Dr Eileen Burns has been a geriatrician in Leeds since 1992 and is President of the BGS. She is currently Clinical Lead for integration in Leeds. She tweets @EileenBurns13 This blog originally appeared as part of Independent Age’s Doing Care Differently series. You can join the debate here.
We warmly welcome Independent Age’s new project, Doing care differently. Our members are passionate advocates for person-centred care. The role of geriatricians and specialist health care professionals starts with identifying the care and treatment that best suits an older person’s individual needs and wishes, and those of their families and carers. Delays in access to social care, and also in intermediate care, for example, occupational and physio therapy, create unnecessary barriers to person centred care, leading to poorer health outcomes, an increased likelihood of presenting at A&E, and people having to stay on acute hospital wards for longer than necessary. For older people with frailty the negative impact when this occurs is significant, and their health deteriorates with every additional day spent on an acute hospital ward. Continue reading →
Sharon Blackburn has worked in the independent care sector for over 28 years, having previously spent 10 years in the NHS in a variety of roles. Sharon is currently Policy and Communications Director for the National Care Forum. She was awarded an CBE in the 2016 New Year’s Honours for services to nursing and the not-for-profit care sector. She tweets at @NCFSharon She will be speaking at the upcoming BGS Autumn Meeting in London.
Care Homes routinely feature in the press and not always for the right reasons. Sadly the negative experiences and stories do little to help us all promote the amazing work that is being done with people who live in care homes up and down the country. Instead it feeds peoples’ already distorted views and understanding, including those of professionals. Andrea Sutcliffe, Chief Inspector for adult social care at the Care Quality Commission (CQC) talks about the ‘mum’ test – “would this service be good enough for my mum?” I would suggest the ‘mum’ test needs to be more up close and personal… “would this service be acceptable to me”? Continue reading →
Annabelle Long is a Chartered Physiotherapist working as a Research Assistant at the University of Nottingham on a Dunhill Medical Trust funded PEACH study, which considers the role of Comprehensive Geriatric Assessment in UK care homes. She has a developing research interest in wellbeing for people with dementia in community environments. In this blog she outlines the potential challenges and solutions in doing research at the health and social care interface.
As practitioners and researchers in care of older people, it is important for us to be continually working to include more dependent groups in research. The reason for doing so is to ensure that the evidence base can reliably be applied to the patients we see in everyday practice. However involving older people with dependency in research can be challenging because cognitive and physical impairments can make standard procedures for recruitment and data collection difficult. Continue reading →
The British Geriatrics Society (BGS) calls for everyone who commissions or provides healthcare in care homes to follow the principles of good practice set out in the guidance we are publishing today, so that every older person who lives in a care home in the UK has access to high quality healthcare which fully meets their needs. Based on the clinical expertise of our members our updated guidance sets out clinical and service priorities for how best practice can be achieved, and provides clear indicators of what successful delivery looks like for older people, their families and carers.
In the UK 405,000 people over the age of 65 years old currently live in care homes. This represents 16% of older people over the age of 85. Their healthcare needs are complex and the average care home resident has multiple long-term conditions, and frailty. They are likely to have better health outcomes if health services reflect these needs, and they have access to comprehensive, multidisciplinary assessment, with input from healthcare specialists trained in the care of complex medical problems in later life. Continue reading →
David Paynton is a GP in an inner city surgery. He is also the Clinical Lead for Commissioning for the RCGP.
Generalists are the solution.
For too long policy makers have ignored what clinicians on the front line have been telling them, people with multiple conditions not only exist but are the mainstream.
It is our failure to recognise this fact that has put pressure in the system as the NHS struggles to keep its head above water especially when one adds social factors, depression and mental health into the mix of complexity.
Dr Eileen Burns has been a geriatrician in Leeds since 1992 and is President-Elect of the BGS. She is currently Clinical Lead for integration in Leeds and Chairman of the BGS Community Geriatrics Special Interest Group. She tweets @EileenBurns13
But the day that excites me the most is Wednesday November 23rd.
Many of us have been approached by commissioners of services to “move into the community” in some way (in whichever part of the UK we are based). Others have seen the need to look at alternatives to acute hospital care for older patients with less severe illnesses, and it’s been clinicians rather than commissioners or managers who have been the spark for new developments. Continue reading →
The Royal College of Physicians have published a report Underfunded. Underdoctored. Overstretched. The NHS in 2016. It clearly lays out that honest debate is needed, and choices are going to have to be made – increases in funding or cuts in care. It states that a new plan is needed, not yet another quick fix or temporary solution, rather one that is designed to meet the UK’s health and care needs in the long term, and that values, supports and motivates NHS staff. Continue reading →
Firdaus Adenwalla is a consultant geriatrician in ABM University Health Board. He is part of the Neath Port Talbot Acute Clinical Team providing an intermediate care service for the community.
The media reminds us daily of how our health service is not keeping pace with our changing world. The negativity around health care, hospitals overflowing, not enough doctors, not enough nurses, GP practices closing, and the list goes on. Increasing demand, improved technology and our increased life expectancy, all compound the notion that our health service cannot meet our needs. Continue reading →
David Oliver is President of the BGS, Visiting Fellow at the King’s Fund and Consultant Geriatrician at the Royal Berkshire Hospital, Reading. In part 1 of a 2-part blog, he discusses how the NHS “Five Year Forward View” is important for people involved in the care of older people.
October 23rd 2014 is memorable to me, as it’s my 23rd wedding anniversary. It’s also now of significance to the rest of us, as the date that NHS England’s “Five Year Forward View” plan was published. I realise not many of you will have had the time or necessarily inclination to read it, though at only 39 pages it’s an easy canter.
I also know it hasn’t attracted much Twitter activity from fellow BGS members. But it’s a document which I suspect will have far reaching influence and implications for the services we all work in. These implications seem largely positive. Let me explain why.