ResPublica release Care After Cure Report
The NHS is going to waste £3.3 billion caring for patients who don’t need medical treatment but the money would be better spent on a Fast Track Discharge Fund to move vulnerable older people into care homes, according to a report from the independent think tank ResPublica.
In Care after cure: creating a fast track pathway from hospitals to homes, ResPublica says thousands of hospital beds would be freed up for medical cases and residential care homes could look after recuperating patients who currently block wards because they have no safe place to go.
ResPublica has found caring for all delayed transfer patients in a residential care setting would cost £835 million over five years to 2020/21, compared to £3.3 billion in an acute bed. The report argues the remaining £2.4 billion should be invested in bed capacity, skills, training and facilities in residential care to allow the sector to step up to this more substantial role.
Director of ResPublica, Phillip Blond, said: “The way health and social care work together needs to improve dramatically.
“The bed blocking crisis in the NHS is only getting worse – clogging up wards and leaving newly arrived patients on trolleys in hospital corridors. Meanwhile, as ResPublica showed last year, a staggering 37,000 beds could be lost in residential care homes over the next five years because the sector is losing money for every publicly funded resident.
“To redress both of these awful situations care homes should be given the necessary financial resources as an appropriate alternate care setting to alleviate the problem of bed blocking.”
A Fast Track Discharge Fund would also address the crisis which is seeing care homes closing because of the low amount they currently receive for funded residents, and the impact of the National Living Wage.
Out-of-hospital services - largely in residential care homes - for patients fit to leave wards but in need of extra support would improve under the fund, which would be used by Clinical Commissioning Groups.
The report found that as well as healthcare needs being met by nursing staff in care homes, pressure would be reduced on accident and emergency departments, where there has been a sharp decline in meeting the 4 hour target to conduct an initial assessment on 95% of patients.
Report author Emily Crawford said: “The gap between social care and hospitals needs to be bridged. Residential homes can provide good quality care for people who are currently being left in hospital beds. These patients, often frail and elderly, stand a much better chance of recovering in the community than in a hospital.
“As we confront the task of caring for an ageing population with finite budgets, this would also free up the much needed beds on our NHS wards.”
- Over the past five years (2011/12-2015/16), the health service spent £2bn caring for patients who are medically fit to leave. Over the next five years to 2020/2021, £3.3 billion will be spent by hospitals on acute care for patients who have no medical requirement to be there.
- The equivalent of 3,575 hospital beds were continually taken up by patients who had no medical need for them in 2011/12. This will rise by 21% to 4, 282 beds by the end of this financial year (2015/16).
- By 2020/21, ResPublica estimates that the equivalent number of hospital beds continually ‘blocked’ will reach over 5,300. This means that for every two ‘bed blocking’ patients in hospitals in 2011/12, there will be three such patients in 2020/21.
The report authors highlighted a human, as well as financial, cost to bed blocking with frail older people unnecessarily in a hospital bed being much better served by expert care in the community. On a ward they are at risk of hospital acquired infection, emotional ill health and a loss of independence.
Ian Smith, Chairman of Four Seasons Healthcare, said: “Discharging medically stable patients from hospital to a recovery period of care in a nursing home is a good idea that works in practice. We know because is already happening in our homes, although so far it is on a relatively small scale. We currently have around 375 people who are recuperating in our homes while their longer term care needs are assessed and arrangements made for their on-going care. It is freeing up hospital beds and saving NHS budgets. We recently launched a 24-7 rapid response assessment and admissions service that helps hospital discharge teams to locate care services in appropriate homes.”
17 Dec 2017
Residents, relatives, the care team and local community have all been helping get Riverside View Care Home in Darlington in the festive spirit.
Claire Westmorland, Home Manager, said: “Firstly we want to thank the local Co-Op who raised a lovely £180 for our resident’s fund. This will go towards our Christmas entertainment. On behalf of everyone in the home I want to thank Co-Op for their kind donation.”
Christmas has definitely hit the home, as they all got ready for their Christmas raffle. Complete with their very own naughty elf.
Claire added: “I want to thank everyone who donated to our raffle. The monies raised will go towards providing special experiences for our residents over the festive period. Merry Christmas from everyone at Riverside View.”
16 Dec 2017
The team at Laurels Lodge Care Home in Woodside pulled out all the stops last week as they took part in Laurels Lodge has got talent.
It was an afternoon full of fun and laughter and the team were up for the challenge and showcased their talents amazingly.
Children from Donbank Nursery also joined the residents that day and they got involved and joined in dancing to the birdie song with the Marlene Smith, Personal Activities Leader. Relatives who came also joined in the dance and had a fun afternoon.
May Duncan said “this is great”! as she danced the birdie song.
Other relatives such as Lorna Graham and Irene Sivewright commented on how good the show was.
The headline acts included:
- Linda Mason (Deputy Manager) and Lynn Smith (Home Administrator) - ABBA
- Morag Leslie (SNCA) & Jenny Watt (Care Assistant) – as Dolly Parton and Kenny Rogers
- Rhodora Antiojo (Staff Nurse), Felix Mahinay (Care Assistant), Ewa Misztal (Care Assistant) & Arlene McGillivray (Care Assistant) as the Village People danced the YMCA music
- Nomeda Jackstienne (Cook) as Madonna
- Jolanta Nieckarz as Lady Gaga
- Marlene Smith (PAL) dressed up as Chicken
- Sheila Gesma (Home Manager) as the DJ
Marlene Smith, Personal Activities Leader, said: “The whole show was fabulous! The teachers from Donbank Nursery said to me that what we did was fantastic and they were very happy that the kids thoroughly enjoyed the afternoon. Sheila our manager was our DJ. It was also great to see relatives participating; it was indeed an afternoon full of fun and entertainment!”
16 Dec 2017
The Rookery Care Home has been fundraising to get some new activity equipment to provide special experiences for those in their care.
Susan Dyke, a member of the team made a big sacrifice and as a result raised over £400 for the cause.
Gail Llewelyn, Home Manager, said: “Sue decided she’s cut her hair off for the cause. She used to have hair that would rival Rapunzel and had never been to a hairdresser, so to have it cut off into a pixie style was a big deal for her. On behalf of everyone at The Rookery I want to say thank you!”
15 Dec 2017
The team at The Sycamore and Poplars Care Home in Mansfield celebrated a huge 120 years’ worth of experience last week, as 5 team members received long service awards.
Karen Gilbert, Home Manager presented the7 team members with their Long Service Certificates and gifts as a thank you for their continued dedication and hard work.
Karen said: “It was a pleasure presenting the team with their awards. I want to say massive congratulations to them all for their continued dedication and hard work. They’re all thought of very highly here in the Sycamore and Poplars by the rest of the team, the residents and their relatives.”
Are you looking for a care home in Mansfield? The Sycamore and Poplars Care Home offers support for all types of care including residential care, dementia care, nursing care, respite care and end of life/palliative care.