...to eat, and remain hydrated over supporting someone to get out of bed or complete other activities; being unable to undertake reviews of risk at all or to rely for this on the views of providers, family carers or people using services themselves; and leaving people with dementia, learning disabilities or poor mental health isolated or alone for longer periods than usual. In summary, the need
(Edited publisher abstract)
This paper sets out findings from an ADASS members survey on staff shortages, social care fragility and the impact of winter and the omicron variant on social care. The survey was based on a list of potential emergency contingency measures drawn up by experienced Directors of Adult Social Services (DASSs). These were shared first to assist DASSs across the country in reviewing their contingency plans and then to assess whether any of the measures were being taken. Measures covered: staff rewards, incentives and recruitment; contracts, purchasing and commissioning; staffing and redeployment; prioritising and risk assessment; carers; assessment. The clear messages from the survey are that of the Councils that responded include: all 94 are implementing at least some contingency actions in the current circumstances – the responses made clear that these are actions which councils judge to be essential, but these are by no means actions which they wish to take; 49 Councils are, for at least some of the time, taking at least one of the measures needed to prioritise care and assess risk that Directors regard as least acceptable g. prioritising life sustaining care such as supporting someone to eat, and remain hydrated over supporting someone to get out of bed or complete other activities; being unable to undertake reviews of risk at all or to rely for this on the views of providers, family carers or people using services themselves; and leaving people with dementia, learning disabilities or poor mental health isolated or alone for longer periods than usual. In summary, the need for these measures illustrates the fact that these are unprecedented times: none of the actions described is ideal or desirable, showing that the current position as a national emergency in Adult Social Care.
(Edited publisher abstract)
Subject terms:
Covid-19, adult social care, local authorities, resource allocation, surveys, planning, emergency services, social care staff, service provision;
WORLD HEALTH ORGANIZATION. Regional Office for Europe
Publisher:
World Health Organization. Regional Office for Europe
Publication year:
2022
Pagination:
22
Place of publication:
Copenhagen
The pandemic of coronavirus disease 2019 has revealed and accentuated important gaps in the provision of appropriate, community-based, long-term care services for a rapidly growing number of people experiencing decline in functional ability, across the WHO European Region. As countries work to rebuild and strengthen health and long-term care systems, it is essential to support broad dialogue, a common vision for change and focused interventions to bridge existing divides. This policy brief proposes a conceptual framework that maps long-term care actions within the health and social policy landscape and highlights the need and potential for deeper integration and coordination across systems.
(Edited publisher abstract)
The pandemic of coronavirus disease 2019 has revealed and accentuated important gaps in the provision of appropriate, community-based, long-term care services for a rapidly growing number of people experiencing decline in functional ability, across the WHO European Region. As countries work to rebuild and strengthen health and long-term care systems, it is essential to support broad dialogue, a common vision for change and focused interventions to bridge existing divides. This policy brief proposes a conceptual framework that maps long-term care actions within the health and social policy landscape and highlights the need and potential for deeper integration and coordination across systems.
(Edited publisher abstract)
Subject terms:
long term care, policy, ageing, service provision, community care, social policy, models, older people, dementia;
Great Britain. Parliament. House of Commons Library
Publication year:
2022
Pagination:
15
Place of publication:
London
This reading list draws together reports and other material demonstrating the interconnectedness of housing and health. It draws attention to literature on the links between housing and major medical conditions, including Covid-19, dementia and mental health problems; the impact of different types of housing on health, looking at the private rented sector, housing with care, social housing
(Edited publisher abstract)
This reading list draws together reports and other material demonstrating the interconnectedness of housing and health. It draws attention to literature on the links between housing and major medical conditions, including Covid-19, dementia and mental health problems; the impact of different types of housing on health, looking at the private rented sector, housing with care, social housing and homelessness; and the various collaborative partnerships in place working to combat these issues. The list comprises a selection of publications – it is not intended to be an exhaustive list.
(Edited publisher abstract)
Subject terms:
housing, housing conditions, Covid-19, health inequalities, mental health problems, dementia, NHS, social housing, homelessness, supported housing, rented accommodation;
This case study describes the development of new resources to support families and staff caring for people living with dementia. To overcome the challenge of high staff turnover and the impact on behavioural and psychological symptoms of dementia (BPSD) and social isolation, the Northern Health and Social Care Trust Dementia Home Support Team developed life story posters and therapeutic letters...
(Edited publisher abstract)
This case study describes the development of new resources to support families and staff caring for people living with dementia. To overcome the challenge of high staff turnover and the impact on behavioural and psychological symptoms of dementia (BPSD) and social isolation, the Northern Health and Social Care Trust Dementia Home Support Team developed life story posters and therapeutic letters that provided information about the person. This supported a greater understanding of how their condition might manifest itself, but also supported engagement with the person with dementia that would reduce their social isolation. In terms of training, the team switched to virtual delivery and reduced class sizes to a maximum of 24 participants. They made use of breakout rooms and developed videos and animations to support training. Together, these changes overcame the reduction in engagement that has been seen when education and training programmes have shifted to online delivery. Recognising the time demands on carers and staff, the team also reduced the size of training modules, and developed an app that could be used to support learning after the training had been completed. Advice on psychological wellbeing for staff was added to training. This approach generated the following benefits and outcomes: reduction in hospital admissions; 50 per cent reduction demand for the specialist dementia team after one year; £94,848 saving in staff time in the first year; improved experience for people with dementia and care professionals.
(Edited publisher abstract)
Subject terms:
dementia, social isolation, loneliness, case studies, intervention, evaluation, training;
This report examines how sex, gender and sexuality impact on the everyday lives of people with dementia. It explores the different experiences of men and women with dementia with a range of gender identities (e.g. male, female, bi-gender, gender fluid, transgender and non-binary etc.) and a range of sexual identities/ orientations (e.g. straight, gay, lesbian, bisexual, asexual and pansexual...
(Edited publisher abstract)
This report examines how sex, gender and sexuality impact on the everyday lives of people with dementia. It explores the different experiences of men and women with dementia with a range of gender identities (e.g. male, female, bi-gender, gender fluid, transgender and non-binary etc.) and a range of sexual identities/ orientations (e.g. straight, gay, lesbian, bisexual, asexual and pansexual) from an ethical and human rights perspective. It draws on the literature, and a group of health experts to tease out relevant issues and influences which affect the support, treatment and care that people with dementia receive (or should receive), if needed, and their quality of life (as well as that of their friends, family and possible carers). The report also provides recommendations on how to ensure equity in the provision of care, support and treatment to people with dementia regardless of their sex, gender identity or sexual orientation.
(Edited publisher abstract)
Subject terms:
dementia, service provision, sexuality, gender, sexual orientation, LGBT people, rights based approach, self-concept, access to services, person-centred care, quality of life, equal opportunities;
This is the Government response to the House of Commons Health and Social Care Committee report on the state of provision of care and support for people with dementia and the progress in the social care funding reform. The response addresses each of the recommendations made by the Committee, covering: reforming the social care system, which is unfair and confusing for people living with dementia...
(Edited publisher abstract)
This is the Government response to the House of Commons Health and Social Care Committee report on the state of provision of care and support for people with dementia and the progress in the social care funding reform. The response addresses each of the recommendations made by the Committee, covering: reforming the social care system, which is unfair and confusing for people living with dementia; reforming the funding of care; timely diagnosis for people with dementia and their carer; personalised and integrated care; developing a skilled workforce; supporting people living with dementia to live the life they choose and feel included in the community; promoting cross-departmental initiatives to ensure people with dementia are able to remain connected to their community; supporting unpaid carers.
(Edited publisher abstract)
Subject terms:
government policy, dementia, access to services, carers, financing, care reform, resource allocation, service provision;
...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;
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;
...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;