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An
awareness of UK health priorities |
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Rooting
out age discrimination: NHS services should be provided, regardless of
age, on the basis of clinical need alone. Social care services will not
use age in their eligibility criteria or policies, to restrict access to
available services |
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Person-centred care: NHS and social care services should treat older
people as individuals and enable them to make choices about their own
care. This is achieved through the single assessment process, integrated
commissioning arrange-ments and integrated provision of services,
including community equipment and continence services |
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Intermediate care: Older people should have access to a new range of
intermediate services at home or in designated care set-tings, to
promote their independence by providing enhanced services from the NHS
and councils to prevent unnecessary hospital admission and effective
rehabilitation services to enable early discharge from hospital and to
prevent premature or unnecessary admission to long-term residential care |
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General
hospital care: Older people’s care in hospital should be delivered
through appropriate specialist care and by hospital staff who have the
right set of skills to meet their needs |
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Stroke:
The NHS will take action to prevent strokes, working in partnership with
other agencies where appropriate People who are thought to have had a
stroke have access to diagnostic services, are treated appropriately by
a specialist stroke service and subsequently with their carers
participate in a multidisciplinary programme of secondary prevention and
rehabilitation |
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Falls: The
NHS working in partnership with councils should take action to prevent
falls and reduce resultant frac-tures or other injuries in their
population of older people Older people who have fallen should receive
effective treatment and with their carers receive advice on pre-vention
through a specialised falls service |
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Mental
health in older people: Older people who have mental health problems
should have access to integrated mental health services pro-vided by the
NHS and councils to ensure effective diagnosis, treatment and support
for them and their carers |
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The
promotion of health and active life in older age: The health and
wellbeing of older people should be promoted through a coordinated
programme of action led by the NHS with support for their carers. |
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To manage
primary contact with older patients, dealing with unselected problems |
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Understanding of the theories of ageing |
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Understanding of the physical, psychological and social changes that may
occur with age and relating them to the adaptations that an older person
makes, and to the breakdown of these adaptations |
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Understanding of the special factors associated with drug treatment,
e.g. the physiology of absorption, metabolism and excretion of drugs,
the hazards posed by multiple prescribing, non-compliance and iatrogenic
disease |
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Understanding of physical factors, particularly diet, exercise
temperature and sleep that affect the health of older people |
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Understanding of the management of the conditions and problems commonly
associated with old age such as Parkinson’s disease, falls, gait
disorders, stroke, confusion |
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Mastering
an approach that allows easy access to the primary healthcare team for
older people, appropriate timing of appointments and an organisational
approach to the management of chronic conditions and co-morbidities |
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To master
effective and appropriate care provision and health service utilisation |
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Knowledge
of how to access support services for older patients, e.g. podiatry,
visual and hearing aids, immobility and walking aids, meals on wheels,
home care services |
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Knowledge
of the different forms of daycare and residential accommodation
available and the ability to advise patients about them Knowledge of
how to use the various statutory and voluntary organisations for support
of older people in the community. |
The Core Curriculum statement
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