Search results for ‘Author:"et al"’ Sort:
Results 1 - 10 of 20
Choice and independence over the lifecourse: final report to the Department of Health
- Authors:
- GLENDINNING Caroline, et al
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2011
- Pagination:
- 43p.
- Place of publication:
- York
Between 2006 and 2011 the Social Policy Research Unit (SPRU) at the University of York carried out a programme of research on choice for disabled and older people who need social care support, and their family carers, called ‘Choice and Independence over the Lifecourse’. This final report for the Department of Health (DH) provides an overview of this programme of research. The account of the research is divided into 3 sections: projects funded from the main DH programme grant; projects funded through SPRU’s ‘responsive mode’ capacity; and other projects linked to the DH programme. An account of the relevance of the research programme to DH policy and its implementation at local levels is also provided. The research conducted by SPRU within its DH-funded programme has, for the most part, been concerned with issues of choice, from the perspectives of users, carers, service providers and managers. At the heart of the programme was a major long-term study of disabled young people, working age adults and older people as their health and other circumstances changed. The report concludes with a list of the published outputs (peer reviewed journal articles, books and reports, research summaries, professional press, and presentations) emerging from this research programme.
A survey of access to medical services in nursing and residential homes in England
- Authors:
- GLENDINNING Caroline, et al
- Journal article citation:
- British Journal of General Practice, 52(480), July 2002, pp.545-548.
- Publisher:
- Royal College of General Practitioners
A survey was conducted within the 72 English primary care groups/trusts (PCG/Ts) used in the National Tracker Survey of PCG/Ts to investigate patterns of access to medical services for residents in homes for older people. A structured questionnaire was used to investigate home characteristics, numbers of general practitioners (GPs) or practices per home, homes' policies for registering new residents with GPs, existence of payments to GPs, GP services provided to homes, and access to specialist medical care. Wide variations in the numbers of GPs providing services to individual homes were found and this was not entirely dependent on home size. Eight percent of homes paid local GPs for their services to residents; these were more likely to be nursing homes than residential homes and larger homes. Homes paying local GPs were more likely to receive one or more additional services, over and above GPs' core contractual obligations. Few homes had direct access to specialist clinicians. These extensive variations in homes' policies and local GP services raise serious questions about patient choice, levels of GP services and, above all, about equity between residents within homes, between homes and between those in homes and in the community.
Personalisation and partnership: competing objectives in English adult social care? The individual budget pilot projects and the NHS
- Authors:
- GLENDINNING Caroline, et al
- Journal article citation:
- Social Policy and Society, 10(2), April 2011, pp.151-162.
- Publisher:
- Cambridge University Press
This paper discusses inter-sectoral and service partnerships alongside personalised approaches in delivering health and social care in England, where improving collaboration between care services is a long-established objective of social policy. A recent example has been the personalisation of social care for adults and older people through the introduction of individualised funding arrangements. This article examines interviews with lead officers responsible for implementing individual budgets (IBs). It shows how the contexts of local collaboration created problems for the implementation of the personalisation pilots, jeopardised inter-sectoral relationships and threatened some of the collaborative arrangements that had developed over the previous decade. Personal budgets for some health services have subsequently also been piloted. In conclusion, the authors suggest that these will need to build upon the experiences of the social care IB pilots, so that policy objectives of personalisation do not weaken other collaborative accomplishments.
Home care re-ablement services: investigating the longer-term impacts (prospective longitudinal study)
- Authors:
- GLENDINNING Caroline, et al
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2010
- Pagination:
- 229p., bibliog.
- Place of publication:
- York
English local authorities are increasingly developing short-term, specialist re-ablement services which aim to help users to regain confidence and relearn self-care skills and to reduce the need for longer-term support. This study examined the immediate and longer-term impacts of home care re-ablement, the cost-effectiveness of the service, and the content and organisation of re-ablement services. People who received home care re-ablement from 5 different local authorities were compared with a group receiving conventional home care services from another 5 local authorities. The participants were interviewed at the beginning of the study, on completion of re-ablement (for the re-ablement group), and 9 to 12 months later. Measures were used to assess self-perceived health, perceived quality of life, health-related quality of life, and social care-related quality of life. The study found that re-ablement was associated with a significant decrease in subsequent costs of social care service use. However, this reduction in costs was almost entirely offset by the initial cost of the re-ablement intervention. The average cost of a re-ablement episode was £380 lower than the mean cost of the comparison group. Re-ablement had positive impacts on users' health-related quality of life and social care-related quality of life. Using the National Institute for Health and Clinical Excellence cost-effectiveness threshold, re-ablement was found to be cost effective.
Home care re-ablement services: investigating the longer-terms impacts
- Authors:
- GLENDINNING Caroline, et al
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2011
- Pagination:
- 4p.
- Place of publication:
- York
This briefing summarises the findings of a large-scale study to examine the longer-term impacts of home care reablement; the cost-effectiveness of reablement; and the content and organisation of reablement services. People receiving reablement were compared with those who received conventional home care; both groups were followed for up to one year. A total of 1015 people were recruited to the study and 382 completed follow-up interviews. The findings are discussed in relation to impact on quality of life; costs of re-ablement services; the impact of re-ablement on the use and costs of social care and health services; and factors increasing the cost effectiveness of reablement services, such as the organisation of services. On the basis of this study, it was found that current policies promoting home care re-ablement appear to offer good value for money.
Care provision within families and its socio-economic impact on care providers across the European Union
- Authors:
- GLENDINNING Caroline, et al
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2009
- Pagination:
- 4p.
- Place of publication:
- York
This is summary of a study that aimed to compile evidence on: the prevalence of long-term informal care-giving within a family setting to dependent family members or relatives in various EU countries, focusing on the most ‘heavily burdened’ carers; the socio-economic impact of care-giving on the households of family carers; and measures aimed at alleviating burdens on family carers by supporting them in the provision of care and/or compensating for the adverse socio-economic consequences of care-giving. The study used existing national and transnational sources of data, including official statistics and published primary research. Burden and socio-economic impacts of carers of older people and non-older people are discussed in separate sections. Policy and practice measures designed to support carers, rated according to the robustness of evidence also included.
Care provision within families and its socio-economic impact on care providers: report for the European Commission DG EMPL negotiated procedure VT/2007/114
- Authors:
- GLENDINNING Caroline, et al
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2009
- Pagination:
- 147p., bibliog.
- Place of publication:
- York
The aims of the study were to compile evidence on: the prevalence of long-term informal care-giving within a family setting to dependent family members or relatives in various EU countries, focusing on the most ‘heavily burdened’ carers; the socio-economic impact of care-giving on the households of family carers; and measures aimed at alleviating burdens on family carers by supporting them in the provision of care and/or compensating for the adverse socio-economic consequences of care-giving. The study used existing national and transnational sources of data, including official statistics and published primary research. Burden and socio-economic impacts of carers of older people and non-older people are discussed in separate sections. Policy and practice measures designed to support carers, rated according to the robustness of evidence also included.
The individual budgets pilot projects: impact and outcomes for carers
- Authors:
- GLENDINNING Caroline, et al
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2009
- Pagination:
- 113p., bibliog.
- Place of publication:
- York
Individual budgets sit at the heart of government policy for improving choice and control for people needing social care support. Individual budgets bring together a number of different funding streams and offer a transparent way of allocating resources to individuals. Knowing the level of resources at their disposal can help individuals plan and control how their support needs are met. Individual budgets are being piloted in 13 local authorities across England. The implementation is being supported by a team from the Care Services Improvement Partnership (CSIP).
The national evaluation of the individual budgets pilot programme
- Authors:
- GLENDINNING Caroline, et al
- Publisher:
- University of York. Social Policy Research Unit. IBSEN Project
- Publication year:
- 2008
- Pagination:
- 4p.
- Place of publication:
- York
Individual budgets sit at the heart of government policy for improving choice and control for people needing social care support. Individual budgets bring together a number of different funding streams and offer a transparent way of allocating resources to individuals. Knowing the level of resources at their disposal can help individuals plan and control how their support needs are met. Individual budgets are being piloted in 13 local authorities across England. The implementation is being supported by a team from the Care Services Improvement Partnership (CSIP). Evaluating these pilot projects is fundamental to a future decision by government about whether this approach will be rolled out more widely. The IBSEN project aims to identify whether individual budgets offer a better way of supporting disabled adults and older people than conventional methods of resource allocation and service delivery and, if so, which models work best for which groups of people.
The national evaluation of the individual budgets pilot programme: experiences and implications for care coordinators and managers
- Authors:
- GLENDINNING Caroline, et al
- Publisher:
- University of York. Social Policy Research Unit. IBSEN Project
- Publication year:
- 2008
- Pagination:
- 4p.
- Place of publication:
- York
Individual budgets sit at the heart of government policy for improving choice and control for people needing social care support. Individual budgets bring together a number of different funding streams and offer a transparent way of allocating resources to individuals. Knowing the level of resources at their disposal can help individuals plan and control how their support needs are met. Individual budgets are being piloted in 13 local authorities across England. The implementation is being supported by a team from the Care Services Improvement Partnership (CSIP). Evaluating these pilot projects is fundamental to a future decision by government about whether this approach will be rolled out more widely. The IBSEN project aims to identify whether individual budgets offer a better way of supporting disabled adults and older people than conventional methods of resource allocation and service delivery and, if so, which models work best for which groups of people