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Continuing care: a time for integration
- Author:
- HOLLINBERRY Richard
- Journal article citation:
- Community Care, 26.10.95, 1995, pp.6-7.
- Publisher:
- Reed Business Information
Argues that the best way to provide continuous, seamless care for older people is by integrating service provision and funding.
NHS continuing care: sixth report of session 2004-05: volume 2: oral and written evidence
- Author:
- GREAT BRITAIN. Parliament. House of Commons. Health Committee
- Publisher:
- Stationery Office
- Publication year:
- 2005
- Pagination:
- 148p.
- Place of publication:
- London
NHS continuing care means fully funded care for people who do not require care in an NHS acute hospital, but who nevertheless require a high degree of ongoing health care. Anybody can qualify for NHS continuing care funding if their needs satisfy eligibility criteria, although the largest group of people who receive continuing care funding are elderly people. Continuing care funding is intended to cover the entire costs of care, including all medical care, nursing care, personal care, living costs and accommodation costs, the same as if their care was being provided in an NHS hospital. Eligibility for continuing care funding is currently established with reference to criteria introduced by the Department of Health in 1995. The criteria relate to the complexity, intensity or unpredictability of a patient's healthcare needs, requiring the regular supervision of a consultant, specialist nurse or other member of the NHS multidisciplinary team. From 1995 onwards, individual Health Authorities were each required to develop local policies and eligibility criteria for continuing care funding within this general framework.
International experiments in integrated care for the elderly: a synthesis of the evidence
- Authors:
- JOHRI Mira, BELAND Francois, BERGMAN Howard
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(3), March 2003, pp.222-235.
- Publisher:
- Wiley
The OECD countries have recently promoted policies of deinstitutionalisation and community-based care for the elderly. These policies respond to common cost pressures associated with population aging, and the challenge of providing improved care for the elderly. They aim to substitute less costly services for institutional ones, to improve patient satisfaction and decrease expenses. The authors conducted a systematic review of recent demonstration projects testing innovative models of care for the elderly in OECD countries. Projects included aimed to create comprehensive integration of acute and long-term care services, and were evaluated using a comparison group. The following common features of an effective integrated system of care were identified: a single entry point system; case management, geriatric assessment and a multidisciplinary team; and use of financial incentives to promote downward substitution. Community-based care can impact favourably on rates of institutionalisation and costs. Comprehensive approaches to programme restructuring are necessary, as cost-effectiveness depends on characteristics of the system of care.
Continuing care: NHS and local councils' responsibilities
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2001
- Pagination:
- 20p.
- Place of publication:
- London
Guidance on continuing care, mainly for older people, but also including all adults aged over eighteen requiring continuing NHS care as a result of illness or accidents. Continuing or long term care describes the care that people need over an extended period of time, as a result of disability, accident or illness to address both physical and mental health needs and may include both health and social services.
NHS responsibilities for meeting continuing health care
- Authors:
- GREAT BRITAIN. Scottish Office, GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Scottish Office
- Publication year:
- 1996
- Pagination:
- 16p.
- Place of publication:
- Edinburgh
Circular refining current guidance on the responsibilities for the NHS in the organisation of continuing health care including revised provisions, which have immediate effect, on eligibility criteria for continuing inpatient health care.
NHS responsibilities for meeting continuing health care needs: current progress and future priorities
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1996
- Pagination:
- 20p.
- Place of publication:
- London
CI letter attached to a report on the emerging issues from work undertaken by the NHS Executive and the SSI on preparations for the implementation of the guidance on NHS responsibilities for meeting continuing health care needs. While recognising that work is still ongoing it identifies the current state of progress and priorities for future work by health and local authorities. Includes a section on eligibility criteria.
NHS responsibilities for meeting continuing health care needs: policy and criteria for determining agency responsibilities
- Author:
- NORTH ESSEX HEALTH AUTHORITY
- Publisher:
- North Essex Health Authority
- Publication year:
- 1996
- Pagination:
- 53p.
- Place of publication:
- Witham
Sets out North Essex Health Authorities policy for meeting continuing care needs for older people, as well as its strategy for improving services.
Brush with power
- Author:
- CLEMENTS Luke
- Journal article citation:
- Community Care, 13.4.95, 1995, pp.28-29.
- Publisher:
- Reed Business Information
Since April 1993 closures of long-stay hospital wards have had a great impact on social services departments, who have had to pick up the bulk of the cost of caring for former patients. Looks at guidance aimed at helping social services deal with this 'cost-shunting'.
Discharge from NHS inpatient care of people with continuing health or social care needs: arrangements for reviewing decisions on eligibility for NHS continuing inpatient care
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1995
- Pagination:
- 14p.
- Place of publication:
- London
Follow up to circular LAC(95)5/HSG(95)8 'NHS responsibilities for meeting continuing health care needs'. Presents guidance on the arrangements to be put in place for reviewing decisions on eligibility for NHS continuing inpatient care.
NHS responsibilities for meeting continuing health care needs
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1995
- Pagination:
- 18p.
- Place of publication:
- London
Guidance setting out a national framework of conditions which all health authorities must meeting in drawing up local policies and eligibility criteria for continuing health care and in deciding the appropriate balance of services required to meet local needs. The guidance also stresses that the NHS has a clear responsibility to arrange and fund services to meet the needs of people who require continuing health care.