National Service Framework for Older People

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• National Service Framework for Older People

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Standards

• Rooting out age discrimination
• Person-centred care
• Intermediate care
• General hospital care
• Stroke
• Falls
• Mental health
• Promotion of health and active life

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No Age Discrimination

• No unfair discrimination against older people in
  getting NHS or social care services
• Older people representation and designated
  champions
• Scrutiny of age based policies by October 2001

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Person-centred Care

• Older people treated as individuals with dignity
  and respect
• single assessment across agencies and integrated
  care
• Involvement in decisions about care
• Reviews of information about services by April
  2002

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Intermediate Care

• Reduce avoidable hospital admission
• Help timely discharge promote effective
  rehabilitation and recovery
• Minimise premature or avoidable admission to long
  term care
• No longer than six weeks, must be free of charge
  to service users
• Examples Rapid response team (and
  Poulton/Pensall House?)

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General Hospital Care

• Shorter waiting times in AE
• Involvement in discharge planning
• Access to specialist teams
• Nurse specialists
• Better trained staff and better care
• Improved hospitals cleaner wards
• 120m to convert Nightingale wards

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Stroke

• Action to prevent strokes
• Access to specialist stroke units
• Better care, better outcomes - reduced death and
  disability
• Co-ordinated rehabilitation - improved chances of
  regaining independence
• Support for carers

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Falls

• Improved prevention
• Improved access to local health promotion
  services
• Specialist assessment and co-ordinated action to
  reduce risks
• Identification and treatment of osteoporosis
• Co-ordinated rehabilitation

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Mental Health

• Mental health problems identified and managed
  actively
• Improvements in early diagnosis and treatment -
  depression and dementia
• Best cost effective drug treatments
• Specialist services for older people
• Support for carers

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Active Healthy Life

• Promotion of health and well being -smoking
  cessation, flu immunisation
• Programmes co-ordinated between NHS and local
  authorities
• Wider initiatives exercise services, healthy
  eating, Keep Warm, Keep Well campaign, Home
  Energy Efficiency Scheme, income maximisation

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Lead Responsibility

• Discrimination WHA / Wirral MBC
• Person-centred PCT / Wirral SSD
• Intermediate care B WW PCT
• General hospital Wirral Hospital Trust

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Lead Responsibility 2

• Stroke Primary Care Trust
• Falls Wirral MBC
• Mental Health PCT / Community Trust /
  Wirral SSD
• Health Promotion WHA / Wirral MBC

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Key Themes

• Higher profile for the ageing agenda
• A chance for older people to have their say
• Real leadership and ownership of the initiative
  at the political and chief officer level
• Increasing co-ordination and integration of
  health and social care

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Hello Mrs Jones, weve come to do your assessment
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We can do it better than that.
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National Service Framework for Older People