[guide.chat] N.H.S Care for the Elderly

From: "Carol O'Connor" <missbossyboots33@xxxxxxxxx>
To: "guide chat" <guide.chat@xxxxxxxxxxxxx>
Date: Thu, 9 Aug 2012 08:05:02 +0100

Elderly people would need to spend less time in hospital if care in England 
were better organised, experts say.
A review by the King's Fund found there was scope to reduce the number of 
overnight stays by 2.3 million.
That would free up 7,000 beds - 6% of the total - saving the NHS nearly £500m a 
year, according to the think-tank.
The figures were based on all hospitals performing as well as the best 25% in 
terms of admissions and lengths of stay for the over-65s who need urgent care.
This group of patients excludes those admitted to hospital for routine 
check-ups and non-emergency operations such as knee and hip replacements.
Instead, it covers the ones admitted via accident and emergency or sent to 
hospital by GPs for urgent help.'Complex' 
The review said the factors underpinning their use of hospitals were complex.
But the think-tank said its work suggested there were some key areas the NHS 
could prioritise to reduce their need for hospital care.
"Start Quote. 
This report shows that driving up quality is not only good for patients but can 
also save the NHS money"End Quote Anne Milton Health minister 
These included minimising admissions by working closely with GPs and other 
health services in the community to help prevent illnesses worsening to the 
point where patients needed emergency help.
The presence of senior doctors at the point of admission could also help reduce 
numbers by ensuring the elderly were channelled to the best services sooner, 
the report said.
Meanwhile, better integration with social care would help speed up discharge 
and, therefore, reduce length of stay in hospital.
Report author Candace Imison said focussing on this issue made sense for both 
the patient and the NHS budget.
"We have the opportunity to significantly reduce the number and length of 
hospital stays for older people," she said.
"This would avoid often destabilising and distressing emergency hospital 
admissions. 
"In a climate where resources are scarce and getting scarcer this will also 
build a model of care that is far more clinically and financially sustainable."
Alex Mair, chief executive of the British Geriatrics Society, said: "Health and 
social care services must adapt to meet the urgent care needs of older people. 
"At the moment services are too fragmented and hampered by poor communication."
He added another key issue was the lack of specialist skills to care and 
support frail, elderly people.
Health Minister Anne Milton said ministers were working hard to reduce 
unnecessary stays in hospital.
"This report shows that driving up quality is not only good for patients but 
can also save the NHS money," she added.
[guide.chat] N.H.S Care for the Elderly

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