1. Improving Care for Older People in Acute Care Penny Bond Implementation and Improvement Team Leader Healthcare Improvement Scotland

3. Key messages Share good practice Integral to person centred care Scale of the challenge – learn together Listen, align, keep it simple Leadership & culture

4. Designing Improvement Sessions to Meet Your Needs

5. To improve the care for older people in acute care by March 2014, by building and spreading improvement in 2 key areas: 1. Care Co-ordination 2. Cognitive Impairment (Think Delirium) To achieve improvements in reliability and person Centred Care. To improve the care for older people in acute care by March 2014, by building and spreading improvement in 2 key areas: 1. Care Co-ordination 2. Cognitive Impairment (Think Delirium) To achieve improvements in reliability and person Centred Care. Cognitive Impairment (Think Delirium) Care Co-ordination Care Co-ordination Leadership and Culture To support a culture of quality and improvement through person centred care approaches Leadership and Culture To support a culture of quality and improvement through person centred care approaches Aim Primary Drivers Secondary Drivers Stocktake of current activity in screening for frailty Reach consensus on appropriate screening tools for frailty in Scotland Test screening tools for frailty to improve compliance with screening and compliance with standardised comprehensive assessment. Share and spread practice in Scotland in the screening for frailty. Stocktake of current activity in screening for frailty Reach consensus on appropriate screening tools for frailty in Scotland Test screening tools for frailty to improve compliance with screening and compliance with standardised comprehensive assessment. Share and spread practice in Scotland in the screening for frailty. Stocktake of current activity in the identification of delirium Develop and test a delirium bundle to improve the identification of delirium Ensure alignment with dementia strategy, Scottish Delirium Association Pathway and NHS Education for Scotland educational resources Share practice in the identification of delirium across Scotland Stocktake of current activity in the identification of delirium Develop and test a delirium bundle to improve the identification of delirium Ensure alignment with dementia strategy, Scottish Delirium Association Pathway and NHS Education for Scotland educational resources Share practice in the identification of delirium across Scotland Improving Care for Older People in Acute Care – High Level Driver Diagram Develop infrastructure to support teams with quality improvement work Promote the work of the Improving Care for Older People work stream Align work with wider older peoples improvement work and person centred health and care work Optimise opportunities for spread Optimise opportunities to learn from and share good practice, including learning from NHS Tayside and NHS Grampian collaborative 95% of patients over 65 will be screened 95% of patients will received standardised comprehensive assessment 300 days between complaints or 50% reduction in complaints 95% compliance with delirium bundle (initial process measure) 95% of patients over 65 will be screened 95% of patients will received standardised comprehensive assessment 300 days between complaints or 50% reduction in complaints 95% compliance with delirium bundle (initial process measure)

6. Learning Session 2 – Person Centred Health and Care Programme 30-31 May 2013 Second Improvement Planning and Engagement Event Sep 2013 Learning Session 3 – Person Centred Health and Care Programme Nov 2013 Learning Session 1 – Person Centred Health and Care Programme Nov 2012 First Improvement Planning and Engagement Event 28 March 2013 Improvement Journey………. Third Improvement Planning and Engagement Event Feb 2014 Improvement Clinic (21 May 2013) Testing and Sharing improvements Scoping Tool development Identification of test sites