See and Treat

Examples of Practice

Falls are the most common call received by the Scottish Ambulance Service in Aberdeen, with a mid-morning peak.   The purpose of this project was to maximise the number of Older People who can be supported to remain at home, following a fall.  This is intended to significantly reduce the number of unnecessary hospital admissions for older people.

Read more

Reablement and Crisis Care

Examples of Practice

The re ablement and crisis care service has re-focused its activity to intervene earlier and promote the independence of older people. The new service design has delivered the following improvements

  • 24/7 response to any crisis
  • Fast Track provision of technology and equipment
  • Single point of contact for responding to falls
  • Falls prevention programme
  • Respite for Carers
  • Intensive Re-ablement Programme, building personal resilience
  • Improved alignment of social and health care staff, making better use of resources

Read more

Care Home Peripatetic Liaison Team

Examples of Practice

The Care Home Peripatetic Liaison team have encountered several instances of service users requiring provision of sub-cutaneous fluids (S/C fluids) within the Nursing Home setting.  Service users were admitted to Acute Care setting in order to readdress their hydration deficits and receive treatment that would be deemed more invasive.  In order to support the hydration requirements of residents without the need to transfer to the acute hospital setting, it was recognised that the commencement of S/C fluids would negate/reduce the need for transfer to hospital.  In addition residents would receive appropriate treatment more timely.

Read more

Access to Comprehensive Geriatric Assessment in the Community

Examples of Practice

Anticipating patients that are moving towards a health transition because of emerging health issues.

In Moray we monitor daily the number of patients that are over 65yrs, who attend A&E and are subsequently discharged. We used the Change Fund to second a senior nurse practitioner to work alongside a Consultant Geriatrician to follow up the patients who were discharged. Case studies suggest that early intervention of this type has prevented further deterioration or enabled planned interventions removing the unpredictability of an unscheduled admission.

Read more