This blog covers the latest UK health care news, publications, policy announcements, events and information focused on the NHS, as well as the latest media stories and local news coverage of the NHS Trusts in Northamptonshire.
Delayed discharges and hospital type: evidence from the English NHS
This study investigated how delayed discharges vary by hospital type (acute, specialist, mental health, teaching), and the extent to which such differences can be explained by demography, case-mix, the availability of long-term care and hospital governance as reflected in whether the hospital has foundation trust status, which gives greater financial autonomy and flexibility in staffing and pay.
Peter Beresford, academic and activist: We seem to live in an age dominated by the idea of managers. Leadership is a different kettle of fish and doesn’t mean it has to be hierarchical, by one person or a one-sided relationship. The best leadership is inclusive, addresses diversity and can engage us all.
A guest post from Caroline Fiennes, Director of Giving Evidence, who has today published a new report that explores in the ways in which UK mental health charities use evidence in the development of their services.
Video consultations between a patient and healthcare professional are increasing. Marc Schmid highlights the benefits and looks at the challenges the NHS will have to overcome to make effective use of this technology. GP Online
Abstract BACKGROUND: With increasing numbers of people living with complex life-limiting multimorbidity in the community, consideration must be given to improving the organisation and delivery of high-quality palliative and end-of-life care (EOLC). AIM: To provide insight into the experience of GPs providing EOLC in the community, particularly the facilitators and barriers to good-quality care. DESIGN AND SETTING: A web-based national UK questionnaire survey circulated via the Royal College of General Practitioners, NHS, Marie Curie, and Macmillan networks to GPs.METHOD: Responses were analysed using descriptive statistics and an inductive thematic analysis.RESULTS: Responses were received from 516 GPs, who were widely distributed in terms of practice location. Of these, 97% felt that general practice plays a key role in the delivery of care to people approaching the end of life and their families. Four interdependent themes emerged from the data: continuity of care - which can be difficult to achieve because of resource concerns including time, staff numbers, increasing primary care workload, and lack of funding; patient and family factors - with challenges including early identification of palliative care needs and recognition of the end of life, opportunity for care planning discussions, and provision of support for families; medical management - including effective symptom-control and access to specialist palliative care services; and expertise and training - the need for training and professional development was recognised to enhance knowledge, skills, and attitudes towards EOLC.CONCLUSION: The findings reveal enduring priorities for policy, commissioning, practice development, and research in future primary palliative care.