NHS Hospital Admissions Up 35% In 5 Years : What Else Can We Expect From A Disjointed System?

Theme from the Green Paper thread … recombine those ugly twin sisters … Our NHS and Social Care ???

**Emergency dementia admissions to hospitals up 35% in five years.

NHS data for England shows reality of social care system, says Alzheimer’s Society.**


The number of people with dementia being admitted to hospital as a medical emergency has risen by more than a third in five years, figures have shown, with a lack of social care blamed for the increase.

NHS data showed that hospitals in England recorded more than 379,000 admissions of people with the condition during 2017/18. That was 100,000 more than the number of such patients admitted in 2012/13 – a 35% jump in five years.

The Alzheimer’s Society, which obtained the figures, said they meant that more than half of everyone in England with dementia had been admitted to hospital at least once – and sometimes many times – during 2017/18.

“This is the stark reality of many people with dementia left to fall through the cracks in our broken social care system,” said Jeremy Hughes, the chief executive.

Falls, dehydration and infections are thought to be the commonest reasons for those with the condition ending up in hospital overnight. Hughes blamed the spike in admissions on social care – support for people at home or in care homes – being “scarce, inadequate and costly”.

The 100,000 extra admissions are costing the NHS £280m a year, the Alzheimer’s Society has calculated.

Figures it collated from the NHS’s hospital episodes statistics data collection system also showed that the number of people with dementia who spend at least a month in hospital topped 40,000 in 2017/18, at a cost of £165m.

“People with dementia are all too often being dumped in hospital and left there for long stays. Many are only admitted because there’s no social care support to keep them safe at home. They are commonly spending twice as long in hospital as needed, confused and scared,” added Hughes.

The charity said it knew of many cases where lack of social care prolonged a dementia patient’s time in hospital unnecessarily. They include a woman whose husband had to spend eight months of one year in hospital when he suffered multiple infections and falls, unable to return home, because no assessment was made about the level of care he would need once he was discharged.

“The system is not working and these figures reveal how it is letting down people with dementia and putting our hospitals under unnecessary and intolerable strain. The social care crisis is harming patient care,” said Niall Dickson, chief executive of the NHS Confederation.

“The NHS and social care are sister services – when one does not work, the other suffers.”

Deborah Alsina, chief executive of Independent Age, a charity that campaigns on issues affecting older people, said the rise in hospital admissions by dementia sufferers was “very worrying. It is unacceptable that people can end up waiting for up to a year in hospital owing to a lack of appropriate care and support.”

She backed the Alzheimer’s Society’s call for urgent and decisive action by the government to improve the crumbling social care system. Boris Johnson has pledged that a solution is among his key priorities.

Hughes urged Sajid Javid, the chancellor, to allocate £8bn for social care in his budget on 11 March and make personal social care free in England, as it already is in Scotland.

At the least this article has woken up those on FaceAche … 42 comments … long may it continue !

Carers UK

Perhaps I should send them an invite to join this forum … we need fresh faces … and posts !

Enough train spotters … but actual posters ?

Then , gradually , get them to see the bigger picture …

Shocking figures

As carers, we have a right not to care, but that is being continually ignored by Social Services and doctors.

I have told a number of people who have come to the forum to dial 999 and say they CANNOT care any more. That is surely the worst possible way that a caring role should end?

What those carers should have had is increasingly more and more support, especially from Continuing Healthcare, until one day they are told
“you have done a brilliant job, they’ve done all they can, it’s time for us to take over completely now as you are exhausted and need to rest”.

When does this EVER happen???

My Dad ended up in hospital several times because Mum couldn’t cope and no other help was on offer. What a sad waste of resources and not the care he should have been receiving at the end of life.

To me, it seems especially unfair as the elderly generation were seriously misled in 1948 when the NHS was formed.

They were told it was “from the cradle to the grave”, now they are old in need of support, having contributed all their working lives, they are left in corridors or described as “bed blockers”.

With the advent of modern medicine, new drugs, new treatments, fantastically expensive wonderful machines, maybe it’s time for there to be a proper debate about what you can and cannot have on the NHS?

I would have died before I was 40 due to gynae problems, and again when I was 54 and a scan revealed I had a life threatening condition. When I was 56 I was involved in a head on smash, unable to walk until I had two knee replacements (paid for by car insurance, but still a medical miracle to me).

All four of our parents lived much longer because of modern medicine…and that’s why we are all living longer, but with that age comes greater infirmity and the need for more support services.