The Borders Pharmaceutical Care Project aims to prevent avoidable medication related hospital admissions (e.g. falls, adverse drug reactions), optimise medicines use, reduce the number of potentially inappropriate medicines prescribed, enhance integrated working between Health and Social Care to enable safe medicine administration, and support others to identify patients at high risk of medication related adverse events.
Very few patients had an anticipatory care plan in place should they become unwell and none had a plan should their informal carer become unwell or unavailable. There were often separate plans in both Health and Social Care and sometimes access to the required information out of hours was difficult or the information just unknown, potentially resulting in short term care home admissions and avoidable hospital admissions.
The Golden Games in Aberdeen City won the 2013 UK Award for Health & Wellbeing at the Association of Public Service Excellence.
The Golden Games tackled attitudes about what older people can still actively participate in, linked participants into ways to continue activities sustainably and at little or no cost. In particular the Games included teams of participants from nursing homes, to underline that, in principle, nobody was too old/too frail to participate. Some participants were carers who received indirect support from participation.
The project allows early intervention with customers providing a range of services aimed at decreasing their reliance on medical or other statutory provision. Many of the customers were socially isolated and did not know how or where to access services and community supports OPAL allows for the customer to gain information about local social activities, lunch clubs and advice and information on such issues as benefits, income generation, housing, support for carers and volunteering.
Client accommodation was unsuited for older person safe independent living (first floor, no lift, many steps, poor layout)
Person was frightened by thought of moving; family has pressed to ‘go into a home’ – clearly not older person’s preference.
GP confirmed suitable ground floor accommodation meant no need for move to care home or similar
Greatest barrier was older persons fears – how could I manage to move, how can I afford to move, how do I deal with everyone (who?), how do I pack / unpack. Do I have to give up independence because I am too old to cope.