Publications

Annual Review 2002/03
Contents:
Strong voice needed
New website
Quality of care for older people in hospital
Complaints
Enquiries
Results of customer satisfaction survey 2002/2003
Council members attendance
Financial statement
Publications

Strong Voice Needed

Against a background of continued uncertainty about changes to the future role and structure of Health and Social Services Councils, we remain committed to the need for a strong voice to represent the interests of the public. The awaited second phase of Developing Better Services has not been issued. This, we hoped, would have been the opportunity to move towards a coordinated approach to service user and public involvement throughout health and social services. In the meantime this continues to be fragmented with no department or person taking a lead role in developing a coherent strategy.

This year we hosted an event to bring together colleagues from England, Scotland and Wales to learn about what is happening elsewhere. Each of these countries have completed an extensive consultation exercise on public involvement and are moving towards new arrangements to facilitate this. It is our belief that we can learn lessons from these which will help to inform our local debate when and if this happens.

Mr Brian Coulter
Chairman

New Website - www.ehssc.org

To assist in making the Council more accessible to the public and in particular children and young people, we developed a new web site this year. This provides details of the work of the Council, members and staff. It also gives people the opportunity to contact the Council to raise issues or concerns

Quality of care for older people in hospital

‘Attention to care’ reports the findings of a research project carried out by the Eastern Health and Social Services Council, during 2001-2002, into the quality of care given to older people admitted in an emergency to hospitals in the Eastern Health and Social Services Board area. The research focused on the extent to which the older people’s basic care needs (such as personal care, privacy and dignity) were met in hospital. Sixty-two patients, aged from 70 to 92 years, were interviewed after discharge. About half the patients were medical patients and half were surgical patients.


The research found that older people admitted to hospital generally had their basic care needs met and usually received a satisfactory standard of care. Most of the patients had been admitted to hospital beds within two hours, in accordance with the relevant standard in the Charter for patients and clients. Three-quarters of the patients had been cared for in single-sex wards or bays all the time they were in hospital. In addition, when the patients had called the staff for assistance, the staff usually attended them quickly or fairly quickly. Where the patients were given new medications, the reasons for the medications had generally been explained by the staff. Where the patients needed help after discharge, the hospital staff had usually made sure that the patients got this help at home or were admitted to a residential home temporarily.

However, the care given to a minority of patients was not always adequate. In particular, a fifth of the patients had waited between 6.5 hours and 36 hours before being admitted to hospital beds. In addition, over half the patients had been moved about in hospital (to other beds or wards) after the original admissions. One-in-eight of the patients had experienced difficulties getting help from staff with personal care (for example, washing) or eating meals. A small number of the patients referred to the poor attitudes of some of the nursing staff. It was usually surgical patients who had experienced problems with getting their basic needs met in hospital and with getting adequate help after discharge. We have made a number of recommendations for improving the standard of care given to older people in hospital, and await action plans from the hospitals on how these will be implemented.

Launch of Attention to Care Report
(Back row from left)
Claire McKenna, Brian Coulter,
John Reynolds
(Front row)
Meg Holmes, Gerry Potts

 

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Eastern Health and Social Services Council, 1st Floor, Lesley House, 25-27 Wellington Place, Belfast, BT1 6GQ
Freephone: 0800 917 0222 Fax: (028) 9032 1750 Minicom: (028) 9032 1285
E-mail:ecouncil@ehssc.n-i.nhs.uk


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