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Hospitals To Face Financial Penalties For Readmissions - Within 30 Days

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http://news.bbc.co.uk/1/hi/health/10262344.stm

Hospitals will face financial penalties if patients are readmitted as an emergency within 30 days of being discharged, under government plans.

The scheme was unveiled on Tuesday by Andrew Lansley, in his first major speech as the new health secretary.

Hospitals in England will be paid for initial treatment but not paid again if a patient is brought back in with a related problem, he said.

It has been argued that patients are being discharged early to free up beds.

The Conservatives have said cuts to the number of hospital beds under Labour put pressure on NHS staff to discharge people without support.

Between 1998-99 and 2007-08, the number of emergency readmissions in England rose from 359,719 to 546,354.

But there was also a significant rise in the number of procedures performed over the same time period.

Readmissions as a percentage of all patient discharges went up marginally, from 8% in 1998-99 to 10.5% in 2007-08.

Speaking about his vision for the NHS, Mr Lansley called for patients to be given more control over their healthcare.

And he said hospitals would have the responsibility of looking after patients' health and well-being for up to a month after they are discharged.

Quality over targets

Currently primary care trusts and GPs look after patients once they are discharged from hospital.

Under the new plans hospitals would receive funding for the first hospital stay plus treatment for the patient's first 30 days after discharge.

Mr Lansley promised to "empower patients as well as health professionals" and "disempower the hierarchy and the bureaucracy".

He said: "We need a cultural shift in the NHS. From a culture responsive mainly to orders from the top-down, to one responsive to patients, in which patient safety is put first.

.........

"So in addition to getting rid of these targets - we're going to ensure that hospitals are responsible for patients not just during their treatment but also for the 30 days after they've been discharged. It will be in the interests of the hospital for patients to be discharged only when they are ready and safe."

And if a patient is readmitted within that time the hospital will not receive any additional payment for the additional treatment - they will be focused on successful initial treatment, he said.

Speaking on BBC Breakfast, Mr Lansley said the Government was "very clear" that it would increase the NHS budget every year in real terms to meet the demands on the service.

"What I am saying today is in part about focusing on patient safety and on better care for patients."

I've been wondering how they will cut the NHS budget without actually cutting it and this is pure genius.

I'm sure the Dr's on here will love this idea, I mean there can't possible be any drawbacks with this plan at all.

I'm now expecting many hospitals to discharge on a temp basis giving the patient 30 days to declare themselves fit and then a full discharge back dated to the original date of leaving hospital.

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I think this is a cunning plan.

I believe the most important line is "The Conservatives have said cuts to the number of hospital beds under Labour put pressure on NHS staff to discharge people without support."

They know full well so many people are going to be unemployed that pretty much everyone in hospital will have a relative doing nothing much, who will then be pressured into giving the erstwhile patient the required "support".

The "carer" will then not be available for work, because of the caring responsibility, so if they were getting unemployment benefit of any sort, they won't be getting it any more. Genius!

Of course, where they will be providing a proper bed for the ex-patient is a moot point. Without benefits, and if the various housing help schemes (for renters and people with mortgages) are cut, they'll be looking after them in a cardboard box in a shop doorway.

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thats good, a 30 day warranty for medical work.

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Labour's higher turnover of beds rate increased MRSA.

MRSA is innocent...just trying to get on with life. leave it in peace. hunting bugs should be banned. its cruel. How would you like to be sliming your way across a fresh, juicy wound only to have harpic poured over you, stifling your mandibles, blocking your orafices....

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Two ways of looking at this....

If they are not discharging patients then where will the beds come from for new patients.

However, I know many Doctors and Nurses who complain about having to send sick people - not that anyone will admit to this - home. In the case of the elderly they often are back in within days, if not hours, and many simply die.

Having said that, most hospitals have empty beds in closed wards.

The cold reality is that the vast army of managers from the NHS simply need to be kicked out and the money put into patient care. My fear is that the Tories will fire the staff and then cut the funding.

There are too many health boards and trusts all over-lapping and duplicating each other.

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Guest DissipatedYouthIsValuable

So, what to do? Keep patients in hospital longer until unassisted homeostasis occurs for, say, 10-20 days so we can be sure they're fixed and won't need readmitting?

Ok then.

Got any more beds?

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So, what to do? Keep patients in hospital longer until unassisted homeostasis occurs for, say 10-20 days so we can be sure they're fixed and won't need readmitting?

Ok then.

Got any more beds?

why send them home at all? there is a housing shortage after all.

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Labour's higher turnover of beds rate increased MRSA.

MRSA was around long before Labour came to power - they simply made a big thing out of it to distract people, to allow their control-freak mentality to bring in new rules and regs and for loads of middle managers, tasked with 'fighting' MRSA, to be hired.

Most of us are carrying MRSA on us and have done so for decades most likely.

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So, what to do? Keep patients in hospital longer until unassisted homeostasis occurs for, say, 10-20 days so we can be sure they're fixed and won't need readmitting?

Ok then.

Got any more beds?

Bunk beds?

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They (admissions) will simply keep doing what they do now, and upon re-admissions tag it as a new case/injury etc so not be counted. Currently the NHS trusts get so many £ per admissions, a re-admission gets less so they are fudged as new cases to keep the pounds coming in.

The amount of audit/target/BS workarounds that goes on in within the NHS is crazy. If you ever want a fast appointment rather than waiting the 16 weeks, tell them your going on holiday in 3; more than likely you will get a referral booked for when you are away, allowing them to reset the clock back another 16 weeks.

<edit spelling, etc>

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They (admissions) will simply keep doing what they do now, and upon re-admissions tag it as a new case/injury etc so not be counted. Currently the NHS trusts get so many £ per admissions, a re-admission gets less so they are fudged as new cases to keep the pounds coming in.

The amount of audit/target/BS workarounds that goes on in within the NHS is crazy. If you even want a fast appointment rather than wait the 16 weeks, tell then your going on holiday in 3, more than likely you will get a referral for a booked for when you are away, allowing the reseting of the clock back another 16 weeks.

My mum is having a nightmare with this at the moment. She has a heart condition and one thing they appear to be doing at our PCT is getting round targets by sending appointment letters either too late for people to attend, or sending them and then cancelling the appointment at a later date but then claiming the patient did not turn up.

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Bunk beds?

Had another thought on this what you could have is a large rotating cylinder with say 6 beds, they could be detachable so that when dr's are doing the rounds they could be wheeled into a private cubical for patient privacy, plus if the crash team is called then the bed could be detached and the patient treated away from the others.

We could also then have smaller hospitals use the space saved for other revenue generating purposes.

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discharge which is temp is called ward leave, they use it a lot in mental health. in terms of clinical coding to run the reports they can use generic codes such as medical complaint or surgical complaint then nobody can tell if it's the same. good old icd 10 coding cos snomed's a unuseable pile of shyte.

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Wonder how that might affect Saturday night revellers who may be regulars at a local hospital?

hospitals get to treat the 'revolving-door' chavs for free and get fined for the privilege

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  • 146 Brexit, House prices and Summer 2020

    1. 1. Including the effects Brexit, where do you think average UK house prices will be relative to now in June 2020?


      • down 5% +
      • down 2.5%
      • Even
      • up 2.5%
      • up 5%



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