An innovative Trust has helped its thousandth patient through its tailored frailty pathway. Where staff identify that a patient would benefit from the support of its frailty co-ordinators, they get in touch with the team.
The team provide a person centred approach to delivering care and support to some of the most frail patients in our hospital. Patient needs can vary and often include both physical and mental health challenges. The patients and their families often have one thing in common – they want to get home safer, sooner. Whether that is back to their own home or back into a care home, the co-ordinators work closely with them to understand their goals.
Since January, they have supported many people who often have very complex needs. The patients come through various routes including the Accident and Emergency department, the Emergency Assessment Unit and even from the community. Staff then request the support of the frailty co-ordinators if they meet a patient who they think might benefit from the service.
It’s all about improving outcomes for patients, shortening the length of hospital stays where safely possible and giving people the confidence to live as independently as is achievable. The team also consider plans for patients who are going through end of life care and help to grant them their last wishes so they can live their last moments comfortably.
Clinical Care Co-ordinator, Kathryn Tarn said: “The frailty service is a fantastic initiative which ensures that patients get the right care, in the right place, at the right time. Each individual is different and we work closely with patients to understand what they want, and put plans in place to help them get there. To have seen 1000 patients through the service since January is amazing and we hope to see this number keep rising. It’s time we helped people to change their way of thinking – you don’t have to be in hospital to receive the best of our care!”