Caroline Cooke is Policy Manager at British Geriatrics Society. Caroline is currently supporting a joint project being carried out by BGS and the Old Age Faculty at the Royal College of Psychiatry. Here she explains the aim of the project and how you can help to make it a success.
In the UK 405,000 older people (65+) currently live in care homes. Older people living in care homes have complex health needs and most residents have multiple long-term conditions, significant disability and frailty which affect both their physical and mental health. Dementia affects the majority of residents in care homes to some degree and depression is common. Integrated provision is required to meet the needs of care home residents who require co-ordinated input from generalists and specialists in multiple disciplines, and partnerships are essential to integration. Continue reading
Caroline Cooke is Policy Manager at BGS. Here she explains why BGS has published its own election manifesto, what it says and how you can get involved.
The 2017 General Election offers an opportunity to promote the issues that most affect the healthcare of older people across the UK. By publishing our own manifesto we are helping to raise awareness and understanding among key opinion-formers and decision-makers, including parliamentary candidates, of the work of BGS and the unique expertise of our members. It is also a way of demonstrating that BGS will be working to influence policy development after the election. Continue reading
Dr Shibley Rahman is currently an academic physician in dementia and frailty. His contribution on the diagnosis of behavioural frontal frontotemporal dementia, published while he was a M.B./Ph.D. student at Cambridge in 1999, is considered widely to be an important contribution to the field even cited in the Oxford Textbook of Medicine. He has published widely on dementia, and his first book ‘Living well with dementia’ won best book for health and social care for the BMJ Awards in 2015. His third book ‘Enhancing health and wellbeing in dementia: a person-centred integrated care approach’ was published earlier this year on aspects of the integrated care pathway, and likewise has been critically acclaimed. He, furthermore, has a passionate interest in rights-based approaches which he accrued as part of his postgraduate legal training. He tweets at @dr_shibley.
This week – in England – it’s ‘Dementia Awareness Week’ – 14-20 May 2017. But so what?
The problem is – ‘dementia awareness’ means different things to different people. In a nutshell, I hope that the workforce can embrace the notion that people living with dementia are incredibly rewarding to support and look after, and use this week as part of a celebration of this.
If you’re working in health and social care, it can be surprisingly easy to overestimate the knowledge about dementia amongst some members of the general public. Continue reading
Caroline Cooke is Policy Manager at BGS and Premila Fade is BGS’s End of Life Care Lead. Here they explain the background to, and significance of, the report published by the Law Commission, “Mental Capacity and Deprivation of Liberty” on 17 March 2017.
What are DoLS? The Deprivation of Liberty Safeguards (DoLS) are a set of protections for adults who lack the mental capacity to consent to deprivation of their liberty by, for example, admission either to hospital or a care home for treatment or care. They were introduced as part of the Mental Health Act 2007. The intention behind their introduction was to ensure that no-one is deprived of liberty without good reason, and the right of legal challenge is built into the authorisation process. The idea was to close the so called ‘Bournewood gap’ whereby adults admitted informally (i.e. not via the Mental Health Act) did not have an automatic right to appeal. The European Court of Human Rights (HL v United Kingdom) ruled that this lack of safeguards was a breach of article 5 ‘The right to Liberty’ of the Human Rights Act. Continue reading
Professor Tahir Masud is President-Elect of the BGS and heads the Clinical Gerontology Research Unit at Nottingham University Hospitals NHS Trust.
Sustainability and Transformation Plans (STPs) were announced as part of NHS England’s NHS planning guidance 2016/17 – 2020/21. These documents created a new funding environment for NHS providers that aims to achieve collaboration by bringing together commissioners and providers of health and care services to support delivery of the NHS Five Year Forward View. To receive funding providers have to demonstrate that they have worked with each other, commissioners, the public and local authorities to create plans that will address the three gaps identified in the Forward View: 1) health and wellbeing, 2) care and quality and 3) finance and efficiency. Continue reading
This blog is the collaborative work of BGS President-Elect Prof Tahir Masud and his team Aneesha Chauhan, final year medical student, University of Oxford and Sanja Thompson consultant physician, Geratology department, University of Oxford.
Everyone has experienced loneliness. Acutely, it is a transient, often mild experience that is relieved by meaningful social interaction. However, we are living in an epidemic of chronic loneliness. More than three quarters of GPs in the UK say they see between 1 and 5 lonely people a day. Furthermore, recent prevalence data revealed that 30% of the elderly are “sometimes lonely” with 9% suffering from severe loneliness. It is being increasingly recognised that loneliness is a pathological state, with its own epidemiology, risk factors, presentations, and increased mortality and morbidity. Continue reading
Professor Martin Vernon qualified in 1988 in Manchester. Following training in the North West he moved to East London to train in Geriatric Medicine where he also acquired an MA in Medical Ethics and Law from King’s College. He has been the British Geriatrics Society Champion for End of Life Care for 5 years and was a standing member of the NICE Indicators Committee. In 2016 Martin was appointed National Clinical Director for Older People and Person Centred Integrated Care at NHS England.
While celebrating successful ageing we must not be led into complacency. There is marked inequality between least and most socioeconomically deprived areas with men living on average up to 8 years less in the most deprived areas.
The NHS England Five Year Forward View notes that support for frail older patients is one of the three areas that the NHS faces particular challenges. It is therefore potentially game-changing that we are now making positive steps towards addressing this through routine frailty identification and promoting key interventions targeted at falls risk identification and medication review. Continue reading
Dr Christine McAlpine is a geriatrician and stroke physician in Glasgow, Chair of the British Geriatrics Society Scotland Council and the geriatric medicine speciality adviser to the Chief Medical Officer for Scotland. She chaired the multiprofessional group which produced the Healthcare Improvement Scotland Standards for the care of older people in hospital, published in 2015. She tweets at
Health care for older people is core business for the NHS. Getting health care right for older people helps ensure we get it right for everyone. Today the BGS publishes ‘Effective healthcare for older people; Principles and Standards‘, with a particular focus on those living with frailty.
The Principles and Standards are for the health care of older people in any setting – not only for geriatric medicine wards, but for all of the health care departments older people may encounter – Emergency Medicine, ophthalmology, gynaecology etc – across the spectrum of care.
The concise 4-page paper includes core standards for care delivery and reminds us of the principles enshrined in human rights and equalities legislation. It outlines principles of health care for older people including effective, accessible and timely care; autonomy, choice and person centred care; and ensuring safety and dignity. Continue reading
Hospital in Bridgend, Wales. He is a care of the elderly physician with an interest in Parkinson’s Disease and movement disorders.
Organised by the Policy Forum for Wales, this event which was held on 19 October, provided the Welsh Government, and other agencies, the opportunity to engage with key stakeholders and discuss public health policy issues that particularly affect Wales. This seminar was about involving health and social care senior policy makers in developing a vision for Wales and bringing together multiple organisations (public sector, voluntary and third sector) to have a dialogue about how best to influence the Welsh Government’s health and social care policies.
The day was kicked off by chair Mr Huw Irranca – Davies AM, with a cross party group on cancer introducing the theme of the day. This was followed by brief from Professor Siobhan McClelland on current trends in health care in Wales including a £700 million gap in the budget for health and social care (10% of the total health budget). She emphasised that service configurations should be decided according to local need rather than by committee or Government mandate. Continue reading
Dr Eileen Burns, who takes office today as the new President of the British Geriatrics Society, has called for public recognition that older people facing delays in discharge from hospital are the victims of underfunding of social care and not ‘the problem’. Dr Burns is urging members of the public, and media, to reject pejorative terms like ‘bed blockers’ and urge the Government to give social care the priority it deserves.
Dr Burns is only the second female President since the Society was founded in 1947. She has been a consultant geriatrician in Leeds for twenty-two years, and is an expert in community geriatrics. The primary focus of community geriatrics is to reduce admissions to hospital, and prevent delayed discharges and re-admissions, by ensuring that older patients receive adequate and appropriate care within their community.
Accessible social care is a key factor in reducing hospital admissions and delayed discharges for older people. According to research published earlier this month by Age UK, the number of older people in England who don’t get the social care they need has soared to a new high of 1.2 million – up by a staggering 48% since 2010. Continue reading