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Care of the elderly and vulnerable patient

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"Care of the elderly and vulnerable patient"

About: Nuffield Hospital Oxford (the Manor)

Based on our experience we would not place an elderly 'vulnerable' adult who is unable to act as their own advocate in the Manor as a private patient. There appears to be incomplete procedures in place to recognise the risks that surgery may pose to elderly patients. From our experience it would also be advisable to assure that you have discussed with your GP and the Manor the community support that would be available on discharge prior to surgery being undertaken. The rehabilitation services are based at the Manor and are not set up to deliver any support in the community/home should it be required.

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Response from Nuffield Hospital Oxford (the Manor) 6 years ago
Nuffield Hospital Oxford (the Manor)

Submitted on 22/12/2017 at 12:45
Published on nhs.uk at 13:37

Without having full knowledge of what surgery this relates it is difficult to give a detailed report as each surgery will have different outcomes and therefore different needs. At the Manor there is a specific process in place to assure a safe discharge home, commencing in pre assessment and onwards through your journey all the way though to your discharge home.

At pre assessment a patient that is deemed to be of high risk would be rejected on the NHS portal. This is directed by specific requirements as laid out in our agreements with the Clinical Commissioning Group. There are strict criteria set by the NHS that we have to meet:

At pre assessment the expectation is that there is clear explanation that the Manor provides the surgery and the care post operatively but not physiotherapy in the community, any physiotherapy required after discharge is primarily the GP’s responsibility.

During your stay on the ward if the patient or the family feel that they need support for home/community this is acted upon to ensure a smooth transition home. Physiotherapist and nurses ensure that you are getting back to independence for example need minimal assistance to get dressed.

The NHS offer a service called single point of access which only accepts patients into a community hospital if the patient is unable to get in and out of bed independently or for example following an amputation of a limb you need specific rehabilitation centre.

If it is highlighted that you would need an occupational therapist at home this would need to be organised through the GP with our support. We discharge patients with the aid that they are using on the ward be it crutches, Zimmer frame or sticks.

Before discharge a stairs assessment is done if you have stairs to do at home and only when safe on stairs will you be discharged.

I am sorry you felt we have not supported you from a rehabilitation point of view and not given you the support in the community/home setting.

If you provide more information I am more than happy to have a face to face conversation with you.

Best Wishes, Lisa Pimm, Matron, Nuffield Health, The Manor Hospital 01865 307777

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