Many older people were being admitted to appropriate wards from an acute medical perspective but were missing the opportunity to benefit from a coordinated comprehensive geriatric assessment which would potentially ensure a better patient journey and reduce the hospital stay.
Improved assessment and care of patients with BPSD and dementia or delirium in keeping with national guidelines. It is recognised that prevalence of dementia, delirium and cognitive impairment otherwise unspecified is high in Geriatric Medicine departments.
Within Inverclyde there are six RSL’s, three of which are national providers which operate specialist housing for disability and older people. There was a lack of a cohesive approach to implementing the local housing strategy across the CHCP therefore dedicated OT time was sought to develop closer working and appropriate processes.
Reviewing and refining processes across services and organisations. Influencing choice based letting to ensure that those who have difficulty engaging with the bidding processes were supported. Working with RSL’s to influence housing allocations and adaptations, and to carry out site surveys to ensure appropriate allocations for those with complex housing needs. Strengthening the links to allow housing colleagues access to CHCP services. Signposting RSL’s to link with 3rd sector organisations to provide social activities within sheltered housing complexes.
To improve the experience of carers of older people through the journey of hospital discharge from beginning to end. Carers expressed views that they felt excluded from the process of hospital discharge and needed to access relevant information and support.