Hospital-Wide Comprehensive Geriatric Assessment Information Sharing Protocol - Fair Processing NoticeHospital Wide Comprehensive Geriatric Assessment

Funding: The NIHR HSDR research programme

Key Points

  • The aim of this project is to inform NHS managers, clinicians, patients and the public about how best to organise hospital services for frail older people.
  • The project intends to define Comprehensive Geriatric Assessment (CGA), identify the processes, outcomes and costs of CGA in existing hospital settings in the UK, identify the characteristics of the recipients and beneficiaries of CGA in existing hospital settings in the UK, and use this knowledge to develop tools which will assist in the implementation of CGA on a hospital wide basis.

Background

There is considerable evidence on how to assess and co-ordinate care for frail older patients with complex needs using Comprehensive Geriatric Assessment (CGA). Comprehensive geriatric assessment is defined as ‘a multidimensional, interdisciplinary diagnostic process to determine the medical, psychological, and functional capabilities of a frail older person in order to develop a coordinated and integrated plan for treatment and long-term follow-up’. CGA improves outcomes for frail older people, including survival, cognition, quality of life and reduced length of stay, readmission rates, long term care use and costs. But there is continued uncertainty about how to target suitable recipients in a hospital–wide manner, and what is the most appropriate and cost-effective form of CGA for different settings.

The Research Project

The overarching aim of this programme of work is to provide high quality evidence to support the delivery of CGA on a hospital wide basis. SAPPHIRE researchers are specifically involved in a workstream which focuses on the task of drawing on the findings of the project’s research into CGA to develop a ‘toolkit’ to assist in delivering it in new settings within the acute hospital. Prof Graham Martin will be leading a team of researchers who will gather, examine, and collate information and reach a consensus on which approaches to delivering Comprehensive Geriatric Assessment look most promising, and which are likely to work in different areas of clinical practice. Building on this, the researchers will work together to develop a toolkit, consulting with wider patient and professional stakeholders to ensure that it is as well designed as possible. Finally, the toolkit will be piloted in two areas of clinical practice—likely cancer care and surgery—where Comprehensive Geriatric Assessment has tended not to be used in the past. Alongside this pilot implementation, researchers are undertaking qualitative research to consider what clinicians and patients make of the toolkit, how they use it, and how far it affects the way care for older people is organised and delivered in practice.

For more information please contact Graham Martin

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