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Mitigating the impact of the ‘silos’ between the disability and aged-care sectors in Australia: development of a best practice framework
- Authors:
- HUSSAIN Rafat, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 34(6), 2021, pp.1477-1488.
- Publisher:
- Wiley
Background: Although a ‘person-centred focus’ is a legislated objective for both aged-care and disability services sectors in Australia, evidence suggests limited translation into systems and practices due to entrenched silos. This paper proposes a Best Practice Framework to mitigate these silos. Methods: Mixed-methods research comprising key informant interviews with major stakeholders across both sectors; a survey of people with/without intellectual disability aged 60+ years; qualitative in-depth interviews; and survey of health professionals. Results: There is an urgent need to develop inter-sectoral ‘integrated care systems’. Key components include choice in accommodation; regular assessment of health and well-being indicators; development and adoption of nationally consistent policies/standards across integrated aged- and disability-care sectors; improved strategies for workforce planning; and upskilling of existing staff including place-based collaboration. Conclusions: An integrated service model requires collaboration on broader public policy instruments, appropriate planning and resourcing. A strategic shift is required to ensure better quality person-centred support systems. (Edited publisher abstract)
The experiences of older carers of people with learning disabilities: “I just carry on with it"
- Author:
- FORRESTER-JONES Rachel
- Journal article citation:
- Tizard Learning Disability Review, 26(1), 2021, pp.48-57.
- Publisher:
- Emerald
Purpose: Because people with learning disabilities (LD) are living longer, their family carers are likely to continue their caring role for longer. This study aims to explore the experiences of older carers of people with LD. Design/methodology/approach: In total, 16 interviews with older carers were carried out and analysed qualitatively. Findings: Three main themes emerged from the data: “transition to retirement is a misnomer”; “impact of caring role”; and “fears for the future”. Originality/value: Previous studies have not focussed on the specific experiences of “older” carers and their situation risks going unnoticed. Their experiences should be acknowledged by services and society and meaningful support provided. (Edited publisher abstract)
Care home census for adults in Scotland statistics for 2009-2019
- Author:
- Public Health Scotland
- Publisher:
- Public Health Scotland
- Publication year:
- 2020
- Pagination:
- 44
- Place of publication:
- Glasgow
This release provides information from the annual Care Home Census for Adults in Scotland on the numbers of care homes, registered places, residents, admissions and discharges. In relation to all care homes for adults the data shows that: at 31 March 2019, there were 1,102 care homes for adults and 41,032 registered places – these are a 22% and 5% decrease since 31 March 2009, respectively; there were an estimated 35,630 residents aged 18 years and over in care homes – a 5% decrease since 31 March 2009; from 31 March 2009 to 31 March 2019, the estimated percentage occupancy increased slightly, from 86% to 87%; on 31 March 2019, residents in care homes for older people accounted for 91% of residents in all care homes for adults. Main points relating to care homes for older people include: at 31 March 2019, there were an estimated 30,914 long stay residents in care homes for older people – a reduction of 4% since 31 March 2009 (32,226); and there were 1,531 residents in a care home for these purposes – an increase of 49% compared with 31 March 2009 (1,029). In relation to care homes for learning disabilities, mental health problems, and physical and sensory impairment the data shows that: on 31 March 2019, there were 159 care homes for learning disabilities providing 1,587 places, 55 care homes for mental health problems providing 978 places, and 41 care homes for physical and sensory impairment providing 666 places; the estimated percentage occupancy in care homes for learning disabilities was 89%, and was 92% in care homes for mental health problems, and physical and sensory impairment. (Edited publisher abstract)
Reforming the legal framework for adult safeguarding: the Law Commission's final recommendations on adult social care
- Author:
- SPENCER-LANE Tim
- Journal article citation:
- Journal of Adult Protection, 13(5), 2011, pp.275-284.
- Publisher:
- Emerald
The Law Commissions review of adult social care law was announced in 2008, followed by the publication of a scoping report, a consultation paper, and a consultation analysis. This paper outlines the Law Commission's final recommendations for the reform of adult social care, with a particular emphasis on the recommendations for a new legal framework for adult safeguarding in England and Wales. The paper examines each of the Law Commission's recommendations for adult safeguarding and contrasts them with the proposals put forward at the consultation phase of the review. It argues that a single legal framework for adult social care, including adult safeguarding, with have substantial benefits in terms of legal clarity, consistency and efficiency. In conclusion, the author suggests that a clear and single legal framework is important for older and disabled people in order to fully understand their entitlements, and for local authorities and partnership agencies to understand their responsibilities.
The state of the nation: June 2022
- Author:
- ACCESS SOCIAL CARE
- Publisher:
- Access Social Care
- Publication year:
- 2022
- Pagination:
- 35
- Place of publication:
- Coventry
This second State of the Nation report explores the increasing need that people have for social care advice, highlights the external factors which may have driven some of this increased need, and details the complexities of some of the issues that those in need are now facing. The report draws together over 74,000 separate data points through a bespoke processing pipeline. We have matched over 1,200 separate organisational data categories to a set of harmonised group categories ('universal themes'). These universal themes match similar group member queries into one category, allowing us to derive greater collective insight across the sector. We categorise member data into group types: 'carers', 'older people', 'sensory disability' and 'learning disability'. We explore key social care trends, investigate the changing pattern of advice provision and detail some examples of the impact this has had on people with social care needs and their families. We observe an unprecedented level of advice provision over and above what we reported in our 2021 State of the Nation report. People continue to struggle in accessing care and support and the increases in advice provision in many of our universal theme areas are stark. Key findings include: our members have provided advice on more social care advice queries in the year 2021/22 compared to 2019/20, a rise of 74%; our members processed 88% more enquiries that were identified as needing specialist legal advice in the year 2021/22 compared to 2019/20; the number of enquiries about social care needs assessments has risen by 229% in the year 2021/22 compared to 2019/20; the number of people contacting our members about problems or concerns about existing social care and support rose by 43% in the year 2021/22 compared to 2019/20. (Edited publisher abstract)
Care home census for adults in Scotland statistics for 2011-2021
- Author:
- Public Health Scotland
- Publisher:
- Public Health Scotland
- Publication year:
- 2021
- Pagination:
- 43
- Place of publication:
- Glasgow
This release provides information from the annual Care Home Census for Adults in Scotland on the numbers of care homes, registered places, residents, admissions and discharges. Data are presented at Scotland and at Local Authority level, and cover the period from 2010/11 to 2020/21, excluding the year 2019/20. On 31 March 2021, there were 1,069 care homes for adults and 40,632 registered places – 20% and 5% fewer, respectively, compared with 31 March 2011. On 31 March 2021, there were an estimated 33,353 residents aged 18 years and over in care homes – 11% fewer than 31 March 2011 (37,511). The estimated percentage occupancy on 31 March 2021 was 82%, compared with 88% on 31 March 2011. On 31 March 2021, there were an estimated 29,317 long stay residents in care homes for older people. Of these, an estimated 18,831 (64%) had dementia (either medically or non-medically diagnosed). Most care home provision is delivered by the private sector. The estimated number of residents in private sector care homes for older people decreased by 1,264 (5%) between 31 March 2011 and 31 March 2021. Over the same time period, the estimated number of residents decreased by 610 (19%) in the voluntary or not for profit sector, and by 1,269 (29%) in the Local Authority/Health Board sector. The estimated number of admissions by long stay residents to care homes for older people increased slightly (2%) in 2020/21, compared to 2018/19. For short stay and respite admissions, numbers declined sharply over the same time period by 20% and 68%, respectively, likely due to the impact of COVID-19. On 31 March 2021, there were 157 care homes for learning disabilities providing 1,542 places, 52 care homes for mental health problems providing 930 places, and 36 care homes for physical and sensory impairment providing 600 places. (Edited publisher abstract)
Robotics in care: a moment of opportunity: how robotic technology can transform global social care delivery
- Author:
- PA CONSULTING GROUP
- Publisher:
- PA Consulting Group
- Publication year:
- 2020
- Pagination:
- 23
- Place of publication:
- London
This report explores how robotic technology offers an opportunity to transform social care in the wake of COVID-19. The pandemic has raised the prominence of technology in care, meaning many workers now have direct experience of how it can help them do their jobs better, faster and with reduced risk. The report argues that now is the time to rethink and reset traditional care service delivery and leaders must adopt a bolder, more ambitious approach to trialling and deploying robotic technologies to help meet the social care needs of vulnerable residents beyond the crisis. The range of technologies available to leaders includes: collaborative robots (‘cobots’) – designed to be used in conjunction with human; semi-humanoid robots – smart robots with human-like characteristics to facilitate social interaction with people living with dementia or Asperger’s; robotic animals – which can serve as companions to people living with dementia or learning disabilities; digital assistants – voice-controlled devices and services that support people with care needs at home; medicine robots – automated medicine dispensers; and automated call services – to check on vulnerable people, helping local authorities remain in touch and respond sooner when a need emerges. The report describes three practical steps leaders can take to capitalise on robotic technology in earnest: define your strategy based on human outcomes; trial technologies with the aim of deploying at scale; and collaborate with the wider social care ecosystem. (Edited publisher abstract)
Statistics on community care for adults in Northern Ireland 2017/18
- Author:
- NORTHERN IRELAND. Department of Health. Community Information Branch
- Publisher:
- Northern Ireland. Department of Health. Community Information Branch
- Publication year:
- 2018
- Pagination:
- 93
- Place of publication:
- Belfast
Statistical information on community care services gathered from health and social care (HSC) trusts. It includes details of contacts with HSC trusts, the number of care packages in effect, number of people in receipt of meals on wheels services, residential and nursing accommodation and day care registrations. It reports that between 1 April 2017 and 31 March 2018, 29,228 people in the Elderly Care, Learning Disability and Physical & Sensory Disability were in contact with HSC Trusts in Northern Ireland. (Edited publisher abstract)
Statistics on Community Care for Adults in Northern Ireland 2016 - 2017
- Author:
- NORTHERN IRELAND. Department of Health. Community Information Branch
- Publisher:
- Northern Ireland. Department of Health. Community Information Branch
- Publication year:
- 2017
- Pagination:
- 92
- Place of publication:
- Belfast
Statistical information on community care services gathered from health and social care (HSC) trusts. It includes details of contacts with HSC trusts, care packages in effect, meals on wheels services, residential and nursing accommodation and day care registrations. It reports that between 1 April 2016 and 31 March 2017, 28,653 people in the Elderly Care, Learning Disability and Physical and Sensory Disability POC’s were in contact with HSC Trusts. As at 30 June 2017, there were 5,238 residential places available, a 1 per cent increase from the previous year. Of these 59 per cent were in independent residential homes, while 21 per cent were in statutory residential homes and 20 per cent in dual registered nursing homes. (Edited publisher abstract)
Co-producing technology: harnessing digital solutions for social care
- Authors:
- VOLUNTARY ORGANISATIONS DISABILITY GROUP, NATIONAL CARE FORUM
- Publisher:
- Voluntary Organisations Disability Group
- Publication year:
- 2017
- Pagination:
- 18
- Place of publication:
- London
This paper explores ways in which people who use services can contribute to the design of successful digital solutions and how these solutions are changing the way that social care and health services are being delivered. The paper provides examples good practice covering three perspectives. The locality perspective shows how Leeds is using technology to support the health and wellbeing of older and disabled people. Through a “smart city” approach it is looking at how to use data to deliver a more coordinated approach to health and social care. The integration perspective describes how technology is being used in the vanguard sites to support the integration health and social care in the vanguard sites. The practitioner perspective describes how Camphill Village Trust have invested in their own app to support people with learning disabilities to develop the skills and confidence to use social media safely. The report identifies key messages from the examples that can help to help maximise the benefits of technology. These include: the importance of user engagement and co-production; leadership that promotes co-production and champions technology; and the need to consider the benefits of digital technology for older and disabled people, who often have the most to gain from the technology. (Edited publisher abstract)