The HOP squad: Supporting care in the golden years

Many times the decision about what is best is made quickly after a fall at home or medical issue and it can be a tough decision for both the elderly person and their whaanau.

To find better outcomes for our patients and whaanau, Te Whatu Ora Counties Manukau formed a specialised group of clinicians called the HOP (Health of Older People) Squad.

“Many of our older people desire their continuing independence. I have seen how a fear of losing independence has impacted the mental and spiritual health of our patients. So our first concern as a team is to facilitate the support needed so our patients can live the life they desire.” says Liam Oades, social worker and part of the HOP Squad.

Socail Worker, Sharlene Bingham, Service Manager Adult Rehabilitation Health of Older People (ARHOP) explains the HOP Squad project began with our community Geriatric teams looking at discharge statistics and listening to patients tell their stories.

“They recognised a need and worked to develop a service around early discharge planning to meet the individual needs of the patients we serve with compassion, safety and flexibility,” she says.

The HOP Squad currently work across five General Medicine wards and sees patients by referrals. They hope the service will be extended in more wards and areas.

Clinical Nurse Specialist, Julie Yap says they have had good feedback from patients and whaanau about the service and how it helps a higher number of patients, who otherwise would have gone into aged residential care, to return home.

“What we have seen with HOP Squad especially in Maaori and Pacific patients, is that they are being introduced to services they didn’t know about before such as community geriatric services, complex nurse management, reablement, etc.

“This community follow up and support provides reassurance to the patient and whaanau, making it possible for them to stay home longer if that is their desire,” says Julie.

If you have an elderly whaanau member, things like health issues can change suddenly and it is a good idea to discuss care options or preferences, earlier rather than later.

If you are in hospital, your care team can help you with information and support, or ask about the HOP Squad.