[ad_1]
New badysis reveals better provision of preventive primary care, community support for on-site NHS care is essential
Caroline White
Thursday, July 25, 2019
A new badysis * by the Improvement Analytics Unit, a joint initiative of NHS England and Health, reveals a new badysis * of four emergency admissions to hospital care facilities. Foundation.
The badysis comes at a time when the NHS is implementing the Nursing Home Health Improvement initiative to improve the health of residents and reduce the number of preventable emergency admissions as part of the plan. long-term NHS.
The badysis also includes badessments of four local sites where the NHS has partnered with nursing homes to increase support received as part of pioneering initiatives aimed at to improve care in nursing homes.
Decreases of up to 27% in potentially preventable hospital emergency admissions, decreases in emergency admissions of up to 23%, or reductions in clearance visits of 29%. % of nursing home residents were found at three of the four sites.
These initial results prompted the national deployment of the EHCH model to provide every nursing home resident with better support for GPs and more visits from specialists such as dieticians and clinical pharmacists.
Improving the competence of health center staff to provide more routine care, ensuring that residents have regular access to the same general practitioner and fostering better working relationships between the NHS and the staff of health centers. care, would have helped to reduce the need for emergency care.
This badysis is the first national study on the use of emergency care by nursing home residents. It found that more than four out of ten (41%) emergency hospitalizations involved "potentially preventable" conditions, such as lung infections, bedsores, and urinary tract infections.
It also reveals that nursing home residents account for nearly one in 12 emergency admissions, accounting for about 192,000 each year. ─ almost 8% of the total number.
It is estimated that about 340,000 seniors in England live in nursing homes or nursing homes. The badysis revealed that emergency admissions and A & E visits were particularly frequent among patients in shelters, where care is provided by non-clinical staff.
Nearly one-third (32%) of Medical Assistants and Expert Assistants and 22% of emergency room admissions to Emergency Care Centers are more numerous, suggesting that increased NHS support to health centers could have a greater impact on these numbers.
Adam Steventon, director of data badysis at the Health Foundation, said, "Emergency admissions to the hospital can expose residents of nursing homes to stress, loss of life," 39, autonomy, the risk of infection and rapid deterioration of the muscles. About 70% of nursing home residents have dementia and may find the hospital environment even more stressful and disorienting.
"Reducing the number of preventable emergency entries and the number of emergency department visits is good for residents and will help reduce the pressure on the NHS."
He continued: "Our evaluations show that by increasing NHS support and improving the partnership with care homes, it is possible to reduce urgent admissions to hospital and specialist visits among residents of nursing homes. care, and local sites have made good progress in integrating services, despite real pressures. in social care.
"However, further progress could be jeopardized without urgent reform and investment in social services. The NHS's long-term plan rightly points out that the well-being of the elderly and the pressures on the NHS are linked to the proper functioning of social services ".
Professor Alistair Burns, National Clinical Director of Dementia and Mental Health for the Elderly at NHS England, added: "People want to know that their mother or grandfather is well cared for and that they help them well. live and with the best possible quality of life.
"That's why we're asking for additional support for nursing homes as part of the long-term plan to reduce unnecessary drugs and strengthen links between general practitioners and nursing homes."
*Wolters A, Santos F, Lloyd T, et al. Urgent admissions to hospital care facilities: how often and for what? Unit for Analysis of Improvements, July 2019.
Source link
