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Charging for Residential Accommodation Guide (CRAG): in support of the National Assistance (Assessment of Resources) Regulations 1992 (S.I. 1992/2977)
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2014
- Pagination:
- 116
- Place of publication:
- London
This guidance is issued under Section 7(1) of the Local Authority Social Services Act 1970 which requires local authorities to exercise social services functions under guidance of Secretary of State. It provides statutory guidance to local authorities on how to interpret the regulations on charging for residential care. This updated version takes into account the changes to the Personal Expenses Allowance (PEA) introduced by virtue of SI. 2014 No. 582. (Edited publisher abstract)
The mandate: a mandate from the Government to NHS England: April 2014 to March 2015; presented to Parliament pursuant to Section 13A(1) of the National Health Service Act 2006
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2013
- Pagination:
- 31
- Place of publication:
- London
This Mandate reaffirms the government’s commitment to an NHS that remains available to all, based on clinical need and not ability to pay; and that is able to meet patients’ needs and expectations now and in the future. Specifically, it reflects the priority to transform NHS care provision for older people and those with complex needs. It is structured around five main areas where the government expects NHS England to make improvements: preventing people from dying prematurely; enhancing quality of life for people with long-term conditions; helping people to recover from episodes of ill health or following injury; ensuring that people have a positive experience of care; and treating and caring for people in a safe environment and protecting them from avoidable harm. Further sections of the Mandate cover: freeing the NHS to innovate; the broader role of the NHS in society; finance; and assessing progress and providing stability. (Edited publisher abstract)
End of life care strategy: promoting high quality care for all adults at the end of life: executive summary
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2008
- Pagination:
- 8p.
- Place of publication:
- London
The End of Life Care Strategy promotes high quality care for all adults approaching the end of life in England. Its aim is to provide people approaching the end of life with more choice about where they would like to live and die. It encompasses all adults with advanced, progressive illness and care given in all settings. It recommends a care pathway involving the following steps: identification of people approaching the end of life and initiating discussions about preferences for end of life care; care planning which includes assessing needs and preferences, agreeing a care plan to reflect these and reviewing these regularly; coordination of care; delivery of high quality services in all locations; management of the last days of life; care after death; and support for carers, both during a person’s illness and after their death. Ensuring that health and social care staff at all levels have the necessary knowledge, skills and attitudes related to care for the dying will be critical to the success of improving end of life care.
The impact of patient age on clinical decision-making in oncology
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2012
- Pagination:
- 44p.
- Place of publication:
- London
Providing all patients with high quality, timely treatment is a vital part of improving cancer outcomes. However, there are concerns that there may be under treatment of older people. This report sets out the results of a study investigating the extent to which age is a factor in oncology treatment decisions. A total of 301 oncologists and haematologists covering 6 countries and 5 different types of cancer were surveyed using a 30 minute online questionnaire. The questionnaire included 2 different approaches in which the clinicians were: shown a series of scenarios and asked to select treatment options; and asked a series of questions about what they thought would influence their treatment decisions. The study found a high level of consistency in the clinical attitudes observed in England and other countries. Clinicians do feel that age is an important factor to consider in patient decision-making alongside issues such as number and severity of comorbidities, and stage of cancer. Although the findings from the questions on clinical attitudes suggest that the major factor is the patient’s ability to tolerate the treatment side effects, the findings from the patient scenarios suggest that chronological age is a significant factor in determining the intensity of treatment. The report concludes that age may be used as a proxy for other factors in making recommendations on treatment and that this may lead to some patients receiving less intensive treatment, solely on the basis of their chronological age.
Telecare
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2009
- Pagination:
- 5p.
- Place of publication:
- London
This briefing paper outlines the role of telecare as a key component of the government’s strategy for older people's preventative services. It provides a clear overview of what telecare is, briefly describes different types of telecare available such as environmental sensors and security devices and how it can be used to support older people. Other assistive technologies such as telehealth and telemedicine are also briefly mentioned. Two short case studies are included which show how telecare was used enable two individuals to remain at home.
Charging arrangements for residential social care: consultation on issues concerning the current charging arrangements for residential social care
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2010
- Pagination:
- 12p.
- Place of publication:
- London
In 2006-07, a stakeholder group convened by the Department of Health to consider the residential charging arrangements raised a number of issues about the charging regulations and guidance. This consultation seeks views on 4 of these issues and specifically on potential amendments to the National Assistance (Assessment of Resources) Regulations 1992, the National Assistance (Residential Accommodation) (Additional Payments and Assessment of Resources) (Amendment) (England) Regulations 2001, the National Assistance (Residential Accommodation) (Relevant Contributions) (England) Regulations 2001 and the Charges for Residential Accommodation Guidance (CRAG). The consultation is about changes to the charging regulations regarding: the treatment of personal injury compensation, the treatment of single premium investment bonds, the introduction of a new disregard for pre-paid funeral plans, and deferred self top-ups during the 12 week property disregard. Responses are also sought regarding impact and equality impact of the proposals. The consultation document states that it is anticipated that these changes, on balance, will not have a significant impact on local authority budgets. The consultation period runs until 23 April 2010.
Personal care at home: a consultation on proposals for regulations and guidance
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2009
- Pagination:
- 35p.
- Place of publication:
- London
This document seeks views on the Government’s proposals for requiring councils in England with adult social services responsibilities (CASSRs) to provide personal care free of charge in certain circumstances to people with the highest needs. On 25 November, the Government introduced the Personal Care At Home Bill (“the Bill”) to enable this to happen. The consultation will last until 23rd February 2010, but the Department would welcome earlier responses, by 26th January.
Telecare: telecare services for older people
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2009
- Pagination:
- 5p.
- Place of publication:
- London
This briefing is part of the Department of Health's prevention package which aims to raise the focus on older people's prevention services and encourage their use. 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. The paper describes telecare as the use of electronic sensors and aids that make the home environment safer so that people can live at home independently for longer. A number of different types of telecare device are described, along with related assistive technologies. Two case studies are provided to show how telecare can support older people. There is some information about availability of telecare in the UK and links to websites that provide further information.
Falls and fractures: exercise training to prevent falls
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2009
- Pagination:
- 20p., bibliog.
- Place of publication:
- London
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.
Who cares?: information and support for the carers of people with dementia
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2007
- Pagination:
- 96p.
- Place of publication:
- London
- Edition:
- Rev. ed.
This booklet for carers gives information about dementia, caring for someone with dementia and the help available to carers. This edition has been developed with the valuable assistance of Help the Aged, Age Concern (England), the Alzheimer's Society, The Princess Royal Trust for Carers, Dementia Voice and the South London and Maudsley NHS Trust.