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Five hours a day: systemic innovation for an ageing population
- Author:
- KHAN Halima
- Publisher:
- NESTA
- Publication year:
- 2013
- Pagination:
- 66
- Place of publication:
- London
Sets out thoughts on the impact of ageing on society and what that means in terms of innovation. It makes the case for a systematic look at how we live in an ageing society, to create new models of living and working, with a priority on the issues which have most impact on older people's lives. It finds there is a big gap between the focus of current ageing innovations and what older people actually want. It suggests that the factors that matter most to older people are: to have a sense of purpose – feeling useful and valued; to have a sense of well-being - living as well as possible with health conditions, being physically active and emotionally resilient; and to feel at home, independent and connected to others. The report identifies four ways in which the current approach to innovation in ageing is not supporting this vision: Social innovation lags behind technological innovation; defining ageing by what it is not; over-relying on top-down structural change; and lack evidence of what works. It highlights the need for innovation areas such as: mobilising community support for vulnerable older people - between family, friends, neighbours and communities; new markets with better adapted products and services and commissioning for outcomes; widespread use of personal budgets alongside traditional provider budgets; co–production as the norm for enabling people to live well with long–term conditions; and good application of technology to enable older people to age well, using devices and platforms that are assistive, responsive, affordable and evidence–based. (Edited publisher abstract)
Towards affordable healthcare: why effective innovation is key
- Authors:
- BAMFORD Sally-Marie, et al
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2017
- Pagination:
- 58
- Place of publication:
- London
This report explores the potential for innovation to improve health care within the UK and how the ‘right type’ of innovation could make health care better and cheaper, essentially doing “more with less”. It is the second in a major programme of work looking into how we can afford a sustainable older society. The report showcases seven specific global and UK innovations with a strong evidence base of demonstrable success, and calculates the savings that could be achieved by implementing them across the UK. The examples include: The Memory First Project, an integrated dementia service run by a consortium of GPs which has successfully reduced dementia diagnosis times in Staffordshire; Canterbury Integrated Care in New Zealand, which has resulted in reduced nursing home admissions and hospital use; Stay on Your Feet Programme, aimed at preventing falls among older people in a region of Australia; Protocol 3 (P3) which provides care services to older people in need of care 24/7 in Belgium; and EASYCare, a global project to extend healthy active life in old age. By modelling the seven health innovations in the UK, the report concludes that the innovations could save the NHS up to £18.5 billion between 2015 and 2030. The report concludes that whilst the UK is well placed to innovate to improve health outcomes and reduce costs, it is often not doing enough with the tools at its disposal. (Edited publisher abstract)
Asset based community development – enriching the lives of older people: a review
- Authors:
- KLEE Deborah, et al
- Journal article citation:
- Working with Older People, 18(3), 2014, pp.111-119.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to demonstrate how asset-based community development (ABCD) can be used to build inclusive, connected communities that intentionally value the contribution of older citizens. Design/methodology/approach: ABCD was used as an approach to enable older people to transform their neighbourhood and make them a better place to live for all ages. The paper describes this approach and goes on to illustrate how it has been applied in three neighbourhoods using case studies. Findings: The case studies show that by using ABCD, connections can be made between people, associations/clubs, businesses and services, to achieve the aspirations the citizens have for their neighbourhood. The contribution of older citizens to community life is valued and the risk of isolation and loneliness reduced. Originality/value: The three case studies presented in this paper are unique in that they have applied ABCD with older people taking on the role of community builders and connectors. (Publisher abstract)
Is business ready for an ageing nation?: economic opportunities and challenges: discussion paper
- Author:
- GREAT BRITAIN. Department for Business, Innovation and Skills
- Publisher:
- Great Britain. Department for Business, Innovation and Skills
- Publication year:
- 2010
- Pagination:
- 29p.
- Place of publication:
- London
Ageing is a global demographic trend, of great interest to policy makers and experts. As well as economic and social challenges it is necessary to understand to what extent an ageing population will also present economic opportunities for businesses and society as a whole. This paper presents a discussion on the challenges and opportunities of the ageing population for business and the public sector in the United Kingdom. It explains the rationale for the paper and describes the work the Department for Business, Innovation and Skills has been doing to promote economic opportunities for older people. The paper explores the economic factors relevant to the ageing population, including public expenditure, labour market participation and opportunities for business. It considers the implications of the ageing population for: the labour market; the needs of older consumers, and outlines private savings and public finance. Several case studies of good practice are included in helping employers meet the needs of older workers, helping older people start their own businesses, and tailoring products and services for older people. In conclusion, it discusses the possible impacts of the ageing population on local authorities.
Spousal caregiving: in sickness and in health
- Authors:
- GREENBERG Sarah, STACY Maria G., PENZO Jeanine A.
- Journal article citation:
- Journal of Gerontological Social Work, 35(4), 2001, pp.69-82.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Reviews the literature in social work practice with elderly spouses as caregivers. The couple is seen as a primary unit for treatment given the demographics of the elderly population and the increased dependency and intimacy created in the couple system as one or both individuals of the couple age, develop illness or become frail. The authors present a systems intervention model that has been effectively used with late-life couples to stabilise and enhance the couple's functioning and, in some cases. aid the recovery of the ill care receiver.
The generation strain: collective solutions to care in an ageing society
- Authors:
- MCNEIL Clare, HUNTER Jack
- Publisher:
- Institute for Public Policy Research
- Publication year:
- 2014
- Pagination:
- 60
- Place of publication:
- London
Most care for older people is not provided by the state or private agencies but by family members. This report looks at the challenges facing health and social care services as the number of older people in need of care outstrips the number of adult children able to provide it. The report argues that the post-war model of social care needs to change if it is to be sustainable in the future. It believes there needs to be a different starting point for social care services, which should ask what people need to build a good life. It looks at the importance of individuals and their families in providing care and uses the experiences of three individuals to illustrate problems that are likely to increase as the family care cap widens: social isolation in later life, families providing ever more intensive levels of care, and a greater number of older couples caring for each others. It also provides some good practice examples from the UK and oversees. The report makes four major recommendations, to be addressed as part of a five-year funding settlement across health and social care. These are the creation of new neighbourhood networks to help older people to stay active and health; creation of care coordinator roles to provide a single local point of contact, which would replace the ‘case management’ currently provided by adult social services; the option of a shared budget to enable those using community care to arrange this collectively; and stronger employment rights for those caring for people for more than 20 hours a week. (Edited publisher abstract)
Diversity or difference?: black and minority ethnic elders and the National Service Framewoek for Older people
- Authors:
- WILLMOTT Michaela, BALL Claire
- Publisher:
- Age Concern
- Publication year:
- 2003
- Pagination:
- 47p.
- Place of publication:
- London
Older people from minority ethnic communities are not all the same. There are language and cultural differences between groups based on country of origin and religion. The dynamics of each population are unique and reflect the group-specific fertility patterns, differences in timing of arrival, and the age–sex composition of original migrants. There are also different rates of ageing among different cultural groups, with some populations ageing faster than others. These differences are reflected in their diverse needs for support and services. Black and minority ethnic populations are the highest users of primary care services, yet they are less likely to gain access to appropriate health services and treatment and they report the worst health outcomes.
Quality oversight and culture change in long-term care
- Authors:
- WIILKERSON Deborah, MACDONNELL Christine
- Journal article citation:
- Journal of Social Work in Long-Term Care, 2(3/4), 2003, pp.373-395.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The culture of long-term care is changing but as the Baby Boomer generation ages, needing long-term care but finding that the quality of care is such that many would rather die than enter a long-term care facility. While quality oversight mechanisms are looked to for protection of consumers, in fact regulations have been seen by the industry as restrictive in this changing culture. This article explores the ways in which quality oversight organisations attempt to address quality and proposes a model for conceptualising quality oversight alternatives that may help mediate the conflict between the quality oversight and changing long-term care cultures. Finally, challenges are summarised regarding what the various stakeholders in long-term care might do to form partnerships in meeting the needs and desires of the long-term care consumer population. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
Descriptive functional analysis of behavioral excesses shown by adults with Down syndrome and dementia
- Authors:
- MILLICHAP David, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(9), September 2003, pp.844-854.
- Publisher:
- Wiley
The study examined the hypothesis that a functional relationship exists between social environmental events and behavioural excesses in individuals with Down syndrome and dementia. A case-series design was employed (n = 4) using an direct observation-based descriptive functional assessment procedure. Observations were conducted in the natural environments of four participants over periods ranging from 11 to 15.4 hours. Data were collected on non-verbal and verbal behavioural excesses, appropriate engagement and verbal interaction with others. Social environmental events observed including both staff and peer behaviour. Analysis of co-occurrence for behavioral excesses and social environmental events indicated significant relationships for some behaviours consistent with operant reinforcement processes. Sequential analysis showed that changes in the probability of social contact occurred in the period directly preceding and following verbal behaviours. Results support the hypothesis that, consistent with literature for older adults with dementia in the general population, some behavioral excesses were functional in nature and not randomly occurring events. No relationship was found between appropriate engagement and staff contact. Evidence of the functional nature of target behavioral excesses indicates that behavioural interventions have potential for this client group.