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Chris drinkwater

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    Chris drinkwater Chris drinkwater Presentation Transcript

    • Services for Later LifeA Clinical Commissioning Group Perspective
      Professor Chris Drinkwater
      Independent Chair
      Newcastle Bridges Commissioning Group
      www.newcastlebridges.net
    • Newcastle JSNA Older People
      Preparation for Old Age
      Active Old Age
      Vulnerable Old Age
      Dependent Old Age
    • Preparation for Old Age
      Obese people in their 40s
      Are 74% more likely to develop dementia compared to those of normal weight.
      US National Institute of Health (2011)
    • Active Old Age
      Those who volunteer have lower
      mortality rates, greater functional
      ability, and lower rates of depression later in life than those who do not volunteer
      • Corporation for National & Community Service 2007
      Government should offset volunteering against long term care insurance costs
    • Vulnerable Old Age
      Vulnerability increases with
      age. Better case finding and
      systematic interventions to
      prevent vulnerability
      becoming expensive
      dependency
      Staying Steady Group
    • Joining the Dots/Communities4Health
      Practices identify vulnerability – 4 or more medications, living alone, recent bereavement.
      Referral to V&CS provider for assessment
      Menu of activities – knit & natter, nordic walking, gym, arts, aromatherapy, cooking group.
      Local supportive social network with link to healthcare provision.
      Savings on prescribing and other healthcare costs
    • Dependent Old AgeCare Home Project
      3 emergency admissions per day
      Median duration of admission 1 day
      20% die within 5 days of admission
      Falls, respiratory and urinary infections commonest conditions
      Dementia and confusion a significant underlying problem
      Similar issues for people on full home care packages
    • Progress to date
      80% of homes now have a named link GP.
      Joint GP and care home training programme on falls and end of life care planning.
      Guidance and tools developed and being tested.
      Excellent feedback
      ? Role for Community Care of the Elderly specialists/adult social care.
    • Final thoughts
      Clinical Commissioning Groups need to develop and work with local assets in V&CS.
      Dangers of tokenism – Newcastle Bridges has 3 V&CS members, DPH and Adult Service Transformation Lead.
      Think through life stages approach and link to JSNA and local health strategy.
      Health & Wellbeing Board pooled budget to drive integration and joint working.