New care models and prevention: An integral partnership

A report by NHS Confederation and others presents five case studies to highlight how vanguards have sought to address the health and wellbeing gap and the impacts seen so far.

New care models and prevention: an integral partnership  reports a reduction in emergency admissions for the over-65s, fewer delayed transfers of care, and GPs able to dedicate more time to frail older patients among some of the early achievements.

Other successes detailed in the new report  include improved patient outcomes, increased job satisfaction for staff, and financial savings from better medicines management.

The publication is the first in a series of two looking at developing new models of care. The second, due later this month, will look at staff engagement and new models of care.

It forms part of a programme of work to spread the learning of the vanguard programme across the health and care sector. It is being jointly delivered by the NHS Confederation, NHs Clinical Commissioners, NHS Providers and the Local Government Association.

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Workforce development to provide person-centered care

Person-centered care can be effectively implemented by well-trained CCAs in the community.

Abstract:

Objectives: Describe the development of a competent workforce committed to providing patient-centered care to persons with dementia and/or depression and their caregivers; to report on qualitative analyses of our workforce’s case reports about their experiences; and to present lessons learned about developing and implementing a collaborative care community-based model using our new workforce that we call care coordinator assistants (CCAs).

Method: Sixteen CCAs were recruited and trained in person-centered care, use of mobile office, electronic medical record system, community resources, and team member support. CCAs wrote case reports quarterly that were analyzed for patient-centered care themes.

Results: Qualitative analysis of 73 cases using NVivo software identified six patient-centered care themes: (1) patient familiarity/understanding; (2) patient interest/engagement encouraged; (3) flexibility and continuity of care; (4) caregiver support/engagement; (5) effective utilization/integration of training; and (6) teamwork. Most frequently reported themes were patient familiarity – 91.8% of case reports included reference to patient familiarity, 67.1% included references to teamwork and 61.6% of case reports included the theme flexibility/continuity of care. CCAs made a mean number of 15.7 (SD = 15.6) visits, with most visits for coordination of care services, followed by home visits and phone visits to over 1200 patients in 12 months.
Full reference: Mary Guerriero Austrom et. al. Workforce development to provide person-centered care Aging & Mental Health Volume 20, Issue 8, 2016.

Evaluating healthcare system innovations

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image source: Dennis Skley – Flickr // CC BY-ND 2.0

The National Institute for Health Research and partners has published Challenges, solutions and future directions in the evaluation of service innovations in health care and public health.

This e-book addresses the challenges faced by healthcare providers in evaluating system-level innovations in healthcare services in an evolving landscape.  It brings together opinions from experts following a two-day symposium in London last year.

Options for selecting providers and awarding contracts

NHS Improvement guide: How to secure good outcomes for patients when awarding contracts

This guide supports CCGs to make good decisions by clarifying what they need to do when selecting providers and awarding contracts. It should be read in conjunction with guidance previously issued by Monitor and the Cabinet Office, as well as forthcoming guidance from the Department of Health on requirements from recent changes to general procurement law.

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Image source: improvement.nhs.uk/

Related content: Procurement, patient choice and competition regulations

Dementia and comorbidities

Dementia Rarely Travels Alone: living with dementia and other conditions | Alzheimers Society

A report on the All Party Parliamentary Group on Dementia’s inquiry that was held last year in to dementia and comorbidities. The inquiry has brought to light the scale of difficulty faced by people living with dementia and other health conditions.

Despite significant progress to deliver integrated care services and support, the health and social system frequently treats conditions in isolation so that people with dementia and other health conditions receive disjointed, substandard care and treatment.

The report identifies the changes needed across the healthcare system so that the NHS can meet the challenge of caring for people living with dementia and other conditions, supporting them to live fulfilled lives and makes recommendations as to how this can be achieved.

View the full report: Dementia  Rarely Travels Alone: living with dementia and other conditions

Interface between dementia and mental health

The Mental Health Foundation has published The interface between dementia and mental health: an evidence review.

This review was carried out to explore the extent that people living with dementia have co-existing mental health problems.  The main finding of this review is that comorbidities are underdiagnosed in people living with dementia, not extensively researched and therefore not understood fully.  The review makes a number of recommendations at policy, organisation and programme level.

Health technology: older people

2020 Health has published  Health technologies – are older people interested?

The report presents the results of a survey of 700 baby-boomers who were asked about their willingness to use innovation in caring for their parents.  Two thirds of 55-75 year olds are interested in using such technology with their parents.  Help with medication, memory, fall detection, instant communication and health metrics such as blood pressure were liked, but respondents were more wary of technology for dressing, eating and personal care.

Read the full report here