Signposting: areas of practice and advice

Access to services

Adult safeguarding

Communitybaptistpa

Medical Protection Society

  • Article features a list of of elder abuse to look out for, and advice on actions doctors may take.

National Institute for Health and Care Excellence (NICE)

  • Guidance on .

Patient.co.uk

  • .

Age UK

  •  (pdf) is a legal fact sheet.

Basic care

Commissioning

British Geriatric Society

  • has a number of resources to help support high quality care for older people.

British Medical Association

Communitybaptistpa guidance

NHS England

  • (pdf) is guidance for commissioners and health professionals.

National Institute for Health and Care Excellence (NICE)

  • .

Royal College of General Practitioners

  • The RCGP has developed a on the importance of identifying and supporting carers. The guide is available to download as an interactive PDF.

Social Care Institute for Excellence

  • around areas of commissioning, including mental health,  adult safeguarding,  short notice care home closures and more.

Wales

1000 Lives Plus

  • (pdf). This Esther Network white paper by 1000 Lives Plus contains recommendations for creating a person-centred healthcare system in NHS Wales. The report highlights the case study of Jönköping in Sweden which involves older people known as ‘Esthers’ in planning services.

Co-morbidities in older patients

National Institute for Health and Care Excellence (NICE)

  • for dealing with adults who have depression along with other serious health conditions.

NHS Improving Quality

  • NHS IQ has improvement programmes about .

The Coalition for Collaborative Care

  • The Coalition for Collaborative Care has produced the , a visual representation of the elements that need to be in place to deliver person-centred, coordinated care through care and support planning. Where this approach has been used it has brought benefits for people with long-term conditions and for frontline staff.

Dementia and mental health

End of life care

Communitybaptistpa

  • Communitybaptistpa guidance provides a framework for good practice when providing treatment and care for patients who are reaching the end of their lives.

Gold Standards Framework 

  • .
  • .
  • .

Royal College of General Practitioners

RCGP provides advice, training and clinical resources to  support GPs in .

Macmillan 

  • Macmillan provides extensive advice and training on .

The National Council for Palliative Care

  • The National Council for Palliative Care provides on end of life care in local network branches right across the UK.

NHS Improving Quality 

  •  aims to improve the quality of end of life care in acute hospitals in England.

Exercise and lifestyle for older people

NHS Choices

  • NHS Choices outlines for older people.

National Institute for Health and Care Excellence (NICE)

  • NICE guidance for to promote wellbeing of older patients in primary care and residential homes.

British Geriatrics Society

  • What can older people tell us about therapeutic care as part of falls prevention service? at the Royal College of Physicians.

British Heart Foundation National Centre

  •  (pdf). Practical guidance for those involved in the delivery, coordination, commissioning and evaluation of exercise referral schemes.

Age UK

  • Factsheets on exercises for older people
    •  (pdf).
    •  (pdf).
    •  (pdf).

Welsh Government

  • Information on .

Wales

  • .
    • Welsh Government funded and operated by local authorities for patients referred to them by GPs. Seeks to provide intervention to alleviate long term conditions through exercise
      • Case study from Newport City Council (May 2014) concerning health benefits of scheme for an 80-year old man
      •  (pdf).

Families and carers

Integrated care

Communitybaptistpa

Guidance

Age UK

  • (pdf). Publication which describes the way older people want high quality coordinated care to support them. Intended to be used as an extension to the  (pdf) published by National Voices and Think Local Act Personal, in May 2013.

NHS England

  • NHS England produced new practical guidance in February 2014 –  (pdf).
  •  (pdf). Report commissioned by NHS England on behalf of the National Collaboration for Integrated Care and Support

NHS Confederation

  • is a report which focuses on how to tackle the underlying causes of poor care.

The King’s Fund

  • Short animation:
  • . Report by David Oliver, which makes recommendations about whole system changes necessary for the health service to continue meet older people’s care preferences and goals.
  • draws its conclusions by looking at seven international case studies.
  •  shows case studies of good integrated care in action.

Welsh Government

  • The Welsh Government recently published a  (pdf).
  • announced by Welsh Government provides £50m to support integrated care projects for Older People across Wales.

Prescribing

Communitybaptistpa guidance

British National Formulary (now part of MedicinesComplete)

  • See specific . You will need to register to use this website.

Medical Protection Society

  •  (pdf).

The Health Foundation

  • The Health Foundation has produced a round-up of advice to help you deal with .

The King's Fund

  • Advice on .

Referrals

Tools, tests and checklists for working with older patients

Alzheimer’s Society

  • .
  •  Useful quick guide for you and your patients.

British Geriatrics Society

  •  (pdf) recommends ways in which avoidable emergency admissions can be reduced and the experience of those admitted improved. It considers all the clinical contacts which a patient might have during an emergency and suggests minimum standards and responses for each service including: primary care – in and out of hours; ambulance services; emergency departments; urgent care units – including minor injury units and walk-in-centres; acute medical units and community hospitals. Read it in full or as a  (pdf).
  • .  This multidisciplinary, holistic diagnostic process aims to understand all aspects of older patients to provide them with a suitable plan for long term care.
  • is a checklist is for doctors in charge of the acute care of older patients.

British Medical Association

  • – from the BMA, designed to help you in good decision-making when providing care and treatment for people who lack, or who may lack, the mental capacity to make decisions on their own behalf.
  •   – BMA   toolkit for general practitioners.

Institute for Research and Innovation in Social Services (IRISS)

  • . These cards prompt you and your team to think about whether older people may be at risk of social isolation or loneliness and to think about ways to help them keep connected.

1000 Lives Plus

Wales

  •  (pdf).

Winter pressures - doctors and patients

Reducing hospital admissions

British Geriatrics Society

  •  (pdf) recommends ways in which avoidable emergency admissions can be reduced and the experience of those admitted improved. It considers all the clinical contacts which a patient might have during an emergency and suggests minimum standards and responses for each service including: primary care – in and out of hours; ambulance services; emergency departments; urgent care units – including minor injury units and walk-in-centres; acute medical units and community hospitals.

City Health Community Network - Wales

  • . Information on providing care closer to home in Wales.

The Health Foundation

  • Report  summarising current evidence for shifting acute inpatient and day case services from hospitals into the community. Relevant to commissioners and decision makers in the health service.

The Kings Fund

  •  (pdf).  Considers the research evidence for a range of interventions to avoid emergency or unplanned hospital admissions.

National Audit Office

  • . Report highlighting the increasing demand placed on the health service by avoidable admissions and recommendations to meet the pressure.

NHS Central London Clinical Commissioning Group

  •  (pdf). Focuses on the individual patient, with well-resourced general practice playing a coordinating role to avoid unnecessary hospital admissions.

NHS England

  • (pdf).  Slides to help commissioners identify local strategies to reduce ambulatory care emergency admissions.
  • (pdf). Designed to bring a change in the quality of care for frail older patients with complex needs, through shifting CCG funding into primary care services and community health services.
  • (pdf). Sets out how CCGs can help GPs  avoid unplanned admissions.

NHS Scotland

 

  • have individual plans in place to increase capacity and improve the way people are discharged from hospital to ensure the NHS continues to perform well during winter.

Public Health England

  • . Support for providing care for vulnerable patients in winter.

Public Health Agency Northern Ireland

  • .

Help for your patients

Age UK

Age UK intervention pilot in Cornwall

Ageing Well in Wales

  • .

Alliance – Health and Social care Alliance Scotland

BBC

Care Information Scotland

  • .

The CHC Group - Wales

Friends of the Elderly

  • .

The Guardian

  •  

Mind

NBFA – Assisting the Elderly

NIDirect – Northern Ireland

  • .

Patient.co.uk

The Silver Line

  • .

Third Force News – The voice of Scotland’s third sector

WRVS

 

 

 

 

 

 

 

 

 

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