This British Geriatrics Society (BGS) guidance on commissioning for excellence in care homes is aimed at people developing models of health care delivery which meet the needs of care home residents. Around 20% of the 400,000 older people living in care homes in the UK are aged 85 or over. These people have complex health and social care needs. Most have some disability, many have dementia, and they typically undergo high rates of hospital admissions (both necessary and avoidable).
BGS commissioning guidance: high quality health care for older care home residents. London: British Geriatrics Society (BGS), October 2013. (Commissioning for excellence in care homes campaign).
Supporting documentation is available:
BGS Commissioning Guidance. High Quality Healthcare for Older Care Home Residents. Supporting documentation. London: British Geriatrics Society (BGS), October 2013.
Quest for Quality in Care Homes Report
The BGS Quest for Quality report (2011) describes NHS support for care homes and offers recommendations about how the quality of care for care home residents might be improved.
Thorpe, T. [and] Martin, F. (2011). An inquiry into the quality of healthcare support for older people in care homes: a call for leadership, partnership and improvement. London: British Geriatrics Society (BGS), June 2011.
The BGS “Quest for Quality in Care Homes” report, published in 2011, recommended partnership working and integrated care:
“[There is a ] …need to build joint professional leadership from the health, social, and care home sectors, statutory regulators and patient advocacy groups to find the solutions that none of these can achieve alone”.
Read more in the executive summary of the report’s main findings and recommendations: Quest for Quality in Care Homes.
There is an influential PhD thesis:
Gordon, AL. (2012). Does Comprehensive Geriatric Assessment (CGA) have a Role in UK Care Homes? Nottingham: University of Nottingham, 2012. PhD thesis.