Shelagh O’Riordan is a consultant geriatrician and the clinical lead for the National Audit of Inpatient Falls. She was an acute hospital geriatrician in Canterbury in Kent for 14 years but moved in September 2016 to work Kent Community Foundation Trust as a community geriatrician. She developed and runs East Kent Falls and Osteoporosis service. She tweets at @jupiterhouse1
As the clinical lead for the National Audit of Inpatient Falls (NAIF) I have been involved in the development of some new tools to standardise fall prevention in hospitals and they are being launched this month. The first of these was launched on 13/01/17 and is on the measurement of lying and standing blood pressure.
One of the results we found in the last audit round (data collected May 2015) was that on average only 16% of patients over 65y in an acute hospital after 48 hours had had a lying and standing BP recorded! I found this to be a fairly shockingly low number. I’m known, like many geriatricians, to be a bit obsessed with measuring lying and standing BP. 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.
This survey should take no longer than 5 – 10 minutes to complete, depending in the length of your answers. This survey also provides the opportunity to join the Website Consultation Group and/or volunteer to review and update existing materials from the current site. Continue reading →
Advancements in medicine are a great success story, and as a result our patients are living longer, but they are also increasingly living with multiple, long term conditions and that brings a number of challenges for general practice and the wider NHS.
Older patients make up the majority of those attending GP surgeries and acute hospitals so getting the right combinations of care in the right place and at the right time is crucial to avert avoidable admissions and delayed discharge from hospital. Continue reading →
Prof Finbarr Martin is a Consultant Geriatrician at Guy’s and St Thomas’ NHS Foundation Trust and Professor of Medical Gerontology at King’s College London. He is a former President of the British Geriatrics Society.
How good is your department and hospital at preventing your patients falling? About 600 inpatients fall every day. As clinicians, we are fully aware of the injuries that can result from older people falling in hospital and the serious effect a fall can have on their recovery. So what can we do to prevent this happening? NICE guidance suggests we can reduce the number of falls by up to a third. The issue is high on the national patient safety agenda, but we need to be able to gather reliable data to ascertain if greater awareness is leading to the falls rate reducing.
Last year, the London Royal College of Physicians carried out an audit of hospital policies and practice in falls prevention, producing a national picture and a report on each hospital in England and Wales. The audit items were based on guidance from NICE and NPSA. You can access the national report here. Please find the time to take a look at your hospital’s data. Continue reading →
Simon Thomas is an Honorary Fellow of the School of Pharmacy, Keele University and a Director at Prescribing Decision Support – a Keele University spin-out company that delivers knowledge-based e-media systems designed to support healthcare decision making. Most recently, Simon has worked with NICE and Boehringer Ingelheim Ltd on the development of an innovative anticoagulation therapy decision support tool that assists patients and doctors in shared decision-making. Simon can be contacted at firstname.lastname@example.org
Falls and fall-related injuries in older people is a high-risk, high-cost problem. Notwithstanding the considerable human impact – distress, pain, injury, loss of confidence, loss of independence and mortality – falls account for the largest number of emergency hospital admissions for older people in the UK and cost the NHS over £2 billion each year. Continue reading →
The majority of older people wish to remain independent and live in their own homes for as long as possible. Instead maintaining a cruising altitude however, the process of ageing forces many to descend towards dependency and long-term care.
It’s never too late to learn new ways for coping by yourself and to make preparations for independent living in older age. But it is a shame that too often these good intentions are superseded by doubts and avoidance. Continue reading →
Philip Braude is an ST6 in Geriatric Medicine, specialising in perioperative medicine.
Geriatric Medicine: An Evidence Based Approach, edited by Frank Lally and Christine Roffe, is written by an eminent list of international experts condensing key and often difficult issues in modern geriatrics to chapters of a few pages. It aims to be a “clinical reference for health care professionals” but is certainly not a comprehensive geriatric medicine text.
This is the second of two blogs by BGS President David Oliver, focusing on the recent launch of the NHS England Five Year Forward View. Read part one here.
In my blog on 24th October, I described the crucial marker that this document has laid down for the mid-term future of English Health and Care services and the “big picture” implications. Here I want, in the words of the “Dragon’s Den” voice-over, to “drill down” into some of the key features and their implications for fellow BGS members.
Whilst we deal with the consequences of preventable ill health in older age, the report’s focus on prevention across the lifecourse is commendable. We know that there are major inequalities in life expectancy and healthy life expectancy at 65 and that around half of all poor health in older age is attributable to life style factors. So its good to see a clear challenge to government around diet, obesity, alcohol, cigarettes and exercise and the need to move away from “nudge” and “responsibility deals” to more proven preventative interventions. We also welcome the greater focus on local government’s role in reducing social isolation or improving housing for older people. And on the untapped contribution that volunteers can make to helping older people remain connected and active – as well as the benefits for older people who are volunteers. Continue reading →