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Adapting the adaptations process: tackling the barriers within policy and practice
- Author:
- MCCALL Vikki
- Publisher:
- UK Collaborative Centre for Housing Evidence
- Publication year:
- 2022
- Pagination:
- 42
- Place of publication:
- Glasgow
This report gives insight to the fragmented policy landscape in Scotland around adaptations, with further experiences gathered from England, Wales and Northern Ireland. There are many good practice examples throughout Scotland, and key stakeholders emphasise the important role for adaptations in the impact they make in people’s lives. However, the current systems that supports home adaptations in Scotland are fragmented, overly complex, and bureaucratic. These challenges undermine the preventive potential that adaptations can offer to service users. The report presents the perspectives of key stakeholders on how we can tackle the barriers within policy and practice within the adaptations process. Adaptations involve health and wellbeing-related home and environmental modifications for social, private renters and home-owners. In Scotland and throughout the UK, there are various adaptations processes that support the access, assessment and delivery of adaptations for service users. The report offers a new process for understanding the adaptations process, presenting barriers attached to governance, need awareness, information and advice, assessment, funding, design, delivery, evaluation & performance monitoring. Adaptations to homes and wider environments are essential for supporting health, social care and wellbeing needs, preventing health crises and future proofing homes for a diverse and ageing population. The processes that support adaptations, however, are fragmented, difficult to understand, and involve clear divergence between both local authority area and tenure. The evidence offered in this report leads to a clear need for finding a common approach across Scotland for supporting adaptations. (Edited publisher abstract)
Getting personal
- Author:
- TRUELAND Jennifer
- Journal article citation:
- Health Service Journal, 11.10.01, 2001, pp.9-10.
- Publisher:
- Emap Healthcare
Reports on the tensions that are rising as the four UK nations get set to start payments for nursing care - and in Scotland, personal care for elderly people.
Suicide statistics report 2016: including data for 2012-2014
- Author:
- SCOWCROFT Elizabeth
- Publisher:
- Samaritans
- Publication year:
- 2016
- Pagination:
- 44
- Place of publication:
- London
A collation of suicide statistics for the UK, England, Wales, Scotland, Northern Ireland and the Republic of Ireland using information available from the official statistics bodies for the years 2012-2014. The document provides data and a description of the suicide rates in the United Kingdom and the Republic of Ireland, identifying trends and including breakdowns by age group. It also provides details about how to use suicide data and the differences between countries’ ways of producing them. It reports that there were 6,581 suicides in the UK and Republic of Ireland, in 2014. The figures suggest that rates of suicide in men are decreasing and female rates are increasing, although men remain more than three times more likely to take their own lives than women across the UK and Republic of Ireland. (Edited publisher abstract)
Assessing fitness to drive in dementia and other psychiatric conditions: a higher training learning opportunity at a driving assessment centre
- Author:
- SHERIDAN Matthew P.
- Journal article citation:
- Psychiatrist (The), 36(3), March 2012, pp.113-116.
- Publisher:
- Royal College of Psychiatrists
Doctors have a professional obligation to identify patients who are unsafe to drive, and in cases of dementia this decision is often complex. The Scottish Driving Assessment Service is one of 17 centres across the UK which carries out specialist driving assessments for people with medical conditions that may affect their on-road performance. In this article the author describes the work of the Scottish Driving Assessment Service in Edinburgh and the assessment process, and reflects on the experience of spending a day at the centre and shadowing 3 driving assessments for people with dementia. The assessment includes a full clinical history, sight check, examination of higher cognitive function, static assessment test and on-road test of safe driving ability. The article concludes that visiting a local driving assessment centre can be a valuable learning opportunity for psychiatrists in training, particularly those working with older adults, to improve their knowledge of driving assessment.
What skills do older self-funders in England need to arrange and manage social care? Findings from a scoping review of the literature
- Authors:
- BAXTER Kate, WILBERFORCE Mark, BIRKS Yvonne
- Journal article citation:
- British Journal of Social Work, early cite 23 August 2020, p.bcaa102.
- Publisher:
- Oxford University Press
Older people in England who pay for social care from their own funds (‘self-funders’) receive little help in seeking and arranging care compared to older people funded by their local council. This suggests an implicit assumption that people funded by local councils need help to manage their care whereas self-funders do not. This article reports findings from a scoping review of published evidence from England, Scotland and Wales on the skills that older people need, and the help they get, to seek, arrange or manage use of social care, and how this help affects outcomes. Searches undertaken in October 2018 resulted in the inclusion of thirty-six empirical papers and seven reviews. Thematic analysis identified the importance of everyday life and specific business skills, and personal attributes including objectivity when evaluating options. The review identified two significant gaps in the evidence: first, how help in seeking and arranging care compensated for lack of, or complemented existing, skills; and secondly, how outcomes for people receiving help in arranging care compared with those not receiving help. The article concludes that a tailored approach to supporting older people arrange and manage care, irrespective of funding, should be considered. (Edited publisher abstract)
Building community-based support with older people: evidence from other research reports
- Author:
- OUTSIDE THE BOX
- Publisher:
- Outside the Box
- Publication year:
- 2015
- Pagination:
- 37
- Place of publication:
- Glasgow
This report, developed as a resource for community groups, draws on recent key reports, discussion papers and research studies to present evidence on creating and sustaining community-based support for older people, including those which older people lead. It provides definitions of terms and approaches used in community-based support; outlines the current the policy context in Scotland; and then provides an overview of the main findings on community capacity building, changes in public services and the impacts for older people. Points raised in the evidence include: older people who need extra support generally know what will make life better for them; community-based activities that focus on older people's wellbeing complement other services; and that providing community-based solutions and low-level support to older people before they need greater support can prevent or reduce the need for higher intensity services, bring benefits and better outcomes to the people involved. The final section summarises findings from the individual reports and research reviews identified. Although the policy and practice context for the report focuses on the situation in Scotland, most of the reports featured in the review come from the experience of services based in England. (Edited publisher abstract)
The homecare deficit: a report on the funding of older people's homecare across the United Kingdom
- Author:
- UNITED KINGDOM HOMECARE ASSOCIATION
- Publisher:
- United Kingdom Homecare Association
- Publication year:
- 2015
- Pagination:
- 56
- Place of publication:
- Wallington
Using data obtained under freedom of information legislation, this report provides a snapshot of the prices paid for older people's homecare by councils in Great Britain and the Health and Social Care Trusts in Northern Ireland during a sample week in September 2014. Visual and numerical data are included to make comparisons at a national, regional and local authority level. The report provides information on the average price councils paid for homecare for older people; the numbers of councils paying their local providers sufficient to comply with the National Minimum wage (including careworkers' travel time); and those paying a UK or London Living Wage. It also highlights the risks associated with under-funded care such as poorer terms and conditions, insufficient training for the workforce, resulting in problems in retaining good quality care workers. (Edited publisher abstract)
Policies for peace of mind?: devolution and older age in the UK
- Authors:
- McCORMICK James, MCDOWELL Eleanor, HARRIS Andrew
- Publisher:
- Institute for Public Policy Research
- Publication year:
- 2009
- Pagination:
- 37p., bibliog.
- Place of publication:
- London
This paper considers the changing landscape of policy and practice for older people since 2000 and how this varies across the four countries of the United Kingdom. It reflects on UK Government reforms over this period as well as the early choices made by the devolved administrations, which have varying powers. Much more is known about policy inputs - programmes designed to improve older people’s quality of life - than about their impact. As a result of devolution to the three smaller countries of the UK, it is possible to identify the intended policy aims for older people, as well as the role of policies reserved to Westminster. In particular, the research explores how far policies have sought to improve well-being for all older people or for some, targeted for example on need, resources or stage within older age. The paper draws mainly on a desk review of published documents, supplemented by a small number of interviews with policymakers in each of the four countries of the UK.
Scottish devolution: identity and impact and the case of community care for the elderly
- Author:
- MARNOCK Gordon
- Journal article citation:
- Public Administration, 81(2), 2003, pp.253-273.
- Publisher:
- Wiley
Examines the emergent identity and impact of devolution in Scotland. Using the case of community care for the elderly, a model is set out for capturing the different interpretive perspectives evident in relation to a particular policy area in 1999-2001. The political story of the 'free personal care' issue, in which the Scottish Executive were unexpectedly forced into adopting a markedly different policy from the rest of the UK, is examined in detail. Setting the episode in a broader context, four discursive thematics are identified in relation to the policy case. A model is demonstrated for examining different aspects of devolution including constitutional level and sub-system aspects of post-devolution governance. Conclusions are drawn as to the meaning which should be ascribed to the discourse associated with devolution and community care for the elderly.
Developing quality in personal social services: concepts, cases and comments
- Editors:
- EVERS Adalbert, et al
- Publisher:
- Ashgate
- Publication year:
- 1997
- Pagination:
- 318p.,bibliog.
- Place of publication:
- Aldershot
Looks at the challenge of introducing business originated concepts of quality assurance into personal social services. Includes papers on: quality development as part of a changing culture of care in personal social services; business and professional approaches to quality improvement; quality management in Finland; the developing role of user involvement in the UK; professionals and quality initiatives in health and social services; measuring quality in personal social services; combining user interests with professionalism in the organisation; quality management and assurance in residential and nursing home care in Britain and Germany; user centred performance indicators in community care in Scotland; developing domiciliary care markets in Britain; management in public care services; user involvement influencing quality in Denmark; quality in home care and nursing; national and local quality strategies in Finland; and quality measurements and some unintended consequences.