Rick Strang RN is Emergency Care Improvement Lead at Isle of Wight NHS Trust in England. When not involved in all types of emergency care Rick is usually finding innovative ways to avoid household chores.
Most of us across acute care have been involved in late night bed pressures that call for that dreaded decision to need to move some patients around between wards. Typically we see the only beds available to be surgical ones whilst the demand is for acute medical beds. Moving acute medical patients directly to these outlying beds from the emergency department (ED) may present too much of a risk. Lower acuity patients from acute wards are therefore often sought out to be transferred into these surgical beds thus making way for the more acute ED demand. End of Life (EoL) patients seem particularly at risk of being moved, which can be very distressing for families, friends, the patient and the care teams. Continue reading →
Prof Paul Knight is President of the BGS and is Director of Medical Education and Consultant Physician at the Royal Infirmary, Glasgow.
The Future Hospital Commission (FHC) has published its report and recommendations for ensuring that hospitals are designed around the needs of patients. The report recognises that older, frail and more complex patients with multiple long term conditions are the main patient group cared for in modern hospitals. It is critical that we meet the needs of these vulnerable individuals.
The FHC places welcome emphasis on the importance of Comprehensive Geriatric Assessment (CGA) but at the same time there are significant workforce implications for the expanded use of CGA in general hospitals.
Dr Simon Conroy is Head of Geriatric Medicine, University Hospitals of Leicester, Honorary Senior Lecturer, University of Leicester and an Associate Editor for Age and Ageing journal.
Some 300 physicians (geriatricians, acute physicians, emergency physicians), and some paramedics and primary care staff gathered at the Royal College of Physicians on the 26th June 2013, to discuss the topic de jour – acute care of older people.
Prof David Oliver is a Consultant Geriatrician in Berkshire and a visiting Professor in Medicine of Older People at City University, London. He is President Elect of the British Geriatrics Society.
Since leaving my role as national clinical director at the end of last year, I have found myself seconded for day a week to the NHS Emergency Care Support Team and to the Kings Fund alongside my clinical day job. In this new capacity, I have gone into a number of busy acute hospitals or health economies to review care pathways for older people. It has been fascinating to meet so many hard-working colleagues and to see the similarities and differences in how older people’s services are delivered. A key focus in these visits is ensuring that – whatever the issues may be with external delays waiting for “step down” community services or social care – we do, as hospital teams whatever we can internally to minimise delays in our own care pathways. Continue reading →