Lovely to see @l_whyte at the #bgsconf today in Glasgow!

Lots of great work in @NHSLanarkshire on #Frailty and their work as a community multidisciplinary team. 👏👏
There is research evidence to back up what’s being done. GPs and Primary Care Teams can do this, but don’t have time so having the MDT is working well.

#bgsconf
Lots of progress being made and connections strengthened.

#bgsconf
The interventions are the sorts of things you might expect, but the impressive thing is that the team made them happen.

Proactive, logical and relevant.

Well done @l_whyte and the team!

#bgsconf
The team visited older people at home identified using the electronic Frailty Index. A word cloud illustrates some of what they do but there’s a lot more to it even than this!

#bgsconf
Lots of #Polypharmacy reviews which is generally a good plan for everyone.

#bgsconf
Anticipatory Care Planning is key to good care. The Lanarkshire team demonstrated an improvement here which was excellent.

#bgsconf
Use of the eKIS (electronic Key Information Summary) is very varied around the country. It’s well used in Lanarkshire though!

👏👏👏 #bgsconf
Patients liked having the multidisciplinary assessment in Lanarkshire. Though sometimes they found the assessment quite long!

#BGSconf
I’ve not come across Force Field analysis before. I quite like it though!

The bubbles in blue are the biggest forces for and against change.

#bgsconf

Always good to learn new things!

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More from @Trisha_the_doc

May 6
Some further slides from today’s #bgsconf, this time on Pharmacy support to care homes.

Spoiler: it is a bit variable! ImageImageImageImage
It’s particularly variable how many care homes each Pharmacy team is supporting…

#bgsconf ImageImageImage
So what are the roles undertaken by Pharmacy teams in #CareHomes?

Lots of different things!

#bgsconf Image
Read 6 tweets
May 6
A lovely presentation from Dr Pam Seenan on her team’s work with the Beatson Oncologists to improve care of older people with cancer.

Geriatric Oncology is a whole new sub specialty.

Call the COPS! (Cancer of Older People) team.

#bgsconf ImageImageImageImage
Funnily enough, having a Comprehensive Geriatric Assessment helped people a great deal!

Well done team! 👏👏👏

#bgsconf Image
The team worked with the Maggie’s centre to develop classes and holistic care for the patients attending the Beatson Oncology Centre.

#bgsconf ImageImageImage
Read 8 tweets
May 6
Well that was truly awesome. A presentation from a medical student Maddie Pritchard from Aberdeen on the effects of social deprivation on outcomes for frail older patients.

A complex subject! #bgsconf #SDOH (social determinants of health). ImageImageImageImage
I’ll tweet some of Maddie’s graphs. Some fascinating results, that aren’t straightforward to explain….

#bgsconf Image
Check them out. It’s complicated because frail people in some parts of Scotland are younger than in some other parts. So judging outcomes related to age and frailty vs deprivation is complicated.

#SDOH #bgsconf ImageImageImageImage
Read 5 tweets
May 6
A very interesting account from my colleague and friend, Dr Jane Bishop Miller, at the #bgsconf.

Talking about the #COVID19 pandemic and their local response but a few key findings to share. ImageImageImageImage
Interesting results. The clinicians usually guessed right when the patient did or didn’t have #COVID19.

#bgsconf ImageImageImage
More results. Patients referred with possible #COVID19 had a whole variety of diagnoses!

#bgsconf ImageImageImage
Read 5 tweets
May 6
Next up at the #bgsconf meeting is @GrahamEllis247, talking about the Older People’s Strategy.

How do we address the health inequalities that afflict our country so badly?

#SDOH #inequality
So many challenges. Older people are often discriminated against and yet are also often quite passive in accepting what they experience.

#bgsconf
Older people are most likely to breach the #FourHourTarget in the #EmergencyDept.

#bgsconf
Read 26 tweets
May 6
One of the most inspirational people on my Twitter timeline is @Lyndseydunn7.

Now talking here at the @GeriSoc #bgsconf on delirium and how we need to identify it and manage it in the real life situations we see every day.
It’s very impressive to see what Lyndsey and the @NHS_Lothian team have achieved with their programme.

#Delirium
#bgsconf
We know what the definition is for #delirium, yet the language used in clinical records is often poor. Well said, @Lyndseydunn7 !

#bgsconf
Read 9 tweets

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