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Ending 15-minute care
- Author:
- LEONARD CHESHIRE DISABILITY
- Publisher:
- Leonard Cheshire Disability
- Publication year:
- 2013
- Pagination:
- 15
- Place of publication:
- London
Leonard Cheshire Disability's research into the public's views on home care visitis used a ComRes poll of 2,025 British adults conducted between 6 and 8 September 2013. This survey found that 96% of those expressing an opinion agree that disabled or older people have the right to receive social care visits that allow for enough time for care workers to give the appropriate support to do everyday things. Of those who expressed an opinion, 67% of people disagree that 15-minute care visits are an effective way of providing social care. This report also presents findings from Freedom of Information requests to local authorities; and based on the 63 responses that said how many 15-minute visits they delivered, 60% now commission such visits. Care workers themselves raised concerns about the impact 15-minute visits on their clients' quality of life. The report notes that the Care Bill currently going through Parliament provides an opportunity to end this practice. (Original abstract)
Research and development work relating to assistive technology 2012-13: presented to Parliament pursuant to Section 22 of the Chronically Sick and Disbled Persons Act 1970
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2013
- Pagination:
- 136
- Place of publication:
- London
The report describes the wide range of government funded projects supporting the development, introduction and evaluation of assistive technology that might increase the range of activities and independence or wellbeing of disabled and older people. The report covers any aspect of research and development work in assistive technology, including service provision, research on motivation, cost or patterns of use, as well as technological development. Annex A provides a full listing of government and EU funded research into assistive technology in the UK that has started, finished, or carried out during the year. The report will be of interest to those who want to understand how advances in technology can directly benefit disabled and older people living in the community. (Edited publisher abstract)
The best things in life are free: community-powered advocacy
- Author:
- WIGHTMAN Clare
- Journal article citation:
- Working with Older People, 17(1), 2013, pp.25-31.
- Publisher:
- Emerald
Purpose – This is an opinion piece about exploring fresh approaches to advocacy for older and disabled people. The purpose of the paper is to suggest a new role for professional advocates. Professional advocacy help can be an important first step to a stronger life or it can be a revolving door. It makes all the difference when we've got people around us who can help us to get over problems, and not feel we're stuck on our own. But most users of services have no one whom they can turn to when things get tough for them. What if we designed advocacy services so they acted on the causes of demand for advocacy, rather than delivered a number of advocacy transactions? Design/methodology/approach – This article uses the experiences of Grapevine in Coventry and draws on the findings of a project conducted with advocacy organisations in the Midlands and South East, many of whom felt that professional advocacy was not getting to the root of the problem. Findings – Advocacy practice is about being a corrective to failures in other services and an intermediary between service users and providers. It can be very vulnerable at times to being seen as an “add-on” of unproven value. Practical implications – The article asks practitioners to consider the new role advocates might play in developing and connecting networks of local people for mutual help and support. This “community-powered” advocacy could provide effective root cause help and protect the sector's legitimacy during unprecedented financial austerity. Originality/value – The paper is of value to practitioners and commissioners of advocacy services.
Perceptions of successful aging among diverse elders with late-life disability
- Authors:
- ROMO Rafael D., et al
- Journal article citation:
- Gerontologist, 53(6), 2013, pp.939-949.
- Publisher:
- Oxford University Press
Purpose: Researchers often use the term “successful aging” to mean freedom from disability, yet the perspectives of elders living with late-life disability have not been well described. The purpose of this study was to explore the meaning of successful aging among a diverse sample of community-dwelling elders with late-life disability. Design and Methods: Using qualitative grounded theory methodology, the authors interviewed 56 African American, White, Cantonese-speaking Chinese, and Spanish-speaking Latino disabled elders who participate in On Lok Lifeways, a Program of All-inclusive Care for the Elderly. Through semi-structured interviews with open-ended questions, the elders’ perceptions of what successful ageing and being old meant to them were explored. Results: Despite experiencing late-life disability, most participants felt they had aged successfully. An overarching theme was that ageing results in Living in a New Reality, with two subthemes: Acknowledging the New Reality and Rejecting the New Reality. Participants achieved successful ageing by using adaptation and coping strategies to align their perception of successful ageing with their experiences. Themes were common across race/ethnic groups but certain strategies were more prominent among different groups. Implications: Across race and ethnic groups, most of these participants with late-life disability felt they had aged successfully. Thus, successful ageing involves subjective criteria and has a cultural context that is not captured in objective measurements. Understanding elders’ perception will help establish common ground for communication between clinicians and elders and identify the most appropriate interventions to help elders achieve and maintain the experience of successful ageing. (Publisher abstract)
Design and management features of everyday technology that challenge older adults
- Authors:
- PATOMELLA Ann-Helen, KOTTORP Anders, NYGARD Louise
- Journal article citation:
- British Journal of Occupational Therapy, 76(9), 2013, pp.390-398.
- Publisher:
- Sage
The management of everyday technologies could present too difficult a challenge for older adults with cognitive impairments, leading to their exclusion from participation. This study aims to identify and describe features that make everyday technologies more or less difficult for older adults, whether with or without cognitive difficulties. (Edited publisher abstract)
Exploring the relationships between choice and independence: experiences of disabled and older people
- Author:
- RABIEE Parvaneh
- Journal article citation:
- British Journal of Social Work, 43(5), 2013, pp.872-888.
- Publisher:
- Oxford University Press
Extending choice and control to the users of publicly funded services is a cornerstone in the personalisation agenda. It is assumed that giving service users greater choice and control will promote users' independence. As service users are increasingly given the responsibility to determine their support, social work practitioners need to work differently with service users in order to provide personalised support in exercising choice. This requires practitioners having a nuanced understanding of people's concepts of independence, how people make choices about support services and how those choices can impact on their perceived independence in the longer term. This paper reports new findings from a longitudinal qualitative study of choice and control over the life course in England. Semi-structured interviews were carried out with fifty adults and older people experiencing fluctuating support needs and/or a sudden deterioration in health. The paper discusses the relationships between choice and independence as experienced by disabled and older people. The findings show that independence is not a fixed concept, but is relative and multidimensional. There are multiple relationships between the choices people make and the consequences of those choices for people's subjective views of their independence. The paper concludes by highlighting the implications of findings for the role of social work practitioners. (Publisher abstract)
Provider-led pathways to work: net impacts on employment and benefits: working paper
- Authors:
- KNIGHT Genevieve, et al
- Publisher:
- Great Britain. Department for Work and Pensions
- Publication year:
- 2013
- Pagination:
- 99p.
- Place of publication:
- London
The main objective of this impact study was to assess whether Provider Led Pathways helped more incapacity benefits customers move into work or leave benefit than would have done otherwise. The impact analysis was conducted using administrative data (Incapacity Benefits claims and HMRC employment records) and data collected from two large scale telephone surveys with 2007 and 2008 incapacity benefit claimants living in Provider Led Pathways areas and in matched comparison areas which did not have the Provider Led Pathways to provide the counterfactual of not participating in this programme. On average, interviews were conducted 14 months after the claim for benefits. Findings revealed that in Provider Led Pathways lowered the proportion of benefits claimants by two percentage points; there was no conclusive evidence of a Provider Led Pathways impact on employment, but there was some evidence that Provider Led Pathways raised employment, and it was estimated to raise HMRC employment by one percentage point; Provider Led Pathways had a statistically significant impact for men, but not for women, and for those who were less than 50 years old, but not for those aged 50 years and over; and for those with mental health conditions and those with other health conditions, the Provider Led Pathways raised the proportion off benefit by two percentage points.
Fair access to care services (FACS): prioritising eligibility for care and support
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2013
- Place of publication:
- London
This updated Guide refreshes SCIE’s 2010 Practice Guide ‘Facts about FACS’, on good practice in applying current policy on assessment and deciding eligibility. It takes account of changes in the policy, resource and practice environments since 2010, including the strong emphasis on more integrated working with the NHS. And it makes links to the new provisions of the Care Bill, due to begin implementation in 2015. Key practice points for practitioners, general practitioner, care commissioning groups and health wellbeing boards are presented. The Guide will be helpful to social workers and social care staff taking part in the assessment process, and also GPs and other NHS staff who are increasingly engaged in joint assessment and commissioning. (Edited publisher abstract)
Combining paid work and family care: policies and experiences in international perspective
- Authors:
- KROGER Teppo, YEANDLE Sue
- Publisher:
- Policy Press
- Publication year:
- 2013
- Pagination:
- 256
- Place of publication:
- Bristol
As populations age around the world, increasing efforts are required from both families and governments to secure care and support for older and disabled people.At the same time, both women and men are expected to increase and lengthen their participation in paid work, which makes combining caring and working a burning issue for social and employment policy and economic sustainability. International discussion about the reconciliation of work and care has previously focused mostly on childcare. Combining paid work and family care widens the debate, bringing into discussion the experiences of those providing support to their partners, older relatives and disabled or seriously ill children. The book analyses the situations of these working carers in Nordic, liberal and East Asian welfare systems. Highlighting what can be learned from individual experiences, the book analyses the changing welfare and labour market policies which shape the lives of working carers in Finland, Sweden, Australia, England, Japan and Taiwan. The book is arranged in three parts: working carers of older people; working parent-carers of disabled children; and working partner-carers. (Edited publisher abstract)
The shifting sands of support planning
- Authors:
- WILLIAMS Val, PORTER Sue, STRONG Steve
- Journal article citation:
- Journal of Integrated Care, 21(3), 2013, pp.139-147.
- Publisher:
- Emerald
Purpose - The aim of this paper is to present a critical analysis of the current issues about support planning within personal budgets (PBs) for disabled and older people. Design/methodology/approach - The paper is based on data from a round of professional workshops in five local authorities, which represented the first stage of a research study about support planning. Focus group discussions were held with participants from voluntary sector organisations (VSOs), as well as social services participants, and the paper is based on a thematic analysis of those discussions. Findings - While there was considerable agreement about the desired outcomes for personal budget users, and the ingredients of good support planning, some major concerns were voiced about current constraints. Budgetary cuts were felt to impinge negatively on support planning, and conflicts were identified for social services between the facilitation of PB users’ choices, and the need to keep budgets limited. Support planning was often being re-colonised by social services, and VSOs felt that their own role was being curtailed. Some suggestions were made about equalising the power relationships between social services, VSOs and PB users themselves. Originality/value - These workshops represent five local authority areas which volunteered to take part in research, building on existing good practices in support for PB users. The obstacles they identified are likely to be very general ones, and need to be addressed by strategic solutions at national and local level. (Publisher abstract)