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Top tips for Directors: commissioning and arranging home care services
- Author:
- ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2013
- Pagination:
- 4
- Place of publication:
- London
This briefing provides advice for Directors of Adult Social Services on commissioning home care and domiciliary care service provision. It highlights key points in the following areas: putting people who uses services at the heart of services; political engagement; ensuring robust processes around care management; effective commissioning processes; and maintaining good partnership approaches with providers. It aims to ensure that Councils provide high quality care, despite current funding reductions. (Original abstract)
How can we recruit and retain sufficient domiciliary care workers to meet future demand?
- Author:
- CENTRE FOR WORKFORCE INTELLIGENCE
- Publishers:
- Centre for Workforce Intelligence, Horizon Scanning
- Publication year:
- 2013
- Pagination:
- 4
- Place of publication:
- London
Increasing numbers of people are arranging the own care and support. Meeting the challenges of an ageing population, future demand, and the personalisation agenda may involve the expansion of domiciliary care. This briefing explores domiciliary care today. It looks at projections for expanding community care, the difficulties around recruitment and retention of this workforce, and domiciliary care in the private sector. (Edited publisher abstract)
Fairer charging policies for home care and other non-residential social services: guidance for councils with social services responsibilities
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2013
- Pagination:
- 37
- Place of publication:
- London
Updates the Fairer Charging Policies for Home Care and other non-residential social services guidance. The guidance aims to help local councils which decide to charge for any non-residential services to design reasonable and fair charging policies. It seeks to ensure greater consistency in charging policies. (Edited publisher abstract)
Living in liminality: being simultaneously visible and invisible: caregivers' narratives of palliative care
- Authors:
- LYCKHAGE Elisabeth Dahlborg, LINDAHL Berit
- Journal article citation:
- Journal of Social Work in End-of-Life and Palliative Care, 9(4), 2013, pp.272-288.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
Palliative care is an integral part of care and takes place in many settings, including the home, special accommodations, and hospitals. However, research shows that palliative care often ends with a death in the hospital due to the heavy burden on the primary caregiver. This study explores the meaning of being the primary caregiver of a close one who is terminally ill and is based on qualitative interviews with six primary caregivers of a terminally ill individual at home. The findings are discussed in the light of the theoretical concepts of liminality, lived body, and power. A potential impending risk exists of being abandoned when one is the primary caregiver to a close one who is terminally ill. This situation calls for professional caregivers to take responsibility and to respond to these, often unspoken, needs. This is particularly important concerning bodily care and the medical treatment regimen. In addition, when friends and relatives are absent, there is an ethical demand on professional caregivers to compensate for this lack and to compensate for this need. Palliative home care demands care that is person-centered, including the individual's history, family and loved ones, and individual strengths and weaknesses. (Publisher abstract)
Ending 15-minute care
- Author:
- LEONARD CHESHIRE DISABILITY
- Publisher:
- Leonard Cheshire Disability
- Publication year:
- 2013
- Pagination:
- 15
- Place of publication:
- London
Leonard Cheshire Disability's research into the public's views on home care visitis used a ComRes poll of 2,025 British adults conducted between 6 and 8 September 2013. This survey found that 96% of those expressing an opinion agree that disabled or older people have the right to receive social care visits that allow for enough time for care workers to give the appropriate support to do everyday things. Of those who expressed an opinion, 67% of people disagree that 15-minute care visits are an effective way of providing social care. This report also presents findings from Freedom of Information requests to local authorities; and based on the 63 responses that said how many 15-minute visits they delivered, 60% now commission such visits. Care workers themselves raised concerns about the impact 15-minute visits on their clients' quality of life. The report notes that the Care Bill currently going through Parliament provides an opportunity to end this practice. (Original abstract)
Professional standards for homecare services in England
- Author:
- ROYAL PHARMACEUTICAL SOCIETY
- Publisher:
- Royal Pharmaceutical Society
- Publication year:
- 2013
- Pagination:
- 34
- Place of publication:
- London
The purpose of the homecare medicines service is to improve patient care and choice of clinical treatment. Development of these professional standards for homecare services has been led by the Homecare Standards Workgroup, overseen by the Department of Health Homecare Strategy Board, and hosted by the Royal Pharmaceutical Society. These standards represent quality pharmacy-led services across the full range of homecare services. Each standard is defined by dimensions and sub-dimensions. For each dimension and sub-dimension, statements describe what a quality homecare service should deliver. The ten standards are linked, so there may be overlap between the different sections. Standard 1: Patient engagement; Standard 2. Episode of care; Standard 3. Integrated care; Standard 4. Effective use of homecare medicines; Standard 5. Homecare medicines expertise; Standard 6. Safe use of homecare medicines; Standard 7. Supply of homecare medicines; Standard 8. Leadership; Standard 9. Governance and financial management; and Standard 10. Workforce. These standards will help patients experience a consistent quality of homecare services, irrespective of homecare provider, that will protect them from incidents of avoidable harm and help them to get the best outcomes from their medicines. . (Edited publisher abstract)
Healthcare providers' intentions to engage in an interprofessional approach to shared decision-making in home care programs: a mixed methods study
- Authors:
- LEGARE France, et al
- Journal article citation:
- Journal of Interprofessional Care, 27(3), 2013, pp.214-222.
- Publisher:
- Taylor and Francis
In an interprofessional approach to shared decision-making (IP-SDM), an interprofessional team collaborates in identifying best options and helps patients determine their preferences, enabling them to take more control over the treatment plan. However, little is known about fostering IP-SDM in Canada's healthcare system. To evaluate health professionals' intentions to engage in IP-SDM in home care a total of 272 eligible home care providers completed a questionnaire based on the theory of planned behavior. The healthcare providers included unlicensed home support workers, nurses, social workers, occupational therapists, and physiotherapists. Eight managers and one healthcare team caring for the frail elderly were interviewed about possible barriers and facilitators. Analysis involved descriptive statistics and multivariate analysis of quantitative data and content analysis of qualitative data. On a scale of − 3 (strongly disagree) to +3 (strongly agree), the mean intention to engage in IP-SDM was positive (1.42 ± 1.39). The intention was influenced by the following theory-based determinants: i.e. cognitive attitude, subjective norm, and perceived behavioral control, with variations depending on the type of provider. Barriers included lack of time, poor team cohesion and high staff turnover. Facilitators included team cohesion and shared tools. Future programs implementing IP-SDM could address these barriers and facilitators. (Edited publisher abstract)
Guidance on human rights for commissioners of home care
- Author:
- EQUALITY AND HUMAN RIGHTS COMMISSION
- Publisher:
- Equality and Human Rights Commission
- Publication year:
- 2013
- Pagination:
- 40
This guide has been written in collaboration with the Association of Directors of Adult Social Services (ADASS), the United Kingdom Homecare Association (UKHCA) and the British Institute of Human Rights (BIHR). It aims to help local authority elected members and staff who are involved in the commissioning and procurement of home care to better understand their obligations under the Human Rights Act 1998 (the HRA). It is also relevant to those with an interest in home care, including care providers, regulators, service users, their friends and families. The five key messages in this guidance are that: the Act is the law; it is practical and accountable; it concerns quality and efficiency; it supports other duties and initiatives; and is about familiar shared values. The guide draws attention to the FREDA principles underlying the Act: fairness, respect, equality, dignity and autonomy. A separate guide entitled 'Your home care and human rights' has been produced specifically for home care service users. (Original abstract)
Commitment to care: a grounded theory of informal hospice caregivers’ development as symptom managers
- Author:
- WASHINGTON Karla
- Journal article citation:
- Qualitative Social Work, 12(3), 2013, pp.358-371.
- Publisher:
- Sage
Individuals receiving home-based hospice services often rely upon family members and friends to serve as informal caregivers responsible for managing the full range of emotional, psychological, spiritual, and physical symptoms. The purpose of this in-depth, grounded theory study was to develop a theoretical model of the processes by which informal hospice caregivers, who often lack formal training, acquire knowledge and skills related to symptom management. Findings were derived from data collected from 15 hospice caregivers who participated in at least one interview. Seven of the 15 participants also participated in a follow-up interview. Findings indicate that, motivated by a commitment to care, caregivers seek competence in symptom management by learning/doing, consulting with professionals, and personalizing their caregiving approach. The ongoing nature of the development of symptom management knowledge and skills provides multiple opportunities for intervention by hospice social workers and other members of the interdisciplinary team. (Edited publisher abstract)
Domiciliary care services for adults in Northern Ireland (2013)
- Author:
- NORTHERN IRELAND. Department of Health, Social Services and Public Safety
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2013
- Pagination:
- 37
- Place of publication:
- Belfast
This statistical report summarises information collected from Health and Social Care (HSC) Trusts on adults receiving domiciliary care services from the statutory and independent sectors during the survey week 15th - 21st September 2013. It details information on the numbers of clients receiving domiciliary care, visits, contact hours and intensive domiciliary care provision. (Edited publisher abstract)