Managing Frailty and Delayed Transfers of Care in the Acute Setting

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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 British Geriatrics Society (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:

  • An interactive online toolkit, allowing you to benchmark your service across hundreds of metrics

  • A bespoke dashboard report outlining key metrics, and highlighting your reported positions

  • A high-level report outlining key messages nationally

  • A good practice compendium of information supplied by member participants

  • Free attendance at annual conferences, accessing presentations on project key findings, from national policy leads and members

  • Good practice case studies on how members use the benchmarking to improve service delivery

2018/19 benchmarking project

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.

103 organisations participated in the benchmarking project, registering 119 submissions.

You can read more about the highlights from the 2018 project in our news section or download our project card.

2019/20 Benchmarking Project

Managing Frailty and Delayed Transfers of Care in the Acute Setting project is included in the 2019/20 work programme, collecting 2018/19 data.

Click here for more information on how the Managing Frailty project will support NHS organisations in meeting the national and local priorities outlined in the NHS Long Term Plan.

For queries about this project, please contact James MacDonald, or call 0161 266 2132.