Medicine for the Elderly covers these main areas:
- General medicine
- Orthogeriatrics for patients aged 60 and over
- Stroke service for all patients who have suffered a stroke or a TIA (Transient Ischemic Attack)
- Community (East Surrey and North West Sussex)
- Parkinson’s disease
- Dementia and delirium
- Older Persons Advisory Liaison Service (OPALS)
There are currently nine consultants in the Medicine for the Elderly team.
Around 62% of our inpatients are aged 65 years and over and the Medicine for the Elderly team provides specialist care and advice for patients over the age of 75 years at SASH. Abinger, Bletchingley, Hazelwood, Meadvale and Nutfield Wards are focused on general medicine for the elderly.
There are two orthogeriatric consultants who care for all hip fracture patients on Newdigate and Woodland Wards. The orthogeriatric team provide joint care for hip fracture patients with the orthopaedic teams.
Dr Giokarini-Royal provides a dedicated falls clinic and is the falls lead for SASH.
Acute stroke unit and TIA clinic
The acute stroke unit is Chaldon Ward and is led by Dr Youssif Abousleiman.
The TIA clinic is currently situated on the Acute Medical Unit.
The SASH stroke rehabilitation unit is also based at Crawley Hospital and is visited weekly by one of the stroke consultants to provide ongoing care.
The community consultants provide care within in the community linking in closely with the local GPs, care homes and community trusts. There is a dedicated liaison service to both rehabilitation wards at Crawley Hospital and to the Horizon unit at Horsham Hospital. First Community Health provides rehabilitation beds for East Surrey patients at Caterham Dene Hospital.
Dementia and delirium
The team offers a holistic approach to the care of the elderly, and liaises with Surrey and Borders Partnership to provide psychiatric support to physically unwell patients who might also be suffering with dementia or are temporarily confused. There is a consultant psychogeriatrician who visits SASH three days per week, along with a specialist nurse in dementia.
The Medicine for the Elderly department also works closely with social services, therapists and community teams to ensure patient rehabilitation once they are discharged from hospital.
Located at East Surrey Hospital, the Pendleton Unit is an acute elderly assessment unit led by Dr Natalie Broomhead.
The Pendleton Unit is a new unit aimed at providing a consultant-led holistic assessment for patients over the age of 75 who require a multi-disciplinary assessment. There are dedicated therapists, nurses and a pharmacist who work alongside the team.
The department is actively engaged in teaching and training junior doctors and allied health professionals in the management of complex needs of elderly patients.