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Older people – recipients but also providers of informal care: an analysis among community samples in the Republic of Ireland and Northern Ireland
- Authors:
- MCGEE Hannah M., et al
- Journal article citation:
- Health and Social Care in the Community, 16(5), September 2008, pp.548-553.
- Publisher:
- Wiley
Data on both the provision and receipt of informal care among populations of older adults are limited. Patterns of both informal care provided and received by older adults in the Republic of Ireland (RoI) and Northern Ireland (NI) were evaluated. A cross-sectional community-based population survey was conducted. Randomly selected older people (aged 65+, n = 2033, mean age (standard deviation): 74.1 years (6.8), 43% men, 68% response rate) provided information on the provision and receipt of care, its location, and the person(s) who provided the care. Twelve per cent of the sample (251/2033) identified themselves as informal caregivers (8% RoI and 17% NI). Caregivers were more likely to be women, married, have less education and have less functional impairment. Forty-nine per cent reported receiving some form of care in the past year. Care recipients were more likely to be older, married, have more functional impairment, and poorer self-rated health. Receiving regular informal care (help at least once a week) from a non-resident relative was the most common form of help received. Five per cent (n = 102/2033) of the sample reported both providing and receiving informal care. Levels of informal care provided by community-dwelling older adults were notably higher than reported in single-item national census questions. The balance of formal and informal health and social care will become increasingly important as populations age. It is essential, therefore, to evaluate factors facilitating or impeding informal care delivery.
Report into older people and domiciliary care: together with minutes of proceedings of the committee relating to the report and the minutes of evidence
- Author:
- NORTHERN IRELAND. Northern Ireland Assembly. Public Accounts Committee
- Publisher:
- Northern Ireland. Northern Ireland Assembly. Public Accounts Committee
- Publication year:
- 2008
- Place of publication:
- Belfast
Many workers are deserting their posts because of poor morale, a report from the Public Accounts Committee said. It examined how the Department of Health is trying to transform its system from mainly residential care to supported care at home. It said steps must be taken to raise the esteem of the caring profession. The report added: "The committee advised that failure to address this issue could lead to a shortfall in the standard and supply of domiciliary care services for older people." The recommendations come in a paper entitled "Report into Older People and Domiciliary Care at home". Some workers are paid close to the minimum wage of £5.52 per hour and private companies which provide the care have accused health authorities of failing to set aside enough money, said the committee. In the voluntary sector, the lack of guaranteed hours, the low hourly rates payable and the often poor conditions of employment can affect the morale of staff and hinder recruitment and retention of staff.
The usability of the Northern Ireland single assessment tool for the health and social care of older people
- Author:
- MCCORMACK B.
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2008
- Pagination:
- 30p., bibliog.
- Place of publication:
- Belfast
The Northern Ireland Single Assessment Tool (NISAT) was developed for the National Service Framework for Older People. This comprised of three stands (Contact Screening, Core and Complex Assessment) supported by a number of specialists assessments (such as G.P assessment, Carers assessment, Specialist Assessment Summary). The NISAT was developed through a participatory process of engagement with front-line staff, and had acceptable psychometric properties. This study examined users options regarding the usability of the three components of the NISAT and invited comments on how best to implement training across the province. Assessors were given the opportunity to use the NISAT with a purposive sample of older people. The findings informed discussion with assessors regarding training, its structure, contents and format.
The reliability of the core element of the Northern Ireland single assessment tool (NISAT) for the health and social care of older people
- Authors:
- MCCORMACK B.G., et al
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2008
- Pagination:
- 26p., bibliog.
- Place of publication:
- Belfast
The Northern Ireland Single Assessment Tool (NISAT) was developed to address the assessment process as highlighted in the NSF for Older People. The NISAT consists of three main parts: the Contact Screening; the Core NISAT; and the Complex NISAT. The Core assessment consists of eight domains covering all areas of the older people's life - mental health; communication and sensory functioning; personal care and daily tasks; mobility and movement; awareness and decision making; accommodation and living arrangements; employment, finance and leisure; and physical health and medication. This study used case studies with a purposive sample of trained assessors to determine the inter-rater reliability of the Core NISAT. The study aimed to: determine the reliability (percentage agreement) of quantitative measures between assessors; determine the statistical significance of the quantitative measures; and determine the overall reliability of the Core NISAT. A sample of twenty seven assessors participated in the study. The quantitative findings from each of the 27 completed assessments for each case study were analysed. Overall there was a high level of inter-rater reliability on the quantitative measures contained in the core NISAT. This high inter-rater reliability was consistent across each domain and in each case study. It can be concluded from the findings that the core NISAT is reliable as a measure of older peoples’ needs and abilities.
Department of Finance and Personnel memorandum on the tenth report from the Public Accounts Committee session 2007-2008: older people and domiciliary care
- Author:
- NORTHERN IRELAND. Department of Finance and Personnel
- Publisher:
- Stationery Office
- Publication year:
- 2008
- Pagination:
- 10p.
- Place of publication:
- Belfast
The Committee agrees with the Department that care packages must be tailored to meet the individual’s needs. However, the Committee recommends that institutional care should be used only in cases where domiciliary care is not a feasible option. The vast majority of older people want to remain independent, in their own homes and in control of their own lives for as long as possible. If these objectives are to have a significant impact on the future development of care services for older people, the Committee would expect to see a substantial shift in funding from institutional to domiciliary care.
The reliability of the complex element of the Northern Ireland single assessment tool for the health and social care of older people
- Authors:
- MCCORMACK B.G., et al
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2008
- Pagination:
- 34p.
- Place of publication:
- Belfast
The Northern Ireland Single Assessment Tool (NISAT) was developed to address the assessment process as highlighted in the NSF for Older People. The NISAT consists of three main parts: the Contact Screening; the Core NISAT; and the Complex NISAT. This study involved examining the reliability of information collected using the complex assessment instrument of the NISAT. Two measures were calculated: the ability of assessors to identify the themes contained in case studies; and the total number of themes identified by each assessor to provide information on the comprehensiveness of the assessments. A summary of results by case study are presented. Key findings supported the reliability of the complex NISAT; identified variability in the assessors’ ability to identify the themes/measures; highlight areas for potential modification; and identified assessors desire for comprehensive training and clear guidance on the correct way to complete the Complex NISAT. The study confirmed the reliability of the Complex NISAT and the use of case studies in the development and testing of assessment tools, especially in the healthcare setting. Appendices include details of the three case studies used.
Are you being heard?: a review of access to advocacy services for older people in care homes in Northern Ireland
- Authors:
- REGULATION AND QUALITY IMPROVEMENT AUTHORITY, HEALTH AND SOCIAL SERVICES COUNCILS OF NORTHERN IRELAND
- Publisher:
- Regulation and Quality Improvement Authority
- Publication year:
- 2008
- Pagination:
- 55p.
- Place of publication:
- Belfast
Reports on the findings of an audit which aimed to report on access to: advocacy services for older people in publicly funded places in care homes; assess the current extent of available advocacy services; identify strengths and weaknesses in current arrangements; highlight best practice; and support improvement by identifying a way forward. Methods to gather information included: questionnaires to care homes; focus groups of relatives and residents; and a reference group for stakeholders. Recommendations are presented.
Spotlight report 2008: spotlight on older people in Northern Ireland
- Author:
- HELP THE AGED IN NORTHERN IRELAND
- Publisher:
- Help the Aged in Northern Ireland
- Publication year:
- 2008
- Pagination:
- 32p.
- Place of publication:
- Belfast
This report looks at the issues that impact on the lives of older people in Northern Ireland to demonstrate both the positive and the negative, to discern how we treat older people and how, in addressing the issues raised, we can ensure that as many people as possible enjoy and maintain a good quality of life. Each section is illustrated by a number of statistical indicators based on the latest available figures, a commentary on the issues raised and quotes from older people themselves. Behind the statistics presented in this report are individuals with different life experiences, different circumstances and different needs. In common with any other sector of society, older people are not a homogenous group but individuals with a diverse range of views, lifestyles and experiences. However a significant number of older people in Northern Ireland do share a common ground: the misery of poverty, isolation and neglect. It is life for this group of people that this report focuses on.
Standards for adult social care support services for carers
- Author:
- NORTHERN IRELAND. Department of Health, Social Services and Public Safety
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2008
- Pagination:
- 19p.
- Place of publication:
- Belfast
The need for an inspection of Social Care Support Services for Carers of Older People in Northern Ireland was identified during the consultation on the former Social Services Inspectorate's inspection programme for 2002-2005. The inspection continued into 2006. The reports arising from the inspection identify many areas of good practice and good quality work undertaken by highly motivated staff. The reports have sought to identify both what is working well and where improvements are still needed. The reports, with their recommendations to Boards and Trusts and their partner Agencies, together with the draft standards and other initiatives from DHSSPS, provide a clear and coherent framework for the future provision of robust, high quality support for carers. Support for carers is a central policy objective for the Department. The final Standards for Adult Social Care Support Services for Carers were issued in July 2008 and will complement other published standards with regard to practice and social care service provision. The standards will be of use to Commissioners and Providers of social care support services for carers; social care workers; regulatory and training providers and most importantly to carers and their representative groups to inform them of what they can and should reasonably expect from social care support services and from the organisations and practitioners commissioning and providing them.
Adult community statistics: 1st April 2007-31st March 2008
- Author:
- NORTHERN IRELAND. Department of Health, Social Services and Public Safety
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2008
- Pagination:
- 78p., tables
- Place of publication:
- Belfast
This statistical report presents information on activity for all Programmes of Care for adults, gathered from HSC Trusts via the annual and quarterly statistical returns. Statistical tables are presented in 6 sections. All Programmes of Care, Elderly Care, Mental Health, Learning Disability, Physical and Sensory Disability, and Primary Health and Adult Community.