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The community opportunity: lessons for adult social care from the Keep It Local campaign
- Author:
- LOCALITY
- Publisher:
- Locality
- Publication year:
- 2021
- Pagination:
- 38
- Place of publication:
- London
This report brings together evidence on how community power can provide important solutions to the challenge of adult social care. Community organisations play a unique role in the local service landscape. Their distinctive qualities are particularly valuable for services which tackle complex social problems. There is a growing body of evidence showing the value of community power in adult social care. It shows how community organisations provide high quality services, keeping people independent and living in their communities for longer; and providing greater choice and control over the support local people can access. The report provides new case studies of innovative, community-led approaches to social care. They also show how these are being supported by local authorities. The case studies are: Adult Social Care in Bristol; NEDCare; Goodwin Development Trust, Danny’s Dream; Community Catalysts; Individual Service Funds – Wakefield and WECIL. (Edited publisher abstract)
Care coordination for older people in the non-statutory sector: activities, time use and costs
- Authors:
- HUGHES Jane, et al
- Journal article citation:
- Journal of Long-Term Care, August 2020, pp.91-107. Online only
- Publisher:
- King's College London
- Place of publication:
- London
Context: Care coordination is one important mechanism to provide effective care at home for frail older people in a world with ageing populations. In England this has usually been undertaken by state funded local authority social care services. The Care Act 2014 promoted greater involvement of the non-statutory sector in the provision of care and support, including care coordination, for older people at home to offer greater flexibility and consumer choice. Objective(s): To explore how organisations in the non-statutory sector in England undertake care coordination activities, targeting, their staff time use and costs to support older people at home. Method(s): A case study approach was used involving semi-structured interviews with practitioners in 17 services selected from a national survey in 2015. Estimates of practitioner time use for a typical case, and associated costs for each service were calculated. Data were analysed to identify the range of care coordination activities undertaken, forms of targeting, patterns of staff time use and service costs. Findings: Two services undertook no targeting activities; of eight care coordination activities only two were undertaken in all services. Costs of care coordination activities varied both within and between services in two distinct settings: hospital discharge and memory services. More time was spent by practitioners in direct contact with service users and carers than on indirect activities in most care coordination services. Limitations: A case study approach is more difficult to generalise; recall bias may have influenced data on time use and costs from practitioner interviews; some costs had to be attributed using national data. Implications: Both service setting and gatekeeping mechanisms shaped care coordination activities. Where services were designed to substitute for statutory services their sustainability needs to be addressed in terms of length of contracts, extent of case responsibility and full costing. (Edited publisher abstract)
Valuing older workers in the voluntary sector
- Journal article citation:
- Working with Older People, 17(3), 2013, pp.109-116.
- Publisher:
- Emerald
Purpose – This paper reports on research into the employment of older workers, paid and unpaid, in the voluntary sector. It draws on six case studies which were the research focus. The research was designed to test the hypothesis that the voluntary sector has been in the forefront of utilising the knowledge, skills and talents of older workers and to draw out practical guidance for other organisations in this and other sectors. Design/methodology/approach – The author consulted over 30 people with a known interest in older workforce issues and/or employment in the voluntary sector and, from these discussions, identified six organisations to be the subject of structured telephone interviews. The interviewees were all at chief executive or senior management level. Findings – The research confirmed that older workers, whether they are paid employees or volunteers, are of great value to the voluntary sector. This is because of their life experience and skills and, particularly in the case of volunteers, their availability and flexibility. The six organisations on which the research focused provided excellent examples of good practice. However, this does not generally involve employment policies and practices with a specific focus on older workers but, rather, policies and practices which embrace older workers. Originality/value – Earlier research has usually focused on the private and public sectors. South East England Forum on Ageing wanted this project to focus specifically on the voluntary sector and this decision was vindicated by the fact that, in searching the literature and discussions with authorities, the author did not identify previous research on older workers specifically focused on this sector. (Publisher abstract)
Managing Better: the first year
- Author:
- CARE AND REPAIR CYMRU
- Publisher:
- Care and Repair Cymru
- Publication year:
- 2018
- Pagination:
- 20
- Place of publication:
- Cardiff
Impact report presenting the findings from the first year of the Managing Better service, in Wales. The service is a 3-year project, funded from the Welsh Government and is led by Care & Repair Cymru in partnership with RNIB Cymru, Action on Hearing Loss Cymru and Care & Repair Agencies across Wales. The service builds on the expertise of the traditional Care & Repair service and also provides additional expertise in the area of sensory loss. This enables older people in Wales to access a service where both their housing and sensory needs can be addressed. It also tackles issues of isolation and loneliness, which can have a significant impact on physical and mental well-being. The report shows that that integrating the impact of sight and hearing loss into home improvement and in support of independent living has had a crucial impact on the lives of older people. It is reported that in first year (2016/17) Managing Better helped 1,425 people with a Healthy Home Assessment, which resulted in providing services such as home adaptations, working with partners to provide specialist sensory equipment and the provision of welfare benefit assessments. It estimates that just by taking into account the number of falls prevented, the service has resulted in savings for the NHS and social care of £11.50 for every £1 invested. (Edited publisher abstract)
Evaluation of Ageing Better in Birmingham year two report
- Authors:
- MORETON Rachel, et al
- Publisher:
- CFE Research
- Publication year:
- 2018
- Pagination:
- 57
- Place of publication:
- Leicester
Evaluation of Ageing Better in Birmingham, part of a wider programme of 14 Ageing Better projects located across England taking an asset-based approach to tackle social isolation and loneliness in older people. The evaluation covers activities completed between May 2017 and April 2018. It reports on the range of activities delivered, which included exercise and arts activities; key characteristics of successful activity; how networks are working to make their activities sustainable; and the ways in which activities are attracting male participants. Short case studies of the groups delivered are included throughout. Key findings show that Ageing Better in Birmingham is successfully engaging ethnically and age diverse participants and older adults who are the most-lonely. This has been achieved by mainly working through established voluntary and community groups, which it is noted may not always effective in those areas where the voluntary and community sector is less well developed. The evaluation found Network Leads play an important role in making a successful Network and that Networks involving physical activity appear to be associated with greater wellbeing gains for participants. The report makes recommendations for the future development of the programme. (Edited publisher abstract)
Because it’s there …: voluntary councils reflect on contributing to strategic planning for integrated services for older people in Cwm Taf
- Authors:
- RICHARDS Sharon, MORRIS Anne, GREENWELL Stewart
- Journal article citation:
- Journal of Integrated Care, 23(4), 2015, pp.219-231.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to understand the strategic role of third-sector agencies, with a history that often left them 'sidelined' by the public sector, showing how all agencies involved can be respected and trusted, with conflicts of interest around commissioning services well managed. It highlights how power differentials between agencies/sectors influence behaviour and how a voluntary council can promote the voice of users and carers. Design/methodology/approach: A case study considering the nature of voluntary sector activity in Cwm Taf, referring to learning from elsewhere, confirming and challenging the experience. It draws on the experiences of two key third-sector workers and draws on local survey data, as well as the experiences of community co-ordinators. Findings: The importance of 'being there' in policy development, implementing change and taking action; 'being at the top table' was critical in developing a stronger third sector and user voice, supporting the ambitions of Social Services and Well-being (Wales) Act 2014. Third-sector agencies have been good and mature partners, honest brokers/commissioners, completer/finishers and critical friends. Originality/value: Power and influence are significant in changing the way that older people receive a different offer – not, 'what can we do for you?', but, 'help us to understand what will make a difference to your life. Third-sector agencies are crucial change agents, better at representing users and carers than public sector agencies doing it alone. It explores the concept of interdependence, as more energising for older people and agencies. (Edited publisher abstract)
Ageing in cities
- Author:
- ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT
- Publisher:
- Organisation for Economic Co-operation and Development
- Publication year:
- 2015
- Pagination:
- 204
- Place of publication:
- Paris
This report explores roles of cities in ageing societies, both in overcoming the challenges and in making the most of the opportunities presented by this demographic shift. It assesses ageing trends in the OECD area and examines the impact of ageing societies on sustainable urban development, and how cities can bring together all the relevant actors to design and implement integrated policies for ageing societies. The report highlights that the older population is growing faster than the total population. From 2001 to 2011, in city centres it increased by 22.6 per cent, while in the hinterland it increased by 28.3 per cent. Ageing societies pose diverse challenges, including the need to redesign infrastructure and urban development patterns, social isolation, lack of accessibility and housing affordability. They also offer opportunities, such as new developments in technology and innovation; market approaches to retrofit existing housing that allow older people to maintain or regain their autonomy; and the organisation of services for older people by older people in voluntary networks. The report features nine case studies, including a case study of Manchester. (Edited publisher abstract)
Age UK Personalised Integrated Care Programme: sustainability, impact on hospital attendances and admissions, and lessons learned about spreading and scaling the model
- Author:
- FULLWOOD Yvonne
- Publisher:
- Understanding Value
- Publication year:
- 2018
- Pagination:
- 25
- Place of publication:
- London
Age UK's Personalised Integrated Care Programme (PICP) aimed to develop and spreading an innovative model of person-centred care for older people with multiple long-term conditions (LTCs) who are at the greatest risk of avoidable hospital admissions. The three primary aims were to improve the health and wellbeing outcomes for older people with LTCs who experience high numbers of avoidable hospital admissions; improve older people’s experience and quality of care and support by tailoring services to meet their needs; and reduce cost pressures in the local health and social care economy. This report looks at the sustainability of the model and the legacy of participation in the PICP. It draws on the findings from semi-structured interviews, undertaken in July 2018, with stakeholders from each of the local Age UKs involved in Phase 2. It also reflects on the findings from the Nuffield Trust evaluation of the impact of the model; and considers transferable lessons learned about spreading and scaling the Age UK model. The report concludes that Age UK’s PICP has added value as a targeted, holistic, social prescribing model and has improved older people’s wellbeing, helped them to connect with services in their communities and to maintain independence. It has also been effective in promoting the integration of statutory and non-statutory services and in harnessing community assets to benefit older people. (Edited publisher abstract)
Third sector partnerships for older people: insights from live at home schemes in the UK
- Author:
- ADISA Olumide
- Journal article citation:
- Working with Older People, 22(3), 2018, pp.148-153.
- Publisher:
- Emerald
Purpose: While there is a rich literature on the role of partnerships between statutory agencies and third sector organisations for public service delivery in health and social care, the evidence base on, partnerships between community-based groups and charities for older people in the UK is lacking. Drawing on quantitative and qualitative data, the purpose of this paper is to examines partnerships within 46 live at home (LAH) schemes. These schemes were specifically designed to tackle isolation and promote independence and wellbeing by providing a wide range of activities, based on the needs of its members. Design/methodology/approach: This study is based on an online survey of 46 LAH schemes and face-to-face interviews with seven scheme managers to capture data on the various partnership initiatives within the LAH schemes. Findings: Third sector partnerships for older people varied by type – formal, semi-formal and informal. In addition, third sector partnership working fosters the achievement of clear outcomes for older people who LAH and could be a mechanism for building social capital in communities. The study also identified barriers to developing third sector partnerships within this context. Mapping existing partnerships in LAH schemes were considered to be useful in engaging with partners. LAH scheme managers were better able to identify partnerships that could be deepened and broadened, depending on the desired outcomes. Originality/value: To the author’s knowledge, there are few studies on third sector partnership working in LAH schemes for older people. According to Age UK, there are 1.2m chronically lonely older people in the UK. Over half of all people aged 75 and over live alone (ONS, 2015). Loneliness and social isolation in later life are considered to be two of the largest health concerns we face. Scaling up these third sector partnerships may offer a credible way to shore up support for older people who live alone or want to live at home. (Publisher abstract)
Health and social care celebrating wellbeing: a selection of case studies
- Authors:
- ADSS Cymru, WELSH NHS CONFEDERATION
- Publishers:
- ADSS Cymru, Welsh NHS Confederation
- Publication year:
- 2017
- Pagination:
- 20
- Place of publication:
- Cardiff
This publication provides examples of positive joint working between health and social care and the third sector. The examples show how integrated working has improved the well-being of individuals since the introduction of the Social Services and Well-Being (Wales) Act 2014. The anonymised case studies cover different service areas and client groups from across Wales. They include case studies of an older person awaiting discharge from hospital; a child at risk of sexual exploitation; a disabled person using direct payments; a young adult with care and support needs following discharge from hospital; older people needing care and support to maintain independence in the community; and a child with ASD and ADHD; and older parents caring for an adult with a learning disability and care and support needs at home. Whilst primarily looking at the person’s perspective they also show how the family carer, nurse or health professional, social care worker or professional or Third Sector professional contributed to the desired outcome. In each case the main relevant themes of the 2014 Act are highlighted. The case studies show that focusing on well-being, personal outcomes and working in an integrated way can have significant benefits for individuals and their families, as well as for people working in health and social care and for the effective use of resources. (Edited publisher abstract)