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Moving on? A handbook on modelling the whole system for delayed discharges in Tayside
- Author:
- AUDIT SCOTLAND
- Publisher:
- Audit Scotland
- Publication year:
- 2005
- Pagination:
- 24p.
- Place of publication:
- Edinburgh
During 2004 Audit Scotland led a project with the Tayside Partnership and ISD to develop a whole systems model for Tayside to help tackle its delayed discharges from hospital. This handbook aims to share this approach with Scotland’s NHS and council partnerships wishing to develop their own whole systems thinking. The Tayside model does not provide a solution to the problem of delayed discharges in Tayside. It is an interactive tool to inform and help planning and decision-making in relation to delayed discharges. The handbook describes how stakeholders were involved in building the whole systems model, how the model is used to plan services for older people.
A review of free personal and nursing care
- Author:
- AUDIT SCOTLAND
- Publisher:
- Audit Scotland
- Publication year:
- 2008
- Pagination:
- 66p.
- Place of publication:
- Edinburgh
Key findings and recommendations covering free personal nursing care (FPNC) in Scotland are presented. The specific objectives of the study were to evaluate the robustness of financial planning, monitoring and reporting arrangements for FPNC at both a national and local level, to examine the current costs and funding allocations for FPNC across councils in Scotland, and to identify the financial impact of FPNC on older people, the Scottish Government and councils. The study involved an analysis of national data including demographics, older people’s services and financial information, a data survey of the 32 councils focusing on activity, financial, policy and practice information, focus groups with older people and care providers, interviews with staff in six councils, the Convention of Scottish Local Authorities (COSLA) and the Scottish Government, a survey of independent care home providers, and a review of a sample of care packages since 2002 in two councils.
Moving on? An overview of delayed discharges in Scotland
- Author:
- AUDIT SCOTLAND
- Publisher:
- Audit Scotland
- Publication year:
- 2005
- Pagination:
- 26p.
- Place of publication:
- Edinburgh
A report by Audit Scotland on behalf of the Auditor General for Scotland and the Accounts Commission which has the key finding that solving the problem of delayed discharges needs action across all parts of the health and community care system. Findings are presented from a project carried out during 2004 with the Tayside Partnership and ISD to build an interactive whole systems model for Tayside which looked at ways to reduce the number of delayed discharges for older people. This project involved testing out various strategies that could be adopted in different parts of Tayside’s local care system. A high-level review involving the analysis of national data and interviews with delayed discharge managers and teams is presented in terms of analysis of national delayed discharge data, national measures to tackle delayed discharges, local measures undertaken by partnerships, and how taking a whole systems approach would help. Three out of every four people delayed in hospital are waiting for community care assessments to be completed or community care arrangements to be put in place.
Reshaping care for older people
- Authors:
- AUDIT SCOTLAND, ACCOUNTS COMMISSION
- Publisher:
- Audit Scotland
- Publication year:
- 2014
- Pagination:
- 48
- Place of publication:
- Edinburgh
Reshaping Care for Older People (RCOP), Scotland's programme to improve care for older people has brought together the different bodies involved in services costing £4.5 billion a year. These organisations now need to better target resources at preventing or delaying illness and at helping people to keep living at home. This report reviews progress three years into the Scottish Government’s ten-year project to improve health and social services for people aged 65 or over. The Scottish Government is supporting the project with a 4-year, £300 million Change Fund, but this report suggests better information is needed on its impact. RCOP is a complex programme, requiring joint action by a number of organisations if it to be successful, and has yet to demonstrate how significant changes will be achieved. This report indicates that national data shows significant variation in how NHS boards and councils use money to provide services for older people across Scotland; and that to implement RCOP successfully, partners need to make better use of data, focus on reducing unnecessary variation, monitor and spread successful projects, and have clear plans for shifting resources to community-based services. (Edited publisher abstract)
Homing in on care: a review of home care services for older people; executive summary
- Author:
- AUDIT SCOTLAND
- Publisher:
- Accounts Commission
- Publication year:
- 2001
- Pagination:
- 14p.
- Place of publication:
- Edinburgh
The Government’s community care policy is about enabling people to live as normally and as independently as possible. In practice this means that, wherever possible, people should be helped to continue living in their own homes, or in as homely a setting as possible, rather than in institutional care. Recent policy papers from the Scottish Executive require councils, which have lead responsibility for community care, to further develop home care services to provide a viable alternative to institutional care. Home care services are critical to the success of community care. They have developed over the past decade to cover not just the traditional ‘home help’ domestic tasks, like housework and shopping, but also to include personal care, like help with bathing and dressing. Twice as many older people receive home care services than residential or nursing home care. Around 20 million hours of home care each year are provided or purchased by Scottish local authorities for over 70,000 people, of whom 85% are aged 65 years and over. By contrast, around 35,000 older people are in residential or nursing homes. The demand for community care services in general, and home care services in particular, is likely to increase over the next decade due to a number of factors.
Homing in on care: a review of home care services for older people
- Author:
- AUDIT SCOTLAND
- Publisher:
- Accounts Commission
- Publication year:
- 2001
- Pagination:
- 64p.
- Place of publication:
- Edinburgh
The Government’s community care policy is about enabling people to live as normally and as independently as possible. In practice this means that, wherever possible, people should be helped to continue living in their own homes, or in as homely a setting as possible, rather than in institutional care. Recent policy papers from the Scottish Executive require councils, which have lead responsibility for community care, to further develop home care services to provide a viable alternative to institutional care. Home care services are critical to the success of community care. They have developed over the past decade to cover not just the traditional ‘home help’ domestic tasks, like housework and shopping, but also to include personal care, like help with bathing and dressing. Twice as many older people receive home care services than residential or nursing home care. Around 20 million hours of home care each year are provided or purchased by Scottish local authorities for over 70,000 people, of whom 85% are aged 65 years and over. By contrast, around 35,000 older people are in residential or nursing homes. The demand for community care services in general, and home care services in particular, is likely to increase over the next decade due to a number of factors.