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Best place of care for older people after acute and during sub-acute illness: report of a national survey
- Authors:
- PARKER Gillian, et al
- Publisher:
- University of Leicester. Nuffield Community Care Studies Unit
- Publication year:
- 1999
- Pagination:
- 200p.
- Place of publication:
- Leicester
Acute hospital care is not necessarily the best way to look after all older people when they are ill. Their illnesses may not require the extensive range of services offered in an acute hospital and the admission and stay in an acute hospital, in itself, can be harmful for some frail people. The results of the systematic review of literature comparing alternative models of care with ‘conventional’ care for older people indicated that stroke units, early discharge schemes and in-patient rehabilitation delivered better outcomes at discharge in terms of mortality, physical function and discharge destination. However, it was unclear whether the improvements are maintained over the longer term or why they were achieved. The most significant finding was the lack of firm evidence about the quality, costs and effectiveness of different places of care. However, there is some evidence that admission avoidance schemes may have potential for reducing costs without worsening outcomes.
Visitors views of residential homes
- Authors:
- ABBEY Alison, SCHNEIDER Justine, MOZLEY Caroline
- Journal article citation:
- British Journal of Social Work, 29(4), August 1999, pp.567-579.
- Publisher:
- Oxford University Press
This article reports the findings of a survey of visitors to residential care homes throughout England. It shows who the visitors were, what they did, their likes and dislikes and ideas for improvements. It summarises what aspects were most important to visitors, many of whom were former carers and looks at the implications for purchasers and providers of residential care. Closes with a methodological discussion about how the valuable views of visitors may be tapped without encountering reticence due to guilt or fear of retribution affecting the resident.
Need for charging guidelines paramount
- Author:
- BRANDON David
- Journal article citation:
- Working with Older People, 3(1), January 1999, pp.25-27.
- Publisher:
- Emerald
In this article Age Concern England set out their case for the inclusion of older people to direct payments and urge further changes to policy and practice.
Personal social services local authority statistics: community care statistics; residential personal social services for adults; detailed statistics on residential and nursing care homes and local authority supported residents; England 1998
- Editor:
- STATON Roger
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1999
- Pagination:
- n.p.,tables.
- Place of publication:
- London
-
'I never thought I'd be doing this...': older people networking: an evaluation of Anchor Trust's local service network projects
- Author:
- JONES Nigel
- Publisher:
- Anchor Trust
- Publication year:
- 1999
- Pagination:
- 39p., bibliog.
- Place of publication:
- Kidlington
In 1996, Anchor Trust secured funding to develop two local service network projects involving older people in Brighton and Hartlepool. The projects aimed to improve access and availability of services to prevent or delay dependence on long-term care services, provide increased choice for older people, and use the local community as a resource in developing community care services and support networks. The Nuffield Institute for Health was engaged to evaluate how the projects developed and assess the potential for developing them elsewhere. This report summarises the findings of the evaluation and demonstrates the effectiveness of a community development approach.
Dimensions of choice in the assessment and care management process: the views of older people, carers and care managers
- Authors:
- HARDY Brian, YOUNG Ruth, WISTOW Gerald
- Journal article citation:
- Health and Social Care in the Community, 7(6), November 1999, pp.483-491.
- Publisher:
- Wiley
The aim of promoting choice for service users and carers is, together with the goal of greater independence, central to recent community care policies. This article sets out a typology of those key choices which users and carers are expected to be able to make within each stage of the assessment and care management process. The article goes on to describe the extent to which such choices have increased or decreased in practice. The evidence confirms that of other recent studies that the gap between the 'ideal' or user and carer involvement and the 'reality' of everyday practice is still considerable.
Housing and older people: a national overview
- Author:
- VALLELLY Sarah
- Journal article citation:
- Housing Care and Support, 2(2), June 1999, pp.29-31.
- Publisher:
- Emerald
Describes how the Anchor Trust is about to publish Age File 99 - a comprehensive, up-to-date report documenting the demographics, health, housing circumstances, finances, care arrangements and lifestyles of older people in England. It is intended to be an invaluable resource for anyone involved in shaping the national agenda for the delivery of housing, care support services for older people. Summary outlines the main findings related to the housing conditions and circumstances of older people.
Profile of disability in elderly people: estimates from a longitudinal population study
- Authors:
- MELZER David, et al
- Journal article citation:
- British Medical Journal, 24.4.99, 1999, pp.1108-1111.
- Publisher:
- British Medical Association
Reports on a study estimating the numbers of cognitively impaired and physically disabled elderly people in England and Wales, subdivided by a range of sociodemographic, dependency, care recipient, and survival variables. Results found that very elderly people and those with cognitive impairment make up a large population of those in need of long term care. A large proportion of disabled elderly still live outside institutions and depend on formal services as well as informal caregivers. The research also found that the disabled elderly also use acute hospitals extensively, underlining the interrelations between acute and long term care.
Broadening our vision of housing and community care for older people: innovative examples from Finland, Sweden and England
- Author:
- ANCHOR RESEARCH
- Publisher:
- Anchor Trust
- Publication year:
- 1999
- Pagination:
- 91p.,bibliog.
- Place of publication:
- Kidlington
Collection of papers exploring common issues in Finland, England and Sweden around the need to develop a broader vision of community care which emphasises prevention and the need for joint working across traditional boundaries. Also calls for a recognition that quality of life and social integration for older people encompasses a much broader range of services and issues than are usually associated with community care.
Whose zone is it anyway: the guide to area based initiatives
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 1999
- Pagination:
- 41p.,tables,list of orgs.
- Place of publication:
- London
Report giving a complete guide to the present range of programmes for tackling problems at a local level. Contains sections on: best value; employment zones; health action zones; education action zones; better government for older people; new deal for communities; sure start; single work focused gateway; and area co-ordinated experiments. Also includes a list of zones and area based initiatives contacts and locations of zones and area based initiatives across England and Wales.