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Top tips for front line staff: supporting older carers and ageing parent carers to plan for a future when they are less able or unable to care
- Author:
- CARERS TRUST
- Publisher:
- Carers Trust
- Publication year:
- 2020
- Pagination:
- 8
- Place of publication:
- London
This resource is one of a suite of resources developed alongside a report, No Longer Able to Care: Supporting older carers and ageing parent carers to plan for a future when they are less able or unable to care. Most unpaid carers will need support at some point in their caring journey. There will come a point in most carers’ lives where they will be less able or unable to care. Carers must be supported at this stage to make sure the best possible outcomes are achieved for them and the people they care for. This resource will help front line staff support carers to plan for a future when they are less able or unable to care. It gives suggestions on what staff can do to make sure they are supporting carers to make this change. Top tips include: early identification and support of carers are vital; once a carer is identified, the support plan that is developed for the carer should set out trigger points where a carer will receive support when they are less able or unable to care; subsequent assessments should revisit these; planning must take into account the carer’s individual needs and circumstances and reflect the views and needs of the person with care needs; when other family members take caring responsibilities, they must be identified and supported with their own needs; some communities who face additional barriers may prefer support from specialist organisations; carers want to be involved in the design of support services. (Edited publisher abstract)
Top tips for commissioners: supporting older carers and ageing parent carers to plan for a future when they are less able or unable to care
- Author:
- CARERS TRUST
- Publisher:
- Carers Trust
- Publication year:
- 2020
- Pagination:
- 7
- Place of publication:
- London
This resource is one of a suite of resources developed alongside a report, No Longer Able to Care: Supporting older carers and ageing parent carers to plan for a future when they are less able or unable to care. It gives suggestions on what commissioners can do to make sure support is available in their area. It includes free resources they can use to ensure that they are supporting carers and fulfilling they role duties under the 2014 Care Act. Top tips include: early identification and support of carers are vital; once a carer is identified, the support plan that is developed for the carer should set out trigger points where a carer will receive support when they are less able or unable to care; support for carers to plan for a future when they are less able or unable to care is an important area for developments for future services to consider; subsequent assessments and reassessments should revisit these plans; planning must take into account the carer’s individual needs and circumstances; services must be designed in a way that makes them open to everyone in your community; some communities who face additional barriers may prefer support from specialist organisations; involve carers in the design of the services that support them. (Edited publisher abstract)
Scrutinising changes to community services: guidance for local authorities
- Author:
- OLDER PEOPLE'S COMMISSIONER FOR WALES
- Publisher:
- Older People's Commissioner for Wales
- Publication year:
- 2016
- Pagination:
- 25
- Place of publication:
- Cardiff
This guidance is designed to ensure that robust Equality and Human Rights Impact Assessments (EHRIAs) are undertaken when changes to community services are proposed, essential to ensure that there is not a disproportionate impact upon older people and that alternative approaches are considered. Non-statutory community services such as day centres, public toilets, libraries and transport are as important to older people’s health, independence and wellbeing as statutory health and social care services but are at risk due to reductions in public spending. Part 1 examines the importance of current Equality Impact Assessments and promotes the need to use Equality and Human Rights Impact Assessments (EHRIAs) when changes to community services are being considered. Part 2 examines the crucial role of scrutiny around changes to community services and is targeted towards elected members and officers in local government. The aim is to improve the quality of scrutiny and ensure that the impact of closing down or reducing the provision of a community service on older people is thoroughly and rigorously analysed and considered. (Edited publisher abstract)
Service for all: making it happen; a report from the Service for All conference held on 18 June 2003 in Edinburgh
- Author:
- SERVICE FOR ALL CONFERENCE
- Publisher:
- Scottish Human Services Trust
- Publication year:
- 2003
- Pagination:
- 42p.
- Place of publication:
- Edinburgh
The conference aimed to bring people together to exchange information, examples of good practice and ideas about making NHS services more accessible. The main elements of the event were to: understand access from the perspective of people with disabilities, people with mental health problems and older people, what helps and what are the main problems?; identify good practice in Scotland and start a database of good practice; share ideas around practical solutions and on ways to get advice and help from others; and inform ongoing development of policies and advice for the Scottish Executive and the NHS in Scotland on how the NHS and people who use services can work together to improve access. Under the Disability Discrimination Act 1995, the NHS and other service providers have to think actively about how to make services accessible. This legislation is important but making this happen is not just about following legislation. It is about people sharing a vision of what a service for all looks like, of imagining better and working together to make it real.
Calling time: addressing ageism and age discrimination in alcohol policy, practice and research
- Authors:
- WADD Sarah, et al
- Publisher:
- Drink Wise, Age Well
- Publication year:
- 2017
- Pagination:
- 43
- Place of publication:
- London
This report, from researchers the Substance Misuse and Ageing Research Team at the University of Bedfordshire, Addaction and the International Longevity Centre-UK, found that age discrimination in alcohol policy, practice and research is preventing older people from getting the treatment they need to recover from harmful drinking. The findings are based on a survey of professionals, interviews and focus groups with older adults with alcohol problems and a review of relevant policy and published literature. Chapter one provides evidence collected by SMART on current ageism and age discrimination in alcohol policy, practice and research. Chapter two contains research from ILC-UK on age discrimination legislation and policy in the UK, with examples of good practice from other services in health and social care that could be adopted into alcohol treatment and care. The report’s findings highlight examples of practitioners discriminating against older adults, including prioritising young adults for alcohol treatment over older people; the exclusion of older people from some residential alcohol rehab services in England based on arbitrary age limits; and the exclusion of adults over the age of 65 from 46 per cent of clinical trials for alcohol treatment/interventions. The report asserts that some policies and practices are in breach of Equality and Human Rights legislation and calls on UK governments to develop alcohol strategies that recognise that older adults’ needs may be different to those of younger people. It includes recommendations for UK and national governments, public bodies, commissioners, service providers and practitioners. (Edited publisher abstract)
An introduction to ageing in rural areas and extra care housing
- Authors:
- MOLINEUX Peter, APPLETON Nigel
- Publisher:
- Great Britain. Department of Health. Health and Social Care Change Agent Team
- Publication year:
- 2005
- Pagination:
- 10p.
- Place of publication:
- London
This fact sheet introduces the issues facing Extra Care housing in rural communities. It highlights the ageing of rural populations and the pressures this places on commissioners of housing with care services for older people. The Abbeyfield Esk Moor Society in Yorkshire and the Waters Upton Co-Location Project in Shropshire are described and cited as examples of good practice. Key learning points and suggestions for further work are summarised.
Delivering a sure start to later life: exploring new models of neighbourhood services for older people
- Authors:
- BURKE Stephen, BERNARD Caroline, MORRIS Marie
- Publisher:
- Counsel and Care
- Publication year:
- 2008
- Pagination:
- 25p.
- Place of publication:
- London
The project explored three models, and identified good practice examples in each: extra care sheltered housing – where schemes act as a ‘hub’ of services for scheme residents and the local community; children’s centres – to explore the potential of using Sure Start children’s centres as intergenerational schemes including older people; neighbourhood watch schemes – identifying examples of projects that address crime and the fear of crime, which has a detrimental effect on the quality of older people’s lives. The project also looked at the views of older people themselves, and discovered how they accessed local services, and how they related to the Sure Start to Later Life concept.
A literature review on multiple and complex needs: lessons for policy and practice
- Authors:
- ROSENGARD Ann, et al
- Publisher:
- Scotland. Scottish Executive Social research
- Publication year:
- 2007
- Pagination:
- 7p.
- Place of publication:
- Edinburgh
The Development Department of the Scottish Executive commissioned this literature review to inform its Multiple and Complex Needs Initiative which aims to improve services for people with multiple and complex needs. The purpose of the literature review was to collate and evaluate existing research evidence to understand the processes through which people with multiple and complex needs engage, or do not engage, with services to resolve their problems. A key focus of the review was to identify good practice in the light of the evidence. The main lessons learned from the review are highlighted and good practice case studies are presented.
Older people and homelessness in Nottingham: final report
- Author:
- PANNELL Jenny
- Publisher:
- Framework Housing Association/Help the Aged
- Publication year:
- 2002
- Pagination:
- 94p.
- Place of publication:
- Nottingham
The report into older people and homelessness in the Nottingham is intended to be used as a tool for addressing weakness in service provision and could be used as a blueprint for local authorities looking at developing new services and linking existing services and agencies. The report says that despite the wide range of provision available for older people and for homeless people in Nottingham, those who are both may have difficulty accessing services. It also recommends that the service provision for older homelessness people should be sensitive to their specific needs.
Evidence for action: addressing systemic racism across long-term services and supports.
- Authors:
- SHIPPEE Tetyana Pylypiv, et al
- Journal article citation:
- Journal of the American Medical Directors Association, 23(2), 2022, pp.214-219.
- Publisher:
- Elsevier (for the American Medical Directors Association)
Long-term services and supports (LTSS), including care received at home and in residential settings such as nursing homes, are highly racially segregated; Black, Indigenous, and persons of colour (BIPOC) users have less access to quality care and report poorer quality of life compared to their White counterparts. Systemic racism lies at the root of these disparities, manifesting via racially segregated care, low Medicaid reimbursement, and lack of liveable wages for staff, along with other policies and processes that exacerbate disparities. This study reviewed Medicaid reimbursement, pay-for-performance, public reporting of quality of care, and culture change in nursing homes and integrated home- and community-based service (HCBS) programs as possible mechanisms for addressing racial and ethnic disparities. The researchers developed a set of recommendations for LTSS based on existing evidence, including (1) increase Medicaid and Medicare reimbursement rates, especially for providers serving high proportions of Medicaid-eligible and BIPOC older adults; (2) reconsider the design of pay-for-performance programs as they relate to providers who serve underserved groups; (3) include culturally sensitive measures, such as quality of life, in public reporting of quality of care, and develop and report health equity measures in outcomes of care for BIPOC individuals; (4) implement culture change so services are more person-centred and homelike, alongside improvements in staff wages and benefits in high-proportion BIPOC nursing homes; (5) expand access to Medicaid-waivered HCBS services; (6) adopt culturally appropriate HCBS practices, with special attention to family caregivers; (7) and increase promotion of integrated HCBS programs that can be targeted to BIPOC consumers, and implement models that value community health workers. Multipronged solutions may help diminish the role of systemic racism in existing racial disparities in LTSS, and these recommendations provide steps for action that are needed to reimagine how long-term care is delivered, especially for BIPOC populations. (Edited publisher abstract)