Search results for ‘Subject term:"older people"’ Sort:
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Learning from Trusted to Care: one year one
- Authors:
- WALES. Welsh Government, NHS WALES
- Publisher:
- Welsh Government
- Publication year:
- 2015
- Pagination:
- 19
- Place of publication:
- Cardiff
Report summarising progress and improvements made in care and practice at the Princess of Wales and Neath Port Talbot Hospitals in Wales since the independent review Trusted to Care found serious concerns about the quality of care and patient safety of frail and older people. The review made 14 recommendations for the health board and four for the Welsh Government. The report finds progress has been made in all 14 recommendation areas made to the health board. Six have been completed either fully or there are clear plans for implementation in place Eight of the recommendations still need work. The report also identifies the progress made against the Welsh Government recommendations. Improvements are identified in the areas of hydration, medication, complaints and professional accountability. (Edited publisher abstract)
Extra care housing in Wales: a state of the nation report
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2015
- Pagination:
- 17
- Place of publication:
- London
This report, prepared by the Institute for Public Care, provides an up-to-date picture of the current supply of extra care housing in Wales, the challenges facing the market and issues which will need to be considered for future provision. It also sets out some of the outcomes that extra care housing can offer, such as improving the health and wellbeing of residents and the benefits it can provide to the local community. The report offers support for encouraging and facilitating new extra care housing developments in Wales and draws attention to accommodation, care and services already offered in the country. The report makes four key recommendations to expand the provision of extra care housing for older people in Wales: developing a strategic vision on housing for older people; developing a better understand of the outcomes extra care housing can provide; raising awareness of extra care housing as a housing option for those seeking advice and information; and a greater degree of diversity and innovation to deliver services that meet the needs of local communities. (Edited publisher abstract)
All Wales risk identification checklist (RIC) and quick start guidance for domestic abuse, stalking and 'honour'-based violence
- Author:
- OLDER PEOPLE'S COMMISSIONER FOR WALES
- Publisher:
- Older People's Commissioner for Wales
- Publication year:
- 2015
- Pagination:
- 8
- Place of publication:
- Cardiff
This checklist provides a consistent and simple tool for practitioners who work with adult victims of domestic abuse in order to help them identify those who are at high risk of harm and whose cases should be referred to a multi-agency risk assessment conference meeting in order to manage their risk. Domestic abuse can take many forms but it is usually perpetrated by men towards women in an intimate relationship such as boyfriend/girlfriend, husband/wife. This checklist can also be used for lesbian, gay, bisexual relationships and for situations of ‘honour’-based violence or family violence including abuse of the older person. Domestic abuse can include physical, emotional, mental, sexual or financial abuse as well as coercive control, stalking and harassment. The document includes notes to help understand the significance of the questions on the checklist. (Edited publisher abstract)
In search of accountability: a review of the neglect of older people living in care homes investigated as Operation Jasmine
- Author:
- FLYNN Margaret
- Publisher:
- Welsh Government
- Publication year:
- 2015
- Pagination:
- 326
- Place of publication:
- Cardiff
This review is an examination of a series of events and allegations of abuse at care homes and nursing homes in south east Wales at the beginning of the twenty-first century. These events were the subject of a seven year investigation by Gwent Police, which was known as Operation Jasmine. The operation was established during October 2005 when an 84 year old resident of Bryngwyn Mountleigh nursing home in Newbridge was admitted to Newport's Royal Gwent Hospital after being given incorrect doses of medication. She later died. The operation identified over 100 alleged victims, many of whom have since died, but the police were unable to prosecute for either gross negligence manslaughter or wilful neglect since, during 2010, the Crown Prosecution Service decided that there was insufficient evidence to support a reasonable prospect of success on this basis. The report discusses the experiences of the relatives of older people who were harmed in the residential homes and sets out a series of chronologies, focusing on the role of care home owners, key events in the police investigation, and the roles of the Crown Prosecution Service, of the Care Standards Inspectorate for Wales and its successor, the Care and Social Services Inspectorate Wales, and of the Health and Safety Executive. The report also examines the role of the NHS in addressing the clinical needs of older people in care homes and in secondary care as well as in commissioning care. It considers the legal context of residential care and corporate governance and explores the role of the media; the governance of the police investigation; the use of expertise; the limits of local authorities’ adult protection procedures; the contrast between known outcomes and the expected outcomes; the challenges for inspection and regulation; the workforce culture; and questions about GPs and/or company directors of homes for older people and how the care of residents might be improved. The report concludes with the lessons learnt and recommendations. (Edited publisher abstract)
Single screening questions for cognitive impairment in older people: a systematic review
- Authors:
- HENDRY Kirsty, et al
- Journal article citation:
- Age and Ageing, 44(2), 2015, pp.322-326.
- Publisher:
- Oxford University Press
Background and objective: Single-item screening questions may be a practical first step in screening for cognitive problems in older people. A form of single-item cognitive assessment is proposed in the NHS England and Wales dementia strategy. The authors aim to provide a review and synthesis of the evidence regarding the performance of single-item tests for detection of cognitive impairment. Design: This review used Cochrane diagnostic test accuracy procedures. Two independent researchers searched for relevant papers across multiple, cross-disciplinary electronic databases using previously validated search strings. The index test was any single screening question for cognitive impairment, including factor analysis of multi-item tools. Reference standards included clinical diagnosis and multi-domain cognitive assessments. Results: From 884 titles, 11 studies were identified as eligible for inclusion. Four studies were graded low risk of bias and recruited a representative patient sample. Five papers described a single screening question for cognitive impairment with each using a different question. Sensitivity ranged from 26 to 96% and specificity from 45 to 100%. Six papers described the component analysis of multiple item tools with broadly worded single questions (‘decline in memory function’, ‘changes in ability to think and reason’ or ‘learning new things’) performing best. Conclusion: Informant-based, single-item screening questions show promise for detecting cognitive impairment. However, there was substantial heterogeneity in format and application of single-item screens, and several studies were of poor methodological quality. Currently, there is insufficient evidence to support routine screening using a single-item approach. (Edited publisher abstract)
Wellbeing indicators for older people
- Author:
- OLDER PEOPLE'S COMMISSIONER FOR WALES
- Publisher:
- Older People's Commissioner for Wales
- Publication year:
- 2015
- Pagination:
- 37
- Place of publication:
- Cardiff
Sets out the importance of accurately measuring the wellbeing of older people in Wales and identifies wellbeing goals which public authorities should aim to achieve. The paper defines what is meant by the concept of wellbeing, which includes both feeling good and functioning well; examines how the wellbeing of older people is currently measured in Wales, and identifies key issues impacting older people's wellbeing identified by the Commissioner for Older People in Wales. It then looks at the indicators that should be measured in the following key areas: housing; care; poverty; health; transport; learning; employment and technology; loneliness and social isolation; dementia. Specific information is also included on measuring the wellbeing of older people who are over the age of 85, the 'oldest old'. (Edited publisher abstract)
A jam-jar model of life expectancy and limits to life
- Authors:
- MAYHEW Les, SMITH David
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2015
- Pagination:
- 18
- Place of publication:
- London
This paper presents a new method for forecasting life expectancy based on decomposition techniques, focusing on trends in life expectancy within specified age intervals. It imagines each decade of life as a 'jam-jar' which fills to the brim with life years, with extra life years being added to the each decade's jam-jars at different rates, filling the early ones first, until all are full. The key advantages of this approach are more certainty over which age groups are affected and more accurate information about possible limits to life. Results are presented for England and Wales and the implications discussed. A concluding section briefly compares this approach with other methods. The study suggests a systematic shift in survival at higher ages. Most future growth in life expectancy in retirement will come between ages 70 and 100. Life expectancy beyond 100 years of age is increasing very slowly and so will not contribute as much as was thought. Age at death will tend to increasingly cluster in early 90s as the age of death of men and women converge. The paper argues that as a result government policies must be durable, especially anything to do with pensions, health and social care, or housing. (Edited publisher abstract)
Ageing Well in Wales: a national movement
- Authors:
- WILLIAMS Iwan, HATTON-YEO Alan
- Journal article citation:
- Working with Older People, 19(4), 2015, pp.170-176.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to inform readers about the Ageing Well in Wales Programme, including its background, purpose and key aims and objectives. Design/methodology/approach: The Programme is in its first year and works at several levels, from high-level national bodies to community/volunteer groups on the ground. The Programme’s success is largely dependent on the commitment of individuals and organisations. Findings: The Programme is on-going with no findings as such to date, however, the Programme is a response to research and evidence that suggests that the health and wellbeing of older people in Wales needs to be urgently addressed, particularly in the context of demographic change and the impact of austerity on front-line public services and the development of more preventative approaches. Practical implications: One of the outcomes will be an increasing understanding of what makes effective national learning and participative networks. Social implications: People in Wales will be more active and engaged and as a consequence experience greater health and wellbeing. Originality/value: Provides a state of play on the Programme up to Summer 2015, outlining what has been achieved to date and next steps. (Publisher abstract)
Housing for older people in Wales: an evidence review
- Authors:
- CARTER Lauren, HILLCOAT-NALLETAMBY Sarah
- Publisher:
- Public Policy Institute for Wales
- Publication year:
- 2015
- Pagination:
- 28
- Place of publication:
- Cardiff
This document sets the scene for discussion on how the housing needs of an ageing population in Wales can be met. It begins by defining what it is meant by an ‘older’ person and how older people are an extremely heterogeneous group in terms of income, class, health and support needs. It provides a background to the current and projected demographic profile of the population in Wales (including limited information on housing tenure), thus providing an insight for planning ahead. In addition, it details the current policy and funding context for housing in Wales, as well as the building and planning regulations. The perspectives of older people and the accommodation options currently available for them in Wales are also discussed. Finally, this document considers the bigger picture, drawing on cross-sector perspectives on the importance of an integrated approach towards managing the opportunities and challenges of an ageing population in Wales. (Edited publisher abstract)
Meeting the housing needs of an ageing population in Wales: report of recommendations
- Author:
- HILLCOAT-NALLETAMBY Sarah
- Publisher:
- Public Policy Institute for Wales
- Publication year:
- 2015
- Pagination:
- 44
- Place of publication:
- Cardiff
This report documents initial discussions and preliminary recommendations which emerged from an expert workshop held in June 2015 attended by experts from Wales, the rest of the UK and other European countries. The group was tasked with identifying the challenges that population ageing poses for housing needs in Wales, and to begin a scoping exercise to outline what the Welsh Government might do to meet them. Based on written feedback and evidence provided by experts prior to the workshop, plus subsequent workshop discussion, the main issues and challenges identified for each question are documented in Section 1 of this report. Section 2 draws initial conclusions and sets out preliminary recommendations. These include: develop a housing strategy addressing older people’s housing requirements; review planning policies and procedures to include older people’s accommodation, and require Local Authorities to develop population-based housing needs assessments; identify brown-field sites suitable for housing with care developments, including rural sites; promote integrated working and funding for housing with care and independent living across health, housing and social care sectors; increase public and service provider awareness about housing with care options. (Edited publisher abstract)