the Supreme Court has reached a decision on a dispute between Welsh health boards, councils and providers, with the court ruling unanimously in favour of the local authorities and saying the health boards had misinterpreted the legal position.

Provider representative body Care Forum Wales said it was ridiculous that the health boards could not have reached an agreement without going to court in the first place. They believe the court costs are upwards of £1m, money they say would have been better spent on providing frontline nursing care for vulnerable and frail care home residents.

Care Forum Wales chairman Mario Kreft said … Read More »



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