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  • P-124 To avoid readmission, patients aged 65 and over admitted to hospital with a care quality commission avoidable condition should be examined for life limiting illnesses and consideration given to advance care planning

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P-124 To avoid readmission, patients aged 65 and over admitted to hospital with a care quality commission avoidable condition should be examined for life limiting illnesses and consideration given to advance care planning
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  1. Sarah Smith1 and
  2. Michael Tapley2
  1. 1Tameside Hospital, Ashton – U – Lyme, UK
  2. 2Willow Wood Hospice, Ashton – U – Lyme, UK

Abstract

Background The Care Quality Commission (CQC) published the State of Care report in 2013. This highlighted the increasing number of persons aged 65 and over who had had potentially avoidable admissions to hospital with conditions such as!> pneumonia and urinary infections.

Aim To investigate whether the CQC’s criteria can aid admission avoidance in those with life limiting illnesses or who have multiple co-morbidities where Advance Care Planning (ACP) is appropriate.

Method Two series took place between October 2014 and August 2016. The first at Tameside Hospital reviewing deaths of those aged 65 and over. The second included those transferred to Willow Wood Hospice for end of life care.

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Discussion There was often a lack of agreement in cases, reflecting the complexity of admission avoidance.

Using the CQC criteria alone, between 9.2% and 12.9% of admissions could have been avoided, we disagreed and felt they were unavoidable. However, combined with those who are also appropriate for an ACP this could reduce admissions on average by 15.9%.

Our aim is for a practitioner to offer ACP to inpatients at Tameside Hospital to reduce readmissions.

https://doi.org/10.1136/bmjspcare-2017-00133.123

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