The department of elderly care medicine deals with a wide variety of illnesses. We deal principally with the diagnosis and treatment of illness in older people. The department also specialises in acute elderly medicine, stroke, transient ischemic attack (TIA), ortho-geriatrics as well as having a falls service and intermediate care and rehabilitation.
The goal of the elderly care services is to support patients to help them recover to an optimal level of health, with the view of discharging them to an independent life at home or in to a suitable home in the community.
Central Middlesex, Northwick Park and St. Mark's Hospitals
Northwick Park Hospital has two care of the elderly wards, Fielding and Hardy (Level 6 and 8 of the ward block). There is also a dedicated stroke service (Haldane and Herrick, Level 8 of the ward block) for patients with symptoms of, or who have suffered, a stroke.
Central Middlesex Hospital has three general medical wards (Gladstone 2, 4 and 4, level 1) which caters for all patients requiring admission and Gladstone 1 Ward level 1, for stroke patients.
On admission, patients will be reviewed by medical staff and where necessary the relevant tests and investigations will be conducted to determine the course of their illness. All patients admitted to these wards are cared for under a named consultant with a multidisciplinary team of physiotherapists, occupational therapists, speech and language therapists, healthcare and rehabilitation professionals and a discharge co-ordinator to ensure patients are nursed back to health as soon as practically possible.
The following outpatient services are provided at Central Middlesex Hospital:
- Elderly care clinics - Monday afternoons and Thursday mornings
- Falls clinic - Monday afternoons
- Heart failure clinic (nurse-led).
The directorate provides the following outpatient services at Northwick Park Hospital:
- Elderly care clinics - Thursday and Friday mornings
- Falls service - Monday afternoons
- Stroke and Transient Ischemic Attack (TIA) service - Friday mornings.
The directorate at Ealing Hospital provides the following services:
Acute medical care
Ealing Hospital has two elderly care ward son Level 5 of the hospital – Ward 5 South and Ward 5 North. We also offer support to elderly patients on the acute medical unit on Level 1 and the frailty unit in CDU on Level 2. When admitted to these wards, elderly patients are assessed by a multi-disciplinary team and relevant tests and investigations may be carried out. Patients are admitted under a named consultant and undergo a comprehensive assessment of their needs to ensure maximal independence and a safe discharge.
Our aim is to provide continuous care for older people across the hospital, the local Clayponds Specialist Rehabilitation Hospital, intermediate care services, community services and the necessary medical, social and therapies provision for older people to continue to live in the community.
- Falls clinic - Ealing Day Treatment Centre - twice a week
- General elderly care clinics - daily
- Older person’s rapid access clinic (OPRAC) - daily
The OPRAC is a ‘one-stop’ clinic for the comprehensive review of older patients with complex medical problems. We are able to offer urgent reviews within 48 hours for patients referred by their GP, the intermediate care service or Accident and Emergency.
Patients may need to stay with us on the unit for a few hours. This is so that we can carry out some of the investigations that may be required on the day a patient attends saving unnecessary return visits. It also ensures the most appropriate treatment can be decided upon without delay.
If patients require more specialist treatment, a blood transfusion or the administration of medication that requires a period of monitoring, they may be invited to attend the day hospital which is part of the OPRAC unit and situated on the same ward. Patients will be seen and treated by the same doctors and nurses they have already met on the unit.