Search results for ‘Subject term:"older people"’ Sort:
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The assessment gap
- Authors:
- CLARKSON Paul, CHALLIS David
- Journal article citation:
- Community Care, 15.7.04, 2004, pp.38-39.
- Publisher:
- Reed Business Information
The single assessment process (SAP) is intended to overcome the difficulties with assessments of older people, avoid duplication, and promote and effective response to needs. This article examines the relevance of recent research for the debates leading up to the deadline for full implementation in April this year. The study, undertaken by the Personal Social Services Research Unit (PSSRU) at the University of Manchester, looked at 256 older people on the value of integrating the specialist assessments of secondary health care clinicians with those of care managers. Argues that integrating assessment practice between health and social care will require more than the breaking down of professional barriers. Joint structures, providing incentives for collaboration, are just as important.
Frail old people at the margins of care:some recent research findings
- Authors:
- CHALLIS David, HUGHES Jane
- Journal article citation:
- British Journal of Psychiatry, 180, February 2002, pp.126-130.
- Publisher:
- Cambridge University Press
Community-based care at the margin is a substitute for institutional care. Three factors are considered critical: definitions of eligibility, assessment procedures and balance of care. This research examines determinants of the margin between institutional and home-based care, reviews current practice, identifies the implications and contributes to planning of integrated long-term care services for frail older people. Findings suggest that greater standardisation of approaches to the determination of eligibility for social care and to assessment of need is required. Providing care at home for some of those currently entering care homes is feasible, but will require different service structures and staff roles, including specialist clinicians.
Care coordination for older people in the non-statutory sector: lessons from research
- Authors:
- CHALLIS David, et al
- Publisher:
- University of Manchester. Personal Social Services Research Unit
- Publication year:
- 2016
- Pagination:
- 18
- Place of publication:
- Manchester
This research explores care coordination arrangements for older people in the non-statutory sector and looks at what is required to promote its capacity to meet increasing expectations resulting from the changed policy environment. Care coordination arrangements covered in the study were defined as the assessment of needs undertaken by a worker with specialist knowledge and the compiling, monitoring and review of a support plan by a care coordinator. The research also took into account the introduction of personal budgets for older people and self-directed support. Evidence was collected from a variety of sources, including: a scoping review of the literature, consultations with people who had experience of services, a survey of non-statutory organisations, and interviews with practitioners and mangers. The briefing summarises the findings in the following areas: messages from the literature review, standards to guide practice, service arrangements across England, priorities for developing quality services and implications for service development. To summarise lessons from the research, the findings were subjected to a SWOT analysis to identify risks of developing key services in the non-statutory sector and success factors. Strengths identified in the non-statutory sector identified were their independence and flexible approach to staffing. Areas of weakness related to their small scale and sometimes limited range of care coordination task undertaken. It also identified opportunities for non-statutory organisations to provide specialist services and to work in partnership with other local agencies. Threats for further development were associated with fixed term funding and uncertainty due to the commissioning process. The research was undertaken by the undertaken by Personal Social Services Research Unit and was conducted in partnership with staff in Age UK Trafford and LMCP Care Link. (Edited publisher abstract)
Home care services for older people: findings from a national survey of social care commissioners
- Authors:
- HUGHES Jane, CHESTER Helen, CHALLIS David
- Journal article citation:
- Research Policy and Planning, 30(1), 2013, pp.51-64.
- Publisher:
- Social Services Research Group
This paper explores local authority commissioning and contracting arrangements for home care, staff training opportunities and the range of services provided for older people utilising data from a national postal survey with a 74 per cent response rate. Local authority provision focused on intermediate care services. Joint commissioning of this with health was common but less likely for specialist mental health services. Most home care was commissioned from and provided by independent sector providers with contractual requirements identified as a means of influencing and monitoring training opportunities. A range of services were provided for users, additional to personal care. Local authority training was sometimes available to independent providers, focused on statutory requirements rather than user needs. Implications for the development of high quality services are discussed in terms of user need, service flexibility and training for staff providing direct care. It is suggested that within the commissioning process key drivers of the development of more personalised high quality home care services are: regular dialogue with service providers; greater health and social care involvement in a joint commissioning process; alignment of contracting arrangements to reflect service outcomes; and specification of training requirements within the setting and monitoring of home care contracts. (Publisher abstract)
Life was better at home
- Authors:
- CHALLIS David, et al
- Journal article citation:
- Care Plan, 4(1), September 1997, p.17.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Describes the Lewisham Case Management Scheme which was one of a number of care management schemes studied by the Personal Social Services Research Unit. Summarises the Unit's findings which show that providing specialist domiciliary services for people with dementia can benefit service users and carers.
Performance indicators for community-based social care: From theory to practice
- Authors:
- CHALLIS David, WARBURTON Raymond
- Journal article citation:
- Care Plan, 2(4), June 1996, pp.19-24.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Describes a framework for establishing local performance indicators for community-based social care, with an emphasise on care management. The framework has been developed by the Personal Social Services Research Unit (PSSRU) in collaboration with Cheshire Social Services Department. The framework is for services for older people and people with mental health problems, but can be readily modified to accommodate other groups of adult service users.
Recruitment and retention of a social care workforce for older people
- Authors:
- HUGHES Jane, CHESTER Helen, CHALLIS David
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2009
- Pagination:
- 165p., bibliog.
- Place of publication:
- Manchester
This report describes the findings from the first of a three phase research project to identify factors within local authority commissioning, contracting and care management arrangements which influence the recruitment and retention of staff in domiciliary services and care homes. The first chapter outlines the policy context shaping commissioning and contracting arrangements and presents the findings of a selective literature review. Following chapters describe the methodology of the study, which included a postal survey was sent to local authorities with social services responsibilities. Ninety two of a total of 149 were returned. The findings describe the current arrangements and present the findings from the national survey. A typology of local authority and commissioning arrangements for older peoples services are then presented. Includes extensive tables and figures. The study was funded by the Department of Health under the Social Care Workforce Research Initiative.