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The NHS atlas of variation in healthcare: reducing unwarranted variation to increase value and improve quality
- Author:
- NATIONAL HEALTH SERVICE. Right Care
- Publisher:
- Public Health England
- Publication year:
- 2015
- Pagination:
- 277
- Place of publication:
- London
This publication uses maps to show the variation in health care for a variety of conditions across England and Wales. The maps are accompanied by commentary on the background context, scale of variation and options for action. Conditions covered include: care of mothers, babies, and children and young people; mental health problems; dementia; care of older people; end of life care; and learning disabilities. Twenty one of the indicators are also presented by local authority area. The Atlas also highlights the work being done by Right to Care to support anyone wanting to reduce unwarranted variation of health care provision within their locality or between their locality and other areas of the country. (Edited publisher abstract)
A charter for older people in Plymouth: making a commitment to older people when they need care or support
- Authors:
- ANDERSON Claire, SILCOCK Rachel
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2014
- Pagination:
- 6
- Place of publication:
- London
This case study captures the work undertaken by Plymouth City Council's Adult Social Care department with partners and groups of older people within the city to develop a Charter made up of a series of 11 pledges, including: access to good information; support to access the right service; opportunity to shape services; and support for carers. Launched in 2012, the Charter outlines the standards and approaches to service delivery that older people should enjoy and the lessons learnt one year on. (Edited publisher abstract)
The NHS atlas of variation in healthcare: reducing unwarranted variation to increase value and improve quality
- Author:
- NATIONAL HEALTH SERVICE. Right Care
- Publisher:
- National Health Service. Right Care
- Publication year:
- 2011
- Pagination:
- 229p., ills., tables
- Place of publication:
- London
This publication uses maps to show the variation in health care for a variety of conditions across England and Wales. The maps are accompanied by commentary on the background context, scale of variation and options for action. Conditions covered include mental disorders, learning disabilities, care of older people and end of life care. The Atlas also highlights the work being done by Right to Care to support anyone wanting to reduce unwarranted variation of health care provision within their locality or between their locality and other areas of the country.
Partial regulatory impact assessment: White Paper: Our health, our care, our say: a new direction for community services
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2006
- Pagination:
- 64p.
- Place of publication:
- London
The overarching objective of the White Paper is to improve community health and social care services in England. Underpinning this objective are four key themes: better prevention for improved health and well-being; giving people greater choice and control over the care they receive; providing rapid and convenient access to high quality, cost effective, care closer to home; and support for people with long-term conditions.
Adult care
- Author:
- PEACE Sheila
- Journal article citation:
- Research Matters, 16, October 2003, pp.5-10.
- Publisher:
- Community Care
This article draws on research from two studies, the first of which considers the capacity of nursing homes in England to provide rehabilitation and intermediate care; and the second which compares the quality of health care provided for residents by nursing homes with those living at home.
The nursing home problem in Florida
- Authors:
- POVLIKA Larry, et al
- Journal article citation:
- Gerontologist, 43(Special Issue II), April 2003, pp.7-18.
- Publisher:
- Oxford University Press
The nursing home problem in Florida was characterized as a debate over quality of care and the rapid increase of lawsuits against nursing homes that led to a decline in the availability of affordable liability insurance. The staff for Florida's Task Force on Availability and Affordability of Long-Term Care analyzed lawsuit and quality-of-care data from one county in Florida and quality-of-care data statewide to understand the relationship between the two sides of the argument. Analyses showed support for both positions and a middle-ground policy position was achieved. The subsequent nursing home reform legislation and implications for the future of long-term care in Florida are discussed.
Levels of integration and specialisation within professional community teams for people with dementia
- Author:
- ABENDSTERN Michele
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(1), January 2006, pp.77-85.
- Publisher:
- Wiley
This study considered the nature of current practice among multi-disciplinary and single discipline health and social care teams providing a service to people with dementia and compare the quality of service offered. A postal survey of professional community teams in North West England, providing services to people with dementia was conducted. Responses were analysed according to a number of standards measuring service quality, developed from research and policy documents. A response rate of 59% yielded a final sample of 52 teams. Multi-disciplinary teams scored more highly than single discipline teams on many of the measures used. Single discipline teams achieved a higher score on just one measure, culturally sensitive services. Generally teams were found to provide a more integrated, targeted and person-centred service, as measured in this study, compared with earlier findings. Teams performed less well on measures of flexibility and culturally sensitive provision. The findings indicate some potential gains from integration, and highlight the level of work still needed to achieve it. The authors call for further research to build on the structural and process measures used in this research in order that the costs and outcomes consequent upon these practices can be measured.
A review of private residential care in Hong Kong: implications for policy and practice
- Authors:
- KWONG Enid Wai-Yung, KWAN Alex Yui-Huen
- Journal article citation:
- Journal of Aging and Social Policy, 13(4), 2002, pp.73-90.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Hong Kong government policy encourages and facilitates families to care for their older members as long as possible by providing families and their older relatives with community support services. Residential care for the elderly is viewed as a last resort. Due to the inadequate supply of community support services, the longperiod of care required, and the gradual breakdown of values of filial support, familiesmay increasingly give up their caring roles and seek residential care for their dependent elderly relatives. A shortfall in subsidized residential care may lead to needy elderly persons' being cared for in private residential facilities. The demand for private residential care is projected to increase, despite criticism about the standardof care provided. Although an Ordinance, a Regulation, and a Code of Practice for residential care homes are in place to control, monitor, and upgrade private residential care in Hong Kong, problems remain that put the elderly at risk of receiving substandard services.
Listening to the dementia workforce: local providers' perceptions of dementia services
- Authors:
- MANTHORPE Jill, ALASZEWSKI Helen
- Journal article citation:
- Quality in Ageing, 3(2), June 2002, pp.22-29.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
Reports on the findings of a small research study exploring provisions at local level for people with dementia. The study involved a survey of practitioners and managers, and the difficulties of this approach are illustrated and explored. Responses contained a range of relevant opinions about service delivery, particularly perceived levels of quality and adequacy. Those providing care pointed to the unfulfilled potential of services for people with dementia, and their views provide a perspective on the workings of local services and their inter-relationships, and the development of planning and quality mechanisms.
Developing services for minority ethnic older people: the audit tool; practice guidelines for councils with social service responsibilities
- Author:
- ERUKU Morgan
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2002
- Pagination:
- 24p.
- Place of publication:
- London
Outlines an audit tool to act as practice guidance for all councils with social service responsibilities, and other local stakeholders among to improve services for minority ethnic older people. Major concerns are: understanding minority ethnic older people; minority ethnic older people and access; services; and providing a suitable workforce.