The challenge with NHS @ Home is we are not currently working to keep patients at home.
In the #BNSSG area:
84% of patients could have left hospital earlier. With an average of 16 extra bed days per patient.
In the #BNSSG area:
84% of patients could have left hospital earlier. With an average of 16 extra bed days per patient.
“We can do better”
➡️ frailty and increased care needs are not a surprise.
Patients aged 80+ (3% gen pop) account for 30,000 bed days annually.
#SWPiPC
➡️ frailty and increased care needs are not a surprise.
Patients aged 80+ (3% gen pop) account for 30,000 bed days annually.
#SWPiPC
Quality of life is not just physical health conditions.
15% of patients with a LTC report feeling lonely often.
Vs
4% of patients without a LTC
#SWPiPC
15% of patients with a LTC report feeling lonely often.
Vs
4% of patients without a LTC
#SWPiPC
What is @HosznyakRachael and the frailty team doing in @BNSSG_ICB?
Virtual care + wards.
“Virtual care + wards are not virtual, we see our patients f2f”
Hence NHS @ Home, not virtual ward.
#SWPinPC
Virtual care + wards.
“Virtual care + wards are not virtual, we see our patients f2f”
Hence NHS @ Home, not virtual ward.
#SWPinPC
Why home first?
50% of older adults become incontinent within 48 hours of an admission
Hospitalised older adults spend 20!! hours per day laying in bed.
Patients with high mobility are 5x more likely to be less disabled on discharge Vs those with low mobility.
#SWPinPC
50% of older adults become incontinent within 48 hours of an admission
Hospitalised older adults spend 20!! hours per day laying in bed.
Patients with high mobility are 5x more likely to be less disabled on discharge Vs those with low mobility.
#SWPinPC
Where does the frailty team fit in?
An overlap with community care, with links to the wider MDT and specialists.
All with the same goal to enable support for patients.
#SWPiPC #frailty
An overlap with community care, with links to the wider MDT and specialists.
All with the same goal to enable support for patients.
#SWPiPC #frailty
1 week trail earlier this year with a large MDT taking calls from:
GPs + ambulance paramedics
Patients were discussed by a frailty team inc ACPs + geriatricians.
Enabling clinicians to make those hard decisions.
#SWPiPC
GPs + ambulance paramedics
Patients were discussed by a frailty team inc ACPs + geriatricians.
Enabling clinicians to make those hard decisions.
#SWPiPC
65% of calls to the ‘Frailty Brain’ where the referring clinician thought they had no other option but admit we’re avoided.
The only criteria for ambulance paramedics was frailty score of 5+, no exclusions for trauma, news score or life threatening conditions.
#SWPiPC
The only criteria for ambulance paramedics was frailty score of 5+, no exclusions for trauma, news score or life threatening conditions.
#SWPiPC
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