Search results for ‘Subject term:"access to services"’ Sort:
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Access to services: St Albans City and District Council
- Author:
- AUDIT COMMISSION
- Publisher:
- Audit Commission
- Publication year:
- 2008
- Pagination:
- 32p.
- Place of publication:
- London
Access to services is a cross-cutting theme covering four broad areas: ease of access to services; using e-government to support access to services; reaching all parts of the community; and partnership working. St Albans City and District Council was assessed by the Audit Commission as providing a 'fair' one star service that has promising prospects for improvement. The report summarises the evidence and recommendations for the future.
A joint thematic inspection of community-based drug treatment and recovery work with people on probation: a joint inspection led by HM Inspectorate of Probation
- Authors:
- HM INSPECTORATE OF PROBATION, CARE QUALITY COMMISSION
- Publisher:
- HM Inspectorate of Probation
- Publication year:
- 2021
- Pagination:
- 84
- Place of publication:
- Manchester
Probation services across England and Wales supervise nearly 156,000 people in the community. HM Inspectorate of Probation estimates that almost 75,000 of these individuals have a drugs problem, yet fewer than 3,000 people were referred by probation services to specialist drug misuse treatment in 2019/2020. HM Inspectorate of Probation partnered with the Care Quality Commission to examine how probation services supervise this cohort. Inspectors found: too few people on probation receive help to tackle drugs misuse – and when referrals are made, the quality of services is often not good enough; funding for treatment has reduced and criminal justice programmes to identify and refer people for treatment have “withered on the vine”; very few drug users on probation are being tested for drug use – just one in six of the inspected sample of known users; key information is missing, not captured properly or used to commission services – probation services were unable to tell inspectors how many Class A drug users were on their caseload or how many were in treatment; six out of 10 magistrates that the Inspectorate surveyed said they were not confident probation was delivering the necessary treatment. (Edited publisher abstract)
Home truths: how well are councils implementing the Homelessness Reduction Act?
- Author:
- LOCAL GOVERNMENT AND SOCIAL CARE OMBUDSMAN
- Publisher:
- Local Government and Social Care Ombudsman
- Publication year:
- 2020
- Pagination:
- 26
- Place of publication:
- London
This report is based on fifty detailed investigations into complaints about the operation of the Homelessness Reduction Act. It examines how councils are delivering their new homelessness duties in practice and how that is experienced by service users. The common issues the investigations have found lie in three broad areas: Delay – some councils have delayed helping people, meaning it has taken longer to find suitable accommodation; Communication – some councils have not communicated well with people, failing to provide written decisions in clear language, or updating people about their cases, or not telling them of their appeal rights; Poor practice – particularly around issuing and reviewing personalised housing plans (PHPs), which are needed to set out what both the authority and homeless person agree to do in order to address the housing problem. (Edited publisher abstract)
A different ending: addressing inequalities in end of life care: people with a learning disability
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2016
- Pagination:
- 4
- Place of publication:
- Newcastle upon Tyne
This document outlines the barriers to good end of life care experienced by people with a learning disability. The report is one of a suite of documents reporting on the Care Quality Commission end of life care thematic review, and is designed to be read in conjunction with the other documents. There are challenges in delivering good end of life care in prison, and the experience of prisoners at the end of life is variable. The reviewers asked a group of people with a learning disability about what was important to them for good end of life care. They said that it was important to have family and friends nearby, to have privacy, peace and quiet, preferably not to be in hospital, to be able to go outside, and to have the support of a care coordinator when needed. They thought that services should talk more to people who have a learning disability to get their views and check that they are improving and inclusive. The document focuses on staff lack of knowledge around learning disabilities, communication and coordination of care. The Care Quality Commission encourages commissioners and providers to support early identification of people with a learning disability who may be approaching the end of life, as part of improved health care; and to make sure that health and care staff have the skills and support they need to communicate well with people with a learning disability who may be approaching the end of life. This includes access to appropriate communication aids and tools. (Edited publisher abstract)
A different ending: addressing inequalities in end of life care: people with dementia
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2016
- Pagination:
- 4
- Place of publication:
- Newcastle upon Tyne
This document outlines the experience of people with dementia of barriers to good end of life care. The report is one of a suite of documents reporting on the Care Quality Commission end of life care thematic review, and is designed to be read in conjunction with the other documents. The review supports existing evidence that there are a number of barriers that prevent people with dementia receiving good end of life care, including lack of identification and planning, unequal access to care, and poor quality of care. The Care Quality Commission encourages health professionals, including GPs, to facilitate early conversations with people with dementia and those who are important to them about their wishes and choices for end of life care, and help them to contribute to an advance care plan wherever possible; commissioners and providers to make sure that staff have the training and support they need to care for people with dementia who are approaching the end of life, and to understand and implement the requirements of the Mental Capacity Act 2005; and hospices to consider to what extent they are meeting the end of life care needs of people with dementia, and take action where required in line with our definition of good end of life care in hospice services. (Edited publisher abstract)
Inquiry into the support available for young people who self-harm: a report by the All-Party Parliamentary Group on Suicide and Self-Harm Prevention
- Authors:
- POTTER Joe, ALL-PARTY PARLIAMENTARY GROUP ON SUICIDE AND SELF-HARM PREVENTION
- Publisher:
- Samaritans
- Publication year:
- 2020
- Pagination:
- 59
- Place of publication:
- London
Findings from an inquiry exploring the experiences of young people who self-harm in accessing support services. In particular, it examined: support services currently available in both clinical and the wider community settings (including schools); plans for improving and expanding this support; and the changes needed to ensure that support is made more effective and widely available. The inquiry heard that while budgets for preventative interventions have been markedly reduced in recent years, demand for specialist NHS mental health services such as CAMHS and IAPT has increased exponentially, outstripping investment and exacerbating workforce issues. As a result, there are particular groups of young people, such as those from ethnic minorities, those who identify as LGBT, or are autistic, who particularly struggle to access support due to problems with service outreach and design. Crucially, respondents to the inquiry made clear that the single most impactful change to improve the support available to young people who self-harm would be a system shift away from the current reliance on crisis interventions towards a preventative model of support. To facilitate this long term aim, the report calls for planned investment in NHS mental health support for young people to be increased and brought forward more quickly than currently planned. Investment in community-based preventative services, often delivered by the third sector, will also be key. (Edited publisher abstract)
Joint targeted area inspection of the multi-agency response to children’s mental health in Portsmouth
- Authors:
- OFSTED, et al
- Publisher:
- OFSTED
- Publication year:
- 2020
- Pagination:
- 15
- Place of publication:
- Manchester
Findings from a joint inspection about the effectiveness of partnership working and of the work of individual agencies responding to children’s mental health in Portsmouth. The inspection was undertaken by HMI Constabulary and Fire & Rescue Services, Ofsted, the Care Quality Commission and HMI Probation. The report sets out the key strengths of partnership working and identifies areas for improvements. The findings suggest that children in Portsmouth benefit from a wide range of services to support their emotional well-being and mental health. Professionals work effectively, as part of a multi-agency network, to support children and increasingly strong integrated working at strategic and operational levels is leading to some excellent and innovative work that is having a positive impact. However, the report also highlights that not all relevant agencies attend strategy discussions, resulting on a negative impact on the quality of the assessment of risk and the planning of section 47 enquiries. For some children, increasing risk is not always recognised, and this leads to delays in them getting the help they need. In addition, the report reveals that staff vacancies have had a negative impact on the delivery of services to children and that children’s individual plans, management oversight and quality assurance processes do not consistently focus on the quality of children’s experiences and the progress that they make. (Edited publisher abstract)
A different ending: addressing inequalities in end of life care: lesbian, gay, bisexual or transgender people
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2016
- Pagination:
- 4
- Place of publication:
- Newcastle upon Tyne
This document outlines the barriers to good end of life care experienced by lesbian, gay, bisexual or transgender people. The report is one of a suite of documents reporting on the Care Quality Commission end of life care thematic review, and is designed to be read in conjunction with the other documents. Although LGBT people experience a higher incidence of life-limiting illness, their experience of care at the end of life has often been overlooked. Evidence shows that discrimination continues to have an adverse impact on people’s access, needs and experience of services. The review found limited evidence of services proactively engaging with LGBT people or specifically considering their needs, although LGBT people were represented in forums or consultations in some areas. LGBT people who took part in the review spoke about their fear of discrimination, which led to some older people hiding their sexual orientation or gender identity, while some same sex couples could feel inhibited and unable to comfort their partner physically in a hospital environment. LGBT people sometimes felt that staff made assumptions about their preferences so they were less able to make choices. They also felt that their partners were sometimes not involved in their care in the same way that a heterosexual partner would be. However, for some LGBT people end of life care they received was good. Some people felt respected, and sexual orientation or gender identity were not felt to be an issue. The Care Quality Commission encourages commissioners, providers and health and care staff to consider the needs of LGBT people in planning and delivering end of life care services; health and care staff to communicate openly and sensitively about sexual orientation and gender identity as a routine part of their delivering good quality, personalised end of life care; and commissioners and providers to collect data on sexual orientation and gender identity as part of an equalities approach to monitoring end of life care outcomes. (Edited publisher abstract)
A different ending: addressing inequalities in end of life care: people with a mental health condition
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2016
- Pagination:
- 2
- Place of publication:
- Newcastle upon Tyne
This document outlines the experience of barriers to good end of life care for people with a mental health condition. The report is one of a suite of documents reporting on the Care Quality Commission end of life care thematic review, and is designed to be read in conjunction with the other documents. People with serious mental illnesses (excluding dementia) die on average 20 years earlier than the rest of the population. They may be identified as approaching the end of life late, which can affect the ability to plan care that meets people’s individual needs. The review found limited information about end of life care for people with a mental health condition and suggests that the end of life care needs for this group may not being prioritised. Some people spoke about a lack of awareness of physical health needs among professionals caring for a person with a mental health condition, which led to delayed diagnosis of the person’s terminal condition. In some cases, where a person’s mental health condition was severe, there was no access to an appropriate service to care for them at the end of life, so they ended up dying in hospital. The document recommends that commissioners and providers support early identification of people with a mental health condition who may be approaching the end of life, as part of improved physical health care. (Edited publisher abstract)
A different ending: addressing inequalities in end of life care: people from Black and minority ethnic communities
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2016
- Pagination:
- 4
- Place of publication:
- Newcastle upon Tyne
This document outlines the experience of people from Black and minority ethnic communities of barriers to good end of life care. The report is one of a suite of documents reporting on the Care Quality Commission end of life care thematic review, and is designed to be read in conjunction with the other documents. Existing evidence suggests that BME groups may have more unmet end of life care needs than people from white backgrounds, and experience a number of barriers to accessing good and personalised care. The findings of the CQC review support the existing evidence and suggest that barriers include a lack of understanding, knowledge and information about end of life care, lack of religious and cultural sensitivity, language barriers, and poor communication. The Care Quality Commission encourages commissioners and providers to engage proactively with the whole of their local community, including BME groups, to better understand and meet people’s needs and to raise awareness of palliative and end of life care within different communities; and to ensure that access to interpreters is available when needed to people who are approaching the end of life and those who are important to them. (Edited publisher abstract)