Following its successful pilot Quality for Health is pleased to launch its second edition.
The first edition was written in 2015 and was used to run a pilot scheme in Calderdale and four areas across the UK. Following feedback from our pilot areas and having undergone an external evaluation by Leeds Beckett University, we have reviewed the system and are happy to present our second edition.
So what’s new? We have introduced the Foundation level and re-structured the original three levels. Introducing the Foundation Level means many of our smaller providers, that may have felt excluded by the original levels, can now undertake the assessment; based on the original nine quality areas, they still provide a thorough assessment of an organisation.
We have reviewed our literature and made changes to make the language more accessible whilst keeping the rigour of the Quality Assurance system in place.
We look forward to introducing more groups to Quality For Health in the future with this new version and are holding an ‘Introduction to Quality For Health®’ session at VAC on 6th June 2017. More information about the event can be found on our events page.
Please get in touch for more information about Quality for Health and how it could benefit your organisation or local area.
Quality For Health has recently been independently evaluated by Leeds Becket University, following its first year of operation. During this initial year, Quality For Health has been delivered in four areas of the UK and we are looking to expand this in the coming months.
The evaluation was carried out by a team from Leeds Beckett University’s Institute for Health and Wellbeing, led by Professor Mark Gamsu. The thorough evaluation highlights key successes and challenges allowing Voluntary Action Calderdale in partnership with Calderdale CCG to refine and improve the robustness of this new quality assurance system.
We hope that you find time to read the brief summary and if you feel that Quality For Health is something that you would like to consider rolling out in your area please do not hesitate to contact us directly.
Jo Bolland , Voluntary Action Calderdale email email@example.com
Thank you for taking your time to read the report and we look forward to hearing from interested parties in the future.
VAC End of Year Survey *
*TO BE ANSWERED BY VOLUNTARY AND COMMUNITY ORGANISATIONS*
VAC would like your feedback about our work and the support your organisation has received from us. The End of Year Survey is available online via the following link:
Hard copies are also available on request.
For more information, please ring 01422 431095.
Deadline for submissions: Friday 24th June 2016 at 5pm
NHS discharge system failing too many elderly patients, says watchdog
Report by the Parliamentary and Health Services Ombudsman recounts cases of vulnerable people being sent home too soon or hospitals being unable to discharge them.
A full copy of ‘A report of investigations into unsafe discharge from hospital’ can be downloaded here:
After a stay in hospital, it should be a relief to get back to the comfort of your own home. But cases we have seen show that this couldn’t be further from the truth for some people. These people have been sent home alone unable to cope. They often end up back in hospital, or stuck in hospital because of delays by other services in arranging support or appropriate residential placements.
As the independent organisation responsible for making final decisions on complaints that have not been resolved by the NHS in England, we see the harrowing impact of poorly managed hospital discharges on individuals and their families.
This report focuses on nine experiences drawn from recent complaints we have investigated, which best illustrate the problems we are seeing. The people that have come to us have been badly let down by the system. How else do we describe the actions of a hospital sending a vulnerable 85 year old woman with dementia home without telling her family, despite being unable to feed herself or go to the bathroom? How else do we describe the tragic story of a woman in her late 90s who was discharged without a proper examination, to then die in her granddaughter’s arms moments after the ambulance dropped her home?
People told us how their loved one’s traumatic experience of leaving hospital, including repeated emergency readmissions, added to their pain and grief. One woman captured the sentiment of many, saying she would be ‘haunted for the rest of her life’ by her mother’s avoidable suffering before her death.
In our 2011 report on NHS care of older people1, we found that discharge arrangements could be ‘shambolic and ill prepared with older people being moved without their families” knowledge and consent’. It is disheartening that we continue to see these and other failings regularly in the complaints we receive.
People told us how their loved one’s traumatic experience of leaving hospital, including repeated emergency readmissions, added to their pain and grief.
We are aware that structural and systemic barriers to effective discharge planning are long standing and cannot be fixed overnight. Above all, these include the need for better integration and joint working of health and social care services, which have historically operated in silos. Moreover, the need to reduce the mounting financial and logistical costs to the NHS of delayed transfers of care from hospital mean it is a top priority for policy makers and managers.
However, we are publishing these cases to highlight the human costs of poorly planned discharge in terms of patient outcomes and experience, and the untold anguish it can cause their families and carers. These make clear that early discharge without the right support can be just as problematic for people as unnecessary delays.
The people whose stories we tell in our report experienced suffering and distress as a result of poor or absent care. Tragically, some have died and their families want to know what has been learned and what will change as a result of their complaints.
By sharing their stories we want to shine a light on the failings that we have seen and contribute to the national debate about how to improve people’s experience of leaving hospital. In response to important contributions by Healthwatch England and others, the Department of Health has recently established a national programme board to develop a vision for improving discharge that all health and social care services can share. We ask the Department of Health and the NHS as part of their work in this area to establish the scale of the problems we highlight in this report, and to understand why they are happening so that others do not have to experience such avoidable and unnecessary suffering.
Dame Julie Mellor DBE
Chair and Ombudsman, Parliamentary and Health Service Ombudsman
Monday 4 April 2016
INFORMATION SESSIONS AND PUBLIC MEETINGS
As you are aware, drop-in Information Sessions are underway across Calderdale and Greater Huddersfield, to inform, listen to and gather the views of people as part of the formal Public Consultation about proposed changes to hospital and community health services. These sessions will run until the end of the consultation.
Our doctors, nurses and managers are having real discussions with members of the public, patients, and partners – and are listening to what people have to say.
Two, more formal public meetings, will be held on Thursday, April 14th, 6.00pm – 8.00pm at North Bridge Leisure Centre, Halifax, HX3 6TE and on Monday, April 18th, 6.00pm – 8.00pm at the John Smith’s Stadium, Huddersfield, HD1 6PG. British Sign Language (BSL) and palantypist services will be provided.
The venues are disabled friendly. Anyone who has additional needs, or who wants to check that the venue meets their needs, should contact 01484 464212 or email firstname.lastname@example.org.
For health and safety reasons, attendance is restricted at both venues. However, if public demand exceeds capacity, additional public meetings with an independent Chair may be arranged. To ensure as many people have access as possible, the meetings will be live streamed to help anyone who cannot attend the meeting hear directly what is said.
Format of the Public Meetings
- There will be a presentation about the proposed changes followed by a question and answer session.
- Questions can be submitted in advance of the meeting to email@example.com or telephone 01484 464212. Contact details should be included.
- People will also have an opportunity to ask questions at all of the planned meetings and can submit questions in advance.
We encourage patients, members of the public, our staff and partners to attend the information sessions and public meetings and to complete and return the Have Your Say survey.
We are listening to people and value their views on the changes proposed.
/CH/Stakeholder E Briefing Public Meetings Information Sessions 4 April 2016
Check out our new recommendations on engaging with communities to improve their health and wellbeing
NICE recently published our updated recommendations on community engagement: approaches to reduce health inequalities and ensure health and wellbeing initiatives are effective. You can check them out here – we hope that they will be of interest to you and relevant to the work that your organisation does to improve the health and wellbeing of communities.
For the purposes of our guideline, a community is a group of people who have common characteristics or interests. Communities can be defined by: geographical location, race, ethnicity, age, occupation, a shared interest or affinity (such as religion and faith) or other common bonds, such as health need or disadvantage. People who are socially isolated are also considered to be a community group.
Help develop a NICE quality standard on community engagement: improving health and wellbeing
Now that we have the updated guideline in place, we are now looking to develop a quality standard that will be based on the new recommendations. We are therefore currently looking for applications from the following people to join the NICE quality standards advisory committee developing a quality standard on community engagement which will cover approaches to improve health and wellbeing and reduce health inequalities:
- members of a community who have been involved in local initiatives to improve their own health and wellbeing, as well as reduce the health inequalities they might experience, or
- those who work with communities to improve their health and wellbeing and reduce health inequalities as part of a voluntary or community sector organisation.
This NICE quality standard may be of interest to your members and to other contacts you may have. Here is the recruitment advert, with details of what membership involves and how to apply. The NICE website also has details about this quality standard will be developed.
Recruitment is open until 5pm on Thursday 14th April 2016. We really value the contribution that people who use health and social care services, their carers and advocates make to the work of NICE, and I would be very grateful if you could pass on details of this opportunity to anyone you think might be interested in taking part.
If you consider it appropriate, we would also appreciate you promoting the vacancy through any social media or other communication channels you might have at your disposal. The Public Involvement Programme at NICE is on Twitter, and you can follow us @AnnieEmeryPIP – if you would be able to retweet our tweets about this particular recruitment to your followers, we would be very grateful.
Stakeholder registration and consultation on the draft quality standard
There will also be the opportunity for registered stakeholder organisations to comment on the draft quality standard, which will be from 25th July – 22nd August 2016. I note that your organisation is not yet registered as a stakeholder and so wanted to make sure that are aware of this opportunity to be involved with developing this particular quality standard.
NICE would not be able to develop its guidance and associated products without the contribution of organisations such as yourselves and I therefore hope that you will consider taking part in the quality standard development process. You can register as a stakeholder by either creating or logging onto your NICE account here on our website. It is a short online registration process which enables you to tell us which of our topics you are interested in – head and neck cancer will be an option for you to choose.
Registering as a stakeholder does not commit you to attending any meetings or any other activity, but it is the only way in which you will be able to make us aware of your views on draft quality standards.
We would welcome the involvement of your organisation as a stakeholder, and any assistance you might offer in alerting people to the opportunity to apply as lay members of the committee. If you have any queries about getting involved with NICE as a registered stakeholder, please do get in touch – I would be happy to chat further about this or any other aspect of NICE’s work.
Jess fielding, Public Involvement Adviser
Public Involvement Programme
National Institute for Health and Care Excellence
Level 1A | City Tower | Piccadilly Plaza | Manchester M1 4BT | United Kingdom
Tel: +44 (0) 161 219 3889
Twitter: @NICEcomms – for NICE’s corporate messages
@AnnieEmeryPIP – for messages specifically from the Public Involvement Programme