28 / 01 / 2016
The Commission on Improving Urgent Care for Older People was launched by the NHS Confederation in March 2015. It brings together experts from across the care system, who have a shared purpose of making care better for older people.
The aim of the Commission was to produce guidance for people involved in designing care for older people.
As well as the experience of those involved with the Commission, this report was informed by over 60 evidence submissions; a series of site visits to areas and organisations using innovative ways to deliver care; conversations with NHS Confederation members and patient and carer groups; and by a literature review, including other reports and guidance on older people’s care.
The background to the Commission is a concern that the care system is increasingly ill adapted to the needs of older people and particularly those with long-term conditions and/or frailty. This can lead to a lower quality of care for older people and also impact on the ability of the system to care for all patients. Issues include a lack of out-of-hospital services as an alternative to A&E, not enough focus on prevention and early intervention, delayed transfers of care, and the need to take a holistic view of people’s health and wellbeing and provide solutions which meet their needs.