KEY FACTS AND FIGURES ON CARE FOR FRAIL OLDER PEOPLE

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Health and social care spend on people aged65 and over, with at leastone long term conditionis increasing and iscurrently around

(£15 billion for those over 75)£30 billion

people aged 65 and over live incare homes, where average age is 85 and prevalence of dementiaover 70%

960,000 people aged 65 or over act as unpaid carers and

only 93,000receive support services

The number of carersworking more than

a week has doubled 50 hours

Over

414,000 people

In Scotlandimplementing telehealthand telecare cost around

providing grossbenefits valued at

80,000sheltered housing spaces and

67,000will be needed in London by 2041

care home places

£10 million

£48 million

The NHS funding gapis predicted to grow to

by 2021£30 billion

do not have a relevant qualification

Of the 1.56 million adult social care workers

almost 40%

In the next 20 years numberof UK over 65s are projectedto rise nearly

50%

1% in 1985,2% in 2010, 5% in 2035

Populationover 85

Over 65s accountfor

unplanned A&E admissions

2 millionOver the past 5 years A&E attendances for over 80s have

and those conveyed by ambulance by

increased 65%

75%

AN INTEGRATED MODEL OF CARE FOR FRAIL OLDER PEOPLE

AVOIDING ESCALATIONOF CARE

multidisciplinary teams of primary, community and social care staffworking together across the traditional boundaries

INTERMEDIATE CARE

PROMOTING RETURNTO HOME CARE POST ESCALATION

HOSPITAL CARE

HOME CARE

manage risk

plan for dischargeon admission• Trigger frailty patient alert on admission including alerting MDT discharge team

• Engage social care and adopt co-ordinated discharge plan on admission

promote selfmanagement• Support patients and carers to self-manage by providing guidance, education materials and advice service

• Use technology assisted support where indicated

early intervention• Commission prevention and early intervention strategies targeted at those with greatest need

• Provide all over 75s with annual health check

• Joint GP and consultant led service including consultant led community clinics and enhanced support to care homes

admit only when needed• Implement a referral gateway to control referrals and appropriate hospital use

• Priority access to diagnostic tests for patients at risk

better enablepatients to return home• Develop frailty pathway protocols to support efficient transition from hospital into home/intermediate care

• Multi-disciplinary team (MDT) agree on medical needs, post discharge

• Agree discharge plan with patient and carer

• Assign dedicated social worker to each patient on risk register to advise on eligibility and provide social care packages

enhance efficiencyof acute treatment• Provide access to patient records from multiple settings via IT solutions

• Implement a hospital frailty pathway including geriatric assessment and medication review

• Identify and register all patients over 75 and stratify according to risk of hospitalisation

• Develop electronic alert system to flag risks with all local providers ideally via shared electronic patient records

Provide hospital service via intermediate & primary care• Provide hospital input to primary care and care homes via technology e.g. telehealth

• Deliver hospital at home or other re-ablement service

• Upskill community and primary care workers