1601 PUBLIC AND PATIENT INVOLVEMENT AND ENGAGEMENT (PPIE) OF OLDER PATIENTS IN CODESIGN OF RESEARCH INTO PERIOPERATIVE SERVICES

• Published in: Age and ageing Vol. 52; no. Supplement_2
• Main Authors: Hall, H, Paveley, A, Mudford, L, Dhesi, J, Partridge, J
• Format: Journal Article
• Language: English
• Published: Oxford Oxford University Press 21.07.2023; Oxford Publishing Limited (England)
• Subjects: Citizen participation; Diagnostic tests; Discharge planning; Dissemination; Elective surgery; Health care; Hospitals; Information sharing; Older people; Patient participation; Patient-centered care; Patients; Perioperative care; Quality of care; Surgery; Telephone calls; Volunteers
• ISSN: 0002-0729; 1468-2834
• DOI: 10.1093/ageing/afad104.097

Abstract Introduction Patient and public involvement and engagement (PPIE) is essential to delivering patient centred, quality research. Older adults constitute an increasing proportion of the surgical population but are unintentionally excluded from traditional models of engagement. We describe the process and outputs of conducting PPIE to support future research examining the scale up of CGA-based perioperative services such as POPS (Perioperative medicine for Older People undergoing Surgery). Method Patients undergoing elective surgery at four NHS hospitals in England and Wales were asked to consider participation in PPIE. Twenty-two expressed interest; nine offered to participate, six declined due to their own or relative’s ill health, two withdrew, five did not respond. Six were able to participate on proposed dates. Three had access to email and video calling to join a group Microsoft Teams call. Three took part in 30-minute individual telephone calls. A patient representative from Centre for Perioperative Care (CPOC) acted as peer facilitator for the interview structured around five pre-agreed questions. Results Six older patients contributed through PPIE to codesign research examining perioperative services for older people, with three volunteers for long-term involvement as part of a research steering group. The group offered insight into their experience of traditional and POPS-led perioperative pathways. This group emphasised the need for coordinated care, delivered by clinicians with a holistic understanding of the whole perioperative pathway, the need to reduce duplication of information provision and diagnostic testing and a proactive approach to hospital discharge planning. Participants agreed that POPS services should be established nation-wide and that research should focus on implementation and scale-up. The need for PPIE in the dissemination of future research findings was highlighted. Conclusion Involving older adults in PPIE is possible and necessary to deliver healthcare services, including novel perioperative care pathways, tailored to service users.