Jon Tose Developing a strategy for frailty in South Tyneside Whats - - PowerPoint PPT Presentation

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Mar 04, 2023 187 likes •334 views

Developing a strategy for frailty in South Tyneside Jon Tose Developing a strategy for frailty in South Tyneside Whats the problem? Whats the plan? By 2030, the number of people over 80 will have doubled Emergency hospital

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Jon Tose

Developing a strategy for frailty in South Tyneside

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Developing a strategy for frailty in South Tyneside

What’s the problem?
What’s the plan?

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100,000

200,000 300,000 400,000 500,000 600,000 700,000 Number of admissions

Emergency hospital admissions by age band

85+ 80-84 75-79 70-74 65-69

Over the last decade, some 40%

f the increase in emergency

admissions is from over 65s

By 2030, the number of people over 80 will have doubled…

The rate of emergency readmissions has also grown faster for older people In 2008, there were 1.9 million people with more than one long term condition. By 2026, 3 million people will have three long term conditions Population estimates for frailty: 65-69 = 4% 70-74 = 7% 75-79 = 9% 80-84 = 16% Over 85 = 26%

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The majority of over-65s have 2 or more conditions, and the majority of over-75s have 3 or more conditions

Multimorbidity in Scotland

(Scottish School of Primary Care Barnett et al Lancet May 2012)

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Frailty is loss of physiological reserve

FUNCTIONAL ABILITIES

Independent Dependent

“Minor illness” eg UTI

Frailty syndromes present in crisis Hyper-acute Frailty syndromes:

Immobility
Falls
Delirium
Fluctuating

disability

Incontinence

(Clegg, Young, Rockwood Lancet 2013)

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STRUCTURAL, RELATIONAL & CULTURAL FRAGMENTATION

(SILOS OF PROVISION)

HOSPITALS PRIMARY CARE SOCIAL CARE COMMUNITY NURSING COMMUNITY HEALTH SERVICES MENTAL HEALTH SERVICES NURSING & CARE HOMES AMBULANCE SERVICES PHARMACY HOSPITAL-AT-HOME; “VIRTUAL WARDS; COMMUNITY HOSPITALS; HOME THERAPY TEAMS; COMMUNITY MATRONS; SPECIALIST NURSES; CARE HOME REHAB; PALLIATIVE CARE; “ENABLEMENT” SERVICES, etc, etc…

VOLUNTARY SECTOR

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Does anybody want my patient?

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WHOLE SYSTEMS THINKING

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Remember this?

https://www.kingsfund.org.uk/audio- video/joined-care-sams-story

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Outcomes to Focus On

BEST PRACTICE emergency admission within 30 days [16] HIGH OUTLIER hospital activity within last year of life [19] TOP 3 AREAS For IMPROVEMENT medication reviews [4] polypharmacy [5] unplanned admissions [15]

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Developing a strategy for frailty in South Tyneside

What’s the problem?
What’s the plan(s)?

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