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

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

Prof David Oliver

Royal Berkshire NHS Foundation Trust

By 2030 men aged 65 will live on average to 88 and women to 91

51% more over 65, 101% more over 85

Ageing, health and care

Key facts and figuresNot all doom and gloomShift to prevention, wellbeing, inequalitiesImplications for population healthImplications for servicesIncluding urgent and emergency careOlder people as “core business”Spend, efficiency, variationQuality and care gapsIntegration, disintegration, care co-ordinationIntegrate around the person before worrying about structures/organisations etc

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

What could have happened differently to support Mrs Andrews and her husband ?

Pre-crisisAround 999/out of hoursAt EDIn AMUOn ward(s)In discharge planningIn capacity and responsiveness outside hospitalIn seven weeks post dischargeAround care home respite admission

6 March (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

10 components of care

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

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

10 components of care

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

Thank you

[email protected]

[email protected]

Prof David Oliver [email protected]