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.
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;
What happens during the discharge process is a key part of patients’ experiences of hospital care. Whether patients are admitted for elective care or as an emergency, they want to know how long they are likely to stay in hospital. Information about their treatment and when they can expect to be discharged helps them to feel involved in decisions and motivated in achieving goals towards recovery. It also helps them to make plans for their own discharge. In the latest Healthcare Commission National Patient Survey (2004) patients identify delays in the day of discharge home from hospital as a key area where standards can be improved. This toolkit, focuses on the practical steps that health and social care professionals can take to improve discharge. It supports members of the multi-disciplinary team by providing practical advice, factsheets and case studies. The toolkit has been designed and tested with practitioners in the field and is grounded in the reality of day to day practice. At least 80% of patients discharged from hospital can be classified as simple discharges: they are discharged to their own home and have simple ongoing health care needs which can be met without complex planning. Changing the way in which discharge occurs for this large group of patients will have a major impact on patient flow and effective use of the bed capacity. It can mean the difference between a system where patients experience long delays or one where delays are minimal, with patients fully informed about when they will be able to leave hospital.The Department of Health has also launched checklists that will contribute to more effective discharge as part of a total approach to improving bed management and flow of patients into and out of hospital.
What happens during the discharge process is a key part of patients’ experiences of hospital care. Whether patients are admitted for elective care or as an emergency, they want to know how long they are likely to stay in hospital. Information about their treatment and when they can expect to be discharged helps them to feel involved in decisions and motivated in achieving goals towards recovery. It also helps them to make plans for their own discharge. In the latest Healthcare Commission National Patient Survey (2004) patients identify delays in the day of discharge home from hospital as a key area where standards can be improved. This toolkit, focuses on the practical steps that health and social care professionals can take to improve discharge. It supports members of the multi-disciplinary team by providing practical advice, factsheets and case studies. The toolkit has been designed and tested with practitioners in the field and is grounded in the reality of day to day practice. At least 80% of patients discharged from hospital can be classified as simple discharges: they are discharged to their own home and have simple ongoing health care needs which can be met without complex planning. Changing the way in which discharge occurs for this large group of patients will have a major impact on patient flow and effective use of the bed capacity. It can mean the difference between a system where patients experience long delays or one where delays are minimal, with patients fully informed about when they will be able to leave hospital.The Department of Health has also launched checklists that will contribute to more effective discharge as part of a total approach to improving bed management and flow of patients into and out of hospital.
Subject terms:
hospital social workers, multidisciplinary services, older people, patients, hospital discharge, primary care, staff, cost effectiveness, multidisciplinary teams;
While broad in scope, these standards acknowledge the unique and complex needs of individuals, and the additional specific knowledge, and skills required in order to deliver a service that is tailored to the needs of each person. With the emphasis on caring for people with complex health and personal care needs living in their own home instead of in residential or nursing homes or long stay hospitals, the provision of personal domiciliary care services is evolving rapidly and reflects changes at the interface between health and social care. These standards will be applied to agencies providing personal care to the wide range of people who need care and support whilst living in their own home, including: older people, people with physical disabilities, people with sensory loss including dual sensory impairment, people with mental health problems, people with learning disabilities, children and their families, and personal or family carers.
While broad in scope, these standards acknowledge the unique and complex needs of individuals, and the additional specific knowledge, and skills required in order to deliver a service that is tailored to the needs of each person. With the emphasis on caring for people with complex health and personal care needs living in their own home instead of in residential or nursing homes or long stay hospitals, the provision of personal domiciliary care services is evolving rapidly and reflects changes at the interface between health and social care. These standards will be applied to agencies providing personal care to the wide range of people who need care and support whilst living in their own home, including: older people, people with physical disabilities, people with sensory loss including dual sensory impairment, people with mental health problems, people with learning disabilities, children and their families, and personal or family carers.
Subject terms:
home care, learning disabilities, mental health problems, older people, physical disabilities, social welfare law, social care provision, standards, carers, health care;
This is the first version of a tool designed to help those responsible for commissioning or delivering services at a local level to compare patterns of treatment at different ages with those in other areas. The tool displays comparative information on treatment rates at different ages, and on the balance between treatment rates for different age groups. The aim is to assist local consideration of how far local practice achieves National Service Framework (NSF) for Older People standard one. The tool is intended to complement and not replace other local action on this standard.
This is the first version of a tool designed to help those responsible for commissioning or delivering services at a local level to compare patterns of treatment at different ages with those in other areas. The tool displays comparative information on treatment rates at different ages, and on the balance between treatment rates for different age groups. The aim is to assist local consideration of how far local practice achieves National Service Framework (NSF) for Older People standard one. The tool is intended to complement and not replace other local action on this standard.
Subject terms:
information management, older people, standards, access to services, age discrimination, ageing, community care, commissioning, Department of Health, equal opportunities;
This document contains a statement of national minimum standards published by the Secretary of State under section 23(1) of the Care Standards Act 2000. The statement is applicable to care homes (as defined by section 3 of that Act) which provide accommodation, together with nursing or personal care, for older people. Each standard is, for explanatory purposes only, preceded by a title and an indication of the intended outcome in relation to that standard. The standards are grouped under the following key topics, which highlight aspects of individuals' lives identified during the stakeholder consultation as most important to service users: choice of home; health and personal care; daily life and social activities; complaints and protection; environment; staffing, management and administration.
This document contains a statement of national minimum standards published by the Secretary of State under section 23(1) of the Care Standards Act 2000. The statement is applicable to care homes (as defined by section 3 of that Act) which provide accommodation, together with nursing or personal care, for older people. Each standard is, for explanatory purposes only, preceded by a title and an indication of the intended outcome in relation to that standard. The standards are grouped under the following key topics, which highlight aspects of individuals' lives identified during the stakeholder consultation as most important to service users: choice of home; health and personal care; daily life and social activities; complaints and protection; environment; staffing, management and administration.
Subject terms:
management, older people, regulation, residential care, service users, social welfare law, standards, activities of daily living, carers, building design, care homes, complaints, consultation, Department of Health;
This report took as its basis the current clinical evidence for stroke services, set out within the Intercollegiate Working Party for Stroke national clinical guidelines published by the Royal College of Physicians. These guidelines are reflected in the National Service Framework (NSF). The NSF stroke standard translates the guidelines and further evidence based practice into a four year plan and concludes with an expectation that every person who has a stroke will be seen by a specialist stroke team and have access to a specialist stroke service by 2004.
This report took as its basis the current clinical evidence for stroke services, set out within the Intercollegiate Working Party for Stroke national clinical guidelines published by the Royal College of Physicians. These guidelines are reflected in the National Service Framework (NSF). The NSF stroke standard translates the guidelines and further evidence based practice into a four year plan and concludes with an expectation that every person who has a stroke will be seen by a specialist stroke team and have access to a specialist stroke service by 2004.
Subject terms:
information technology, interagency cooperation, management, older people, stroke, staff management, standards, evidence-based practice, health care, health needs, health professionals;
This document contains a statement of national minimum standards published by the Secretary of State for Health under section 23(1) of the Care Standards Act 2000. The statement is applicable to care homes (as defined by section 3 of the Act) which provide accommodation, together with nursing or personal care, for older people. Contains standards on: choice of home; health and personal care; daily life and social activities; complaints and protection; environment; staffing; and management and administration.
This document contains a statement of national minimum standards published by the Secretary of State for Health under section 23(1) of the Care Standards Act 2000. The statement is applicable to care homes (as defined by section 3 of the Act) which provide accommodation, together with nursing or personal care, for older people. Contains standards on: choice of home; health and personal care; daily life and social activities; complaints and protection; environment; staffing; and management and administration.
Subject terms:
leisure, management, nursing homes, older people, quality of life, residential care, staff, staff management, standards, care homes, complaints, health care;