professor david melzer university of exeter medical school
TRANSCRIPT
Elderly patients squeezed into window bays on hospital wardsElderly patients are being kept in cramped window bays on hospital wards that have no alarm bells, proper curtains or lights, according
to the latest in a series of inspection reports. The Telegraph 14 Jul 2011Martin Beckford, Health Correspondent,
Organise urgent care better, NHS told
By Nick Triggle Health correspondent, BBC News The King's Fund review focussed on
how to reduce admissions and lengths of stay among patients needing urgent care 9
August 2012
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.
Elderly NHS patients' harrowing plight is revealed in reportSome elderly patients were given no help
to eat or left in urine-soaked clothes,
according to the health service ombudsman
Denis Campbell, health correspondent
The Guardian, Tuesday 15 February 2011
Thousands of patients leave hospital
malnourished
Almost 200,000 NHS patients left hospital
malnourished last year, it has emerged,
raising questions about food standards on
wards. Rebecca Smith, Medical Editor
22 Jan 2010
As a country, how successful has England and the UK been in preventing later life disease and disability?
How well are we delivering high quality medical treatments for the common disabling diseases of later life?
Section 1: Population, disease prevalenceSection 2: Health risks Section 3: Quality of care for common conditionsSection 4: Older people’s experiences
Our focus prevention or treatment of common conditions
Having a clear connection to the well-being of older people
Based on substantial research
Representative of large segments of the ageing population
Based on reliable, preferably nationwide data
Easy to understand by a wide range of audiences
Balanced, so that no single area dominates the report
Source data: General Lifestyle Survey, ONS 201151
Figure 20: Smoking trends in men and women aged 50+ years, England, 1974 - 2009
0
10
20
30
40
50
60
Perc
enta
ge sm
okin
g cig
arett
es
Year
Men 50-59Men 60 and overWomen 50-59Women 60 and over
Common mental health disorders in the community
6.8
3.9 3.8
98.6
7.2
2.7 2.92.2
5.5
3.62.9
1.50.4 0.5
2.21.6
2.1
0
1
2
3
4
5
6
7
8
9
10
55-64 65-74 75+ 55-64 65-74 75+
MEN WOMEN
Perc
enta
ge
Age group
Mixed anxiety and depressive disorderGeneralised anxiety disorderDepressive episode
Source data: Adult Psychiatric Morbidity in England, 2007: Results of a household survey16. Copyright © 2011, Re-used with the permission of The Health and Social Care Information
Centre. All rights reserved
Prevalence of common mental health disorders in the past week in men and women aged 55 + years, England, 2007
category Number of indicators
% achieved
General medical 17 74%
Older people (geriatric) 15 57%
Screening and prevention 5 80%
Diagnosis 6 60%
Treatment follow-up 21 64%
AgeUK advocacy
Updated web resource on quality of care for older people
Study of the oldest old: ◦ GP & hospital data on centenarians etc◦ Prescribing
Monitor key quality areas over time
Advice to people to help with quality? ◦ E.g. AHRQ “20 tips to reduce medical errors”
◦ 1. Make sure that all of your doctors know about every medicine you are taking.
◦ 19. If you have a test, do not assume that no news is good news.