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
