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”
Prof David Oliver [email protected]
