Great Britain. Department of Health and Social Care
Publication year:
2022
Place of publication:
London
...support with their mental health; supporting personalisation and continuing to promote and encourage choice and control for service users; and promoting equality, diversity and inclusion. The report also describes the key areas of work with partner organisations including: British Association of Social Workers (BASW); Music for Dementia; National Institute for Health and Care Excellence (NICE); National
(Edited publisher abstract)
The eighth annual report from the Chief Social Workers for Adults in England reviews progress to improve social work skills and practice and sets out national priorities for the coming year. The report describes: achievements from the last year and progress on the Chief Social Worker's priorities; social care reform and COVID recovery; investment in research; improving the lives of people needing support with their mental health; supporting personalisation and continuing to promote and encourage choice and control for service users; and promoting equality, diversity and inclusion. The report also describes the key areas of work with partner organisations including: British Association of Social Workers (BASW); Music for Dementia; National Institute for Health and Care Excellence (NICE); National Institute for Health Research (NIHR); Research in Practice; Skills for Care; Think Local Act Personal (TLAP); and the Principal Social Workers' Network.
(Edited publisher abstract)
Subject terms:
adult social care, social work, social workers, care reform, safeguarding adults, collaboration, personalisation;
...approximately 10.6 million people) now supporting a relative, close friend or neighbour because of chronic illness, including mental ill-health, dementia, disability, or older age; there is overwhelming public support for more Government action to help unpaid carers - 84% of the general public think that the UK governments should provide additional support to unpaid carers, including increased financial
(Edited publisher abstract)
This report presents the findings of research on unpaid carers, based on national polling of the general public, which included people who are currently caring. The study found that: more than 4.6 million unpaid carers are concerned about their physical and mental health and over 2 million carers are worried about their ability to cope financially because of caring; more care is being provided by unpaid carers than ever before, even more than during the height of the pandemic - the number of people providing substantial care (i.e. over 20 hours of care or more per week) has risen by 42% across the UK since October 2020 while the number providing more than 50 hours has increased by 30%; there are also more unpaid carers in 2022 than before the pandemic, with one in five of the UK's adults (approximately 10.6 million people) now supporting a relative, close friend or neighbour because of chronic illness, including mental ill-health, dementia, disability, or older age; there is overwhelming public support for more Government action to help unpaid carers - 84% of the general public think that the UK governments should provide additional support to unpaid carers, including increased financial support and investment in care and support services so that unpaid carers can have a break. The report calls on the Government to develop a Recovery and Respite Plan dedicated to the needs of carers, including specific investment in their mental health support, prioritising Carer's Leave, boosting carer's incomes to reduce the risk of poverty and hardship, help with food and energy costs and, ahead of the winter, prioritisation in the vaccination booster programme.
(Edited publisher abstract)
Subject terms:
carers, carer views, mental health, access to services, government policy, surveys;
This toolkit comprises a set of online resources of culturally appropriate assessments and interventions which support people from South Asian communities at various stages across the dementia care pathway. The toolkit consists of two sections. The first section deals with three stages of the dementia care pathway: dementia awareness; dementia diagnosis and assessment; and interventions...
(Edited publisher abstract)
This toolkit comprises a set of online resources of culturally appropriate assessments and interventions which support people from South Asian communities at various stages across the dementia care pathway. The toolkit consists of two sections. The first section deals with three stages of the dementia care pathway: dementia awareness; dementia diagnosis and assessment; and interventions for people living with dementia and their families. The section was developed on the basis of a review of existing literature and resources to identify what interventions (including printed and digital information, as well as formal tools) have been developed and adapted for people living with dementia and their families from South Asian communities. The research team also conducted workshops with South Asian families affected by dementia, voluntary organisation staff, and healthcare professionals to discuss issues relating to diagnosis and service support. The second section looks at how large organisations like the NHS and smaller voluntary or community-based organisations can work together to provide good dementia care. From looking at previous research and from carrying out interviews with people working in small and large organisations, we were able to develop a series of short stories to illustrate some of the challenges of working together - or partnership working as it is sometimes called. Drawing on the workshop discussions, we have identified some of the problems that can arise, along with strategies and recommendations to improve partnership working between large and small organisations. We make three different types of recommendations: for commissioners and managers of area-wide services; for local team leads and managers; and for clinicians and dementia workers.
(Edited publisher abstract)
Subject terms:
ethnicity, South Asian people, dementia, good practice, assessment, joint working, commissioning, service development, diagnosis;
...disabled people's organisations; a call for evidence; interviews with expert stakeholders; identification of case studies of good practice and innovation; and focus group with the Dementia Coffee Morning Group. This report outlines tangible actions that government and industry can take to support independent living and improve the quality of life of disabled and older people and their families, while
(Edited publisher abstract)
This report highlights the findings from the Smart Homes and Independent Living Commission that examined how smart home technology is an opportunity for disabled and older people to take control of their lives, to live independently with more choice and control over their lives. The Commission gathered evidence from three roundtable evidence sessions with a variety of stakeholders including disabled people's organisations; a call for evidence; interviews with expert stakeholders; identification of case studies of good practice and innovation; and focus group with the Dementia Coffee Morning Group. This report outlines tangible actions that government and industry can take to support independent living and improve the quality of life of disabled and older people and their families, while also reducing financial pressures on the NHS and the social care system. Recommendations include: ensure that disabled and older people are involved at the commissioning and design stages of technology; place independent living at the heart of health and social care policy and practice; reform the Disabled Facilities Grant; pilot an Independent Living Technology Grant that would provide funding for disabled and older people to buy low-cost technology and any support they might need to use it; upskill the health and social care sector staff; and deliver a public awareness campaign for technology and independent living designed to boost the consumer market for these products and services. The report includes brief case studies: Disabilities Trust ConnectAbility project; Yorkshire and Humber Academic Health Science Network; and Adapt Tech, Accessible Technology project.
(Edited publisher abstract)
Subject terms:
independent living, assistive technology, disabilities, older people, independence, innovation, service development, skills, capacity building, commissioning, grants, government policy, co-production;
This report is the result of a year-long programme of work engaging people with dementia, retailers and policy experts across the country to understand the barriers people with dementia face on the high street, and develop innovative solutions to bridge this gap. Our research found that people with dementia often: struggle to get to and around the shops and buy what they want and need; find...
(Edited publisher abstract)
This report is the result of a year-long programme of work engaging people with dementia, retailers and policy experts across the country to understand the barriers people with dementia face on the high street, and develop innovative solutions to bridge this gap. Our research found that people with dementia often: struggle to get to and around the shops and buy what they want and need; find shopping is stressful; are misunderstood or disrespected by staff and other customers; experience and worry about financial abuse and people taking advantage of them; Key changes can make a real difference for those living with dementia who want to continue doing the things they love with confidence. Our report calls for: regulators to recommend shops provide training for front-line staff to understand how to support people with dementia in shops; shops and online services to explore adopting 'slow shopping', developing ways for people to take their time to buy things; technological innovations such as a hidden disabilities digital lanyard could easily identify and support people with dementia and cognitive impairments to shop safely; transport providers to provide better real-time transport information to help people with dementia navigate around towns and cities; a review of the Lasting Power of Attorney process which will help people with dementia enjoy their money more while dealing with the risk of financial abuse.
(Edited publisher abstract)
Subject terms:
dementia, older people, participation, leisure activities, social activities;
...a lack of support for independent living (through care at home and/or linked to sheltered housing), care and support for people with dementia, and carer support and respite. Other gaps included palliative care /end of life care at home, 24-hour care for younger people and having information about support when it is needed. There were concerns about a funding gap between the cost of the services needed
(Edited publisher abstract)
The National Development Team for Inclusion (NDTi) was commissioned by Scottish Borders Council and the Scottish Borders Health and Social Care Partnership (HSCP) to undertake some early engagement work with the Hawick community and key stakeholders regarding views about the development of a care village in the area and options for health and social care provision in the future. This report details the results of that engagement which will be used to inform the future plans for the area and the development of a more detailed business case. Scottish Borders recognise that this engagement is not a one off process and ongoing conversations will be take place using the principles of co-production to build on this work and inform future plans. We heard that people valued existing health and care services in Hawick including from the community hospital, Deanfield care home, supported housing and community groups. They missed some of the services that had closed, and a core message was not to close any further facilities until new services were opened. A number of gaps in services were highlighted, which reflected the demographics and focus of those engaging. Three of the main ones were a lack of support for independent living (through care at home and/or linked to sheltered housing), care and support for people with dementia, and carer support and respite. Other gaps included palliative care /end of life care at home, 24-hour care for younger people and having information about support when it is needed. There were concerns about a funding gap between the cost of the services needed and resources available, and a view that that services should be more joined up. Overall, it was clear that people want flexible care options to meet their needs in a way that preserves their dignity and independence at home and in residential settings through: better integration between housing, care and health services; a person-centred approach where staff understands what matters to an individual; future proofing when repurposing /designing care provision; training and development for all care staff.
(Edited publisher abstract)
Subject terms:
user views, retirement communities, residential care, adult social care;
OXFORD BROOKES UNIVERSITY. Institute of Public Care
Publisher:
Oxford Brookes University. Institute of Public Care
Publication year:
2022
Pagination:
107
Place of publication:
Oxford
...children's homes, and care homes for working aged adults across the region as a whole, many of these are purchased by authorities from outside the region and are therefore not available locally in practice - leading to out of county or out of region placements. There are also gaps either geographically or for more specialist services such as younger onset dementia and CAMHS.
(Edited publisher abstract)
This is the first regional Market Stability Report (MSR) for West Wales. Its purpose is to: assess the market for services for individuals requiring care and support and their carers; inform action; and ultimately to improve outcomes for people. This MSR covers the whole of Carmarthenshire, Ceredigion, and Pembrokeshire, which is the area covered by the Hywel Dda University Health Board. In line with the national Code of Practice it comprises two inter-linked assessments: the sufficiency of care and support services; and the stability of the market for regulated services. Analysis undertaken for this report indicates that the market for domiciliary care for older people is currently presenting the greatest risk of market instability as workforce pressures continue to mount and complexity of need increases, whilst prices paid for care are reported by providers as being insufficient to pay staff at competitive rates. This market segment has seen all three counties taking on more in-house domiciliary hours and reablement support over the last 3 years. However, there is also a growing risk of market instability within the residential / nursing home market for older people across the region. Providers are facing significant workforce pressures, rising levels of complexity, increased costs and reduced occupancy levels. Likewise in children services and services for working aged adults, there are growing challenges in ensuring access to the right services and support - with many placements being made outside of the county (and region) at significant cost. Whilst there are sufficient places in fostering, children's homes, and care homes for working aged adults across the region as a whole, many of these are purchased by authorities from outside the region and are therefore not available locally in practice - leading to out of county or out of region placements. There are also gaps either geographically or for more specialist services such as younger onset dementia and CAMHS.
(Edited publisher abstract)
Subject terms:
social care, childrens social care, adult social care, market development, care providers;
This evaluation takes a phenomenological qualitative approach to understand the why and how of human behaviour in situations surrounding dementia care - looking at communities, cultures, and individuals within Black Asian Minority Ethnic people primarily in Scotland. The research method taken was to look at the effectiveness of the Dementia Dekh Bhaal Scotland (Dekh Bhaal meaning to 'look after...
(Edited publisher abstract)
This evaluation takes a phenomenological qualitative approach to understand the why and how of human behaviour in situations surrounding dementia care - looking at communities, cultures, and individuals within Black Asian Minority Ethnic people primarily in Scotland. The research method taken was to look at the effectiveness of the Dementia Dekh Bhaal Scotland (Dekh Bhaal meaning to 'look after') project in Scotland, using evaluations of webinars, interview responses, surveys, and support material produced such as information postcards. Perspectives and insights from the participants themselves meant that experience, how they see something as lived / perception, could be analysed, and so the evaluation is not biased or based on opinions. The evaluation is structured around three main interrelated overarching outcomes that the Dementia Dekh Bhaal Scotland project has brought out: consultation and engagement; establishing trust; raising awareness. While the evaluation has highlighted significant challenges, the DDBS project has already planted the seed and members of the forum are talking to their colleagues, passing information on, questioning why there are few referrals from BAME, thinking about having a service that is appropriate for the ethnically diverse, and wanting to continue the work.
(Edited publisher abstract)
Subject terms:
dementia, carers, South Asian people, black and minority ethnic people, multicultural approach;
Based on data from 5970 case notes of patients seen for initial assessment between January and August 2021, this report looks at community-based memory assessment services in England and Wales. The report found that the average waiting time from referral to diagnosis has increased to 17.7 weeks since 2019, up from 13 weeks. It also found that over 70% of services experienced periods of closure, and over 80% had staff redeployed during 2020. Other key findings include: 35% of patients had an appointment via phone or video call, while 45% took place at their usual place of residence; as part of their initial assessment, 61% of patients had a discussion recorded about their eyesight, 58% had a discussion recorded about hearing, and 76% had a falls history discussed and recorded; CT/MRI scans were requested for 47% of patients, with variation in requests of 0-97.4% of patients per service. This range implies that variation is at service/protocol level, rather than assessed as appropriate in each case. The report goes on to make a number of recommendations, including a call for services to use quality improvement methods to actively monitor waiting times from referral to diagnosis, and identify problem areas and barriers to access, including demographic and other factors (e.g. care home residents), as services continue to recover from the impact of the COVID-19 pandemic and associated service closures and staff redeployment.
(Edited publisher abstract)
Based on data from 5970 case notes of patients seen for initial assessment between January and August 2021, this report looks at community-based memory assessment services in England and Wales. The report found that the average waiting time from referral to diagnosis has increased to 17.7 weeks since 2019, up from 13 weeks. It also found that over 70% of services experienced periods of closure, and over 80% had staff redeployed during 2020. Other key findings include: 35% of patients had an appointment via phone or video call, while 45% took place at their usual place of residence; as part of their initial assessment, 61% of patients had a discussion recorded about their eyesight, 58% had a discussion recorded about hearing, and 76% had a falls history discussed and recorded; CT/MRI scans were requested for 47% of patients, with variation in requests of 0-97.4% of patients per service. This range implies that variation is at service/protocol level, rather than assessed as appropriate in each case. The report goes on to make a number of recommendations, including a call for services to use quality improvement methods to actively monitor waiting times from referral to diagnosis, and identify problem areas and barriers to access, including demographic and other factors (e.g. care home residents), as services continue to recover from the impact of the COVID-19 pandemic and associated service closures and staff redeployment.
(Edited publisher abstract)
Subject terms:
dementia, memory, assessment, waiting lists, access to services, Covid-19;
This report, by the National Housing and Dementia Forum, sets out recommendations for how the Scottish Government and partner organisations can better support people to live well with dementia. Gathering evidence from a wide range of experts and people with lived experience of dementia, the Forum considered four key themes through online evidence sessions and one to one meetings: housing options...
(Edited publisher abstract)
This report, by the National Housing and Dementia Forum, sets out recommendations for how the Scottish Government and partner organisations can better support people to live well with dementia. Gathering evidence from a wide range of experts and people with lived experience of dementia, the Forum considered four key themes through online evidence sessions and one to one meetings: housing options and adaptations; access to advice and information; support for people living with dementia; and moving home in later life. The report highlights the need for tenure blind services ensuring people can access help when they need it, regardless of their housing tenure. The report also advocates the importance of initiating conversations about housing much earlier, tackling the stigma around aging and ensuring housing and health and social care partners work closely to guarantee the best outcomes for people living with dementia, their families, and carers.
(Edited publisher abstract)
Subject terms:
dementia, housing, home adaptations, integrated care, older people, advice services;