NHS Highland

Frailty ECHO

A six part programme aimed to give attendees a better understanding of what can be done to help patients with frailty with real-world scenarios and in the context of our current service availability in Highland. The sessions are based off of the six domains of the Comprehensive Geriatric Assessment.

Dr. Daniel Simpson and Dr. Martin Wilson
Facilitator

Dr. Daniel Simpson and Dr. Martin Wilson

Dr. Daniel Simpson is a GP and Clinical Lead for Education and Training in NHS Highland.

Dr. Martin Wilson is a Consultant Physician in Geriatrics at Raigmore Hospital.

 

 

Please note: The response for this programme has been very high. Because ECHO is a community of practice format, registrations have now been closed to enable the facilitators to manage interaction with the group, which we expect will be larger than normal. We want everyone to benefit and will look at how we meet the demand as we go forward.  

 

The programme format

The ECHO model is designed to help practitioners master complexity by looking at anonymised patient case examples which represent a wider learning need and opportunity. Daniel Simpson and Dr. Martin Wilson will be providing oversight of the sessions with support from a multi disciplinary panel of local experts assisting with individual sessions and the overall scope of the content. The programme will take a blended approach between case based learning and presentations put together by experts in Highland that will share best practice around frailty. Through the discuss of realistic cases we aim to inspire group dialogue; the combination of teaching, group mentoring, and facilitation ensures that knowledge grows and future patients can benefit. As sessions progress, participants should feel more comfortable to bring their own cases and stories to the group as well.

Why do we need a Frailty ECHO network?

The aim of the programme is to give attendees a better understanding of what can be done to help patients with frailty with real-world scenarios and in the context of services which are actually available rather than what would ideally be available. With clinicians having to manage increasingly complex frailty presentations with limited resources, this programme takes a holistic view of frailty through real life case studies to help bridge this gap.

Who is it for?

This ECHO network is aimed at clinicians in NHS Highland Primary Care which would include GPs, GP Registrars and Advanced Practitioners (from nursing, paramedic, pharmacist backgrounds) who are involved in holistic management of patients with frailty.

Programme Details- we are proposing to start on the 3rd and details of the future 5 sessions have been updated.  

03 September
1:00pm - 2:00pm

Identification and implications of multimorbidity.

Martin Wilson, Consultant, will lead the session, exploring the concept of frailty and increased vulnerability to minor stressors. 

01 October
1:00pm - 2:00pm

Physical complexity

Martin Wilson returns to lead polypharmacy, risks and structured review.

05 November
1:00pm - 2:00pm

Functional and Environmental interventions

Targeted interventions such as physiotherapy, assistive devices and environmental modification

03 December
1:00pm - 2:00pm

Psychological considerations- details to be updated

Dirk Maliepaard, Clinical lead for Older Adult Psychiatry will be leading the session on depression in context of frailty as well as dementia and delirium assessment

04 February
1:00pm - 2:00pm

Social aspects

Depression in context of frailty as well as dementia and delirium assessment

04 March
1:00pm - 2:00pm

Future Wishes

Michael Loynd, Nurse Consultant will lead this session on anticipatory care planning. Covering honest conversations with patients about future wishes, treatment plans and dying.