So this week I am at the British Society of Gerontology (BSG) Conference 2018. I don’t think that I have ever been to a larger Conference and there is so much in the Conference Programme that it is almost big enough to require a wheelbarrow!
Anyway, later today I am speaking with Becky Moran the Care Home Educational Facilitator (CHEF) from NHS Lanarkshire talking about the BSG study day we held back in August 2017. See This Link for our report to Ageing Issues
At the conference the following has been announced that other people might be interested in.
Firstly, the Centre for Better Ageing at https://www.ageing-better.org.uk/ is releasing a new report today called Home Adaptations: A Typical Journey, which explores personal and professional perspectives on home adaptations. Go to the website and download it.
Secondly, Ageing and Society have released some full-text versions of some of its most interesting articles online. There are a range of topics so if you want to take a look at what is available see www.cambridge.org/ASO-BSG18
Finally, the Centre for Policy on Ageing has pooled together some of its Information Resources. An interesting one to look at is called “Policies on Ageing” which is an online resource providing easy access to government policy documents and key national reports and briefings that are raising the profile of issues around the support of older people and an ageing population. See:
Hope you find something interesting.
An important announcement from the National Institute for Health and Care Excellence (NICE) this week regarding Dementia Care. NICE have revised updated the previous Dementia Guideline, (CG42) which had been in existence since 2006 (although parts of it were revised and updated during this period) and have replaced it with a new NICE Guideline called NG97: Dementia: assessment, management and support for people living with dementia and their carers
On their site NICE point out that the new guideline addresses how dementia should be assessed and diagnosed. It covers person-centred care and support, tailored to the specific needs of each person living with dementia. As part of this, it can help professionals involve people living with dementia and their carers in decision-making so they can get the care and support they need. It also addresses care coordination and staff training, and how dementia may impact on the care offered for other conditions.
They also mention what it does not do, which is also quite important that you are aware of. It does not cover every aspect of dementia care or support, or areas where recommendations would be the same for people with or without dementia. It focuses on areas where:
- there is variation in practice, and enough evidence is available to identify what works best
- people living with dementia need different care and support to people in the same situation who do not have dementia.
When I discuss using the NICE guidelines with my students I tend not to talk about the paper/online full written version but point them to the NICE Pathway. This has also been updated and is available here
Its been quite a disappointing week for Social Care in England as the UK government postponed the publication of the Adult Social Care Green Paper following the announcement of increased funding for the NHS. (Let’s not hold our breaths for too long to see if that’s true). The Green Paper was announced in November 2017 and is considered key to reforming social care in England which everyone knows is in dire straits. It was due for release before the end of the summer but now who knows?
There was some indication about what it ought to contain here and more about the delay here
Two important documents that have been published this week. One from NHS Improvement and another from Public Health England.
Despite their importance though you’d be hard-pressed to know they were available.
So there is now a guide to reducing long hospital stays and further guidance on falls and falls prevention and you probably haven’t even noticed.
So first of all reducing long hospital stays. In NHS England, nearly 350,000 patients currently spend over three weeks in acute hospitals each year. Many are older people with a reduced functional ability (frailty) or who have a cognitive impairment. The benefits to the UK NHS and other healthcare systems of reducing hospital bed occupancy are clear. However, as everyone knows trying to achieve this is very difficult, particularly during the winter pressure for beds. So what can be done?
This week NHS Improvement released their “Guide to Reducing Long Hospital Stays”. Click the link and you’ll get to the page you can download it from.
Their guide is primarily aimed at acute and community trusts, but also makes reference to how system partners can play a supporting role.
Also this week (yesterday June 14th.) Public Health England’s Guide on Falls was updated. Called Falls: applying All Our Health the guide includes core principles for healthcare professionals to follow and a large number of resources and examples of good practice from some key national agencies. Click on the link and go and explore, and see if you can adopt some of the measures suggested or check if you are doing these already.
So if these are such an important phenomenon to tackle why did these document releases not get more publicity?
Today the Royal Society for Public Health, here in the UK has published a report called “That Age Old Question” which examines how our attitudes to ageing can affect our health and wellbeing. Sad to say of course that they conclude that societal Ageism is well and truly with us and have listed 10 key recommendations from the report on their website at That Age Old Question
I think the worrying thing for me is the reported attitudes of younger people who seem to either believe a number of myths about ageing or accept them as truth! We also seem to have created a culture that is still obsessed with trying to stay young looking. The RSHP is calling for an end to the use of the term “anti-ageing” because I am sorry to say there is no such thing (but don’t forget your sunscreen and give up the fags).
To download the full report and watch a video about the report CLICK HERE
To see what the reaction has been to their call go to #ThatAgeOldQuestion
Well, if that depresses you then here is some inspiration for Dementia Awareness Week in Scotland #DAW2018 If you haven’t seen it, the winner of NHS Patient Award for Nursing and Midwifery was Fiona Chaabane. Fiona works with people with cognitive disorders focusing on Young-onset Dementias. To find out more about her, and her work Click Here
She features from 8:00 mins through to 16:12 mins.
Starting tomorrow, 4th June 2018, it is Scottish Dementia Awareness Week 2018. Alzheimer Scotland has online information about Dementia Awareness Week 2018. In their blog Let’s Talk About Dementia you will find out about what the Society is doing online during this week. The Alzheimer Scotland Centre for Policy and Practice (ASCPP), which is based […]
via Scottish Dementia Awareness Week 2018 — When The Fog Lifts
Some weeks are bad weeks but this week could rank as one of the worst for bad news about the NHS and its relationship with older people in a long time.
Firstly we had the revelation that 450,000 women aged between 68-71 had not been invited to routine breast cancer screening due to a computer error, that has been traced back to 2009!. Public Health England has said that it was not aware of a national problem with the screening programme until January 2018, which seems a bit worrying when they were aware at the same time that screening uptake amongst older women was falling. Watch out for the public inquiry and subsequent report particularly since NHS “everywhere else” didn’t have the same problem. Most people are probably unaware that a full review of the NHS breast screening programme was undertaken in 2012. So if you are affected by this systems failure in any way it’s worth looking at THIS REPORT and making your own mind up about the impact that it may have had on you or your loved one. My concern is that if this had been any other group would it have been noticed sooner and acted upon earlier?
As if that wasn’t bad enough a report released today (May 4th. 2018) is probably worse and even more significant. The annual report for 2017 of the Learning Disabilities Mortality Review (LeDeR) was released today and did make the national news. Their findings are very worrying and point to problems with institutional discrimination across services dealing with people with learning disabilities to the extent that life expectancy at birth if you have a learning disability is 19.7 years lower than for people without learning disabilities. Equally disturbing is that more than a third of deaths of people with learning disabilities were potentially amenable to health care interventions. Again much more will be said about this in the coming days and months so it’s worth taking a look at the primary source, which you can see and download from THIS SITE.
I haven’t even mentioned the dementia care ward at Glan Clwyd Hospital, in Denbighshire which closed in 2013 and it’s culture of “institutional abuse”. Too sad to go there but if you want to know more see this BBC Wales TIMELINE
This week Myself, Dr Louise Ritchie (@Lourit) and Dr Margaret Brown (@owlbroon) wrote the Blog piece for “Lets Talk About Dementia” a blog hosted and supported by Alzheimer Scotland and led by allied health professionals. Their blog shares the work and practice of the allied health professionals in relation to dementia care. It offers advice for people living with dementia, their carers, partners and families. It is also a great source of information for all health and social care professionals. So our piece published on it about Housing and Dementia in Scotland can be found HERE
If you have a particular interest in ageing well in place you might also want to look at the Centre for Better Ageing Report on the Role of Home Adaptations on Improving Later Life which you can find at their page on Living in a suitable home and neighbourhood
Lastly this week one of my UWS Colleagues Susie Gamble and Brendan Martin, Managing Director, Public World and Buurtzorg, Britain & Ireland and Barbara McFadzean, District Nursing Sister/Queen’s Nurse, Crosshouse, Ayrshire are leading an International Foundation for Integrated Care Scotland Webinar next week on Wednesday 18th April 2018 between 12 pm-1pm. They will be discussing the role of the District Nurse in managing people with frailty in the community. There is some further information on the site below, along with a link to register for the Webinar.
The webinar will be recorded and will be at the IFIC site afterwards to listen to.