Hospital admissions avoidance

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Summary of report content

Healthwatch Camden, Barnet, Enfield, Haringey, Islington held a focus group with retired people from Haringey in November 2017 at Tottenham Town Hall. They asked about their general experience of recent admissions to hospital. The key themes included poor, uncoordinated experience of A&E at the Whittington Hospital, was told twice to wait in the wrong place for examination after hitting head/eye and had to ask for results, resulting in several hours’ extra waiting, did not need or expect to be admitted. Concerns that doctors and nurses in A&E no longer have the expertise to treat people on the spot. Concerns that there is a government push to keep people with dementia out of hospital. Concerns about lack of appropriate housing options for people with dementia. Concerns that the poor quality of domiciliary care for older people with dementia (and abuse and neglect by carers) is resulting in more people needing to be admitted (e.g. with dehydration, malnutrition, pressure sores).

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General details

Report title 
Hospital admissions avoidance
Local Healthwatch 
Healthwatch Haringey
Date of publication 
Wednesday, 1 November, 2017
Date evidence capture began 
Wednesday, 1 November, 2017
Date evidence capture finished 
Wednesday, 1 November, 2017
Type of report 
Report
Key themes 
Administration
Building and facilities
Communication between staff and patients
Healthwatch reference number 
Rep-7116

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
CCG
Primary research method used 
Focus group
How was the information collected? 
Engagement Event
If an Enter and View methodology was applied, was the visit announced or unannounced? 
N/A

Details of health and care services included in the report

Secondary care services 
Acute services with overnight beds
Acute services without overnight beds / listed acute services with or without overnight beds

Details of people who shared their views

Number of people who shared their views 
3
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
No
Does the information include staff's views? 
No
Types of health and care professionals engaged 
N/A
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
No

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.