In this episode, we're looking at how improvement approaches can help redesign services for frail older people, taking a whole system approach. We hear practical advice from a national and local perspective on how to inspire and support change that spans different departments and sectors.

Our guests are:

• Dr Tom Downes, consultant geriatrician at Sheffield Teaching Hospitals, and national clinical director for older people.
• Dr Simon Harlin, GP and community clinical lead, Walsall Healthcare NHS Trust
• Peter Chessum, associate director of nursing, Walsall Healthcare NHS Trust

Hosted by Penny Pereira, managing director of Q, and Matthew Taylor, chief executive, NHS Confederation, each episode aims to spotlight where improvement is working well, as well as the challenges it faces.

This podcast is part of Learning and Improving Across Systems, a partnership between the Health Foundation, NHS Confederation and the Q community to support health and care systems to learn and improve.

Walsall NHS Trust Frail elderly pathway: https://www.walsallhealthcare.nhs.uk/our-services/frail-elderly-pathway/#:~:text=The%20main%20aim%20of%20the,Appropriate%20signposting%20to%20other%20agencies

10 Principles at the human heart of improvement: https://q.nhsconfed.org/evidence-and-insights/opinion-pieces/10-principles-at-the-human-heart-of-improvement-tell-us-what-you-think

The challenge and potential of whole system flow: https://www.health.org.uk/reports-and-analysis/reports/the-challenge-and-potential-of-whole-system-flow

Chief Medical Officer's Annual Report 2023: Health in an ageing society: https://www.gov.uk/government/publications/chief-medical-officers-annual-report-2023-health-in-an-ageing-society

Launch of a framework to improve how the NHS makes large scale change: https://www.health.org.uk/features-and-opinion/blogs/launch-of-a-framework-to-improve-how-the-nhs-in-england-makes-large

NHS England National Frailty Improvement Collaborative: https://www.england.nhs.uk/nhsimpact/learning-and-improvement-networks/national-frailty-improvement-collaborative/

Rockwood frailty scale: https://www.england.nhs.uk/south/wp-content/uploads/sites/6/2022/02/rockwood-frailty-scale_.pdf

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