Transforming End of Life Care in Acute Hospitals - Plenary 3 - The Solihull approach to Advance Care Planning for older people with frailty, a model for end of life care?

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Transforming End of Life Care in Acute Hospitals - plenary presentation from the Vanguard New Models of Care Team, Heart of England Foundation Trust

Healthcare

Advance Care
Planning for older
people with
Frailty: The
Solihull Approach

Get in
Early
Choose
to Admit
Specialist
Acute Care
Discharge 2
Assess
Recovery
Before
Placement
Every
Moment
Counts
Priority Programme for Frailty Transformation :
Cutting the costs of Frailty
Compassionate Care
Technology Enabled Care
Mental Health and Dementia
Orthogeriatrics, falls and Surgical Liaison
Carers
Community Activation

Get In Early
We will develop systematic approaches to identifying
these risks in people aged 75 and above and mobilise
a response based on the priorities of the older person
and their families.

Choose to Admit
We will develop emergency response systems to
identifying people with a frailty crisis and build
capacity and responsiveness for the provision of safe,
effective services in people's homes or in step up
intermediate care beds as an alternative to acute
hospital admission.

Specialised Acute Care
We will ensure that frail older people in acute settings
are identified during emergency response or after
surgical intervention, with early involvement of old
age specialist teams.

Discharge to Assess
We will develop the capacity and responsiveness of
community based post acute‐care services to ensure
that older people can be transferred quickly with
simple triage to post‐acute settings, with 48 hour
follow‐up by advanced care practitioners to reset
post‐acute care plans.

Recovery before Placement
We will develop systems to ensure that all older
people recovering from a frailty crisis have access to
up to six weeks of rehabilitation and re ablement prior
to the provision of long term support services.

Every Moment Counts
We will provide an opportunity for all frail older
people and their families who receive our services to
develop anticipatory care plans for their future
treatment options.

Death Happens‐ Live With It
• Get in early
• Together is
better
• What matters
to me is
everyone’s
business

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GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia. GEMMA Wean has an optimised nutritional balance and physical quality so that it flows more freely and spreads readily on the water surface. The balance of phospholipid classes to- gether with the production technology based on a low temperature extrusion process improve the physical aspect of the pellets while still retaining the high phospholipid content. GEMMA Wean is available in 0.1mm, 0.2mm and 0.3mm. There is also a 0.5mm micro-pellet, GEMMA Wean Diamond, which covers the early nursery stage from post-weaning to pre-growing.

PET CT beginners Guide covers some of the underrepresented topics in PET CT

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