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Who knows best? Older people's contribution to understanding and preventing avoidable hospital admissions
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2016
- Pagination:
- 18 mins 50 secs
- Place of publication:
- London
This video summarises the key findings of a research project conducted by the University of Birmingham’s Health Services Management Centre and the Department of Social Policy and Social Work which interviewed 104 older people about their emergency admissions to hospital. The research looked at how the older people were admitted to hospital, whether they felt this was the best place for them and what alternatives might have been explored. Similar questions were also asked of a GP and / or hospital doctor representing as many of these older people as possible. Overall, the study found that most older people were admitted to hospital appropriately. Only nine of 104 older people (almost 9%) felt that hospital was not the right place for them. Key findings covered in the video include: delays in seeking help; prevention and early intervention; poor communication; proactive initial approaches; working with GPs and paramedics; and the underfunding of social care. (Edited publisher abstract)
Garden visiting as a meaningful occupation for people in later life
- Authors:
- LEAVER Rosemary, WISEMAN Tania
- Journal article citation:
- British Journal of Occupational Therapy, 79(12), 2016, pp.768-775.
- Publisher:
- Sage
Introduction: Garden visiting, as described in this study, involves visiting private gardens which householders have temporarily opened to the public, in support of charity. In the United Kingdom, garden visiting is a popular occupation which attracts 750,000 people each year. The connections between active gardening and wellbeing are well established, particularly for people in later life. This research explores visiting other people’s gardens for leisure in order to deepen our understanding of how garden visiting is experienced as an occupation. Method: Seven people aged between 60 and 81 years old who considered themselves fully retired were interviewed whilst walking through parks and public gardens. Thematic analysis with inductive coding was used to analyse the data. Findings: Four themes emerged: time and wellbeing, embodied wellbeing, being part of a gardening community and pondering the creator. Conclusion: Garden visiting is a complex occupation which brings far-reaching benefits to individuals and communities. Garden visiting also has important implications for increasing wellbeing by grounding people in the present and promoting sensory engagement. (Publisher abstract)
Safe later lives: older people and domestic abuse
- Author:
- SAFELIVES
- Publisher:
- SafeLives
- Publication year:
- 2016
- Pagination:
- 31
- Place of publication:
- London
This report focuses on older victims of domestic abuse, a group often overlooked in the literature that tends to focus on younger victims and perpetrators. It estimates that in the last year approximately 120,000 individuals aged 65+ have experienced at least one form of abuse (psychological, physical, sexual or financial). The report outlines the following six key findings: systematic invisibility of older people who are not represented in domestic abuse services and lack of recognition amongst some professionals of the phenomenon; long term abuse and dependency issues, which may add additional pressures to stay with an abusive partner; generational attitudes about abuse may make it hard to identify; increased risk of adult family abuse; services are not effectively targeted at older victims, and do not always meet their needs; and need for more coordination between services. The report argues that social care services need training to understand the dynamics of abuse in a caring relationship; they should target older people with messages that empower them to recognise their situation as abuse, and raise awareness of support available; and that services working with adults and their older parents must be trained to recognise abuse, and have clear referral pathways. (Edited publisher abstract)
Fare's fair? Concessionary travel policy and social justice
- Authors:
- HOUSTON Donald, TILLEYED Sara
- Journal article citation:
- Journal of Poverty and Social Justice, 24(2), 2016, pp.187-207.
- Publisher:
- Policy Press
This paper argues that transport has an important influence on individuals' welfare and therefore transport policy can be readily analysed from social justice and welfare policy perspectives – yet only rarely ever is. The paper develops a justice framework in which to assess the 'fairness' of the eligibility criteria used in concessionary fare policies – specifically the justice principles of need, desert, equality, option choices and affordability. The paper examines a concessionary bus fares policy from a social justice perspective, including an empirical assessment of who in practice benefits most from it and how these findings measure against justice principles. (Publisher abstract)
Summary of built infrastructure for older people’s care in conditions of climate change (BIOPICCC): toolkit impact development
- Authors:
- WISTOW Jonathan, MAX Catherine, GUIDA Kristen
- Publisher:
- Adaptation and Resilience in the Context of Change
- Publication year:
- 2016
- Pagination:
- 5
- Place of publication:
- Oxford
This briefing paper provides a summary of a project to strengthen and broaden the impact in national policy and local practice from the BIOPICCC toolkit and associated learning. The BIOPICCC project ran from November 2009 until October 2012 and aimed to develop a methodology for selecting locally sensitive, efficient adaptation strategies during the period up to 2050 to ensure that the infrastructures and health and social care systems supporting wellbeing of older people (i.e. those aged 65 and over) will be sufficiently resilient to withstand harmful impacts of climate change. A key output from BIOPICCC was a toolkit that provides a series of resources to assist local authorities, partner organisations, and neighbourhood and community groups with local level resilience planning. This briefing focuses in particular on the following key objectives of the project: sharing learning; leveraging good practice citations to promote and increase the use of the toolkit; ensuring the toolkit remains fit for purpose; and disseminating knowledge and learning. (Edited publisher abstract)
Who knows best? Top tips for managing the crisis: older people's emergency admissions to hospital
- Authors:
- GLASBY Jon, et al
- Publisher:
- University of Birmingham. School of Social Policy
- Publication year:
- 2016
- Pagination:
- 12
- Place of publication:
- Birmingham
This resource identifies ten key themes, or ‘top tips’, which could help health and social care services to reduce inappropriate hospital admissions. It has been developed from a national research project which involved interviews and focus groups with older people and their families, and front-line health and social care professionals. It is argued that these ‘perceptions’ from older people and front-line staff are important as they can have a significant impact on how people live their life and access services. The themes cover: not making older people feel they are a burden; making community alternatives to hospital easier to access; to distinguish between ‘inappropriate’ and ‘preventable’ admissions; the need for early action; the importance role of adult social care; and the importance of engaging with older people to understand and respond to the increasing number of emergency admissions. Quotations from older people, their families and professionals are included throughout to illustrate key points. (Edited publisher abstract)
Housing our ageing population: positive ideas. HAPPI 3: making retirement living a positive choice
- Authors:
- BEST Richard, ALL PARTY PARLIAMENTARY GROUP ON HOUSING AND CARE FOR OLDER PEOPLE
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2016
- Pagination:
- 7507
- Place of publication:
- Birmingham
Explores how older people can be given more control over the management and delivery of services and access to a wider range of housing choices. In particular, to ensure that they can: be as independent as they want to be; feel part of a community and choose how and when to they want to engage; stay connected with their social or other support networks, including through the use of technology, preventing isolation and loneliness; have a clear understanding of purchase, shared ownership or rental prices so that they can make informed decisions about what they can afford to buy and/or rent; and have greater clarity and certainty over service charges and associated property costs/management fees so that they retain more control and can plan their finances effectively. The report recognises that some of the factors that can impede older people 'rightsizing' - such as emotional ties to a home or community - are difficult to overcome. However, it says that measures to make moving easier, to build specialist 'care ready' housing where people want it and to address the sector's lingering negative image will encourage more people to move while still fit and healthy. Having taken evidence from a range of experts and stakeholders, the report also calls on local authorities to recognise the social and economic benefits of right-sizing in their local plans and planning policies. House builders and lenders, the report says, should do more to support people looking to move to more appropriate housing by developing clear and transparent information around fees and other costs that offer greater choice and control. (Edited publisher abstract)
Ageing in squalor and distress: older people in the private rented sector: older people who privately rent their homes
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2016
- Pagination:
- 16
- Place of publication:
- London
This briefing paper looks at the implications of private renting increasingly becoming a permanent form of tenure, as well as the position of the several hundred thousand older private tenants today. It reviews a selection of Age UK casework on private renting, collected between 2013 and 2016. It describes the experiences of some older private tenants and those who support and care for them, to ask how well private renting really works for older people and what needs to change if the sector is to achieve a better fit with older people’s needs and aspirations. The main issues highlighted by the case studies in this report include: a failure to carry out timely repairs with potentially serious health implications for vulnerable older people; older tenants in damp and mouldy homes, exacerbating chronic health conditions; unexpected rent increases after a landlord has made improvements to their property and unaffordable rents affected by restrictions in housing benefit; older tenants who are getting no other support having to rely on families and even neighbours to take up issues on their behalf. The report calls for: action to enforce the law and support older tenants; ensuring privately rented properties are comfortable, warm and accessible; informing older people about their housing options and improving the availability to them of good advice. (Edited publisher abstract)
Older people's dance activities: the first UK survey
- Author:
- PEOPLE DANCING
- Publisher:
- People Dancing
- Publication year:
- 2016
- Pagination:
- 36
- Place of publication:
- Leicester
This research, co-commissioned by Aesop, presents the findings of an online survey of current practice in older people’s dance and draws on views of those working in the field to identify the characteristics that contribute to successful dance initiatives. It provides evidence about the contribution that dance can make to the health and wellbeing of older people and also provides information to support community dance artists in the delivery of their work with older people. The research analysed data from 173 projects across the UK and carried out additional interviews with eight of the survey participants. The analysis looks at where the groups are located, how they are organised, who takes part, the main reasons for setting up the groups, and the challenges faced by those organising group activities. The results found health and wellbeing was the most commonly cited purpose for setting up a group, closely followed by recreational dancing. Social and community aspects of groups were also seen by organisers as important elements of their work. Over half of respondents delivered activities in partnership with others, such as older adult-specific organisations. Those professionals developing dance opportunities with allied health professionals highlighted the importance of having champions within health to promote the benefits of dance within their organisations. The report identifies a number of areas for further development to help support artists working in older people's dance. (Edited publisher abstract)
Understanding retirement for ageing adults with a disability in supported employment
- Authors:
- GOODS Naomi, MILLSTEED Jeannine
- Journal article citation:
- British Journal of Occupational Therapy, 79(11), 2016, pp.713-721.
- Publisher:
- Sage
Introduction: Employees with disabilities in supported employment are ageing and, as their retirement from work approaches, it is critical to consider how they perceive their occupational roles might change. They need to consider what activities they choose to engage in, and what service or supports might be necessary to make a successful transition to retirement. The aim of this study was to understand how ageing employees with disabilities perceive retirement, and how their occupational roles might change. Method: A qualitative study was conducted with 10 participants working in a supported employment service, for whom transitioning from work to retirement was imminent. Findings: Participants perceived retirement to be boring, full of meaningless activities and lonely. It also meant a reduced income that would result in hardship, and a loss of self-esteem at losing their employee role. They had limited knowledge about alternative activities in retirement. Conclusion: Participants perceived significant barriers to making the transition from employee to retiree. Occupational therapy can provide support with pre-retirement planning and evidence-based strategies such as a client-centred approach, mapping new routines, and training staff and mentors. They could also advocate for changes in service delivery to improve practices that will encourage active ageing for people with disabilities in retirement. (Publisher abstract)