Video gallery: Delirium and frailty assessment tools work, and are working in hospitals across Scotland
With the number of older people increasing in our population, the need to ensure that they receive appropriate care in our healthcare system also increases. An 86% increase in the number of over 75 year olds is predicted between 2012 and 2037.
Since April 2012 Healthcare Improvement Scotland has been leading a programme of national improvement support for older people in acute care. The programme has focused on two critical areas, which are the identification and immediate management for older people with frailty and/or delirium.
Over the last 18 months we have worked in with staff at the following hospitals to test delirium and frailty assessment tools on frontline wards with the aim to drive improvement in older people's care:
- Crosshouse Hospital, NHS Ayrshire and Arran
- the Royal Infirmary of Edinburgh, NHS Lothian and
- the Southern General Hospital, NHS Greater Glasgow and Clyde.
The results have shown that our delirium and frailty assessment tools work and are making a real difference to the care of older people in Scottish hospitals.
We’ve created a series of videos which highlight the progress of our collaboration, the improvements made in each hospital, and experiences of staff in using these tools to identify and manage delirium and frailty.
Working together to improve the care of older people in Scotland
Staff from Healthcare Improvement Scotland and all three sites and discuss working together to improve older people's care and the positive impact made by using our delirium and frailty assessment tools in their hospitals.
A collaborative approach to improving care at Crosshouse Hospital
Crosshouse Hospital in NHS Ayrshire & Arran has seen significant and sustained improvements in delirium assessment in test sites since introducing the delirium and frailty pathways. In this video staff from Crosshouse Hospital discuss their experiences of using the delrium toolkit and the positive impact the Older People in Acute Care Programme has had on improving older people's care in NHS Ayrshire and Arran. Read a news article with further details on the improvements being made in NHS Ayrshire and Arran.
Introducing frailty assessment at the Royal Infirmary of Edinburgh
NHS Lothian’s interest in frailty is part of their overall Delivering Better Care programme to improve the quality, safety and effectiveness of patient care and patient experience. Work had already been going on in the Medicine of the Elderly (MoE) Directorate to identify frail older patients and manage their journey through hospital. The team decided to develop that work to create a tool and referral process for use in other departments in response to the Healthcare Improvement Scotland national initiative on improving the identification, assessment and treatment of frailty and delirium. In this video, staff from the Royal Infirmary of Edinburgh disuss introducing frailty assessment throughout the hospital and the role it has played in making a real difference to improving older people's care. Read a news article with further details on the improvements being made in NHS Lothian.
Taking a new approach at the Southern General Hospital
Following a scrutiny inspection in February 2014, Healthcare Improvement Scotland recognised that there were areas where care for older people at the Southern General could improve. We formed a partnership with the hospital to take a new approach to making these improvements happen. We worked with NHS Greater Glasgow and Clyde focusing on five wards at the Southern General Hospital. The goal was to improve the recognition and treatment of patients with delirium on admission and transfer. This helped to ensure that assessment and treatment could be started quickly. Due to the introduction of a delirium care pathway there have been improvements in outcomes for patients. In this video, staff from the Southern General Hospital discuss the positive changes made by implementing this new approach, and the improvements made to older people's care as a result. Read a news article with further details on the improvements being made in NHS Greater Glasgow and Clyde.