Judith Bennion - Nurse Manager (General Medicine)

A Recipe for Care - Not a Single Ingredient

Judith Bennion - Nurse Manager (General Medicine)

TRUST STRATEGY

“Two clinically sustainable hospitals within a financially viable teaching Foundation Trust that puts patient care first”.

• Locally there is an increasing ageing population.

• Older People are cared for across the organisation.

• There have been many National Drivers for improving care for Older

People

- the National Service Framework for Older People (2001) - (9 standards).

- a New Ambition for Old Age (2006) - (3 themes).

Judith Bennion - Nurse Manager (General Medicine)

There are five key elements:• Early intervention and assessment of old age conditions.

- Diagnostic, Assessment, Access to Rehabilitation and Treatment (DAART).

- Falls Risk Assessment (FRASE).

- Achieving Person Centred Care for Older People - Champions Programme.

• Long term conditions managed in the Community.

- Chronic Obstructive Airways Disease Clinical Nurse Specialist (COPD CNS).

- Community Matrons in the Primary Care Trust.

• Early supported discharge.

- Multi-disciplinary Team (MDT).

- Progress Meetings.

- COPD CNS Service.

• Access to acute hospital care when needed combined with access to specialised centres.

- DAART and the Care Co-ordination Centre (CCC).

- Dedicated Rehabilitation and Stroke Units.

• Partnership Model.

- Excellent MDT working embedded in the culture of the organisation.

- Care of the Elderly Wards have satellite offices for the MDT.

- Nutrition, Protected mealtimes / Student Nurse Pilot.