Search results for ‘Subject term:"older people"’ Sort:
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Prevention research and practice
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Place of publication:
- London
This online resource provides details of emerging practice and research in the provision of prevention services in adult social care. It has been commissioned by the Department of Health to support and inform commissioners of prevention services in local authorities and clinical commissioning groups (CCGs) in England. Contents includes prevention service examples submitted by commissioners and providers across England; references to recent research and associated resources derived from SCIE's Social Care Online database; and short film on prevention in adult social care introducing the resource. (Edited publisher abstract)
When one door closes...:research into the closure and commissioning of care homes throughout England
- Authors:
- NEWTON TAYLOR Nigel, WILKIE Ian
- Publisher:
- Healthcare Property Consultants
- Publication year:
- 2015
- Pagination:
- 7
- Place of publication:
- York
This document encompasses research on care homes (both nursing and residential) registered by the Care Quality Commission to provide care for the elderly, including those with dementia. It reflects the relevant data collected in the period commencing 1 April 2011 and ending 30 September 2014. The analysis looks at the level of newly registered facilities, contrasting with those subject to closure on both a national and regional basis. It indicates that the number of beds in newly registered homes all but mirror the number simultaneously falling out of the market, with several regions showing a net bed reduction. In terms of home (rather than bed) numbers, the annual number of newly opened homes is marginally in excess of 100 with the corresponding closure figure being approximately 200. As a result, the average bed size of new homes is significantly greater (58 compared to 27 of the homes closing). The report concludes that market forces are such that the short and medium term future are likely to follow suit. (Edited publisher abstract)
Fit for frailty: part 2: developing, commissioning and managing services for people living with frailty in community settings
- Authors:
- BRITISH GERIATRICS SOCIETY, ROYAL COLLEGE OF GENERAL PRACTITIONERS
- Publisher:
- British Geriatrics Society
- Publication year:
- 2015
- Pagination:
- 35
- Place of publication:
- London
Provides advice and guidance on the development, commissioning and management of services for people living with frailty in community settings. The first section introduces the concept of frailty and sets out the rationale for developing frailty services. The second section explores the essential characteristics of a good service. The third section considers the issue of performance and outcome measures for frailty services. The appendix to the report includes eight case studies of services which are operating in different parts of the UK. The audience for this guidance comprises GPs, geriatricians, health service managers, social service managers and commissioners of services. It is a companion report to an earlier BGS publication, Fit for Frailty Part 1 which provided advice and guidance on the care of older people living with frailty in community and outpatient settings. (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)
Home care: delivering personal care and practical support to older people living in their own homes: NG21
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2015
- Place of publication:
- London
Practice guideline providing good practice advice on the planning and delivery of person-centred home care and domiciliary care for older people. The guideline aims to promote older people's independence and to ensure safe and consistently high quality home care services. The guideline was developed by a guideline development group following a detailed review of the evidence on home care. The recommendations cover: ensuring care is person centred; providing information about care and support options; planning and reviewing home care and support; delivering home care, including advice on the length of home care visits; joint working between health and social care; ensuring safety and safeguarding people using home care services; and recruiting, training and supporting home care workers. The guideline also highlights the importance of prioritising continuity of care by ensuring the person has the same home care worker or workers so that they can become familiar and build a relationship. Recommendations for future research are provided. The guideline is for health and social care practitioners, home care providers, home care managers, home care workers, commissioners of home care in local authorities and CCGs and people using or planning to use home care services. (Edited publisher abstract)
Caring about older carers: providing support for people caring later in life
- Author:
- CARERS TRUST
- Publisher:
- Carers Trust
- Publication year:
- 2015
- Pagination:
- 39
- Place of publication:
- London
This toolkit is targeted at commissioners of health and social care in England and aims to highlight the needs of carers aged over 60 and to show tried and tested ways they can be supported. It looks at issues most likely to impact on older carers, influenced by factors such as their own life stage, who they are caring for, their circumstances and their own health. In particular, it focuses on: health and wellbeing; financial concerns; social isolation; concerns for the future; information and advice; assessment, support planning and involvement; and bereavement and life after caring. The toolkit include a checklist for local support and can help inform commissioning to properly and most cost-effectively support older carers. It will also help commissioners fulfil duties to prevent, reduce and delay needs and to support older carers under the Care Act 2014. (Edited publisher abstract)
Choice, competition and care: developments in English social care and the impacts on providers and older users of home care services
- Authors:
- RODRIGUES Ricardo, GLENDINNING Caroline
- Journal article citation:
- Social Policy and Administration, 49(5), 2015, p.649–664.
- Publisher:
- Wiley
This article critically examines recent changes in markets for home (domiciliary) care services in England. During the 1990s, the introduction of competition between private (for-profit and charitable) organisations and local authority providers of long-term care services aimed to create a ‘mixed economy’ of supply. More recently, care markets have undergone further reforms through the introduction of direct payments and personal budgets. Underpinned by discourses of user choice, these mechanisms aim to offer older people increased control over the public resources for their care, thereby introducing further competitive pressures within local care markets. The article presents early evidence of these changes on: a) The commissioning and contracting of home care services by local authorities and individual older people; b) The experiences and outcomes for individual older people using home care services.. Drawing on evidence from two recent empirical studies, the article describes how the new emphasis on choice and competition is being operationalised within six local care markets. There are suggestions of small increases in user agency and in opportunities for older people to receive more personalised home care, in which the quality of care-giving relationships can also be optimised. However, the article also presents early evidence of increases in risk and costs associated with the expansion of competition and choice, both for organisations providing home care services and for individual older service users. (Edited publisher abstract)
Contracts and commissioning: what’s happening to social care services for black and minority ethnic older people
- Author:
- LIPMAN Valerie
- Journal article citation:
- Working with Older People, 19(2), 2015, pp.85-93.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore current provision of targeted social care services for the growing populations of Black and Minority Ethnic (BAME) older people in England and Wales. Design/methodology/approach: This was a mixed study. Following a review of the policy and research literature, 12 semi-structured interviews were undertaken in 2013/2014. Most participants were recruited from BAME policy and service provider organisations and organisations focusing on older people. Findings: There is some evidence that BAME voluntary organisations are experiencing disproportionately greater funding cuts than mainstream voluntary service providers: moreover some mainstream providers reported reducing services targeted at BAME older people, while others expressed the view that choices for BAME older people are likely to become more limited following recent health and equalities policy changes. Practical implications: Practitioners should contribute to data collection about protected characteristics, such as race/ethnicity to establish if BAME older people’s needs are being assessed equitably, whether access to care and support is easy; and how market-shaping at local levels can ensure a range of providers. Originality/value: This study provides an overview of voluntary sector provision for the growing numbers of BAME older people in need of care and support that should be useful to practitioners and service commissioners. (Publisher abstract)
A problem shared? Essays on the integration of health and social care
- Editor:
- KEOHANE Nigel
- Publisher:
- Social Market Foundation
- Publication year:
- 2015
- Pagination:
- 60
- Place of publication:
- London
This essay collection discusses how to develop a system that responds to the needs of a patient in the round - whether in hospital or at home. With contributions from politicians, experts and those on the front line, the collection sets out views on the future role of commissioners, providers, patients and family carers, and sets out alternative perspectives on future funding for the NHS and social care. The report makes a case for greater co-ordination between specialisms within the NHS, and between primary care, secondary care and mental health services and for an integrated response to the complex needs of individuals, focusing on health and wellbeing outcomes. (Edited publisher abstract)
Investing to tackle loneliness: a discussion paper
- Author:
- SOCIAL FINANCE
- Publisher:
- Social Finance
- Publication year:
- 2015
- Pagination:
- 36
- Place of publication:
- London
This paper describes work undertaken with Age UK Herefordshire and Worcestershire to design a service that addresses loneliness, particularly among older people. The first half of the paper examines the potential costs of loneliness and the potential value to the public sector of reducing loneliness. The second half of the paper describes the outcomes-based model used in Worcestershire and sets out initial findings of the service. The service uses a model of commissioning services through a Social Impact Bond (SIB), a contract in which commissioners commit to pay investors for an improvement in social outcomes. The paper sets out some of the benefits of using social investment to fund the upfront cost of delivering a service to reduce loneliness. It also discusses the following elements of the model: measuring loneliness and additional outcomes, delivering support to the population most at risk, considering social investment and agreeing a payment mechanism. (Edited publisher abstract)