Our Department of Medicine for the Elderly (DME) prides itself in offering comprehensive care for older adults, through close interdisciplinary working between nurses, therapists, pharmacists, dietitians, social workers and other health professionals. Our care is truly patient and family centred, with patient safety at the heart of everything we do.
We provide a full range of general and specialist medical services for older people both on an inpatient and outpatient basis. We recognise that our patients’ situations can be very complex so their physical, social and emotional needs are also addressed. The team works in close collaboration with community, mental health and social services, to ensure that care is provided in an integrated and seamless fashion to ensure all our patients receive the very best clinical outcomes in the most appropriate healthcare setting.
Our staff care passionately about improving the quality of life for our elderly patients so that they can live as independently as possible, with fast access to all of the support that they need.
We are pleased to give all our patients equal access to specialist assessments and medical treatments – regardless of their age.
All of our Medicine for the Elderly (DME) outpatient services are available via E-RS.
Inpatient – Acute medical and inpatient rehabilitation for adult patients with multiple conditions, with complex medical and care needs (78 years or older with acute medical problems or 65 years and older if living in a residential / nursing home or already attending outpatient clinic). There are two dedicated DME wards which are led by senior nursing members of staff with the support of the Complex Medicine Divisional Matron. Both wards have dedicated medical teams lead by DME Consultants where all patients are reviewed on a daily basis by one of the DME Consultants (7 days a week) either via a full board or ward round. Furthermore, the DME team provide a full interprofessional referral service (Yellow Board) for any patient who isn’t residing on either of the DME wards.
Specialist inpatient care – Frailty Service and Orthogeriatrics Rehabilitation. These two sub specialities are Consultant led services offered at the L&D but incorporate the full MDT (nursing, therapy, social services and discharge planning teams).
Navigation Team / Hospital at Home (H@H) – These teams are currently led by Matron Vanda McGibbon. The Hospital at Home team helps to facilitate early discharges for all inpatients (not just DME) from hospital who no longer require their treatment to be provided in an acute hospital setting. The clinical navigation team work in collaboration with the Trust’s Emergency Department, Acute admission wards, inpatient therapy teams and Social Services to avoid unnecessary hospital admissions and help to ensure all patients are cared for in the most appropriate environment.
General Elderly Medicine Clinics:
These clinics are run by all of the DME consultants on a varying frequency and can be referred into via your local GP, other medical staff or by one of the DME consultants following an inpatient hospital stay. A variety of general health issues relating to elderly medicine patients can be discussed during these clinics.
Osteoporosis and Metabolic Bone Disease Clinic:
This specialist clinic is currently run by Dr Chanda as the Orthogeriatric Consultant for the Trust, who works closely with other DME and Orthopaedics colleagues.
Parkinson’s Disease / Movement Disorder Clinic:
Dr Nawaratne Wijayasiri runs this specialist clinic on a weekly basis in collaboration with the Trusts Neurology department. A referral into this clinic for elderly patients can be made via your local GP.
Transient Loss of Consciousness (Falls):
Dr Didi runs this specialist clinic on a weekly basis with the support of other senior DME doctors and the Trust’s Falls Specialist Nurse, Sandra Cowley. Patients can be referred into this clinic via your local GP or following a recent hospital admission.
Transient Loss of Consciousness (Arrhythmia):
As per above.
Although on the 19 July 2021 regulations around the use of facemasks / coverings and social distancing will change across the country, at Bedfordshire Hospitals all COVID infection prevention control measures currently in place will remain the same.
The Trust has decided it is currently not safe to lift all restrictions at our hospitals.
Everyone attending our sites will still be required to wear a facemask (unless medically exempt), adhere to social distancing and attend your appointments alone especially in our Emergency Departments and Outpatients (exclusions apply to our paediatric patients and those requiring carer support)
Visiting is now permitted on most of our adult inpatient wards in a controlled manner. Appointments need to be pre-booked with ward staff.
Full details about attending our hospitals and visiting is available here.