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Outcomes assessment for people with long-term neurological conditions: a qualitative approach to developing and testing a checklist in integrated care
- Authors:
- ASPINAL Fiona, et al
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2014
- Pagination:
- 4
- Place of publication:
- York
This study explores current approaches to service integration and the outcomes that people with long-term neurological conditions (LTNCs) want to achieve. People with LTNCs argue that receiving integrated services improves their quality of life. Three groups of outcomes were identified, with a focus on personal comfort, autonomy and social and economic participation. The outcomes were developed into a checklist for staff to use during their assessment of a client's needs. This report describes how the checklist changed the way five community-based neuro-rehabilitation teams work. It shows how teams working in an interdisciplinary way were better able to use the outcomes in their everyday practice while organisation and service-based pressures affected whether and how teams used the outcomes checklist. Developing and maintaining professional relationships is essential for successful integration but when organisations and services are restructured these relationships can become fragmented. People with LTNCs reported that the outcomes checklist covered the issues important to them. (Edited publisher abstract)
Safeguarding, safety and risk: scoping review 13
- Authors:
- BIRKSIS Yvonne, ASPINAL Fiona
- Publisher:
- NIHR School for Social Care Research
- Publication year:
- 2016
- Pagination:
- 17
- Place of publication:
- London
This review aims to redress a gap in the literature by exploring, through a scoping review of evidence, policy and guidance documents, the extent to which definitions, discussions and practice of safety and safeguarding across different care sectors are shared or may vary. The findings suggest that health and social care may use and understand the terms safety and safeguarding differently: safeguarding in health appears to centre on abuse and neglect, while in social care the wider understanding of keeping people safe appears to be held. Despite the volume of health and social care literature that discusses safety, safeguarding and risk separately, there was little work that explicitly acknowledged the lack of congruence about how they were understood in different service contexts or that attempted to explore them in the context of integrated care. In the light of the findings from this review, and as organisations and service provision become more integrated, the report argues that it is essential that: clear and shared understandings of ‘safety’, ‘safeguarding’ and ‘risk’ are developed and that these definitions have resonance and can be owned by health and social care organisations and practitioners alike; more work is undertaken to understand the management and assessment of risk in the context of integrated service provision; shared and clear strategies are developed to help apply core principles for professional and organisational learning across different care environments; and the implications for a new agenda of personalisation of care in relation to risk and governance are explored. (Edited publisher abstract)