Monday, January 21, 2013

Hospitals very bad places for elderly says NHS head

Compares treatment of old and frail to ‘national scandals’ of mental asylum care


Criticism: NHS chief executive Sir David Nicholson has said that hospitals are 'very bad places' for elderly people
Criticism: NHS chief executive Sir David Nicholson has said that hospitals are ‘very bad places’ for elderly people

Hospitals are ‘very bad places’ for elderly  people, according to the head of the NHS.


Sir David Nicholson said they were not the  right place to care for ‘old, frail people’, and called for community care to be  expanded to accommodate the growing elderly population.

He compared modern treatment of the elderly  to the ‘national scandals’ of the Sixties and Seventies caused by treating  mental health patients in large asylums.

‘If you think about the average general  hospital now, something like 40 per cent of the patients will have some form of  dementia,’ Sir David told The Independent.

‘They [hospitals] are very bad places for  old, frail people. We need to find alternatives.’

He added: ‘The nature of our patients is  changing – and changing rapidly. You are getting a larger and larger group of  frail, elderly patients who are confused.’

Sir David, who is currently the NHS’s chief  executive, was speaking for the first time since his appointment as head of the  Health Service’s Commissioning Board.

The new body will take over responsibility  for all NHS services in England from the Department of Health in  April.

His warning comes after a series of scandals  involving substandard care of the elderly, including at Stafford Hospital, where  up to 1,200 patients may have died unnecessarily.

He said: ‘I would compare it with where we  got to with the big asylums. If you remember what happened in the 1960s and  1970s, there was a whole series of national scandals about care of mentally ill  patients.

Read more: http://www.dailymail.co.uk/news/article-2265692/Hospitals-bad-places-elderly-says-head-NHS-compares-treatment-national-scandals-asylum-care.html#ixzz2Iai73E1g