1. Population ageing and urgent activity
Population ageing and urgent activity. “Admission prevention” as one part of a bigger story
Prof David Oliver
Royal Berkshire NHS Foundation Trust

2. 51% more over 65, 101% more over 85

3. Ageing, health and care Key facts and figures Not all doom and gloom
Shift to prevention, wellbeing, inequalities
Implications for population health
Implications for services
Including urgent and emergency care
Older people as “core business”
Spend, efficiency, variation
Quality and care gaps
Integration, disintegration, care co-ordination
Integrate around the person before worrying about structures/organisations etc

5. From Kings Fund report 2012 on Emergency Bed use in Older People

7. What could have happened differently to support Mrs Andrews and her husband ?
Pre-crisis
Around 999/out of hours
At ED
In AMU
On ward(s)
In discharge planning
In capacity and responsiveness outside hospital
In seven weeks post discharge
Around care home respite admission

8. 6 March (wide official endorsement) free at www. kingsfund. org
6 March (wide official endorsement) free at Solutions set out here and in key references
Conferences with all slides available on 22 October 2013 and 18 June 2014

9. Recognise multiple interdependencies and transitions. End silo-thinking. Focus on the “what” less than the “where and by whom”
10 components of care

10. For each component Goals Current situation What we know can work
In conducive local environment
Key references and guidelines
Practical recent examples from UK services

11. Recognise multiple interdependencies and transitions. End silo-thinking. Focus on the “what” less than the “where and by whom”
10 components of care

12. Thank you

13. Prof David Oliver