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Part of the problem or part of the solution? The role of care homes in tackling delayed hospital discharges
- Authors:
- GLASBY Jon, HENWOOD Melanie
- Journal article citation:
- British Journal of Social Work, 37(2), February 2007, pp.299-312.
- Publisher:
- Oxford University Press
As part of current UK policies to reduce the number of delayed hospital discharges, a number of commentators have identified an alleged crisis in the care home market as one of key contributing factors. With local authorities under pressure to cut costs, it is argued, the number of care homes is reducing, and delays in hospital can often result. Behind this diagnosis is a series of assumptions about the role and nature of care home provision, the appropriateness of this form of service for many older people, and the need for more care homes to reduce the number of hospital delays. In order to explore and critique these assumptions, this paper reviews the role of care homes in tackling delayed discharges, and argues the need for fewer and different care home placements rather than more of this type of provision.
Acute concerns: responding to delayed discharges and 'blocked beds'
- Editor:
- GLASBY Jon
- Publisher:
- University of Birmingham. Health Services Management Centre
- Publication year:
- 2003
- Pagination:
- 24p.
- Place of publication:
- Birmingham
Often, accounts of hospital discharge refer to the problem of ‘bed blocking’ as a short-hand term for people (often older people) who it is believed are occupying a hospital bed when they no longer need the services provided in an acute setting. While such phrases are in widespread usage, this terminology is felt by many to carry a highly pejorative meaning, implying that the older people concerned are themselves to blame for the situation. As is increasingly clear, however, this is often totally inaccurate, as it is the system itself which causes many such ‘blockages’, not the individual patient (who often wishes to return home as soon as possible).
Show me the way to go home: a narrative review of the literature on delayed hospital discharges and older people
- Authors:
- GLASBY Jon, LITTLECHILD Rosemary, PRYCE Kathryn
- Journal article citation:
- British Journal of Social Work, 34(8), December 2004, pp.1189-1197.
- Publisher:
- Oxford University Press
This Research Note reports findings from a narrative review of the literature on the rate and cause of delayed hospital discharge in the UK. In addition to summarizing our knowledge to date in this important area, the Research Note raises a series of questions about aspects of current hospital discharge policy and practice (and in particular, the recent reimbursement policy to charge social services departments for delayed discharges).
Delayed reaction
- Author:
- GLASBY Jon
- Journal article citation:
- Community Care, 10.7.03, 2003, pp.38-39.
- Publisher:
- Reed Business Information
Looks at the new system of delayed discharge fines for social services departments, and changing professionals opinions of the system. Based on a small scale questionnaire completed by health and social services managers at a seminar on delayed discharges in October 2002 and May 2003, there was evidence to suggest fewer people were opposed to the policy, with an increased number undecided.