What offers more choice? Budgets or human rights?shibley
My talk on how best to deliver choice in English dementia strategy - through the market, e.g. personal budgets, or international law, e.g. human rights.
Alzheimer Europe talk 2015 Dr Shibley Rahmanshibley
These are the slides for the presentation I will give this year at the Alzheimer Europe conference in Ljubljana in Slovenia. It's survey based research on the importance of clinical nursing specialists in dementia.
Cure care and research in English dementia policyshibley
I set out to make current dementia policy in England open to the public. This is the final talk to be given by me, Dr Shibley Rahman, at BPP Law School this evening, on cure, care and research.
Dementia friendly communities - my talk this eveningshibley
This is the talk I gave on dementia friendly communities this evening at BPP Law School. It is part of a public lecture series for raising awareness about English dementia policy for the general public. The lectures are provided completely free of charge.
Chris Ham on making integrated care happen at scale and paceThe King's Fund
Chris Ham, Chief Executive at The King’s Fund, highlights the 16 lessons needed to make a reality of integrated care, drawing on work by the Fund and others to provide examples of good practice.
What offers more choice? Budgets or human rights?shibley
My talk on how best to deliver choice in English dementia strategy - through the market, e.g. personal budgets, or international law, e.g. human rights.
Alzheimer Europe talk 2015 Dr Shibley Rahmanshibley
These are the slides for the presentation I will give this year at the Alzheimer Europe conference in Ljubljana in Slovenia. It's survey based research on the importance of clinical nursing specialists in dementia.
Cure care and research in English dementia policyshibley
I set out to make current dementia policy in England open to the public. This is the final talk to be given by me, Dr Shibley Rahman, at BPP Law School this evening, on cure, care and research.
Dementia friendly communities - my talk this eveningshibley
This is the talk I gave on dementia friendly communities this evening at BPP Law School. It is part of a public lecture series for raising awareness about English dementia policy for the general public. The lectures are provided completely free of charge.
Chris Ham on making integrated care happen at scale and paceThe King's Fund
Chris Ham, Chief Executive at The King’s Fund, highlights the 16 lessons needed to make a reality of integrated care, drawing on work by the Fund and others to provide examples of good practice.
Steve Laitner on integrated care - innovations in the UKThe King's Fund
Dr Steve Laitner, GP and Associate Medical Director of NHS East of England, discusses integrated care innovations in the UK with a focus on pathway hubs.
Judith Smith and Chris Ham: Commissioning integrated care - what role for cli...The King's Fund
Dr Judith Smith, Head of Policy at the Nuffield Trust, and Professor Chris Ham, Chief Executive of The King’s Fund, share the findings of their recent research into how NHS commissioners have been commissioning better integrated services and care for people in local areas.
Presentación de Nick Goodwin y Judith Smith en el proyecto de The King’s Fund y the Nuffield Trust: "Developing a National Strategy for the Promotion of Integrated Care"
Integrated personal commissioning, innovate stage, 1pm, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Dr Shibley Rahman presentation on citizenship and dementiashibley
This is the talk I intend to give at the Arlington Centre on Saturday 11th July 2015. It centres around active citizenship of people with dementia, shaping the general discourse about dementia.
This presentation, given as part of a plenary symposium at the 8th World Congress on Promotion of Mental Health and Prevention of Mental and Behavioural Disorders gives an overview of how one area is trying to develop an approach to public mental health, finding frameworks and tools of use
Steve Laitner on integrated care - innovations in the UKThe King's Fund
Dr Steve Laitner, GP and Associate Medical Director of NHS East of England, discusses integrated care innovations in the UK with a focus on pathway hubs.
Judith Smith and Chris Ham: Commissioning integrated care - what role for cli...The King's Fund
Dr Judith Smith, Head of Policy at the Nuffield Trust, and Professor Chris Ham, Chief Executive of The King’s Fund, share the findings of their recent research into how NHS commissioners have been commissioning better integrated services and care for people in local areas.
Presentación de Nick Goodwin y Judith Smith en el proyecto de The King’s Fund y the Nuffield Trust: "Developing a National Strategy for the Promotion of Integrated Care"
Integrated personal commissioning, innovate stage, 1pm, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Dr Shibley Rahman presentation on citizenship and dementiashibley
This is the talk I intend to give at the Arlington Centre on Saturday 11th July 2015. It centres around active citizenship of people with dementia, shaping the general discourse about dementia.
This presentation, given as part of a plenary symposium at the 8th World Congress on Promotion of Mental Health and Prevention of Mental and Behavioural Disorders gives an overview of how one area is trying to develop an approach to public mental health, finding frameworks and tools of use
The dementia friendly primary care ‘iSPACE’ project was introduced into GP practices across Wessex as an innovative, cost-effective solution to enhance services in primary care
for people with dementia.
During the past three years (2014-17), the project team publicised this project throughout the Wessex region, and at the time of writing this report, 50% have completed the steps to become dementia friendly:
- Over 150 surgeries are dementia friendly
- Nearly 3,000 (2,969) surgery staff have received dementia training at the tier one (awareness level)
stage, and a further 244 people have received talks about dementia and the project
- This means the project is impacting over 15,000 people living with dementia across surgeries, which are collectively caring for over 1.4 million people
- Dorset, NE Hants and West Hants CCG are aiming at 100% dementia friendly surgery status – currently they stand at 56%, 70% and 46% respectively
Broadly speaking, the iSPACE work has led to:
• Fewer A&E admissions for patients with dementia
• More patients with personalised care plans
• Fewer appointments needed with GPs, which has freed-up appointments for other patients
This report summarises the project, what it found, how iSPACE improves lives for patients and their carer.s
The Appointment - a film to support working towards dementia friendly dental ...UKFacultyPublicHealth
The Appointment: a film to support working towards dementia friendly dental practices - presentation at the Faculty of Public Health annual conference 2016
Opportunities to transform care
George McNamara and Dr Ann Johnson, Alzheimer's Society
Prof Maxine Power, Dementia United
Day One, Pop-up University 3, 11.00
Kane Partners offers customized company training and presentations on LinkedIn, from the "How To", Building Business, Advanced Settings, Etiquette to purely Informational. Here are a few select slides from a recent presentation with the Philadelphia Business Journal in June 2010. For more detail or for your own presentation please give us a call!
How People Really Hold and Touch (their Phones)Steven Hoober
For the newest version of this presentation, always go to: 4ourth.com/tppt
For the latest video version, see: 4ourth.com/tvid
Presented at ConveyUX in Seattle, 7 Feb 2014
For the newest version of this presentation, always go to: 4ourth.com/tppt
For the latest video version, see: 4ourth.com/tvid
We are finally starting to think about how touchscreen devices really work, and design proper sized targets, think about touch as different from mouse selection, and to create common gesture libraries.
But despite this we still forget the user. Fingers and thumbs take up space, and cover the screen. Corners of screens have different accuracy than the center. It's time to re-evaluate what we think we know.
Steven reviews his ongoing research into how people actually interact with mobile devices, presents some new ideas on how we can design to avoid errors and take advantage of this new knowledge, and leaves you with 10 (relatively) simple steps to improve your touchscreen designs tomorrow.
What 33 Successful Entrepreneurs Learned From FailureReferralCandy
Entrepreneurs encounter failure often. Successful entrepreneurs overcome failure and emerge wiser. We've taken 33 lessons about failure from Brian Honigman's article "33 Entrepreneurs Share Their Biggest Lessons Learned from Failure", illustrated them with statistics and a little story about entrepreneurship... in space!
You are dumb at the internet. You don't know what will go viral. We don't either. But we are slighter less dumber. So here's a bunch of stuff we learned that will help you be less dumb too.
To help the curious class stay relevant, we’ve assembled an A-Z glossary of what we predict to be the 100 must-know terms and concepts for 2017.
We hope this cultural crib sheet will help prepare you for the year ahead.
Enjoy!
Risk profiling, multiple long term conditions & complex patients, integrated ...Dr Bruce Pollington
Dr Bruce Pollington web-ex presentation to LTC QIPP programme
Utilising risk profiling, and risk stratification to identify patients with multiple long term conditions requiring complex care through integrated care teams.
End of life care - achieving quality in hostels and for homeless people - a route to success
08 December 2010 - National End of Life Care Programme
This publication aims to provide a practical guide to support hostel staff in ensuring that people nearing the end of their life receive high quality end of life care.
It includes:
Key considerations for delivery of end of life care
When to start thinking about end of life care
End of life care pathway
Step 1: Discussions as the end of life approaches
Step 2: Assessment, care planning and review
Step 3: Co-ordination of care
Step 4: Delivery of high quality care in different settings
Step 5: Care in the last days of life
Step 6: Care after death
Next steps
Useful resources
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
Inclusion health and lived experience, pop up uni, 3pm, 2 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Inclusion health and lived experience, pop up uni, 3pm, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Nick Goodwin: making a success of care co-ordinationThe King's Fund
Nick Goodwin, Chief Executive at the International Foundation for Integrated Care, looks at how care could be better co-ordinated around people with complex needs, and the challenges around delivering joined-up care.
Integrated health & social care: service transformation supported by technolo...flanderscare
Wat is de toekomst van zorg op afstand in Vlaanderen? Dat was de centrale vraag van het event van 17 juni. 100 deelnemers dachten hier samen over na. Studiebezoeken aan andere Europese regio's toonden dat daar reeds op grote schaal met telecare en telehealth gewerkt en geëxperimenteerd wordt.
What carers of people with dementia need to know about deliriumshibley
The accurate identification of delirium for carers of people with dementia is of critical importance as delirium is a medical emergency. This short presentation is given by Dr Shibley Rahman to Camden Carers on World Delirium Awareness Day 2022 #WDAD2022
Why person-centred care matters : Dr Shibley Rahmanshibley
Talk by Dr Shibley Rahman on 5 November 2019
Princess Alexandra Hospital
"Dementia - delirium - frailty: together, enhancing patient care"
https://twitter.com/Deliri_m
My talk to be given on 4 February 2017 in the Arlington Centre, Camden, to celebrate my third book 'Enhancing health and wellbeing in dementia: a person-centred integrated care approach".
Talk by Dr Shibley Rahman 5 - 5.30 pm British Geriatrics Society meeting on the gulf between aspirations and the reality of delivery of dementia care in acute NHS hospitals.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
The importance of community hospitals for dementia care
1. Community Hospitals Association
Challenging Times
Improving the experience of dementia through
community hosptials
Friday 13 May 2016 : 1.50 pm
Bristol Marriott Royal Hotel, College Green Bristol
Dr Shibley Rahman
MA PhD MRCP(UK) MBA LLM
Fellow of the England Centre
for Practice Development
o
2. About 800,000 living in the UK with dementia.
Dementia is an umbrella term, covering more
than 100 conditions.
Progressive – no longlasting symptomatic
treatment as yet. Policy aimed @ living better.
3.
4. • Goals should be SMART – specific,
measurable, achievable, realistic and time-
oriented.
5.
6. Impact of community services (King’s
Fund 2014)
The main steps identified are:
• reduce complexity of services
• wrap services around primary care
• build multidisciplinary teams for people with complex needs,
including social care, mental health and other services
• support these teams with specialist medical input and redesigned
approaches to consultant services – particularly for older people and
those with chronic conditions
• create services that offer an alternative to hospital stay
• build an infrastructure to support the model based on these
components including much better ways to measure and pay for
services
• develop the capability to harness the power of the wider community.
7.
8. • Landscape of some services
• English dementia strategy
• Difference between community and centralised large
hospitals
• Learning from the acute hospital experience
• Dementia friendly environments including ward
settings
• Specialist nurses and palliative care
• Carers
• Antipsychotics
• Rights, enablement and rehabilitation
9.
10.
11.
12.
13.
14.
15. Small et al (2009) Post-acute rehabilitation care for older people
in community hospitals – Philosophies of care and patients’ and
caregivers’ reported experiences: A qualitative study. Disability
and Rehabilitation, 31: 1862-1872.
16.
17. Acute hospitals
• Individuals with dementia who are in hospital can
be greatly distressed by unfamiliar environments.
• This might be a combination of cognitive
difficulties and poor environments.
• Prolonged hospital stays can lead to exposure of
hazards including risk of falling or infections, for
example.
18.
19. National Audit of Dementia
Skilling up the workforce
• The 2nd round report highlighted that
approximately 75% of hospitals now provide
dementia awareness training to nurses.
• Almost 50% are still failing provide demenrtia
awareness training as part of induction.
• This report finding suggests that further
improvement is needed to provide better, more
consistent staff training.
20.
21.
22. Harwood, 2012
• Forty per cent of acute general medical
admissions over the age of 70 have dementia.
• Cognitive impairment is evident in 60% of
patients on acute geriatric medical wards, and
in 55% of patients with hip fracture.
• Overall, 25% of hospital beds accommodate
someone with dementia
23. Harwood, 2012
“Family members and carers of people with
dementia are frequently dissatisfied with their
experience of hospital care, including staff not
recognising or understanding dementia, lack of
activity and social interaction, inadequate
involvement in decision making and perceived
lack of dignity and respect.”
28. Delayed/inappropriate discharges (NHS
Confederation, 2010)
“Dementia is a predictor of a higher probability
of inappropriate or delayed discharge. The
opportunities of improvement through better
discharge are significant. Reviewing the process
and auditing readmissions associated with
dementia are an important part of ensuring high
performance in this area.”
30. Priorities of “dementia friendly hospitals” from
Dementia Action Alliance
• The environment in which care is given
• The knowledge, skills and attitudes of the
workforce
• The ability to identify and assess cognitive
impairment
• The ability to support people with dementia to
be discharged back home
• The use of a person centered care plan which
involves families and carers.
31. Wayfinding techniques
• Accent colours
• Artworks
• Identification of bays, beds and social spaces
• Signage – pictures and text
32. Orientation techniques
• Artworks that reflect the seasons
• Calendars
• Large face clocks
• Natural light
• Outside spaces
• Photographs of local scenes
• Signs denoting ward and hospital name
• Views of nature
• Visible staff
38. Rahman and Dening (2016)
Caring for a person with dementia affects the health
and wellbeing of family carers.
In the UK, government policy has increasingly
highlighted the need to improve the lives of these
carers and the current approach is for them to have
access to a range of psychosocial and practical
support.
However, support available to carers is too often
fragmented and inadequate.
39. It is impossible to deliver person-centred care
unless you treat staff in a person-centred way.
44. Rahman and Dening (2016)
Palliative care is offered to improve quality of life,
and there is growing evidence that an early
palliative care approach benefits people with any
type of chronic life-limiting illness (Beernaert et al,
2015), including dementia.
It can improve their quality of life and that of their
families by preventing or relieving suffering through
early identification, assessment and treatment of
pain and other poblems (World Health Organization,
2011).
45. Oliver (2016)
“As many as 40% of hospital patients over 75 have
dementia. It travels with them, although they’re
generally admitted for other primary reasons. They’re
more likely to die in hospital and to experience
decompensation, depersonalisation, and harms.”
46. Oliver (2016)
“We soon forget how far we’ve come and the
importance of celebrating success, no matter who
helped to start or tend the fire.”
47.
48. Principle 1:
Staff who are skilled and have time to care
Principle 2:
Partnership working with carers
Principle 3:
Assessment and early identification of dementia
Principle 4:
Care plans which are person centred
and individual
Principle 5:
Environments that are dementia friendly
53. Examples
Northern Devon Healthcare Trust (NDHT) has
joined national initiative John’s Campaign.
It has been launched in both its acute and
community hospitals, including Exeter Community
Hospital; Seaton Community Hospital; Sidmouth
Community Hospital; Exmouth Community
Hospital; Ottery St Mary Community Hospital;
Honiton Community Hospital; and Tiverton
Community Hospital.
54.
55.
56.
57.
58. Antipsychotics in the community
Health Services Journal (Oboh, 2014)
Every year 180,000 antipsychotic prescriptions are written for dementia
patients in England, causing an estimated 1,800 additional deaths and
1,620 cerebrovascular adverse events, according to the Banerjee report
in 2009.
GPs prescribe most of the antipsychotics in primary care via repeat
prescribing, although they are often initiated by prescribers outside
primary care.
GPs are reluctant to discontinue prescribing in spite of the associated
risks and evidence that many patients will have no worsening of
symptoms when discontinued.
59. • Undertake an audit and reduction exercise; and
• Identify local experts to provide clinical
support to GPs and champions to facilitate
collaborative working between primary, acute
and mental health teams.
61. • Article 2 – the right to life (with virtually no
exceptions)
• Article 3 – prohibits inhuman or degrading
treatment or punishment (with no exceptions or
limitations)
• Article 5 – everyone has the right to liberty and
security of person (subject to lawful arrest or
detention, which can include people with mental
disorders)
62. • Article 6 – everyone has a right to a fair trial (including
a to defend himself or herself in person or through legal
assistance of his own choosing)
• Article 8 – the right to private and family life (subject
to certain restrictions that are “in accordance with the
law” and “necessary in a democratic society”)
• Article 14 – freedom from discrimination, including on
the grounds of disability (but only in respect to the
person’s rights under the Convention).
67. World Health Organization
“Community based rehabilitation”
The aim of community-based rehabilitation
(CBR) is to help people with disabilities, by
establishing community-based programs for
social integration, equalization of opportunities,
and rehabilitation programs for the disabled.
68. Different types of persons using
Buurtzog
• Chronically ill and functionally disabled
clients
• Elderlyclientswithmultiplepathology
• Clients in a terminal phase
• Clientswithsymptomsofdementia
• Clients who are released from the hospital and
are not yet fully recovered
69. • Landscape of some services
• English dementia strategy
• Difference between community and centralised large
hospitals
• Learning from the acute hospital experience
• Dementia friendly environments including ward
settings
• Specialist nurses and palliative care
• Carers
• Antipsychotics
• Rights, enablement and rehabilitation