Reducing local variation and improving the quality of the pathway for older people who fall with injury in Southampton
PHE ePoster Library. Cochrane-Brown S. Sep 12, 2019; 274448; 243
Susannah Cochrane-Brown
Susannah Cochrane-Brown
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Abstract
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Abstract Introduction
Falls and fractures in older people lead to injury, loss of independence and mortality. Emergency hospital admissions for injuries due to falls in people aged over 65 years old in Southampton are significantly higher than the England average. In 2016-17, Southampton City CCG had the 6th worst rate of emergency hospital admissions in the country, higher than all CCGs in its comparator group.
Methods
Data triangulation to improve understanding of local variation, trends in ‘fallers' and journeys of care.Reviewing services across the falls pathway, mapping the journey of care for different groups and interrogating the quality of the current service offer Focused quality improvement across the system: in partnership with Southampton City CCG, Council, Hospital, primary and community services to deliver better patient care and reduce levels of local variationResultsInitial data analysis has shown 60% of emergency admissions stay less than one day, with 25% staying less than 6 hours. There are missed opportunities across the system in both primary and secondary falls prevention; to identify and work with people early in their journey, before they fall repeatedly or sustain a fracture. Focused quality improvement work is now focusing on 6 key areas: Targeted case findingImproving the response in the first 24 hoursFracture liaison servicesAccess to falls exerciseData and information Systems leadershipConclusionWorking collaboratively across the health and social care system has enabled improvements in patient care, joining up services and prioritising prevention. External funding details None
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