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Capacity to change: commissioning effective services for older people: workbook 2007
- Author:
- REID Andrew
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2007
- Pagination:
- 54p.
- Place of publication:
- Edinburgh
This workbook has been designed to assist local authority and health partners to gather data across the whole commissioning system to assist capacity planning which will then inform local commissioning plans. It will be of particular use when considering older people’s services. It is intended to be a practical tool for use by partnerships and can be easily adapted or customised for use in local areas. This workbook assists partners with this process by providing a framework for identifying existing services, service pressures, and financial data, all of which gives a firm basis for then agreeing a detailed and robust capacity plan within an overall Strategic Plan. The workbook has been developed and tested in a number of partnerships in Scotland.
Everybody's business
- Author:
- GILLIARD Jane
- Journal article citation:
- A Life in the Day, 11(1), February 2007, pp.26-27.
- Publisher:
- Emerald
This article outlines the Department of Health's policy framework for delivering better services to older people with mental health problems. The article focuses on the new service development guide, 'Everybody's Business: Integrating Mental Health Services for Older Adults', and also stresses the importance of commissioning to ensure the development and delivery of fit-for-purpose services.
Strengthening the involvement of people with dementia: supplementary resource
- Author:
- CARE SERVICES IMPROVEMENT PARTNERSHIP. National Older People's Mental Health Programme
- Publisher:
- Care Services Improvement Partnership. National Older People's Mental Health Programme
- Publication year:
- 2007
- Pagination:
- 36p.
- Place of publication:
- London
This supplementary resource document has been compiled in the process of writing the Strengthening Involvement for People with Dementia toolkit.
Strengthening the involvement of people with dementia: a resource for implementation
- Author:
- CARE SERVICES IMPROVEMENT PARTNERSHIP. National Older People's Mental Health Programme
- Publisher:
- Care Services Improvement Partnership. National Older People's Mental Health Programme
- Publication year:
- 2007
- Pagination:
- 31p., bibliog.
- Place of publication:
- London
Ensuring that people with dementia have a say in the development of the Strategy is a priority. Listening to the views of people with dementia is often overlooked in the development and delivery of services. The Care Services Improvement Partnership has developed guidance to help commissioners, planners and providers find appropriate ways to engage with people with dementia as service users.
Commissioning services for older people and mental health problems: is there a shared vision?
- Authors:
- TUCKER Sue, et al
- Journal article citation:
- Journal of Integrated Care, 15(2), April 2007, pp.3-12.
- Publisher:
- Emerald
UK policy seeks to shift commissioning of services 'closer to people' with a view to establishing shared visions of local care services grounded in the opinions and priorities of the public. But the participation of older people with mental health problems and their carers in the strategic planning process has been patchy. This article compares practitioner and public perspectives of the services that should be provided for older people with mental health problems in an area of North West England. Significant differences were found in the services the various stakeholder groups prioritised for development, and in their views on how they should be organised. The implications for commissioning are discussed.
The new Independent Mental Capacity Advocate service
- Author:
- BRADLEY Andy
- Journal article citation:
- Working with Older People, 11(1), March 2007, pp.13-16.
- Publisher:
- Emerald
The author summarises recent guidance for commissioners of the new Independent Mental Capacity Advocate (IMCA) service, outlines some of the key challenges for commissioners and goes on to highlight the particular issues for advocacy organisations and older people.
Memory assessment service for the early identification and care of people with dementia: commissioning guide
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2007
- Pagination:
- 28p.
- Place of publication:
- London
Memory assessment services offer a responsive service to aid the early identification of dementia, and include a full range of assessment, diagnostic, therapeutic and rehabilitation services. Memory assessment services ensure an integrated approach to the care of people with dementia and the support of their carers, in partnership with local healthcare, social care and voluntary organisations, and have been shown to significantly improve the quality of life of carers and people with dementia. This commissioning guide provides support for the local implementation of NICE clinical guidelines through commissioning, and is a resource to help health professionals in England to commission an effective memory assessment service for the early identification and care of people with dementia. The clinical guideline covers clinical and cost effectiveness in detail and underpins the content of this guide.
Tackling delayed transfers of care across the whole system: overview report based on work in the Cardiff and Vale of Glamorgan, Gwent and Carmarthenshire health and social care communities
- Author:
- WALES AUDIT OFFICE
- Publisher:
- Wales Audit Office
- Publication year:
- 2007
- Pagination:
- 110p.
- Place of publication:
- Cardiff
Tackling Delayed Transfers of Care Across the Whole System, makes a number of recommendations, including a clear local vision of service models to promote the independence of vulnerable older people and the strengthening of processes so that provision is centred on people's needs for care. The report also says that commissioning is under-developed and needs to ensure that health and social care communities have the appropriate capacity in a wide range of services that promote independence. The Committee found that the number of people experiencing a delayed transfer of care, has fallen over time but is not a good measure on its own of the extent of the problem because it does not reflect the length of the delays they suffer. A better measure is the number of hospital bed days occupied by people experiencing a delay, and that number in Wales as a whole actually rose by 2 per cent between 2005-06 and 2006-07 from 262,595 to 268,491. The report recommends that the Assembly Government should align its guidance, budgets, priorities, performance measures and incentives more closely with its vision of the whole system, in particular by improving the current measurement systems which are inaccurate and understate the impact of delayed transfers of care.
Falls prevention in practice: a literature review
- Authors:
- NYMAN Samuel R., BALLINGER Clare
- Publisher:
- Help the Aged
- Publication year:
- 2007
- Pagination:
- 18p.
- Place of publication:
- London
'Falls Prevention in Practice' is a pan-European literature review commissioned by Help the Aged, which aims to improve practitioner skills in the communication of falls risk and prevention with older people. The full review, carried out by researchers from the Universities of Southampton and London South Bank, was based on recommendations made by the Prevention of Falls Network Europe (ProFaNE). 'Fall Stop' provides practical guidance for practitioners who work with older people to prevent falls, including falls coordinators, occupational therapists, nurses, physiotherapists, GPs, opticians, care home and day centre managers and pharmacists.
Independent sector mental health care: a 1-day census of private and voluntary sector placements in seven Strategic Health Authority areas in England
- Authors:
- HATFIELD Barbara, et al
- Journal article citation:
- Health and Social Care in the Community, 15(5), September 2007, pp.407-416.
- Publisher:
- Wiley
The aims of this study were (i) to map the extent of all mental health placements in the independent sector, for adults of working age, and elderly people (excluding those with a diagnosis of dementia placed in Local Authority care homes), on a census date, across the areas in which the study was commissioned; (ii) to identify the characteristics of the population in placements; (iii) to explore some of the characteristics of the placements and the patterns of use within the private and voluntary sectors; and (iv) to identify the funding source of placements, and cost differences between the private and voluntary sector. The study took place in seven Strategic Health Authority areas, and information was sought from all Primary Care Trust and Social Services commissioners of mental health services, including regional secure commissioning teams, within those areas. A cross-sectional sample was used. Information was requested in relation to every individual meeting the inclusion criteria, placed in independent (private or voluntary) psychiatric hospitals, registered mental nursing homes and care homes on a specified study ‘census date’ of 28 June 2004 in six of the Strategic Health Authority areas, and 7 October 2004 in the seventh. Information was recorded on a standard questionnaire specifically designed for the study. Information was obtained on 3535 adults and 1623 elderly people in private or voluntary facilities. The largest groups of adults and elderly people had diagnoses of severe mental illnesses (42.1% and 30.5%, respectively), and placements were described as ‘continuing care’ or rehabilitation, with a ‘niche’ in specialist forensic care. Around four-fifths of units were in the private sector, which for adults was significantly more expensive than the voluntary sector. A large proportion of units (47.2% of adult placements and 59.3% of placements for elderly people) had only single placements from particular commissioning authorities, whilst others had large numbers, raising issues for effective commissioning. The distance of placements from patients’ area of origin, is also an issue highlighted by the study. The study findings are discussed in relation to commissioning practice, and the development of the independent sector in mental health care.