Managing Frailty and Delayed Transfers of Care in the Acute Setting

The NHS is faced with the demands of an ageing population and increasing numbers of people with multiple long-term conditions. Whilst much can be done to keep people as independent as possible and keep them safely at home, at some point in their journey of care, many people living with frailty and older people will need to be admitted to hospital for a period of acute care. In addition, older people, often living with frailty, can be subject to delayed transfers of care (DToC).

The Managing Frailty and Delayed Transfers of Care in the Acute Setting project focuses on the pathway of frail older people through secondary care, from assessment in A&E, assessment units inpatient wards and supported discharge. The project also takes a deeper dive into the management of delayed transfers of care and reviews protocols, processes, local reporting and onward routes out of the hospital. The BGS has also worked with the NHS Benchmarking Network to develop a short service user audit which will be included in the project.

This project is for all providers of acute care where older people access their services. Subscribing members will receive:

  • Access to a benchmarking toolkit, allowing you to benchmark your service across hundreds of metrics
  • A bespoke dashboard report outlining key messages and metrics, which compares your local position against nationally reported positions
  • A high-level report outlining key messages and metrics for the management of frail older people and DToCs nationally
  • A Good practice compendium of information supplied by members describing the innovative practice they are undertaking in this area.
  • Attendance at a national conference, where the initial findings from the project will be presented, as well as good practice and national speakers

2018/19 benchmarking project

The Managing Frailty and Delayed Transfers of Care in the Acute Setting project is a new project for the 2018/19 work programme and covers the key elements of the Older People’s Care in Acute Settings (last run in 2016) and Delayed Transfers of Care projects (last run in 2017).

Download a summary of the Managing Frailty and Delayed Transfers of Care  project including findings from the Older People’s Care in Acute Settings and Delayed Transfers of Care project.

For any queries about the project, please contact Josh Davies.