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Alcohol and Older people A Gloucestershire perspective

Alcohol and Older people A Gloucestershire perspective. Michele Le Mero Public Health Manager NHS Glos. Demographics. Increasing older population Significant growth in 75+ and 85+ age groups Largely rural county 18.5% population 65 + By 2030 expected to rise to 26% 3% population 85+

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Alcohol and Older people A Gloucestershire perspective

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  1. Alcohol and Older people A Gloucestershire perspective Michele Le Mero Public Health Manager NHS Glos

  2. Demographics • Increasing older population • Significant growth in 75+ and 85+ age groups • Largely rural county • 18.5% population 65 + • By 2030 expected to rise to 26% • 3% population 85+ • By 2030 expected to rise to 5%

  3. Population Projections Source:JSNA

  4. SW ‘Calling Time’ results Older People: • Drink less alcohol on any one occasion • Drink more frequently • 26% men + 14% women 65+ drank on 5 or more days in previous week • Rates of drinking highest in middle aged men & women • High rates of admission for mental & behavioural disorders due to alcohol consumption in 65+

  5. Contributing Factors • Social isolation – urban & rural • Large numbers of people living alone • Drinkers with multiple problems (e.g. limiting long term illness, mental health, learning disabilities • Isolated areas – lack of local facilities and access to services • Large numbers of older informal carers • Carers in poor health

  6. Alcohol Strategy 2006-2009 – refreshed Jan 2010 Strategic objectives have been mapped to the following LAA indicators: • LI 18 - The number of people aged 75 or over admitted to hospital with fractured femur • NI 39 – Rate of hospital admissions per 100,000 for alcohol-related harm

  7. LI 18 - The number of people aged 75 or over admitted to hospital with fractured femur

  8. Admissions in 75+ as a result of fall

  9. Social isolation Bereavement Illness Financial stress Retirement Loss of independence Divorce Insomnia Impaired brain function Dementia Falls Osteoporosis Medication interaction Malnourishment Reasons & Consequences

  10. So far… Education & Intervention • Falls prevention banners & leaflets • Healthy Ageing banners & leaflets • Healthy Ageing coordinator - December 2009 • Access to specialist services is available for older people • Consistent messages and access to specialist support available at any interface with older people

  11. Anna Gibbins Healthy Ageing Coordinator Public Health NHS Gloucestershire

  12. What’s my role? • Lead on range of health improvement areas in relation to older people across the county. • Contribute/facilitate the development and implementation of local health improvement programmes and public engagement. • Facilitate multi agency public health group work and community based needs assessments

  13. How is this being done? • Utilising my years of experience as a district nurse in rural, urban, town and inner city areas. • First hand insight into the impact on alcohol dependency and the effects of this on individuals and their families health and wellbeing. • Drawing on new experiences within the field of Public Health and working with a range of experts in the diverse needs of older people.

  14. Work in Progress……. • Library Clubs • Music /Drama/ Folk Lore • Dignity in Care • Promotion of seated exercise via book/DVD • Sustain and diversify Patient Ambassador role

  15. Transferable approaches …..? • Potential opportunities for foundation work in range of settings • Using diverse mediums to get message across to individuals and communities • Work with specialist personnel and communities to influence/inform key messages • Enlist patients/ service users/public to participate in joint initiatives for alcohol behaviour change

  16. Thank You Michele.lemero@glos.nhs.uk Anna.gibbins@glos.nhs.uk

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