Task & Finish Group on Regional Framework

Aim(s)

To determine what the regional requirements (“must have’s”) should be for the best model of care for an older person across a range of settings and sectors in Northern Ireland

Objectives

To examine information on current services
To agree high level quality indicators (eg person centred care)
To consider evidenced based practice and relevant guidance
To work within a co-production approach, ensuring that all stakeholders have a voice
To ensure that “what matters to me” is identified and taken account of across the pathway
To ensure a focus on prevention and living well
To consider the most appropriate settings for care and work within the principle of care closer to home

Arrangements

The Task and Finish Group will meet on a monthly basis, with a schedule of dates agreed in advance. Venues and times will take account of the needs of members. Papers for meetings should be issued at least one week prior to each meeting. Co-Chairs should ensure that all members have sufficient opportunity to contribute to discussion and that no decisions are taken outside of the group. Administrative and business / managerial support for the group will be provided by the Public Health Agency.

Accountability

The group will receive direction from and be accountable to the Expert Advisory Panel on Frailty and will provide an update for consideration on a quarterly basis. The Task and Finish Group will also take account of the advice of the Expert by Experience Community in the development of all plans and recommendations.

Deliverables and Timescales

Item	Deadline	Notes
Establish T&F Group and hold first meeting	By January 2020	21 January 2020
Update to expert panel	4 February 2020	Short update
Quarterly Update to Expert Advisory Panel	First update to be provided at 18^th March 2020 meeting and quarterly thereafter.	Template for updates will be provided.
NI Frailty Conference	Short Update on Progress	25 March 2020

Key Reports / Information Requirements

Delivering Together 2026 – “every one of us to lead long, healthy and active lives. People today want to lead full and productive lives, staying independent for longer. In line with wider societal changes, we all expect improved access, choices and control when it comes to public services… Therefore, we want to see a future in which:

people are supported to keep well in the first place with the information, education and support to make
informed choices and take control of their own health and wellbeing;
when they need care, people have access to safe, high quality care and are treated with dignity, respect
and compassion;
staff are empowered and supported to do what they do best; and
our services are efficient and sustainable for the future

Programme for Government 2016-21 – Outcome 4: We enjoy long, healthy, active lives. This outcome is about improving the health of everyone, giving them the best opportunity to live longer and healthier lives. It is about ensuring that people get the right care, of excellent quality, at the time of need. It is about keeping people healthy, preventing them from needing health interventions. In part, this means giving people the information and support they need to make healthy lifestyle choices. It also means tackling issues related to deprivation and poverty that are linked to poor health outcomes.

We will make our contribution by:

Creating an excellent health service; ensuring people get the right treatment at the time of need.

Implementing excellent public health strategies and interventions which aid people to live healthier lives and give them the means to do so.

Providing people with the right information to allow them to make educated and informed choices about how to live their lives in a healthier way.
Providing children with the best start in life, supporting parents in their role.
Tackling poverty and deprivation.

PHA Corporate Plan 2017-21 – “All older adults are enabled to live healthier and more fulfilling lives”. The following actions were identified to support this:

develop and implement multi-agency healthy ageing programmes to engage with and improve the health and wellbeing of older people;
promote appropriate intervention programmes within all settings to prevent, detect and manage mental ill health and its consequences;
promote inclusive, inter-generational physical and mental health messages and initiatives that enable longer, healthier and more fulfilling lives;
protect the health of older adults through immunisations and screening;
support programmes and initiatives, including research, e-health and technology-based approaches, that promote independence and the PHA is seeking to move to a more outcomes based approach and self –management.

Rethinking Frailty: What really matters to older people (Age NI 2018) – key points:

The subject of frailty is one that is important to older people in Northern Ireland.
The terminology is not viewed in a positive light, with the word frailty being associated with loss of independence, inability to look after oneself and a decline in wellbeing.
The view of frailty does not fit with what older people believe makes a good life; physical wellbeing, psychological and emotional wellbeing and independence.
Older people do not identify with the term frail and feel that use of this term may act as a barrier for older people in seeking help and support.
Older people believe frailty encompasses difficulties beyond physical wellbeing including mental wellbeing, social contact and financial security. The services that they feel would be beneficial reflect this scope.
There is an opportunity for older people to engage with support at a range of contact points and older people’s view of frailty, in that it is not inevitable, shows an opportunity for support.

BGS Fit for Frailty Parts 1 & 2 (see recommendations to support agreement of outcome measures)

Part 1: https://www.bgs.org.uk/sites/default/files/content/resources/files/2018-05-23/fff_full.pdf

Part 2: https://www.bgs.org.uk/sites/default/files/content/resources/files/2018-05-23/fff2_full.pdf

Other Useful info:

Lincolnshire pathway http://www.frailtypath.co.uk/pathways.html

Scottish delirium pathway http://www.scottishdeliriumassociation.com/uploads/7/1/9/3/71939991/sda_comprehensive_delirium_pathway.pdf

Membership

Barry Tierney	Charge Nurse, ACAH	WHSCT	Barry.Tierney@westerntrust.hscni.net
Catherine Truesdale	Principal Physiotherapist	SET	Catherine.Truesdale@setrust.hscni.net
Beverley Braithwaite			beverley.braithwaite@southerntrust.hscni.net
TBC – if other AHPs required	TBC	TBC
Anne O’Reilly	PPI – Emergency Care	–	anneoreilly1@hotmail.co.uk
George Bell	Age NI		bellgr@lsbu.ac.uk
Mairead Kirk	Manager – Access & Informaiton Service	SHSCT	Mairead.kirk@southerntrust.hscni.net
Peter Wright	Community Pharmacist	Belfast ICP	pp_wright@hotmail.com
Joyce McKee	Social Care	HSCB	Joyce.McKee@hscni.net
Dr Grainne Bonnar	GP	Belfast ICP	gbonnar@doctors.org.uk
Dr Ian Kernohan	GP	Northern ICP	kernohanian@yahoo.com
Dr Claire McEvoy	Lecturer		c.mcevoy@qub.ac.uk
Michelle Kelly	Service Improvement	Western Trust	Michelle.kelly@westerntrust.hscni.net
Sophie Lusby	Commissioning / Diabetes / Respiratory Lead	HSCB	sophie.lusby@hscni.net
Gillian Weir	Information / Data Quality /e-Health	HSCB	gillian.weir2@hscni.net
Dr Kiran Kaur	Palliative Care Consultant	SET	kiran.kaur@setrust.hscni.net
Dr Simon Coulter	Palliative Care Consultant	SET	simon.coulter@setrust.hscni.net
Dr Pat McCaffrey	Consultant Geriatrician	SHSCT	patricia.mccaffrey@southerntrust.hscni.net
Dr Andrew Kerr	Consultant Geriatrician	SET	Andrew.Kerr@setrust.hscni.net
Dr Brid Kerrigan	Consultant – Psychiatist for Older People	SET	Brid.Kerrigan@setrust.hscni.net
Dr Jan Ritchie	Consultant Geriatrician	BHSCT	jan.ritchie@belfasttrust.hscni.net
Gerry Robb	SI Lead for Dementia (Acute)	BHSCT	Gerry.robb@belfasttrust.hscni.net
Mandy Cowden	Manager	CLARE CIC	m.cowden@clare-cic.org
Janice Colligan	TBC	SET	janice.colligan@setrust.hscni.net

Task & Finish Group on Regional Framework

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