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Rapid assessment of the impact of the National Service Framework for Older People in Wales
- Author:
- MORGAN Gareth
- Journal article citation:
- Working with Older People, 16(1), 2012, pp.41-44.
- Publisher:
- Emerald
This paper reports on the first rapid assessment that has been undertaken on the Welsh National Service Framework (NSF) for Older People, and focuses on the perceptions of healthcare staff from Welsh Health Boards. A questionnaire was sent to key colleagues in each of the seven Health Boards. Anonymity was vital to allow colleagues to score their questionnaires honestly. Overall, the impact of the NSF was perceived as too difficult to assess. The most promising element of the NSF appeared to be a perception on the impact on joint health and social care working. Also, the NSF urgently needs to provide evidence of positive impact. The next stage, based on a focussed approach, offers an opportunity to progress this. The authors concluded that a rapid assessment exercise, using existing networks that are built on trust, can yield valid and useful information which can help policy development.
Integration of health and social care - what can Wales learn ... and contribute?
- Author:
- MORGAN Gareth
- Journal article citation:
- Quality in Ageing and Older Adults, 14(1), 2013, pp.47-55.
- Publisher:
- Emerald
Drawing on the findings of a literature review, and on experience from the United Kingdom, Europe and Canada in particular, this paper looks at health and social care service integration and considers the situation in Wales. It summarises developments in health and social care integration in European countries and Canada, commenting on learning opportunities and challenges. It then considers health and social care integration policy and practice in Wales, with particular reference to experience of integration, person centred care, and the United Nations Principles for Older People. It concludes that integration challenges remain, but that Wales is well placed to advance the integration agenda.
Dignity in care survey in North Wales
- Author:
- MORGAN Gareth
- Journal article citation:
- Working with Older People, 16(4), 2012, pp.175-179.
- Publisher:
- Emerald
This paper describes the findings of a survey conducted in North Wales looking at the perceptions of older people on dignity in care issues in the services they received. The North Wales Dignity in Care Forum carried out the survey, driven by the question: What one change today could make a difference to you tomorrow? National Health Service and local authority organisations were involved and 499 responses were received. Thematic analysis of the responses revealed a number of key issues. The top three concerns were keeping independence, individual respect and personal care. There were some difference in the responses from the NHS and the local authority participants. In particular, the wide range of issues raised by the NHS group made these responses difficult to interpret. The authors highlight the limitations of this rapid study, including; absence of demographic data and an open sampling frame. However they believe the results show that there is value in using rapid and inexpensive methods to collect information from older people accessing services.
Use of the internet in assessing service provision for older people
- Authors:
- MITCHELL Clive P., MORGAN Gareth, GALLACHER John
- Journal article citation:
- Quality in Ageing and Older Adults, 12(4), 2011, pp.234-238.
- Publisher:
- Emerald
A pilot study of using a web-based platform to evaluate health and social care provision, focusing on the National Service Framework (NSF) for health and social care for older people in Wales, is reported in this article. As part of the Age Well, Feel Good programme on active and successful ageing, a sample of 552 older people, recruited from the Cardiff area, were invited to use a website to provide evaluation data for the study. Participants were asked about awareness of the NSF and satisfaction with areas of service provision covered by the NSF. The article describes the study and its findings, including discussion of the strengths and limitations of web-based data. The authors conclude that the study demonstrates that older people are capable and willing to engage with web-based methods and that the internet is a viable technology for the evaluation of health and social care services with older people.
Co-production within health and social care – the implications for Wales?
- Authors:
- PHILLIPS Andy, MORGAN Gareth
- Journal article citation:
- Quality in Ageing and Older Adults, 15(1), 2014, pp.10-20.
- Publisher:
- Emerald
Purpose: It is well recognised that individuals have much to contribute to the care that they receive, with attendant benefits on outcomes and reduction in cost. The recognition of individuals who access care services as interdependent citizens embedded in both formal and informal support networks is a shift that acknowledges their active role as partners in management of their own care and in service innovation and development. The purpose of this paper is therefore to explore and illustrate some of the domains of co-production. Design/methodology/approach: In this paper, the authors review the literature, both peer-reviewed and professional, in order to provide a broad and contemporary commentary on this emergent approach. This literature is critically summarised and presented along with a narrative that discusses the context in Wales, where the authors are based. The approach to this paper is to bring together existing knowledge and also propose potential avenues for further research and practise development. Findings: There is a diverse literature on this topic and the application of co-production appears potentially transformational within health and social care. Implementation of the principles of co-production has the potential to improve health and social care services in a range of settings. Real changes in outcomes and experience and reduction in societal cost can be achieved by making the people of Wales active partners in the design and delivery of their own health and social care. Originality/value: This review offers a readily accessible commentary on co-production, which may be of value to a wide range of professional groups and policy makers. This paper also reflects an original attempt to summarise knowledge and propose further areas for work. Most importantly, this paper offers a start point for co-production to become a reality for service provision with all the attendant benefits that will arise from this development. (Publisher abstract)
Achieving age equality in Welsh health and social care services
- Authors:
- MORGAN Gareth, et al
- Journal article citation:
- Generations Review, 22(4), October 2012, Online only
- Publisher:
- British Society of Gerontology
Briefly reports on the findings of a scoping exercise which gathered the views of professionals in 7 Welsh Health Boards, 22 Local Authority and 27 other organisations on their awareness of, and attitudes to, UK government age equality legislation. Questions included whether this would have a direct impact on respondents own job/role; whether the organisations were ready to implement this legislation; barriers to implementation, and whether the legislative framework will have an impact on attitudes and behaviours to ageing.