Joint memorandum by Dr Andrew Fairbairn
and Dr Jane Garner (DD 30)
OLD AGE PSYCHIATRY FACULTY OF THE ROYAL COLLEGE
1. There is an inappropriate focus on acute
hospital settings in relation to care of the elderly and this
can often result in delayed discharges.
2. Many patients in the acute sector have
comorbid psychiatric problems, usually dementia or depression,
which prevent their speedy discharge home.
3. We believe that this situation could
be improved considerably by an increased understanding of these
conditions on the medical wards and by old age psychiatry staff
working in collaboration with the acute hospital staff.
4. There is no lack of willingness for closer
co-operation but as our services are currently configured and
funded there is not the time and space to take it on.
5. Some areas are endeavouring to make bids
for intermediate care monies to finance a liaison team but there
is still much work to do.