Eccleshill Community Hospital

A chromosome survey carried out on 233 adult male patients at a mental subnormality hospital is described. Five patients with an additional Y chromosome and six with autosome abnormalities were identified. The prevalence of patients with a detectable chromosome abnormality was 4.7%, whereas that of patients with an additional Y chromosome was 2.1%.

Delays in accessing dressings prescribed by general practitioners can result in the inappropriate use of dressings on more than one resident in nursing homes. The dressing remedies concept was developed to overcomes this problem.

BACKGROUND: Frailty increases vulnerability to major health changes because of seemingly small health problems. It affects around 10% of people aged >65 years. Older adults with frailty frequently have multiple long-term conditions, personal challenges, and social problems. Personalised care planning (PCP) based on 'goal setting' and 'action planning' is a promising way to address the needs of older adults living with frailty. AIM: To identify and explore factors that influence the implementation of PCP-style interventions for older adults. DESIGN & SETTING: We conducted a scoping review and identified a small number of interventions that explicitly employed goal setting and action planning. METHOD: We used a range of sources to identify relevant material. We included all interventions inclusive of patients aged ≥65 years and reported in English. We excluded end-of-life care interventions, group education, and/or those that did not involve one-to-one engagement. We explored all related articles that described, examined, or discussed implementation. We constructed a thematic framework in NVivo (version 11). Findings were narratively synthesised. RESULTS: We identified 18 potentially relevant PCP-style interventions and 13 of these met the inclusion criteria. Within these, were seven main categories of potentially modifiable influences relevant to older adults with frailty related to the following: primary care engagement; delivery staff characteristics; training; patient engagement; collaborative working; organisation and management; and systems. CONCLUSION: Many modifiable factors can influence the implementation of PCP. We identified several influences that have informed the development and implementation of a novel intervention PeRsOnaliSed care Planning for oldER people with frailty (PROSPER).

A like-minded group of health professionals got together in Bradford and Airedale in 1997 to form the Health of Men (HOM) group. Initially, the idea was to provide a forum for debate and share good practice in the area of male health promotion. The activities of the group have since expanded to try to redress the inequalities that exist in men's health by providing a direct men's health service.

The dressing remedies protocol was developed to help overcome problems of delays in accessing dressings in care homes. Ayesha Clarkson describes the concept and its potential benefits for the wellbeing of residents.

Linda Dobrzanska explains how she researched re-admission rates at local hospitals