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B J Spitler: geriatric care management pioneer
- Author:
- FRATES Janice
- Journal article citation:
- Journal of Gerontological Social Work, 50(3/4), 2008, pp.133-141.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
B. J. Curry Spitler, who died in 2004, pioneered a geriatric care management model that combined care management with home health services, and emphasised high levels of training and professionalism for all members of the care team. This assessment of her life is provided by someone who both worked with Spitler (to produce a marketing plan for her agency, Age Concerns) and used her services to care for her mother. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Policy framework for integrated care for older people
- Author:
- BANKS Penny
- Publisher:
- King's Fund
- Publication year:
- 2004
- Pagination:
- 26p., bibliog.
- Place of publication:
- London
Older people often require a range of services from different sources. Integrated care offers a co-ordinated approach to meet their often complex needs. This working paper acts as a checklist for national and regional policy-makers across Europe to use in drawing up their own integrated care policies. It can also be used by service users, their carers, and older people’s organisations, to assess the policies in place in their countries or regions. The publication was funded by the European Commission, and is one of several publications produced by the Care and Management of Services for Older People in Europe Network (CARMEN), which is run by the European Health Management Association (EHMA).
“But can things only get better?” Older people’s social care before, during and after austerity
- Author:
- KERSLAKE Andrew
- Journal article citation:
- Research Policy and Planning, 33(3), 2020, pp.151-168.
- Publisher:
- Social Services Research Group
In 2006 the then Labour Government published a significant, two hundred plus pages, White Paper, ‘Our Health, Our Care, Our Say’. Endorsed by Prime Minister Tony Blair and backed by the Secretary of State Patricia Hewitt, it was designed to outline a new and lasting approach to improving community-based health and social care services. In particular, it recognised the need to better manage the increased demand for care based on the anticipated growth in the numbers of older people within the UK population. Fourteen years later we still await that ‘new and lasting approach to community-based health and social care’. This paper explores why the aspirations of that original White Paper remain to be achieved and what strategic direction social care for older people should take in the future. (Edited publisher abstract)
A European research agenda on integrated care for older people
- Author:
- NIES Henk
- Publisher:
- European Health Management Association
- Publication year:
- 2004
- Pagination:
- 24p.
- Place of publication:
- Dublin
This resource book is intended for managers as well as those directly providing services for older people. It provides practical advice, mechanisms and instruments that managers can use in developing integrated care for older people. Topics cover concepts and background of integrated care; integrated organisational structures and the quality management and management of information within them; involvement, empowerment and advocacy, the importance of needs assessment, case management integrated teams and care pathways in integrated care; strategic planning and leadership and the impact of cultural change on integrating organisations as well as mapping the competencies and skills required of the workforce in integrated systems.
Older patients - who cares?
- Author:
- O'KELL Stephen
- Journal article citation:
- Nursing Times, 12.3.97, 1997, p.37.
- Publisher:
- Nursing Times
The author explains why the government must spell out who does what in the assessment of community clients' health needs.
Community care for the elderly - rhetoric and reality
- Authors:
- BEBBINGTON A., CHARNLEY H.
- Journal article citation:
- British Journal of Social Work, 20(5), 1990, pp.409-432.
- Publisher:
- Oxford University Press
A survey of services to a sample of elderly people revealed inadequate case management and ineffective joint working between social services and health care.
Integrated assessment, planning and review arrangements for older people: guidance for professionals in supporting the health, care and well-being of older people
- Authors:
- WALES. Welsh Government, NHS WALES
- Publisher:
- Welsh Government
- Publication year:
- 2013
- Pagination:
- 60
- Place of publication:
- Cardiff
The Welsh Government has set out its requirements for integrated health and social care in ‘A framework for delivering integrated health and social care for older people with complex needs’ (2013). This guidance sets out a process for delivering integrated assessment processes, and is a key part of implementing the overall framework. It replaces the Unified Assessment Process (UAP) in its application to people aged 65 years and over. It covers the duties and functions of local authorities and Local Health Boards (LHBs) to promote the well-being, assessment, care and support planning and review arrangements for services for people aged 65 and over. This is irrespective of presenting need, disability or condition and supports access to care and support in the community. This guidance is to apply in any situation where older people need help from the NHS or a local authority to: maintain or promote well-being; regain or maintain independence; be discharged from hospital; return or continue to live in their own home; secure appropriate residential or nursing care; help protect them from abuse and neglect; and help them manage continuing health conditions. The guidance also covers sharing information and issues such as fair access to care services eligibility criteria. (Edited publisher abstract)
Pressure for change preventing, caring for and treating pressure ulcers
- Author:
- CARE COMMISSION
- Publisher:
- Care Commission
- Publication year:
- 2007
- Pagination:
- 29p., bibliog.
- Place of publication:
- Dundee
This review investigates what care homes for older people are doing to prevent, care for and treat pressure ulcers, which are also known as bed sores, pressure damage and pressure sores. It is based on findings from 29 inspections, 31 complaint investigations and 11 enforcement notifications served on care homes for older people from 2002 to 2006. It highlights areas where the care homes were not meeting best practice and makes recommendations designed to change and improve care. The first part of the report provides background information about pressure ulcers, the second part describes how care homes for older people are regulated, and the third part summarises the review findings and sets out what services need to do to improve. Practice recommendations are made for service providers; residents, their families and carers; NHS boards; local authorities; and the Care Commission.
'After the stroke': patients' and carers' experiences of healthcare after stroke in Scotland
- Authors:
- SALISBURY L., et al
- Journal article citation:
- Health and Social Care in the Community, 18(4), July 2010, pp.424-432.
- Publisher:
- Wiley
This paper reports on data collected in a qualitative study investigating both stroke patients and their carer’s perception of a Functional Electrical Stimulation Clinic. Thirteen patients with stroke and nine carers participated. Data were collected using semi-structured interviews, undertaken in April and May 2007, and analysed using the framework of Interpretative Phenomenological Analysis (IPA). IPA is designed to explore in depth the participant’s experiences of a specific phenomenon. An overarching theme of 'After the stroke' was identified. Both patients with stroke and their carers recalled similar parts of the pathway through the health care system after stroke, resulting in six chronological sub-themes: what is wrong; help came quickly; something is still wrong; in the hospital; I’m taking them home; and back at home. The data outlined issues surrounding recognition of stroke symptoms by both participants and professionals; expeditious admission to hospital and stroke unit; consultation during the discharge planning process and access to support and community follow up. Despite clinical guidelines to direct the management of stroke, this paper indicates that the experiences of patients with stroke and carers do not necessarily correspond to guideline recommendations. The authors conclude that clinicians and service managers should consider these issues when delivering care to patients after stroke.
Older gay, lesbian and bisexual people in the UK: a policy brief
- Author:
- MUSINGARIMI Primrose
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2008
- Pagination:
- 7p.
- Place of publication:
- London
It is well known that the population of the UK is ageing - for the first time ever, there are more individuals aged 60 and older than those aged 16 and younger. The proportion of people 60 years or older, constituting nearly one fifth of the population, is expected to increase in the coming decades. Whilst much is known about this population, to date not much attention has been focused on older lesbian, gay and bisexual people (LGB). Older people are the main users of health and social care services and, with regards to older LGB people, it to be understood is whether they have different needs from those of their heterosexual counterparts. If so, how are these needs different? How can service providers meet these needs and therefore ensure that this group of older people is treated with dignity, respect and fairness? This brief summarises what is known about the demographics of older LGB people. How many older LGB are there in the UK? What are their living situations? Do they face stigma and discrimination and how does this impact on how they access formal services?