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Market shaping in adult social care
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2017
- Pagination:
- 18
- Place of publication:
- Oxford
This paper analyses changes in the care home market in England over the past five years, and whether the Care Act 2014 market shaping duty has influenced the market. The analysis shows that the total number of care home beds has reduced across England, but that the number of beds specifically for older people has increased. There has also been a reduction in the number of residential and nursing homes operating in England over the past five years and a trend for care homes to be larger. The analysis found smaller homes that are closing, whilst new larger care homes are often targeted at self-funders. The analysis highlights the fragility of the care home market. It makes suggestions to councils on what they should do to fulfil their market shaping duty and ensure there is a diverse and sustainable care home market. (Edited publisher abstract)
A carer's life: implications and considerations for commissioning
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2017
- Pagination:
- 11
- Place of publication:
- Oxford
This paper discusses the finding of a study on the impact of caring on the quality of life and emotional aspects of carers’ lives. The study looked across adult carer groups to identify common themes that are relevant to carers and commissioners of services. A total of 18 carers, including 15 women and 3 men participated in three focus groups for the study. Three main themes were identified: the scale of the caring role, in terms of the range of tasks and time spent; adopting the role of the skilled helper, resulting in the loss of other rolls and identity; and the hidden care, who becomes more isolated. The paper looks at the implications of the findings for commissioners across four stages of the commissioning cycle: undertaking needs analysis; planning services and support; ensuring good services are delivered; and reviewing and monitoring services. The paper highlights the importance of recognising, valuing carers and supporting carers in their role. (Edited publisher abstract)
North West Joint Improvement Partnership: commissioning and joint strategic needs assessments
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2010
- Pagination:
- 24p.
- Place of publication:
- Oxford
The production of a Joint Strategic Needs Assessment (JSNA) is meant to be a key enabler of effective commissioning to improve health and well-being outcomes. This study explores whether the desired relationship between commissioning and the JSNA has occurred and what could be done to improve that relationship. The project was structured around key questions, centred on commissioners' requirements and how they can be reconciled with the practice and requirements of people working in public health, as well as how the JSNA processes can best be constructed to promote outcomes-based commissioning. It involved the review of, and discussions with, eight local authorities. JSNAs were assessed against the project questions, and interviews were conducted with Directors of Public Health, Directors of Adult Social Services and Directors of Childrens’ Services at each of the localities using a semi-structured interview. The report analyses JSNA content and identifies overarching themes, presenting and discussing findings from the interviews against each of the identified questions. There are summary analyses of these findings, including recommendations for steps that could be taken to improve the relationship between commissioning and the JSNA.