Search results for ‘Subject term:"older people"’ Sort:
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Focus on...Health and social benefits of co-located primary care services and extra care housing
- Author:
- COMMUNITY HEALTH PARTNERSHIPS
- Publisher:
- Community Health Partnerships
- Publication year:
- 2015
- Pagination:
- 2
- Place of publication:
- London
A short paper outlining the health and social benefits of co-located primary care services and extra care housing. The paper explains how, six years since they opened, Milehouse Primary Care Centre and Mill Rise Extra Care Village, purpose built on the same site, provide an innovative example of the benefits of integrated health care facilities with extra care accommodation for older people. (Edited publisher abstract)
Older people and suicide
- Author:
- BEESTON Derek
- Publisher:
- Care Services Improvement Partnership
- Publication year:
- 2006
- Pagination:
- 69p.
- Place of publication:
- Leeds
The report concludes: People over 65 are the group most likely to carry out a threat of suicide in primary care, with almost one in four attempts resulting in death; People over the age of 65 are more successful than any other age group at taking their own lives; Two thirds of older people who take their own life have been in touch with a primary care professional in the weeks before their death ; Depression in older people is treatable and can be successfully managed.
What works in delivering effective enhanced primary care support in care homes?
- Author:
- CORDIS BRIGHT
- Publisher:
- Cordis Bright
- Publication year:
- 2018
- Pagination:
- 12
- Place of publication:
- London
Based on a review of the evidence, this briefing outlines the key elements to effective practice in delivering enhanced primary care and support in care homes to improve the quality of life and healthcare for residents. The briefing identifies some of the reasons for implementing enhanced primary care in care homes and the potential to improve outcomes. These include improved resident and care quality outcomes; beneficial impact on secondary care and community services; improved integration and partnership working; and cost benefits. It also outlines key supportive features and the barriers and limitations to delivering enhanced primary care in care homes. Three short case studies highlight three different models: a nurse-led model, a GP-led model, and a multi-disciplinary team model. (Edited publisher abstract)
Briefing: reducing hospital admissions by improving continuity of care in general practice
- Authors:
- DEENY Sarah, et al
- Publisher:
- Health Foundation
- Publication year:
- 2017
- Pagination:
- 10
- Place of publication:
- London
This briefing summarises research looking into the link between continuity of care and hospital admissions for older patients in England. It focuses specifically on admissions for conditions that could potentially be prevented through effective treatment in primary care. The study analysed data from over 230,000 anonymised patient records for older people aged 62 - 82 years. The results found there were fewer elective and emergency hospital admissions for certain conditions when patients saw the same GP more consistently. Patients seeing their usual GP two more times out of every 10 was associated with 6% fewer avoidable hospital admissions. The findings suggest improvements in continuity in primary care might help offset pressures on secondary care for older patients. It makes specific recommendations for general practices, commissioners and policy makers on ways to improve the continuity of care. (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)
Combining extra care housing with health care services at Barton Mews
- Author:
- EVANS Simon
- Publisher:
- Care Services Improvement Partnership. Housing Learning and Improvement Network
- Publication year:
- 2008
- Pagination:
- 6p.
- Place of publication:
- London
This case study describes Barton Mews, a private development in partnership with a Primary Care Trust that provides extra care housing with a community hospital and GP practice. This approach of private engagement with extra care housing is currently relatively uncommon but is likely to become more prevalent as a way of meeting demand, particularly in the light of the projected increase in home ownership among older people. The case study outlines the facilities and highlights key learning points.
Early intervention in dementia care in an Asian community: lessons from a dementia collaborative project
- Authors:
- SEABROOKE Viniti, MILNE Alisoun
- Journal article citation:
- Quality in Ageing, 10(4), December 2009, pp.29-36.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
The number of older Asians in the UK, and therefore at risk of developing dementia is increasing. The emerging need to address early diagnosis is especially prominent in areas where Asian communities are long established. Set up under the auspices of the South East Dementia Services Collaborative, this pilot project aimed to raise awareness of memory problems and facilitate access to early intervention for older Asians in North West Kent. Using an evaluation methodology adopted by the Collaborative and working through a multi-agency steering group, the project identified an appropriate primary care practice, established a link with a specially trained Asian nurse and devised a set of project materials. By inviting older Asian patients with memory problems to make an appointment with the nurse, and enclosing a culturally relevant information leaflet, older people were encouraged to come forward. The project outcomes include significantly increased referral rates from black and minority ethnic communities to specialist services and greater awareness of dementia-related issues in both primary care and Asian care services. Overall, the evaluation suggests that by engaging with a committed primary care practice it is possible to engage a hitherto marginal group of older people in early intervention in dementia and raise awareness about its benefits.
Impact of case management (Evercare) on frail elderly patients: controlled before and after analysis of quantitative outcome data
- Authors:
- GRAVELLE Hugh, et al
- Journal article citation:
- British Medical Journal, 6.01.06, 2006, pp.31-34.
- Publisher:
- British Medical Association
This study aimed to determine the impact on outcomes in patients of the Evercare approach to case management of elderly people. Nine primary care trusts in England that, in 2003-5, piloted case management of elderly people selected as being at high risk of emergency admission were involved in the study. Main outcome measures were rates of emergency admission, emergency bed days, and mortality from April 2001 to March 2005 in 62 Evercare practices and 6960-7695 control practices in England (depending on the analysis being carried out). The results found the intervention had no significant effect on rates of emergency admission (increase 16.5%, (95% confidence interval –5.7% to 38.7%), emergency bed days (increase 19.0%, –5.3% to 43.2%), and mortality (increase 34.4%, –1.7% to 70.3%) for a high risk population aged >65 with a history of two or more emergency admissions in the preceding 13 months. For the general population aged 65 effects on the rates of emergency admission (increase 2.5%, –2.1% to 7.0%), emergency bed days (decrease –4.9%, –10.8% to 1.0%), and mortality (increase 5.5%, –3.5% to 14.5%) were also non-significant. It is concluded that case management of frail elderly people introduced an additional range of services into primary care without an associated reduction in hospital admissions. This may have been because of identification of additional cases. Employment of community matrons is now a key feature of case management policy in the NHS in England. Without more radical system redesign this policy is unlikely to reduce hospital admissions.
Communication in heart failure: perspectives from older people and primary care professionals
- Authors:
- BARNES Sarah, et al
- Journal article citation:
- Health and Social Care in the Community, 14(6), November 2006, pp.482-490.
- Publisher:
- Wiley
The objective of this study was to explore the attitudes of older people and primary care professionals towards communication of diagnosis, prognosis and symptoms in heart failure. Forty-four interviews were conducted with people aged over 60 years with heart failure (New York Heart Association III–IV) recruited from general practices in the UK. Ten focus groups were held with primary care professionals involved in heart failure management. Data were analysed thematically with the aid of the NUD*IST computer program. Participants reported problems with communication, including not being given enough information about their condition, or being given complex information that they did not understand. Many understood little about heart failure and the causes of, and ways to manage, their symptoms. Few participants had had discussions about the prognosis with any health professional, and this was confirmed in professional accounts. Difficulties with terminology were frequently reported: a diagnosis of 'heart failure' was rarely communicated to patients to avoid causing anxiety. Educational needs were identified by most primary care professionals in relation to heart failure management and specifically in relation to communication. In conclusion, communication was identified as being inadequate within primary care from both the patient and professional perspectives. These findings point to a need for an educational intervention tailored specifically to the need to improve the communication skills of primary care professionals in chronic heart failure.
Management strategies in geriatric depression by primary care physicians and factors associated with the use of psychiatric services: a naturalistic study
- Authors:
- DEARMAN S.P., et al
- Journal article citation:
- Aging and Mental Health, 10(5), September 2006, pp.521-524.
- Publisher:
- Taylor and Francis
Approximately 10% of elderly patients in primary care have depression yet it is often under-diagnosed and under-treated. It is unclear exactly how patients are being managed in primary care or what factors are associated with referral to psychiatric services. This study aimed to establish in a naturalistic setting how older depressed patients are managed in primary care; to determine which patients are referred to psychiatric services and the differences between patients referred and those not; in terms of primary care consultation rate and degree of co-morbid illness. Computerised records and referral letters were read for 1089 elderly patients in a large practice in central Manchester, UK. Of the 9% identified as depressed, 90% were managed in primary care alone, a third without antidepressants. More than half of those prescribed antidepressants received tricyclic antidepressants. Suicidal ideation and treatment failure were the principle reasons for referral. Patients referred had a greater psychiatric co-morbidity and had consulted their GP more frequently in the past year. Management of depression in the elderly may be conservative and older antidepressants may be over-prescribed. Increased primary care consultation rate and a greater psychiatric co-morbidity may be associated with referral to psychiatric services.