Search results for ‘Subject term:"older people"’ Sort:
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Designing a community safety net for dementia
- Author:
- QAZI Afifa
- Journal article citation:
- Health Service Journal, 15.9.11, 2011, pp.26-27.
- Publisher:
- Emap Healthcare
A consultant old age psychiatrist explains how he developed support available in the community for older people with dementia in order to avoid or shorten hospital admission rates. His strategy include improving access to himself in his role as a consultant, improving training and development, and improved liaison between different services to prevent people falling through the net.
Active steps to prevention
- Authors:
- WISTOW Gerald, KING Derek
- Journal article citation:
- Community Care, 29.06.06, 2006, pp.32-33.
- Publisher:
- Reed Business Information
The authors present early results from the first year of a local authority-led initiative, the Innovation Forum's older peoples project. The results suggest that a shift towards more preventative services is effective and is reducing older people's stays in hospital. The project was based on the idea that good housing, a range of facilities, and families and friends can help older people retain their independence.
NHS demand management from care homes: a £1bn opportunity for NHS England
- Author:
- TUNSTALL
- Publisher:
- Tunstall
- Publication year:
- 2018
- Pagination:
- 8
- Place of publication:
- London
This report looks at the potential of clinically-led telecare and telehealth to improve the health of care home residents and also result in potential cost savings. It reports on a nurse led initiative which used technology-enabled models of care to improve the health of care home residents in Calderdale, Yorkshire. A key focus was to reduce admissions to hospital from care homes. The initiative involved 1300 care home residents over five years, and with the help of technology-enabled care has reduced emergency admissions by 33 per cent. The report estimates that if clinically-led, technology-enabled models in care homes were scaled up across NHS England, it would save approximately £1b per annum and avoid over 226,000 emergency admissions and saving 2.5 million bed days. Registration with the publisher is required to download the report. (Edited publisher abstract)
Linking GPs with care homes: Harrogate and Rural District Clinical Commissioning Group
- Authors:
- NHS CONFEDERATION, HARROGATE AND RURAL DISTRICT CLINICAL COMMISSIONING GROUP
- Publisher:
- NHS Confederation
- Publication year:
- 2016
- Pagination:
- 2
- Place of publication:
- London
Case study which describes a scheme introduced by Harrogate and Rural District Clinical Commissioning Group (CCG) to link each of the 17 GP practices in the area to a local care home. The scheme was introduced in response to the fact that local care home residents had twice the number of GP visits as other patients of a similar age and that GPs had a small number of care home patients across a large number of facilities. Both GPs and care homes have provided positive feedback on the scheme and a 4 per cent reduction in emergency admissions for care home residents has been recorded. (Edited publisher abstract)
Reducing hospital admissions from care homes
- Authors:
- BURNS Caroline, HURMAN Caroline
- Journal article citation:
- Nursing Times, 15.01.13, 2013, pp.23-25.
- Publisher:
- Nursing Times
A community matron for care homes was developed in an area of Surrey to help reduce inappropriate hospital admission of residents. The matrons used an advisory and supportive approach to assist care home staff in developing their competence and confidence in maintaing their residents' care. Issues contributing to avoidable emergency admission that were addressed included: lack of confidence and competence of staff; incidence of falls; lack of partnership working; advanced care planning; and the need for improved communication. A survey sent to 35 care home managers (79% response rate) recieved positive feedback on the service.
Right care, first time: services supporting safe hospital discharge and preventing hospital admission and readmission
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2012
- Pagination:
- 28p.
- Place of publication:
- London
Older people represent the main in-patient group, at any one time occupying more than two-thirds of acute hospital in-patient beds. Providers and commissioners need to put in place cost-effective, community based services, which can both prevent the need for hospital admission and safely reduce length of stay for older people. A hospital admission can occur when an older person has reached breaking point because of a combination of problems that have been building up before admission: social circumstances (such as living alone or having caring responsibilities) or general frailty. The aim of this publication is to disseminate examples of positive practice in avoiding hospital admission, supporting safe discharge and preventing readmission for older people. This publication highlights 5 examples of local Age UK services, charting the ‘pathway’ of prevention from identifying older people in the local community who may be at risk, to supporting people who are in A&E, and ensuring that discharge from in-patient care is safe and well co-ordinated.
Out of the wards and on with life
- Author:
- SHEPHERD Stuart
- Journal article citation:
- Health Service Journal, 5.11.09, 2009, pp.20-21.
- Publisher:
- Emap Healthcare
Integrated services may mean many older people can stay out of hospital while receiving care. This article reports on the outcomes and benefits from the joint NHS Brent and Brent Council run Partnerships for Older People Projects. Evaluations indicate that schemes improve quality of life, reduce emergency hospital bed days and are cost effective.
Care to talk? A framework for appreciative conversations about dementia: Innovative practice
- Authors:
- PAGE Sean, ROWETT Roger, DAVIES-ABBOTT Ian
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 16(8), 2017, pp.1069-1074.
- Publisher:
- Sage
When people with dementia are admitted to hospital, both they and their carers and families have crucial roles to play. They should be positioned as the only true experts in the unique individuality of the person and brought into the nursing process as an equal partner in care. ‘Care to Talk’ is a conversational model developed through Appreciative Inquiry to facilitate this way of working. The model, its development and outcomes are discussed. (Publisher abstract)
Integrated care for older people with frailty: innovative approaches in practice
- Authors:
- ROYAL COLLEGE OF GENERAL PRACTITIONERS, BRITISH GERIATRICS SOCIETY
- Publishers:
- Royal College of General Practitioners, British Geriatrics Society
- Publication year:
- 2016
- Pagination:
- 40
- Place of publication:
- London
Joint report showing how GPs and geriatricians are collaborating to design innovative schemes to improve the provision of integrated care for older people with frailty. The report highlights 13 case studies from across the UK which show what an integrated health and social care system looks like in practice and the positive impact it can have. The case studies are grouped into three areas: schemes to help older people remain active and independent, extending primary and community support to provide better services in the community, and integrated care to support patients in hospital. The examples cover a range of locations across the UK, including urban and rural populations, and a range of settings, including services based in the community, in GP practices, in care homes and in hospitals. Whilst the majority of the initiatives led by GPs or geriatricians, they illustrate the vital role that many other professionals play, including nurses, therapists, pharmacists and social workers. The report also outlines some common themes from the case studies, which include person-centred care, multidisciplinary working, taking a proactive approach and making use of resources in the community. (Original abstract)
Moving healthcare closer to home: case study: Older Persons Assessment and Liaison team: Ashford and St Peter’s Hospitals NHS Foundation Trust
- Author:
- MONITOR
- Publisher:
- Monitor
- Publication year:
- 2015
- Pagination:
- 6
- Place of publication:
- London
This is one of a suite of case studies designed to increase awareness of schemes to move healthcare closer to home. The Older Persons Assessment and Liaison (OPAL) team provides early comprehensive geriatric assessment (CGA) in the acute hospital to prevent avoidable admissions to inpatient wards and remove barriers that can lead to longer stays for older patients. Important features of the service are senior clinical leadership and working with partners. The team works closely with care homes and residential homes, and refers patients to support services to minimise their risk of readmission. It also develops care plans to help primary and social care teams support patients. (Edited publisher abstract)