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Right time, right place: urgent community-based care for older people
- Author:
- BRITISH GERIATRICS SOCIETY
- Publisher:
- British Geriatrics Society
- Publication year:
- 2021
- Pagination:
- 7
- Place of publication:
- London
This document aims to describe the role of urgent care within the ecosystem of older people’s care and details some examples of how urgent care can be provided outside the hospital environment. It provides tips for BGS members who want to start providing this type of care to their older patients and calls on commissioners and governments to make the provision of care at or near to home easier for healthcare professionals and patients. The document outlines the offers and services currently delivered across the country in pursuit of a broadly similar aim to provide appropriate, timely, high-quality care when an older person experiences a crisis or urgent need. Options for alternatives to hospital include: Hospital at Home (H@H); urgent community response (UCR); Same Day Emergency Care (SDEC); Frailty Assessment Units (FAUs); Virtual wards. (Edited publisher abstract)
Developing a housing and community care strategy for older people: a do-it-yourself guide
- Author:
- OLDMAN Christine
- Publisher:
- Anchor Trust
- Publication year:
- 2000
- Pagination:
- 33p., bibliog.
- Place of publication:
- Kidlington
This guide begins by asking why a strategy should be developed and goes on to the steps involved, needs assessment, getting started, collating and appraising existing sources of information on need, demand or supply, asking older people about need, conducting overviews of selected operational areas and implementation.
Age-friendly health systems design to address COVID-19
- Author:
- INSTITUTE FOR HEALTHCARE IMPROVEMENT
- Publisher:
- Institute for Healthcare Improvement
- Publication year:
- 2020
- Pagination:
- 4
- Place of publication:
- Boston, MA
Advice to help limit the exposure of older adults to coronavirus (COVID-19) by reducing their need to present to the hospital, reducing hospitalisations and, if hospitalised or in post-acute or long-term care community, increase the rate of safe discharges. It provides advice for professionals working in the community, in emergency departments and hospitals, and in long-term care. (Edited publisher abstract)
Managing adult malnutrition in the community: a spotlight on information, help and support available for patients and carers in England
- Author:
- PATIENTS ASSOCIATION
- Publisher:
- Patients Association
- Publication year:
- 2015
- Pagination:
- 57
- Place of publication:
- Harrow
This report sets out our recommendations to improve the quality of nutrition and hydration support, drawing on information from patient sources, from a review of recent work into malnutrition by government and concerned charitable organisations, from two specific dedicated surveys and from a Freedom of Information request to NHS Trusts. There are currently more than three million people in the UK who are either malnourished or at risk of malnutrition. The report looks at malnutrition prevalence, policy and practice; prevention and treatment of malnutrition; nutritional care in hospitals and the view from patients and professionals; and nutritional support in the community. The report makes a set of recommendations, including: developing a nutrition measurement and audit tool for nutritional care in all care settings; raising awareness; ensuring that nutrition and hydration care is integral to any training provided to care professionals in all care settings; and ensuring GPs and other community healthcare professionals take an active role in monitoring and addressing malnutrition. (Edited publisher abstract)
Fit for frailty: part 2: developing, commissioning and managing services for people living with frailty in community settings
- Authors:
- BRITISH GERIATRICS SOCIETY, ROYAL COLLEGE OF GENERAL PRACTITIONERS
- Publisher:
- British Geriatrics Society
- Publication year:
- 2015
- Pagination:
- 35
- Place of publication:
- London
Provides advice and guidance on the development, commissioning and management of services for people living with frailty in community settings. The first section introduces the concept of frailty and sets out the rationale for developing frailty services. The second section explores the essential characteristics of a good service. The third section considers the issue of performance and outcome measures for frailty services. The appendix to the report includes eight case studies of services which are operating in different parts of the UK. The audience for this guidance comprises GPs, geriatricians, health service managers, social service managers and commissioners of services. It is a companion report to an earlier BGS publication, Fit for Frailty Part 1 which provided advice and guidance on the care of older people living with frailty in community and outpatient settings. (Edited publisher abstract)
A pathway to care for older offenders: a toolkit for good practice
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2007
- Pagination:
- 43p.
- Place of publication:
- London
The purpose of this toolkit is to inform and assist the delivery of individually planned care for older prisoners whilst in prison, followed by successful resettlement back into the community, receiving the necessary support to sustain an optimum quality of life and reduce re-offending.
Preventive approaches in housing: an exploration of good practice
- Authors:
- PARKINSON Pat, PIERPOINT Debby
- Publisher:
- Anchor Housing
- Publication year:
- 2000
- Pagination:
- 147p.,bibliog.
- Place of publication:
- Oxford
This work was funded by the Housing Corporation through an Innovation and Good Practice Grant. This report looks at the role of housing in effective preventative services. It asks older people and organisations providing housing and services what works - and why. The report uses case studies to describe how appropriate environments, intensive housing management and additional services can work to support older people in a range of settings.
Cost-effectiveness of donepezil and memantine in moderate to severe Alzheimer's disease (the DOMINO-AD trial)
- Authors:
- KNAPP Martin, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 32(12), 2017, pp.1205-1216.
- Publisher:
- Wiley
Objective: Most investigations of pharmacotherapy for treating Alzheimer's disease focus on patients with mild-to-moderate symptoms, with little evidence to guide clinical decisions when symptoms become severe. The authors examined whether continuing donepezil, or commencing memantine, is cost-effective for community-dwelling, moderate-to-severe Alzheimer's disease patients. Methods: Cost-effectiveness analysis was based on a 52-week, multicentre, double-blind, placebo-controlled, factorial clinical trial. A total of 295 community-dwelling patients with moderate/severe Alzheimer's disease, already treated with donepezil, were randomised to: (i) continue donepezil; (ii) discontinue donepezil; (iii) discontinue donepezil and start memantine; or (iv) continue donepezil and start memantine. Results: Continuing donepezil for 52 weeks was more cost-effective than discontinuation, considering cognition, activities of daily living and health-related quality of life. Starting memantine was more cost-effective than donepezil discontinuation. Donepezil–memantine combined is not more cost-effective than donepezil alone. Conclusions: Robust evidence is now available to inform clinical decisions and commissioning strategies so as to improve patients' lives whilst making efficient use of available resources. Clinical guidelines for treating moderate/severe Alzheimer's disease, such as those issued by NICE in England and Wales, should be revisited. (Edited publisher abstract)
Let's all get home safely: a commentary on NICE and SCIE guidelines (NG27) transition between inpatient hospital settings and community or care home settings
- Authors:
- WINFIELD Anna, BURNS Eileen
- Journal article citation:
- Age and Ageing, 45(6), 2016, pp.757-760.
- Publisher:
- Oxford University Press
Safe and appropriate transition between inpatient settings and the community is one of the major challenges facing the modern NHS. The National Institute for Health and Care Excellence in conjunction with the Social Care Institute for Excellence published guidance on this challenging area in December 2015. This commentary provides context, summary and discussion of the key areas covered. The guidance particularly emphasises the importance of a person-centred approach in which patients are individuals and equal partners in the multidisciplinary team who should be treated with dignity and respect. Additionally, communication and information sharing is crucial both on admission and when taking a proactive approach to discharge, including the role of the discharge coordinator in liaising with community teams and arranging follow-up post-discharge. Self-care and the significance of carers are also highlighted as valuable in facilitating safe discharge and reducing readmissions. It is clear that in older people with complex needs, safe appropriate transition between hospital and community settings has a positive impact on patients and their carers. Given the financial and capacity pressures facing the NHS, strategies to reduce readmissions and prevent delays in discharge are increasingly important. These guidelines are therefore both timely and advocated to improve care for older people. (Publisher abstract)
Supporting people with long term conditions: liberating the talents of nurses who care for people with long term conditions
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2005
- Pagination:
- 32p.
- Place of publication:
- London
Summarises what government policy for long term conditions means specifically for nursing, and how individual professionals can improve care for people with long term conditions. All nurses are playing their part across the spectrum of long term illness wherever they work. People with long term conditions need care from a team with a range of skills and knowledge. Nurses are one part of that team and some of the roles described here can be delivered by others, in particular allied health professionals. This publication focuses on patients with the most complex needs and the role of community matrons. Better disease management and supporting self-care are equally important aspects of improving care for people with long term conditions and nurses play a key role here as well. However, practitioners and the NHS have asked for more information on case management and community matrons. This is also where nurses have the opportunity to take on a new role that builds on and develops their existing skills.