Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 17
Co-production involving and led by older people: an evidence and practice review
- Authors:
- BROWN Helen, RAINES Tom
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2014
- Pagination:
- 34
- Place of publication:
- Bath
This report pulls together the evidence, outcomes and key characteristics of effective co-production involving older people. It explores: the current contexts and drivers for co-production across the UK; examines the concepts and definitions associated with co-production; offers some guiding principles and practice; summarises the evidence for co-production involving older people and what can be achieved as a result; and provides practical examples that people can use in their own work and in their local areas. It draws on work from the Wisdom in Practice initiative in Scotland which reviewed evidence and examples of co-production involving and led by older people. (Edited publisher abstract)
Imagine Arts: how the arts can transform care homes
- Author:
- BROOME Emma
- Journal article citation:
- Journal of Dementia Care, 26(4), 2018, pp.16-18.
- Publisher:
- Hawker
Imagine Arts was a three year programme funded by Arts Council England and the Baring Foundation involving a collaboration between the national home care provider Abbeyfield, Nottingham council, local arts organisations and Nottingham University. The aim was to enrich the lives of older people in care homes. Residents in 17 care homes took part in the programme, many of whom had dementia. This article discusses the outcomes of an independent evaluation that looked at the impact of Arts on care homes. Findings suggest that the delivery of high quality arts activities in care homes is feasible. Overall, residents had positive reflections and socialisation seemed to improve as the series of arts sessions progressed. The article also discusses the culture shift that is needed to embed the arts fully in residential care. The article also comments on the project legacy and provides some recommendations for care homes looking to introduce arts programmes. (Original abstract)
Case studies
- Author:
- IMPROVEMENT AND DEVELOPMENT AGENCY
- Publisher:
- Improvement and Development Agency
- Publication year:
- 2007
- Pagination:
- 20p.
- Place of publication:
- London
The guides in the series Older People's Shared Priority have highlighted examples of innovation or good practice from around the country. Four case studies are included in this guide to show how a sample of authorities have managed their work and the different approaches they have taken.
Small but significant: evidence of impact and cost benefits of handyperson services Preston Care and Repair handyperson service
- Author:
- CARE AND REPAIR ENGLAND
- Publisher:
- Care and Repair England
- Publication year:
- 2018
- Pagination:
- 4
- Place of publication:
- Nottingham
Case study which outlines the impacts and cost benefits to the NHS and social care of the Preston Care and Repair handyperson service, which carries out small repairs and minor adaptations in the homes of older and disabled people. The results of an independent evaluation found that the service had a significant impact on older people’s mental and physical health, wellbeing, independence and quality of life. Falls risk was reduced for 37 percent of the older people using the handyperson service and 90 percent of older people experienced improved wellbeing. Other outcomes include reduced risk of hospital admission, faster, safer hospital discharge to home, improved safety and security, reduced worry and stress associated with maintaining the home. A cost benefit analysis estimated that for every £1 spent on the handyperson service the saving to health and care from falls reduction alone is £4.28. (Edited publisher abstract)
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)
Community connecting case study: explaining and measuring project outcomes
- Author:
- EVALUATION SUPPORT SCOTLAND
- Publisher:
- Evaluation Support Scotland
- Publication year:
- 2015
- Pagination:
- 12
- Place of publication:
- Edinburgh
This case study outlines how The Stitch in Time? programme team worked with Community Connecting, a project supporting older people to make new connections in their community, to develop a new way of assessing outcomes for older people. Community Connecting targets individuals who might have lost confidence, for example, after being in hospital and uses volunteers to help people to do things or go to places that are important to them. Stitch in Time? Evaluation Support Scotland worked with the service to develop a model to explain the main outcomes of the service; a suggested reporting format; and a new simple method for measuring older people's outcomes. Assessments, personal plans and reviews; carers' questionnaires and volunteer feedback are used to collect evidence on outcomes. Outcomes are also measured for volunteers involved in the service. The case study is be especially useful for commissioners, funders and third sector organisations. (Edited publisher abstract)
Lanarkshire's managed care network: an integrated improvement collaborative
- Author:
- HENDRY Anne
- Journal article citation:
- Journal of Integrated Care, 18(3), June 2010, pp.45-51.
- Publisher:
- Emerald
“Promoting the Development of Managed Clinical Networks” set a strategy in place for the development of MCNs in Scotland, where they operate on a local, regional or national basis. This article describes how MCNs enable virtual integration of health, social care and housing service delivery, through collaborative working across care sectors within an agreed governance framework. When focused on outcomes and experience for service users and carers, they can provide integrated support for improvement in the pathways, processes and experience of care and support for older people. The article provides a case study of the development of a managed care network of health and social care partners in Lanarkshire in the context of current policy drivers in Scotland. It outlines the process of transforming the policy into practice, asks what should we integrate, and then considers the integration of resources. The author suggests that by ensuring that the resources available follow the patient to where they add most value, the integration framework development programme hopes to evidence a sustainable shift in the balance of care, improved experience, and better outcomes for both service users and carers.
Progress and problems in developing outcomes-focused social care services for older people in England
- Authors:
- GLENDINNING Caroline, et al
- Journal article citation:
- Health and Social Care in the Community, 16(1), January 2008, pp.54-63.
- Publisher:
- Wiley
Social care services for adults are increasingly required to focus on achieving the outcomes that users aspire to, rather than on service inputs or provider concerns. This paper reports a study aimed at assessing progress in developing outcomes-focused services for older people and the factors that help and hinder this. It describes the current policy context and discusses the social care service outcomes desired by older people. It then reports on a postal survey that identified over 70 outcomes-focused social care initiatives across England and Wales, and case studies of progress in developing outcomes-focused social care services in six localities. The study found progress in developing outcomes-focused services was relatively recent and somewhat fragmented. Developments in intermediate care and re-ablement services, focusing on change outcomes, were marked; however, there appeared to be a disjunction between these and the capacity of home care services to address desired maintenance outcomes. Process outcomes were addressed across a range of re-ablement, day care and residential services. The paper concludes by discussing some of the challenges in developing outcomes-focused social care services.
How does English national end-of-life care policy impact on the experience of older people at the end of life? Findings from a realist evaluation
- Authors:
- BARKER Rhiannon, WILSON Patricia, BUTLER Claire
- Journal article citation:
- Primary Health Care Research and Development, 22, 2021,
- Publisher:
- Cambridge University Press
Aim: To explore the extent to which national policy in end-of-life care (EOLC) in England influences and guides local practice, helping to ensure that care for older people at the EOL is of a consistently good quality. Background: Whilst policy is recognised as an important component in determining the effectiveness of EOLC, there is scant literature which attempts to interrogate how this happens or to hypothesise the mechanisms linking policy to better outcomes. Method: This article reports on the second phase of a realist evaluation comprising three case studies of clinical commissioning groups, including 98 in-depth interviews with stakeholders, meeting observation and documentary analysis. Findings: This study reveals the key contextual factors which need to be in place at micro, meso and macro levels if good quality EOLC for older people is to be achieved. The findings provide insight into rising local inequalities and reveal areas of dissonance between stakeholder priorities. Whilst patients privilege the importance of receiving care and compassion in familiar surroundings at EOL, there remains a clear tension between this and the medical drive to cure disease and extend life. The apparent devaluing of social care and subsequent lack of resource has impacted significantly on the way in which dying is experienced. Patient experience at EOL, shaped by the care received both formally and informally, is driven by a fragmented health and social care system. Whilst the importance of system integration appears to have been recognised, significant challenges remain in terms of shaping policy to adequately reflect this. This study highlights the priority attached by patients and their families to the social and relational aspect of death and dying and shines a light on the stark disparities between the health and social care systems which became even more evident at the height of the Covid-19 pandemic. (Edited publisher abstract)
Raising the bar on strength and balance: the importance of community-based provision
- Author:
- CENTRE FOR AGEING BETTER
- Publisher:
- Centre for Ageing Better
- Publication year:
- 2019
- Pagination:
- 52
- Place of publication:
- London
This report draws on work from the University of Manchester Healthy Ageing Research Group, which worked with communities to better understand the challenges of delivering strength and balance programmes for older adults in the local community. These activities could include resistance training, aerobics classes and yoga groups. The report argues that NHS falls rehabilitation services often don’t have the funding or ability to provide sufficient strength and balance programmes to meet existing needs, which means an effective community-based response is essential. The report presents different models of delivery of community-based activities, barriers to delivery and examples of innovative solutions identified during the project. The findings cover five themes: raising awareness, encouraging uptake, exercise referral pathways that work, sticking to the evidence, and monitoring for outcomes and improvements. Each theme highlights five key points to ensure that strength and balance exercise programmes are delivered to the right people, at the right time, and by the right people, so that older adults achieve positive results. Recommendations for commissioners, providers and health care professionals are also included. These include for NHS and local authorities support evidence-based programmes and for improved collaboration between those referring people to programmes and those delivering them. (Edited publisher abstract)