Search results for ‘Author:"scrutton jonathan"’ Sort:
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Getting out and about
- Author:
- SCRUTTON Jonathan
- Publishers:
- International Longevity Centre UK, Age UK
- Publication year:
- 2014
- Pagination:
- 10
- Place of publication:
- London
This publication is one of a series of three briefings exploring how communities need to adapt to an ageing society. It explores the evidence on the different physical and emotional barriers affecting older people’s ability to leave their house and engage with the community, with a focus on three key areas: transport, the local environment and fear of crime. Short case studies also illustrate different approaches to supporting older people in the community. (Edited publisher abstract)
A place for parity: health and wellbeing boards and mental health
- Author:
- SCRUTTON Jonathan
- Publisher:
- Centre for Mental Health
- Publication year:
- 2013
- Pagination:
- 28
- Place of publication:
- London
Health and wellbeing boards bring together local authorities and health and care system leaders to improve the health and wellbeing of their local populations. The Centre for Mental Health conducted this systematic review of 100 strategies and interviewed members of ten health and wellbeing boards, to find out how far they have included mental health issues as a priority and what their focus has been. It found that 91% of strategies aim to tackle at least one mental health issue, most commonly the needs of children and young people (55%). Vulnerable groups were under-represented: only 5% dealt with the mental health needs of homeless people. The report examines weaknesses in the strategies; key themes from interviews (e.g. public and service user engagement of boards); and the efforts in making the strategies’ priorities a reality. These boards have existed for only a short time, illustrated by the few examples of good practice. The report recommends the need for boards to actively consult with mental health service users, professionals and carers; to use their strategies to identify “gaps” and tackle these differently; having a mental health “champion or other non-statutory board members; and for clinical commissioning groups (CCGs) to engage with boards’ strategies when devising their commissioning plans. (Original abstract)
Public health responses to an ageing society: opportunities and challenges
- Authors:
- SCRUTTON Jonathan, et al
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2014
- Pagination:
- 26
- Place of publication:
- London
Explores the extent to which England’s public health structures are able to respond to our ageing population after the radical reforms introduced by the Health and Social Care Act in 2012. The paper outlines the opportunities and challenges offered by the public health structures to the ageing society, highlighting examples of both good practice and potential pitfalls. Opportunities highlighted include: local authorities know their residents best and are strategically placed to deal with today’s public health concerns; the move could encourage innovation; and the public want these changes. The challenges are: privatisation may lead to a focus on short-term solution; localisation may worsen the effects of the ‘postcode lottery’; the changes may politicise public health; and localisation may shrink the size, budget and capabilities of the NHS. A series of recommendations are included, which are intended to help ensure public health structures are able to respond to the ageing population by making the most of the opportunities, and overcoming the challenges created by the Health and Social Care Act. These include: local health strategies should prioritise long-term health initiatives over short-term target hitting; the NHS Commissioning Board should monitor healthcare commissioning to support consistency of quality across the country and help reduce differences in healthy life expectancies; and government should ensure that local authorities’ public health budgets continue to meet the needs of local citizens after the 2 year ring fenced period. The think piece also highlights eight areas which should be prioritised in by local health and wellbeing boards to reduce costs and improve the public health of older people today and in the future. These are: smoking cessation, physical activity, nutrition, road safety, housing, loneliness, falls and immunisation. (Edited publisher abstract)
Dementia and comorbidities: ensuring parity of care
- Authors:
- SCRUTTON Jonathan, BRANCATI Cesira Urzi
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2016
- Pagination:
- 48
- Place of publication:
- London
This report, supported by Pfizer, highlights the disparities in care and health outcomes that are associated with people living with dementia who also have comorbid illnesses. Informed by a systematic review of both academic and grey literature the report looks at how a diagnosis of dementia can affect the prevention, diagnosis, treatment and management of co-existing conditions. It also looks at the reasons for the differences in healthcare outcomes for people with dementia. The report finds that this lack of parity in care results in an increased risk of early mortality for people with dementia, increased costs of health care, and comorbid conditions only being detected once they become severe. It identifies six key areas which lead to the discrepancy in health outcomes for people with dementia and comorbidities: atypical symptoms, communication difficulties, a failure by the health system to recognise the individual as a whole, a knowledge gap of hospital staff and carers in caring for people with dementia and comorbidities, poor medical management, a lack of support to aid self-management and poor monitoring of comorbidities by health professionals. The final section of the report looks at how having dementia may affect the prevention, diagnosis, treatment and management of specific three conditions: depression, diabetes, and urinary tract infections. Illustrative ‘good’ care stories for each. It sets out seven recommendations to help ensure the parity of care for people with dementia and comorbidities. (Edited publisher abstract)
A shock to the system: electrical safety in an ageing society
- Authors:
- HOLLEY-MOORE George, SCRUTTON Jonathan
- Publisher:
- Electrical Safety First
- Publication year:
- 2015
- Pagination:
- 32
- Place of publication:
- London
This report examines the impact of poor electrical safety standards on older people and people living with dementia. It reveals that the current housing stock is putting vulnerable people at risk, and is not fit to allow people to age safely in their own homes, with those living in low-income households or in rural areas most affected. The report finds that one million people aged over 75 currently live in non-decent homes with nearly two thirds of households with a couple over 60 not meeting basic electrical safety standards, which include having such life-saving devices such as a modern fusebox, residual current device, circuit breakers and PVC wiring. The report explains how older people are disproportionately at risk because they are living in their properties for longer, meaning there is a longer time between comprehensive checks and the electrical installations and appliances also tend to be older. It also suggests that a reduction in electrical hazards in the home can contribute to people with dementia living independently in their own homes for longer, leading to savings in social care. (Edited publisher abstract)
The state of play in person-centred care: a pragmatic review of how person-centred care is defined, applied and measured, featuring selected key contributors and case studies across the field
- Authors:
- HARDING Ed, WAIT Suzanne, SCRUTTON Jonathan
- Publisher:
- Health Policy Partnership
- Publication year:
- 2015
- Pagination:
- 139
- Place of publication:
- London
A comprehensive picture of the state of play in research, implementation and measurement of person-centred care, looking at the future direction and gap analysis of each of these fields, and highlighting key work, barriers and opportunities to progress. Three key conceptual pillars emerged from the research looking at person-centred care as: an overarching grouping of concepts involving shared decision-making, self-management support, patient information, care planning, and integrated care, as well as better communication between healthcare professionals and patients; practice that emphasises personhood; and partnership. The report reveals that there is huge diversity in best practice models, and an enormous opportunity for different fields of activity to learn from each other. The lack of conceptual clarity and clear definitions in the research, however, may impede the replication of successful innovations in care and mainstream implementation remains a challenge. The report identities key areas of activity in the implementation and measurement of person-centred care, illustrated through case studies, focusing on: organisational development as a powerful tool to embrace person-centred care in practice; the role of formal education, training and support for professional ethics and values; communication, shared decision-making, co-production and self-management as the most operationalised components of person-centred care; integrated care and health IT as enablers of person-centred care; and the critical role of measurement. (Edited publisher abstract)
Improving access to adult vaccination: a tool for healthy ageing
- Authors:
- SCRUTTON Jonathan, SINCLAIR David, WALKER Trinley
- Journal article citation:
- Working with Older People, 18(2), 2014, pp.58-66.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to demonstrate how access to vaccination for older people in the UK can be both improved and used as a tool for healthy ageing. Design/methodology/approach: ILC-UK released a report “Adult Immunisation in the UK”, which applied a UK perspective to a 2013 Supporting Active Ageing Through Immunisation (SAATI) report on immunisation. The ILC report combined the SAATI findings with a traditional literature review, a policy review incorporating grey literature and the outcomes of a focus group discussion. This paper highlights the key findings of the ILC-UK report. Findings: Vaccination needs to be included as part of proactive strategies to promote healthy and active ageing. Initiatives need to be explored that increase the rate of delivery of vaccinations. Barriers to the vaccination of health and social care professionals working with older people need to be removed. The government should explore using psychological insights into human behaviour to improve the take-up of vaccinations amongst adults. The range of settings where older people can receive vaccination needs to be expanded. Information on the potential benefits of immunisation should be made readily available and easily accessible to older people. Practical implications: The paper calls for a structural shift in how vaccination services in the UK are organised. Social implications: The paper calls for a cultural shift in how society views immunisation and the role it has to play in the healthy ageing process. Originality/value: The paper uses new European research on immunisation and applies it to the UK's situation. (Publisher abstract)
Creating a sustainable 21st century healthcare system
- Authors:
- SCRUTTON Jonathan, HOLLEY-MOORE George, BAMFORD Sally-Marie
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2015
- Pagination:
- 102
- Place of publication:
- London
This report looks at how a combination of demographic and wider economic and social trends are converging to increase the cost of healthcare across the globe. It then presents examples of innovation from across the world which could save lives and money if introduced more widely. Examples are provided in the following areas: non-communicable diseases; health care costs, integrated care, health technology, big data, and personalised health care. The report then discusses critical success factors to help spread these innovations, and how cultural, economic, political and social cultures and climate can impact. The final chapter discusses key findings and makes recommendations for the future. It suggests that a focus on innovation and prevention – developing more empowered health consumers and maximising the potential of clinical data - would help to deliver significant savings in the long term. (Edited publisher abstract)
The links between social connections and wellbeing in later life
- Authors:
- SCRUTTON Jonathan, CREIGHTON Helen, INTERNATIONAL LONGEVITY CENTRE UK
- Publisher:
- University College London
- Publication year:
- 2015
- Pagination:
- 20
- Place of publication:
- London
This report, the first in a two part series summarising UCL research and exploring the policy implications of the work, focuses on social relationships and subjective wellbeing. It highlights that the loneliest and most socially isolated individuals have consistently lower levels of subjective wellbeing than older people who are more socially connected. Both the size of an individual's social network and their frequency of contact with that network are positively associated with wellbeing over 6 years of follow up. While older people begin to see a rise in their wellbeing in later life, those who are socially isolated do not. The report addresses the wider context of these findings, highlighting how a rapidly ageing population could potentially lead to greater numbers of lonely and socially isolated older people if nothing is done to address this issue. It then explores the policy implications of the research, showing that while social isolation and loneliness among older people have been rising up the policy agenda in recent years, the true extent of the loneliness problem is not currently fully known as the government only measures loneliness among those in care or caring for others. (Edited publisher abstract)
The emotional wellbeing of older carers
- Authors:
- SCRUTTON Jonathan, CREIGHTON Helen, INTERNATIONAL LONGEVITY CENTRE UK
- Publisher:
- University College London
- Publication year:
- 2015
- Pagination:
- 20
- Place of publication:
- London
This report, the second in a two part series summarising research from the Department of Epidemiology and Public Health at University College London (UCL), focuses on the subjective wellbeing of older carers. The research finds that: long term caregiving was associated with declines in quality of life and life satisfaction for carers, and an increased risk of depression; and giving up caregiving was associated with increased depression amongst both male and female carers. The report addresses the wider context of these findings, highlighting how the ageing population could potentially lead to large increases in the number of older carers, with the number of carers over 65 already having risen by 35 per cent since 2001. It also highlights the day-to-day realities faced by many older carers, including a high risk of emotional distress; the loss of friends, either because of a lack of time to socialise or because friends were unable to properly understand the constraints and strains of caring; and potential health risks. The report explores the policy implications of the research, highlighting that few policies and support services are aimed at older carers specifically. The report suggests that more could be done to protect the emotional wellbeing and mental health of older carers, through appropriate support being provided at all stages of the caregiving cycle. (Edited publisher abstract)