Designated Clinicians Response to Recommendation
TOTAL SCORE: 4
Score
A1 (Feasibility increased by continuance of pandemic): +1
A2 (Necessity increased by covid pandemic): -1
A3 (political viability): 0
B1 (Relevance to the specific goal of increasing HALE by 5 years by 2035): 0
B2 (Relevance to general goal of biomedical healthy life extension): 0
C1 (Market readiness applicability): +1
C2 (Project readiness): 0
C3 (Move to market readiness): -1
D1 (Actionability): 0
D2 (Degree of measurability): +1
D3 (Degree of leveraging cross-sector inputs): +1
D4 (Awareness of international context): +1
D5 (Resourcefulness): +1
D6 (Reorganisation): +1
E (Disruptiveness): -1
F (Dividends - does the recommendation aid in social activity and inclusivity?): +1
Aging Analytics Agency is emphatic about the need for coordination and this recommendation scores strong on Dividends (F).
Productive participation by the elderly in society will be vital for maintaining the political and financial conditions necessary for the nation to proceed with the longer term generation-long struggle for greater National Healthy Longevity.
RECOMMENDATION SUMMARY
“Multimorbidity — the state of having two or more long-term conditions—is more common in old age. There is evidence that the rate of multimorbidity is increasing, so it will become an increasing issue for the NHS. The environmental and biological factors driving the development of multimorbidity are not fully understood. (Paragraph 47)
Care pathways are not well coordinated or integrated for older people, particularly those with multimorbidity. Patients often have to see multiple doctors, with multiple specialisms, with little coordination between specialists to reduce the burden on patients. (Paragraph 66)
We recommend that, as was proposed in 2013, the NHS ensures that all older patients have a designated clinician. This clinician would have oversight of the patient’s care as a whole, and should coordinate activity across multidisciplinary teams, which should include members from across the health and social care sectors.The clinician could be from either primary or secondary care, depending on the patient’s needs. (Paragraph 67)”
Score
A1 (Feasibility increased by continuance of pandemic): +1
A2 (Necessity increased by covid pandemic): -1
A3 (political viability): 0
B1 (Relevance to the specific goal of increasing HALE by 5 years by 2035): 0
B2 (Relevance to general goal of biomedical healthy life extension): 0
C1 (Market readiness applicability): +1
C2 (Project readiness): 0
C3 (Move to market readiness): -1
D1 (Actionability): 0
D2 (Degree of measurability): +1
D3 (Degree of leveraging cross-sector inputs): +1
D4 (Awareness of international context): +1
D5 (Resourcefulness): +1
D6 (Reorganisation): +1
E (Disruptiveness): -1
F (Dividends - does the recommendation aid in social activity and inclusivity?): +1
Aging Analytics Agency is emphatic about the need for coordination and this recommendation scores strong on Dividends (F).
Productive participation by the elderly in society will be vital for maintaining the political and financial conditions necessary for the nation to proceed with the longer term generation-long struggle for greater National Healthy Longevity.
RECOMMENDATION SUMMARY
“Multimorbidity — the state of having two or more long-term conditions—is more common in old age. There is evidence that the rate of multimorbidity is increasing, so it will become an increasing issue for the NHS. The environmental and biological factors driving the development of multimorbidity are not fully understood. (Paragraph 47)
Care pathways are not well coordinated or integrated for older people, particularly those with multimorbidity. Patients often have to see multiple doctors, with multiple specialisms, with little coordination between specialists to reduce the burden on patients. (Paragraph 66)
We recommend that, as was proposed in 2013, the NHS ensures that all older patients have a designated clinician. This clinician would have oversight of the patient’s care as a whole, and should coordinate activity across multidisciplinary teams, which should include members from across the health and social care sectors.The clinician could be from either primary or secondary care, depending on the patient’s needs. (Paragraph 67)”