2018 Managing Frailty & DToC project - Results published

We are pleased to share that the publication of the 2018 Managing Frailty and Delayed Transfers of Care (DToC) in the Acute Setting project report and toolkit, presenting the results of this year’s benchmarking project, is now available on the members’ area.

The ‘Managing Frailty’ project focuses on the journey of frail, older people through the acute setting and covers the following elements of the pathway:

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  • Admission avoidance in A&E

  • Assessment function

  • Inpatient episode

  • Supported discharge

The project also undertook a deeper dive into the management of delayed transfers of care locally and reviews protocols, local reporting processes and standards and onward routes out of the acute setting.

In addition to the organisational level data collection, the project features a service user audit, completed for up to 50 discharges from an older people’s inpatient ward. The data specification for this project was developed in consultation with the British Geriatrics Society.

The 2018 project has been delivered in collaboration with the GIRFT geriatric medicine workstream. Participants (in England only) were asked if they consented to sharing their data with the GIRFT programme. This provided data richness to the GIRFT team work on reducing unwarranted variation.

The NHS Long Term Plan, published in January 2019, outlines plans for a new service model for the 21st century NHS. The plan outlines a vision for how care for older people will be changing. Core to the NHS Long Term Plan are plans to redesign and reduce pressure on emergency hospital services and relieve pressure on A&E departments. A plan to boost out of hospital care with increased investment in community care, in an effort to increase capacity and responsiveness is also cited.

Findings from the project show that, although the rate of increase of life expectancy has stalled in recent years the UK, it remains at a high of 79 years for males and 83 years for females. People are living longer with complex conditions, and multiple long-term conditions, including frailty and dementia. Whilst the vast volume of care to older people is provided in community settings, acute care for older people is likely to be required at some stage in people’s later years. Participants can view their local positions on all the metrics and many others via the members’ area of the Network website. 

Available to members participants are:

  • A summary report providing an overview of the national position

  • An online analytics tool which allows organisations to view their benchmarked positions on key indicators

  • A bespoke report which outlines the key metrics from the project, showing individual Trust positions on each chart

  • A good practice compendium, summarising innovations developed by individual sites

The 2018 project is now complete and is scheduled to run again in 2019. If you have any questions about this report or the project, please contact Josh Davies, Project Coordinator. Thank you to all participants for their input in this project.