11 * Reducing Inappropriate Admissions of Older People Into Acute Hospitals: The Role of a Rapid Access Clinic in a Community Hospital

Koduah, D. Y.; Inegbenebor, D.; Ambepitiya, J.; Khan, Md. I H; Mlinaku, F.; Shariq, M.; Adusa-Amankwa, F.; Rafeemanesh, Ehsan; Ambepitiya, G. B.; Khan, Sehrish; M, Safdar

doi:10.1093/ageing/afu036.11

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“…Such clinics don't have to be on acute sites. For example, acute frailty clinics in Epping 8 and Oxfordshire 9 see many older patients with complex problems in community hospitals, and only about one in four is then referred to hospital. About a quarter of patients seen in more standard acute assessment clinics are described as frail.…”

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confidence: 99%

David Oliver: Acutely ill patients on trolleys and beds—why not chairs?

Oliver

2016

BMJ

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mentioning

confidence: 99%

David Oliver: Acutely ill patients on trolleys and beds—why not chairs?

Oliver

2016

BMJ

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Meeting the needs of frail older patients

Nair¹,

Oliver²,

Cracknell³

2020

The Changing Role of the Hospital in European Health Systems

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Geriatric medicine and geriatricians in the UK. How they relate to acute and general internal medicine and what the future might hold?

Oliver

Burns

2016

Future Hospital Journal

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The Royal College of Physicians and its Future Hospitals Commission has a renewed focus on general internal medicine. But in 2015, most is in effect either acute medicine or geriatric medicine. Acute physicians and 'organ specialists' looking after inpatients on specialty wards or at the acute hospital 'front door' will need sufficient skills in geriatric medicine, rehabilitation, discharge planning and palliative care, as frailty, dementia and complex comorbidities may complicate the care of older patients with predominant speciality-defining complaints. In an era where we are urged to focus on patientcentred care, patients' preference for continuity and 'wholestay', consultants must be recognised and respected. Ideally, this will require increasing numbers of geriatricians and acute physicians, more age attuned training for all; a shift in values and status. This should be backed by adequate capacity and rapid access to social and intermediate care services outside hospital, as well as adequate multidisciplinary staff and skills within the acute hospital to ensure that older patients' needs beyond the immediate complaints are not neglected. Meanwhile, geriatric medicine itself has diversified into specialised, community and interface roles, aligned with the integration agenda, and continues to contribute substantially to acute, general and stroke medicine. These developments are described here.

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11 * Reducing Inappropriate Admissions of Older People Into Acute Hospitals: The Role of a Rapid Access Clinic in a Community Hospital

Cited by 3 publications

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David Oliver: Acutely ill patients on trolleys and beds—why not chairs?

David Oliver: Acutely ill patients on trolleys and beds—why not chairs?

Meeting the needs of frail older patients

Geriatric medicine and geriatricians in the UK. How they relate to acute and general internal medicine and what the future might hold?

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