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Proposal for a Chinese extra care home in London
- Author:
- POLICY RESEARCH INSTITUTE ON AGEING AND ETHNICITY
- Publisher:
- Policy Research Institute on Ageing and Ethnicity
- Publication year:
- 2004
- Pagination:
- 32p.
- Place of publication:
- Leeds
The proposal looks firstly at the current policy climate, before examining the demography and experiences of the BME population in general. The proposal then looks more specifically at the Chinese group, concentrating on Chinese elders and those living in the London area. The final section of the proposal examines what a Chinese extra care home would be like and why it is so important. While this report makes the case specifically for an extra care home targeted at the Chinese community, it is important to emphasise that the proposal does not seek to exclude any groups. While Chinese people from around the world are the target audience, the scheme may be well suited to all elders of South East Asian origin and beyond.
Getting started with telecare: South East region project: final report
- Author:
- THORPE Belinda
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2004
- Pagination:
- 23p.
- Place of publication:
- London
Change Agent Team has recently highlighted the problems, Particularly facing Acute Hospitals in the South East Region, particularly with their ability to control waiting lists and the growing problem with delayed discharges. In order to begin to tackle this problem the Change Agent Team in partnership with the National Integrated Community Equipment Service (ICES) Team (Ref 1) funded a short project between September 03 and March 04. The project was to evaluate the benefits of using telecare to promote safety and independence, thereby reducing unnecessary hospital admissions and help to speed up hospital discharges A project manager was appointed to work with three designated control sites within the SE Region, to raise the profile of telecare and to support the evidence already inexistence of the benefits of telecare to help improve bed capacity. Three projects were to be set up and if possible evaluated during the timescale agreed. of staff, choice of telecare sensors and monitors, referral criteria ,response systems and mechanisms for evaluation were addressed.
Adding value through advocacy: report of an investigation to find the benefits WASSR brings to the community and to statutory service providers in Westminster
- Author:
- JONES Jill
- Publisher:
- Westminster Advocacy Service for Senior Residents
- Publication year:
- 2004
- Pagination:
- 42p.
- Place of publication:
- London
Westminster Advocacy Service for Senior Residents (WASSR) is an independent voluntary sector organisation providing an advocacy service for older people in the City of Westminster. Independent advocacy enables vulnerable older people to make informed choices and remain in control of their own lives. It is about civil rights and representation, presenting the concerns of someone who is unable to speak up for him or herself. This study was designed to assess the benefit the work of WASSR brings.
Advice for black and minority ethnic elders
- Author:
- WILLIAMS Flora
- Journal article citation:
- London Age, Autumn 2004, pp.4-5.
- Publisher:
- Age Concern
Describes a three-year project funded by a grant from the Bridge House Estate Trust Fund to fund an information and advice project for black and ethnic minority older people and their informal elder carers, aiming to improve access to Age Concern's information and advice services across London and working in all 33 boroughs - 11 per year.
Clinical practice guideline for the assessment and prevention of falls in older people
- Author:
- NATIONAL COLLABORATING CENTRE FOR NURSING AND SUPPORTIVE CARE
- Publisher:
- Royal College of Nursing
- Publication year:
- 2004
- Pagination:
- 283p.
- Place of publication:
- London
This guideline for health professionals covers older people living in the community, either at home, in a retirement complex, or in a residential or nursing home. An older person is defined as someone who is aged 65 or over. The guideline does not cover people who are bed bound or who are in hospital for reasons other than treatment after a fall. The main areas examined by the guideline were: the evidence for factors that increase the risk of falling; the most effective methods of assessment and identification of older people at risk of falling; the most clinically and cost effective interventions and preventative strategies for the prevention of falls; the clinical effectiveness of hip protectors for the prevention of hip fracture; the most clinically and cost effective interventions and rehabilitation programmes for the prevention of further falls; and older peoples’ views and experiences of falls prevention strategies and programmes. Recommendations for good practice and cost effectiveness are presented. The guidance was commissioned by the National Institute for Clinical Excellence (NICE).
The shifting sands of time: results from the English longitudinal study of ageing on multiple transitions in later life
- Authors:
- HYDE Martin, HIGGS Paul
- Journal article citation:
- Ageing International, 29(4), 2004, pp.317-332.
- Publisher:
- Springer
- Place of publication:
- New York
Old age is becoming a time of transitions (and instability) as the labour market participation and the family arrangements of older people become more varied and as older people themselves become more mobile and healthier than ever before. Many studies exist that illustrate the improving health of the older population, their changing patterns of work, residence and family. However few studies have had the opportunity to look at how changes in one dimension are related to changes in others. The English Longitudinal Study of Ageing (ELSA) is the largest study of older people in England and contains data on the demographic, employment, housing and health characteristics of over 11,000 people aged 50 and over. Using data from the first wave of data collection and baseline data from the Health Surveys for England (from which the ELSA sample was drawn) the authors have looked at transitions over five dimensions amongst the over 50s in England: transitions in labour market position, health status, marital status, household composition and residential location. Transitions in each of the dimensions were explored for the sample as a whole and then by sex and by cohort. Finally the relations between the different transitions were explored. The results show the majority of the sample experience change in at least one dimension and around one quarter in two dimensions. There were few differences between the sexes, although women were more likely to experience a change in labour market position. However there were differences between the age groups. Those in the older groups were less likely to experience transitions, apart from transitions in health statuses. Overall the data confirm that later life is a dynamic portion of the life course.
Comparison of liaison psychiatry service models for older patients
- Authors:
- MUJIC Fedza, et al
- Journal article citation:
- Psychiatric Bulletin, 28(5), May 2004, pp.171-173.
- Publisher:
- Royal College of Psychiatrists
At a London teaching hospital, the existing off-site consultation model psychiatric liaison service for older people was replaced with an on-site liaison model service in December 2000. Several indicators of the functioning of the service were audited using identical methods before and after this change. The case-load increased by 50%, but the liaison psychiatrists were more satisfied with the appropriateness of referrals. The case mix did not change. The new service achieved target waiting times more consistently, particularly for urgent referrals. Referring teams were more satisfied with the speed of response, while the new service maintained the salience and clarity of advice. Findings are on the whole favourable, and support the wider introduction of specialist old-age liaison psychiatric services.
Older people
- Author:
- MANTHORPE Jill
- Journal article citation:
- Research Matters, 17, April 2004, pp.39-44.
- Publisher:
- Community Care
Reports on a study on the social and policy implications of growing older as a gay man or lesbian. The study involved a survey of 266 non-heterosexuals, aged 50 to 80-plus. Twenty people were interviewed and eight focus groups provided further information. Also looks at the results of a study of shopping and cleaning services in Leeds, and research on ageing in London.
An evaluation of a multidisciplinary team for intermediate care at home
- Authors:
- BEECH Roger, et al
- Journal article citation:
- International Journal of Integrated Care, 4(4), 2004, Online only
- Publisher:
- International Foundation for Integrated Care
This paper describes an evaluation of a multidisciplinary Rapid Response Team (RRT). This service aimed to provide a home based alternative to care previously provided in an acute hospital bed which was acceptable to patients and carers and which maintained clinical care standards. The service was provided for the population of Hereford, a rural town in the middle of England. A mixed-method descriptive design using quantitative and qualitative techniques was used to monitor: the characteristics of service users, the types and amounts of care received, any ‘adverse’ events arising from that care, and the acceptability of the service to patients and carers. A collaborative approach involving key stakeholders allowed appropriate data to be gathered from patient case notes, RRT staff, local health and social care providers, and patients and their carers. A suite of self-completed questionnaires was, therefore, designed to capture study data on patients and activities of care, and workshops and semi-structured interview schedules used to obtain feedback from users and stakeholders. Service users (231) were elderly (mean age 75.9), from three main diagnostic categories (respiratory conditions 19.0%, heart/stroke 16.2%, falls 13.4%), with the majority (57.0%) having both medical and social care needs. All patients received care at home (mean duration 5.6 days) with only 5.7% of patients having to be re-admitted to acute care. Overall, patients and carers had positive attitudes to the new service but some expressed concerns about their ability to influence the choice of care option (24.1% and 25.0% of patients and carers, respectively), whilst 22.7% of carers were concerned about the quality of information about care. The findings of this evaluation suggest that the Rapid Response Team provided an ‘acceptable’ alternative to an extended period of care in an acute setting. Such schemes may have relevance beyond the NHS of the UK as a means of providing a more appropriate and cost efficient match between patients' needs for care, the types of care provided, and the place in which care is provided.
No problems: old and quiet; older prisoners in England and Wales
- Author:
- HM CHIEF INSPECTOR OF PRISONS
- Publisher:
- HM Inspectorate of Prisons
- Publication year:
- 2004
- Pagination:
- 114p.
- Place of publication:
- London
The report describes the conditions for and treatment of older prisoners, their healthcare and resettlement, in the light of the requirements of the Human Rights Act, the Disability Discrimination Act and the National Service Framework for older people. It comments on: the built environment and facilities for older prisoners; regimes and relationships with staff; health and healthcare provision; preparation for release and post-release care; and makes recommendations and identifies examples of good practice. The main sections in each chapter are based upon research and fieldwork in 15 men's prisons, of various types, which held the greatest number of men over 60. We used surveys, focus groups and semi-structured interviews with prisoners and staff, as well as our own observations and examination of relevant documents. 442 prisoners (38% of the over-60 male population) were sampled. Each chapter also contains a separate section on middle-aged and older women prisoners, based upon research and fieldwork in three women's prisons, using the same techniques, and surveying 47 women over 50 (31% of the over-50 female population). This fieldwork enabled the authors to examine the specific problems facing this age-group, a few of whom are over 60, but all of whom are older than the great majority of women in prison, and will face increasing difficulty as they age in prison.