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Implementing the reimbursement scheme - views of health and social care staff in six high performing sites
- Authors:
- BAUMANN Matt, et al
- Journal article citation:
- Research Policy and Planning, 26(2), 2008, pp.101-112.
- Publisher:
- Social Services Research Group
The Community Care (Delayed Discharges) Act 2003 announced a new reimbursement scheme which was intended to accelerate the downward trend in rates of delayed discharges and strengthen joint working between acute health trusts and social services. This article explores health and social care staff views on the early working of the reimbursement scheme taken from a broader study of the factors associated with low rates of delays in six sites where performance (in terms of rates of delayed discharge) was exceptionally good. Forty-three qualitative interviews were undertaken between June 2004 and March 2005 with health and social care professionals responsible for, or involved in discharge arrangements in the six sites. For the majority of staff, the scheme has largely supported joint working; it provided substantial new funding to social services departments for joint commissioning, it has required joint implementation of new interagency notification systems, and close monitoring and interagency communication around delays. Whilst those working with new notification systems have experienced some difficulties with reaching a shared understanding of what is required, the notification system appears to have supported clear and timely communication around discharge between ward and social services staff. Impacts on patients were not clear cut, but there were concerns from some social services staff that, as a result of reimbursement, there was greater likelihood of 'hurried' discharges.
What counts as evidence? The communication of information about older people between health and social care professionals
- Authors:
- POWELL Jackie, et al
- Journal article citation:
- Research Policy and Planning, 21(3), 2003, pp.1-11.
- Publisher:
- Social Services Research Group
Draws on a study to provide an evidence base for strategies and effectiveness of the transfer of information about older people between health and social care practitioners at the health and social care interface. Reports on the development of a systematic approach to the review of the related research literature and presents some key findings. Goes on to discuss some methodological issues arising from a review covering both health and social care research. By locating this systematic review within the wider debate on evidence-based practice, considers the nature and scope of this form of evidence alongside other forms of evidence and their use in professional practice. Concludes with some observations regarding the relevance of the findings from this study for both practice and further research.
GP views about a home from hospital service
- Authors:
- DEMPSTER Martin, DONNELLY Michael
- Journal article citation:
- Research Policy and Planning, 19(2), 2001, pp.37-38.
- Publisher:
- Social Services Research Group
Reports the results of an postal questionnaire of the views of 30 General Practitioners about a model of out of hospital care, the home from hospital service, which provides social care and rehabilitation for patients in their own home. GP's reported that the home from hospital service did not increase their workload. Suggests that the home from hospital model of care should be given more attention in terms of research evaluation and service development.
An economic analysis of Best Value for discharging patients into community care: a pilot study of social worker time costs
- Authors:
- DENNISTON Kristin, PITHOUSE Andrew, BLOOR Michael
- Journal article citation:
- Research Policy and Planning, 18(1), 2000, pp.21-29.
- Publisher:
- Social Services Research Group
This article describes the results of a small pilot study to assess the feasibility of using economic analysis to evaluated different models of joint working in community care. It used a concurrent time diary method to estimate the unit cost of social worker time in the assessment and care planning process in hospital settings, GP attachment and area team based teams. The results suggested that there are potentially significant variations in work patterns across these settings that may have substantial impacts on the costs, quality and effectiveness of an assessment. Also examines the usefulness of the concurrent diary method and concludes that although this approach may have higher opportunity costs of social worker time and a lower response rate that a retrospective diary methods, the gains in accuracy and information may justify its use in a larger study.
Integrating health and social care: problems, opportunities and possibilities
- Author:
- CHALLIS David
- Journal article citation:
- Research Policy and Planning, 16(2), 1998, pp.7-12.
- Publisher:
- Social Services Research Group
Since health care moved from local government and services such as home care and residential care moved into social services, attempts have been made to define the meaning of health and social care and to consider what integrated forms of care might look like. The author argues that if true seamlessness is not possible, the question must be where to place which joins across which organisations to influence what incentives to achieve what outcomes. The article begins by defining what is seen as health and social care and then moves towards the identification of possible forms of integration.
Home from hospital - the experiences of older people and carers of discharge to community care
- Author:
- SHEPHERD Angela
- Journal article citation:
- Research Policy and Planning, 14(2), 1996, pp.4-12.
- Publisher:
- Social Services Research Group
In the current climate of concern with problems at the interface of health and social care, it is crucial that those undertaking monitoring and evaluation are able to pay due attention to the outcomes of hospital discharge. This joint-agency study examines user and carer experiences of, and views about, arrangements for hospital discharge and the community support provided afterwards by statutory and voluntary services, and relatives, friends and neighbours. Discusses the survey results and implications such surveys have as a means of communication with commissioners and providers of services.
Mental health and housing in Brent
- Author:
- ROONEY Denise
- Journal article citation:
- Research Policy and Planning, 14(1), 1996, pp.21-22.
- Publisher:
- Social Services Research Group
Summarises the key findings of a selection of relevant research on housing issues for people who need community-based care. The four that have been chosen from the range of available material have recognised housing as a central issue in community care delivery, and each has, it its own way, addressed that issue and demonstrated good practice.
Discharged into the community: the experience of psychiatric patients
- Authors:
- SPICKER Paul, et al
- Journal article citation:
- Social Services Research, 1, 1995, pp.27-35.
- Publisher:
- Social Services Research Group
In theory, people who are discharged from psychiatric treatment in hospital should receive a service selected for their needs from a package of options. Examines the process from the perspective of fifty service users, interviewed with a semi-structured schedule. Patients were not always aware of being prepared for discharge, and they did not know what to expect. Often supportive social networks were lacking, and community services played a crucial role in care; but the respondents had little sense of a system of services, and contact was seen as happening randomly. The pattern of movement reflects movement between services, rather than tailoring of services to individual needs.
Quality issues in discharge from hospital - the views of older people and their carers
- Authors:
- POWELL Jackie, LOVELOCK Robin, BRAY Jane, PHILIP Ian
- Journal article citation:
- Social Services Research, 1 1994, 1994, pp.42-55.
- Publisher:
- Social Services Research Group
The article is based upon a qualitative study which gained the views of patients and carers on the quality of in-patient care and discharge arrangements on and Elderly Care Unit in a large general hospital in Southampton. The methodology used is discussed in some detail and is followed by presentation and discussion of the findings on the selected topics of: discharge to home or to a carer's home, and discharge to residential care.
Hospital discharge project
- Authors:
- NEILL June, WILLIAMS Jenny
- Journal article citation:
- Social Services Research, 1 1994, 1994, p.65.
- Publisher:
- Social Services Research Group
Briefly looks at elements of the work carried out by the Research Unit at the National Institute for Social Work (NISW), into the process of hospital discharge.