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Extra care housing in Wales: a state of the nation report
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2015
- Pagination:
- 17
- Place of publication:
- London
This report, prepared by the Institute for Public Care, provides an up-to-date picture of the current supply of extra care housing in Wales, the challenges facing the market and issues which will need to be considered for future provision. It also sets out some of the outcomes that extra care housing can offer, such as improving the health and wellbeing of residents and the benefits it can provide to the local community. The report offers support for encouraging and facilitating new extra care housing developments in Wales and draws attention to accommodation, care and services already offered in the country. The report makes four key recommendations to expand the provision of extra care housing for older people in Wales: developing a strategic vision on housing for older people; developing a better understand of the outcomes extra care housing can provide; raising awareness of extra care housing as a housing option for those seeking advice and information; and a greater degree of diversity and innovation to deliver services that meet the needs of local communities. (Edited publisher abstract)
Maritime Charities Funding Group: accommodation, care and support strategy for older seafarers and their dependents: executive summary
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2010
- Pagination:
- 4p.
- Place of publication:
- Oxford
Demographic change amongst the seafarer population is neither uniform nor does it follow the national increase. Over the next ten years it is estimated that for the over 60's population the number of ex Royal Navy personnel will fall by 31 % and former fishermen by 15% although the number of ex merchant seamen aged over 60 is projected to rise by 12%. Overall, this will produce a decline in the number of former seafarers aged over 60 from 569,000 to 439,000. Older seafarers, as for all older people, will have an increasingly complex range of support needs. There is recognition that there is going to be an increasing demand for specialist dementia care facilities, as well as general nursing care needed by older seafarers. This report suggests that the Maritime Charities Funding Group adopts as its vision the following four outcomes in order to prioritise and determine future funding: older seafarers are helped to be independent, healthy and happy; older seafarers are able to live in the community and accommodation they want; older seafarers are able to make informed choices about where and how they live; and older seafarers with complex needs are able to receive high quality specialist care.
Investing in prevention for older people at the health and social care interface
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2011
- Pagination:
- 17
- Place of publication:
- Oxford
Describes a new investment model designed to stimulate improved and more cost-effective outcomes for older people at the interface of health and social care. Its emphasis is on reducing demand by providing targeted preventative services as a mainstream intervention – rather than as add-on or pilot-based service – and integrating provision so that it straddles health and social care. The paper begins with an assessment of the demographic and other drivers of rising demand on services, before assessing the shortcomings of demand-reduction strategies to date. Among these, it identifies primarily a lack of clarity on the relationship between funding and outcomes, noting the potential failure of coordination between multiple separate funders and the danger that prevention strategies run alongside the mainstream interventions they are supposed to replace, and show up as an additional cost. Drawing on earlier interview and case file audit research conducted by IPC among care home populations, the paper then identifies key characteristics and conditions found among those admitted, including continence problems, dementia, stroke and falls. The limitations of existing care approaches to these conditions are outlined and a new investment-based model described, based on: assessment of resources available, outcomes desired, evidence base available, likelihood of benefits occurring, the extent of savings they would offer, and the timescale over which those benefits would accrue. The merits of this framework are then demonstrated by applying it to falls to illustrate the potential savings from reduced demand and the better outcomes for users. The paper concludes with implications for local commissioning strategies. (Edited publisher abstract)