Improved mental wellbeing and reduced loneliness amongst older people Capacity and capability building amongst volunteer care co-ordinators and other unpaid carers Improvements over time in the average age before: a first heart attack; a first significant loss of memory; a first disability from osteoarthritis or development of identifiable lung cancer; or admission to nursing homes. The programme will also deliver its impact through support from others, including from projects that are part of the established Improvement Programme, the Patient Safety Collaborative work on Medication Errors, Acute Kidney Injury, Pressure Damage, Safe Transfers and Discharges and other cross-cutting themes. Key result areas Lead the setting up, leadership and development and oversight of a value-adding and distinctive Older People's programme. Mobilise and champion a broad stakeholder community committed to introducing sustainable new models of care for older people living with multiple long term conditions and delay the onset of dependency, including stakeholders from home care providers, hospices, care homes, nursing homes, social care, public health, the voluntary sector, local authorities and the NHS. Source and work with voluntary sector partners to increase the prevalence of advanced care plans and volunteer-led care coordination across Kent, Surrey and Sussex. Spread the availability of of to enable more people who want to die at ‘out hospital’ services home, die at home. Mobilise the integration of the pharmacy profession into pathways of care for older people to reduce problematic polypharmacy and implement the principles of medicines optimisation. Support work with clinicians to change the culture of over-medicalisation of older people e.g. surgical and other invasive interventions in the last few weeks of life. Map current provision and services for older people across Kent, Surrey and Sussex and build legitimacy in KSS for this AHSN programme of work. Lead the AHSN's work supporting local health and care economies to introduce new models of care for older people, in particular in relation to: behaviour change and supporting lifestyles that delay the onset of ageing developing, agreeing and introducing new models of care for older people living with multiple long term conditions ensuring our partnership with Age UK maximises its potential Securing and managing resources for the older people's programme: identification, monitoring reporting and delivery of progress, benefits and milestones. Ensuring key risks and issues are identified and reported with mitigation plans. Work with the Executive Medical Director and clinical leads across Kent, Surrey and Sussex to ensure effective clinical engagement in the Older People's programme.
Improved mental wellbeing and reduced loneliness amongst older people Capacity and capability building amongst volunteer care co-ordinators and other unpaid carers Improvements over time in the average age before: a first heart attack; a first significant loss of memory; a first disability from osteoarthritis or development of identifiable lung cancer; or admission to nursing homes. The programme will also deliver its impact through support from others, including from projects that are part of the established Improvement Programme, the Patient Safety Collaborative work on Medication Errors, Acute Kidney Injury, Pressure Damage, Safe Transfers and Discharges and other cross-cutting themes. Key result areas Lead the setting up, leadership and development and oversight of a value-adding and distinctive Older People's programme. Mobilise and champion a broad stakeholder community committed to introducing sustainable new models of care for older people living with multiple long term conditions and delay the onset of dependency, including stakeholders from home care providers, hospices, care homes, nursing homes, social care, public health, the voluntary sector, local authorities and the NHS. Source and work with voluntary sector partners to increase the prevalence of advanced care plans and volunteer-led care coordination across Kent, Surrey and Sussex. Spread the availability of ‘out of hospital’ services to enable more people who want to die at home, die at home. Mobilise the integration of the pharmacy profession into pathways of care for older people to reduce problematic polypharmacy and implement the principles of medicines optimisation. Support work with clinicians to change the culture of over-medicalisation of older people e.g. surgical and other invasive interventions in the last few weeks of life. Map current provision and services for older people across Kent, Surrey and Sussex and build legitimacy in KSS for this AHSN programme of work. Lead the AHSN's work supporting local health and care economies to introduce new models of care for older people, in particular in relation to: behaviour change and supporting lifestyles that delay the onset of ageing developing, agreeing and introducing new models of care for older people living with multiple long term conditions ensuring our partnership with Age UK maximises its potential Securing and managing resources for the older people's programme: identification, monitoring reporting and delivery of progress, benefits and milestones. Ensuring key risks and issues are identified and reported with mitigation plans. Work with the Executive Medical Director and clinical leads across Kent, Surrey and Sussex to ensure effective clinical engagement in the Older People's programme.
Programme_Director_OPP_JDPS.docx