Telecare is as much about the philosophy of dignity and independence as it is about equipment and services. Equipment is provided to support the individual in their home and tailored to meet their needs. It can be as simple as the basic community alarm service, able to respond in an emergency and provide regular contact by telephone. It can include detectors or monitors such as motion or falls
Telecare is as much about the philosophy of dignity and independence as it is about equipment and services. Equipment is provided to support the individual in their home and tailored to meet their needs. It can be as simple as the basic community alarm service, able to respond in an emergency and provide regular contact by telephone. It can include detectors or monitors such as motion or falls and fire and gas that trigger a warning to a response centre.
Drawing on published research and guidance and the practical experience of health and social care professionals, this framework identifies and describes key actions to help prevent falls in the community in Scotland. Actions are provided for each of the four stages of the care pathway: supporting health improvement and self-management to reduce risk; identifying individuals at high risk of falls; responding to and individual who has just fallen and requires immediate assistance; and coordinated management, including specialist assessment. The actions represent the minimum standard of care an older person should expect to receive in Scotland. It provides a useful road map for developing a falls pathway and encourages and integrated approach between health, social care and the idependent sector.
(Original abstract)
Drawing on published research and guidance and the practical experience of health and social care professionals, this framework identifies and describes key actions to help prevent falls in the community in Scotland. Actions are provided for each of the four stages of the care pathway: supporting health improvement and self-management to reduce risk; identifying individuals at high risk of falls; responding to and individual who has just fallen and requires immediate assistance; and coordinated management, including specialist assessment. The actions represent the minimum standard of care an older person should expect to receive in Scotland. It provides a useful road map for developing a falls pathway and encourages and integrated approach between health, social care and the idependent sector.
(Original abstract)
Subject terms:
falls, assessment, prevention, risk assessment, older people, intervention, care pathways;
... and independence of older people. This paper covers: ageing, decreasing fitness and effects on balance; exercise and physical activity that prevents falls; exercise and physical activity that prevent fractures; is all exercise good for all fallers?; reducing the risk of falling during exercise; exercise referral routes.
This briefing is part of the Department of Health's prevention package which aims to raise the focus on prevention as a means of ensuring good health, well-being and independence for older people. This and the other resources in the package are designed to support PCTs, SHAs and Local Authorities in prioritising and effectively commissioning services that support the health, well-being and independence of older people. This paper covers: ageing, decreasing fitness and effects on balance; exercise and physical activity that prevents falls; exercise and physical activity that prevent fractures; is all exercise good for all fallers?; reducing the risk of falling during exercise; exercise referral routes.
Regulation 28 of the Adult Placement Schemes (Wales) Regulations 2004 places a duty on registered persons to notify the Care and Social Services Inspectorate for Wales (CSSIW) of the occurrence of the following incidents: any serious injury sustained by a relevant adult in the scheme premises or when in the care of an adult placement carer.
Regulation 28 of the Adult Placement Schemes (Wales) Regulations 2004 places a duty on registered persons to notify the Care and Social Services Inspectorate for Wales (CSSIW) of the occurrence of the following incidents: any serious injury sustained by a relevant adult in the scheme premises or when in the care of an adult placement carer.
GREAT BRITAIN. Department of Health. Social Services Inspectorate
Publisher:
Great Britain. Department of Health. Social Services Inspectorate
Publication year:
2003
Place of publication:
London
The London Older People's Service Development Programme was a unique two-year initiative, bringing together care communities from across London to work in partnership to improve primary health and social care services for older people. Using established techniques based on the successful 'collaborative' model, the programme's goal was to promote independence and optimise care outcomes for London's older people, through the delivery of person-centred, co-ordinated services. It is a major tool in implementing the National Service Framework for Older People in London, helping to take forward its aims - particularly the single assessment process - and embed them in good practice.
The London Older People's Service Development Programme was a unique two-year initiative, bringing together care communities from across London to work in partnership to improve primary health and social care services for older people. Using established techniques based on the successful 'collaborative' model, the programme's goal was to promote independence and optimise care outcomes for London's older people, through the delivery of person-centred, co-ordinated services. It is a major tool in implementing the National Service Framework for Older People in London, helping to take forward its aims - particularly the single assessment process - and embed them in good practice.
Subject terms:
older people, service development, social care provision, standards, dementia, falls, empowerment;
This guidance note is part of the Department of Health's prevention package which aims to raise the focus on prevention as a means of ensuring good health, well-being and independence for older people. It sets out four key objectives that commissioners, working across health and social care, should consider in the context of local services for falls,falls prevention and fractures. The objectives are: improving the experience of hip fracture surgery; respond to the first fracture and prevent the second; early intervention to restore independence and reduce future injuries; prevent frailty, promote bone health and reduce accidents. It also sets out the main measureable outcomes for falls and fracture services.
This guidance note is part of the Department of Health's prevention package which aims to raise the focus on prevention as a means of ensuring good health, well-being and independence for older people. It sets out four key objectives that commissioners, working across health and social care, should consider in the context of local services for falls, falls prevention and fractures. The objectives are: improving the experience of hip fracture surgery; respond to the first fracture and prevent the second; early intervention to restore independence and reduce future injuries; prevent frailty, promote bone health and reduce accidents. It also sets out the main measureable outcomes for falls and fracture services.
Subject terms:
injuries, intervention, needs, older people, prevention, social care, social care provision, falls, health care;
This guidance note is part of the Department of Health's prevention package which aims to raise the focus on prevention as a means of ensuring good health, well-being and independence for older people. It should be read in conjunction with the Department of health guide 'Falls and fractures: effective interventions in social care and associated pathways'. It sets out: the case for assessing the level of needs to address risk of falls and incidence of falls in a local population; the clinical and social impact of a fall on an individual; the policy context for assessing local needs, the commissioning implications of needs assessed needs. It also includes a template for falls assessment for use by local commissioning communities.
This guidance note is part of the Department of Health's prevention package which aims to raise the focus on prevention as a means of ensuring good health, well-being and independence for older people. It should be read in conjunction with the Department of health guide 'Falls and fractures: effective interventions in social care and associated pathways'. It sets out: the case for assessing the level of needs to address risk of falls and incidence of falls in a local population; the clinical and social impact of a fall on an individual; the policy context for assessing local needs, the commissioning implications of needs assessed needs. It also includes a template for falls assessment for use by local commissioning communities.
... that all older people and their carers are always treated with respect, dignity and fairness. The overall aim is to ensure consistent services across the country and reduce variations in standards and service levels. The document sets out standards for: rooting out age discrimination; person centred care; intermediate care; general hospital care; stroke; falls; mental health in older people;
This pack contains three booklets: 'National service framework for older people', 'National service framework for older people: executive summary', and 'Medicines and older people'. The national service framework for older people is a ten year programme of action linking services to support independence and promote good health, specialised services for key conditions, and culture change so that all older people and their carers are always treated with respect, dignity and fairness. The overall aim is to ensure consistent services across the country and reduce variations in standards and service levels. The document sets out standards for: rooting out age discrimination; person centred care; intermediate care; general hospital care; stroke; falls; mental health in older people; and the promotion of heath and active life in older age. Sections on local delivery of services, ensuring progress, and national support to underpin local action follow. The booklet on medicines and older people focuses in more detail on implementing medicines related aspects of the framework.
Extended abstract:
GREAT BRITAIN. Department of Health. National service framework for older people: booklet 3: the framework. Great Britain. Department of Health, 2001.
Summary
Older people are the main users of health and social care services but sometimes services have not adequately addressed need. This National Service Framework is the first ever comprehensive strategy to ensure fair, high quality, integrated health and social care services for older people. It is a 10 year programme of action linking services to support independence and promote good health, specialised services for key conditions, and culture change so that all older people and their carers are always treated with respect, dignity and fairness. This text describes the background and lays out the standards developed by the National Service Framework for Older People.
Context
Since the early 1930s the number of people aged over 65 has more than doubled and today a fifth of the population is over 60. Between 1995 and 2025 the number of people aged over 80 is set to increase by almost a half and the number of people over 90 will double. The NHS spent around 40% of its budget - £10 billion - on people over the age of 65 in 1998/99. In the same year social service spent nearly 50% of their budget on the over 65s, some £5.2 billion. Older people tend to have a much greater need for health and social services than the young, so the bulk of health and social care resources are directed at their needs. For example, almost two thirds of general and acute hospital beds are used by people over 65. The National Service Framework for Older People (NSFOP) is the key vehicle for ensuring that the needs of older people are at the heart of the reform programme for health and social services.
Method
The NSFOP is the result of extensive consultation with older people and their carers and the leading professionals involved in the care of older people. However this text does not describe the consultation process and its implementation.
Contents
This book is divided into five chapters and concludes with four annexes. Chapter one provides an introduction to the NSFOP and sets the scene by providing contextual information. It also discusses the development of this NSF, its scope and its delivery. Chapter two outlines in detail the standards that the NSFOP has developed. Eight standards are outlined and each is discussed in terms of its aims, rationale, key interventions, actions and milestones. The eight standards are: Rooting out age discrimination; Person-centre care; Intermediate care; General hospital care; Stroke; Falls; Mental health in older people; and, The promotion of health and active life in older age. Chapter three discusses the local delivery of these standards and the achievement of the standards. Chapter four describes how the performance management systems will help deliver the targets in the NHS plan and ensure the NSF standards are met. Chapter five sets out the underpinning programmes essential to the delivery of the NSF. These are: finance; workforce development; research and development; clinical and practice decision support services; and, information systems. Annex one provides a glossary for terms used in the text. Annex two is Acknowledgements and provides the names of the members of the various task groups involved in the development of the NSFOP. Annex three provides a summary of milestones and annex four contains references.
Conclusion
"It is true though that services sometimes fail to meet older peoples' needs - sometimes by discriminating against them, by failing to treat them with dignity and respect, by allowing organisational structures to become a barrier to proper assessment of need and access to care, and because best evidence-based practice is not in place across important clinical areas.
This National Service Framework sets out a programme of action and reform to address these problems and deliver higher quality services to older people. There will be more consultants, nurses and therapists working for older people and better access to high-tech surgery and community equipment. New national standards will be put in place to modernise the NHS and social services and promote new ways of working."
369 references
Subject terms:
local authorities, older people, social services, standards, central government, falls, health authorities, health care;
The negative impact of falls and related injuries on older people and health and social care systems is clear. The NSF for Older People Standard 6 aims to prevent falls and reduce their impacts. This document provides guidance, primarily for commissioners, on how to implement that standard and achieve benefits for older people and health and social care systems. ree key elements of good practice in commissioning services to address falls and their impacts were identified: cost benefit analyses that make the case for investment; strategic commissioning is in itself a valuable tool in developing and sustaining effective services; interventions are most beneficial when targeted on those at risk, based on agreed assessment processes, and integrated in a falls strategy developed with the full range of local
The negative impact of falls and related injuries on older people and health and social care systems is clear. The NSF for Older People Standard 6 aims to prevent falls and reduce their impacts. This document provides guidance, primarily for commissioners, on how to implement that standard and achieve benefits for older people and health and social care systems. ree key elements of good practice in commissioning services to address falls and their impacts were identified: cost benefit analyses that make the case for investment; strategic commissioning is in itself a valuable tool in developing and sustaining effective services; interventions are most beneficial when targeted on those at risk, based on agreed assessment processes, and integrated in a falls strategy developed with the full range of local services.
Subject terms:
intervention, older people, prevention, risk, assessment, commissioning, diagnosis, falls, health needs;