Focus on Frailty celebration event, 20 November 2024 - event summary

 

Wednesday 20 November 2024

The Focus on Frailty celebration event was attended by 77 delegates. All six Focus on Frailty teams attended alongside colleagues from Scottish Government, Age Scotland and the Centre for Sustainable Delivery.

 

Chair’s welcome 

Dr Lara Mitchell, Strategic National Clinical Lead for Acute, Healthcare Improvement Scotland and Consultant in Medicine for the Elderly, Queen Elizabeth University Hospital, Glasgow, NHS Greater Glasgow and Clyde, chaired the event.

Dr Mitchell welcomed the teams and shared the aim and objectives of the day which were: 

An opportunity for attendees to celebrate their progress as part of the Focus on Frailty programme and consider next steps for their improvement work by:

  • Sharing their key achievements and learning.
  • Connecting with colleagues.
  • Developing plans for sustaining and spreading improvement.

Attendees were asked to describe the most important leadership quality in health and social care at the moment.

Responses included:

  • compassion,
  • fairness,
  • collaboration,
  • pragmatism,
  • openness,
  • the ability to listen,
  • visibility,
  • equity and,
  • honesty. 

 

Team presentations

Each team gave a presentation on their successes, challenges and next steps. Highlights from the team presentations included:

NHS Lanarkshire and North Lanarkshire HSCP 

  • Increased identification of people aged over 65 years and living with frailty across three acute hospitals.
  • All three acute sites now have a frailty unit.
  • The development of a multidisciplinary frailty network and frailty strategy.

NHS Dumfries and Galloway and Dumfries and Galloway HSCP  

  • Development and launch of an ageing well toolkit for staff and the public.
  • Polypharmacy reviews led to 11% of medicines being deprescribed, 25% of these medications having a high anticholinergic burden.
  • Clinical Frailty Scale training for the health and social care workforce.
  • Testing of an advice line staffed by hospital geriatricians for community-based health and social care staff to discuss potential hospital admissions.
Perth and Kinross HSCP and NHS Tayside
  • Testing a community-based discharge coordinator role for people living with frailty.
  • Development of patient stories to support improvement using the Care Experience Improvement Model.
  • Staff training and simulation sessions on frailty.
NHS Ayrshire and Arran and South Ayrshire HSCP 
  • Spread of occupational therapy wellbeing reviews in primary care across the whole of South Ayrshire.
  • Comprehensive geriatric assessment and future care planning in the community led by community nursing.
  • Establishment of frailty zones in Crosshouse Hospital and University Hospital Ayr.
NHS Grampian and Moray HSC
  • Running a community appointment day for people on the waiting list for musculoskeletal physiotherapy.
  • Medication reviews for people receiving a care package.
  • Frailty bundle to improve knowledge and awareness of frailty in Dr Gray’s Hospital.
  • A strategic approach to frailty across primary, community and secondary care.

NHS Greater Glasgow and Clyde, Glasgow Royal Infirmary 

  • People 75 years and over and those 65 years and over from care home are now screened for frailty at the hospital front door.
  • Comprehensive geriatric assessment huddles and rapid access clinics to support timely hospital discharge.
  • Reduced length of stay for older people living with frailty following the establishment of the frailty assessment unit.

The presentations were followed by questions from the room, a thank you and summary from the chair and a recorded message from Robbie Pearson, Chief Executive, Healthcare Improvement Scotland.

The presentations from the celebration event can be found here

 

Keynote speaker

The afternoon session started with Professor Trish Greenhalgh, Professor of Primary Care Health Sciences and Fellow of Green Templeton College at the University of Oxford who delivered a presentation on “Innovation, improvement, implementation, spread, scale-up and sustainability: Definitions, frameworks and paradoxes.”

This was followed by Q&A. The recording and slides can be found here.

 

Workshop:  Next steps for your frailty improvement work

Teams were asked to consider next steps to ensure spread, scale up and sustainability of their improvement work building on the keynote presentation. They were given a template to focus their discussion on:

  • What areas of work are a priority to spread, scale-up, sustain or start over the next six months.
  • What structure, strategy and support are in place, or required, to move these forward and who will be involved?

The teams then shared with the room what areas of work are their priority to spread, scale-up, sustain or start over the next six months.

 

Panel session: ‘Improving health and social care for people living with frailty nationally – where next?’

This session was chaired by Belinda Robertson, Associate Director of Improvement, Healthcare Improvement Scotland. The session provided the opportunity for attendees to pose questions to a panel of multidisciplinary system leaders, hear their reflections on the learning from the Focus on Frailty programme and their perspectives on next steps for improving outcomes for people living with frailty.

Panel members were:

  • Professor Graham Ellis, Deputy Chief Medical Officer, Scottish Government
  • Professor Angela Wallace, Executive Nurse Director, Greater Glasgow and Clyde, Scottish Executive Nurse Directors group
  • Tim Eltringham, Director of Health and Social Care, South Ayrshire HSCP
  • Doug Anthoney, Health and Wellbeing Manager, Age Scotland
  • Dr Malcom Simmons, General Practitioner, Moray HSCP
  • Alison Leiper, Interim General Manager, Older Peoples and Stroke Services, North Sector, NHS Greater Glasgow and Clyde
  • Tricia Moylan, National Clinical Advisor for Unscheduled Care, the Centre for Sustainable Delivery.

 

Highlights included:

Frailty should be everyone’s business, and [a focus on] ageing well is part of that." Panel member

Closing remarks 

Dr Lara Mitchell closed the day encouraging teams to plan their next steps for continuing their improvement work and provided information on the next steps for the frailty programme.

 

Evaluation

  • 100% of respondents strongly agreed or agreed that the learning session helped improve their knowledge of and ideas for spread, scale and sustainability.
  • 100% of respondents strongly agreed or agreed that the learning session helped build resilience and momentum to keep going with frailty improvement work.
It was a really great day, thanks. It has inspired more ideas to take forward!" Celebration event attendee

Contact us

If you have any questions, please contact us via email at his.frailty@nhs.scot