David Oliver: England’s social care models harm the poorest areas
نویسندگان
چکیده
منابع مشابه
David Oliver: Frailty in acute care.
The National Institute for Health and Care Excellence recently published guidelines on assessing and managing patients with multimorbidity. 2 These placed distinct and welcome emphasis on frailty—adding momentum to several recent, professionally led good practice resources and guidelines explicitly highlighting the importance of frailty in community and acute care and showcasing services that w...
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The NHS increasingly emphasises safety, quality, and value, using data on variations to improve practice and outcomes and developing clinically led collaborative models of care. 2 But is this delivering? Improvements in the care of people with hip fractures show just what can be achieved. Patients are typically over 80, frail, and multimorbid, with falls and fragile bones. Cognitive and functio...
متن کاملDavid Oliver: Delirium matters.
Being admitted unexpectedly to hospital is depersonalising and distressing. This is compounded for the one inpatient in eight who has delirium. Delirium affects 20-30% of over 65s during acute admission.We should domore to prevent delirium, ensure that we don’t miss it, to reverse it, explain it, and minimise its impact. Clinical staff need support to do this. Risk increases if you’re older and...
متن کاملDavid Oliver: Base care on need, not age.
In 2010 the NHS chief, David Nicholson, proposed a revolution in hospital inpatient care for older (not younger) people, akin to the closure of long stay psychiatric hospitals. But hospital admissions of older people continue to rise, and delays in discharge have worsened alongside fewer beds. One recurring policy idea that defies evidence and experience is that most “high need, high cost” olde...
متن کاملDavid Oliver: NHS continuing care is a mess.
Early in my training, English hospitals tended to have a ward or two of patients who were staying indefinitely. Some were on site; some were out of sight in a former Poor Law hospital. Local residents often feared them as places you’d never leave alive. Then came large and rapid reductions in hospital bed capacity, including these wards, even as the population aged and demand rose. The NHS and ...
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ژورنال
عنوان ژورنال: BMJ
سال: 2018
ISSN: 0959-8138,1756-1833
DOI: 10.1136/bmj.k2745