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Age and Ageing Advance Access originally published online on October 1, 2008
Age and Ageing 2008 37(6):618-620; doi:10.1093/ageing/afn207
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© The Author 2008. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Commentary

Care home medicine in the UK—in from the cold

Ian P. Donald1, John Gladman2, Simon Conroy3, Martin Vernon4, Elizabeth Kendrick5 and Eileen Burns6

1 Gloucestershire Royal Hospital, Great Western Road, Gloucester GL1 3NN, UK
2 Rehabilitation & Ageing, Community Health Sciences, Queen's Medical Centre, Nottingham NG7 2UH, UK
3 University of Leicester, Leicester, UK
4 South Manchester University Hospitals NHS Trust, Manchester, UK
5 County Durham Primary Care Trust, Durham, UK
6 St James' University Hospital, Leeds, UK

Address correspondence to: I. P. Donald. Tel: +08454-226112; Email: Ian.Donald{at}glos.nhs.uk

The quality of care within care homes comes under frequent media scrutiny, and is underpinned by the medical support to the staff. In the UK, medical care to care homes is provided by general practitioners. A GP is likely to have patients in many homes, and each home relates to many GPs. The growing complexity of patients in care requires proactive models of care delivered by those with an understanding of care home medicine. A range of innovative models of medical care are emerging across the UK which have the potential to improve the standard of care in homes, and reduce inappropriate use of secondary care admissions. These models are described, and the need for them to be subjected to evaluation.

Keywords: medical models, care home, anticipatory, managed care

Received 16 April 2008; accepted in revised form 27 August 2008.


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