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Inquiry into winter preparedness 2016/17
- Author:
- WALES. National Assembly. Communities and Culture Committee
- Publisher:
- Wales. National Assembly for Wales Commission
- Publication year:
- 2016
- Pagination:
- 48
- Place of publication:
- Cardiff
This report examines the current pressures facing unscheduled care services, and how well prepared the Welsh NHS and social services are for winter 2016/17; whether there has been sufficient progress in alleviating pressures on unscheduled care through integrated winter planning across health, social and ambulance services, and lessons learned; and the actions needed to produce sustainable improvements to urgent and emergency care services, and the whole system, ensuring the Welsh NHS builds resilience to seasonal demand and to improve the position for the future. The report sets out key findings on: performance target statistics; general preparedness and service integration; the level of demand on services; service capacity and workforce; discharge from hospital; and service models for managing unscheduled care and tackling winter pressures. The evidence submitted offers a mixed view on the level of preparedness for winter 2016-17, with some organisations indicating that appropriate measures had been taken while others suggested that service were stretched and relatively unprepared. The report contends that the main focus seems to be on preparing the health service for the pressures of winter, with more limited attention paid to the social care aspect, failing to adequately recognise the crucial role of the social care sector, both in terms of preventing hospital admissions over the winter period, particularly for older people, and in enabling those in hospital to move on at the appropriate point. The report makes a number of recommendations, including promoting greater integration of the health and social care sectors, both in the planning and delivery of services and undertaking market analysis of the domiciliary and care home sector to provide a clear picture of the capacity, sustainability and financial resilience of the sector. (Edited publisher abstract)
Practitioners’ perspectives on choice for older spousal caregivers in rural areas
- Authors:
- CASH Belinda, HODGKIN Suzanne, WARBURTON Jeni
- Journal article citation:
- Australian Social Work, 69(3), 2016, pp.283-296.
- Publisher:
- Taylor and Francis
Recent shifts toward individual choice and consumer-directed practices largely conflict with traditional expectations of familial obligation and informal caregiving. The research reported on in this paper aimed to understand how practitioners’ perspectives of spousal caregiving obligations impact on choice in rural communities. Seven focus groups were conducted in rural and outer regional areas of North East Victoria, comprising 42 practitioners who work with older couples who reside in the community. Thematic analysis revealed practitioners’ personal values and constraints of the direct practice environment impact on the experience of choice for older Australians. This discussion considers the problematic nature of choice in policy and practice for older people and their caregivers in light of these findings. (Publisher abstract)
Working together to reduce harm: delivery plan (2016-18): consultation document
- Author:
- WALES. Welsh Government
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2016
- Pagination:
- 30
- Place of publication:
- Cardiff
Sets out how the Welsh Government, the NHS and other organisations will tackle the impact of substance misuse, including continuing to reduce the number of drug and alcohol-related deaths. The new plan focuses on a number of key measures, including raising awareness of the potentially lethal consequences of using new psychoactive substances more commonly known as ‘legal highs’, steroid and image enhancing drugs and risky drinking behaviours by older people. The plan also sets out measures to reduce the stigma of those looking for help with their substance misuse issues. It covers initiatives to: reduce the inappropriate use of prescription-only medicines and over-the-counter medicines; reduce the transmission of blood borne viruses among people with substance misuse issues; ensure appropriate referrals are made quickly to substance misuse services from primary and secondary care services and other relevant professionals; ensure people with alcohol-related brain damage are supported effectively; prevent homelessness and help people with substance misuse problems sustain tenancies; ensure substance misuse co-occurring with mental health problems is managed effectively; increase the availability of recovery-oriented substance misuse services; and improve the long-term outcomes of those affected by substance misuse through access to employment and education. The closing date for responses to the consultation on the delivery plan is 30 March 2016. (Edited publisher abstract)
English Housing Survey: adaptations and accessibility report, 2014-15
- Author:
- GREAT BRITAIN. Department for Communities and Local Government
- Publisher:
- Great Britain. Department for Communities and Local Government
- Publication year:
- 2016
- Pagination:
- 32
- Place of publication:
- London
Presents the findings from the 2014-15 English Housing Survey, covering the circumstances of households that had a person/s with a long-term limiting illness or disability that required them to have adaptations in their home, including whether these households had the adaptation they require and the suitability of their home. These findings are provided by tenure (owner occupier, private renter, local authority and housing association) and the age of the person with the long-term limiting disability. The survey report also looks at the accessibility of housing stock by examining the prevalence of nine accessibility features assessed by the English Housing Survey. It compares the prevalence of these accessibility features in homes built before 2001 and from 2001 onwards, when new building regulations started to have an impact. Main findings reported include that approximately 1.9 million households in England had one or more people with a long-term limiting illness or disability that required adaptations to their home, no change from the previous survey carried out in 2011-12. The four most common adaptations that households needed were grab hand rails inside the home, bathing aids, specialist toilet seats, and a shower to replace a bath. Over half of the households that required adaptations in their home already had them installed (55 percent), a slight improvement since 2011-12 (51 percent). Regarding accessibility, less than one in ten homes in England had all four main accessibility features that provide visitability to most people, including wheelchair users (level access to the entrance, a flush threshold, sufficiently wide doorsets and circulation space, and a toilet at entrance level). (Edited publisher abstract)
Together for Mental Health delivery plan: 2016-19: consultation document
- Author:
- WALES. Welsh Government
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2016
- Pagination:
- 31
- Place of publication:
- Cardiff
A consultation on the delivery plan of the Welsh Government’s strategy to improve mental health and well-being, for the period 2016-19. The strategy consists of five chapters and is underpinned by 18 outcomes which are set out in this document. Strategy outcomes and delivery plan priority areas have been mapped against the goals of the Well-being of Future Generations (Wales) Act (2015). The priority areas identified in the delivery plan are: all children have the best possible start in life, enabled by giving parents / care-givers the support they need; all children and young people are more resilient and better able to tackle poor mental well-being when it occurs; children and young people experiencing mental health problems get better sooner; people at working age are more resilient and better able to tackle poor mental well-being when it occurs; people with mental health problems, their families and carers are treated with dignity and respect; services meet the needs of the diverse population of Wales; people with a mental health problem have access to appropriate, evidence based and timely services; people of all ages experience sustained improvement to their mental health and well-being through access to positive life chances; Wales is a ‘Dementia Friendly Nation’; the quality of life for older people is improved, particularly through addressing loneliness and isolation. The consultation closes on 4 April 2016. (Edited publisher abstract)