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Part of the problem or part of the solution? The role of care homes in tackling delayed hospital discharges
- Authors:
- GLASBY Jon, HENWOOD Melanie
- Journal article citation:
- British Journal of Social Work, 37(2), February 2007, pp.299-312.
- Publisher:
- Oxford University Press
As part of current UK policies to reduce the number of delayed hospital discharges, a number of commentators have identified an alleged crisis in the care home market as one of key contributing factors. With local authorities under pressure to cut costs, it is argued, the number of care homes is reducing, and delays in hospital can often result. Behind this diagnosis is a series of assumptions about the role and nature of care home provision, the appropriateness of this form of service for many older people, and the need for more care homes to reduce the number of hospital delays. In order to explore and critique these assumptions, this paper reviews the role of care homes in tackling delayed discharges, and argues the need for fewer and different care home placements rather than more of this type of provision.
Older carers and carers of people with dementia: improving and developing effective support
- Authors:
- LARKIN Mary, HENWOOD Melanie, MILNE Alisoun
- Journal article citation:
- Social Policy and Society, 21(2), 2022, pp.242-256.
- Publisher:
- Cambridge University Press
The policy drive to support carers is a longstanding national and international priority. Research about the design and delivery of support for carers is critical to the underpinning evidence base. Through a timely exploration of a third sector perspective, the UK-based study discussed in this article provides insights into approaches to, and the commissioning of, support for older carers and carers of people with dementia. The study highlights the importance of: embedding carers' perspectives in service developments; the provision of both generic and targeted support which adopts a nuanced and tailored approach; titrating the delivery of information and advice at a pace to match carers' needs; capturing quantitative and qualitative dimensions in service evaluation; and increased quantity and longevity of funding. Such insights not only complement existing research but are also generalisable to other countries at a similar stage in the development of carer support. (Edited publisher abstract)
Early days for Popp schemes
- Author:
- HENWOOD Melanie
- Journal article citation:
- Community Care, 8.11.07, 2007, pp.34-35.
- Publisher:
- Reed Business Information
The author reviews interim findings of the Department of Health's Partnership for Older People Projects (POPP). Twenty-nine local authority-led projects have been funded to deliver and evaluate innovative schemes for older people. The central objective is to target early interventions in the community in order to promote independence, health and well-being for older people and to prevent or delay the need for residential alternatives.
Path to independence?
- Authors:
- HUDSON Bob, HENWOOD Melanie
- Journal article citation:
- Community Care, 9.11.06, 2006, pp.34-35.
- Publisher:
- Reed Business Information
Cash payments to individuals to purchase their own care are now a key element of government policy, but various programmes have grown in an uncoordinated manner. These include direct payments, Independent Living Fund and individual budget pilots). The author calls for greater coherence across the schemes. This article identifies several key dilemmas that will need to be addressed in any process of rationalisation.
Exemplar models and support for older carers and carers of people with dementia: informing commissioning
- Authors:
- HENWOOD Melanie, LARKIN Mary, MILNE Alisoun
- Publisher:
- Melanie Henwood Associates
- Publication year:
- 2018
- Pagination:
- 78
This scoping report identifies models of support for older carers and carers of people with dementia. The report was commissioned by NHS England in support of its Commitment to Carers programme. The scoping carried out a review of the literature and also identified examples from the third sector using an online survey and interviews. The results found the most frequently identified models of support related to peer support and befriending, educational/coping support and resilience development. High proportions of responding organisations indicated that they were also providing support for carers in BAME and LGBT communities, though largely indicative of an inclusive approach to services rather than responding to specific needs. Specific models of support for carers of people with younger onset dementia were relatively absent. The analysis focuses on the main cross-cutting themes, and in particular these concerned: information and practical help (including sub-themes of: beyond diagnosis; signposting; locally based community support; respite; carer hubs, and dementia hubs); relationships (including sub-themes of: peer support; co-dependency; and organisational relationships); model development (including contracts and tendering), and outcomes. The report identifies areas that offer the most promising directions for future development are: building carer resilience; reducing carer isolation and loneliness; living a life beyond diagnosis; reimagining respite; and space and scope to expand. (Edited publisher abstract)
Improving support for self-funders
- Author:
- HENWOOD Melanie
- Journal article citation:
- Community Care, 4.6.09, 2009, pp.28-29.
- Publisher:
- Reed Business Information
Reports on two studies which examine what happens to people who are self-funding and whether they are offered an assessment of their needs; and what information is provided about sources of help and advocacy. The study by IDeA found thinking and advice are developing rapidly, whilst the study by the Relatives Association explored the difficulties encountered by people once they, or their relatives, had decided to go into residential care.
Aspirations in older age
- Author:
- HENWOOD Melanie
- Journal article citation:
- Community Care, 24.05.07, 2007, p.38,40.
- Publisher:
- Reed Business Information
The author examines the findings of two studies. The first looks at older people's needs and resources, focusing particularly on poverty and hardship in later life. The second study looked at how older people use and value their resources, and how they plan for retirement and for later life.
Effective partnership working: a case study of hospital discharge
- Author:
- HENWOOD Melanie
- Journal article citation:
- Health and Social Care in the Community, 14(5), September 2006, pp.400-407.
- Publisher:
- Wiley
This paper examines partnership working between health and social care by exploring the specific issues which this case study of hospital discharge provides. The analysis highlights the importance of understanding the dynamics of partnership working on the ground. It also underlines the need for a new relationship between central government and local agencies when old-style models of command and control are no longer fit for purpose. A new approach is required that addresses the complex and multiple relationships which characterise the new partnership agenda.