Search results for ‘Subject term:"older people"’ Sort:
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Reinvent the ageing process
- Authors:
- FOOT Catherine, HUMPHRIES Richard
- Journal article citation:
- Health Service Journal, 124(6393), 4 April 2014, pp.24-25.
- Publisher:
- Emap Healthcare
The authors look at ways of redesigning health and care services to meeting the needs of an ageing population. It highlights the importance of looking at all compoments of care: joint working, the right housing, correct use of comprehensive geriatric assessment, and treating older people with compassion, respect and dignity. (Original abstract)
Home care: commissioning for older people with complex needs
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Place of publication:
- London
This film highlights the challenges of commissioning home care for older people. It shows examples of providing good quality, person centred home care for older people with complex needs. The St Monica's trust approach to high quality person centred home care is built on the recruitment of the right staff and support , training and partnership working. This resource is aimed at commissioners of home care for older people, commissioners, care providers and carers. (Edited publisher abstract)
Commission on hospital care for frail older people: main report
- Author:
- HSJ/SERCO COMMISSION ON HOSPITAL CARE FOR FRAIL OLDER PEOPLE
- Publisher:
- Health Service Journal
- Publication year:
- 2014
- Pagination:
- 16
- Place of publication:
- London
A report from the HSJ/Serco Commission, addressing the problem of how the NHS should care for the country's increasing number of frail older people. The commission's central conclusion is that hospital providers and commissioners should not rely on government plans for greater integration between health and social care as a solution - they must and can take action now themselves to tackle the problem. The report sets out five key findings: there is a myth that providing more and better care for frail older people in the community, increasing integration between health and social care services and pooling health and social care budgets will lead to significant, cashable financial savings in the acute hospital sector and across health economies; the commonly made assertion that better community and social care will lead to less need for acute hospital beds is probably wrong as improving community care may postpone the need for hospital care, but it will make frail older people neither invincible nor immortal; more realism is needed in the debate about the quality and quantity of care that can be provided in an environment of funding that is declining relative to demand; hospitals should not be used to provide care that should more appropriately be provided elsewhere; while acute hospital admission is often the right thing to do for frail older people, being in hospital also creates risks for older people and hospitals need to gear up to provide the very best care for frail older people, who are now their most frequent users, involving geriatricians from the start of the admission together with the other appropriate specialists. Alongside the report HSJ has published a series of case studies showing good practice from around the NHS. Further evidence that led to the commissioners' conclusions and a full bibliography is also available. (Edited publisher abstract)
Commissioning home care for older people
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
This guide captures the latest research findings on this important and emerging area of social care. Sections include: What older people want from home care services; What is good home care?; The commissioning cycle and Funding and costs. It also provides some practice examples of good work in this area. The guide is aimed at health and social care commissioners of home care services for older people with complex needs. Providers of these care services may also find it useful. (Edited publisher abstract)
National audit of intermediate care: commissioner report 2014
- Author:
- NHS BENCHMARKING NETWORK
- Publisher:
- NHS Benchmarking Network
- Publication year:
- 2014
- Pagination:
- 24
- Place of publication:
- Manchester
This report presents findings from the commissioner level audit collected during 2014 in respect of 2013/14. For comparison, data collected through the audit in 2013 in respect of 2012/13 is referenced. The data covers number and profile of beds commissioned, access to services, use of resources and investment levels, funding, unit costs, crisis response activity, home based and bed based activity, and reablement services. The report shows that the proportion of commissioners specifically including vulnerable groups of potential service users in their service specifications was 56 per cent (60 per cent in NAIC 2013). (Edited publisher abstract)
National audit of intermediate care: summary report 2014
- Author:
- NHS BENCHMARKING NETWORK
- Publisher:
- NHS Benchmarking Network
- Publication year:
- 2014
- Pagination:
- 68
- Place of publication:
- Manchester
A summary of the findings from both the commissioner and provider aspects of the audit. The report explores the key themes and trends over three years of the audit. These include: integration, patient reported experience of intermediate care, demand and capacity, service accessibility, use of resources, appropriateness of skill mix, dependency and outcomes within intermediate care. In addition to a review of the commissioner level audit, the report provides comparison of the results for the four service categories included in the provider level audit: crisis response services, bed based intermediate care services, home based intermediate care services and re-ablement services. Results on compliance with quality standards for commissioners and providers are also included. In addition to this summary report, there are stand-alone reports describing the detailed findings from the commissioner and provider levels of the audit. (Edited publisher abstract)
Strategic commissioning of long term care for older people: can we get more for less?
- Author:
- LAING William
- Publisher:
- LaingBuisson
- Publication year:
- 2014
- Pagination:
- 29
- Place of publication:
- London
This discussion paper analyses the state of the UK market in care services for older people in order to identify market failures and achievements in the area of both commissioning and in supply. The paper briefly outlines the development of the market from 1975 to 2014 and lists the key features of the social care market for older people today. It then looks at the successes and failures of the market, and the mismatch between public sector commissioners’ need to contain costs and providers’ need to earn an adequate return in order to sustain existing services and develop the new ones. The final section lists the features an efficiently functioning social care market should have and puts forward a new care commissioning strategy as a solution to current market failures. The strategy is founded on outcomes-based, long term contracts headed by a new group of professionals working for Social Care Maintenance Organisations (SCMOs). The model covers the whole care pathway from advice and guidance, home care and residential care. The paper then sets out the reasons why this model might be expected to deliver efficiency savings. (Edited publisher abstract)
Guidance for commissioners of mental health services for people from black and minority ethnic communities
- Author:
- JOINT COMMISSIONING PANEL FOR MENTAL HEALTH
- Publisher:
- Joint Commissioning Panel for Mental Health
- Publication year:
- 2014
- Pagination:
- 29
- Place of publication:
- London
This guide describes what ‘good’ mental health services for people from Black and Minority Ethnic (BME) communities look like. While all of the Joint Commissioning Panel for Mental Health commissioning guides apply to all communities, there are good reasons why additional guidance is required on commissioning mental health services for people from BME communities. The document sets out the key priorities that should guide the commissioning of mental health services for BME groups. These include: supporting equitable access to effective interventions, and equitable experiences and outcomes; identifying and implementing specific measures to reduce ethnic inequalities in mental health; developing local strategies and plans for improving mental health and wellbeing amongst BME communities; making targeted investments in public mental health interventions for BME communities; involving service users, carers as well as members of local BME communities in the commissioning process; collecting, analysing, reporting, and acting upon data about ethnicity, service use, and outcomes; creating more accessible, broader, and flexible care pathways, and integrating services across the voluntary, community, social care and health sectors; ensuring every mental health service are culturally capable and able to address the diverse needs of a multi-cultural population through effective and appropriate forms of assessment and interventions; developing a number of strategies to reduce coercive care, which is experienced disproportionately by some BME groups. This guide focuses on services for working age adults. However, it could also be interpreted for commissioning specialist mental health services, such as CAMHS, secure psychiatric care, and services for older adults. It includes case-examples derived from an online survey of various BME stakeholder groups on the issue of quality in BME service provision (Edited publisher abstract)
Commissioning social care for older people: influencing the quality of direct care
- Authors:
- CHESTER Helen, HUGHES Jane, CHALLIS David
- Journal article citation:
- Ageing and Society, 34(6), 2014, pp.930-950.
- Publisher:
- Cambridge University Press
The delivery of personalised support to vulnerable older people is largely contingent on those staff who provide direct care. These care workers play an invaluable role in supporting vulnerable older people that may have increasingly complex needs either at home or in care homes. Internationally, concern has been raised both about the recruitment and retention of care workers; and their skills and competencies because of their importance in the delivery of quality care services. Using both primary and secondary data, this paper explores commissioning and contracting arrangements for domiciliary care and care home provision in England and their influence on the recruitment and retention of staff in these services. The implications of the findings are discussed in the context of two factors which influence continuity of care, a proxy for quality services for older people: training opportunities for staff and factors affecting the supply of labour from which direct carers are traditionally recruited. It is suggested that some of the drivers of quality in the provision of care may not be susceptible to the influence of commissioners and providers. Nevertheless, training may aid the recruitment and retention of care workers and provide one way in which they can promote a higher standard of care for older people. (Publisher abstract)
The Commission on Residential Care: a vision for care fit for the twenty-first century
- Authors:
- BURSTOW Paul, THE COMMISSION ON RESIDENTIAL CARE
- Publisher:
- DEMOS
- Publication year:
- 2014
- Pagination:
- 273
- Place of publication:
- London
The final report from the Commission on Residential Care, which was set up in July 2013 to explore the future of residential care in its broadest sense, from care homes to extra care villages and supported living, for older and disabled people. The Commission sets out a vision for housing with care in the twenty-first-century and outlines how existing housing with care should change to deliver this vision. The report draws on a range of evidence, including surveys, interviews and focus groups with experts, care staff, disabled and older people and members of the public; site visits, and two calls for evidence. Chapter 2 details the stories individuals to show how providing the right housing with care option can improve people's lives. Drawing on the findings from an extensive literature review and focus groups, Chapter 3 looks at what disabled and older people want from housing with care now, and how this might change in the future. Chapter 4 identifies key challenges to housing with care, which include: business models; staff recruitment, retention, training and wages; negative public perceptions of housing with care; confusion over terminology; pressures of demographic change; and increased expectations of the sector. Chapter 5 describes examples of housing with care that work to ensure people gain and maintain independence and autonomy. The final two chapters set out how the Commissioners believe the existing housing with care offer could change to deliver this vision across financial, operational, governance and cultural aspects of care. The Commission recommends a number of measures to embed good practice and challenge public perceptions. The include more accurate definition of ‘housing with care’ throughout government policy; greater co-location of care settings with other community services such as colleges; the expansion of CQC’s role in inspecting commissioning practices; and promoting excellence in the profession through the introduction of a license to practice and a living wage. (Edited publisher abstract)