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Interface geriatrics

Interface geriatrics. Simon Conroy Head of Service/Senior Lecturer, Geriatric Medicine University Hospitals of Leicester Speciality clinical director, Leicestershire Partnership NHS trust. Why this is important. Evidence-based, educational solutions For frail older people

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Interface geriatrics

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  1. Interface geriatrics Simon Conroy Head of Service/Senior Lecturer, Geriatric Medicine University Hospitals of Leicester Speciality clinical director, Leicestershire Partnership NHS trust

  2. Why this is important • Evidence-based, educational solutions • For frail older people • Integrated whole systems perspective • ‘Team without walls’ • Aligned to NHS priorities • Holistic, generalist approach • Interdisciplinary team working

  3. What we did… • Vertically integrated services for frail older people • Focussed comprehensive geriatric assessment, including social care • At and across the interfaces; • Coordinated and communicated • Horizontal integration (emergency department (ED) and geriatrician (GER)) • Whole system, collaborative leadership

  4. MDT Triage Trajectory Transfer Elderly frail unit (EFU)/Frail Older People’s Advice & Liaison Service (FOPAL) Specialist care Bed-based rehabilitation/ reablement In-patient CGA Intermediate care How we did it Frail older person in crisis SPA – clinical discussion Liaison

  5. Multi disciplinary team (MDT) Triage Trajectory Transfer Elderly frail unit (EFU)/Frail Older People’s Advice & Liaison Service (FOPAL) Specialist care Bed-based rehabilitation/ reablement In-patient Comprehensive Geriatric Assessment (CGA) Intermediate care Frail older person in crisis SPA – clinical discussion Liaison

  6. ED performance 2010-12: people 85+

  7. How we kept it going • Whole system focus on frail older people • Clinical Commissioning Groups (CCGs), psychiatry, social care • Cost savings • Acute - £0.5M • Community - £0.75M • Profile and capacity raising • Fellowship in Emergency Geriatric medicine • GP fellowship in Interface Geriatrics • Emergency medicine curriculum changed • IHI fellowship, Harvard

  8. How we spread the message Dissemination Research • Evaluation of interface geriatrician role • Programme grant of emergency care of older people • Health service & delivery research (HSDR) grant on acute care of older people • External visits • Silver Book • ED curriculum • RCP acute care toolkit • BGS activity • Publications • Today! Research

  9. Summary • Urgent care = older people • Whole system solutions required • Vertically integrated • Holistic & interdisciplinary • Underpinned by robust communication and cooperation

  10. Contact details http://www2.le.ac.uk/departments/cardiovascular-sciences/people/conroy/the-silver-book/the-silver-book/ or spc3@le.ac.uk Thanks!

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