BGS London (14 June 2018): A study published today in Age and Ageing, the scientific journal of the British Geriatrics Society, found that despite death rates in the UK now being much lower than in the 1990s, the relationship between higher levels of frailty and mortality remains unchanged. Reduced mortality rates in older age appear to apply to those with little frailty, while older people with higher levels of frailty are not seeing a benefit.
The study, conducted by a researchers at Newcastle University’s Institute for Ageing, drew their conclusions from two large studies of older people in England, conducted 20 years apart to test whether the amount of frailty has changed over time, and whether the relationship between frailty and death has changed.
Organiser: Acute Frailty Network
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BGS and RCP London are seeking clinicians with an interest in geriatric medicine to become a clinical examiner for the Diploma in Geriatric Medicine (DGM).
The DGM examination is designed to give recognition of competence in the provision of healthcare for older people. It is run jointly by the BGS and Royal College of Physicians London.
In offering doctors the opportunity to review and consider all aspects of healthcare, the DGM is aimed at any medical practitioner in the UK whose clinical practice brings them into contact with older people. This may include:
The European Academy for Medicine of Ageing (EAMA): Advanced Postgraduate Course 2019-20
The European Academy for Medicine of Ageing is an Advanced Postgraduate Course in Geriatrics.
The EAMA’s goals are to:
- Improve knowledge and skills in geriatric medicine for junior faculty members and promising candidates for future teachers in geriatrics
- Attune the attitudes and goals of future opinion leaders in geriatric medicine throughout Europe
- Establish a network among medical doctors responsible for the care of elderly persons and those responsible for student instruction
- Develop new ideas for geriatric health programmes and harmonise practices
- Encourage scientific interest in gerontology and geriatrics at local, national and international levels.
The BGS has responded to an APPG Inquiry, calling for evidence into improving access to hospice and palliative care.
Older people are less likely than younger people to be offered hospice care, even if they have cancer, and older people living with frailty are very unlikely to receive such care.
An average GP’s workload will include approximately 20 deaths per year. Of these 5 will be from cancer, 5 from single organ failure, 2 will be sudden, and 8 will be among people living with frailty and multi-morbidity, including dementia.
The British Geriatrics Society (BGS) is the professional body of specialists in the healthcare of older people in the United Kingdom. Our membership is drawn from doctors practising geriatric medicine including consultants, doctors in training and general practitioners, nurses, allied health professionals, researchers and scientists with a particular interest in the care of older people and the promotion of better health in old age. BGS has 3,500 members who work across England, Scotland, Wales and Northern Ireland. This means we have a strong interest in the development of a workforce strategy that meets the needs of our ageing society.
We very much welcome the commitment to a sustainable, free, universal healthcare system expressed in the consultation document.
The powerpoint files supporting presentations at the BGS 2018 Spring Meeting are now available for download. We publish only those files which have been authorised for publication by the authors. The files are published in secured pdf format to obviate plagiarism as far as this is possible. (updated 25 Apr 2018).
John Gladman: The meaning of life expectancy
The powerpoint files supporting presentations at the BGS 2018 End of Life Care conference are now available for download. We publish only those files which have been authorised for publication by the authors. The files are published in secured pdf format to obviate plagiarism as far as this is possible. (updated 28 March 2018)
Adrian Hopper: AMBER Care Bundle
Adrian Treloar: Joined up care; lessons for dementia
Dawn Moody: Using population sub-segmentation to promote tailored end of life care in later life
Caroline Nicholson: Attending to living and dying: improving end of life care for older people with frailty in the community
The Department of Health and Social Care (the Department) is ultimately responsible for securing value for money from healthcare services. It sets objectives for the NHS through an annual mandate to NHS England and in 2016–17 gave it £105.7 billion to plan and pay for services and patient care delivered by the NHS. NHS England allocated the greatest share of this budget to 209 clinical commissioning groups, which largely bought healthcare from 235 hospital, community and mental health trusts. Trusts manage their expenditure against the income they receive, while NHS Improvement oversees and monitors the performance of trusts. The Department has made NHS England and NHS Improvement responsible for ensuring the NHS balances its budget.
In 2016–17, NHS England, clinical commissioning groups and NHS trusts and NHS foundation trusts (trusts) reported a combined surplus of £111 million against their income, a significant improvement compared to the combined deficit of £1,848 million they reported in 2015–16. This improvement was the direct result of the Department’s £1.8 billion Sustainability and Transformation Fund, paid by NHS Improvement to trusts for meeting financial and performance targets. Without this Fund, the combined financial position of the NHS would have been only slightly better than in 2015–16. As well as balancing its books each year, the NHS needs to invest in new ways of working that can better serve the changing needs of patients and increasing demand for services. To facilitate a more long-term approach to achieving sustainability, local partnerships of commissioners, trusts and local authorities have been set up to develop long-term strategic plans and transform the way services are provided more quickly.
Submission by the BGS February 2018: The British Geriatrics Society’s view is that the current deprivation of liberty safeguards (DoLS) are unfit for purpose and should be replaced by the proposed new system of ‘protective care’, instead of ‘restrictive care’. We would like Government to proceed with implementation and for a definition of deprivation of liberty for care and treatment to be debated in Parliament and written into statute.
1. The British Geriatrics Society (BGS) is the professional body of specialists in the healthcare of older people in the United Kingdom. Our membership is drawn from doctors practising geriatric medicine including consultants, doctors in training and general practitioners, nurses, allied health professionals, researchers and scientists with a particular interest in the care of older people and the promotion of better health in old age. BGS has 3,500 members who work across England, Scotland, Wales and Northern Ireland.
2. In 2015 BGS responded to the Law Commission’s consultation on reform. We fully agree that the current deprivation of liberty safeguards (DOLS) are unfit for purpose and should be replaced by a new system of protective care instead of restrictive care. We were pleased to see this acknowledged in the Law Commission’s final report and Government’s interim response to it. Our full and detailed response to the 2015 consultation is available here.