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Making a strategic shift towards prevention and early intervention: key messages for decision makers
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2008
- Pagination:
- 18p.
- Place of publication:
- London
This document is designed to provide practical guidance to local authorities and health communities on how to make a strategic shift to prevention and early intervention In doing this it draws on the experiences and evidence emerging from the first two years of the Partnerships for Older People Projects (POPP) programme and other related initiatives such as the Department for Work and Pensions’ Linkage Plus programme. The guide focuses on promoting the independence and wellbeing of older people and is intended to develop over time to include transferable learning for other client groups.
Making a strategic shift to prevention and early intervention: a guide
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2008
- Pagination:
- 99p.
- Place of publication:
- London
This document is designed to provide practical guidance to local authorities and health communities on how to make a strategic shift to prevention and early intervention In doing this it draws on the experiences and evidence emerging from the first two years of the Partnerships for Older People Projects (POPP) programme and other related initiatives such as the Department for Work and Pensions’ Linkage Plus programme. The guide focuses on promoting the independence and wellbeing of older people and is intended to develop over time to include transferable learning for other client groups.
Seeking consent: working with older people
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2001
- Pagination:
- 17p.
- Place of publication:
- London
Aimed at those involved in the treatment or care of older people, this DH booklet provides legal and best practice guidance on seeking consent from those in their care. Part one focuses on the appropriate procedures for seeking consent from those who are able to give it. It examines the nature of consent and the concept of 'capacity'. It also details the type of information people are likely to require in order to make an informed consent decision. Part two considers what should be done when a person is incapable of giving or refusing consent. It explains the use of 'advance directives' and how a person's 'best interests' can be determined. As in the previous section, a brief practical example is used to illustrate a typical scenario. Section three covers consent to involvement in research. The final section deals with decisions concerning withdrawing or withholding life-prolonging treatment.
The impact of patient age on clinical decision-making in oncology
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2012
- Pagination:
- 44p.
- Place of publication:
- London
Providing all patients with high quality, timely treatment is a vital part of improving cancer outcomes. However, there are concerns that there may be under treatment of older people. This report sets out the results of a study investigating the extent to which age is a factor in oncology treatment decisions. A total of 301 oncologists and haematologists covering 6 countries and 5 different types of cancer were surveyed using a 30 minute online questionnaire. The questionnaire included 2 different approaches in which the clinicians were: shown a series of scenarios and asked to select treatment options; and asked a series of questions about what they thought would influence their treatment decisions. The study found a high level of consistency in the clinical attitudes observed in England and other countries. Clinicians do feel that age is an important factor to consider in patient decision-making alongside issues such as number and severity of comorbidities, and stage of cancer. Although the findings from the questions on clinical attitudes suggest that the major factor is the patient’s ability to tolerate the treatment side effects, the findings from the patient scenarios suggest that chronological age is a significant factor in determining the intensity of treatment. The report concludes that age may be used as a proxy for other factors in making recommendations on treatment and that this may lead to some patients receiving less intensive treatment, solely on the basis of their chronological age.
Implementing caring for people: the F factor; reasons why some older people choose residential care
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1994
- Pagination:
- 80p.,tables.
- Place of publication:
- London
Study focusing on factors influencing older people's decisions on whether to go into residential care or stay at home with a package of home care services. Fieldwork was conducted in 7 local authorities between November 1993 and February 1994, with 80 older service users and carers taking part.