PMID- 31188337 OWN - NLM STAT- MEDLINE DCOM- 20200623 LR - 20200623 IS - 2042-8189 (Electronic) IS - 1478-2715 (Linking) VI - 49 IP - 2 DP - 2019 Jun TI - Variation in acute and community service provision of care of the elderly services across Scotland: findings from the Scottish Care of Older People (SCoOP) initial scoping survey. PG - 105-111 LID - 10.4997/JRCPE.2019.204 [doi] AB - BACKGROUND: This scoping survey is a preliminary part of the Scottish Care of Older People (SCoOP) audit programme, which aims to assess specialist service provision for older people with frailty in Scotland, and provide benchmarking data for improving services. METHODS: The survey was distributed to nominated consultant geriatricians based in 12 of the 14 Scottish health boards who completed data to the 'best of their knowledge'. Data collected were: consultant and specialty doctor level workforce; days of frailty unit operation; multidisciplinary team discussion frequency; and, physiotherapy and occupational therapy availability. Consultant cover was correlated with population data, and scores for service components used to derive separate acute and community service provision scores. RESULTS: Consultant geriatrician availability varies widely across Scottish health boards with a median of 1.45 [range: 0.54-2.40; interquartile range (IQR): 0.71-2.28] full-time equivalent consultant geriatricians per 10,000 people >/=65 years. Variation was also present in the service provision scores [score range 0 (none) to 1.0 (very good)]: for acute services, the median national service provision score was 0.81 (range: 0.50-0.89; IQR: 0.75-0.85) and for community services 0.60 (range: 0.48-0.82; IQR: 0.52-0.65). CONCLUSIONS: This report clearly demonstrates mismatch between workforce and services in both acute and community settings in the context of the population size. Future surveys will build on this preliminary information to audit service provision for older people at an individual hospital level. FAU - Donaldson, Alison I C AU - Donaldson AIC AD - Ageing, Clinical and Experimental Research Team (ACER), School of Medicine, Medical Sciences & Nutrition, University of Aberdeen, Aberdeen, UK. AD - NHS Grampian, Aberdeen, UK. FAU - Neal, Samuel R AU - Neal SR AD - Ageing, Clinical and Experimental Research Team (ACER), School of Medicine, Medical Sciences & Nutrition, University of Aberdeen, Aberdeen, UK. AD - NHS Grampian, Aberdeen, UK. FAU - McAlpine, Christine H AU - McAlpine CH AD - NHS Greater Glasgow and Clyde, Glasgow, UK. AD - University of Glasgow, Glasgow, UK. FAU - Quinn, Terence AU - Quinn T AD - University of Glasgow, Glasgow, UK. FAU - Shenkin, Susan D AU - Shenkin SD AD - University of Edinburgh, Edinburgh, UK. FAU - Ellis, Graham AU - Ellis G AD - Healthcare Improvement Scotland, Glasgow, UK. FAU - Myint, Phyo Kyaw AU - Myint PK AD - Room 4.013, Polwarth Building, Forester Hill, University of Aberdeen, Aberdeen AB25 2ZD, UK, phyo.myint@abdn.ac.uk. CN - SCoOP Steering Group LA - eng PT - Journal Article PL - England TA - J R Coll Physicians Edinb JT - The journal of the Royal College of Physicians of Edinburgh JID - 101144324 SB - IM CIN - J R Coll Physicians Edinb. 2019 Jun;49(2):103-104. PMID: 31188336 MH - Aged MH - Catchment Area, Health/statistics & numerical data MH - Community Health Services/organization & administration/*statistics & numerical data MH - Geriatrics/organization & administration/*statistics & numerical data MH - Health Services Accessibility/organization & administration/*statistics & numerical data MH - Health Workforce/*statistics & numerical data MH - Humans MH - Quality Improvement MH - Scotland MH - Surveys and Questionnaires OTO - NOTNLM OT - audit OT - care OT - older people OT - services COIS- No conflict of interests declared EDAT- 2019/06/13 06:00 MHDA- 2020/06/24 06:00 CRDT- 2019/06/13 06:00 PHST- 2019/06/13 06:00 [entrez] PHST- 2019/06/13 06:00 [pubmed] PHST- 2020/06/24 06:00 [medline] AID - 10.4997/JRCPE.2019.204 [doi] PST - ppublish SO - J R Coll Physicians Edinb. 2019 Jun;49(2):105-111. doi: 10.4997/JRCPE.2019.204.