Identifying older people at risk of admission/ readmission to hospital. High rates of multi-morbidity in older population. Evidence suggests that ‘anticipatory’ discussions with older people with long term conditions regarding their future care choices can reduce avoidable admissions
To engage the community by taking a coproductive approach to work with the NHS and D&G Council to identify what services could look like in the future and to understand all the issues in the communities.
Users of the previous traditional home care service received a service that operated in a culture of ‘doing things for’ people that reinforced deficits and increased dependency. This ‘locked in’ resources with people who had the potential to improve their confidence, self esteem and independence while demand for the service was increasing because of the growing numbers of older people. In addition, there were financial pressures on the local authority.
East Dunbartonshire has the highest ratio of older people in Scotland. The percentage of population with dementia in the area is also greater than the national average and is expected to increase even further.
The clinic model contributes to a more efficient use of existing services through enhanced co-ordination of the existing resources of all of the partner organisations. They deliver flexibly and sensitively the type of advice and support that people with dementia have told us they need.
Carer burn-out or extreme fatigue has often been anecdotally cited by carers themselves as the lead cause for the cared-for being moved on to institutional hospital care, often viewed as an avoidable hospital admission.
This can often lead to poor personal outcomes for both the cared-for and the carer. Tackling this in a preventative manner has allowed carers to retain their physical and mental well-being, supporting them in the longer term in their caring role.