Leas Cross

Learning the Lessons of Leas Cross

S T OKeeffe Galway University Hospitals

It would be a very major error to presume that the deficits in bid shown in Leas Cross represent an isolated incident

prof Des ONeill Leas Cross review

USA (1999): 21% of NHs provided incompetent care
19% had environments that contributed to injuries in residents 18%: pressure sores were treated improperly.

UK (2003): older people in NHs received poorer care than those at home plate wrt beneath use of beneficial drugs, over use of opposed drugs and poor monitoring of chronic disease. GPs South Dublin: 37% of 186 had seen sub commonplace care in NHs

What are the problems?
Gateways to entryway supporting Shift from public to private sector Interface among acute and long- baffle sectors Legislation, regulation and standards

Gateway - Need for assessment
Optimal standard of care
40% referred to St Jamess Hospital for long consideration care discharged home

Public long-stay beds: mandatory Private treat homes
Individual choice Discharged from acute hospital for recovery or under Winter initiative. Direct admission following, eg, fall or chest infection.





Maintain People at Home
Most people dont want LTC QOL studies a sizeable proportion judge ending life in NH as worse than death Cross-national: 20% want to stay home no matter what Importance of home: memories, familiarity Rehabilitation, issue and home care and carer supports maximise chances of staying in community

Funding
Ultimately a political matter System should be fair and transparent. Our certain system is neither

A Fair smokestack?
Considerable emolument for those currently residing in private NH with little or no subvention. Supreme Court (2005): older people are entitled, under 1970 Health Act, to free inpatient care, including LTC, subject only to a maintenance charge (max 80% of OAP). A Fair Deal will remove this entitlement. An older person who due to affection/...If you want to get a full essay, order it on our website: Orderessay



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