Lynn Craig describes plans to appoint advanced care practitioners to improve care for residents and support nurses by offering professional development opportunities and enabling career progression
The number of people aged over 65 years who require either residential or nursing care is increasing (Bennett et al, 2018). One in seven people, aged 85 years or over, is living permanently in a care home and there are now three times more care-home beds than hospital beds (Care UK, 2017).
According to the British Geriatric Society (BGS) (2016), 75-80% of care-home residents have cognitive impairment, and many also have multiple long-term conditions, functional dependency and frailty. As a result, residents often experience unnecessary yet avoidable admissions to hospital, and suboptimal medication use.
Although GP practices remain responsible for providing most of the health care that care-home residents receive, demand for GPs and logistical difficulties associated with providing care to individuals who may be spread across several homes, means that much nursing care is delivered on a reactive basis.
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