Search results for ‘Subject term:"older people"’ Sort:
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The £30bn question
- Author:
- GLASBY Jon
- Journal article citation:
- Community Care, 13.04.06, 2006, pp.36-37.
- Publisher:
- Reed Business Information
This article explores how the Wanless review's findings are social care's best hope for future funding and why policy makers need to make it work.
A lost decade? A renewed case for adult social care reform in England
- Authors:
- GLASBY Jon, et al
- Journal article citation:
- Journal of Social Policy, 50(2), 2021, pp.406-437.
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
Drawing on a 2010 analysis of the reform and costs of adult social care commissioned by Downing Street and the UK Department of Health, this paper sets out projected future costs under different reform scenarios, reviews what happened in practice from 2010-19, explores the impact of the growing gap between need and funding, and explores the relationship between future spending and economic growth. In the process, it identifies a ‘lost decade’ in which policy makers failed to act on the warnings which they received in 2010, draws attention to the disproportionate impact of cuts on older people (compared to services for people of working age) and calls for urgent action before the current system becomes unsustainable. (Edited publisher abstract)
A lost decade? A renewed case for adult social care reform in England
- Authors:
- GLASBY Jon, et al
- Journal article citation:
- Journal of Social Policy, early cite 7 August 2020,
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
Drawing on a 2010 analysis of the reform and costs of adult social care commissioned by Downing Street and the UK Department of Health, this paper sets out projected future costs under different reform scenarios, reviews what happened in practice from 2010-19, explores the impact of the growing gap between need and funding, and explores the relationship between future spending and economic growth. In the process, it identifies a ‘lost decade’ in which policy makers failed to act on the warnings which they received in 2010, draws attention to the disproportionate impact of cuts on older people (compared to services for people of working age) and calls for urgent action before the current system becomes unsustainable. (Edited publisher abstract)
‘The Billion Dollar Question’: embedding prevention in older people's services—Ten ‘High-Impact’ changes
- Authors:
- ALLEN Kerry, GLASBY Jon
- Journal article citation:
- British Journal of Social Work, 43(5), 2013, pp.904-924.
- Publisher:
- Oxford University Press
With ageing populations, social changes and rising public expectations, many countries are exploring ways of developing a more preventative approach within their health and social care services. In England, this has become a growing priority over time—made even more significant by recent economic change and by the urgent need to reduce public sector spending. However, a key dilemma for policy makers and managers is the patchy nature of the evidence base—with a lack of certainty over how to reform services or prioritise spending in order to develop a more genuinely preventative approach. Against this background, this commentary reviews national and international evidence around ten policy measures and interventions, highlighting some of the most promising approaches as well as the fragmented and contested nature of the evidence base. (Publisher abstract)
“A game of two halves?” Understanding the process and outcomes of English care home closures: qualitative and quantitative perspectives
- Authors:
- GLASBY Jon, ALLEN Kerry, ROBINSON Suzanne
- Journal article citation:
- Social Policy and Administration, 53(1), 2019, pp.78-98.
- Publisher:
- Wiley
With care services increasingly delivered via a market there is always a risk that care homes could fail financially or struggle in terms of quality, ultimately having to close. When this happens, the received wisdom is that subsequent relocation can be detrimental to the health and well‐being of older residents (possibly even culminating in increased mortality). However, there is very little formal evidence in the United Kingdom (UK) or beyond to guide policymakers and local leaders when undertaking such sensitive work. Against this background, this article reports findings from an independent evaluation of what is believed to be the largest care home closure programme in the UK (and possibly beyond). This consisted of qualitative interviews with older people, families, care staff, and social work assessors during the closure process in one case study care home and one linked day centre, as well as self‐reported health and quality of life data for older people from 13 homes/linked day centers at initial assessment, 28 days after moving and at 12‐month follow up. The study is significant in presenting public data about such a contested topic from such a large‐scale closure process, in its focus on both process and outcomes, in its mixed‐methods approach, and in its engagement with older people, families, and care staff alongside the use of more formal outcome measures. Despite significant distress part‐way through the process, the article suggests that outcomes either stayed the same or improved for most of our sample up to a year after moving to new services. Care homes closures may thus be a “tale of two halves”, with inevitable distress during the closure but, if done well, with scope for improved outcomes for some people in the longer term. These findings are crucial for current policy and practice given that the risk of major closures seems to be growing and given that there is virtually no prior research on which to base local or national closure processes. While some of this research is specific to England, the underlying issue of care home closures and lessons learned around good practice will also apply to other countries. (Edited publisher abstract)
"You don't know what you are saying ‘Yes’ and what you are saying ‘no’ to”: hospital experiences of older people from minority ethnic communities
- Authors:
- ELLINS Jo, GLASBY Jon
- Journal article citation:
- Ageing and Society, 36(1), 2016, pp.42-63.
- Publisher:
- Cambridge University Press
This paper reports findings from a larger study exploring older people's experiences of care transitions, focusing on the findings from one case study area which explored the hospital and discharge experiences of older people from minority ethnic communities. A participatory approach was adopted, with older people from the local area collaborating in the design, delivery and analysis of the research as ‘co-researchers’. Twenty-four in-depth narrative interviews were carried out with people who had experienced a recent hospital stay as a patient or a family member providing care and support. The findings show that many aspects of the hospital experience, including the desire for personalised and humanistic approaches to care, are important to older people irrespective of ethnic background. However, older people from minority ethnic communities can also face language and cultural barriers which negatively affect the quality and experience of care. People who had limited English proficiency struggled to understand, communicate and participate in their care. Where professional services were not available or requested, interpreting was provided informally by other patients, family members, hospital staff in clinical and domestic roles, or not at all. The paper concludes that targeted strategies are required to ensure appropriate and effective hospital services for a multicultural population. (Edited publisher abstract)
Personalisation and adult social care: future options for the reform of public services
- Authors:
- DUFFY Simon, WATERS John, GLASBY Jon
- Journal article citation:
- Policy and Politics, 38(4), October 2010, pp.493-508.
- Publisher:
- Policy Press
The authors first provide a brief overview of the development of adult social care in order to place the advent of personal budgets in their historical and policy context. They summarise some of the key concerns and criticisms of personal budgets. The main focus of the article is on the concept of personal budgets as a form of ‘conditional resource entitlement’ (CRE), a situation in between direct service provision and income adjustment in which the individual is given direct access to resources, but with conditions attached. The authors suggest a CRE can be defined using a framework that has five main dimensions: autonomy, flexibility, targeting, support, and conditionality. Other examples of CREs are briefly discussed. The authors argue that, by framing personal budgets as a form of CRE, there is scope to place this specific mechanism in the broader context of the differing strategies available to government when seeking to reform welfare services. They argue that, using this approach it is possible to conceive of a future in which current CREs could become a form of income adjustment; or emerge as the optimal approach to meeting the needs of disabled people; or provide a mechanism for making currently individual resources more conditional.
The (multi-) billion dollar question: embedding prevention and rehabilitation in English health and social care
- Authors:
- ALLEN Kerry, GLASBY Jon
- Journal article citation:
- Journal of Integrated Care, 18(4), August 2010, pp.26-35.
- Publisher:
- Emerald
As policy makers seek to develop a more preventative and rehabilitative approach to older people's services, new policies and integrated initiatives have made a positive contribution. This paper provides a critical review of English health and social care, exploring attempts to embed a more preventative and rehabilitative approach through multi-disciplinary and cross-organisational initiatives. Data for this article were collected between February and September 2009, as part of the European Commission Framework 7 Interlinks project. An English National Expert Panel (NEP) was created and took part in a consultation on the identification and discussion of key national strategy, policies and initiatives in prevention and rehabilitation and related literatures. A national report on English rehabilitation and prevention was then validated by each NEP member. The report considers: developments in English rehabilitation and prevention; hospital discharge; intermediate care; reablement; and the pilot project initiatives Health Action Zones, Partnerships for Older People Projects, and LinkAge Plus. The article concludes that, in spite of a stated commitment to prevention, there is a lack of clarify about what it means or how to do it in practice. It ends with a list of several outstanding questions for older people’s services in England.