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Community hubs: a partnership approach to creating community based services for older people in Gloucestershire
- Authors:
- KEARSLEY Jill, GILMOUR Lesley
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2015
- Pagination:
- 11
- Place of publication:
- London
This case study provides an overview of the initial findings from the first year’s evaluation of the development of community hubs in Gloucestershire. There are currently nineteen community hubs for older people operating county-wide in Gloucestershire and they are either purpose built within extra care housing schemes or are situated within traditional sheltered housing schemes, village halls and day centres. They offer drop-in daytime opportunities or half and offer whole day opportunities for people over 55 upwards or lower if the health and care need is applicable. This study is based on a paper originally prepared for the Director of Public Health to demonstrate the outcomes being achieved for older residents in the county. In particular, it found that many older people withdraw or desist completely from attempting new activities. By providing a broad range of activities within a safe, comfortable environment, community hubs engender an ethos of active ageing and positive outcomes in wellbeing. The study suggests that with the growth of social prescribing, the community hubs represent a viable option for health professionals to refer and recommend into. (Edited publisher abstract)
A farewell to arms
- Author:
- HUNTER Mark
- Journal article citation:
- Social Work Matters (e-Magazine), September 2013, pp.10-13. Online only
- Publisher:
- The College of Social Work
A former US marine and Colorado cop Ruth Aten-Shearwood, talks about how her life changed when she moved to the UK, became a social worker and is now embedded in an 'extra care' housing development for older people in Derbyshire. (Publisher abstract)
On a tight leash
- Author:
- KLEE Deborah
- Journal article citation:
- Community Care, 23.8.07, 2007, pp.32-33.
- Publisher:
- Reed Business Information
As long-term care costs continue to risk, preventive, low cost community services to support older people are needed. This article examines the kinds of schemes that are required. The article highlights good practice in the areas of: third sector partnerships; a healthy eating and falls initiative from Age Concern; the use of time banks; and telephone trees which can be a useful community support network.
Moving healthcare closer to home: case study: Enhanced Rapid Response Service: Kent Community Health NHS Foundation Trust
- Author:
- MONITOR
- Publisher:
- Monitor
- Publication year:
- 2015
- Pagination:
- 4
- Place of publication:
- London
This is one of a suite of case studies designed to increase awareness of schemes to move healthcare closer to home. The Enhanced Rapid Response Service (ERRS) helps patients in crisis avoid a stay in an acute hospital where clinically appropriate. After initial clinical triage, the service assesses the patient in their own home where medical, nursing and therapy support is then given. Important features of the service include leadership by the consultant geriatrician, who manages a team of specialty doctors and enhanced practitioners, and an engagement programme with primary care, the mental health trust, social care and the ambulance trust to boost uptake of the service. (Edited publisher abstract)
Caring for the caregivers: developing models that work
- Authors:
- BROWDIE Richard, NOELKER Linda
- Journal article citation:
- Generations, 36(1), 2012, pp.103-106.
- Publisher:
- American Society on Aging
This article describes innovative approaches to family respite for family members of elderly participants in the Ohio HCBS (Home and Community Based Services) waiver programme—individuals who are, by definition, financially and functionally eligible to be served in nursing homes. The article provides an overview of the programme—who it serves and how, and with what results, and also offers case studies of how this programme has made continuing HCBS possible for older adult HCBS waiver clientele. (Edited publisher abstract)
Right care, first time: services supporting safe hospital discharge and preventing hospital admission and readmission
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2012
- Pagination:
- 28p.
- Place of publication:
- London
Older people represent the main in-patient group, at any one time occupying more than two-thirds of acute hospital in-patient beds. Providers and commissioners need to put in place cost-effective, community based services, which can both prevent the need for hospital admission and safely reduce length of stay for older people. A hospital admission can occur when an older person has reached breaking point because of a combination of problems that have been building up before admission: social circumstances (such as living alone or having caring responsibilities) or general frailty. The aim of this publication is to disseminate examples of positive practice in avoiding hospital admission, supporting safe discharge and preventing readmission for older people. This publication highlights 5 examples of local Age UK services, charting the ‘pathway’ of prevention from identifying older people in the local community who may be at risk, to supporting people who are in A&E, and ensuring that discharge from in-patient care is safe and well co-ordinated.
It takes a Village: community practice, social work, and aging-in-place
- Authors:
- MCDONOUGH Kathryn E., DAVITT Joan K.
- Journal article citation:
- Journal of Gerontological Social Work, 54(5), July 2011, pp.528-541.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Most of the growing population of older adults prefer to age in their own homes and communities. However, most communities are not prepared to handle the long-term care needs of the aging population. This article examines one model, the Village, which communities are using to help older adults age-in-place. The purpose of the article is to frame the conceptual underpinnings of the Village initiative within community-based practice and empowerment approaches. The article begins with a description of the Village model, highlighting the differences between Villages and the traditional aging system and Naturally Occurring Retirement Community-Social Services Programs. The article then outlines practice theory supporting the Village initiative. It considers the functions of and related challenges for social work practice within this model. It argues that social work’s practice philosophy is particularly compatible with the empowerment and community-focused philosophy of the Village model.
The age concern
- Author:
- WAJID Sara
- Journal article citation:
- Local Government Chronicle, 12.4.07, 2007, pp.16-17.
- Publisher:
- Emap Business
Finding novel ways to keep the fast-growing elderly population in good health are essential. This article highlights five examples of preventative care services for older people delivered by local authorities at a local level.
Care transition types across acute, sub-acute and primary care: case studies of older people with complex conditions and their carers
- Authors:
- HARVEY Desley, et al
- Journal article citation:
- Journal of Integrated Care, 26(3), 2018, pp.189 -198.
- Publisher:
- Emerald
Purpose: The purpose of the paper is to examine the care transitions of older people who transfer between home, acute and sub-acute care to determine if there were common transition types and areas for improvements. Design/methodology/approach: A longitudinal case study design was used to examine care transitions of 19 older people and their carers as a series of transitions and a whole-of-system experience. Case study accounts synthesising semi-structured interviews with function and service use data from medical records were compared. Findings: Three types of care transitions were derived from the analysis: manageable, unstable and disrupted. Each type had distinguishing characteristics and older people could experience elements of all types across the system. Transition types varied according to personal and systemic factors. Originality/value: This study identifies types of care transition experiences across acute, sub-acute and primary care from the perspective of older people and their carers. Understanding transition types and their features can assist health professionals to better target strategies within and across the system and improve patient experiences as a whole. (Edited publisher abstract)
Integrated care for older people with frailty: innovative approaches in practice
- Authors:
- ROYAL COLLEGE OF GENERAL PRACTITIONERS, BRITISH GERIATRICS SOCIETY
- Publishers:
- Royal College of General Practitioners, British Geriatrics Society
- Publication year:
- 2016
- Pagination:
- 40
- Place of publication:
- London
Joint report showing how GPs and geriatricians are collaborating to design innovative schemes to improve the provision of integrated care for older people with frailty. The report highlights 13 case studies from across the UK which show what an integrated health and social care system looks like in practice and the positive impact it can have. The case studies are grouped into three areas: schemes to help older people remain active and independent, extending primary and community support to provide better services in the community, and integrated care to support patients in hospital. The examples cover a range of locations across the UK, including urban and rural populations, and a range of settings, including services based in the community, in GP practices, in care homes and in hospitals. Whilst the majority of the initiatives led by GPs or geriatricians, they illustrate the vital role that many other professionals play, including nurses, therapists, pharmacists and social workers. The report also outlines some common themes from the case studies, which include person-centred care, multidisciplinary working, taking a proactive approach and making use of resources in the community. (Original abstract)