Workshop objectives

Commissioning Integrated Care for Older People

London1 February 2005 Paul Forte, Richard PoxtonChris Foote, Tom Bowen,The Balance of Care Group

Workshop objectivesIntegration of health, social care and other services for older people: a high priority - but not easy to achieveCommissioning is a potentially powerful tool to support this, but how does it work in the current environment?

What were aiming for today is: strategic and practical insights into commissioning integrated care opportunities to consider potential local implicationsideas for further action

Workshop agendaCommissioning environmentWhat do we mean by integration?Current issues in commissioning integrated careGroup work: whats happening locally at the moment?Whats the evidence?Whole System modelling of Older Peoples servicesAligning demand and supplyTelemedicine and telecare Group work: developing local whole system perspectivesSo what will you do about it?

First thoughtsTake a few moments to introduce yourself to your neighbours and discuss:your take on whats affecting integrated care commissioning whats getting in the way?your magic bullet solutions and whats looking promising?your expectations of todays workshop

Typical demandsWe want to reduce emergency/ unnecessary admissionsWe want to improve the flow of patients through acute bedsWe want to reprovide our care home stockWe want to provide high quality careWe want to provide a seamless service

We want to be at home!

begging the following questionsWhat alternative care processes are there?Where are they/ should they be located?Which types of users and patients are these suitable for and how do we identify them?What are implications for the types and volumes of resources required such as staff, beds and places?When might we achieve this by?Who pays?

Why arent we doing it already?

CommissioningMonitoring & evaluation- service delivery- client satisfactionPlanning- identify need/ demand- prioritiesPurchasingsettings/ providerscontractsStrategy/ vision- stakeholders- sense of purpose

Commissioning implicationsTension and complexity is the working currencyA need for both long and short-term views and a capacity to respond at both these levelsTo be effective a key focus of the commissioning process should be to incorporate the patient/ user experience and engage the cliniciansData and information who owns it and who has access to it?

Stakeholders in commissioning OLDER PERSON/PEOPLEMULTIDISCIPLINARY PROFESSIONALSCROSS AGENCY COMMISSIONERSCOMMUNITIES

What is Integrated Care -I? For the older person, it is their involvement in their care such that they feel in control of a seamless and easily accessed service as it affects them. That permits them to act responsibly both to themselves and their communities so that they feel valued and part of their community.

What is Integrated Care II? For the professional, it is working in a context of positive and supportive relationships, within and across boundaries, such that they can more easily provide an appropriate and timely service to their patients and colleagues.

What is Integrated Care - III? For the commissioners integrating commissioning results in robust partnerships across agencies and communities that provide innovative, high quality care which is cost effective. Central to this is balancing the needs of the individual to the needs of the population, supported by the commissioning of shared information, shared training and development and shared governance.

Pre admissionPre admissionAdmissionDiagnosisTreatmentDischargeRe-admissionSocial detailsalone, carers, accommodationRisk factors:age, drugs, co-morbidities,psychiatric/dementia, falls

Preventative care Disease management Managed populations

Source of referralTimeWaiting timeRouteDecision makerReason for admission

Alternatives to admission to acute settingAdmission diagnosisInpatient diagnosisDelays in diagnosisChronic disease

Alternative access for diagnosisDelays in therapy

Alternative settings for therapy (especially rehab)Discharge planningDelays in planningDelays in execution

Alternative locations for dischargeRevolving doorAvoidable eg. through chronic disease management

Alternative locations for readmissionIntegrated care

Future care trendsMore active rehabilitation in the community: hospitals, care homes, clients own homesBlurring of boundary between health and social care environmentsMore flexibility and devolution of tasks within and between care professionsMore active upstream managementlong-term conditions managementrisk management of frail elderly in the community health promotion

Older peopleDefine by age, condition?Older people as individualsOlder people as part of a populationHow do we identify and target particular types or groups of older people?Role of carers

Chart5

17492

17.248.352.95

17.447.73.9

17.55475.45

17.746.37

17.8545.858.05

1845.49.1

18.144.910

Years before labour market

Years in employment

Years in retirement

Year

Age

Decomposition of Men's Life Course (OECD Average)

Sheet1

19601970198019901995

Age of entry to labour market1717.217.417.5517.717.851818.1

Age of retirement6665.5565.164.556463.763.463

Life expectancy6868.569707171.7572.573

19601970198019901995

Years before labour market1717.217.417.5517.717.851818.1

Years in employment4948.3547.74746.345.8545.444.9

Years in retirement22.953.95.4578.059.110

Sheet1

17492

17.248.352.95

17.447.73.9

17.55475.45

17.746.37

17.8545.858.05

1845.49.1

18.144.910


Years in employment

Years in retirement

Year

Age

Figure 3.9 - Decomposition of Men's Life Course (OECD Average)

Sheet2

Sheet3

Sheet1 (2)

19601970198019901995

Age of entry to labour market1717.417.71818.1

Age of retirement6665.16463.463

Life expectancy68697172.573

19601970198019901995

Years before labour market1717.417.71818.1

Years in employment4947.746.345.444.9

Years in retirement23.979.110

Sheet1 (2)

17492

17.447.73.9

17.746.37

1845.49.1

18.144.910


Years in employment

Years in retirement

Intermediate Care - a cautionary tale of initiatives?Many definitions and models; poor evaluation; little scientific evidence (Melis, 2004)Have tended to focus attention on patients who can be rehabilitated quickly doesnt take much account of slow-stream rehabHowever, community-based services could broaden their scope in this directionMore creativity both in locations for care and in the care processes themselves comes with better knowledge about patients

PCT reorganisationSupport for commissioning critical mass of appropriate skillsOverview of Practice-based Commissioningstrategic functionequityKeeping the focus on integrated carepotential wide range of service providerscontinuing alignment with social care services

Practice-based commissioningCommissioning is its raison dtrestrategic overviewsupport for PracticesPredicated on: strong clinical leadership - essential for effective service developmentclear strategic focuscase finding and service co-ordinationappropriate skills, informationmature partnerships

Payment by resultsCurrently focused on event-based care in hospitalSince money follows the patient, healthcare outside hospitals can release funding for development of integrated careBut need to adopt whole systems approaches if, for example, hospital admissions are to be reduced

Direct paymentsMoney for assessed support, instead of servicesEmphasis on individual choice, control, flexibilityUsers at the centre; pulling together individualised patterns of support

Challenges for integrated care:not available for health supportimportant to move away from notion of services as standardised and aggregate in-house services and block contract issuescommissioners, clinicians and providers must work closely together

What does the evidence tell us?Analysis of the local system is about transforming:suspicion into datadata into informationinformation into actionTo support the commissioning basis:developing the local visionidentifying and prioritising needsresource implications and purchasingalternatives to existing service delivery

Typical aims of a bed usage survey To assess the potential for alternative approaches to care delivery across the local health and social care economy through: identification of the number and types of inpatients currently receiving hospital care who might have:been treated elsewhere instead of admitted,required admission, but could now be treated elsewhereincluding:patients in acute wardspatients in community settingselderly mental health placements

Patient profile: age group(n = 444)Average Age 73

Chart3

108

76

139

121

N

4 surveyors workshop

NORTH HAMPSHIRE - BOCG GROUP SURVEY - 6TH OCTOBER 2004 - INITIAL ANALYSIS

INCLUDESEXCLDUES

Parklands (A)32From NHH:

NHH (A)316ITU28

348Day Cases24

All form Bs9652

444496

AGEGROUPA - CCU/CHDU/HDU/ITUA - NHHT - DAYCASEA - NHHT - NON DAYCASEA - ParklandsB - Community

Under 6510159719

65 to 7412153914

75 to 8456931432

85 to 941265733

95 +817

Null1

28243163296

AGEGROUPN

Under 65108

65 to 7476

75 to 84139

85+121

444


0

0

0

0

N

ANALYSIS - ALL


FORM TYPEAll

LOCATIONAll

RECORD COUNT496

All Forms12496

LocationCountOfIDMedian LOS prior to surveyForm A9400

ALTON45Form B5596

CHASE20Mediann

AGEGROUPA - CCU/CHDU/HDU/ITUA - NHHT - DAYCASEA - NHHT - NON DAYCASEA - ParklandsB - CommunityTotal%HOMEFIELDS22Parklands4045

Under 651015971913227%NHHT368Odiham2420

65 to 74121539148918%ODIHAM9NHHT822

75 to 845693143215030%PARKLANDS32Homefields567368

85 to 94126573310822%Chase139

95 +817163%Alton5632

Null110%

28243163296496

AGEGROUPTotal%

Under 6513227%

65 to 748918%

75 to 8415030%

85 +12425%

AGEGROUP

AB

Under 651239

65 to 747514

75 to 8411832

85 +8440

AGEGROUPAcuteCommunity

Under 6531%9%

65 to 7419%15%

75 to 8430%34%

85 +21%42%

Admission reason like fall or acopia

LocationCountOfID

ALTON8

CHASE4

HOMEFIELDS1

NHHT53

ODIHAM1

PARKLANDS3

70

17

NOOFRFAB

014917

115720

26838

3/3+2621

Risk FactorAcuteCommunityTotalFormTypeCountOfID

Multiple Drug Therapy 4+18367250A127

Incapacity of Carer16925B51

Lives Alone8240122

Poor Mobility9044134

Aged >8012751178

No of Co-morbidities

AppropraiteAdm

FORMGROUPNYFORMGROUPDay of CareAdmission

A - CCU/CHDU/HDU/ITU72128NHHT - ITU, etc100%75%

A - NHHT - DAYCASE2424NHHT - DCs67%100%

A - NHHT - NON DAYCASE168247316NHHT - IPs45%78%

A - Parklands141832Parklands47%56%

310400

78%

AppropraiteNow

FORMGROUPNY

A - CCU/CHDU/HDU/ITU2828

A - NHHT - DAYCASE81624

A - NHHT - NON DAYCASE3171142316

A - Parklands171532

201400

50%

ADMISSIONREASONGROUPABAll

Pain85792

Collapse/Fall591271

Mental Health47855

Procedure41243

SOB27330

Rehabilitation12829

Unwell14317

Weak/Dizzy1515

Infection10212

Fracture5510

Other9222114

Null448

40096496

`

ALT1STPREFAB

Home2

Home with general health care44

Home with social care75

Home with specialist nurse22

Home with therapy support29

Non acute bed33

Non acute bed with therapy2118

EMH Bed213

Specialist MH rehab bed136

Access to outpatient/day hospital82

Other1013

Null1521

RED1STPREFAB

Own Home only241





Non acute bed104

Non acute bed with nursing support449

Non acute bed with therapy support5410

Acute Bed2

EMH Bed1512


Other610

SourceOfReferralCountOfID

GP159

Another Hospital81

99978

Outpatients71

Self23

Other57

Null27

Discharge Plan Y/N

LocationNYTotal% Yes

ALTON84334573%

CHASE18112055%

HOMEFIELDS220220%

NHHT2918715236841%

ODIHAM63933%

PARKLANDS47213266%

22049644%

Location% Yes

PARKLANDS66%

ODIHAM33%

NHHT41%

HOMEFIELDS0%

CHASE55%

ALTON73%

&RJW, &D, Page &P of &N

ANALYSIS - ALL

11111111

Form A Admitted From (n=340)

ANALYSIS - A NHHT

11111111

Form A Source of Referral (n=340)

ANALYSIS - A PARKLANDS

11111111

Form A Admitted By (n=340)

ANALYSIS - A ITU

0

0

0

0

ANALYSIS - B

00

00

00

00

Acute

Community

18367

169

8240

9044

12751

Acute

Community

10.75

0.66666666671

0.44936708860.7816455696

0.468750.5625

Day of Care

Admission

0

0

0

0

0

0

Median

857

5912

478

412

273

128

143

15Weak/Dizzy

102

55

9222

44

A

B

2Home

44

75

22

29

33

2118

213

136

82

1013

1521

A

B

241

266

205

113

1813

104

449

5410

2Acute Bed

1512

115

610

A

B

159

81

78

71

23

57

27

CountOfID

0.65625

0.3333333333

0.4130434783

0

0.55

0.7333333333

% Yes


FORM TYPEAAppropriateAdmissionCountOfIDAppropriateNowCountOfIDAppropriateAdmission = N

LOCATIONNHHTY27180%Y15846%ALT1STPREFCountOfID

N68N179Access to outpatient/day hospital812%

RECORD COUNT340Null1Null3EMH Bed11%

Note: ITU/HDU/CCU will be analysed separately.Home11%PASSPECIALTYGROUPDay of CareAdmission

Note: Parklands will be analysed separately.AppropriateAdmissionHome with general health care46%General Medicine36%73%

PASSPECIALTYGROUPCountOfIDPASSPECIALTYGROUPNY% Y (Adm)Home with social care710%General Surgery51%87%

Geriatric Medicine9227%General Medicine1195573%Home with specialist nurse23%Geriatric Medicine17%58%

General Medicine7522%General Surgery74687%Home with therapy support23%Other73%97%

Other6319%Geriatric Medicine395358%Non acute bed34%Trauma & Orthopaedics63%98%

Trauma & Orthopaedics5717%Other26197%Non acute bed with therapy1928%

General Surgery5316%Trauma & Orthopaedics15698%Other23%

27180%Specialist MH rehab bed57%

DayCaseCountOfIDAppropriateNowVar AdmNull1421%

316PASSPECIALTYGROUPNY% Y (D of C)to D of C

Y247%General Medicine423336%-37%

General Surgery262751%-36%Home1624%

SourceOfReferralCountOfIDGeriatric Medicine3731617%-40%Non acute bed2232%

Seen by GP7522%Other174673%-24%Other1624%

Outpatients7021%Trauma & Orthopaedics213663%-35%Null1421%

9997021%15846%

Referral by GP4513%GP120

Other257%OP70

257%99970

Self206%Other55

Hospital103%Not Known25

AdmittedFromCountOfID

Own Home28684%Own Home286

196%Care Home17

Residential Home113%Hospital11


Other72%Other7

Nursing Home62%

AdmittedByCountOfIDConsultant170

Consultant17050%SHO69

SHO6920%Other59

4212%Not Known42

SPR329%

PRHO216%

Other62%

BetsyCountOfID

PCTGROUPCountOfFormTypeY26177%

NORTH HAMPSHIRE PCT27681%N55

BLACKWATER VALLEY AND HART PCT237%24

OTHER185%Records with predicted DDs (not 1/1/2004)207

NEWBURY AND COMMUNITY PCT93%Records with predicted DDs (1/1/2004)4

82%Records with predicted DDs (not 1/1/2004) prior to survey date6029%RED1STPREFCountOfID

MID-HAMPSHIRE PCT62%EMH Bed124%

DischargePlanningCountOfIDHome with general health care268%

Y14543%Home with social care206%

N172Home with specialist nurse103%

Null23Home with therapy support175%

Non acute bed82%

CarePathwayCountOfIDNon acute bed with nursing support4112%

Y4112%Non acute bed with therapy support5316%

N253Other41%

Null46Own Home only247%

Specialist MH rehab bed82%

Null11734%

Home9729%

Non acute bed10230%

Other247%

Null11734%

Discharge Planning

WardPatients with Discharge PlanningWardNY%Y

D125%D151052025%

D258%D219142458%

D353%D3891753%

D534%D5516113234%

E164%E117142264%

E232%E221372232%

E347%E32891947%

E429%E41562129%

F144%F1113112544%

F258%F247152658%


00000000

00000000

00000000

00000000

00000000


00000000

00000000

00000000

00000000

00000000


00000000

00000000

00000000

00000000


0

0

0

0

0

0

0

0

0

0

0

0

Form A - 1st Preference Admission Alternatives

0

0

0

0

Form A - 1st Preference Admission Alternatives (Grouped)

0.1176470588

0.0147058824

0.0147058824

0.0588235294

0.1029411765

0.0294117647

0.0294117647

0.0441176471

0.2794117647

0.0294117647

0.0735294118

0.2058823529

0.0352941176

0.0764705882

0.0588235294

0.0294117647

0.05

0.0235294118

0.1205882353

0.1558823529

0.0117647059

0.0705882353

0.0235294118

0.3441176471

Form A - 1st Preference Discharge Choices

0.2352941176

0.3235294118

0.2352941176

0.2058823529

0.2852941176

0.3

0.0705882353

0.3441176471

Form A - 1st Preference Discharge Choices (Grouped)

0.35869565220.7333333333

0.50943396230.8679245283

0.17391304350.5760869565

0.73015873020.9682539683

0.63157894740.9824561404

Day of Care

Admission


FORM TYPEAAppropriateAdmissionCountOfIDAppropriateNowCountOfID

LOCATIONPARKLANDSY1856%Y1547%

N14N17

RECORD COUNT32

DischargePlanningCountOfID

Y2166%

N7

4

CarePathwayCountOfID

Y413%

N23

5


11111111


11111111


11111111




LOCATIONNHHTY2175%Y28100%

WARDSCCU/CHDU/HDU/ITUN7

RECORD COUNT28

SourceOfReferralCountOfIDBetsyCountOfID

Hospital932%Y2175%

999725%N2

Seen by GP518%Null5

Self27%

Referral by GP27%

Other27%

Outpatients14%


Y754%

AdmittedFromCountOfIDN15

Own Home2071%6

Hospital414%

Other311%CarePathwayCountOfID

14%Y718%

N16

5

AdmittedByCountOfID

Consultant1657%

Other518%

SPR27%

SHO27%

27%

PRHO14%



FORM TYPEBRED1STPREFCountOfID

RECORD COUNT96Home with therapy support1314%

EMH Bed1213%

LocationCountOfIDOther1010%

ALTON4547%Non acute bed with therapy support1010%

HOMEFIELDS2223%Non acute bed with nursing support99%

CHASE2021%Home with general health care66%

ODIHAM99%Specialist MH rehab bed55%

Home with social care55%

Non acute bed44%

SourceOfReferralCountOfIDHome with specialist nurse33%

NHHT3739%Own Home only11%

GP2728%Null1819%

PARKLANDS1314%

Other99%

RSCH66%Home2829%

RHCH11%Non acute bed2324%

QAH11%Other99%

PARK PREWETT11%Null1819%

FRIMLEY11%


NHHT3739%

Own Home2930%

PARKLANDS1617%

RSCH66%

Other44%

RHCH11%

QAH11%

PARK PREWETT11%

FRIMLEY11%

AdmittedByCountOfID

GP3132%

Consultant2324%

Hospital Discharge Team2122%

Other88%

Multidisciplinary Team66%

Null77%


Y4749%

N38

Null11


Null96


0

0

0

0

0

0

0

0

0

0

0

0

Form B - 1st Preference Discharge Choices

0

0

0

0

Form B - 1st Preference Discharge Choices (Grouped)

Risk factors by location(n = 444)

Chart1

0.45977011490.6979166667

0.04597701150.09375

0.21839080460.4166666667

0.24425287360.4583333333

0.23275862070.4166666667

0.66954022990.8125

0.37068965520.4791666667

Acute

Non Acute



INCLUDESEXCLDUESACUTE348

Parklands (A)32From NHH:NON ACUTE96

NHH (A)316ITU28444

348Day Cases24

All form Bs9652

444496

AGEGROUPA - CCU/CHDU/HDU/ITUA - NHHT - DAYCASEA - NHHT - NON DAYCASEA - ParklandsB - CommunityAGEGROUPAcuteNon Acute

Under 65101597191

65 to 741215391465 to 746214

75 to 845693143275 to 8410732

85 to 94126573385 to 947233

95 +81795 +97

Null1Under 65989

2824316329634896

AGEGROUPN

Under 65107

65 to 7476

75 to 84139

85+122

444

AGEGROUPAcuteNon Acute

Under 65989

65 to 746214

75 to 8410732

85+8141

34896


Under 6528%9%

65 to 7418%15%

75 to 8431%33%

85 +23%43%

100%100%

Risk FactorAcuteNon AcuteNOOFACAcuteNon Acute

Multiple Drug Therapy 4+16067227011518

Incapacity of Carer16925111934NOOFMSAcuteNon Acute

Lives Alone764011627423021950


Aged >8012151172471322611

1 or more co-morbidities23378311521351

1 or more mental state1294617561

%s121

Risk FactorAcuteNon Acute

Multiple Drug Therapy 4+46%70%

Incapacity of Carer5%9%

Lives Alone22%42%

Poor Mobility24%46%

Aged 85+23%42%

1 or more co-morbidities67%81%

Mental factors37%48%


26

99971

FRIMLEY1

GP27

Hospital11

NHHT38

Other53

Outpatients51

PARK PREWETT1

PARKLANDS13

QAH1

Referral by GP46

RHCH1

RSCH6

Seen by GP77

Self21

444


GP150159

Other Hospital7281

9997178Appropraite Admission

Outpatients5171PASSPECIALTYGROUP2NYPASSPECIALTYGROUP2% Yes

Self212344Medical69%

Other5357Elderly Mental Health141832Trauma & Orthopaedics98%

Null2627Medical160133194Other Surgical90%

444Other Surgical76067Elderly Mental Health56%

Trauma & Orthopaedics15051

182265348076%

AppropraiteNowNull100%

PASSPECIALTYGROUP2NYPASSPECIALTYGROUP2% Yes

224Medical36%

Elderly Mental Health171532Trauma & Orthopaedics61%

Medical312269194Other Surgical60%

Other Surgical274067Elderly Mental Health47%


3188157348045%

Null50%

LocationAppropriate on AdmissionAppropriate on Day of Care

NHH78%45%

Parklands56%47%

Median LOS prior to survey

Median

Odiham24

Chase13

Alton56

Parklands40

NHH8

Homefields56722

422

ADMISSIONREASONGROUPAcuteNon Acute

Collapse/Fall5812

Diarrhoea/Vomiting7

Fracture55

Infection82

Investigation7

Mental Health438

Null44

Other539

Pain717

Procedure352

Rehabilitation128

Respite19

SOB223

Social Admission54

Unwell143

Weak/Dizzy14

34896444


Pain717

Collapse/Fall5812

Mental Health438

Procedure352

SOB223

Rehabilitation128

Unwell143

Weak/Dizzy140

Infection82

Fracture55

Unclassified7322

Null44

ALT1STPREFAcuteNon Acute


EMH Bed213

Home1





Non acute bed33


Other413


6775


Home1






EMH Bed213


Non acute bed33


Other413

RED1STPREFAcuteNon Acute

12618

EMH Bed1512





Non acute bed104



Other610

Own Home only181



Home181





EMH Bed1512


Non acute bed104



Other610

Discharge Planning

LocationNY% Y

ALTON84334573%

CHASE18112055%

HOMEFIELDS220220%

NHHT2216213231642%

ODIHAM63933%

PARKLANDS47213266%

20044445%

Location% Yes

HOMEFIELDS0%

ODIHAM33%

CHASE55%

ALTON73%

PARKLANDS66%

NHH42%

Waiting forAcuteNon Acute

Care professional13213

Community Health6222

Investigations887

Rehab/hospital care566

Care Home5226

Carers/Relatives239


0

0

0

0

N

ANALYSIS - ALL

00

00

00

00

Acute

Non Acute

ANALYSIS - A NHHT

Acute

Non Acute


0

0

0

0

0

0

0

CountOfID

ANALYSIS - A ITU

0

0

0

0

% Yes

ANALYSIS - B

0

0

0

0

% Yes

00

00

Appropriate on Admission

Appropriate on Day of Care

0

0

0

0

0

Median

00

00

00

00

00

00

00

00

00

00

00

00

Acute

Non Acute

00

00

00

00

00

00

00

00

00

00

00

Acute

Non Acute

00

00

00

00

00

00

00

00

00

00

00

Acute

Non Acute

0

0

0

0

0

0

% Yes

00

00

00

00

00

00

Acute

Non Acute


FORM TYPEAll

LOCATIONAll

RECORD COUNT496

All Forms12496


ALTON45Form B5596

CHASE20Mediann



65 to 74121539148918%ODIHAM9NHHT822


85 to 94126573310822%Chase139

95 +817163%Alton5632

Null110%

28243163296496

AGEGROUPTotal%

Under 6513227%

65 to 748918%

75 to 8415030%

85 +12425%

AGEGROUP

AB

Under 651239

65 to 747514

75 to 8411832

85 +8440


Under 6531%9%

65 to 7419%15%

75 to 8430%34%

85 +21%42%


LocationCountOfID

ALTON8

CHASE4

HOMEFIELDS1

NHHT53

ODIHAM1

PARKLANDS3

70

17

NOOFRFAB

014917

115720

26838

3/3+2621




Lives Alone8240122


Aged >8012751178


AppropraiteAdm






310400

78%

AppropraiteNow

FORMGROUPNY




A - Parklands171532

201400

50%


Pain85792

Collapse/Fall591271

Mental Health47855

Procedure41243

SOB27330

Rehabilitation12829

Unwell14317

Weak/Dizzy1515

Infection10212

Fracture5510

Other9222114

Null448

40096496

`

ALT1STPREFAB

Home2





Non acute bed33


EMH Bed213



Other1013

Null1521

RED1STPREFAB

Own Home only241





Non acute bed104



Acute Bed2

EMH Bed1512


Other610


GP159

Another Hospital81

99978

Outpatients71

Self23

Other57

Null27

Discharge Plan Y/N


ALTON84334573%

CHASE18112055%

HOMEFIELDS220220%

NHHT2918715236841%

ODIHAM63933%

PARKLANDS47213266%

22049644%

Location% Yes

PARKLANDS66%

ODIHAM33%

NHHT41%

HOMEFIELDS0%

CHASE55%

ALTON73%


11111111


11111111


11111111


0

0

0

0

00

00

00

00

Acute

Community

00

00

00

00

00

Acute

Community

00

00

00

00

Day of Care

Admission

0

0

0

0

0

0

Median

00

00

00

00

00

00

00

00

00

00

00

00

A

B

00

00

00

00

00

00

00

00

00

00

00

00

A

B

00

00

00

00

00

00

00

00

00

00

00

00

A

B

0

0

0

0

0

0

0

CountOfID

0

0

0

0

0

0

% Yes






















9997021%15846%


Other257%OP70

257%99970

Self206%Other55




196%Care Home17



Other72%Other7

Nursing Home62%



SHO6920%Other59

4212%Not Known42

SPR329%

PRHO216%

Other62%

BetsyCountOfID












Non acute bed82%



N253Other41%



Null11734%

Home9729%

Non acute bed10230%

Other247%

Null11734%

Discharge Planning


D125%D151052025%

D258%D219142458%

D353%D3891753%

D534%D5516113234%

E164%E117142264%

E232%E221372232%

E347%E32891947%

E429%E41562129%

F144%F1113112544%

F258%F247152658%


00000000

00000000

00000000

00000000

00000000


00000000

00000000

00000000

00000000

00000000


00000000

00000000

00000000

00000000


0

0

0

0

0

0

0

0

0

0

0

0


0

0

0

0


0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0


0

0

0

0

0

0

0

0


00

00

00

00

00

Day of Care

Admission




N14N17

RECORD COUNT32


Y2166%

N7

4


Y413%

N23

5


11111111


11111111


11111111






RECORD COUNT28


Hospital932%Y2175%

999725%N2

Seen by GP518%Null5

Self27%

Referral by GP27%

Other27%

Outpatients14%


Y754%


Own Home2071%6

Hospital414%


14%Y718%

N16

5

AdmittedByCountOfID

Consultant1657%

Other518%

SPR27%

SHO27%

27%

PRHO14%





EMH Bed1213%







Non acute bed44%



GP2728%Null1819%

PARKLANDS1314%

Other99%

RSCH66%Home2829%


QAH11%Other99%


FRIMLEY11%


NHHT3739%

Own Home2930%

PARKLANDS1617%

RSCH66%

Other44%

RHCH11%

QAH11%

PARK PREWETT11%

FRIMLEY11%

AdmittedByCountOfID

GP3132%

Consultant2324%


Other88%


Null77%


Y4749%

N38

Null11


Null96


0

0

0

0

0

0

0

0

0

0

0

0


0

0

0

0


Who are the patients? (n = 341)

Chart5

717

5812

438

352

223

128

143

140

82

55

Acute

Non Acute

For presentations




NHH (A)316ITU28444

348Day Cases24

All form Bs9652

444496


Under 65101597191

65 to 741215391465 to 746214

75 to 845693143275 to 8410732

85 to 94126573385 to 947233

95 +81795 +97

Null1Under 65989

2824316329634896

AGEGROUPN

Under 65107

65 to 7476

75 to 84139

85+122

444


Under 65989

65 to 746214

75 to 8410732

85+8141

34896


Under 6528%9%

65 to 7418%15%

75 to 8431%33%

85 +23%43%

100%100%




Lives Alone764011627423021950


Aged >8012151172471322611



%s121




Lives Alone22%42%

Poor Mobility24%46%

Aged >8035%53%


1 or more mental states37%48%

SourceOfReferralCountOfIDNEWSORCountOfID

26GPGP152

99971OUTPATIENT/ ELECTIVE/ CONSULTANTOutpatient/ Elective/ Consultant77

FRIMLEY1HOSPITALHospital74

GP2799999971

Hospital11SelfSelf21

NHHT38OtherOther23

Other53NullNull26

Outpatients51

PARK PREWETT1OTHER10

PARKLANDS13A&E7

QAH1CPN6

Referral by GP46

RHCH1

RSCH6

Seen by GP77

Self21

444


GP150159

Other Hospital7281


Outpatients5171PASSPECIALTYGROUP2NYPASSPECIALTYGROUP2% YesSpecialty GroupAdmissionDay of Care

Self212344Medical69%Medical69%36%

Other5357Elderly Mental Health141832Trauma & Orthopaedics98%Trauma & Orthopaedics98%61%

Null2627Medical160133194Other Surgical90%Other Surgical90%60%

444Other Surgical76067Elderly Mental Health56%Elderly Mental Health56%47%


182265348076%



224Medical36%





3188157348045%

Null50%

LocationAdmissionDay of Care

NHH78%45%

Parklands56%47%


Median

Odiham24

Chase13

Alton56

Parklands40

NHH8

Homefields56722

422


Collapse/Fall5812

Diarrhoea/Vomiting7

Fracture55

Infection82

Investigation7

Mental Health438

Null44

Other539

Pain717

Procedure352

Rehabilitation128

Respite19

SOB223

Social Admission54

Unwell143

Weak/Dizzy14

34896444


Pain717

Collapse/Fall5812

Mental Health438

Procedure352

SOB223

Rehabilitation128

Unwell143

Weak/Dizzy140

Infection82

Fracture55

Unclassified7322

Null44



EMH Bed213

Home1





Non acute bed33


Other413


6775


Home1






EMH Bed213


Non acute bed33


Other413


12618

EMH Bed1512





Non acute bed104



Other610

Own Home only181



Home181





EMH Bed1512


Non acute bed104



Other610

Discharge Planning

LocationNY% Y

ALTON84334573%

CHASE18112055%

HOMEFIELDS220220%

NHHT2216213231642%

ODIHAM63933%

PARKLANDS47213266%

20044445%

Location% Yes

HOMEFIELDS0%

ODIHAM33%

CHASE55%

ALTON73%

PARKLANDS66%

NHH42%




Investigations887


Care Home5226

Carers/Relatives239

ADMDAYDESCRIPTIONAcuteNon Acute

61

1) Sun341

2) Mon7711

3) Tues7118

4) Wed4417

5) Thurs4115

6) Fri4228

7) Sat335

34896444


Mon22%11%

Tues20%19%

Wed13%18%

Thurs12%16%

Fri12%29%

Sat9%5%

Sun10%1%

8) Unknown2%1%

9) Weekend19%6%


Mon7711

Tues7118

Wed4417

Thurs4115

Fri4228

Sat335

Sun341

TIMEOFARRIVALGROUPAcuteNon Acute

0900 - 13006215

1300 - 17009325

1700 - 21006715

2100 - 0900636

Null6335

For presentations

0

0

0

0

N

00

00

00

00

Acute

Non Acute

00

00

00

00

00

00

00

Acute

Non Acute

0

0

0

0

0

0

0

CountOfID

0

0

0

0

% Yes

0

0

0

0

% Yes

00

00

Admission

Day of Care

0

0

0

0

0

Median

00

00

00

00

00

00

00

00

00

00

00

00

Acute

Non Acute

1Home

75

44

22

29

82

213

136

33

2118

413

Acute

Non Acute

181

226

195

103

1813

1512

115

104

409

5310

610

Acute

Non Acute

0

0.3333333333

0.55

0.7333333333

0.65625

0.417721519

% Yes

13213

6222

887

566

5226

239

Acute

Non Acute

7711

7118

4417

4115

4228

335

341

Acute

Non Acute

6215

9325

6715

636

Acute

Non Acute

0

0

0

0

0

0

0

CountOfID

00

00

00

00

Admission

Day of Care

00

00

00

00

00

00

00

00

00

00

Acute

Non Acute

% Within AEP admission criteria by specialty group (n = 316, acute beds only)

Chart1

0.6855670103

0.9803921569

0.8955223881

% Yes





NHH (A)316ITU28444

348Day Cases24

All form Bs9652

444496


Under 65101597191

65 to 741215391465 to 746214

75 to 845693143275 to 8410732

85 to 94126573385 to 947233

95 +81795 +97

Null1Under 65989

2824316329634896

AGEGROUPN

Under 65107

65 to 7476

75 to 84139

85+122

444


Under 65989

65 to 746214

75 to 8410732

85+8141

34896


Under 6528%9%

65 to 7418%15%

75 to 8431%33%

85 +23%43%

100%100%




Lives Alone764011627423021950


Aged >8012151172471322611



%s121




Lives Alone22%42%

Poor Mobility24%46%

Aged >8035%53%


1 or more mental state37%48%


26

99971

FRIMLEY1

GP27

Hospital11

NHHT38

Other53

Outpatients51

PARK PREWETT1

PARKLANDS13

QAH1

Referral by GP46

RHCH1

RSCH6

Seen by GP77

Self21

444


GP150159

Other Hospital7281








182265348076%


PASSPECIALTYGROUP2NY

22

Elderly Mental Health1715

Medical312269

Other Surgical2740


3188157348


107

76

139

122

N

ANALYSIS - ALL

0.28160919540.09375

0.17816091950.1458333333

0.30747126440.3333333333

0.23275862070.4270833333

Acute

Non Acute

ANALYSIS - A NHHT

00

00

00

00

00

00

00

Acute

Non Acute


0

0

0

0

0

0

0

CountOfID

ANALYSIS - A ITU

0

0

0

% Yes

ANALYSIS - B


FORM TYPEAll

LOCATIONAll

RECORD COUNT496

All Forms12496


ALTON45Form B5596

CHASE20Mediann



65 to 74121539148918%ODIHAM9NHHT822


85 to 94126573310822%Chase139

95 +817163%Alton5632

Null110%

28243163296496

AGEGROUPTotal%

Under 6513227%

65 to 748918%

75 to 8415030%

85 +12425%

AGEGROUP

AB

Under 651239

65 to 747514

75 to 8411832

85 +8440


Under 6531%9%

65 to 7419%15%

75 to 8430%34%

85 +21%42%


LocationCountOfID

ALTON8

CHASE4

HOMEFIELDS1

NHHT53

ODIHAM1

PARKLANDS3

70

17

NOOFRFAB

014917

115720

26838

3/3+2621




Lives Alone8240122


Aged >8012751178


AppropraiteAdm






310400

78%

AppropraiteNow

FORMGROUPNY




A - Parklands171532

201400

50%


Pain85792

Collapse/Fall591271

Mental Health47855

Procedure41243

SOB27330

Rehabilitation12829

Unwell14317

Weak/Dizzy1515

Infection10212

Fracture5510

Other9222114

Null448

40096496

`

ALT1STPREFAB

Home2





Non acute bed33


EMH Bed213



Other1013

Null1521

RED1STPREFAB

Own Home only241





Non acute bed104



Acute Bed2

EMH Bed1512


Other610


GP159

Another Hospital81

99978

Outpatients71

Self23

Other57

Null27

Discharge Plan Y/N


ALTON84334573%

CHASE18112055%

HOMEFIELDS220220%

NHHT2918715236841%

ODIHAM63933%

PARKLANDS47213266%

22049644%

Location% Yes

PARKLANDS66%

ODIHAM33%

NHHT41%

HOMEFIELDS0%

CHASE55%

ALTON73%


ANALYSIS - B

11111111


11111111


11111111


0

0

0

0

00

00

00

00

Acute

Community

00

00

00

00

00

Acute

Community

00

00

00

00

Day of Care

Admission

0

0

0

0

0

0

Median

00

00

00

00

00

00

00

00

00

00

00

00

A

B

00

00

00

00

00

00

00

00

00

00

00

00

A

B

00

00

00

00

00

00

00

00

00

00

00

00

A

B

0

0

0

0

0

0

0

CountOfID

0

0

0

0

0

0

% Yes






















9997021%15846%


Other257%OP70

257%99970

Self206%Other55




196%Care Home17



Other72%Other7

Nursing Home62%



SHO6920%Other59

4212%Not Known42

SPR329%

PRHO216%

Other62%

BetsyCountOfID












Non acute bed82%



N253Other41%



Null11734%

Home9729%

Non acute bed10230%

Other247%

Null11734%

Discharge Planning


D125%D151052025%

D258%D219142458%

D353%D3891753%

D534%D5516113234%

E164%E117142264%

E232%E221372232%

E347%E32891947%

E429%E41562129%

F144%F1113112544%

F258%F247152658%


00000000

00000000

00000000

00000000

00000000


00000000

00000000

00000000

00000000

00000000


00000000

00000000

00000000

00000000


0

0

0

0

0

0

0

0

0

0

0

0


0

0

0

0


0.1176470588

0.0147058824

0.0147058824

0.0588235294

0.1029411765

0.0294117647

0.0294117647

0.0441176471

0.2794117647

0.0294117647

0.0735294118

0.2058823529

0.0352941176

0.0764705882

0.0588235294

0.0294117647

0.05

0.0235294118

0.1205882353

0.1558823529

0.0117647059

0.0705882353

0.0235294118

0.3441176471


0.2352941176

0.3235294118

0.2352941176

0.2058823529

0.2852941176

0.3

0.0705882353

0.3441176471


0.35869565220.7333333333

0.50943396230.8679245283

0.17391304350.5760869565

0.73015873020.9682539683

0.63157894740.9824561404

Day of Care

Admission




N14N17

RECORD COUNT32


Y2166%

N7

4


Y413%

N23

5


11111111


11111111


11111111






RECORD COUNT28


Hospital932%Y2175%

999725%N2

Seen by GP518%Null5

Self27%

Referral by GP27%

Other27%

Outpatients14%


Y754%


Own Home2071%6

Hospital414%


14%Y718%

N16

5

AdmittedByCountOfID

Consultant1657%

Other518%

SPR27%

SHO27%

27%

PRHO14%





EMH Bed1213%







Non acute bed44%



GP2728%Null1819%

PARKLANDS1314%

Other99%

RSCH66%Home2829%


QAH11%Other99%


FRIMLEY11%


NHHT3739%

Own Home2930%

PARKLANDS1617%

RSCH66%

Other44%

RHCH11%

QAH11%

PARK PREWETT11%

FRIMLEY11%

AdmittedByCountOfID

GP3132%

Consultant2324%


Other88%


Null77%


Y4749%

N38

Null11


Null96


0

0

0

0

0

0

0

0

0

0

0

0


0

0

0

0


1st Preference alternatives to admission by care location (n = 115: acute = 61, non-acute = 54)

Chart1

2822

819

2513

Acute

Non Acute

No of patients

For presentations




NHH (A)316ITU28444

348Day Cases24

All form Bs9652

444496


Under 65101597191

65 to 741215391465 to 746214

75 to 845693143275 to 8410732

85 to 94126573385 to 947233

95 +81795 +97

Null1Under 65989

2824316329634896

AGEGROUPN

Under 65107

65 to 7476

75 to 84139

85+122

444


Under 65989

65 to 746214

75 to 8410732

85+8141

34896


Under 6528%9%

65 to 7418%15%

75 to 8431%33%

85 +23%43%

100%100%




Lives Alone764011627423021950


Aged >8012151172471322611



%s121




Lives Alone22%42%

Poor Mobility24%46%

Aged >8035%53%


1 or more mental states37%48%

SourceOfReferralCountOfIDNEWSORCountOfID

26GPGP152

99971OUTPATIENT/ ELECTIVE/ CONSULTANTOutpatient/ Elective/ Consultant77

FRIMLEY1HOSPITALHospital74

GP2799999971

Hospital11SelfSelf21

NHHT38OtherOther23

Other53NullNull26

Outpatients51

PARK PREWETT1OTHER10

PARKLANDS13A&E7

QAH1CPN6

Referral by GP46

RHCH1

RSCH6

Seen by GP77

Self21

444


GP150159

Other Hospital7281


Outpatients5171PASSPECIALTYGROUP2NYPASSPECIALTYGROUP2% YesSpecialty GroupAdmissionDay of Care

Self212344Medical69%Medical69%36%

Other5357Elderly Mental Health141832Trauma & Orthopaedics98%Trauma & Orthopaedics98%61%

Null2627Medical160133194Other Surgical90%Other Surgical90%60%

444Other Surgical76067Elderly Mental Health56%Elderly Mental Health56%47%


182265348076%



224Medical36%





3188157348045%

Null50%

LocationAdmissionDay of Care

NHH78%45%

Parklands56%47%


Median

Odiham24

Chase13

Alton56

Parklands40

NHH8

Homefields56722

422


Collapse/Fall5812

Diarrhoea/Vomiting7

Fracture55

Infection82

Investigation7

Mental Health438

Null44

Other539

Pain717

Procedure352

Rehabilitation128

Respite19

SOB223

Social Admission54

Unwell143

Weak/Dizzy14

34896444


Pain717

Collapse/Fall5812

Mental Health438

Procedure352

SOB223

Rehabilitation128

Unwell143

Weak/Dizzy140

Infection82

Fracture55

Unclassified7322341

Null44103



EMH Bed213

Home1





Non acute bed33


Other413AcuteNon Acute

Specialist MH rehab bed136Home based2822

6775MH bed819

Other non-acute bed2513

ALT1STPREFAcuteNon Acute6154

Home1






EMH Bed313


Non acute bed310


Other13

6154


12618

EMH Bed1512





Non acute bed104



Other610AcuteNon Acute

Own Home only181Home based8728

Specialist MH rehab bed115MH bed2617

Other non-acute bed10313

RED1STPREFAcuteNon Acute21658

Home181





EMH Bed1512


Non acute bed104



Other610PASSPECIALTYGROUP2NYPASSPECIALTYDESCRIPTIONNYPASSPECIALTYDESCRIPTIONY

11404910049%22450%Urology50%

Discharge PlanningElderly Mental Health47213266%A&E11250%Trauma & Orthopaedics44%

LocationNY% YMedical16938519444%Cardiology54944%Rheumatology22%

ALTON84334573%Other Surgical140266739%Clinical Haematology162922%Gynaecology67%

CHASE18112055%Trauma & Orthopaedics527195137%ENT12367%Geriatric Medicine43%

HOMEFIELDS220220%444Gastroenterology133743%General Surgery32%

NHHT2216213231642%General Medicine645247532%General Medicine28%

ODIHAM63933%Specialty Group% YesGeneral Surgery133134728%Gastroenterology55%

PARKLANDS47213266%Null49%Geriatric Medicine833509155%ENT83%

20044445%Other Surgical39%Gynaecology2101283%Clinical Haematology100%

Trauma & Orthopaedics37%Rheumatology11100%Cardiology37%

Location% YesMedical44%Trauma & Orthopaedics527195137%A&E20%

HOMEFIELDS0%Elderly Mental Health66%Urology41520%

ODIHAM33%316

CHASE55%

ALTON73%

PARKLANDS66%

NHH42%




Investigations887


Care Home5226Adm

Carers/Relatives239NOOFACNY% YGroupAdmissionDay of CareGroupAdmissionDay of CareGroupAdmissionDay of Care

0239211580%No co-morbidities80%43%No risk factors85%50%No mental states85%53%

Care professionalAcuteNon Acute1289111976%1 or more co-morbidities74%46%1 or more risk factors71%43%1 or more mental states61%31%

Medical Specialist381219557474%

Physiotherapist656316233077%

Occupational Therapist546434757%

Social Worker5145220%

Psychiatrist736110%

Discharge Sister141

Assessor (Care Home)40Dof C

Continuing Care Team51NOOFACNY

01645011543%

12645311945%

242327443%

313173057%

425771%

5220%

6110%

A

NOOFRFNY

01910612585%

12910513478%

2120436467%

314112544%


61D

1) Sun341NOOFRFNY

2) Mon771101626212550%

3) Tues711811676613449%

4) Wed44172141226434%

5) Thurs411531872528%

6) Fri4228

7) Sat335a

34896444NOOFMSNY

03318621985%

ADMDAYDESCRIPTIONAcuteNon Acute1139589859%0.6124031008

Mon22%11%29172665%

Tues20%19%314580%

Wed13%18%d

Thurs12%16%NOOFMSNY

Fri12%29%0110111721953%

Sat9%5%1271259826%0.3100775194

Sun10%1%214122646%

323560%

8) Unknown2%1%

9) Weekend19%6%


Mon7711

Tues7118

Wed4417

Thurs4115

Fri4228

Sat335

Sun341

TIMEOFARRIVALGROUPAcuteNon Acute

0900 - 13006215

1300 - 17009325

1700 - 21006715

2100 - 0900636

Null6335

ACUTE ONLY

Appropriate Adm

ADMDAYDESCRIPTIONNY

66

1) Sun5293485%Sat18%

2) Mon21537472%Fri26%

3) Tues110546583%Thurs44%

4) Wed13274068%Wed41%

5) Thurs6273382%Tues62%

6) Fri7243177%Mon44%

7) Sat6273382%Sun62%

6824731678%

Appropriate AdmCount of IDAppropriateAdmission

TIMEOFARRIVALGROUPNYTIMEOFARRIVALGROUPNY

22734Medical only9122143%

0900 - 130033296247%2100 - 090058%0900 - 13006253119%81%

1300 - 170054399342%1700 - 210044%1300 - 170016385430%70%

1700 - 2100143236734%1300 - 170042%1700 - 210014324630%70%

2100 - 090031326351%0900 - 130024%2100 - 0900115264137%63%

172

ADMDAYTIMENY

-55100%ADMDAYTIME

- 1700 - 2100110%Sun - 0900 - 1300Sunday20%

1) Sun -14580%Sun - 1300 - 170071%

1) Sun - 0900 - 130041520%Sun - 1700 - 210033%

1) Sun - 1300 - 17004101471%Sun - 2100 - 0900100%

1) Sun - 1700 - 210042633%Mon - 0900 - 1300Monday47%

1) Sun - 2100 - 090044100%Mon - 1300 - 170047%

2) Mon -871547%Mon - 1700 - 210044%

2) Mon - 0900 - 13001091947%Mon - 2100 - 090030%

2) Mon - 1300 - 1700981747%Tues - 0900 - 1300Tuesday67%

2) Mon - 1700 - 2100971644%Tues - 1300 - 170052%

2) Mon - 2100 - 0900731030%Tues - 1700 - 210045%

3) Tues -1281173%Tues - 2100 - 090079%

3) Tues - 0900 - 1300481267%Wed - 0900 - 1300Wednesday88%

3) Tues - 1300 - 170011122352%Wed - 1300 - 170029%

3) Tues - 1700 - 2100651145%Wed - 1700 - 210038%

3) Tues - 2100 - 09003111479%Wed - 2100 - 090031%

4) Wed -110%Thurs - 0900 - 1300Thursday67%

4) Wed - 0900 - 130017888%Thurs - 1300 - 170030%

4) Wed - 1300 - 17001041429%Thurs - 1700 - 210036%

4) Wed - 1700 - 210053838%Thurs - 2100 - 090067%

4) Wed - 2100 - 0900941331%Fri - 0900 - 1300Friday0%

5) Thurs -1461155%Fri - 1300 - 170014%

5) Thurs - 0900 - 130012367%Fri - 1700 - 210011%

5) Thurs - 1300 - 1700731030%Fri - 2100 - 090063%

5) Thurs - 1700 - 2100951436%Sat - 0900 - 1300Saturday20%

5) Thurs - 2100 - 090012367%Sat - 1300 - 170013%

6) Fri -941331%Sat - 1700 - 21000%

6) Fri - 0900 - 1300550%Sat - 2100 - 090027%

6) Fri - 1300 - 170061714%

6) Fri - 1700 - 2100171911%

6) Fri - 2100 - 090035863%

7) Sat -220%

7) Sat - 0900 - 1300821020%

7) Sat - 1300 - 170071813%

7) Sat - 1700 - 2100220%

7) Sat - 2100 - 0900831127%

348

For presentations

107

76

139

122

N

0.28160919540.09375

0.17816091950.1458333333

0.30747126440.3333333333

0.23275862070.4270833333

Acute

Non Acute

0.45977011490.6979166667

0.04597701150.09375

0.21839080460.4166666667

0.24425287360.4583333333

0.34770114940.53125

0.66954022990.8125

0.37068965520.4791666667

Acute

Non Acute

150

72

71

51

21

53

26

CountOfID

0.6855670103

0.9803921569

0.8955223881

0.5625

% Yes

0.3556701031

0.6078431373

0.5970149254

0.46875

% Yes

0.78164556960.4493670886

0.56250.46875

Admission

Day of Care

24

13

56

40

8

Median

717

5812

438

352

223

128

143

140

82

55

7322

44

Acute

Non Acute

Acute

Non Acute

Acute

Non Acute

% Yes

Acute

Non Acute

7711

7118

4417

4115

4228

335

341

Acute

Non Acute

6215

9325

6715

636

Acute

Non Acute

152

77

74

71

21

23

26

CountOfID

0.68556701030.3556701031

0.98039215690.6078431373

0.89552238810.5970149254

0.56250.46875

Admission

Day of Care

Acute

Non Acute

% Yes

0.5

0.4444444444

0.2222222222

0.6666666667

0.4285714286

0.32

0.2765957447

0.5494505495

0.8333333333

1

0.3725490196

0.2

Y

Acute

Non Acute

0.80.4347826087

0.74248927040.4592274678

Admission

Day of Care

0.80.4347826087

0.74248927040.4592274678

Admission

Day of Care

0.8480.496

0.71300448430.4260089686

Admission

Day of Care

0.84931506850.5342465753

0.61240310080.3100775194

Admission

Day of Care

0.1818181818

0.2619047619

0.4390243902

0.4090909091

0.6197183099

0.4415584416

0.6176470588

0.5769230769

0.4375

0.4210526316

0.24

0.2

0.7142857143

0.3333333333

1

0.4736842105

0.4705882353

0.4375

0.3

0.6666666667

0.5217391304

0.4545454545

0.7857142857

0.875

0.2857142857

0.375

0.3076923077

0.6666666667

0.3

0.3571428571

0.6666666667

0

0.1428571429

0.1111111111

0.625

0.2

0.125

0

0.2727272727

Acute

Non Acute

No of patients

Acute

Non Acute

No of patients

% Within AEP day of care criteria by specialty group(n = 316, acute only)Average46%

Chart3

0.3556701031

0.6078431373

0.5970149254

% Yes





NHH (A)316ITU28444

348Day Cases24

All form Bs9652

444496


Under 65101597191

65 to 741215391465 to 746214

75 to 845693143275 to 8410732

85 to 94126573385 to 947233

95 +81795 +97

Null1Under 65989

2824316329634896

AGEGROUPN

Under 65107

65 to 7476

75 to 84139

85+122

444


Under 65989

65 to 746214

75 to 8410732

85+8141

34896


Under 6528%9%

65 to 7418%15%

75 to 8431%33%

85 +23%43%

100%100%




Lives Alone764011627423021950


Aged >8012151172471322611



%s121




Lives Alone22%42%

Poor Mobility24%46%

Aged >8035%53%


1 or more mental state37%48%


26

99971

FRIMLEY1

GP27

Hospital11

NHHT38

Other53

Outpatients51

PARK PREWETT1

PARKLANDS13

QAH1

Referral by GP46

RHCH1

RSCH6

Seen by GP77

Self21

444


GP150159

Other Hospital7281








182265348076%



224Medical36%





3188157348045%

Null50%


107

76

139

122

N

ANALYSIS - ALL

0.28160919540.09375

0.17816091950.1458333333

0.30747126440.3333333333

0.23275862070.4270833333

Acute

Non Acute

ANALYSIS - A NHHT

00

00

00

00

00

00

00

Acute

Non Acute


0

0

0

0

0

0

0

CountOfID

ANALYSIS - A ITU

0

0

0

0

% Yes

ANALYSIS - B

0

0

0

0

% Yes


FORM TYPEAll

LOCATIONAll

RECORD COUNT496

All Forms12496


ALTON45Form B5596

CHASE20Mediann



65 to 74121539148918%ODIHAM9NHHT822


85 to 94126573310822%Chase139

95 +817163%Alton5632

Null110%

28243163296496

AGEGROUPTotal%

Under 6513227%

65 to 748918%

75 to 8415030%

85 +12425%

AGEGROUP

AB

Under 651239

65 to 747514

75 to 8411832

85 +8440


Under 6531%9%

65 to 7419%15%

75 to 8430%34%

85 +21%42%


LocationCountOfID

ALTON8

CHASE4

HOMEFIELDS1

NHHT53

ODIHAM1

PARKLANDS3

70

17

NOOFRFAB

014917

115720

26838

3/3+2621




Lives Alone8240122


Aged >8012751178


AppropraiteAdm






310400

78%

AppropraiteNow

FORMGROUPNY




A - Parklands171532

201400

50%


Pain85792

Collapse/Fall591271

Mental Health47855

Procedure41243

SOB27330

Rehabilitation12829

Unwell14317

Weak/Dizzy1515

Infection10212

Fracture5510

Other9222114

Null448

40096496

`

ALT1STPREFAB

Home2





Non acute bed33


EMH Bed213



Other1013

Null1521

RED1STPREFAB

Own Home only241





Non acute bed104



Acute Bed2

EMH Bed1512


Other610


GP159

Another Hospital81

99978

Outpatients71

Self23

Other57

Null27

Discharge Plan Y/N


ALTON84334573%

CHASE18112055%

HOMEFIELDS220220%

NHHT2918715236841%

ODIHAM63933%

PARKLANDS47213266%

22049644%

Location% Yes

PARKLANDS66%

ODIHAM33%

NHHT41%

HOMEFIELDS0%

CHASE55%

ALTON73%


11111111


11111111


11111111


0

0

0

0

00

00

00

00

Acute

Community

00

00

00

00

00

Acute

Community

00

00

00

00

Day of Care

Admission

0

0

0

0

0

0

Median

00

00

00

00

00

00

00

00

00

00

00

00

A

B

00

00

00

00

00

00

00

00

00

00

00

00

A

B

00

00

00

00

00

00

00

00

00

00

00

00

A

B

0

0

0

0

0

0

0

CountOfID

0

0

0

0

0

0

% Yes






















9997021%15846%


Other257%OP70

257%99970

Self206%Other55




196%Care Home17



Other72%Other7

Nursing Home62%



SHO6920%Other59

4212%Not Known42

SPR329%

PRHO216%

Other62%

BetsyCountOfID












Non acute bed82%



N253Other41%



Null11734%

Home9729%

Non acute bed10230%

Other247%

Null11734%

Discharge Planning


D125%D151052025%

D258%D219142458%

D353%D3891753%

D534%D5516113234%

E164%E117142264%

E232%E221372232%

E347%E32891947%

E429%E41562129%

F144%F1113112544%

F258%F247152658%


00000000

00000000

00000000

00000000

00000000


00000000

00000000

00000000

00000000

00000000


00000000

00000000

00000000

00000000


0

0

0

0

0

0

0

0

0

0

0

0


0

0

0

0


0.1176470588

0.0147058824

0.0147058824

0.0588235294

0.1029411765

0.0294117647

0.0294117647

0.0441176471

0.2794117647

0.0294117647

0.0735294118

0.2058823529

0.0352941176

0.0764705882

0.0588235294

0.0294117647

0.05

0.0235294118

0.1205882353

0.1558823529

0.0117647059

0.0705882353

0.0235294118

0.3441176471


0.2352941176

0.3235294118

0.2352941176

0.2058823529

0.2852941176

0.3

0.0705882353

0.3441176471


0.35869565220.7333333333

0.50943396230.8679245283

0.17391304350.5760869565

0.73015873020.9682539683

0.63157894740.9824561404

Day of Care

Admission




N14N17

RECORD COUNT32


Y2166%

N7

4


Y413%

N23

5


11111111


11111111


11111111

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