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Population ageing and urgent activity. “Admission prevention” as one part of a bigger story

Population ageing and urgent activity. “Admission prevention” as one part of a bigger story Prof David Oliver Royal Berkshire NHS Foundation Trust. 51% more over 65, 101% more over 85. Ageing, health and care. Key facts and figures Not all doom and gloom

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Population ageing and urgent activity. “Admission prevention” as one part of a bigger story

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  1. Population ageing and urgent activity. “Admission prevention” as one part of a bigger story Prof David Oliver Royal Berkshire NHS Foundation Trust

  2. 51% more over 65, 101% more over 85

  3. Ageing, health and care • Key facts and figures • Not all doom and gloom • Shift to prevention, wellbeing, inequalities • Implications for population health • Implications for services • Including urgent and emergency care • Older people as “core business” • Spend, efficiency, variation • Quality and care gaps • Integration, disintegration, care co-ordination • Integrate around the person before worrying about structures/organisations etc

  4. From Kings Fund report 2012 on Emergency Bed use in Older People

  5. What could have happened differently to support Mrs Andrews and her husband ? • Pre-crisis • Around 999/out of hours • At ED • In AMU • On ward(s) • In discharge planning • In capacity and responsiveness outside hospital • In seven weeks post discharge • Around care home respite admission

  6. 6March (wide official endorsement) free at www.kingsfund.org.ukSolutions set out here and in key references Conferences with all slides available on 22 October 2013 and 18 June 2014

  7. Recognise multiple interdependencies and transitions. End silo-thinking. Focus on the “what” less than the “where and by whom” 10 components of care

  8. For each component • Goals • Current situation • What we know can work • In conducive local environment • Key references and guidelines • Practical recent examples from UK services

  9. Recognise multiple interdependencies and transitions. End silo-thinking. Focus on the “what” less than the “where and by whom” 10 components of care

  10. Thank you D.Oliver@kingsfund.org.uk David.Oliver@royalberkshire.nhs.uk

  11. Prof David Oliver david.oliver@royalberkshire.nhs.uk

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