Healthcare Commissioning Forum
QIPP => A&E Attendance Reduction => Topic started by: Laxmikant Tyagi on May 12, 2015, 10:40:59 am
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What is the effect on productivity and population experience by Primary care rapid response assessment of dysphagia in end of life care?
- Nursing homes: Following training there has been an increase in the number of community referrals, but fewer admissions to hospital. It has also increased awareness of the rapid response service and improved the relationship between the SLT and nursing teams. Nursing home staff is more likely to phone for a second opinion, to discuss whether or not a referral is appropriate and to problem solve over the telephone.
- This has meant that inappropriate referrals have been avoided, freeing up time, so SLTs can focus on appropriate complex cases. Nursing Home staff have fed back that they are now more confident in managing dysphagia, e.g. end of life care in advanced dementia, including feeding at risk.
- Family and carers: Comments have included 'brilliant, responsive service'. 'Feel reassured and empowered.'
- Nursing Home & SLT staffs have reported an outcome as positive, even when the client died, because they were able to stay in their own bed, surrounded by their relatives and staff they knew, rather than being admitted to hospital and dying in a strange environment with unfamiliar staff.
- Clients have been helped to have a 'good death'. This fits in with a palliative model of care and is also consistent with the national agenda of increasing care
The average length of stay for each end of life admission is 10 days at a cost of £300 per day. Avoiding 75 admissions so far this financial year has saved £225,000.