Health Care 'Struggling to Cope' with Dementia
- 13 Mar
The Care Quality Commission (CQC) has found that the healthcare system is struggling to cope with people who have dementia.
They found that both hospitals and care homes are failing in vital areas with people not receiving the care they need, and the problem is increasing as people live longer.
The CQC reviewed more than 20,000 inspections they had carried out as well as current data.
Around one in three people over the age of 65 will develop dementia in their lifetime. It is estimated that there are around 800,000 people at the moment with the condition, but as people are living longer that figure is rising.
The review found that, in hospitals, dementia patients were more likely to face longer stays, be readmitted and die there. In 96% of hospital trusts, those with dementia stayed longer than those without, and in 85% of trusts were significantly more likely to die in hospital. In almost a third of hospital admissions of people with dementia, there was no record of the individual’s condition
In care homes, CQC found they were not doing enough to keep patients well as in 78 of 151 NHS areas, people with dementia were more likely to be admitted to hospital for an avoidable reason than those without the condition in the care home.
The care update also looked at care of people with learning disabilities and mental health problems in the independent sector, and found large disparities in quality.
The CQC update concluded that there needs to be improvements; some trusts have already improved but not all. There needs to be better integration to ensure quality care is provided across all hospitals and care homes:
This Care Update finds that the health and social care system is struggling to care adequately for people with dementia.
This is having an impact on hospital capacity and resources. In more than half of primary care trust areas in the country, people with dementia living in a care home are more likely to go into hospital with avoidable conditions than similar people without dementia.
CQC chief executive David Behan said:
A patient-centred culture of care needs strong leadership, openness and transparency, and CQC will look closely at this in the coming year, particularly in those services caring for some of the most vulnerable people in our society.
Chief executive of NHS Confederation, Mike Farrar, said:
Until every patient and service user, in every part of the country, gets first class care every single time, we are failing to achieve the standards the public rightly expects of us.
The fact that care home residents who have dementia are more likely to require hospital treatment for avoidable conditions than people without dementia is wholly unacceptable.
The number of people with dementia is rising, and is expected to reach 1 million in the next 30 years, so we must prepare properly now.
Jeremy Hughes, chief executive of the Alzheimer’s Society said:
This report lays bare the scandalous extent to which the NHS is failing people with dementia.
Hospitals are supposed to be places of recovery but people with dementia are going in too often, staying too long and dying in a hospital bed much more than those with any other condition.
A quarter of hospital beds are occupied by someone with dementia. Staff better trained in dementia care will reduce the length of hospital stays and save the NHS millions of pounds.
Image source: http://www.sxc.hu/photo/982475
- 25 May
CARE HAS IMPROVED CONSIDERABLY IN ENGLAND
Almost three fourth of 372 care homes rated inadequate in 2014 and still operating have improved.205 care homes have improved from a low rating to requiring improvement, 68 are now rated good and 99...
- 24 May
NHS ADJUSTMENTS TO BUDGET CUTS
NHS trusts which have been previously rated good or outstanding will not be inspected as frequently as before, but those rated as inadequate will be regularly visited by the CQC.The Guardian reports...
- 19 Mar
Government to inspect if housing can reduce NHS costs
In the Budget document the government have said it's looking at the ‘cost-effectiveness of options to integrate spending around some of the most vulnerable groups of people.' This includes...
- 15 Oct
End of life patients are lacking support
The charity has found that almost 92% of NHS clinical commissioning groups do not provide round the clock telephone helplines, reports the BBC.Guidelines say there should be 24-hour telephone...
- 15 Sep
Social care is being limited due to council cuts
ADASS are warning that cuts are making the care system "unsustainable" with charities saying hundreds of thousands of people are struggling without help, even though the government says councils have...
- 17 Jul
Young people should not be placed in B&Bs says MPs
The Commons Education Select Committee has said that B&B accommodation is "threatening and frightening" and should only be used in emergency situations reports the BBC.MPs say that young people...
- 16 Jul
Special measures system designed to improve failing care homes
A scheme similar to special measures of hospitals will be introduced for care homes and home care agencies next year, ministers will say, reports the BBC.This will cover 25,000 services and could...
- 14 Jul
Research says that one in three Alzheimer's cases can be prevented
The research says that the main risk factors of Alzheimer's is lack of exercise, smoking, depression and poor education, reports the BBC. Alzheimer's Research UK said age was still the biggest risk...
- 10 Jul
NHS boss says those with vulnerabilities need joint health and care budget
Simon Stevens wants to see older people, those with disabilities and people with serious mental health problems given joint pots from the NHS and council-run social care services, reports the...
- 17 Jun
Council falters in reviewing autistic man’s care plan
According to Community Care:"The ruling was made by the Local Government Ombudsman after the man's mother complained that his physical and mental health deteriorated in the two-year period after...
Responding to the DWP Consultation: Housing Benefit Reform - Supported Housing "Found the seminar very informative and gave an interesting and full insight into current thinking about the consultation. Michael was a very engaging and knowledgeable presenter and encouraged interaction with the audience which led to further relevant points being shared with the room. I shall certinaly look out for future events!" M.E. - Care Housing Association