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Conference - Assessment & Management of the Frail Older Person

Assessment & Management of the Frail Older Person

Date: 17/10/2019

Duration: 1 Day
Start Time: 09:00 - End Time: 16:00
CPD Hours: 7

Conference Overview

The 3rd annual national conference explores national and regional issues around assessment and management of this growing group of the health and social care agenda. Other topics include a look at polypharmacy, investment, initiatives in improving service, dementia care, frailty pathways and individualised care.


The intention is for individuals, teams and organisations from a variety of clinical settings who are addressing complex needs to be further equipped with evidence, examples, experience, creativity and innovation in practice by hearing from colleagues from all over the UK and taking these ideas back to their own places of work. One of the main aims of this conference is to share ideas and to network.


Attended by Nurses, Allied Health Professionals, Medics, Social Care professionals, academics, senior managers, department heads, Government leads and national organisations who have an interest in developing innovative frail older person care.

Conference Content

Chair Angela Kydd, Clinical Professor in Nursing, School of Nursing and Midwifery, Robert Gordon University and NHS Grampian, Aberdeen


Planning for frailty and end of life: older people's views and family capacity for caring

  • People are dying at increasingly older ages, four out of ten die aged 75 or older
  • Many elderly people experience a long period of frailty before death in which their need for care increases
  • Many elderly people do not want to move into care homes, wanting to retain their independence as long as possible but also do not want to be a burden on their family
  • Health and social care services are overstretched and will have to be supplemented by family and volunteer support networks
  • Up to the minute research on older people's attitudes to planning for frailty and end of life and on family capacity and willingness to care

Professor Julia Verne, Head of Clinical Epidemiology, Lead for Liver Disease, Clinical Lead - National End of Life Care Intelligence Network, Public Health Englan


Co-designing emergency care improvements with frail older people

  • Setting the context within a large-scale improvement programme - The Acute Frailty Network
  • Designing a tool specifically to capture the experience of frail older people
  • Sharing the tool and process to gather data
  • Results of a large scale study circa 624 patients
  • Describing areas for improvement and action taken

Deborah Thompson, Director, Urgent Care Delivery Networks, NHS Elect


The importance of managing poly pharmacy and the frail elderly

  • Frail elderly patients appear to be at risk of adverse health outcomes when exposed to certain high-risk medications. Despite this, high-risk prescribing is common
  • By the nature of their clinical condition, they are more likely to be exposed to polypharmacy, or even hyperpolypharmacy, requiring delicate medicines management
  • Identification and stratification of frailty can play a pivotal role in case-finding patients who may benefit most from robust medication reviews
  • Deprescribing is an important concept for both patients and clinicians

Mr David Mehdizadeh M.Pharm (Hons.), I.Pres, PG Cert, Practice Pharmacist, The Mayflower Medical Practice, Doncaster


The impact of a non-age related frailty service with investment through the service to enable integration

  • Improving all frail patients journey through different services
  • Reducing length of stay / patient experience across older people wards with a non-age related frailty service
  • Increased discharges and admission avoidance for frail patients
  • Always having the patients voice alongside any development of the service

Renee Comerford, Nurse Consultant for Older People, Head of the Frailty Service, Calderdale and Huddersfield NHS Foundation Trust


Comprehensive Geriatric Assessment of an entire frail population

  • Use of the Electronic Frailty Index (eFI) across forty GP practices in one locality
  • A new integrated model of care delivering comprehensive geriatric assessment to all – living at home or in care homes through a multidisciplinary and multiagency team
  • Electronic personalised care plan delivered with system wide record sharing across health and social care providers
  • Positive outcomes including patient and carer experience, cost effectiveness and transformation of upstream pathways post Comprehensive Geriatric Assessment
  • Now expanding to establish new models of care with disease specific teams

Dr Dan Harman, Consultant Community Geriatrician and Dr Anna Folwell, Consultant Community Geriatrician, Hull and East Yorkshire Hospitals NHS Trust and City Health Care Partnership


Enhanced therapy service at the front door

  • Pilot project later funded for Winter project to provide a full time Senior Therapist at the front door
  • To increase therapy activity at the front door particularly around those with frailty
  • Improving admission prevention rate at the front door and reduce length of stay for those admitted by providing earlier therapy intervention and discharge planning
  • Several key performance indicators evolving for this project and daily data collection
  • Comparisons and interlinks with trust-wide flow projects and community links

Emma Hibbs, Team Lead Physiotherapist for Rapid Response Therapy Service and Sarah Oley, Principal Physiotherapist for Emergency and Acute Medicine Specialties, Sandwell and West Birmingham NHS Trust


Supporting a local enhanced dementia service

  • Improved timely person-centred dementia care for the person living with dementia
  • Inclusion of dementia onto Long Term Condition management
  • Improved management of health and wellbeing for the whole family
  • Collaborative working with voluntary services and local organisations
  • Enabling timely advanced decision making and contingency planning
  • Crisis interventions, including the monitoring of unplanned A&E admissions

Beth Goss-Hill, Lead Admiral Nurse, Stag Medical Centre, Rotherham


Developing a frailty pathway: “Big things have small beginnings” (Lawrence of Arabia)

  • Developing a frailty pathway within the Trust
  • Using a service evaluation to redesign the pathway
  • Use of clinical frailty score and targeted assessment to maximise appropriate case finding
  • Challenges – working within resource constraints, managing perceptions and expectations
  • Where we are now and going forward

Aimee Johnson, Clinical Nurse Specialist for Frailty and Older People and Juliet Bevan, Clinical Nurse Specialist for Frailty and Older People, West Suffolk NHS Foundation Trust


Investigating the use of ‘frailty’ on death certificates and admission information - a retrospective case note analysis

  • The morbidity and mortality of people in hospital with frailty is high
  • Investigating good practice in how frailty is identified and how the term is being used
  • Assessment of frailty on admission is a major factor in determining patient outcome
  • How frailty can lead to a decline in function, institutionalisation and risk of death
  • Exploring how a diagnosis of frailty could inform individualised care and patient outcome

Dr Margaret M. Dunham, Senior Lecturer & Post Graduate Research Tutor and Dr Sally Fowler-Davis, Clinical Academic Researcher, Sheffield Hallam University



Conference Aims and Outcomes


Hilton York Hotel, York situated opposite the historical York Castle and places you in the heart of the historic and world famous city centre, within walking distance of many natural and historical attractions plus The Shambles shopping area.


You can get to York easily by train

• 2hrs from London

• 2hrs 30mins from Edinburgh

• 1hr 15mins from Manchester


If you’re travelling by car, there are major roads and motorways nearby.


Nearby transport:

• York Railway Station - 10 minute walk

• Leeds / Bradford Airport - 35 miles


Conference Venues and Prices

  • York - - £299.00 - 17/10/2019

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Exhibition opportunities

If you would like to become a sponsor or would like to know more about exhibition opportunities please contact or phone 017687 73030.

Conference Enquiry

Professionals training professionals

M&K Update Ltd, The Old Bakery, St Johns Steet, Keswick, Cumbria, CAI2 5AS.

Tel: 017687 73030
Fax: 017687 81099

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