Making health and care services fit for an ageing population

How to develop life-enhancing services for older people
Date: 
Venue:  The King's Fund, London

About this event

About this event

This conference examined what needs to be done in order to achieve better and more joined-up services for older people, in particular for those aged over 85, who are most frail and for those with multiple long-term conditions.

Highlights from the conference

David Oliver: Designing services that work for an ageing population

David OliverProfessor David Oliver, Visiting Fellow at The King's Fund, discussed the importance of transforming services for older people and stressed that now is the time to take action so we can see real improvements in the care of older people.

Watch David's presentation

David Melzer: Health care quality for an active later life

Dr David Melzer, Professor of Epidemiology and Public Health at the University of Exeter Medical School, analysed the UK's performance in preventing later life disease and disability and considers how well we are delivering treatment for the common disabling diseases of later life.

Watch David's presentation

Steve Iliffe: Encouraging innovative approaches and policies to improve primary care for older people

Steve Iliffe, Professor of Primary Care for Older People at University College London, championed an innovative approach to transforming primary care for older people.

Watch Steve's presentation

Tom Downes: The acute care pathway and the older patient

Tom Downes, Consultant Physician and Geriatrician and Clinical Lead for Quality Improvement at Sheffield Teaching Hospitals, discussed the importance of system design and organisation, drawing on experiences from Sheffield, where system redesign is yielding positive outcomes.

Watch Tom's presentation

Catch up with tweets from the day with our Storify of #kfageingwell

Programme

Breakfast seminar

The role of the voluntary sector in supporting the best care for older people
Chair: Professor David Oliver, President Elect, British Geriatrics Society and Visiting Fellow, The King's Fund

  • David McCullogh, Chief Executive, Royal Voluntary Service
  • Sue Collins, Head of Health and Social Care, British Red Cross
  • Helena Herklots, Chief Executive, Carers UK
  • Jeremy Hughes, Chief Executive, Alzheimer’s Society
  • Sandie Keene, President, Association of Directors of Adult Social Services

Session one: opening plenary

Welcome and introduction
Professor Chris Ham, Chief Executive, The King's Fund

  • Designing services that are age appropriate: making health care work for an ageing population
    Professor David Oliver, Visiting Fellow, The King’s Fund
  • Health care quality for an active later life: improving quality of prevention and treatment through information
    Dr David Melzer, Professor of Epidemiology and Public Health, Peninsula College of Medicine and Dentistry, Universities of Exeter and Plymouth
  • Encouraging innovative approaches and policies to improving primary care for older people
    Professor Steve Iliffe, Academic General Practitioner, Professor of Primary Care for Older People and Co-Director of the Centre for Ageing Population Studies (CAPS), University College London

Session two: streams

A: Community-based interventions

Chair: Helena Herklots, Chief Executive, Carers UK

  • Virtual wards, telehealth, POPPs etc: how do we know what works?
    Dr Martin Bardsley, Director of Research, Nuffield Trust
  • Making out of hospital integrated care work: moving from aspiration to delivery
    Dr David Paynton, National Clinical Lead, Royal College of General Practitioners Centre for Commissioning

B: Keeping people well and maintaining independence

Chair: Sandie Keene, President, Association of Directors of Adult Social Services

  • The long-term benefits of early diagnosis of dementia
    Dr Ian Greaves, Gnosall Surgery, Staffordshire
  • Primary care, ageing and the well being of older people
    Dr Amit Bhargava, Chief Clinical Officer, NHS Crawley Clinical Commissioning Group

C: Wider determinants of ageing well

Chair: David Buck, Senior Fellow, Public Health and Inequalities, The King's Fund

  • Housing and good health
    Jeremy Porteus, Director, Housing Learning and Improvement Network (LIN)
  • Social determinants of ageing well
    Professor Peter Goldblatt, Senior Research Fellow, Health Inequalities Review for England, University College London

Session three: panel discussion

Welcome back
Chair: Catherine Foot, Assistant Director, Policy, The King's Fund

  • The acute care pathway and the older patient
    Tom Downes, Consultant Physician and Geriatrician and Clinical Lead for Quality Improvement, Sheffield Teaching Hospitals NHS Foundation Trust, and Honorary Professor, Sheffield Hallam University

Panel discussion: are hospitals any place for older people?

  • When do older people need acute care?
  • How do we make hospitals age-proof and fit for purpose?
  • How can we ensure they get back home quickly?
  • How do we improve the interface between hospital and community health and care services?

Panellists include:

  • Tom Downes, Consultant Physician and Geriatrician and Clinical Lead for Quality Improvement, Sheffield Teaching Hospitals
  • Dr Jocelyn Cornwell, Director, Point of Care Foundation and Senior Fellow, The King’s Fund
  • Carolyn Denne, Head of Dissemination and Adoption, NICE Collaborating Centre for Social Care, Social Care Institute for Excellence

Session four: workshops

A: Care co-ordinators: better care through transition
Facilitated by Richard Humphries, Assistant Director, The King's Fund

  • Mary Bradley, Chief Executive, Age UK West Cumbria  
  • Discussion

B: Intermediate care: National Intermediate Care Audit
Facilitated by David McCullough, Chief Executive, Royal Voluntary Service

  • Professor John Young, National Clinical Director for Integration and Frail Elderly, NHS England 
  • Discussion

C: Improving end-of-life care for older people
Facilitated by Professor Kerri Thomas, National Clinical Lead, GSF Centre CIC for End of Life Care and Hon. Professor End of Life Care, University of Birmingham

  • Martin Vernon. Consultant Geriatrician, South Manchester University Hospitals NHS Foundation Trust
  • Discussion

D: Urgent care: patient-centred care in a crisis
Facilitated by Professor Paul Knight, President, British Geriatrics Society

  • Professor Suzanne Mason, Professor of Emergency Medicine, University of Sheffield
  • Discussion

E: Social care workforce and populating ageing
Facilitated by Carolyn Denne, Head of Dissemination and Adoption, NICE Collaborating Centre for Social Care, Social Care Institute for Excellence

  • Professor Jill Manthorpe, Director of the Social Care Workforce Research Unit, King’s College London
  • Discussion

Session five

Welcome back
Chair: Professor Chris Ham, Chief Executive, The King's Fund

Keynote address: National Older People's Strategy
Rt Hon Jeremy Hunt MP, Secretary of State for Health

  • My home life: improving relation-centred care
    Professor Julienne Meyer, Professor of Nursing, Care for Older People and Director, My Home Life, City University London
  • Transitions to residential and nursing home care
    Professor Finbarr Martin, Consultant Geriatrician Guy’s and St Thomas’ NHS Foundation Trust and Honorary Professor of Medical Gerontology, King’s College London

Closing comments and summary
Professor Chris Ham, Chief Executive, The King’s Fund

Speakers

Rt Hon Jeremy Hunt MP

Secretary of State for Health

Jeremy Hunt was appointed Secretary of State for Health in September 2012. He was elected as MP for South West Surrey in May 2005.

In May 2010 Jeremy was appointed Secretary of State for Culture, Olympics, Media and Sport. He was formerly Shadow Culture Secretary 2007 to 2010 and Shadow Minister for Disabled People 2005 to 2007.

David McCullough

Chief Executive, Royal Voluntary ServiceDavid McCulloch photo

David McCullough is Chief Executive of Royal Voluntary Service (formerly WRVS) – a major national charity that provides practical services, powered by volunteers, so that older people can live independent and active lives. The charity, which recently dropped the ‘Women’ from its name to attract more male volunteers, aims to help 2 million older men and women over the next 10 years.

Previously, David was Deputy Chief Executive and Trading Director at Oxfam (responsible for Oxfam’s 700 shops, 22,000 volunteers and other commercial activities), with Board responsibilities for Oxfam’s relationships with the Fairtrade movement. Prior to this, he held positions as Director and Managing Director in the banking, credit card and IT industries.

David has held non-exec positions as Chair of Café Direct (Guardian Shareholding Company) and Board Director of Just Energy (S. African renewable wind energy company which transfers financial benefits to communities who retain ownership of land assets).

Sue Collins

Head of Health and Social Care, British Red CrossSue Collins photo

Sue has over 30 years experience working in the health and social care field. She started her career supporting older people in Kensington and Chelsea, sowing the seeds for a lifetime passion ensuring that older people lead independent lives they choose and value.

Sue has worked for a wide variety of organisations including housing associations, local authorities, voluntary sector agencies and Foundations. Whilst working at the Joseph Rowntree Foundation she led on their programme around meeting long term care costs, working closely with policy makers at the UK and devolved administration levels. More recently she was Head of North Region for WRVS, working with over 9,000 volunteers to support older people. This involved service design, fundraising, planning, and implementation. Sue is currently with the British Red Cross working as UK Strategy lead for Health and Social Care.

Her expertise includes extensive partnership working, influencing policy and the development of services in relation to older people and those living with disabilities. Sue is a social innovator with a commitment to involving service users, carers, and volunteers in the development of new solutions – such as the introduction of dementia support in hospitals which she pioneered at WRVS.

Sue is a trustee of Independent Age, an older people’s charity providing an information and advice service for older people, their families and carers.

Helena Herklots

Chief Executive, Carers UK

Jeremy Hughes

Chief Executive, Alzheimer’s Society 

Sandie Keene

President, Association of Directors of Adult Social Sandie Keene photoServices

Sandie Keene is President to the Association of Directors of Adult Social Services, the organisation that is the voice of Adult Social Care in the UK.  Her presidential year (2013/14) spans a period of unprecedented change for social care, with an uncertain economic climate, reduced funding for local government, increasing integration with the health services, new legislation being implemented and more on the way.

As Director of Adult Social Services for Leeds City Council, Sandie heads up a £190 million business that provides a social care service for one of the UK’s largest cities.

A native of Sheffield, Sandie was originally destined to follow a career in chemistry.  However social work became her passion after becoming a trainee social worker in Barnsley, followed by rapid promotion that took her to Rotherham, where she had her first taste of integrated working with health, child protection, mental health and learning disabilities.

She moved back to her home city, Sheffield, to become deputy director and then to Barnsley for her first director’s post in 2004.  She became director at Leeds in 2007.

Throughout her career, Sandie has been at the forefront of modernisation and redesigning services and says with pride that she has brought about service improvements in all her various roles.

Sandie’s themes for her presidential year include supporting the emerging new social contract between local authorities and their communities, with social enterprise and corporate social responsibility to the fore and where the public sector becomes more enterprising and the business sector becomes more civic.  She is a keen supporter of integration with the health services.

Her own authority, Leeds, embraces integration with enthusiasm, with mixed teams of social workers, district nurses, occupational therapists, community matrons and reablement staff, based in GP surgeries, now bringing the city’s residents a more joined-up preventive response to health and social care needs. 

Professor David Oliver

Visiting Fellow, The King’s Fund 

Read David's biography

Dr David Melzer

Professor of Epidemiology and Public Health, Peninsula College of Medicine and Dentistry, Universities of Exeter and Plymouth

Professor Steve Iliffe

Academic General Practitioner, Professor of Primary Care for Older People and Co-Director of the Centre for Ageing Population Studies (CAPS), University College London

Dr Martin Bardsley

Director of Research, Nuffield Trust

Dr David Paynton

National Clinical Lead, RCGP Centre for Commissioning

David Paynton qualified in 1975 going into General Practice in 1981. He was a full time GP in Bath Lodge Practice, Southampton before stepping into the corporate world of the PCT in 2005.

As a full time principle, he was a past chair of the Wessex Faculty of the RCGP, chaired a local Multifund, an Out of Hours Cooperative as well as being a founder member of the GP Wessex Educational Trust and was a past GP tutor.

Moving into the PCT as Chair of the Professional Executive, he became interim director of provider (community) services before moving into a Commissioning role before leaving in 2010.

He has continued in part time clinical practice and is still working in an inner city practice in Southampton.

He was appointed as National Clinical Lead for the RCGP Centre for Commissioning in 2012 and is also the clinical lead for Out of Hospital care for Southampton CCG and locality clinical lead for a group of practices within the CCG.

He was nominated as a Fellow of the RCGP in 1994, took a business degree in 2005 at Solent University and was awarded an MBE in 2009 for services to health care.

Dr Ian Greaves

Gnosall Surgery, Staffordshire

Ian is the lead GP at a rural dispensing, teaching practice in Staffordshire with a 8000 list size that operates a PMS plus contract that seconds the community and mental health personnel. He is medical director of a federation of 41 practices covering 280,000 patients in South Staffordshire. He has won multiple awards including highly commended at the HSJ and RCGP enterprise awards for his dementia service. He has piloted personal health budgets, anticipatory care in the frail elderly and integration between specialist, social and primary care services. The practice moved from a £300,000 overspend to £1.5 million under spend in 2011/12 and reduced excess bed days from an average of 25 days to below 9 days.

Dr Amit Bhargava

Chief Clinical Officer, NHS Crawley Clinical Commissioning Group

Jeremy Porteus

Director, Housing Learning and Improvement Jeremy Porteus photoNetwork (LIN)

Jeremy Porteus has over 25 years’ experience at being at the forefront of policy and practice in housing for older and disabled people in the UK. He has worked in national and local government, housing associations and the voluntary sector.

Until 2011, Jeremy was the National Programme Lead for Housing at the Department of Health (DH), England, and responsible for its £227million Extra Care Housing capital grant programme. Since leaving the DH, Jeremy has established the Housing Learning and Improvement Network as a leading independent “learning lab”, bringing together leading policy makers, commissioners and providers of housing, health and social care nationally and regionally to test out new ideas and improve the housing with care choices for older and vulnerable people.

Jeremy sits on the Prime Minister’s Challenge on Dementia Health and Social Care Champion’s Group and is also Chair of the Homes and Communities Agency’s Vulnerable and Older People’s Advisory Group (the government social housing investment body in England). He recently completed a major report as Inquiry Secretary to the All Party Parliamentary Group (APPG) on Housing and Care for Older People, Housing our Ageing Population: Plan for Implementation – HAPPI2. Other publications include another APPG Inquiry Report, Living Well at Home and a new viewpoint for the Housing LIN on Living Labs; A brave new world of customer driven extra care housing.

Jeremy is also a Fellow of Knowledge Transfer at Oxford Brookes University and an Honorary Life Member of the College of Occupational Therapists’ Specialist Section on Housing.

Professor Peter Goldblatt

Senior Research Fellow, Health Inequalities Review Peter Goldblatt photofor England, University College London

Peter Goldblatt is a Deputy Director of the Institute. His main activities are in the field of measurement and monitoring and in co-ordinating European and other international project to review the social determinants of health. He was previously at the Office of National Statistics (ONS). He was seconded from ONS to University College London (UCL) for the duration of the Strategic Review of Health Inequalities in England post-2010 (the Marmot Review). While at ONS, he was the Chief Medical Statistician from 1999 to 2008, principally concerned with leading the Divisions that were the key providers of ONS analyses of health and demographic statistics. Prior to joining ONS, he had worked at the Home Office, the Department of Health, the Office of Population Censuses and Surveys, City University and Manchester University.

Tom Downes

Consultant Physician and Geriatrician and Clinical Lead for Quality Improvement, Sheffield Teaching Hospitals, and Honorary Professor, Sheffield Hallam University

Tom completed medical training at Guy's Hospital, London in 1993. In 2003, he was appointed Consultant Geriatrician to Sheffield Teaching Hospitals and earned his MBA from Nottingham University Business School. He completed his MPH at Harvard University in 2011.

Tom is a Quality Improvement Fellow of the Institute for Healthcare Improvement. His main interest is the knowledge of transformative redesign of complex healthcare systems to achieve measureable quality improvement.

In 2005, Tom reviewed national best practice of transitional medical care and his recommendations resulted in the appointment of community geriatricians to bridge the gap between acute and community care. Over the past 2 years, Tom has facilitated the start of redesign of acute geriatric hospital care in Sheffield. Using translated Toyota methodology the geriatric medicine team designed and launched a 7 day consultant led multidisciplinary Frailty Unit achieving significant reduction in bed usage and mortality.

In his role as Clinical Lead for Quality Improvement at Sheffield Teaching Hospitals, Tom now focuses on the translation of improvement science into healthcare to achieve interprofessional clinician engagement and build improvement capability within the workforce. He holds a Shared Purpose grant from The Health Foundation which has enabled working with The Dartmouth Institute (USA) to develop the Sheffield Microsystem Coaching Academy (www.sheffieldmca.org.uk).

Dr Martin Bardsley

Director of Research, Nuffield Trust

Dr Simon Conroy

Head of Service, Geriatric Medicine,
University Hospitals of Leicester, and  Honorary Senior Lecturer, University of Leicester

Simon is an academic geriatrician based in Leicester, and has a clinical and research on urgent care for older people. He developed vertically integrated urgent care pathways for frail older people in Leicester – Interface Geriatrics.

Carolyn Denne

Head of Dissemination and Adoption, NICE Carolyn Denne photoCollaborating Centre for Social Care, Social Care Institute for Excellence

NICE’s new Collaborating Centre for Social Care, hosted by the Social Care Institute for Excellence (SCIE), was established in April 2013.  Carolyn Denne is responsible for strategic level planning and liaison with NICE, SCIE and partners to ensure that key stakeholders who commission, provide and use adults’ and children’s services know about and contribute to NICE guidance and quality standards for social care and can make best use of them to improve quality. 

Carolyn was formerly Head of Service Quality (Adults) for SCIE. Her ‘service quality portfolio’ included leading work to encourage best practice in care and support for people living with dementia – including SCIE’s popular Dementia Gateway – as well as in end of life care, preventative approaches and integrated working. She also contributed for SCIE to Think Local Act Personal’s series of documents on quality, commissioned by the Department of Health. 

Carolyn is a social worker, with over 30 years experience in local government, social care and the NHS. Building upon her early days working in acute hospital and residential settings and in community social work practice with older people, her career spans practice, policy development, performance and quality, commissioning and planning in local and national government and in regulation.

Having initially trained as a teacher, Carolyn is passionate about the role that personalised social care and support can play in enabling individuals to achieve their potential and live the best possible quality of life for them.

Dr Jocelyn Cornwell

Director, Point of Care Foundation and Senior Fellow, The King’s Fund

Read jocelyn's biography

Mary Bradley

Chief Executive, Age UK West CumbriaMary Bradley photo

Mary Bradley is currently Chief Executive of Age UK West Cumbria, which has a turnover of £2.3million, 124 staff and 404 volunteers.  The charity’s mission is to improve the lives of older people in Allerdale and Copeland. She also leads the West Cumbria Neighbourhood Care Independence Partnership.

Mary trained as a Physiotherapist and progressed into Senior NHS Management for Therapy Services and Patient Administration in Leeds. In 1999, she moved to the Third Sector and Cumbria in 2001. Since then, Mary has undertaken a number of key partnership roles including: chairing Care Sector Alliance Cumbria, Third Sector representative on the Health and Wellbeing Board and servicing the Asset-Based Community Development Multi Agency Group.

Mary is passionate about the ‘living well ‘element in pathways and has championed social prescribing through the development of the Centre for Third Age in Cockermouth.

Professor John Young

National Clinical Director for Integration and Frail John Young photoElderly, NHS England  

John Young trained at the Middlesex Hospital, University of London. He was appointed as a consultant geriatrician in Bradford, West Yorkshire, UK in 1986. He took on responsiblities as a clinical manager and devleoped numerous new services including an elderly care assessment unit; a stroke unit; and an ortho-geriatric unit. Research interests became embedded in the clincial work and included evaluations (mostly by RCT) of days hospitals, stroke care and community health care services.

In 2005 he was appointed to a new position as Head of the Academic Unit of Elderly Care & Rehabilitation, University of Leeds. This unit is now one of the largest  elderly care applied health research units in the UK. Current research work includes MRC and NIHR Programme Grant funded multi-centre trials in the areas of stroke, delirium and dementia care. Quality improvement work includes the national audits of intermediate care and of dementia care in general hospitals in the UK.

Between 2001 and 2007 John was seconded part-time to the Department of Health to assist in policies to improve the care for older people nationally. He was chairman of the British Geriatrics Society English Council, and was Chairman of the NICE Clinical Guideline Development Group for delirium.  In 2009 he was awarded the Lady Illingworth prize for “outstanding contributions” to services for older people. He is currently seconded to NHS England as National Clinical Director for Integration and Frail Elderly.

Martin Vernon

Consultant Geriatrician, South Manchester Martin Vernon photoUniversity Hospitals NHS Foundation Trust

Martin Vernon qualified in Medicine from Manchester University in1988.  He trained in Geriatric and General Internal Medicine in the Northwest and London and has an MA in Medical Ethics and Law from the University of London.  He is a Consultant Geriatrician and Physician in South Manchester specialising in complex adult continuing care and community geriatrics.  He is a Clinical Director responsible for a large integrated complex health care Directorate comprising both community and Acute Trust services. He is presently the Clinical Champion for the integrated care work stream in Greater Manchester’s Healthier Together large scale change program. 

Martin has published widely on medical ethics relating to older people and contributed to a number of standard textbooks.  His academic interests include the ethics and law of treatment withdrawal, elder abuse and end of life care.  He is the End of Life Care Lead for the British Geriatrics Society.

Professor Suzanne Mason

Professor of Emergency Medicine, University of Sheffield

Professor Jill Manthorpe

Director of the Social Care Workforce Research Unit,
King’s College London

Jill Manthorpe is Professor of Social Work and Director of the Social Care Workforce Research Unit at King’s College London. This celebrated Unit receives core funding from the government Department of Health, other government departments and the third/not for profit sector. Recently completed studies have covered the social work PQ curriculum, safeguarding, social work education, temporary workers, and support workers. Current workforce research include studies of adult protection/safeguarding and people with dementia, Social Work Practices, individual/personal budgets, dementia care practice, workforce regulation, carers’ workers, and social work for adults. Details of all the Unit’s activities are on the Social Care Workforce Research Unit website and on Twitter: @scwru

Jill is also Associate Director of the NIHR School for Social Care Research – which funds and conducts research to improve social care practice in England.

Professor Julienne Meyer

Professor of Nursing, Care for Older People and Director, My Home Life, City University London

Professor Finbarr Martin

Professor Finbarr Martin, Consultant Geriatrician Guy’s and St Thomas’ NHS Foundation Trust and Honorary Professor of Medical Gerontology, King’s College London

Presentations

Presentations from this event

You can download presentations from this event below:

Session one: opening plenary

David Oliver: Designing services that are age appropriate: making health care work for an ageing population

David Melzer: Health care quality for an active later life: improving quality of prevention and treatment through information

Professor Steve Iliffe: Encouraging innovative approaches and policies to improving primary care for older people

Session two: streams

A: Community-based interventions

Dr Martin Bardsley: Virtual wards, telehealth, POPPs etc: how do we know what works?

Dr David Paynton: Making out of hospital integrated care work: moving from aspiration to delivery

B: Keeping people well and maintaining independence

Dr Ian Greaves: The long-term benefits of early diagnosis of dementia

C: Wider determinents of ageing well

Jeremy Porteus: Housing and good health

Peter Goldblatt: Social determinants of ageing well

Session three: panel discussion

Tom Downes: The acute care pathway and the older patient

Session four: workshops

A: Care co-ordinators: better care through transitions

Mary Bradley: Care co-ordinators better care through transition

B: Intermediate care: National Intermediate Care Audit

Professor John Young: Intermediate care: National Intermediate Care Audit

C: Improving end-of-life care for older people

Professor Keri Thomas: Improving end-of-life care for older people

Martin Vernon: Improving end-of-life care for older people

D: Urgent care: patient-centred care in a crisis

Professor Suzanne Mason: Urgent care patient-centred care in a crisis

E: Social care workforce and populating ageing

Professor Jill Manthorpe: Social care workforce and populating ageing

Session five

Professor Julienne Meyer: My home life: improving relation-centred care

Professor Julienne Meyer: My Home Life House Graphic

Professor Finbarr Martin: Transitions to residential and nursing home care