1. West Lothian Community Health and Care Partnership Frail Elderly Programme Introduction – Marion Christie, Head of Health Data Label : Internal

2. The problem £

3. The solution Whole pathway redesign – across both acute and community – meeting the health and care needs of frail elderly adults – a quality, financially sustainable and cost effective service provision – reducing hospital admission and re-admission and minimising delayed discharge Data Label : Internal

4. The four main projects 1.Frailty capacity modelling in West Lothian 2.Comprehensive Geriatric Assessment & Frailty pathway in Hospital 3.Supporting Health and Care in the Community 4.Mental Health for the elderly redesign Data Label : Internal

5. What will success look like Hospital – An ideal flow (or as near to it as possible) – Reduced bed demand – No unnecessary delayed discharge – Financial efficiency Community – Cost effective integrated provision – Adequate supply of care at home provision – Affordable care at home provision – Financial efficiency Data Label : Internal