What was the issue you were addressing or working on?
Avoiding unnecessary admissions to hospital by supporting community-based alternatives to hospital admission.
What you did?
The Change Fund supports a community geriatrician post at the Royal Alexandra Hospital working across hospital-based and community health services. The post provides early assessment at day hospital and rapid access clinics as means of comprehensive geriatric assessment and admission avoidance. The post holder also provides specialist advice to GPs, to the Rehabilitation and Enablement and District Nursing Services and Care Homes.
The rapid access specialist clinics take referrals from GPs and advise the community health services of alternatives to hospital admission when appropriate. The post holder participates in quarterly meetings where hospital and community health and care staff meet to consider operational improvement areas in services and pathways for patients
What were the outcomes - benefits or otherwise?
Older people have rapid access to hospital-based assessment services without having to be admitted to hospital unnecessarily. Community health staff have speedy access to specialist advice in provision of treatment and services for older patients. The post is currently funded to the end of the Change Fund programme.