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A research assistant from Bournemouth University aims to recruit up to 20 volunteers (working with older people in the community in Dorset) to use the Nutrition Wheel with older people they come into contact with. Data will be collected on the number of people the Nutrition Wheel was used with and likely risk of undernutrition, and focus groups / telephone interviews will be held to obtain qualitative feedback on the use of the Nutrition Wheel (e.g. ease of use, understanding the instructions etc). We will also use volunteers / care navigators working in Hampshire (through contacts with previous projects) to trial the Nutrition Wheel. In addition, we are currently validating the four
No information on this yet.
Organisation:
Wessex AHSN
Project contact:
Anne marie Aburrow
The scheme supports older people in rural areas, assisting them to access information and the support services they need. As an active member of their local community a Village Agent directs people to the information about such things as day care, foot care, computer training, transport for shopping and medical appointments, finding reputable tradespeople and help around the home. Village Agents operate in a variety of ways, from supporting individuals in their own homes, to running drop in advice clinics at local community venues, to organising social and well-being activities that encourage people to remain active and avoid loneliness and isolation.
The VA service aims to promote independent and healthy later lives; to assist people to be active in their communities; to maximise income to enable older people to afford the help they need, and to take part in leisure activities, thus tackling social isolation, promoting mental health and preventing decline.
Organisation:
Age Concern Hampshire
Project contact:
Peter Johnson
Communicare in Southampton is a charity that can help anyone who needs support in particular those who have little or no support from elsewhere. We help through befriending and supporting isolated people across the city. Our new project is to organise 12 community tea parties throughout the year particularly focusing on sheltered housing and residential warden controlled accommodation. The events will include activities to promote physical and mental activity promoting health and well-being.
This project is ongoing. Improving social networks and reducing loneliness by providing opportunities for people to meet and develop friendships, between peers or intergenerational. It will increase physical activity for older people by having activities as part of the afternoon tea events
Organisation:
Communicare in Southampton
Project contact:
Faith Kenny
Web Link:
www.communicareinsouthampton.org.uk
Time of your Life is a project aimed at looking forward to retirement and it was a collaborative approach with Southern Health Geriatrician, primary care and commissioners to put together a Z card to promote 10 top key messages to concentrate on in preparation for retirement. 1)Think about your current health and wellbeing needs, 2)understanding ageing is natural, 3)Keep moving, 4) Stay in touch with friends, family and your local community 5)Be Creative, 6)Prevention is better than cure, 7)Think about Finances, 8)Make home work for you, 9)Get everything in order, 10)Plan your care.
The campaign has been well received across both public and private sector events attended especially around giving the Z cards out on pre-retirement courses. It is still an ongoing campaign with Pull Up
Organisation:
West Hants CCG
Project contact:
Bernadette White
Connect to Support Hampshire is an online information and advice guide and directory of services for adults with care and support needs who live in Hampshire. This website is intended for all residents who want to find out about local groups, activities and services within the community as well as formal care provision. It is also intended for people who may wish to arrange their own care provision.
To enable residents to quickly identify assets within their community to help them live independently for longer.
Eat, Drink, Move is part of a national initiative linked to #endpjparalysis and #last1000days looking at how we can value every moment of our patients
The project is ongoing and has so far been rolled out on our Medicine for Older People wards (MOP) and the Acute Medical Unit (AMU). The percentage of patients dressed in their own clothes has risen from 26% up to 44% at its best. Those out of bed has risen from 47% to 77% at its best. More than this though we are promoting a change in culture and attitude and slowly we are starting to see a real shift in this. During March, April and May 77 patients were seen by mobility volunteers on MOP a total of 129 times. This can be for bed/chair exercises or mobility and helps prevent deconditioning during their inpatient stay.
Organisation:
University Hospital Southampton
Project contact:
Sasha Smith
Email:
Sasha.smith@uhs.nhs.uk
This project investigates the concept one medicine to prevent OA and uses clinical veterinary cases to investigate the use of stem cell injections into the knee of animals with OA as a proof of concept for further investigation in human clinical trials. The animals are clinical cases and have OA, which is essentially similar to that seen in humans. Different sources of stem cells are being investigated, which include bone marrow derived stem cells and adipose derived stem cells. After charaterisation these cells are injected back into the knee joint and the results assessed.
So far over 40 clinical animals have been treated with with either adipose derived or bone marrow derived stem cells and the results are being assessed.
Organisation:
University of Portsmouth/UCL/ Fitbionics
Project contact:
Gordon Blunn
Email:
gordon.blunn@port.ac.uk
The pilot is designed to bring health care services into the 15 care homes selected for the pilot. The part delivered by Southampton primary care Ltd is seeing residents and offering comprehensive geriatric assessments for each resident, medication reviews, long term condition reviews, sign posting to other services. Our team compromises a ANP, GP, HCA, Physiotherapist, OT and Dietician.
Enhance access to healthcare for residents in care homes
A pilot project exploring the benefits of weekly occupation-focused social groups held for older people who may live alone or in isolation in Wiltshire and the surrounding areas. The groups will be facilitated by a therapy outreach
The project is in its final stage, the outcome measures focus on: wellbeing, loneliness and occupational participation. Subjective feedback will also be gathered from the participants which will contribute towards shaping future service provision.
Organisation:
Salisbury NHS Foundation Trust
Project contact:
Claire Downs
Email:
claire.downs1@nhs.net
I am evaluating the project as an employee of the University of Portsmouth. It is a 3 year project to develop a range of outdoor activity projects along the coast and in parks for inactive Grandparents aged 55+ to get active with their family and friends. The project will identify best practice in intergenerational delivery for these audiences and test the effectiveness of reaching older people through family influencers and the use of non traditional settings and programmes.
The overarching project outcome measured through the primary Key Performance Indicator (KPI) is to work with 1500 people aged 55+ who will be supported to meet KPI 2 (moving over the 30 minute MIE physical activity threshold per week and staying active)
Organisation:
Havant Borough Council (funded by Sport England)
Project contact:
Simon Hasted
We provide information and advice to any older person, their family, friends, carers or neighbours, on services and activities available to them. We can carry out benefits checks and assist with applications including form filling. We advise and assist on aspects of finances, housing, care and support, health care issues, transport, carer support, consumer issues, help in the home and legal information. We can assist people find reliable tradespeople and practical help. We provide information over the phone, via email and face to face including home visits where needed.
To promote independent and healthy later life, assist people to be active in their communities, and maximise income to enable older people afford the help they need, and to take part in leisure activities, tackling social isolation, promoting mental health and preventing decline.
Organisation:
Age Concern Hampshire
Project contact:
Suzanne Gill
Hip replacement is a successful intervention that treats end stage osteoarthritis. However around 8,000 hip replacements per year in the UK are revisions of failed primary implants. Revision hip replacements are not as successful and failure due to loosening and infection are more common. An autologous stem cell glue, which is sprayed onto the implant surface at surgery, has been developed. This glue contains antibiotics and stem cells, which combats infection and enhances implant fixation. This invention is about to go into a clinical trial at the RNOH
The glue has been developed and the effectiveness has been proven. A clinical trial which will take another 2 years is been developed at the RNOH in Stanmore Middlesex and at the Nuffield Hospital in Oxford.
Organisation:
NTL biologica
Project contact:
Gordon Blunn
Email:
gordon.blunn@port.ac.uk
Web Link:
http://ntlbiologica.com/about/
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These classes are specialist exercises classes. They are 1 hour long and are aimed at varying demographics. The different categories of classes are as follows: for older adults (65+) , those with reduced balance and mobility, for those living with MS, with Parkinson's, with effects of a Stroke. All the classes are physiotherapy led and accompanied by a therapy assistant and/or fitness instructor.
To deliver safe and effective intensive appropriate exercise to specific groups in society, improving quality of life and independence whilst following medical guidelines and evidence based practises.
Organisation:
N/A
Hobbs Rehabilitation
Project contact:
Caroline Taverner
Web Link:
www.hobbsrehabilitation.co.uk
Inter generational food offer with neighbourhoods so people can grow, buy, cook and eat together.
To be published
Organisation:
Southampton Primary Care Ltd
Southampton City CCG
Project contact:
Adrian Littlemore
Email:
alittlemore@nhs.net
Communicare in Southampton is a small local charity, based in the heart of Southampton, we are a friendly, neighbourhood charity that enriches the lives of lonely and isolated people in and around the city.The new project 'Hospital Homecoming
This project is ongoing. We hope to improve loneliness, isolation and wellbeing for the community and reduce readmissions to hospital and pressure on the local GP surgeries. We aim to create the community feel throughout Southampton where people look after people and reduce over reliance on stretched services.
Organisation:
Communicare in Southampton
Project contact:
Hannah Silver
Web Link:
www.communicareinsouthampton.org.uk
A project spanning primary and community services to give a model for the ongoing case-finding for frail patients from various sources. It also shows a way to approach to care planning to enable primary and community services to enter data on the same template
The project was summarised in a formal report which can be used to apply any or all of the different facets to care. It is a toolkit which is available in paper or electronic format and there is currently work to disseminate it from Weymouth & Portland where it was trialled, to further across Dorset.
Organisation:
Dorset Healthcare and Dorset CCG
Project contact:
Laura Godfrey
To improve the patients
To maximise engagement of frail older people through partnership working & offer evidence based interventions to reduce inequalities in health and well-being. To improve health by providing a secure, nurturing and stable environment for them as an in-patient. To be a conduit between health and voluntary sector.
Organisation:
Age Concern Hampshire
Project contact:
Yvette Christian
Facilitated meetings were funded and lead to the establishment of a monthly clinic for people living with frailty. A consultant physician works alongside a social care lead in a GP surgery with access to the GP, a mental health care lead, and the community team. It is an integration of health and social care. Patients are identified by all members of the community team and referred via the GP. A combination of mobility problems, carer needs and often memory problems was the best indicator of frailty. Patients had an holistic assessment over one hour then half an hour social care advice. Carers and relatives were involved at all stages and social care input was given for the home environment, benefits and advanced care plans and respite arrangements. Initially set up with goodwill this became a service reconfiguration with no additional cost the NHS.
Over the last two years approximately one hundred patients and carers (usually also patients) have been supported. Involvement of carers is key as is the use of primary healthcare records with appropriate templates to transfer the records of each involvement organisation. Evaluation has shown reduced GP usage and GP cost savings. Qualitative research has shown positive feedback from all patients, carers and staff with reports of improved quality of life and admissions prevented. The next stage step is a Hampshire wide approach catering for all aspects of frailty from prevention to crisis and end of life care.
Organisation:
West Hants CCG
Park and St Francis Surgery
Project contact:
Mark Rickenbach
Reablement is the process by which people are supported to recover from a period of illness. National best practice is to discharge people from hospital into their own homes with reablement support services and then, when needed, to commission longer term care from home. This model reduces length of stay in hospital for patients who no longer need to be admitted and enables long term care needs to be reviewed once the patient is back at home. In response to on-going poor DToC performance within the West Hampshire system and a recent CQC inspection plus external report from Newton Europe it was recognised that a strategic priority was to adopt a
Due to the change in pathway (it is now shorter and more efficient with fewer agencies involved during the patient
Organisation:
Hampshire County Council
University Hospital Southampton
Project contact:
Rachael Leyland
Tri Locality Care (TLC) Ltd has launched a Project, commissioned by West Hampshire CCG, to identify vulnerable patients and those at high risk of hospital admission and manage this caseload both proactively and reactively to maintain care outside of hospital, as appropriate. There will be strong links and close working arrangements in place with the community care team, the integrated care team, social and voluntary sector organisations as well as secondary care when needed. The team have been working with University Hospital Southampton FT and the Community Emergency Therapy team.
The service was launched in August 2018 so is at a very early stage. The aim for the Emergency Department Therapy team is to identify 1-2 patients that would benefit to be signposted to the service non urgently to reduce the ongoing need for admission. Services provided include bereavement support and accessing support.
Organisation:
West Hants CCG
Tri Locality
Project contact:
Bernadette White
Patients over 80 identified within the Pitstop environment within the Emergency Department or via GP admissions are pulled by a Geritrician into a frailty assessment area which is supported by a multi disciplinary team. The service presently runs Monday to Friday 9 am - 5pm.
Reduction in patients length of stay within the Emergency Department
Earlier commencement of a geriatric comprehensive assessment, including earlier decision making.
Patients transferred to the ward most appropriate to their needs, reducing frequent bed moves.
Where appropriate, focus on getting patients home.
Improved patient and carer experience
Organisation:
University Hospital Southampton
Project contact:
Gayle Strike
Email:
Gayle.Strike@uhs.nhs.uk
By measuring the number of care plans in 6 care homes and intervening to write care plans. Training staff to ask questions and to generate care plans on admission
Organisation:
Southern Health NHS Foundation Trust with Primary Care
Project contact:
Esther Clift
Email:
esther.clift@nhs.net
This project measures the extent of polypharmacy by
undertaking a PDSA cycle,
reviewing and evaluation of change and measuring against admission data
Organisation:
Southern Health NHS Foundation Trust
Project contact:
Esther Clift
Email:
esther.clift@nhs.net
Implementation of the Comprehensive Geriatric Assessment (CGA) process in an acute hospital improves
quality of discharge for people living with frailtyimproves
quality of discharge for people living with frailty
When a CGA is commenced and continues throughout admission, those patients who may be at risk of problems following discharge can be identified and followed home. Clinical monitoring can occur to ensure patient continues to improve giving reassurance to the patient, relatives and clinicians. This can save bed days. Multiple questioning of the patient on return home is avoided. Longer term issues such as social isolation, nutrition, hydration, equipment issues are addressed with onward referrals where appropriate. More information on the project outcomes in attached poster.
Organisation:
University Hospital Southampton
Project contact:
Harnish Patel
Email:
Harnish.Patel@uhs.nhs.uk
Implementing the Comprehensive Geriatric Assessment (CGA) at University Hospital Southampton
Use of the Admission Proforma for Older People at the time of clerking has enabled the process of CGA to be implemented in an acute setting in a format that is acceptable to the medical team and the wider MDT. The proforma has been well received and will be rolled out across division for complex patients in all medical specialties. Further work needs to be undertaken however, to develop the use of the proforma across all parts of the MDT. This will also lead to a decrease in the number of times a patient is asked the same question. Frailty scoring is not currently occurring meaning that data collection for this demographic remains difficult. There are plans with the acute trust tomandate the use of the CFS across all departments. Futher details on the attached document.
Organisation:
University Hospital Southampton
Project contact:
Harnish Patel
Email:
Harnish.Patel@uhs.nhs.uk
Patients over 75 often with complex co-morbidities are not getting access to specialist geriatric assessment and care planning early enough across HHFT. As a result some are being admitted unnecessarily or staying longer than they medically require. They are subject to multiple moves, multiple assessments and significant levels of deconditioning. This can have an adverse impact on patient outcomes.
Organisationally this causes delayed transfers of care, increased bed occupancy and puts significant pressure on the available bed capacity across the trust. This situation is no longer sustainable.
At BNHH we will aim to increase the number of 0 day discharges for frail patients by September 2019.
Frailty refers to patients with 1 or more of the 5 frailty syndromes: falls, immobility, delirium, incontinence and polypharmacy.
Key Principles
• 24/7 pathway for frail older patients
• Earlier specialist intervention
• Comprehensive multidisciplinary assessment in an appropriate environment
• ‘Home first’ principle
• Prevention of deconditioning
• Integrated model in collaboration with community partners (SHFT)
Objectives
• Increase the number of frail patients being seen in emergency department.
• Reduce the time taken to recognition of frailty diagnosis
• Reduce the time taken to initiation of CGA by a further 50%
• Reduce the number of over 75yrs admissions by 10% within 1 year
• Increase patient/carer satisfaction with regards to frailty pathway
Results of this project will be shared following completion
Organisation:
Hampshire Hospitals NHS FT
Project contact:
Alison McGinnes
Project aims for safer discharge of older and vulnerable people;
Improve the quality of live and independent living;
Reduce readmission rates
Qualititive evidence shows a positive effect on the service and welbeing of both volunteers and service users.
Communicare to develop and expand referral services
Target prolonged inpatient areas as opposed to short stay areas
Opportunities for volunteers to share experiences together.
Organisation:
Communicare in Southampton
Project contact:
Annie Clelow
What matters most to the patient
Devising individualized, patient led management plans addressing the management health care conditions through social prescribing to achieve their stated goal.
Caseload finding through GP note finding screening those with moderate frailty score, long term conditions (HF, high BP, diabetes, COPD, CKD) codes. 39 patients identified, nursing homes and severe cognitive impairment not approached, 3 declined, 10 patients visited.
To delay a decline in frailty, hospital admission avoidance, reduce patient GP + OOH contacts. Details and case studies to follow.
Organisation:
Dorset Healthcare University Foundation NHS Trust
Project contact:
Emma Gardner Community ANP tel. 01747 475253
Email:
emma.gardner3@nhs.net
Social welfare checks via Phone, “Hello Southampton”
https://communicareinsouthampton.org.uk/newly-launched-hello-southampton-needs-volunteers-for-check-in-calls-to-vulnerable/
Organisation:
University of Portsmouth &
Communicare
Project contact:
Annie Clelow
We complete baseline frailty assessments for generally housebound patients. We have had to change assessment process to be questionnaire based first to limit time in peoples homes
To be published
Organisation:
N/A
Two Harbours Healthcare Limited
Project contact:
Laura Godfrey
Admission avoidance in Dorset
Amy Hassan was seconded to Dorset Health Care in January 2020 to project lead Integrated Conveyance Avoidance Scheme (ICAS), an innovative approach, looking at therapist and paramedics working together to reduce conveyances to emergency department (ED) and to provide the right care, in the right place and that right time. Key to the project was to develop a holistic centred approach to patient care with a view to scale up the service, pan Dorset wide.
Due to the onset of Covid-19, the project was put on hold, due to the unpredictability of the pressures on South West Ambulance Service and therapy teams. However, Amy was able to run a 5 day service over 10 weeks from April 2020 to trial an alternative concept for East Dorset locality.
Amy took this opportunity to look at an alternative way of providing the planned service and enlisted support from a consultant nurse currently working in primary care but who had a background in acute intensive care setting. Amy managed to get support from integrated urgent care service from Dorset and were offered use of one of their urgent response cars and filled it with basic therapy equipment, medication, medical equipment and raizer chair to assist patients off floor.
Amy and her team effectively utilised the 111 CAS (clinical assessment service) and SPoA (Single Point of Access), making direct links with the paramedics who could call her and her team for advice or request joint visit. This enable shared practice and learning and support to the paramedics in clinical decision making but also to enable them to leave the scene earlier to respond to other calls.
They worked closely with the 111/SPoA clinicians to refer patients to the service but also proactively screened throughout the day to pull off the triage list. This also identified a future need to have direct access to 999 lists to support reducing ED conveyances and offering an alternative pathway.
Over 10 weeks the service achieved 95.7% non-conveyance to ED. 85% of the cases seen were due to falls, but often presenting with very complex acute medical issues or complex therapy social issues. Out of those falls cases 80 % of those avoided a conveyance to ED. A wide range of patients were seen including patients presenting with COPD, SOB, Chest pain, HF, Falls Dementia.
Patients received a holistic assessment looking at the social, psychological and physical needs of the individual, with direct access to medication, access to care, community therapy, provision of equipment to enable the person to remain in their own homes.
Since then the service has now been commissioned by Christchurch Primary Care Network, providing a urgent response service to patients with in the Christchurch locality. Direct links with Christchurch ambulance station, GP practices, Community teams, voluntary services and care homes have been made to provide integrated timely, holistic care to patients. We have our own urgent response car as well with the same therapy and medical equipment used in the pilot.
“I was so fortunate to be given the opportunity by Dorset Health Care to pilot an urgent response service during Covid-19 and prove the concept of a holistic approach to patient centred care to reduce number of conveyances to ED. It has been so well received by everyone and really proved how to fully integrate across all the different services to provide the right care. I am really lucky to now continue this work as an OT/Clinical manager for Christchurch Primary Care Network”
As part of a wider group (looking at end to end system wide Frailty Pathway) we have begun working on an acute frailty pathway to implement early identification (screening at front door) and holistic overview assessment (CGA) to identify key risk and needs and facilitate timely discharge and handover of care to the most appropriate community teams. The programme is reviewed and modified through a PDSA cycle.
Ongoing implementation however at this stage the data is encouraging. Increased compliance with screening at front door, opportunities identified and actions taken to prevent admission, increased implementation of anticipatory care plans etc.
Community dwelling older people living with frailty can decompensate resulting in crisis (e.g. fall, sudden loss of mobility, delirium) This results in emergency call outs via carers, family or emergency call lines to their own GP or an emergency ambulance. In conjunction with South Central Ambulance Service we created a mobile triage team to provide rapid on site triage. This determined how ill the patient was, and the current impact on ADL function. Information was fed back to an experienced clinician to determine the best immediate management plan with the aim of avoiding unnecessary hospital admission.
Following completion of a successful project from March 2017 to December 2017in which we saw 326 patients 192 were looked after at home and 81 were admitted to hospital. The service has now been commissioned by West Hampshire CCG. This has resulted in expanding the team in both size and skill mix to cover the whole New Forest area over a 7 day period. We have clinical hubs at Lymington, Fordingbridge and Totton to allow integrated working with our GP colleagues, and community services.
Organisation:
Southern Health NHS Foundation Trust
Project contact:
Debbie Crewe
Reactive: managing people through a phase of acute decompensating of frailty to enable them to stay at home safely. Referrals coming from GPs and SCAS as well as the on call consultant at Lymington Hospital
Proactive: supporting Care Homes in managing people living with frailty and ensuring robust escalation of care plans are written and agreed with residents and their families Care homes selected on their need for proactive support.
Reduced unplanned hospital admissions (through Emergency Departments) and facilitating care at home with high level of clinical support and diagnostics.Enable more people to achieve their preferred place of care at end of life.
Organisation:
Southern Health NHS Foundation Trust with Primary Care
Project contact:
Esther Clift
Email:
Esther.clift@nhs.net
Research into the role of ACP working with older people during Covid-19
Contact mboard@bournemouth for more details and to take part
To be published
Organisation:
N/A
Bournemouth University
Project contact:
Michele Board
Email:
mboard@bournemouth@ac.uk
We are a relatively new team that has been set up to manage the expanding Frailty caseload. The practice has a population of 43,000 patients. At the moment approximately 1500 patients are managed. This includes severe, moderate and mild Frailty, and also encompasses vulnerable groups such as learning disabilities and mental health. We have a Care Coordinator who manages the Frailty Line- a direct phone number set up to allow patients to contact the team/practice directly. The team carry out proactive holistic 'top to toe' assessments and conduct follow up reviews ongoing to ensure patients feel supported.
The main aim of the service to stabilise patients and encourage self-management, but also to prevent hospital admissions by advance care planning.
Organisation:
N/A
Camrose Gillies and Hackwood Partnership (North Hampshire CCG)
Project contact:
Annabelle Eastwood
At Hampshire Hospitals Foundation Trust (HHFT) we identified a need to address the issue of ‘stranded’ delirium patients, patients who had no previous mental health history, had ongoing delirium and were otherwise medically fit for discharge but unable to go home because of their confusion and care needs.
We worked in collaboration with North Hampshire Clinical Commissioning Group (CCG) and Hampshire County Council to pilot a pathway modelled on a three-week structure with assessment being carried out cognitively and functionally in the community by a team made up of a consultant geriatrician, frailty specialist nurse and social worker.
Our experience of the pathway has been a positive one and patient and family satisfaction has been high. This is based on verbal feedback from family members – we have not conducted a structured, qualitative assessment of this.
Although the pathway primarily provides patients with a period of stable assessment within their home we found that patients generally improved on going home both cognitively and functionally with improvement in wellbeing compared with how they were in hospital. This was a subjective observation based on the assessors’ knowledge of the patients while in hospital and review at home. This period not only allowed assessment of the delirium per se, it also gave health and social care a chance to come together to
evaluate care needs going forward for patients.
Organisation:
Hampshire Hospitals NHS FT
Basingstoke & North Hampshire Hospital
Project contact:
Yasir Al-Rawi
Following a successful project in Sutton, Surrey the concept of the red bag has spread to Hampshire and is being trialled in a number of care homes and hospitals across the Winchester and Basingstoke areas. The red bag is a repository for the key items belonging to an individual on admission to hospital. It comprises the care plan and has a space for medication, hearing aids, dentures and other items the person needs to function.
This project was successfully implemented in Sutton and has been evaluated in that setting. Southern Health and the project team are in the process of planning the evaluation to look at reduced length of stay, patient and carer satisfaction, improved communication between care homes and the acute trust
Organisation:
Southern Health
Hampshire County Council
Hampshire Hospitals NHS FT
SCAS
West Hants CCG
Project contact:
Claire Eastick
Testng best approaches and use of perfumes
Test results
Hampshire County Council owns and manages over 23 care homes across the county caring for over 900 people. Hydration has been identified as an issue and following a small trial of Hydrate in Care Homes in a few of their care homes they have decided to spread this to all their Care homes. Hydrate in Care Homes is a set of steps that educates the staff team and introduces resources and processes. In NE Hants and Farnham this approach was evaluated and shown to reduce falls, UTIs and hospital admissions. It was then spread across Kent, Surrey and Sussex and similar outcomes shown. Hants CC has a project team that is implementing this work.
This project is ongoing. It was presented to all the nursing and care homes in April 2018 and was very well received. Training dates are booked in May and the project will be rolled out over the next 6 months. It is being evaluated by Public Health at HCC and by the homes with some assistance from Wessex AHSN.
Organisation:
Hampshire County Council
Project contact:
Maria Hayward
Vastly improved life expectancy, one of the great triumphs of the last century, looks set to be one of the great challenges of this one. Frankl
Project was a thesis for Diplomate status from the Victor Frankl Institute
Following on from an initial project to develop e-learning titled: An introduction to Frailty aimed at all staff that come into contact with patients, we have now developed a further e-learning platform to enable senior staff to treat people living with frailty. This project has been aimed at senior clinical staff including doctors, nurses and AHPs who do not specialise in older people
The project is ready to launch but we are now applying for a grant to evaluate the project in terms of outcomes and potential improvements to patient care. Because this project has been developed for cross professional use it will have benefits for community, acute and primary care.
Organisation:
Dorset Healthcare University Foundation NHS Trust
Project contact:
Cliff Kilgore
Email:
cliff.kilgore@nhs.net
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Organisation:
Queen Alexandra Hospital (Portsmouth Hospitals NHS Trust)
The Mews
Project contact:
Frank Design
We are part of the activity team from Westholme, a Hampshire County Council care home based in Winchester. We are a 74 bed home made up of 34 residential beds, 30 nursing beds and 10 discharge to access beds. We also specialise in dementia.
We started working on the hydration project about 2 years ago, after being selected as a trail home for the Red Cup Project.
The Red Cup project replaced all our glasses with red plastic ones.
Staff were all given a training lesson led by the Clinical Commissioning Groups on the importance of hydration. It was explained the red cups were going to replace the clear glasses and the hope was that resident would take more notice of the red cups and it would remind them to drink.
After this training session the manager appointed the activity team and a member from the kitchen as hydration champions. She also asked what would help staff with promoting hydration. Staff suggested that blenders would be a great help on each unit and smaller jugs so residents would be able to pour their own drinks.
The Red Cup Project went extremely well and we saw a huge decline in the amount of falls & UTIs across the whole care home.
The RCGP is developing GPs with Extended Roles (GPwERs). This includes those GPs previously referred to as GPs with Special Interests (GPwSIs) and the role of GP Extensivist in Dorset. The Dorset System have pre-empted this work and engaged with those currently working as Extensivists and GPwSIs, Nurse Consultant Practitioners, AHP Nurse Consultant Practitioners and Mental Health Practitioners, to identify the necessary development and accreditation pathways to support Dorset’s workforce.
Accredited Frailty Accreditation Pathways.
Organisation:
Dorset Healthcare University Foundation NHS Trust
Dorset Healthcare and Dorset CCG
Poole Hospital NHS Foundation Trust
Project contact:
John Stubbs
Presently across Wessex, there is variation in the understanding of frailty due to the lack of mandatory, formalised, structured training means that colleagues are unable to access standardised training according to their role, resulting in patchy awareness and knowledge.
There is presently no requirement for Trusts to deliver induction or mandatory training relating to frailty. A task and finish group has been set up with local experts to develop a training and awareness programme that will bring together online resources, videos and available information to support the understanding and management of frailty as a syndrome. The training will map to Tier 1 and Tier 2 level Skills for Health competencies.
The project is in progress - updates will be made available via the Healthy Ageing website and quarterly newsletters.
The aim of the group is to develop an education and training resource is transferable across settings, that can also interface with patients and families.
Project focus: To support patients at home to prevent hospital admission, to facilitate early discharge and support those at end of life. Short care only (up to 7 days) providing support with personal hygiene, dressing, food preparation, medication support, care when reaching end of life, basic nursing observation, continence issues, skin care, washing clothes and bed linens. The service is available between 08:00 – 20:00
Maintenance of dignity
Organisation:
Dorset Healthcare University Foundation NHS Trust
Project contact:
Sara Froud, North Dorset Locality Manager tel. 01258 394049
Email:
TBC
Alzheimer Research UK app now available on Health Education England website https://www.hee.nhs.uk/our-work/dementia
To be published
Review of screening rates by ED Frailty Lead and Frailty Interface team.
A comparison of CFS scores for 10 consecutive patient per day during June 2020 by the two different teams to assess variance. Education intervention carried out to improve accuracy of recording.
Screening rates were significantly improved within the ED Department from 60% to 80%, however there is room for improvement in improving the reliability of the CFS identification.
Organisation:
Queen Alexandra Hospital (Portsmouth Hospitals NHS Trust)
Project contact:
Claire Spice
The ageing population is widely recognised as one of the biggest challenges for our future. The Wessex AHSN Healthy Ageing Programme focuses on opportunities to slow the onset of, and reduce the severity of, frailty through innovation and the rapid spread of evidenced best practice. The Healthy Ageing is a visual representation of projects in place in Wessex. This repository will serve as a resource for individuals and organisations collaborating to improve healthy ageing care in Wessex.For more information on the Wessex ASHN Healthy Ageing programme, please visit wessexahsn.org.uk/programmes/35/healthy-ageing and follow us on Twitter @WessexAgeing