This is the inaugural conference designed to explore the growing demands on the health service and in particular frail older people.
The programme examines how various teams from around the UK are addressing this with innovative and quality practice. An aim of the event is to share experience, evidence and suggestions on how to develop your own services locally. The day provides an excellent resource for networking with colleagues and teams from a variety of clinical settings and locations.
The venue is the beautiful and historic city of York, which is very accessible by rail and road from all over the UK.
Chair - Anne Cleary, Deputy Director of Nursing, Marie Curie
The key principles of patient assessment of the older patient presenting to the Out-patient Department (OPD) setting with a history of unexplained fall or collapse
- Changes in blood pressure control associated with the aging process that can result in unexplained falls / collapse
- A systematic approach to assessing elderly patients in the OPD setting who have had a history of unexplained fall / collapse
- Triggers for falls and special considerations in regards to the ‘red flags’ associated with such cases which include; structural heart disease, cardiac arrhythmias and polypharmacy
- Guidelines to the diagnostic tests and management plan that should be considered
Dr Kate Gee, CHD Nurse Consultant, University Hospitals Birmingham NHS Foundation Trust
How providing specialist assessment to frail older adults admitted to acute services can reduce hospital admissions through proactive management and integration of support services
- The role of comprehensive Geriatric Assessment in the acute assessment
- Integrating services - joint working between primary and secondary care to improve transfers of care between organisations
- The Care Navigator in supporting frail older adults home from Secondary Care
Deborah Birch, Consultant Nurse for Frailty, United Lincolnshire NHS Trust
Reconditioning staff and processes to reduce deconditioning of patients
- Preventing in-hospital deconditioning and optimise discharge outcomes for our patients
- Early engagement with family carers, to promote “person-centred” care and reduce patient safety risk
- Energising all staff and promoting long term engagement in the reablement culture
- Moving towards equity for all, through a hospital-wide and public approach
Tracey Wakeling, Nurse Consultant for Frail Older People in Emergency Surgery and Penny Cason, Professional Lead Occupational Therapist Integrated Therapies, Ipswich Hospital NHS Trust
Tackling loneliness, isolation and frailty in ‘Practice’: Prime 75
- Proactive identification of the frail, lonely and socially isolated – where to begin?
- When you know who … what comes next?
- Patients becoming the problem solvers – a patient centred approach that improves health, reduces demand, increases practice moral and operating efficiencies. Too good to be true?
- How do we know it works?
- What ‘good’ looks like to patients, practices, commissioners and the community
Dr Tim Coker, GP Partner, St Wulfstan Surgery and Chief Executive, Prime GP PLC
Person centred care – Improving patient activation for self-management in the older frail population
- Patient activation - it is clearly established in both the literature and policy that health outcomes improve when patients are more engaged in their care
- Outline of quality improvement (QI) project to increase activation levels - methodology used including Plan-do-study-act (PDSA) cycles and COM-B behaviour change model
- Three case studies where Patient Activation Measurement (PAM) used to support interventions to improve self-management activation
- Conclusions and areas for further development
Linda Edmunds, Consultant Nurse Older People, North Somerset Community Partnership and Education Lead CVD, Education for Health
Utilising a frailty Commissioning for Quality and Innovation (CQUIN) to enable frailty recognition and stratification
- Negotiation of a CQUIN for frailty and its components, enabling this to be a driver for quality and change
- Education of teams regarding the CQUIN and the use of a stratification tool in this case the Rockwood tool
- Enabling stratification of frailty to inform the patients care plan and goal setting including initiation of the comprehensive geriatric assessment tool for those patients that are moderately or severely frail
- Outcomes and measures
Julie Thompson, Senior Nurse for Older People, Burton Hospitals NHS Foundation Trust
Lothian Care Assistant Development Programme – A health and social care education initiative
- Health and social care integration – the realities of palliative care for the elderly and frail living with multi-morbidities and terminal illness
- Education and learning needs of our health and social care workers – how can we better equip these workers to deliver person centred care?
- Lothian Care Assistant Development Programme – an education intervention
- The clinical and professional impact of a peer learning mixed methods education programme
- Challenges ahead, how can education programmes be wider reaching?
Lyndsay Cassidy, Programme Manager & Practice Development Facilitator and Melanie Legg, Head of Practice Development, Marie Curie
Keeping discharges simple
- The compelling story for change
- Challenging the norms of current practice
- What good could look like - share models of good practice/transformational change
- Busting the myths
- Tools to help improve acute flow and discharge to people's normal place of residence
Jo Richardson, Clinical Associate - Therapies, Emergency Care Improvement Programme, NHS Improvement
An Enhanced Model of Care for older people requiring urgent support and ongoing care across a whole system
- Holistic assessments based on the Comprehensive Geriatric Assessment
- Community-based assessments and care delivery
- Based on collaborative multi-disciplinary team working
- Patient-centred care-planning approach, with ongoing case-management based on frailty assessments
- Patient-centred outcomes - place of care readmissions to hospital, Friends and Family Test; experience-based co-design; harms monitoring
Dr Simon Harlin, Clinical Lead, Adult Community Services and Katie Welborn, Advanced Nurse Practitioner for Frailty, Walsall Healthcare NHS Trust
Improving frail elderly care through innovative practice
- Development of a Gerontology Advanced Nurse Practitioner post in primary care
- Assessment and management of frail, elderly people in care homes
- Admission avoidance and facilitation of early, safe discharges from hospital into care homes
- Improving end of life care through advanced care planning
- Working with health and social care to improve quality and outcomes for frail elderly people
Melissa Keeshan, Gerontology Advanced Nurse Practitioner, Holbrooks Health Team, NHS Coventry and Rugby CCG