Evercare pilots need financial support
VOL: 19, ISSUE: 10, PAGE NO: 7
Anne Duffy is Director of the Community and District Nursing Association (CDNA)All those working in primary care are aware that health practices must change to cope with the escalating numbers of elderly, frail people living in the community.
This role is a very labour intensive and so the APN will have about 55 to 60 patients, identified from the number of hospital admissions and based on strict criteria. The initial findings from a series of the Evercare programme were revealed in the DH press release at the beginning of May. It stated that: - The development of the APN role can lead to better co-ordination of pro-active care of older patients and better collaboration with GPs and geriatric consultants - Better monitoring and education of older patient populations means high-risk patients can be identified and treated before hospital admission becomes necessary - The work is already addressing the needs of vulnerable older people in the community, using primary care - local doctors and nurses - as the main way of delivering care. The Community and District Nursing Association (CDNA) cautiously welcomes Evercare. However, it does have concerns that, without extra resources in the community, the extra pressure this will put on district nurses will push the service to breaking point. Proper funding needed
Everyone working in primary care is aware that practices must change to cope with the escalating numbers of frail, elderly people living in the community. We welcome the fact that the Government is taking this issue seriously but urge it to ensure new initiatives are properly funded. District nurses are best placed to take on this new role, provided adequate support is in place. It is an exciting time for nurses working in the community precisely because they will be involved in shaping nursing to ensure the care delivered meets future needs. Staff delivering care have the power to challenge the present power base and aim for equality among health professionals. But giving them the support to achieve that is a key ingredient. www.cdna.tvu.ac.uk *The nine primary care trusts piloting the Evercare model are Airedale; Bexley (care trust); Bristol North; Bristol South and West; Halton; Luton; South Gloucestershire; Walsall and Wandsworth. A tenth, North Tees, is looking at data and analysis for more effective commissioning and clinical governance. DH press release 2004/0159, 3 May 2004.