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Changing care systems for people with frailty

Professor John Young  National Clinical Director for Integration and Frail & Elderly Care at NHS England opened today’s Falls Prevention and Management in Older People conference with a presentation focusing on:

• improving care and services for older people 
• ensuring all clinicians acquire the knowledge and skills appropriate for safe and competent care of older people with comorbidities and frailty 
• improving integration and joined up working

Prof Young's full presentation is available for download at the end of this page.

In his presentation Prof Young discussed the national picture regarding changes in the health service; specifically the triple integration agenda which is trying to merge health and social care, physical and mental health, and primary and secondary care.  There is current consideration as to where falls services fit in and how they can be better funded following a national audit of intermediate care which found the main reason for referrals is falls. This highlights the need for falls prevention and management and there is a focus on frailty in the NHS giveing older people living with frailty a better care experience.  A 'new' narrative is to consider fraility as a long-term condition and take a patient centred approach.  AgeUK has produced healthy ageing literature which looks at acting in your 70's for greater independence in your 80's and includes a falls focus.

John Young trained at the Middlesex Hospital, London. He was appointed as a consultant geriatrician in Bradford, West Yorkshire in 1986 and has devleoped numerous new services including an elderly care assessment unit; a stroke unit; and an ortho-geriatric unit. In 2005 he was appointed as Head of the Academic Unit of Elderly Care & Rehabilitation, University of Leeds, now one of the largest  elderly care health research units in the UK. Current research work includes multi-centre trials in stroke, delirium and dementia care, and studies involving older people with frailty and care home residents. Quality improvement work includes the national audits of intermediate care and of dementia care. Between 2001 and 2007 John was seconded to the DH to assist with the National Service Framework for Older People. He has been chairman of the British Geriatrics Society English Council, and was Chairman of the NICE Clinical Guideline Development Group for delirium He is currently seconded to NHS England as National Clinical Director for Integration and Frail Elderly.

Future events of interest:

Measuring, Understanding and Acting on Patient Experience Insight
Friday 29 January 2016 
Hallam Conference Centre, London

Masterclass: Developing your Leadership Skills
Tuesday 2 February 2016 
Hallam Conference Centre, London

Measuring & Monitoring Clinical Quality
Wednesday 3 February 2016 
ICO Conference Centre, London

Hip Fracture: Meeting the NICE Quality Standard and Learning from the NHFD Findings
Tuesday 1 March 2016 
Hallam Conference Centre, London

Setting up and running an Effective Falls Service
Tuesday 26 April 2016 
ICO Conference Centre, London

Download: Prof John Young full presentation

2 December 2015


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