Transcript Slide 1
Home from Hospital Service Health Care & Well-being Forum 11th December 2014 Suzanne Hilton Chief Executive Age UK Bolton The Challenge • • • • • • Older people rely more on GP & acute services Two thirds of people admitted to hospital are 65 plus Older people stay longer once admitted 80% of delayed transfers are over 70 In last 10years readmissions risen 88% Re-admissions in 30days cost NHS £2.2bn The Bolton Context 47,000 over 65s 37% live alone Almost 50% of over 75s live alone 14% of over 65s care for another 12% more deaths in winter-27,000p.a. 206 everyday Estimate 3,700 over 65s will be discharged over the winter months October 13 to March 14 9.4k attendances at A&E by over 65s- mild winter Epidemic of Loneliness • Loneliness linked to poor health, morbidity & depression- Worse than smoking 15 cigarettes a day • People who regularly experience loneliness are 2 x more likely to develop Alzheimers • 25% of people 52+ feel lonely sometimes or often • At 80+ nearly half feel lonely often • 1 million people over 65 feel lonely all the time • Families at a distance (where children live more than 1 hour’s drive away 50% older people see them only every 2-6months) AUKB Home from Hospital Short Term/Time Limited Presence in A&E and on wards Early discharge planning and full assessment before deflection or discharge from hospital Involvement with MDTs Getting home safely- opening up, putting the heat on, organising aids & adaptations prior to arrival Immediate practical support- collecting prescriptions, organising meals delivery, washing- up, help to deal with correspondence built up whilst in hospital etc. Medium Term/On-going Befriending Service and afternoon teas to tackle loneliness & isolation Medication & appointment reminders Lunch & Leisure Clubs- hot meals in a social setting Support at follow-up medical appointments One to One support and encouragement to work on rehabilitation goals identified by healthcare professionals. Plus support to regain confidence in daily independent living tasks AUKB Home from Hospital Short Term/Time Limited Medium Term/On-going Home checks-falls prevention, fire safety Chair-based exercise to promote steadiness, mobility and independence Follow-up calls and visits for emotional and practical support Falls prevention checks Information & Advice e.g. help with Handyman service for help with gardening benefit applications for help with the cost and DIY to manage the home of additional support Signposting to other services, GPs, Careline, Care & Repair, Single Point of Access Liaison with family, friends & neighbours Medication & appointment reminders Hobby and creative activities and digital inclusion support to stay connected with family and friends at a distance Befriending support to tackle loneliness and isolation Age UK Tried and Tested Model Reduction in unnecessary hospital re-admissions & crisis care interventions The Evidence Sheffield Hallam evaluation of Age UK Rotherham scheme and PSSRU other Age UK services including Stockport & Salford in GM: R.o.I.- Between £1.50 and £6.30 for every £1 invested in H.f.H schemes Reduced avoidable re-admissions an crisis social care interventions Reduced hospital stays, A&E visits & hospital based physio’ by up to 50% Further 15% reduction in GP appointments Rotherham saved £74k p.a. in bed days, additional up to £18k p.a. for hospital transport and forecast £358k£717k across health & social care services in 12months. Partners & Funding Partners Age UK Bolton- lead delivery partner & funder working with Senior Solutions Bolton FT Hospital – host & in-kind support Funding CCG -£55k (£30 AUKB + £25k SS) AUKB - £30k BMBC - £30K Outcome Measure Reduced emergency and avoidable (re)admissions % of older people supported by HfH readmitted as inpatients or attending A&E compared to % of wider 65+ cohort Reduced & delayed admissions to residential care Recorded number of 65+ still at home 30 days after discharge Improved experience of care for older people and their carers Evaluation feedback questionnaires from HfH clients Increased number of older people who HfH clients still at home 30 days after discharge feel supported to manage their own Evaluation of feedback questionnaires on health and long term conditions personal recovery goals Increased satisfaction with care & support provided to older people Evaluation feedback questionnaires from HfH clients Going Live • • • • • Staff team recruited Building volunteer team- ahead of profile Setting up base in the hospital Aligned to Staying Well Developing data capture, referral mechanisms and monitoring and evaluation systems • Launches on 15th December Loving Later Life [email protected] 01204 701525 / 07790 817454