One of 20 targeted reviews of local authority areas looking at how older people move through the health and social care system, with a focus on how services work together. Specifically, it reviews how the local system is functioning within and across three areas: maintaining the wellbeing of a person in their usual place of residence, crisis management, and step down, return to usual place of residence and/ or admission to a new place of residence. The review found there was a clear shared and agreed purpose, vision and strategy described in the Happy, Healthy at Home plan, which was articulated throughout all levels of the system. Most staff were committed to the vision and agencies were also working together to keep older people safe at home rather than hospital. Reviewers also identified examples of some good joined up interagency processes, particularly the Bradford Enablement Support Team (BEST) for reablement, the MAIDT (multi-agency integrated discharge team) and The MESH team (the medicines service at home). Overall, people who lived in Bradford were supported to live in their own homes and their communities for as long as possible and received holistic assessments that took into account all of their social and health needs based around their strengths. Suggested areas for improvement include: for system leaders need to address issues around quality in the independent social care market with a more proactive approach to contract management and oversight; clearer signposting systems to help people find the support they need, particularly for people who funded their own care; and less reliance on paper based systems when people are discharged from hospital.
(Edited publisher abstract)
One of 20 targeted reviews of local authority areas looking at how older people move through the health and social care system, with a focus on how services work together. Specifically, it reviews how the local system is functioning within and across three areas: maintaining the wellbeing of a person in their usual place of residence, crisis management, and step down, return to usual place of residence and/ or admission to a new place of residence. The review found there was a clear shared and agreed purpose, vision and strategy described in the Happy, Healthy at Home plan, which was articulated throughout all levels of the system. Most staff were committed to the vision and agencies were also working together to keep older people safe at home rather than hospital. Reviewers also identified examples of some good joined up interagency processes, particularly the Bradford Enablement Support Team (BEST) for reablement, the MAIDT (multi-agency integrated discharge team) and The MESH team (the medicines service at home). Overall, people who lived in Bradford were supported to live in their own homes and their communities for as long as possible and received holistic assessments that took into account all of their social and health needs based around their strengths. Suggested areas for improvement include: for system leaders need to address issues around quality in the independent social care market with a more proactive approach to contract management and oversight; clearer signposting systems to help people find the support they need, particularly for people who funded their own care; and less reliance on paper based systems when people are discharged from hospital.
(Edited publisher abstract)
Subject terms:
hospital discharge, older people, integrated care, information sharing, hospital admission, prevention, emergency health services, interagency cooperation, access to services, leadership;
One of 20 targeted local system reviews, carried to look at how older people move through the health and social care system, with a focus on how services work together. The review looked at how the system was functioning across three areas: maintaining wellbeing in usual place of residence; crisis management; and step down services, return to usual place of residence and/ or admission to a new place of residence. The results found that although there was a shared vision across health and social care which described the importance of preventative support that would enable people to stay healthy for longer (articulated in the Better Care Plan), services had not always worked effectively together. It also found there was not a clear framework for partners to work together on a routine basis at operational level, with interagency working dependent on local relationships. In relation to people's experiences of services, the review found that people were able to access services in the community to prevent social isolation and that when people were referred to services through their GPs there was good support to access other services. However, people sometimes had difficulties in accessing services directly, particularly self-funders. There was also a shortage of care provision to support people at home and a risk that people could experience delays when being discharged from hospital. Suggested areas for improvement include for leaders in health and social care to work more effectively together to deliver an integrated strategy across Wiltshire and update the Better Care Plan; and that contracts with independent health and social care providers should have clear specifications and an outcome framework.
(Edited publisher abstract)
One of 20 targeted local system reviews, carried to look at how older people move through the health and social care system, with a focus on how services work together. The review looked at how the system was functioning across three areas: maintaining wellbeing in usual place of residence; crisis management; and step down services, return to usual place of residence and/ or admission to a new place of residence. The results found that although there was a shared vision across health and social care which described the importance of preventative support that would enable people to stay healthy for longer (articulated in the Better Care Plan), services had not always worked effectively together. It also found there was not a clear framework for partners to work together on a routine basis at operational level, with interagency working dependent on local relationships. In relation to people's experiences of services, the review found that people were able to access services in the community to prevent social isolation and that when people were referred to services through their GPs there was good support to access other services. However, people sometimes had difficulties in accessing services directly, particularly self-funders. There was also a shortage of care provision to support people at home and a risk that people could experience delays when being discharged from hospital. Suggested areas for improvement include for leaders in health and social care to work more effectively together to deliver an integrated strategy across Wiltshire and update the Better Care Plan; and that contracts with independent health and social care providers should have clear specifications and an outcome framework.
(Edited publisher abstract)
Subject terms:
older people, prevention, integrated care, commissioning, hospital discharge, interagency cooperation, leadership, emergency health services, hospital admission;
The Care Quality Commission's annual report on the state of health and social care services for the period 2013/13. The findings are based on the results of over 35,000 inspections to services. Part 1 of the report focuses on the increasing number of older people arriving in A&E with avoidable conditions. The thematic study looks at the increase in admissions, the impact on A&E departments, and regional differences. A case study of Queen's Hospital in Romford is included. Part 2 of the report sets out the quality of care in each sector. The remainder of Part 2 contains specific sections on: adult social care; NHS services; Independent health care; and primary dental care. The finding are summarised under the headings of safeguarding and safety; care and welfare; respect and dignity; suitability of staffing; and monitoring quality.Appendices include a listing of the numbers of registered adult social care providers across the different regions and sector performance tables by outcome.
(Original abstract)
The Care Quality Commission's annual report on the state of health and social care services for the period 2013/13. The findings are based on the results of over 35,000 inspections to services. Part 1 of the report focuses on the increasing number of older people arriving in A&E with avoidable conditions. The thematic study looks at the increase in admissions, the impact on A&E departments, and regional differences. A case study of Queen's Hospital in Romford is included. Part 2 of the report sets out the quality of care in each sector. The remainder of Part 2 contains specific sections on: adult social care; NHS services; Independent health care; and primary dental care. The finding are summarised under the headings of safeguarding and safety; care and welfare; respect and dignity; suitability of staffing; and monitoring quality.Appendices include a listing of the numbers of registered adult social care providers across the different regions and sector performance tables by outcome.
(Original abstract)
Subject terms:
health care, adult social care, NHS, private health care, hospitals, community health care, hospital admission, emergency health services, older people, care homes, home care, inspection;