Carmarthenshire Local Health Board
An audit tool has been developed (based on an original tool utilised within a Wales Audit Office review) to ensure delays are captured and acted upon in a timely manner and has been used to date within Prince Phillip Hospital and one of the community hospitals.
There is a commitment to roll out across all areas.
An audit of delays was conducted in 2005/2006 and was repeated last year. Analysis of this data has shown it is possible to develop a profile of people likely to become delayed if admitted to hospital. Features include:
Based upon the profile developed on people likely to become delayed, further work has been progressed to examine why people received no services prior to admission. One theory is that community based assessment is not capturing those older people who are at the borderline between coping and failing to cope at home. These people are initially identified via an emergency admission to hospital linked to their inability to cope.
An exercise targeting GP practice population and Local Authority Residential Home residents was undertaken within Carmarthenshire and Llandeilo. This consisted of a proactive assessment, involving the local reablement service and primary health care teams. One practice identified 33 people who required multi-disciplinary assessment and support of whom nine were considered a high risk of an emergency admission.
Contact Name: Linda Williams
Contact Role: General Manager
Contact Telephone: 01554 783273