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Range and Capacity Review Group: second report: the future care of older people in Scotland
- Author:
- SCOTLAND. Scottish Executive Range and Capacity Review Group
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2006
- Pagination:
- 72p.
- Place of publication:
- Edinburgh
This is the second and final report from the Scottish Executive Health Department’s Range and Capacity Review Group The National Delayed Discharge Action Plan (March 2002) highlighted the need to carry out a range and capacity review of community care services for older people, and led to the establishment of this Range and Capacity Review Group. The first report of the Group Projections of community care service users, workforce and costs was published on 16 July 2004. This was modelling work that presented 7 scenarios and then, for each of these scenarios, set out statistical projections of the numbers of community care service users and of workforce and cost implications at a Scotland level up to 2019. It did not set the context for care, nor did it make recommendations about the way forward. These matters are addressed in this report. This report does not provide, as some might have expected, a detailed analysis of the different models that were outlined in the Group’s first report. As the work progressed it quickly became apparent that the national review group could not decide what should happen at local level. Of the scenarios in the first report, scenario 7 (the joint future model) is the one that fits best with the direction of policy and practice in Scotland. But the way in which a joint future model is delivered in one area will be different from that in another area, because of the mix of existing services (and their inter-action, of which more is said later about a whole systems approach), and the local population and geography. This report therefore sets out: the group's understanding of the big problems, the context in the light of recent, major reports (notably Building a Health Service Fit for the Future (the Kerr Report), Delivering for Health, Better Outcomes for Older People, and the 21st Century Social Work Review), and a vision for care for the increasing ageing population in years to come. The report is therefore neither an action plan nor a model of care, but it sets out principles, a vision for care that has to be worked out in detail at local level.
Fifty plus: information for older people
- Author:
- SCOTLAND. Scottish Executive Health Department
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2001
- Pagination:
- 6p.
- Place of publication:
- Edinburgh
Advance care directive prevalence among older Australians and associations with person-level predictors and quality indicators
- Authors:
- BUCK Kimberly, et al
- Journal article citation:
- Health Expectations, 24(4), 2021, pp.1312-1325. Online only
- Publisher:
- Wiley
Background: Advance care planning (ACP) conversations may result in preferences for medical care being documented. Objective: To explore the uptake and quality of advance care directives (ACDs) among older Australians accessing health and aged care services, by overall ACP documentation prevalence, person-level predictors and ACD quality indicators. Design and Setting: National multi-centre health record audit in general practices (GP), hospitals and residential aged care facilities (RACF). Participants: A total of 4187 people aged ≥65 years attending their GP (n = 676), admitted to hospital (n = 1122) or residing in a RACF (n = 2389). Main Outcome Measures: ACP documentation prevalence by setting and type including person-completed ACDs and non-ACD documents (completed by a health professional or someone else); person-level predictors and quality indicators of ACDs. Results: Overall ACP documentation prevalence was 46.5% (29.2% weighted). ACD prevalence was 25.3% (14.2% weighted). Unweighted ACD prevalence was higher in RACFs (37.7%) than in hospitals (11.1%) and GPs (5.5%). 35.8% of ACP documentation was completed by a health professional (9.7% weighted), and 18.1% was completed by someone else (10.6% weighted). Having an ACD was positively associated with being female, older, having two or more medical conditions, receiving palliative care, being divorced/separated and being in a RACF. Only 73% of ACDs included full name, signature, document date and witnessing. Conclusions and Contribution: Low ACP documentation prevalence and a lack of accessible, person-completed and quality ACDs represent an important ACP implementation issue. Low prevalence is complicated by poor document quality and a higher prevalence of documents being completed by someone other than the person. (Edited publisher abstract)
Optimising quality sleep among older people in the community and care homes: Some key findings from a four-year collaborative research project
- Authors:
- VENN Susan, et al
- Journal article citation:
- Generations Review, 20(4), October 2010, Online only
- Publisher:
- British Society of Gerontology
The SomnIA (Sleep in Ageing) project aimed to undertake a range of studies relating to understanding poor sleep in later life. SomnIA is a four year NDA Collaborative Research Project which comprises eight workpackages aimed at (a) understanding poor sleep in later life in the community and in care homes, (b) devising interventions to help with poor sleep in the community and in care homes, and (c) dissemination through academic and practitioner conferences and workshops, briefing papers and journal articles, and through the creation of a module on ‘Sleep problems in Later Life’ for the Healthtalkonline website. Key findings are presented.
Understanding the risks of social exclusion across the life course: older age
- Authors:
- BECKER Elizabeth, BOREHAM Richard
- Publisher:
- Great Britain. Cabinet Office. Social Exclusion Task Force
- Publication year:
- 2009
- Pagination:
- 92p., bibliog.
- Place of publication:
- London
Older people can face a range of problems which can be thought of as risk markers of social exclusion: low income, limited contact with others, and poor health. This report describes the multidimensional nature of social exclusion and the risk markers older people experience, and asks how clusters of markers vary. It then discusses risk marker dynamics and policy directions.
Well connected
- Author:
- McCORMACK Helen
- Journal article citation:
- Community Care, 14.06.07, 2007, pp.26-27.
- Publisher:
- Reed Business Information
The author reports on the Disconnected Mind project. The project is building on the Mental Health Survey, and an IQ test taken in 1947 by every child in Scotland born in 1936. For the project, 1,091 of the original participants were traced and agreed to re-sit the tests. The findings are now being complied on the role of diet, exercise, lifestyle and genetics have on our mental abilities as we age.
Being included in your community and getting the support that is right for you: ideas about ways the Local Area Co-ordination approach can support older people
- Author:
- OUTSIDE THE BOX DEVELOPMENT SUPPORT
- Publisher:
- Outside the Box Development Support
- Publication year:
- 2007
- Pagination:
- 31p.
- Place of publication:
- Glasgow
This report includes a summary of the main points raised at two workshop with older people run by Outside the Box in August 2006 to look at how the approach which underpins Local Area Co-ordination could be used to support people. The report also includes ideas about how people can take on this discussion in their areas and draws on examples and experiences from people in Scotland and in other places.
Review of the early implementation of the Resource Use Measure (RUM) (summary)
- Author:
- CRAIGFORTH CONSULTANTS
- Publisher:
- The Stationery Office
- Publication year:
- 2004
- Pagination:
- 4p.
- Place of publication:
- Edinburgh
This study was commissioned to consider the early implementation of the Resource Use Measure (RUM), to identify emerging issues and how the early implementation sites had responded. The RUM was originally intended as a tool for determining entitlement to free nursing care, promoting fare access and equitable distribution of resources for older people. It is now used to measure the relative need of older people over 65 years including those with mental health problems and dimentia and/or associated behaviour.
Review of the early implementation of the Resource Use Measure (RUM) (full text)
- Author:
- CRAIGFORTH CONSULTANTS
- Publisher:
- The Stationery Office
- Publication year:
- 2004
- Pagination:
- 52p.
- Place of publication:
- Edinburgh
This study was commissioned to consider the early implementation of the Resource Use Measure (RUM), to identify emerging issues and how the early implementation sites had responded. The RUM was originally intended as a tool for determining entitlement to free nursing care, promoting fare access and equitable distribution of resources for older people. It is now used to measure the relative need of older people over 65 years including those with mental health problems and dimentia and/or associated behaviour.
Older people in Scotland: results from the Scottish Household Survey 1999-2000 (full text)
- Authors:
- MACDONALD Charlotte, RAAB Gillian
- Publisher:
- The Stationery Office
- Publication year:
- 2004
- Pagination:
- 79p.
- Place of publication:
- Edinburgh
The Scottish Executive aims to promote active ageing and to support continued independence in later life. This analysis of Scottish Household Survey (SHS) data is designed to inform that strategy and highlight trends in social and demographic characteristics.