Dementia assessment and improvement framework: Framework/compulsory guidance – NHS Improvement
An evidence-based framework to support and enable directors of nursing and medical directors to achieve ‘outstanding’ care standards for those living with dementia during their stay in hospital.

Section 136 of the Mental Health Act
The Royal College of Emergency Medicine is reminding emergency departments of changes to section 136 of the Mental Health Act which take effect from today (11th December 2017).  A brief guide to Section 136 for Emergency Departments outlines the process to be followed when police bring a person to the department under a section 136.

Patient discharge from hospital
NHS Improvement has published A brief guide to developing criteria-led discharge. This guide includes the rationale for developing criteria-led discharge, an outline of the two main approaches, underpinning principles and a review of related studies.  

Flow of patients between the NHS and social care – local performance metrics – Department of Health
A new dashboard which allows local areas of assess the flow of patients across the boundary between the NHS and social care.
It provides a set of six measures indicating how health and social care partners in every Local Authority area in England are performing at the interface between health and social care. Included in the dashboard is a breakdown of delayed days attributable to social care per 100,000 of the population and the equivalent for NHS-attributable delays.
The metrics are:

• Emergency Admissions (65+) per 100,000 65+ population
• 90th percentile of length of stay for emergency admissions (65+)
• TOTAL Delayed Days per day per 100,000 18+ population
• Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement/ rehabilitation services
• Proportion of older people (65 and over) who are discharged from hospital who receive reablement/ rehabilitation services
• Proportion of discharges (following emergency admissions) which occur at the weekend

Avoiding admissions in neonatal units
Health Education England has released an e-learning programme to help healthcare professionals avoid term admissions into neonatal units. It focuses on four clinical areas: respiratory conditions, hypoglycaemia, jaundice and asphyxia (perinatal hypoxia–ischaemia).

Making effective use of staff bankstags: Improvement tool
NHS Improvement
A toolkit to help trusts maximise the use of staff banks and reduce agency spend.

A guide to developing criteria-led dischargetags: Improvement guide
NHS Improvement
Use this guide to encourage development of the use of discharge criteria to support patient discharge from hospital.

HSJ Roundup (contact the Library for further details)

• Ruthless’ rationalisation of regulators and CCGs could save £1bn, says Mackey 
  The former chief executive of NHS Improvement has said £1bn could be saved by “ruthlessly” stripping back national bodies and local commissioners – and warned that plans to establish accountable care are “far too bloody complicated”.
• Mackey criticises NHS ‘negativity’ over budget 
  Jim Mackey has warned that negativity over the NHS’s budget settlement will have “pissed off” ministers, arguing the £1.6bn of new funding was a “serious investment” which could deliver real improvements – but only if stabilising chaotic emergency departments was prioritised.
• Interest rates on bailout loans ‘absolute madness’, says former NHSI boss 
  Jim Mackey has criticised the Department of Health for applying “totally pointless” interest rates to the bailout loans that support financially struggling NHS hospitals.
• Mackey ‘irritated’ over ongoing provider deficits
  The former chief executive of NHS Improvement said he was “irritated and disappointed” in himself for not being able to clear the provider deficit – but the sector was also “let down” by some providers such as King’s College Hospital Foundation Trust.
• Babylon CQC report published after injunction lifted 
  Babylon Health Services has failed to stop the publication of a Care Quality Commission report that states it is not providing a safe service in some areas.

Our Fabulous NHS – Academy of Fabulous Stuff
***Get involved*** –  share your fab stuff!

• A dementia Christmas gift from Ignar Rip Little Things Are The Big Things !!! This week, Ignar has given us all simple ideas that enable us to engage people living with dementia in the Christmas festivities. His film and this simple list of ideas and suggestions reminds us all that our insight, time and conversation can be the best Christmas present […]
• Improving communication at handover and transfer reduces retained swabs In response to a post about “Never Events” and how can we improve – a large maternity hospital in England has done just that. Two years incident free from never events in maternity services and near misses have reduced from 33% – 1%. A quality improvement project undertaken in partnership with Oxford AHSN and a […]
• End of life care message card – the little things are the big things I am sharing this simple but fabulous idea that one of our at SaTH EOLC Champions came up with during the fab change week champion afternoon tea. Roy and Terri from the Acadamy of Fabulbous Stuff were at the tea and Miriam Gilbert was talking to Rachel, Debbie and Jules Lock about her idea of […]