Presentation Recordings: Wessex Region Spring Meeting 2021

Abstract

The talk will cover an overview of the service and the background to it’s creation. Brief insight into managing older persons living with frailty in acute surgery. The services Quality improvement data and discussion around the benefits of the service. Discussion will include the impact of COVID on the data and plans for expansion of the service.

Biography

Since starting as a consultant in March 2018 I have established the Medicine for Older People Liaison Service to the acute surgical team in November 2018. My main interests are Perioperative medicine and Quality improvement. I am lead for Quality improvement for the department and lead the trust wide IV fluid prescribing project.

Abstract

OPAL is an MDT front door frailty service in a DGH. We will discuss our current service and how we are now improving integration with our community partners, highlighting opportunities, challenges and ambitions. We this will be useful to the Wessex audience.

Biographies

James Lee was recently appointed as Nurse Consultant for Older People and Frailty at Salisbury District hospital. He is interested in Acute Frailty, integrated working (and integrated IT!), also movement disorders.

Yvonne Banton is an Occupational therapist at Salisbury Foundation NHS Trust

Abstract

The current pandemic has created many opportunities and challenges for ACP’s to demonstrate the four pillars of advanced practice but there is a need to understand how these opportunities have developed and how ACPs have addressed the related challenges including how ACPs have adapted to overcome these. Therefore the aim of this session is to present a study which has investigated how the roles of the advanced care practitioner have adapted in response to the COVID-19 pandemic and explore the implications for future clinical practice. A qualitative approach has been taken with the use of focus groups and semi structured interviews with ACP’s to gather a rich understanding of their experiences during the COVID 19 pandemic.

Biographies

Dr Michele Board is a Principal Academic in Nursing Older People at the Faculty of Health and Social Science at Bournemouth University. She has extensive experience in nursing, nurse leadership and nurse education.

Mr Cliff Kilgore is a Community Consultant Geriatrician nurse working for Dorset Healthcare NHS trust within an MDT to improve the healthcare outcomes for older people. He is also a Visiting Fellow with Bournemouth University

Abstract

Despite two-thirds of adults suffering from urinary symptoms, there are significant challenges to achieving symptom management. One such challenge is the accurate diagnosis of the basis of a patient's symptoms, given significant overlap of urinary symptoms associated with different pathologies. The focus of Dr Young's talk is his research to improve the diagnosis of overactive bladder (OAB). OAB is defined by urinary symptoms of increased frequency of voiding (both day and night), urinary urgency with or without incontinence. It affects 1 in 5 adults and is particularly impactful on patients' quality of life. Despite its prevalence and impact, OAB is challenging to diagnose; with an inaccurate, expensive and invasive method being the current gold standard. Dr Young and former PhD student, Dr Firouzmand, identified and validated chemicals within urine that can be used to accurately, cheaply and non-invasively determine early-stage overactive bladder. This discovery is currently being developed into a simple test for the point-of-care setting, in order to provide healthcare practitioners with a simple tool to aid accurate diagnosis and help achieve effective symptom management.

Biography

Following a BSc at the University of York and a PhD at the University of Cambridge, Dr Young held postdoctoral researcher positions at the Universities of Oxford, Nevada and Surrey. In 2010 he was awarded an Age UK Research Into Ageing and Rosetrees Trust Research Fellowship to start his own research group. Dr Young leads projects towards the discovery of urinary biomarkers for the diagnosis of bladder diseases and undertakes educational projects to inform the public and upskill healthcare practitioners around continence.

Declaration of interests

JY has undertaken contract research for Takeda and Boston Scientific; worked with Pfizer on an EU FP7 -funded research project; performed consultancy for TENA / Performics and PALL Europe; and received funding for the operational costs of running an annual conference from Astellas.

Abstract

We will be describing our collaborative journey(Wessex AHSN, Imperial College Healthcare NHS Trust, Kings College Hospital, NHS Foundation Trust sand Health Education England) over the past 18 months to develop 11 exciting interactive e-learning modules for frailty which were fomally launched by HEE e-LFH platform in early May 2021.

• Utilising the 5 Ms of gerontology this programme delves in the multi-system complexity of frailty.

• 5 M’s comprises of Mind, Mobility, Medications, Multi-complexity and Matters most. It is a simple framework which encompasses all the elements which are important when considering holistic care of older adults, whatever setting you are in or profession or sector you work in.

• The e-learning programme focuses on Tier 1 and Tier 2 levels

• Tier 1 is designed to meet the learning needs of the public, third sector staff, porters, security staff, reception staff in primary, secondary and community services. The Tier 1 learning module provides an awareness and understanding of what frailty is; how it is identified; frailty management and support available.

• Tier 2 is split into 2a and 2b. This is because the breadth of the workforce included requires a wide-ranging skill set. The concept of 2a and 2b was created to ensure that the information is tailored to the right level depending on professional role and work setting.

Biographies

Cheryl Davies has worked for the NHS for 20 years. Her background is in statistics and she has worked in information analysis both nationally and at a local commissioner level. She is a firm advocate of measurement for improvement to evidence impact of improvement and has recently featured on online NHS Improvement measurement materials.

Catherina Nolan is a clinical lead occupational therapist for older adults at Kings College Hospital NHS Foundation Trust.

Abstract

Dr Turner will share her experience of innovation in Geriatric and other areas of medicine.

Biography

Dr Gill Turner is a Consultant Physician in Community Geriatric Medicine. She is based in Lymington New Forest Hospital.

Abstract

Anticipatory Care Planning (ACP) plays an important role in improving the quality of care for individuals nearing the end of life. It can help to ensure people die in their preferred place, avoid unnecessary hospital admissions and unwanted interventions. The Older Persons Specialist Team (OPST) are experienced Nurses and Physiotherapists with skills and knowledge in Medicine for Older People. Since 2015 they have used their expertise to lead the introduction of ACP’s within the trust. To evaluate the effectiveness of ACPs, the team proposed an audit of data collected over a 15 month period.

Biography

Jemma Harris is the Lead nurse for the Older Persons Specialist Team at University Hospital Southampton NHS FT. Qualifying in 2005 she has held various nursing positions at the trust which have included working in gastroenterology and hepatology, complex discharge, bed management, and providing specialist nursing support in medicine for older people.
Jemma became the lead for the team in January 2020 and has navigated the challenges of covid whilst still focusing on developing the team and service to the benefit of patients.

The Abstract and Poster book is downloadable here 
You can also access them as an online book here