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The Acute Frailty Network: experiences from a whole-systems quality improvement collaborative for acutely ill older patients in the English NHS

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posted on 2019-06-24, 10:25 authored by James David van Oppen, Deborah Thompson, Matt Tite, Simon Griffiths, Finbarr C. Martin, Simon Conroy
Older people form a growing proportion and volume of those accessing urgent care, much of which is provided by non-specialists in geriatric medicine. Non-specific presentations, multiple comorbidities and functional decline make assessment and management of this cohort challenging. In this article we describe the approach and methods of the Acute Frailty Network (AFN), a national quality improvement collaborative designed to support acute hospitals in England to deliver evidence-based care for older people with frailty. We report on 3 years’ experience of whole-systems quality improvement through the network. Using local case studies, we illustrate initiatives through which AFN hospitals improved services and outcomes for older people with frailty and urgent care needs. We describe returns on investment and sustainability of implementation, and reflect on future directions for the AFN.

Funding

JvO holds a National Institute for Health Research Academic Clinical Fellowship.

History

Citation

European Geriatric Medicine, 2019

Author affiliation

/Organisation/COLLEGE OF LIFE SCIENCES/School of Medicine/Department of Health Sciences

Version

  • VoR (Version of Record)

Published in

European Geriatric Medicine

Publisher

Springer (part of Springer Nature)

issn

1878-7649

Acceptance date

2019-02-22

Copyright date

2019

Available date

2019-06-24

Publisher version

https://link.springer.com/article/10.1007/s41999-019-00177-1

Language

en

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