Joining the dots: Chapter four - Conclusions and references

Report
i
Authors:
Blueprint working group
British Geriatrics Society
Professor Anne Hendry
Date Published:
06 March 2023
Last updated: 
06 March 2023

This chapter offers conclusions drawn from the evidence, examples and recommendations set out in the blueprint document, plus references. 

Integrated organisations across the UK are taking on responsibilities for commissioning health and social care services in different ways. This is a pivotal moment.

Strategic planners, commissioners and system leaders must recognise the challenges and opportunities posed by the ageing population and design health and care services that meet the needs of older people, now and for all of us as we age. This is a daunting task at a time when local systems across the UK are under immense pressure. However, there are a wealth of resources available to support senior decision makers as they determine how they can best serve their communities.

BGS stands ready to support health and care systems to create the conditions for change. We have a multidisciplinary membership of over 4,600 healthcare professionals and have extensive expertise across policy and communications, education, training and research. Our members work across the four nations of the UK and across acute, primary, community and social care. We urge leaders from all integrated care systems to work with us to ensure that the services they commission or provide for their older citizens, patients and carers are the best they can possibly be. 

Recommendation 12: Make use of existing guidelines and resources and the expertise held within the BGS community.

 

The right to health and social care is a human right, a principle as valid for older people as anyone else. Older people are the main users of health and social care services, largely due to frailty and multimorbidity. Improving how services work for them holds the key to many of the problems currently experienced by the wider system. That is why it is vital to use the evidence, examples and recommendations set out in this Blueprint to create a sustainable integrated model of care for older people. 
 

Please click on the links below to download the short summary or complete printable versions of Joining the dots: A blueprint for preventing and managing frailty in older people.

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  1. British Geriatrics Society and Royal College of General Practitioners, Cooke C. 2016. Integrated care for older people with frailty. Available at: https://www.bgs.org.uk/resources/integrated-care-for-older-people-with-f... (accessed 21 February 2023)
  2. Clegg et al, 2013. ‘Frailty in elderly people’, Lancet. Mar 2;381(9868):752-62.
  3. Han et al, 2019. ‘The impact of frailty on healthcare resource use: a longitudinal analysis using the Clinical Practice Research Datalink in England’, Age and Ageing. Sep 1;48(5):665-671
  4. Doody et al. 2022. ‘The prevalence of frailty and pre-frailty among geriatric hospital inpatients and its association with economic prosperity and healthcare expenditure: A systematic review and meta-analysis of 467,779 geriatric hospital inpatients’, Ageing Research Reviews. Sep;80:101666. doi: 10.1016/j.arr.2022.101666
  5. National Voices, 2014. I’m still me: A narrative for coordinated support for older people. Available at: https://www.nationalvoices.org.uk/publications/our-publications/im-still-me (accessed 7 February 2023)
  6. Office for National Statistics, 2022. National population projections: 2020-based interim. Available at: https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigrati... (accessed 27 January 2023)
  7. Brown, L, Mossabir, R, Harrison, N, Brundle, C, Smith, J, and Clegg, A, 2020: Age and Ageing, ‘Life in lockdown: A telephone survey to investigate the impact of COVID-19 lockdown measures on the lives of older people (≥ 75 years).
  8. Public Health England, 2021. Wider impacts of Covid-19 on physical activity, deconditioning and falls in older adults. Available at: https://www.gov.uk/government/publications/covid-19-wider-impacts-on-peo... (accessed 7 February 2023)
  9. British Geriatrics Society, 2021. Timely Discharge Blog Series. Available at: https://www.bgs.org.uk/timelydischarge (accessed 7 February 2023)
  10. Royal College of Physicians, 2022. Working differently in the shadow of COVID-19: the UK 2021 census of consultant, higher specialty trainee and SAS physicians. Available at: https://www.rcplondon.ac.uk/projects/outputs/working-differently-shadow-... (accessed 8 February 2023)
  11.  British Geriatrics Society, 2020. Beneficial innovations from COVID-19. Available at: https://www.bgs.org.uk/policy-and-media/beneficial-innovations-from-covi... (accessed 7 February 2023)
  12. British Geriatrics Society, 2020. Beneficial innovations from the COVID-19 pandemic in Northern Ireland. Available at: https://www.bgs.org.uk/resources/beneficial-innovations-from-the-covid-1... (accessed 7 February 2023)
  13. O’Caoimh R, et al. Prevalence of frailty at population level in European ADVANTAGE Joint Action Member States: a systematic review and meta-analysis. Annali dell’Istituto Superiore di Sanità, 54(3):226–238.
  14. Kingston A, Robinson L, Booth H, Knapp M, Jagger C (2018). Projections of multi-morbidity in the older population in England to 2035: estimates from the Population Ageing and Care Simulation (PACSim) model. Age and ageing 47 (3): 374-380.
  15. Hanlon P, Nicholl BI, Jani BD, et al. Frailty and pre-frailty in middle-aged and older adults and its association with multimorbidity and mortality: a prospective analysis of 493 737 UK Biobank participants. Lancet Public Health 2018; published online June 13. Available at: http://dx.doi.org/10.1016/S2468-2667(18)30091-4 (accessed 7 February 2023)
  16. Murray CJ, Lopez AD (2013). Measuring the global burden of disease. New England Journal of Medicine, 369(5):448-457. doi:10.1056/nejmra1201534
  17. Hull S, Homer K, Boomla K, Robson J, Ashworth M (2018). Population and patient factors affecting emergency department attendance in London: retrospective cohort analysis of linked primary and secondary care records. British Journal of General Practice 68 (668): 157-167.
  18. Lewer D, Bourne T, George A, Abi-Aad G, Taylor C and George J, 2018. ‘Data Resource: the Kent Integrated Dataset (KID)’ International Journal of Population Data Science. Available at: https://ijpds.org/article/view/427 (accessed 7 February 2023)
  19. Alzheimer’s Research UK, 2021. Beyond dementia risk reduction: a consensus statement on Brain Health Available at: https://www.alzheimersresearchuk.org/about-us/our-influence/policy-work/... (accessed 7 February 2023)
  20. Rodríguez Mañas L, García-Sánchez I, Hendry A et al. Key messages for a frailty prevention and management policy in Europe from the ADVANTAGE JOINT ACTION Consortium. Journal of Nutrition Health and Ageing 2018: 22 (8); 892-897 http://dx.doi.org/10.1007/s12603-018-1064-y
  21. United Nations, 2021. Pandemic exposes ageism and age discrimination in society, says UN expert. Available at: https://www.ohchr.org/en/press-releases/2021/09/pandemic-exposes-ageism-... (accessed 21 February 2023)
  22. Stuck et al, Lancet (1993) 342:1042 Comprehensive geriatric assessment: a meta-analysis of controlled trials
  23. Ellis G, Gardner M, Tsiachristas A, Langhorne P, Burke O, Harwood RH, Conroy SP, Kircher T, Somme D, Saltvedt I, Wald H, O’Neill D, Robinson D, Shepperd S (2017). Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database of Systematic Reviews Issue 9. Art. No.: CD006211. DOI: 10.1002/14651858.CD006211.pub3
  24. Sum et al. BMC Geriatrics (2022) 22:379 https://doi.org/10.1186/s12877-022-03024-4
  25. British Geriatrics Society, 2019. Comprehensive Geriatric Assessment Toolkit for Primary Care Practitioners. Available at: https://www.bgs.org.uk/resources/resource-series/comprehensive-geriatric... (accessed 7 February 2023)
  26. Looman WM, Huijsman R, Fabbricotti IN. The (cost-)effectiveness of preventive, integrated care for community-dwelling frail older people: A systematic review. Health Soc Care Community. 2019;27(1):1-30.
  27. Béland F, Hollander MJ. (2011). Integrated models of care delivery for the frail elderly: international perspectives. Gac Sanit. Dec;25 Suppl 2:138-46. doi: 10.1016/ j.gaceta.2011.09.003.
  28. Berntsen, G.K.R., Dalbakk, M., Hurley, J.S. et al. Person-centred, integrated and pro-active care for multi-morbid elderly with advanced care needs: a propensity score-matched controlled trial. BMC Health Serv Res 19, 682 (2019). https://doi.org/10.1186/s12913-019-4397-2
  29. Nord, M., Lyth, J., Alwin, J. et al. Costs and effects of comprehensive geriatric assessment in primary care for older adults with high risk for hospitalisation. BMC Geriatr 21, 263 (2021). https://doi.org/10.1186/s12877-021-02166-1
  30. The Commonwealth Fund, 2016. Aging Gracefully: The PACE Approach to Caring for Frail Elders in the Community. Available at: https://www.commonwealthfund.org/publications/case-study/2016/aug/aging-... (accessed 7 February 2023)
  31. MacAdam M, 2015. ‘PRISMA: Program of Research to Integrate the Services for the Maintenance of Autonomy. A system-level integration model in Quebec’ International Journal of Integrated Care. Available at: https://www.ijic.org/articles/10.5334/ijic.2246/ (accessed 7 February 2023)
  32. Wodchis W, Dixon A, Anderson G and Goodwin N. 2015. ‘Integrating care for older people with complex needs: key insights and lessons from a seven-country cross-case analysis’ International Journal of Integrated Care. Available at: https://www.ijic.org/article/10.5334/ijic.2249/ (accessed 7 February 2023)
  33. Hendry A, Vanhecke E, Carriazo AM, López-Samaniego L, Espinosa JM, Sezgin D, et al. Integrated Care Models for Managing and Preventing Frailty: A Systematic Review for the European Joint Action on Frailty Prevention (ADVANTAGE JA). Transl Med UniSa. 2019;19:5-10.
  34. Hendry, A, Carriazo AM, Vanhecke E, Rodríguez-Laso A et al. Integrated Care: A Collaborative ADVANTAGE for Frailty. International Journal of Integrated Care; 18(2):1,1–4. https://doi.org/10.5334/ijic.4156
  35. Briggs A, Valentijn P, Thiyagarajan J and Carcalho I, 2018. ‘Elements of integrated care approaches for older people: a review of reviews’, BMJ Open. Available at: https://bmjopen.bmj.com/content/8/4/e021194.info (accessed 7 February 2023)
  36. Briggs A and Carcalho I, 2018. ‘Actions required to implement integrated care for older people in the community using the World Health Organization’s ICOPE approach: a global Delphi consensus study’. PLOS One. Available at: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0205533 (accessed 7 February 2023)
  37. ADVANTAGE, December 2019. Promoting healthy ageing through a Frailty Prevention Approach .Available at: https://www.bgs.org.uk/sites/default/files/content/attachment/2023-02-13... (Accessed 13 February 2023).
  38. Andrew Clegg, Chris Bates, Jon Young, Ronan Ryan, Linda Nichols, Elizabeth Ann Teale, Mohammed A. Mohammed, John Parry, Tom Marshall, Development and validation of an electronic frailty index using routine primary care electronic health record data, Age and Ageing, Volume 45, Issue 3, May 2016, Pages 353–360, https://doi.org/10.1093/ageing/afw039
  39. Together We’re Better, 2021. Healthy Ageing and Managing Frailty in Older Age Strategy. Available at: https://moderngov.staffordshire.gov.uk/documents/s159245/Appendix%201%20... (accessed 7 February 2023)
  40. The Pathfields Tool: a frailty case-finding tool using primary care IT—implications for population health management. Age and Ageing 2020; 1–6 doi: 10.1093/ageing/afaa119
  41. NHS England, 2019. Right Care Frailty Toolkit. Available at: https://www.england.nhs.uk/rightcare/toolkits/frailty/ (accessed 7 February 2023)
  42. British Geriatrics Society, 2022. The geriatric medicine workforce 2022. Available at: https://www.bgs.org.uk/GMworkforce22 (accessed 7 February 2023)
  43. Skills for Health, 2018. Frailty (2018). Available at: https://www.skillsforhealth.org.uk/info-hub/frailty-2018/ (accessed 21 February 2023)
  44. British Geriatrics Society, undated. Frailty: Identification and interventions. Available at: https://www.bgs.org.uk/elearning/frailty-identification-and-interventions (accessed 27 January 2023)
  45. Sinek Simon, 2017. Leaders Eat Last: Why Some Teams Pull Together, And Others Don’t. Penguin books
  46. Forsyth P, Radley A, Rushworth G, Marra F, Roberts S, O’Hare R, Duggan C and Maguire B, 2022. ‘The Collaborative Care Model: Realizing healthcare values and increasing responsiveness in the pharmacy workforce’. Research in Social and Administrative Pharmacy. Available at: https://pubmed.ncbi.nlm.nih.gov/36100521/ (accessed 7 February 2023)
  47. Royal College of Physicians, 2022. SAS doctor strategy – 2022-2024. Available at: https://www.rcplondon.ac.uk/sas-doctor-strategy-2022-24 (accessed 30 January 2023)
  48. Community Rehabilitation Alliance, 2022. Rehab on Track: Community Rehabilitation Best Practice Standards. Available at: https://www.csp.org.uk/system/files/publication_files/Rehab%20on%20Track... (accessed 21 February 2023)
  49. NHS Digital, 2022. Provisional Monthly Hospital Episode Statistics for Admitted Patient Care and Outpatients – May 2022. Available at: https://app.powerbi.com/view?r=eyJrIjoiMWNkNDU0NWYtNTEwZC00MDU1LWEzZTMtN... (accessed 27 January 2023)
  50. National Audit Office, 2016. Discharging older patients from hospital. Available at: https://www.nao.org.uk/reports/discharging-older-patients-from-hospital/... (accessed 21 February 2023)
  51.  The Mid Staffordshire NHS Foundation Trust Public Inquiry, Chaired by Robert Francis QC, 2013. Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry: Executive Summary. Available at: https://www.gov.uk/government/publications/report-of-the-mid-staffordshi... (accessed 7 February 2023)
  52. The King’s Fund, 2014. Trisha Greenhalgh: not stories or numbers but stories and numbers. Available at: https://www.kingsfund.org.uk/audio-video/trisha-greenhalgh-stories-numbers (accessed 7 February 2023)
  53. East London NHS Foundation Trust, 2013. Key Areas of Learning from the Francis Report. Available at: https://qi.elft.nhs.uk/resource/key-learning-for-elft/ (accessed 7 February 2023)
  54. Smith, G, 2022. Chief Medical Officer for Scotland, Realistic Medicine: A Fair and Sustainable Future Annual Report 2021-2022. Available at: https://www.gov.scot/publications/cmo-annual-report-2022-realistic-medic... (accessed 7 February 2023)
  55. Gray, M. Value based healthcare British Medical Journal 2017;356:j437
  56. NEJM Catalyst. What Is Value-Based Healthcare? 2017. https://catalyst.nejm.org/doi/full/10.1056/CAT.17.0558
  57. NIHR Applied Research Collaboration Yorkshire and Humber, 2022. What are the top 10 priorities of older people living with frailty? Available at: https://www.arc-yh.nihr.ac.uk/news-events-and-media/blogs/priorities-of-... (accessed 7 February 2023)
  58. Davies K, Maharani A, Chandola T, Todd C, Pendleton N. The longitudinal relationship between loneliness, social isolation, and frailty in older adults in England: a prospective analysis. The Lancet Healthy Longevity. 2021; 2:(2)E70-E77 https://doi.org/10.1016/S2666-7568(20)30038-6
  59. Theou O, Stathokostas L, Roland KP, et al. The effectiveness of exercise interventions for the management of frailty: A systematic review. J Aging Res. 2011; 2011:569194. [PubMed: 21584244
  60. Food Train, undated. Eat Well Age Well: Tackling malnutrition in older people living at home in Scotland. Available at: https://eatwellagewell.org.uk/ (accessed 7 February 2023)
  61. Centre for Ageing Better, undated. UK Network of Age-friendly Communities. Available at: https://ageing-better.org.uk/uk-network-age-friendly-communities (accessed 7 February 2023)
  62. Kongkaew, C., Hann, M., Mandal, J., Williams, S.D., Metcalfe, D. and NoyceandAshcroft, P.R.D.M. (2013), “Risk factors for hospital admissions associated with adverse drug events”, Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy, Vol. 33 No. 8, pp. 827-837.
  63. NHS England, undated. Structured medication reviews and medicines optimisation. Available at: https://www.england.nhs.uk/primary-care/pharmacy/smr/ (accessed 27 January 2023)
  64. British Geriatrics Society, 2022. Bringing hospital care home: Virtual Wards and Hospital at Home for older people. Available at: https://www.bgs.org.uk/virtualwards (accessed 21 February 2023)
  65. Healthcare Improvement Scotland, 2020. Hospital at Home: Guiding principles for service development. Available at: https://ihub.scot/project-toolkits/hospital-at-home/hospital-at-home/ (accessed 7 February 2023)
  66. Social Care Institute for Excellence, 2017. Intermediate Care: SCIE Highlights. Available at: https://www.scie.org.uk/prevention/independence/intermediate-care/highli... (accessed 7 February 2023
  67. Singh et al (2021) Is comprehensive geriatric assessment hospital at home a cost-effective alternative to hospital admission for older people?, Age and Ageing, https://doi.org/10.1093/ageing/afab220
  68. British Geriatrics Society, 2021. Right time, right place: Urgent community-based care for older people. Available at: https://www.bgs.org.uk/righttimerightplace (accessed 7 February 2023)
  69. Eleanor Corbett and Lucy Lewis. Community frailty team workforce development – a personal reflection. Journal of Integrated Care Vol. 29 No. 4, 2021 pp. 464-468 DOI 10.1108/JICA-04-2021-0021
  70. Oppen JDv, Coats TJ, Conroy SP, et al. What matters most in acute care: an interview study with older people living with frailty. BMC Geriatrics 2022;22(1):156. doi: 10.1186/s12877-022-02798-x
  71. .Hopper A, 2021. Geriatric Medicine: GIRFT Programme National Specialty Report. Available at: https://gettingitrightfirsttime.co.uk/medical_specialties/geriatric-medi... (accessed 7 February 2023)
  72. NHS Benchmarking Network, 2016. Older People in Acute Settings. Available at: https://www.nhsbenchmarking.nhs.uk/news/older-peoples-care-in-acute-sett... (accessed 7 February 2023)
  73. British Geriatrics Society, 2021. Silver Book II. Available at: https://www.bgs.org.uk/resources/resource-series/silver-book-ii (accessed 23 December 2022)
  74. Royal College of Physicians, 2020. Acute care toolkit 3: Acute care for older people living with frailty. Available at: https://www.rcplondon.ac.uk/guidelines-policy/acute-care-toolkit-3-acute... (accessed 7 February 2023)
  75. Fowler A, Abbott T, Prowle J, Pearse R. Age of patients undergoing surgery. Journal of British Surgery. 2019;106(8):1012–8.
  76. Lin H-S, Watts J, Peel N, Hubbard R. Frailty and postoperative outcomes in older surgical patients: a systematic review. BMC Geriatrics 2016;16(1):1–12.
  77. Eamer G, Saravana-Bawan B, van der Westhuizen B, Chambers T, Ohinmaa A, Khadaroo RG. Economic evaluations of comprehensive geriatric assessment in surgical patients: a systematic review. Journal of Surgical Research. 2017;218:9–17.
  78. Joughin AL, Partridge JS, O’Halloran T, Dhesi JK. Where are we now in perioperative medicine? Results from a repeated UK survey of geriatric medicine delivered services for older people. Age and ageing. 2019;48(3):458–62.
  79. Centre for Perioperative Care and British Geriatrics Society, 2021. Guideline for Perioperative Care for People Living with Frailty Undergoing Elective and Emergency Surgery. Available at: https://cpoc.org.uk/guidelines-resources-guidelines/perioperative-care-p... (accessed 7 February 2023)
  80. Alzheimer’s Research UK, undated. Dementia Statistics Hub: Prevalence. Available at: https://dementiastatistics.org/statistics-about-dementia/prevalence-2/ (accessed 3 February 2023)
  81.  Alzheimer’s Research UK, undated. Dementia Statistics Hub. Available at: https://dementiastatistics.org/statistics-about-dementia/ (accessed 3 February 2023)
  82. Alzheimer’s Research UK, undated. Dementia Statistics Hub: Health and Social Care. Available at: https://dementiastatistics.org/statistics-about-dementia/health-and-soci... (accessed 3 February 2023)
  83. British Geriatrics Society, 2021. Silver Book II: Geriatric Syndromes. Available at: https://www.bgs.org.uk/resources/silver-book-ii-geriatric-syndromes (accessed 3 February 2023)
  84.  Dolan, B., 2017. Mindset shift on PJ paralysis. Nursing Standard (Royal College of Nursing (Great Britain): 1987), 31(47), pp.32-32.
  85.  NHS England, undated. 100 day discharge challenge. Available at: https://transform.england.nhs.uk/improvement/100-day-discharge-challenge/ (accessed 7 February 2023)
  86.  NHS Golden Jubilee, 2021. Optimising Flow: Discharge without delay discussion paper. Available at: https://www.nhsgoldenjubilee.co.uk/cfsd/unscheduled-care-programmes (accessed 7 February 2023)
  87. Offord N, Harriman P and Downes T, 2017, ‘Discharge to assess: transforming the discharge process of frail older patients’, Future Healthcare Journal Feb 2017, 4 (1) 30-32; DOI: 10.7861/futurehosp.4-1-30
  88. Murphy RP, Dennehy KA, Costello MM, Murphy EP, Judge CS, O’Donnell MJ and Canavan MD, 2020. Virtual geriatric clinics and the COVID-19 catalyst: a rapid review. Age Ageing. Volume 49, Issue 6, November 2020, Pages 907–914, https://doi.org/10.1093/ageing/afaa191
  89. Competition and Markets Authority. Care Homes Market Study. London: 2017
  90. Gordon AL, Franklin M, Bradshaw L, et al. Health status of UK care home residents: a cohort study. Age Ageing 2014;43:97–103. doi:10.1093/ageing/aft077
  91. Chadborn NH, Goodman C, Zubair M, et al. Role of comprehensive geriatric assessment in healthcare of older people in UK care homes: realist review. BMJ Open 2019;9:e026921. doi:10.1136/bmjopen-2018-026921
  92. Gordon AL, Goodman C, Davies SL, et al. Optimal healthcare delivery to care homes in the UK: a realist evaluation of what supports effective working to improve healthcare outcomes. Age Ageing Published Online First: 5 January 2018. doi:10.1093/ageing/afx195
  93. Goodman C, Davies SL, Gordon AL, et al. Optimal NHS service delivery to care homes: a realist evaluation of the features and mechanisms that support effective working for the continuing care of older people in residential settings. Heal Serv Deliv Res 2017;5:1–204. doi:10.3310/hsdr05290
  94. British Geriatrics Society, 2021. Ambitions for Change: Improving Healthcare in Care Homes. Available at: https://www.bgs.org.uk/resources/ambitions-for-change-improving-healthca... (accessed 7 February 2023)
  95. Gill, Thomas M., et al. “Trajectories of disability in the last year of life.” New England Journal of Medicine 362.13 (2010): 1173-1180.
  96. Combes S, Nicholson CJ, Gillett K, Norton C. Implementing advance care planning with community-dwelling frail elders requires a system-wide approach: an integrative review applying a behaviour change model. Palliative medicine. 2019;33(7):743-756.
  97. NHS England: 2022. Palliative and End of Life Care Statutory Guidance for Integrated Care Boards (ICBs), Available at: https://www.england.nhs.uk/publication/palliative-and-end-of-life-care-s... (accessed 7 February 2023)
  98. Bayly, J., Bone, A.E., Ellis-Smith, C., Yaqub, S., Yi, D., Nkhoma, K.B., Cook, A., Combes, S., Bajwah, S., Harding, R. and Nicholson, C., 2021. Common elements of service delivery models that optimise quality of life and health service use among older people with advanced progressive conditions: a tertiary systematic review. BMJ open, 11(12), p.e048417.
  99. Van Den Noortgate N and Van den Block L, 2022. ‘End-of-life care for older people: the way forward’, Age and Ageing, Volume 51, Issue 7. Available at: https://academic.oup.com/ageing/article/51/7/afac078/6637441 (accessed 7 February 2023)
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  • Professor Anne Hendry, Honorary Secretary, BGS; Honorary Professor, University of the West of Scotland
  • Dr Lucy Abbott, Consultant Geriatrician, Frimley Park Hospital
  • Jayne Agnew, Pharmacist, Southern Health and Social Care Trust
  • Ðula Alićehajić-Bečić, Consultant Pharmacist Frailty, Wrightington, Wigan and Leigh NHS Foundation Trust
  • Dr Amit Arora, Vice President Workforce, BGS; Regional Clinical Director, ECIST- NHS England
  • Kate Bennett, Clinical Lead Physiotherapist, Solent NHS Trust
  • Professor Andy Clegg, Co-Chair, BGS Sarcopenia and Frailty Special Interest Group; Professor of Geriatric Medicine, University of Leeds; Honorary Consultant Geriatrician, Bradford Royal Infirmary
  • Dr Esther Clift, Chair, BGS Nurse and AHP Council; Professional Adviser, NHS England & Improvement; ConsultantPractitioner in Frailty, Southern Health NHS Foundation Trust
  • Professor Jugdeep Dhesi, President Elect, BGS; Consultant Geriatrician, Guy’s and St Thomas’s NHS Foundation Trust; Honorary Professor Geriatric Medicine, King’s College London; Deputy Director, Centre for Perioperative Care; Clinical Lead, NHS Elect POPS network
  • Dr Tom Downes, Vice President Clinical Quality, BGS; Consultant Geriatrician and Clinical Lead for Quality Improvement, Sheffield Teaching Hospitals
  • Dr Prem Fade, Co-chair, BGS End of Life Care Special Interest Group; Consultant Physician/Geriatrician, Lymington New Forest Hospital
  • Dr Deb Gompertz, Clinical Lead Complex Care South Somerset
  • Professor Adam Gordon, President, BGS; Professor of Care of Older People, University of Nottingham; Consultant Geriatrician, University Hospitals of Derby and Burton NHS Foundation Trust
  • Sally Greenbrook, Policy Manager, BGS
  • Dr Ruth Law, Deputy Honorary Secretary, BGS; Consultant in Integrated Geriatric Medicine and Clinical Lead for Care of Older People, Whittington Hospital
  • Lucy Lewis, Consultant Practitioner, NHS@Home, Wiltshire Health and Care
  • Sarah Mistry, Chief Executive, BGS
  • Dr Lara Mitchell, Consultant Physician Older People’s services QEUH, South Sector, NHSGGC; National Clinical Lead Frailty, Healthcare Improvement Scotland
  • Professor Caroline Nicholson, Co-chair, BGS End of Life Care Special Interest Group; Professor of Palliative Care and Ageing; HEE/NIHR Senior Clinical Lecturer; Honorary Nurse Consultant St Christopher’s Hospice
  • Dr Marianne Plater, Community Geriatrician, Lymington New Forest Hospital
  • Dr Mark Roberts, Consultant Geriatrician, Western Health and Social Care Trust
  • Dr Jane Youde, Consultant Geriatrician, Derby Teaching Hospitals NHS Foundation Trust; Clinical Director of Audit and Accreditation, RCP London

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