“Living Well in Later Life”: An Overview of the National Service Framework for Older People in England

Filinson, Rachel

doi:10.1080/08959420801977640

Cited by 4 publications

(5 citation statements)

References 11 publications

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“…There has been a recent increase in older patients admitted to general hospitals [1,2]. This increase has resulted in an increase in hospitalization periods, health costs, and morbidity and mortality rates in this group of patients [3,4].…”

Section: Introductionmentioning

confidence: 99%

Clinical Profile and Length of Hospital Stay in a Sample of Psychogeriatric Patients Referred to Consultation Liaison Psychiatric Unit

et al. 2021

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Background and objectives: There has been a recent increase in older patients admitted to general hospitals. A significant percentage of hospitalized older patients are ≥75 years old, which differ from the patients aged 65 to 74 years old in terms of functional status at patient discharge. This study aims to compare sociodemographic, clinical features, and factors associated with length of hospital stay in youngest-old and oldest-old populations of inpatients referred to the consultation liaison psychiatry unit. Material and methods: This is an observational, cross-sectional, retrospective, and comparative study. We obtained data from a sample of 1017 patients (≥65 years) admitted to a general hospital and referred from different services (medicine, surgery, etc.) to the consultation liaison psychiatry unit. The sample was divided into two groups of patients: youngest-old (65–74 years) and oldest-old (≥75 years). Psychiatric evaluations were performed while the patients were on wards at the hospital. Psychopharmacs were started as needed. A comparative analysis was carried out and predictive factors related to length of hospital stay were calculated. Results: The reference rate to consultation liaison psychiatry unit was 1.45% of the total older patients hospitalized. Our study demonstrates differences between the groups of older people: the oldest-old group were mainly female (p < 0.001), had more previous psychiatric diagnoses (p < 0.001), physical disabilities (p = 0.02), and neurocognitive disorders (p < 0.001), they used more antipsychotics (p < 0.001), and more frequently had a discharge disposition to a nursing home (p = 0.036). The presence of physical disability (beta = 0.07, p < 0.001) and logtime to referral to consultation liaison psychiatry unit (beta = 0.58, p < 0.001) were associated with increased length of hospital stay. Conclusions: Youngest-old and oldest-old people should be considered as two different types of patients when we consider clinical features. The time to referral to consultation liaison psychiatry unit seems to be a relevant factor associated with length of hospital stay.

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Section: Introductionmentioning

confidence: 99%

Clinical Profile and Length of Hospital Stay in a Sample of Psychogeriatric Patients Referred to Consultation Liaison Psychiatric Unit

et al. 2021

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“…The National Service Framework (NSF) for older people set out eight standards to be achieved over ten years in a bid to eradicate issues relating to ageism and a lack of dignity for older people that had been identified as inherent in the healthcare system (Department of Health 2001;Filinson 2008). The language used in these standards showed an acknowledgement of older people as individuals capable of making decisions autonomously and of persons who are able to contribute to planning their care.…”

Section: Older People In Societymentioning

confidence: 99%

“…The language used in these standards showed an acknowledgement of older people as individuals capable of making decisions autonomously and of persons who are able to contribute to planning their care. This language is indicative of the direction of progression of social reforms at the time, particularly in terms of increasing consumer sovereignty and holding health and social care to accountable standards (Filinson 2008). Despite these positives, the NSF's focus on independence and autonomy can be seen as exacerbating the negative perceptions on the loss of independence and autonomy in Western Society and may not be truly representative of older people's experiences (Lloyd et al 2014).…”

Section: Older People In Societymentioning

confidence: 99%

137Discharge Decision-Making For Older People In The Acute Medical Unit - An Ethnographic Study

Rule

2017

Age and Ageing

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“…This suggests that there is a gap between evidence and practice, although this is not confined only to Wales. Indeed, it has been highlighted that both England and the USA face obstacles to change (Filinson, 2008). In Wales, however, a lot of resource has gone into the NSF, particularly salary costs of health and social care staff, yet a clear demonstration of positive impact is elusive.…”

Section: Box 2 Free Comments On the Nsfmentioning

confidence: 99%

Rapid assessment of the impact of the National Service Framework for Older People in Wales

Morgan

2012

Working With Older People

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Purpose -This rapid assessment aims to focus on the perceptions of healthcare staff from Welsh Health Boards on the National Service Framework (NSF) for Older People.Design/methodology/approach -A questionnaire was sent by email to key colleagues in each of the seven Health Boards. This was crucial for this rapid assessment and conferred the additional advantage of also allowing for correspondence to be undertaken. Anonymity was crucial to allow colleagues to score their returns honestly.Findings -Overall, the position was equivocal and the impact of the NSF was perceived as too difficult to assess. The most promising element of the NSF appeared to be a perception on the impact on joint health and social care working.Research limitations/implications -A rapid assessment exercise, using existing networks that are built on trust, can yield valid and useful information which can help policy development. Practical implications -The NSF urgently needs to provide evidence of positive impact. The next stage, based on a focussed approach, offers an opportunity to progress this.Originality/value -For the first time, a rapid assessment has been undertaken on the Welsh NSF. This inexpensive and readily achievable approach has advantages.

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“Living Well in Later Life”: An Overview of the National Service Framework for Older People in England

Cited by 4 publications

References 11 publications

Clinical Profile and Length of Hospital Stay in a Sample of Psychogeriatric Patients Referred to Consultation Liaison Psychiatric Unit

Clinical Profile and Length of Hospital Stay in a Sample of Psychogeriatric Patients Referred to Consultation Liaison Psychiatric Unit

137Discharge Decision-Making For Older People In The Acute Medical Unit - An Ethnographic Study

Rapid assessment of the impact of the National Service Framework for Older People in Wales

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