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Housing and living well with dementia: from policy to practice in Greater Manchester
- Authors:
- GREATER MANCHESTER HEALTH AND SOCIAL CARE PARTNERSHIP, UNIVERSITY OF MANCHESTER
- Publisher:
- Greater Manchester Health and Social Care Partnership
- Publication year:
- 2021
- Pagination:
- 91
- Place of publication:
- Manchester
This report presents evidence and recommendations on potential interventions in housing to improve the lives of people living with dementia, with a specific focus on housing in community settings in Greater Manchester. The first part of the report consists of a rapid evidence assessment of the academic and grey literatures, including policies, research reports from nongovernmental organisations in addition to peer-reviewed research reports. The review looks at the social context of dementia; discrimination; ageism; language and terminology; inequalities; ethnicity and culture; the Covid-19 pandemic; diversity; support networks; and ageing in place. Part two provides a system-wide analysis mapping provision across Greater Manchester with a gap analysis covering medium and long-term need. Following an overview of demographic trends, the health and social care market, mainstream and specialised housing, part three of this report makes seven recommendations around: 1. accessible guidance and information; 2. integrated pathways; 3. planning ahead; 4. market-shaping; 5. combating stigma; 6. knowledge mobilisation and implementation; 7. evidence-based policy and practice. (Edited publisher abstract)
Meeting housing demand: 1st report of session 2021-22
- Author:
- GREAT BRITAIN. House of Lords. Built Environment Committee
- Publisher:
- Great Britain. Parliament. House of Lords
- Publication year:
- 2022
- Pagination:
- 108
- Place of publication:
- London
This report investigates the demographic and other trends shaping demand for new housing and considers how barriers to meeting demand can be overcome. It sets out the key factors shaping housing demand, including demographic trends (Chapter 2) and the expected shifts in the housing type and tenures required to accommodate these changes (Chapter 3). It then considers what can be done to address the depletion of small and medium-sized enterprise (SME) housebuilders (Chapter 4) and how hurdles to meeting housing demand can be addressed. The report looks at the planning system (Chapter 5) and local government (Chapter 6) and considers what could be done to ensure the right types of homes can be built where they are needed. The report makes recommendations on how skills shortages can be addressed in the construction, planning, design and other industries (Chapter 7). Finally, the report considers how to promote quality new builds and encourage good design (Chapter 8). Key points highlighted in the report include: SMEs should be supported by reducing planning risk, making more small sites available, and increasing access to finance; the country needs more specialist and mainstream housing suitable for the elderly; more up-to-date local plans are needed, and these need to be simpler, clearer, and more transparent; skills shortages must be addressed, through broadening the base of talent, upskilling and reskilling, including for the green skills needed to address climate change. Government must change its approach to spending on housing. Over time the money spent on housing benefit should be invested in increasing the social housing stock. Right to Buy schemes are not good value for money: increasing the housing supply would be a more effective use of funding. The report focusses on England, as housing policy and the planning system are devolved. (Edited publisher abstract)
Building safe choices 2020: our voices: LGBT+ later life housing demand in London
- Authors:
- TONIC, STONEWALL HOUSING, OPENING DOORS LONDON
- Publisher:
- Tonic Housing Association
- Publication year:
- 2020
- Pagination:
- 36
- Place of publication:
- London
This action research oriented project aimed to capture ‘the voice of demand’ of older LGBT+ people and gather more information about what older LGBT+ people might choose and how their financial and other circumstances affect these choices. We received 624 responses to our survey between February and April 2020, making this the largest study of LGBT+ people, over the age of 50, in London. The survey reveals that with reference to retirement communities, 56% of respondents preferred LGBT+ specific provision and 23% LGBT+ accredited provision; 75% wanted to stay in London; 25% had a disability or health issues which require specific housing; LGBT+ specific providers were the preferred choice of 64% of respondents and LGBT+ accredited providers of 25% respondents. The report uses three key themes to draw the findings together. These are: Needs and Resources – this thematic section illustrates that the needs and resources of older LGBT+ people are wide ranging, and that housing and care providers need to recognise and respond to this diversity of need; Housing Options – this section shows that many older LGBT+ people have housing needs that differ from heterosexual people and they are clear about what housing options they want, where they want them and what they do not want both now and in the future; Provision, Advice and Support – this thematic section looks at what services respondents said they would like to see provided, what advice about housing and support they would like, and how and where it should be provided. Older LGBT+ people want access to good quality, appropriate provision, and advice and support about their housing and care choices. (Edited publisher abstract)
The challenges of commissioning home care for older people in England: commissioners’ perspectives
- Authors:
- DAVIES Karen, et al
- Journal article citation:
- Ageing and Society, 41(8), 2021, pp.1858-1877.
- Publisher:
- Cambridge University Press
Home care for older people in England is commissioned through local authorities working predominantly with independent providers of care. Commissioners operate in a market model, planning and procuring home care services for local populations. Their role involves ‘managing’ and ‘shaping’ the market to ensure an adequate supply of care providers. Another imperative, emerging from the principles of personalisation, is the drive to achieve user outcomes rather than ‘time and task’ objectives. Little formal research has investigated the way commissioners reconcile these different requirements and organise commissioning. This study investigated commissioning approaches using qualitative telephone interviews with ten commissioners from different local authorities in England. The characteristics of commissioning were analysed thematically. Findings indicated (a) commissioning involved complex systems and processes, uniquely shaped for the local context, but frequently changed, suggesting a constant need for reframing commissioning arrangements; (b) partnerships with providers were mainly transactional, with occasional examples of collaborative models, that were considered to facilitate flexible services more appropriate for commissioning for personalised outcomes; and (c) only a small number of commissioners had attempted to reconcile the competing and incompatible goals of tightly prescribed contracting and working collaboratively with providers. A better understanding of flexible contracting arrangements and the hallmarks of a trusting collaboration is required to move beyond the procedural elements of contracting and commissioning. (Edited publisher abstract)
Exploring the role of volunteers in care settings for older people (ERVIC)
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH. School for Social Care Research
- Publisher:
- NIHR School for Social Care Research
- Publication year:
- 2021
- Pagination:
- 6
- Place of publication:
- London
The aim of this study was to explore the role of volunteers in the provision of adult social care settings by exploring: the roles do volunteers play in social care settings; the motivations of managers and/or coordinators in seeking the contributions of volunteers and what are the challenges and opportunities related to their involvement; how volunteering perceived and experienced by volunteers and paid members of staff; how older people perceive and experience volunteer involvement in social care; what can social care services learn from current practice with volunteers in older people's services. The contribution volunteers make to adult social care services can be classified in three ways: augmenting existing care services; providing a discrete free-standing service; or substituting for care workers by filling gaps in provision. In settings where volunteers provided a discrete service or augmented provision the volunteer role had clear boundaries. In contrast, where volunteers were filling gaps there was less clarity between the role of volunteers and that of paid care workers. Organisations that employed a volunteer co-ordinator/manager were more likely to have an established ‘volunteer package’. In others there appeared to be more confusion over what the volunteer role was and how it should be carried out. These findings contest the idea that there is an ‘army’ of volunteers that can be drawn upon to aid the delivery of social care. This is due to factors such as increased intergenerational care, rising female employment, later retirement and rurality. (Edited publisher abstract)
Supporting older co-resident carers of older people – the impact of Care Act implementation in four Local Authorities in England
- Authors:
- O'ROURKE Gareth, et al
- Journal article citation:
- Social Policy and Society, 20(3), 2021, pp.371-384.
- Publisher:
- Cambridge University Press
The Care Act 2014 provides for ‘parity of esteem’ between people with social care needs and carers. This is achieved by extending the principles of prevention and wellbeing to carers; reinforcing carers’ right to an assessment; and setting national eligibility criteria for access to carer support services. This article reports on research that examined the impact of these changes on older co-resident carers of older people in four English local authorities. Findings are described in relation to four key themes: organisational arrangements and rationale; the aims of carer support and preventative services; design and delivery of carer assessment; and barriers to assessment and support. The findings of the research suggest that, despite the new statutory requirements, underlying contradictions and tensions in local authorities’ relationship with carers, and efforts to support them, remain unresolved. (Edited publisher abstract)
Carers and physical activity: a study of the barriers, motivations and experiences of unpaid carers aged 55 and over in England
- Author:
- CARERS UK
- Publisher:
- Carers UK
- Publication year:
- 2021
- Pagination:
- 32
- Place of publication:
- London
This report looks at ways to support carers over the age of 55 in England to take part in more physical activity, to both reduce loneliness and improve their wellbeing. The research examines the barriers for carers in being active, and shares best practice examples and recommendations to make physical activity more accessible to reduce the health inequalities carers face. This mixed methods research project included a quantitative phase consisting of analysis of over 2,000 responses to the State of Caring 2019 survey as well as a qualitative phase including focus groups and interviews with 37 participants. This was followed by a pilot project, testing the ideas from the research with 27 participants. Key findings include: carers aged over 55 are less active than other adults aged over 55; three quarters (76%) of carers aged over 55 do not feel that they are able to do as much physical exercise as they’d like to do; carers are more likely to be inactive (46% of carers compared with 33% of all adults); carers are much less likely to be active (14% of carers compared with 54% of all adults); carers are much less likely to be active. The biggest barriers to physical activity are: not having the time to take part in physical activity (88%); not being motivated (71%); not being able to afford the costs (67%); not having anyone to go with (59%). For active carers, a pattern of being active leads to an increase in life satisfaction, happiness, feelings of worthwhile; and to a decrease in anxiety. (Edited publisher abstract)
The nature and extent of prisoners’ social care needs: do older prisoners require a different service response?
- Authors:
- TUCKER Sue, et al
- Journal article citation:
- Journal of Social Work, 21(3), 2021, pp.310-328.
- Publisher:
- Sage
Summary: In light of longstanding concern about the lack of social care in prisons, the 2014 Care Act made local authorities in England responsible for identifying, assessing and meeting prisoners’ social care needs. However, service planning is difficult, for little is known about the level of demand or the extent to which the needs of older and younger prisoners differ. Against this background, face-to-face interviews (including screens for social care needs, substance misuse and mental health problems) were undertaken with a sample of male prisoners in North-West England. Findings: Three hundred and ninety-nine participants were aged 18–49 and 80 aged 50 plus. Overall, more than a 10th of participants had problems maintaining personal hygiene, dressing and/or getting around the prison safely; a significant minority lacked meaningful occupation; and approaching a sixth acknowledged problems forming/maintaining relationships. Older prisoners were significantly more likely than younger prisoners to need help with personal hygiene, dressing and moving around safely and to identify problems with their physical health and memory. Applications: The findings highlight the substantial number of older prisoners who could potentially benefit from some form of social care and support if they are to maintain their safety and dignity and make best use of their time in prison. They also underline the need to develop suitable screening and assessment tools for older prisoners, and for further research on the best service models for prisoners requiring intimate personal care. (Edited publisher abstract)
What we want: future-proofing retirement housing in England
- Author:
- BEACH Brian
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2021
- Pagination:
- 54
- Place of publication:
- London
Retirement communities – housing designed specifically with emerging care needs in mind – are one solution for addressing important issues around housing and care in later life. Yet only 0.7% of people aged 65+ in the UK live in specific housing-with-care models. This partly relates to challenges restricting the supply of such housing, but it also links to inconsistent terminology for the sector and varied perceptions of what these communities offer, which stifles demand. This report highlights a number of key insights to help the sector stimulate the demand side of the equation. These include: demographic trends are clear – the retirement community sector will need substantial growth over the next 20 years just to keep up with age-related growth; finances appear strong for the moment – a key target group for retirement communities – homeowners aged 68-77 today – are best positioned in terms of housing value, while younger age groups may require adjustment to costing models in the medium and longer term; what people want matters – decisions around housing moves are complex, and future efforts to connect people to retirement communities will require personalisation rather than a one-size-fits-all approach. As the future demand for retirement communities will follow one of three trajectories – increasing, decreasing, or staying at the same level – health, social, and economic trends will all exert their influence as we adjust to the impacts of the coronavirus pandemic. Stakeholders in the sector will need to remain responsive to the realities on the ground and adapt their strategies to strengthen the sector’s ability to deliver a critical part of the infrastructure for our ageing society. This requires: monitoring development; responding through innovation; communicating in engaging way. The report includes further detail around key findings from an exploration of the influence of demographics, finances, and preferences on potential demand for retirement communities. (Edited publisher abstract)
COVID 19 and dementia: experience from six European countries
- Authors:
- BURNS Alistair, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, early cite 18 January 2021,
- Publisher:
- Wiley
The effects of Covid‐19 have been well documented across the world with an appreciation that older people and in particular those with dementia have been disproportionately and negatively affected by the pandemic. This is both in terms of their health outcomes (mortality and morbidity), care decisions made by health systems and the longer‐term effects such as neurological damage. The International Dementia Alliance (IDEAL) is a group of dementia specialists from six European countries and this paper is a summary of our experience of the effects of COVID‐19 on our populations. Experience from England, France, Germany, the Netherlands, Spain and Switzerland highlight the differential response from health and social care systems and the measures taken to maximise support for older people and those with dementia. The common themes include recognition of the atypical presentation of COVID‐19 in older people (and those with dementia) the need to pay particular attention to the care of people with dementia in care homes; the recognition of the toll that isolation can bring on older people and the complexity of the response by health and social services to minimise the negative impact of the pandemic. Potential new ways of working identified during the pandemic could serve as a positive legacy from the crisis. (Edited publisher abstract)