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Care management for older people: does integration make a difference?
- Authors:
- CHALLIS David, et al
- Journal article citation:
- Journal of Interprofessional Care, 20(4), August 2006, pp.335-348.
- Publisher:
- Taylor and Francis
England and Northern Ireland provide examples of different degrees of integration of health and social care within broadly similar administrative and funding frameworks. This paper examines whether integrated structures appear to impact upon the operation of care management, a key approach to providing coordinated care for vulnerable older people. It draws on a study undertaken by the Personal Social Services Research Unit (PSSRU) and funded by the Department of Health to evaluate the different forms and types of care management that have emerged since the NHS and Community Care Act for two user groups: older people and people with mental health problems. Results found there appeared to be more evidence of integrated practice between health and social care in Northern Ireland than England, although some key features, such as intensive care management, were no more evident. It is concluded that further investigation is required as to the extent to which integrated structures have impacted upon patterns of professional working and underlying beliefs about roles.
Developing assessment tools for planning community health and social care for older people: a literature review
- Authors:
- MCCORMACK B.G., et al
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2006
- Pagination:
- 43p., bibliog.
- Place of publication:
- Belfast
This literature review identifies approaches used elsewhere to assessment of older peoples' health and social care. The review was conducted to aid the development of a single assessment tool covering key policy issues, and principles from best practice such as person-centred care. It examines the policies leading to the development of single assessment instruments; identifies factors that are influential on the development of such instruments, such as theories of needs assessment; and examines the findings of research conducted aimed at mapping the implementation process surrounding the single assessment process in the U.K.
Perceptions of care management within a Northern Ireland Health and Social Services Board
- Authors:
- HALLIDAY Bill, DIXON Paul
- Journal article citation:
- Elders the Journal of Care and Practice, 5(3), November 1996, pp.20-28.
Community Care Reforms were introduced in Northern Ireland in April 1993, one year after their introduction in Great Britain. Instead of a Community Care Act, the reforms were introduced by means of a policy document known a 'People First'. To gain additional information on the impact of care management on peoples lives the Southern Health and Social Service Board joined forces with the Health and Social Services Council (the Northern Ireland equivalent of Community Health Councils) to undertake research into the impact of the reforms by measuring the attitudes and opinions of both users and carers. This article gives a summary of the main findings, together with an account of key issues which emerged from the study.