East Midlands Clinical Senate Dr Ben Pearson
East Midlands Clinical Senate “Commissioning services for an ageing population and those living with frailty”
Advisory reports: Physical activity and exercise medicine
Commissioning services for an ageing population and those living with frailty
A mandate for change “The NHS must change to meet the needs of a population that lives longer, for the millions of people with long-term conditions, and for all patients who want person centred care. It means breaking down the boundaries between family doctors and hospitals, between physical and mental health and between health and social care.” - Simon Stevens
Complexity … 6 Memory clinic Optician New dentures Cardiologist outpatient appointment Waiting list for hip replacement Multidisciplinary Falls Clinic Social care needs assessment
A new paradigm 7
The demographic imperative 8 Admitted falls with complications £47,442, Admitted falls with complications £78,754,
The demographic imperative 9 Admitted falls with complications £47,442, Admitted falls with complications £78,754,
Frailty 10
Regional examples 11 Neighbourhood teams Frail Elderly Assessment Team Community teams Integrated health and social care model Care Home quality improvement
Commissioning services for an ageing population and those living with frailty 12