Nid yw'r tudalen hwn ar gael yn Gymraeg ar hyn o bryd. Dyma'r fersiwn Saesneg.

Pobl hŷn

The most common health problems amongst older people and causes of hospital admission and mortality are respiratory and heart disease, cancer, stroke, diabetes and fractures. Falls are the commonest cause of serious injury in older people and the most frequently found reason for hospital attendance. The Welsh Ambulance Service NHS Trust reported that, between September 2008 and September 2009, 16% of all calls were due to falls from standing height. Hip fracture is the most serious complication of a fall in an older person.

A recently published guideline from NICE emphasised the importance of early treatment of hip fracture patients and a health gain target for older people in Wales is to reduce hip fractures in the 75 and older age group. Evidence suggests that falls prevention can reduce the number of falls by between 15% and 30%, and that well organised services, based on national standards and evidence-based guidelines, can prevent falls and reduce death and disability from fractures.

A recent Health Service Ombudsman’s report highlighted major deficiencies in the care of older people in acute hospitals, who represent 40% of the 5 million people admitted to hospital in 2008/9. Admission rates increase each year with those over 85 years of age being nearly early 10 times more likely to have an emergency admission than people in the 20-40 age group, with most admissions being via the emergency department route.

The NSF for Older People (NSF) sets national, evidence based standards for the health and social care of older people, thereby helping to ensure that a good level of service is available everywhere in Wales. Certain health conditions are more prevalent in older people, and specific measures to prevent and address these are provided in the standards on stroke, fractures, falls and mental health within the NSF.

A joint statement by the College of Emergency Medicine, British Geriatrics Society, Royal College of General Practitioners, Royal College of Physicians and the Royal College of Nursing noted that integration was key to the delivery of services across the interfaces between primary and secondary care, and health and social care so that the patient journey is as seamless as possible along an older peoples emergency care pathway.