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Putting people first in the south west: a market assessment
- Author:
- SOUTH WEST HOUSING LEARNING AND IMPROVEMENT NETWORK
- Publisher:
- DH Care Networks. Housing Learning and Improvement Network
- Publication year:
- 2010
- Pagination:
- 37p.
- Place of publication:
- London
This report describes a study aiming to develop an understanding of the current position in the South West in the planning and delivery of housing services to meet the needs and aspirations of its ageing population. The South West Housing and Improvement Network commissioned the Institute of Public Care to carry out a market assessment through a series of surveys. There were 8 surveys produced, each tailored to particular stakeholders potentially involved in and able to influence this planning and delivery process: commissioners in adult social care, strategic housing, supporting people, health, and planners; and providers in housing, housing related support, and care. The aim of the surveys was to develop an understanding of current activity in each of these areas, and identify examples of good practice that could be shared across the region. This report provides the results of this market assessment providing a description of the methodology used and the response rate, an overview of responses across the region, the identification of good practice and barriers as highlighted by respondents, and the key challenges and areas where respondents feel that regional support would be useful. The benchmark position provided by the surveys will be used as a starting point for the development of a regional action plan, building on the support activities already underway across the region to support the development of extra care housing, and informing the work of a regional Housing Support Unit.
Putting inclusive design into practice
- Author:
- LEWIS Sue
- Publisher:
- DH Care Networks. Housing Learning and Improvement Network
- Publication year:
- 2010
- Pagination:
- 12p.
- Place of publication:
- London
In a society which has an ageing population and has more older people than younger people, there is a need to do more to improve the accessibility of older people's housing. This paper describes a project from Pennine Housing to use the development of their third extra care housing scheme as a pilot to put inclusive design into practice. Inclusive design involves designing in a way that is functional without compromising on quality and appearance. In addition to the traditional project management arrangements, the Inclusive Design Team was established, as the mechanism for sourcing, deciding, and approving every single design detail, fixture and fitting for the scheme. The report describes the framework of the team, the difference they made to the design process, the types of design features that they incorporated into the scheme, the main learning points, and feedback from customers, visitors and partners. The report also discusses future plans for inclusive design in the housing sector.
"More than just a few kind words!": reshaping support in sheltered housing: a good practice guide for housing providers and local authorities
- Author:
- NATIONAL HOUSING FEDERATION
- Publisher:
- National Housing Federation
- Publication year:
- 2010
- Pagination:
- 31p.
- Place of publication:
- London
As society is ageing, a better range of choices are needed to enable people to live fuller lives into old age. In addition to developing new buildings and new service models, existing resources must be used effectively. As part of the Ministerial Working Group on Sheltered Housing, the National Housing Federation were commissioned to produce a good practice guide on reshaping support in sheltered housing for housing providers and local authorities. Launched at a meeting of the group in January, this document promotes good practice in the delivery of varied support models for older people and in the implementation of any changes to current services. This document, broken into ten parts includes sections on: drivers for change; recognising the ongoing potential in sheltered housing; managing change; future directions for future housing services; developing the service structure; developing the service content; developing a strategy for remodelling support services in sheltered housing; and re-commissioning sheltered housing services.
A preliminary analysis of dementia in Wales
- Author:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES
- Publisher:
- Care and Social Services Inspectorate Wales
- Publication year:
- 2010
- Pagination:
- 26p.
- Place of publication:
- Cardiff
This report provides a preliminary analysis relating to the current knowledge about and provision for people with dementia in Wales. The research involved fact finding from people with dementia, their carers, some expert professionals, and from desk top research. Three meetings were held; 1 attended by carers only and 2 attended by both carers and people with dementia. The sessions were structured around the idea of a dementia journey and people’s experience of this, what had worked well and what was difficult, as well as what needed improving. The report begins by discussing the issues raised at the meetings. It then moves on to the other information obtained during the preliminary analysis, looking at: the pattern of provision of social service and social care; and national and local studies and research. A significant finding is that there are wide variations in what is available across Wales and that this variability doesn’t seem to be related to need. The findings are considered in relation to the future commissioning of services. This analysis should be used to inform the second stage of the National Service Framework’s (NSF) review of older people.
The future social care market
- Author:
- NATIONAL MARKET DEVELOPMENT FORUM
- Publisher:
- National Market Development Forum
- Publication year:
- 2010
- Pagination:
- 6p.
- Place of publication:
- Oxford
The social care market is going to change in the coming years. Key trends include greater choice and control over service provision for users and carers, a stronger emphasis on communities and prevention, and changes in the basis of funding care. This paper looks at some assumptions that might be made about the social care market in the future and the potential issues and problems to be faced. The paper is based on discussions by participants in the National Market Development Forum between March and July 2010. The assumptions range from the almost inevitable, such as the growth in the numbers of older people, to the highly speculative, such as increased migration of older people. Key challenges that the social care market is likely to pose for commissioners and providers in the future are discussed. With these assumptions and challenges in mind, the paper suggests potential responses that will help to create an ‘ideal’ social care market. Key to the future will be the provision of accommodation into which care and health services can be delivered within the community, together with a combined preventative approach from health and social care.
Patterns of commissioning, contracting and care management in social care services for older people in England
- Authors:
- CHESTER Helen, HUGHES Jane, CHALLIS David
- Journal article citation:
- British Journal of Social Work, 40(8), December 2010, pp.2523-2537..
- Publisher:
- Oxford University Press
A current objective of social care policy in England is to provide more personalised care services. This has implications for the provision of community based care for frail older people. Using data from a national postal survey of local authorities in England, this paper explores whether a typology of commissioning, contracting and care management arrangements, key components in the delivery of social care, can be discerned through the analysis of a series of indicators. Over two thirds of local authorities responded and arrangements were categorised on an empirical basis, resulting in the formulation of seven categories of authority. These were found to vary in the level of activity in three domains: commissioning and contracting arrangements; employment practices; and flexibility in service provision at the level of the service user. The extent to which the typology constitutes a viable ideal type is explored, together with its relevance to the emergent policy agenda.
Charging in extra care housing
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- DH Care Networks. Housing Learning and Improvement Network
- Publication year:
- 2010
- Pagination:
- 16p.
- Place of publication:
- London
This report considers approaches to charging people living in Extra Care Housing for the various services provided, with a particular focus on social care. It draws on existing research and materials and the experience of a small number of authorities gained through telephone interviews. The report considers how the contractual arrangements for social care within Extra Care Housing can vary, and how this impacts on the charging arrangements. It discusses the various approaches to charging, and how these approaches meet the potentially competing requirements of fairness and choice for the individual, and an ability to provide flexible and responsive care and support services. The report considers key policy initiatives such as the personalisation agenda and mixing tenure within schemes. Case studies in Cheshire, Hartlepool and East Sussex are described. The report concludes that developing a charging policy for social care provided within Extra Care Housing presents commissioners with a complex set of issues to consider including: being clear about the strategic vision for Extra Care Housing; the affordability of the service for residents; developing the most efficient and accountable procurement approaches; and maintaining value for money and equity for residents.
Extra care housing and personal care budgets
- Author:
- SKIDMORE Clare
- Publisher:
- DH Care Networks. Housing Learning and Improvement Network
- Publication year:
- 2010
- Pagination:
- 11p.
- Place of publication:
- London
This report is based on feedback from a workshop, Personal Budgets in Extra Care Housing, hosted by the South East and London Housing Learning and Improvement Network. The report describes scenarios and identifies a set of key questions and issues discussed at the meeting. It outlines a number of approaches to the introduction of personal budgets in Extra Care Housing which are being considered by several local authorities and providers. As many councils are in the early stages of planning how to enable their extra care residents to access personal budgets, some of these approaches are as yet untested. Four case scenarios are outlined; 1 of these is a co-production model in which residents jointly purchase services, and 3 are different core and add-on approaches in which residents purchase additional services of their choice. Questions and issues considered at the workshop, including those raised by the case scenarios, are listed. These questions could be considered by councils developing approaches for personal care budgets and extra care housing to help raise some of the key issues.
Promoting mental health in later life: a guide for commissioners of older people's services
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2010
- Pagination:
- 31p.
- Place of publication:
- London
This booklet offers commissioners a guide to services that promote good mental health and well-being in later life. It describes a broad range of examples of low-cost, high-impact services from around England. For each service, a brief service description, including its benefits and how it is delivered, and contact details are provided. All of the services are offered by local Age UKs and Age Concerns. This guide offers clear and simple ideas for services that meet older people’s needs and aspirations and the corresponding benefits. Service-user quotations are used illustrate the impact of these services on older people. The service are placed under 4 headings: keeping fit and well; relationships and opportunities to contribute; reaching excluded groups; and tackling depression and reducing isolation.
North West Joint Improvement Partnership: commissioning and joint strategic needs assessments
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2010
- Pagination:
- 24p.
- Place of publication:
- Oxford
The production of a Joint Strategic Needs Assessment (JSNA) is meant to be a key enabler of effective commissioning to improve health and well-being outcomes. This study explores whether the desired relationship between commissioning and the JSNA has occurred and what could be done to improve that relationship. The project was structured around key questions, centred on commissioners' requirements and how they can be reconciled with the practice and requirements of people working in public health, as well as how the JSNA processes can best be constructed to promote outcomes-based commissioning. It involved the review of, and discussions with, eight local authorities. JSNAs were assessed against the project questions, and interviews were conducted with Directors of Public Health, Directors of Adult Social Services and Directors of Childrens’ Services at each of the localities using a semi-structured interview. The report analyses JSNA content and identifies overarching themes, presenting and discussing findings from the interviews against each of the identified questions. There are summary analyses of these findings, including recommendations for steps that could be taken to improve the relationship between commissioning and the JSNA.