Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 29
Integrated working to address frailty needs: Bradford District and Craven Health and Care Partnership
- Author:
- MILLER Sarah
- Publisher:
- NHS Confederation
- Publication year:
- 2022
- Place of publication:
- London
This case study illustrates how the delivery of an integrated approach has led to significant health and social improvements among frail and older people within Bradford District and Craven. The Proactive Care Team (PACT) was established, working with partners to provide holistic, person-centred care (and encourage self-care) for people with moderate frailty, to prevent it from becoming severe. Key benefits and outcomes include: the transformation of the lives of more than 300 frail and older people; effective identification through data of patients most at risk; reduced gaps in care and risk through partnership working; improved navigation for patients through health and care services (considering health, care, socio economic needs); and reduced duplication through collaboration, ensuring patients are seen at the right place at the right time. The case study also reports how obstacles were overcome and key takeaway tips. (Edited publisher abstract)
Breaking down barriers to better health and care
- Author:
- NHS ENGLAND
- Publisher:
- NHS England
- Publication year:
- 2019
- Pagination:
- 6
- Place of publication:
- Redditch
This guide provides details on how NHS organisations and local councils in England are moving from fragmented services to local partnerships and integrated care systems in order to meet the health needs of the population. The paper looks at how health and care needs are changing as a result of the rising number of older people; people living in ill health for longer; more and more people living with more than one long-term condition; nearly a third of people with a long-term physical condition in England also having a mental health concern such as anxiety or depression; rise in overweight and obesity rates; and the significant difference in healthy life expectancy between people living in the most deprived and the least deprived areas. For these reasons, NHS organisations and local councils in England are joining forces to integrate services and to invest in ways to prevent illness and keep people out of hospital. Their aim is that people can live healthier lives and get the care and treatment they need, in the right place, at the right time. The paper briefly outlines two approaches to an improved provision of care: working in partnership and giving more power to local areas through the establishment of integrated care systems. The paper describes some examples of integrated care, including moving services closer to local communities in Frimley; improving day-to-day health and wellbeing in Lancashire and South Cumbria; and expanding and improving hospital services in Dorset. Originally published in 2018, updated 2019. (Edited publisher abstract)
Integrated working and intergenerational projects: a study of the use of sporting memories
- Authors:
- CLARK Michael, et al
- Journal article citation:
- Journal of Integrated Care, 24(5/6), 2016, pp.300-312.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to promote discussion about, and the development of the evidence-base underpinning integrated working for intergenerational working. It discusses perspectives on intergenerational work in general and specifically draws on case experiences of the use of intergenerational reminiscence based on sporting memories to highlight issues pertaining to integrated working. Design/methodology/approach: The paper presents a general discussion of issues of intergenerational projects and integrated working, with case discussions of the use of sporting memories as an intervention for focusing intergenerational contact. Findings: It is concluded that intergenerational work has much to offer but that it is far from clear how best to organise integrated working for this type of work. There are interesting lessons to be drawn for intergenerational interventions and integrated working from the case study discussions. Research limitations/implications: Although case studies can provide crucial in-depth knowledge they can be limited in developing evidence we can be sure is more generalisable across contexts. Hence, further research is required into the impact of intergenerational projects, and how best to maximise this through effective integrated working. (Edited publisher abstract)
Community partnerships for older adults: a case study
- Authors:
- BOLDA Elise J., et al
- Journal article citation:
- Families in Society, 86(3), July 2005, pp.411-418.
- Publisher:
- The Alliance for Children and Families
Over the past several decades, federal policy has made states and communities increasingly more responsible for providing long-term care for older adults. The Community Partnerships for Older Adults, a national program of The Robert Wood Johnson Foundation, saw this as an opportunity to explore new, sustainable ways to meet current and future needs for community-based long term care. This initiative focuses on collaborative organizational partnerships, a distinctive philosophy of teaching and learning through the exchange of experience between communities, and program learning focusing on known factors promoting organizational sustainability. Using principles that emphasize the development of social capital and collective efficacy, the authors present a case study of the early experiences of this initiative to address the challenges inherent in meeting the growing supportive service needs of older adults. The implications of this multi-site community intervention for social work education and practice in aging are discussed.
Balancing pragmatism and sustainability: a case study of an interorganisational network to improve integrated care for the elderly
- Authors:
- HALLBERG Anna, WINBLAD Ulrika, FREDRIKSSON Mio
- Journal article citation:
- International Journal of Integrated Care, 21(3), 2021, p.14. Online only
- Publisher:
- International Foundation for Integrated Care
Introduction: Networks constitute a promising strategy for interorganisational collaboration, but may fail due to network tensions. By investigating the activities and internal dynamics of a voluntary meso-level network operating in the intersection of health and social care, this study aims to enhance the understanding of the relationship between pragmatism and sustainability and the role network governance plays in this respect. Methods: In this descriptive case study, 2–3 researchers observed 3 three-hour long network meetings during the course of a year, and four complementary interviews were performed. Data were analysed based on the literature on network functioning and effectiveness. Results: Pragmatism (a focus on ‘getting things done’) was more emphasised than sustainability although the network meetings also contained elements of relationship- and trust-building. The network leadership (a Network Administrative Organisation, NAO) created structure and concretized the participants’ ideas while remaining flexible and perceptive, and also carried out tasks which would otherwise not have been performed. Discussion: The emphasis on pragmatism did not seem to influence sustainability negatively which has been pointed out as a potential risk in previous literature. Rather, the focus on pragmatism reinforced sustainability in a way that is similar to what has been described in prior research as a “trust-building loop” and discussed further in terms of a “perception of progress” mechanism. However, it was unclear what future the voluntary network would have without the NAO. Conclusion: Network governance is instrumental to success, and should be carefully considered when initiating interorganisational network initiatives for integrated care. (Edited publisher abstract)
Better Lives, Better Endings: a collaboration between extra care housing and a hospice
- Authors:
- BRYAN Liz, et al
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2021
- Pagination:
- 16
- Place of publication:
- London
This case study describes a project undertaken in partnership between Octavia (a not-for-profit organisation that provides homes, support and care) and St Christopher’s (a charity, providing health and social care for people approaching the end of their lives) with the aim of identifying how both staff and residents in several extra care housing schemes in West London might be empowered to improve experience of end-of-life care for everyone. The project intended outcomes are to: to encourage older people living in assisted housing to adopt a proactive approach to planning the rest of their lives including its end, drawing in people around them to help them achieve their ambitions as necessary; empower extra care housing staff resulting in greater choice and control for residents at end of life; establish a network of relevant stakeholders who will adopt and continue to develop the tools, training and relationships established beyond the end of the funded project; and encourage hospices to see the housing sector as a key strategic partner in their efforts to improve end of life for their local populations. Despite disruption caused by a global pandemic this project has been able to stay focused and on track. This has been due to both the commitment of Octavia management and the motivation and engagement of care staff. It is also thanks to the members of the Advisory Group who have offered sustained and valuable insight and support demonstrating a collective will to find solutions to the challenges faced by extra care housing facilities when providing accommodation to people with complex health needs who would prefer to die at home. (Edited publisher abstract)
Reaching out: guide to helping principal and local councils tackle loneliness
- Authors:
- LOCAL GOVERNMENT ASSOCIATION, NATIONAL ASSOCIATION OF LOCAL COUNCILS
- Publishers:
- Local Government Association, National Association of Local Councils
- Publication year:
- 2019
- Pagination:
- 28
- Place of publication:
- London
A practical guide to help principal authorities and local councils to work together to tackle loneliness. The guide outlines the current loneliness policy context and uses a range of case studies to demonstrate effective models working in practice. It highlights four ways in which loneliness can be tackled at a local level: finding ways to reach and understand the needs of those experiencing loneliness; providing services that directly improve the number and quality of relationships that people have; providing support such as transport and technology to help sustain connections; and providing the right environment by creating the right structures and conditions locally to support those affected by, or at risk of, loneliness. Case studies include schemes to tackle loneliness and isolation in rural communities; older people's lunch clubs; supporting socially isolated adults and using tablet computers and video conferencing; and a model of Enhanced Primary Care. The guide includes useful check lists, advice on how to measure and evaluate outputs, and links to additional resources. (Edited publisher abstract)
Improving care and support for people with frailty: how NICE resources can support local priorities
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2019
- Place of publication:
- London
An online resource highlighting NICE guidance, quality standards, advice and practical tools that can help local partnerships to support people living with frailty. The resource signposts to relevant information from NICE, explains how NICE quality standards can be used to improve care and support, links to tools to support quality improvement, and shared learning case studies. It is one of a series of resources designed to help tackle priorities across local health and social care systems and help systems work together to provide consistent, high-quality care, based on the best evidence. (Edited publisher abstract)
Strategic partnerships enhance resources for care of rural-dwelling older adults
- Authors:
- HOLLEY Lyn M., et al
- Journal article citation:
- Quality in Ageing and Older Adults, 19(4), 2018, pp.242-250.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to disseminate a new model that addresses the urgent social challenge of providing adequate long-term care in rural circumstances through innovative use of existing resources, and to suggest future research. Design/methodology/approach: This paper is exploratory in and is based upon the analysis of qualitative observations (interviews and site visits) framed in the financial and operational records of the facility studied, macro- and micro-level demographics, and the scholarly and practice literatures. Findings: Significant cost savings upon implementation, improvements in quality of care and both worker and client satisfaction were apparent. Research limitations/implications: The model has been in operation only one year; the trend has been positive, however, more research is needed to identify its stability and develop a more refined description of its components: while essential features of this innovative model can be applied in any residential long-term care situation, replicating its success is obviously linked with the skill and authority of the director. Evaluation research is currently in progress. Practical implications: The paper suggests budget-neutral solutions to persistent challenges of caring for older adults in rural circumstances: Social implications: Quality and financing of long-term residential care for elders is insufficient and worsening. This model addresses problems central to financing and quality of care by connecting existing resources in new ways. It does not require additional funding or changes in qualifications required for jobs. Originality/value: The model is the original creation of a residential long-term care facility director working with a network of partnerships that he discovered and developed: partnerships include a broad range of organizations in the public and non-profit sectors, and the state university. (Publisher abstract)
Professional associations can nurture interdisciplinary partnerships to better serve rural-dwelling older adults
- Author:
- FORD Cassandra D.
- Journal article citation:
- Quality in Ageing and Older Adults, 19(4), 2018, pp.298-303.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to present a case study that illustrates how professional associations can provide the context for development of formal and informal interdisciplinary collaboration and promote advancement and dissemination of useful knowledge among disciplines and across geographic boundaries. This paper reports the work of the Rural Aging Special Interest Group of the Gerontological Society of America to develop and disseminate approaches that leverage existing resources to address the challenges of providing services to rural – dwelling older adults. It describes the challenges and the roles of networks in developing and supporting these partnerships to better meet the challenges. Design/methodology/approach: This paper describes how interdisciplinary partnerships can enhance existing resources to better meet the unique needs of rural older adults and describes an example of how a professional association facilitated the process of creation and dissemination of knowledge about this approach. An overview of the process is provided with additional information relating partnerships to improving programmes and services for rural older adults. Findings: While addressing the unique needs of rural older adults can sometimes prove challenging, a number of entities have developed successful interdisciplinary partnerships that have expanded resources and improved effectiveness in addressing these challenges. Originality/value: This paper illustrates how a professional association can play a key role in supporting creative interdisciplinary and international problem solving. (Publisher abstract)