Community Geriatrics #3 Enhanced care in Care homes

Moderators; Ms Nicky Hayes and Ms Heide Baldwin  

On Demand Case Presentations - Please watch the case presentation linked below in advance of this live session. Presenters from the cases will join us live to discuss their services and cases.
 

• 14.00 Platform presentation  683  Understanding how discharge services for older patients can bridge the gap between hospital, community and social care

Elaine O'Connell Francischetto; Janet Jones; Kerry Allen; Gill Combes; Sarah Damery

14.15 Live panel discussion with panelists from the Cases from sites around the UK  

• Enhanced health for care homes in Hammersmith and Fulham: cases for  frailty liaison matron and MDT  intereventions. 

Dr Pandora Wright,Consultant geriatrician, Imperial healthcare Trust, Dr Sophie Batt, GP trainee special interest care homes, Dr Louise Cavanagh,  GP Ms Rawlda Downes, Frailty Liaison Matron, ICHNT

Description of  how longstanding fragmentation of care in local large care home contributing to increasing reliance on non elective and prolonged admissions to secondary care,  has been addressed by multifactorial approach- namely introduction of an outreach Trust frailty liaison matron, improved MDT working , stakeholder collaboration and training, and shared IT. Case examples from liaison matron and GP trainee  will illustrate effectiveness  

• Implementing a new enhanced multidisciplinary care service in care homes in Tower Hamlets during the Covid -19 pandemic

Dr Eva Tan, Consultant Geriatrician, Royal London Hospital

Prior to the pandemic, geriatrician input was face to face and on a smaller scale. After the first wave, as a result of enhanced funding, a more structured approach was implemented to deliver remote multidisciplinary care into all care homes in Tower Hamlets.      

•  80% reduction in 999 calls to our NH - working with YAS

Dr Rod Kersh,Consultant Geriatrician, Rotherham

I have been supporting a local 90 bed nursing home as a partner at Manor Field Surgery in Maltby. In one and a half sessions a week I review the residents of the care home and support multidisciplinary working, comprehensive geriatric assessment, advance care planning and admission avoidance. Avoiding uncessary hospital attendances by frail older people is fundamental in ensuring wellbeing!

• Advanced Care Planning in Care Homes

Dr Anna Down, Clinical Lead, Argyle Care Home Service; Dr Graham Stretch, Chief Pharmacist, Argyle Health Group; Dr Annabelle Lee, SpR, Charing Cross Hospital, London; Dr Kate Senger, Consultant Geriatrician, Ealing Hospital; Dr Sukhdeep Chahal, ST1 GP Registrar; Grace Birch, Pharmacist      

•  Management of Delirium in a Hospital at Home Service

Dr Catherine Butchart, Consultant Geriatrician, NHS Grampian (Aberdeen Royal Infirmary); Pamela Allan, Occupational Therapist, NHS Grampian

This will cover the challenges and opportunities, clinical learning and service learning from the case, patient outcome and feedback from family      

•  Establishing Geriatric specialist input into care homes, Poole

Dr Abigail McGinley,  Specialist registrar in geriatrics, Poole General Hospital; Dr Hannah Judd, Specialist registrar in geriatrics, Royal Bournemouth Hospital      

•  Community movement disorder service in Salford

Dr Theadora Jones, Consultant Geriatrician, Salford Royal NHS Foundation Trust Carol Miller, Parkinson’s disease specialist nurse, and Dr CK Lim, Consultant Geriatrician 

• How the Enhanced Health in Care Home Programme formed the basis of our emergency response during  COVID-19

Louisa Forbes, Consultant Nurse, Cornwall and Isles of Scilly Health and Care Partnership