British Geriatric Society Commissioning Guidance for Care Homes
‘No more excuses’: The health care needs of older care home residents must be met
11 October 2013 - The British Geriatrics Society (BGS) has published a two page guide for health service commissioners and planners which sets out what local services should be in place to meet the health needs of older care home residents.
Nearly 400,000 older people live in care homes in the UK. Their health and social care needs are complex. All have some disability, many have dementia, and collectively they have high rates of both necessary and avoidable hospital admissions. Standard health care provision meets their needs poorly, but well-tailored services can make a significant difference.
Previous reports published by the BGS, Quest for Quality and Failing the Frail, have drawn attention to existing levels of NHS support for care homes and made recommendations as to how care home residents’ quality of health care can be improved. This new guide outlines what the priority services should be for older care home residents. It also explains what the outcomes should be for residents themselves, for the local NHS and for local care homes as a result of having these services in place. It describes what activities will enable these outcomes to be achieved and suggests how services can be monitored and evaluated to see if they are having a positive impact.
Professor Finbarr Martin said: “There is no reason why older care home residents should be missing out on high quality health care. The NHS can play an important role in supporting care home staff to ensure that older residents have a better quality of life. The evidence shows that health care services can be designed to deliver better care. Those responsible for planning what health services are needed locally must take notice of this evidence and ensure that they are not ignoring the needs and rights of this frail and vulnerable patient group.
Commissioners and health service planners must involve representatives from the care home sector early on when considering what services need to be considered for older residents. This is more likely to ensure that services are designed appropriately and are sustainable.”
It is likely that a combination of approaches whereby residents have access to enhanced, proactive, primary care and through this, access to a range of specialist services (such as , allied health professionals, community pharmacists, old age psychiatrists and community geriatricians) will deliver the best outcomes. It is important the efforts of existing health professionals is co-ordinated more effectively so that residents don’t fall between the referral criteria for health services.
The guide is available by clicking here and further information is available on the BGS website along with reference material and links to useful resources, including case studies of successful services which have improved quality of care for older care home residents. Visit: http://bit.ly/BGSCommissioning
Notes to Editors
1. The British Geriatrics Society is the professional body of specialists in the health care of older people in the United Kingdom. Membership is drawn from doctors, nurses, allied health professionals, scientists and others with a particular interest in the care of older people and the promotion of better health in old age. It has over 2,750 members worldwide and is the only society in the UK which draws together experts from all the relevant disciplines in the field. Visit: www.bgs.org.uk Follow the BGS on Twitter @gerisoc
2. The BGS publications Quest for Quality and Failing the Frail outline concerns about how health care is currently provided to care home residents and make recommendations as to how the quality of care provided can be improved.
3. The BGS is holding a one day conference on Managing Complexity in Older People within the Community in Harrogate on 20 November 2013. This will include a focus on commissioning appropriate services for care homes. For more information see www.bgsevents.org