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Reducing hospital admissions from care homes: considering the role of a local enhanced service from GPs
- Authors:
- BRIGGS Daniel, BRIGHT Les
- Journal article citation:
- Working with Older People, 15(1), March 2011, pp.4-12.
- Publisher:
- Emerald
Since the 1970s, the number of private and voluntary care homes for older people have risen dramatically, with the NHS now playing a minor role. However, in some areas where there is a concentration of care homes, GPs have expressed concern about their capacity to provide an effective service to residents without additional resources. Some primary care trusts (PCTs) have since responded by making funds available to enable an improved service to be established. This article looks at the impact of one local enhanced service on the work of GPs, care staff and residents in a London borough. Eight home care professionals and three GPs where interviewed to reflect on elements of the current practice, the efficiency of processes, and offer suggestions to improve the services provided. Three key themes emerged: working relationships and communications; service efficiency; and residents’ experiences. Overall, findings suggested that positive working relationships were integral to communication, which affected the level of service efficiency and quality.
Having a voice, being heard
- Author:
- BRIGHT Les
- Journal article citation:
- Working with Older People, 10(4), December 2006, pp.24-26.
- Publisher:
- Emerald
Exeter Senior Voice, a user involvement project with nearly 300 active members, ran an election for the 12 places on its panel of representatives. The representatives attend a wide range of meetings with staff of statutory and voluntary bodies discussing service development and mapping out strategies designed to respond to older people's needs. The author reports on the high turnout for the election, and why these groups are so important to ensuring older people's voices are heard on local issues.
It can happen here
- Author:
- BRIGHT Les
- Journal article citation:
- Community Care, 28.11.96, 1996, pp.4-5.
- Publisher:
- Reed Business Information
Describes how most staff will immediately deny the existence of abuse in their residential home. But when asked to reflect, they will come up with a list of unacceptable practices which can be changed.
A struggle for independence
- Author:
- BRIGHT Les
- Journal article citation:
- Caring Times, May 1999, p.10.
- Publisher:
- Hawker
Independence is often not a priority in assessing older people's care needs. The author looks at how this can be achieved within a residential setting.
As good as it gets - loss, dependence and independence in homes for older people
- Author:
- BRIGHT Les
- Journal article citation:
- London Age, 26, March 1999, pp.4-5.
- Publisher:
- Age Concern
Independence is one of the key principles laid down by the United Nations programme on ageing, yet the importance of independence is often not a priority in assessing older people's care needs. According to the United Nations, 'older people should be able to live in environments that are safe and adaptable to personal preferences and changing capacities'. Looks at how this can be achieved within a residential setting.
So what do we mean by abuse?
- Author:
- BRIGHT Les
- Journal article citation:
- Journal of Dementia Care, 5(4), July 1997, pp.14-15.
- Publisher:
- Hawker
As abuse of care home residents hits the headlines again, the author describes Counsel and Care's recent work in raising awareness, widening the definition of the problem to include bad care practice, and training staff, especially care assistants.
Continuing care: Division and misrule
- Author:
- BRIGHT Les
- Journal article citation:
- Community Care, 26.10.95, 1995, p.8.
- Publisher:
- Reed Business Information
Older people are receiving patchy services, and not surprisingly, they do not understand why. Reports on what is happening to the care system.
Restraint: cause for continuing concern?
- Author:
- BRIGHT Les
- Journal article citation:
- Journal of Adult Protection, 3(2), May 2001, pp.42-47.
- Publisher:
- Emerald
This article by the deputy chief executive of Counsel and Care describes the work this voluntary organisation has undertaken to examine physical intervention issues, particularly as they affect older people in residential care. It explores the extent to which residents of care homes may be subject to various forms of restraint and draws on discussions with managers and staff.