The Wyre Forest Working Group For Older People

1
The Wyre Forest Working Group For Older People

• Planning for the future .

2

• Group formed in 2001- response to NSF for Older
  People
• 10 year programme
• 8 standards related to promoting older peoples
  health and independence and medicines management
• Membership diverse, involving users and OP
  champion directly, voluntary and statutory
  services
• PCT Working Groups reconfiguration - 2005
• Working Groups now include, LTC, Unscheduled Care

3
AchievementsNSF

• Standard 1 Rooting out age discrimination
• Standard 2 Person centred care
• Standard 3 Intermediate care
• Standard 4 General hospital care
• Standard 5 Stroke
• Standard 6 Falls
• Standard 7 Mental Health in Older people
• Standard 8 The promotion of health and active
  life in older age
• Also - medications management

4
Standard 1 - Age discrimination
Gaps identified
Achieved so far

• All policies have been scrutinised to ensure no
  ageism
• Older Peoples Forum established
• Champion for Older People Carol
• User involvement on working groups
• Kerry Price - work on safeguarding adults

• Audit to identify overt/covert age discrimination
• Staff induction training - awareness raising -
  has started
• Access to medication for vulnerable older people
• Adult Protection Strategy? to model childrens -
  ? resource implications

5
Standard 2 - Person centred care
Achieved
Gaps

• Single assessment process implemented
• PALS -monitor OP complaints
• Information needs of users
• Integrated continence service
• User representation

• Future funding of OP forum?
• Scrutiny findings and future work
• Dignity in care settings
• Carers issues - integrated carers strategy?

6
Standard 3 - Intermediate care

• Gaps
• Mental health access to intermediate care

Achieved

• Development and continued success of Wyre Forest
  Community Unit and Intermediate Care
• Reablement / The Woodlands
• Extra care housing
• Homecare changes

7
Standard 4 - General hospital care
Achievements
Gaps

• Acute hospitals - holistic care for OP project
• AE rapid response
• Medicines Management
• Stroke services
• Awareness and training
• OP champions

• Integrated falls prevention service
• Single assessment implementation
• Improve clinical care standards

8
Standard 5 - Stroke
Achieved
Gaps

• Stroke pathway
• Audit of stroke care
• Documentation - countywide assessments used
• Health promotion opportunities
• Expert patient programme
• Reducing risk
• Info stands and BP checks

• Stroke co-ordinator - develop integrated service
  between acute and community
• Local stroke beds
• Stroke follow-up assessment
• Web site
• Staff training to implement
• dysphasia screening tool
• Staff training to increase specialist skills

9
Standard 6 - Falls
Achievements
Gaps

• Multi-disciplinary falls service
• Risk assessment/ screening tool
• Staff training events
• Rehabilitation
• Assistive technology pilot

• Integration of falls prevention service
• Falls co-ordinator
• Osteoporosis screening
• Osteoporosis training
• Co-ordinate exercise classes available

10
Standard 7- Mental Health
Achievements
Gaps

• Adoption of depression and dementia protocols by
  GPs slow, but not found to be adversely
  affecting access for patients
• Access from primary to secondary care to be
  reviewed
• Resourcing issues identified from MH strategy
• Lucy Baldwin re-development plan progressing
• Mental health care in emergency care/
  intermediate care

• WF Mental Health LIT, joint commissioning
  strategy
• Older Adult Mental Health Strategy completed
• Integrated Community Mental Health Team
  established
• Mental Health promotion event
• Protocols for dementia and depression management
  agreed
• Counselling service for gt 65s (previous age
  limit removed)

11
Standard 8 - The Promotion of health and active
life in older age
Achievements
Gaps

• Flu immunisation
• Above national target of 70
• Breast screening incs gt 75s
• Affordable warmth scheme
• Showcase of Services for Older People - annual
  events, including benefit advice, lifestyle
  information
• Multi agency involvement
• SSAFA, Age Concern, Extend programmes, Nurse
  Adviser health promotion programme, District
  Council - active communities, walking for health,
  healthy schools, 5 a day, smoking cessation.

• Road safety for older people
• Disabled facilities grant - prioritisation of
  need
• Map exercise class availability specific to older
  peoples needs
• Ethnic elders needs
• Rural transport

12
Standards for Better Health

• Core domains
• Safety
• Clinical and cost effectiveness
• Governance
• Patient focus
• Accessible and responsive care
• Care environment and amenities
• Public health

13
SHA priorities

• Health inequalities
• cancer waiting times
• smoking cessation
• 18 week wait for acute OPA
• Choose and Book
• Sexual Health
• MRSA

14
LIT priorities 2006
15
Have we missed anything??