This pack contains three booklets: 'National service framework for older people', 'National service framework for older people: executive summary', and 'Medicines and older people'. The national service framework for older people is a ten year programme of action linking services to support independence and promote good health, specialised services for key conditions, and culture change so that all older people and their carers are always treated with respect, dignity and fairness. The overall aim is to ensure consistent services across the country and reduce variations in standards and service levels. The document sets out standards for: rooting out age discrimination; person centred care; intermediate care; general hospital care; stroke; falls; mental health in older people; and the promotion of heath and active life in older age. Sections on local delivery of services, ensuring progress, and national support to underpin local action follow. The booklet on medicines and older people focuses in more detail on implementing medicines related aspects of the framework.
This pack contains three booklets: 'National service framework for older people', 'National service framework for older people: executive summary', and 'Medicines and older people'. The national service framework for older people is a ten year programme of action linking services to support independence and promote good health, specialised services for key conditions, and culture change so that all older people and their carers are always treated with respect, dignity and fairness. The overall aim is to ensure consistent services across the country and reduce variations in standards and service levels. The document sets out standards for: rooting out age discrimination; person centred care; intermediate care; general hospital care; stroke; falls; mental health in older people; and the promotion of heath and active life in older age. Sections on local delivery of services, ensuring progress, and national support to underpin local action follow. The booklet on medicines and older people focuses in more detail on implementing medicines related aspects of the framework.
Extended abstract:
GREAT BRITAIN. Department of Health. National service framework for older people: booklet 3: the framework. Great Britain. Department of Health, 2001.
Summary
Older people are the main users of health and social care services but sometimes services have not adequately addressed need. This National Service Framework is the first ever comprehensive strategy to ensure fair, high quality, integrated health and social care services for older people. It is a 10 year programme of action linking services to support independence and promote good health, specialised services for key conditions, and culture change so that all older people and their carers are always treated with respect, dignity and fairness. This text describes the background and lays out the standards developed by the National Service Framework for Older People.
Context
Since the early 1930s the number of people aged over 65 has more than doubled and today a fifth of the population is over 60. Between 1995 and 2025 the number of people aged over 80 is set to increase by almost a half and the number of people over 90 will double. The NHS spent around 40% of its budget - £10 billion - on people over the age of 65 in 1998/99. In the same year social service spent nearly 50% of their budget on the over 65s, some £5.2 billion. Older people tend to have a much greater need for health and social services than the young, so the bulk of health and social care resources are directed at their needs. For example, almost two thirds of general and acute hospital beds are used by people over 65. The National Service Framework for Older People (NSFOP) is the key vehicle for ensuring that the needs of older people are at the heart of the reform programme for health and social services.
Method
The NSFOP is the result of extensive consultation with older people and their carers and the leading professionals involved in the care of older people. However this text does not describe the consultation process and its implementation.
Contents
This book is divided into five chapters and concludes with four annexes. Chapter one provides an introduction to the NSFOP and sets the scene by providing contextual information. It also discusses the development of this NSF, its scope and its delivery. Chapter two outlines in detail the standards that the NSFOP has developed. Eight standards are outlined and each is discussed in terms of its aims, rationale, key interventions, actions and milestones. The eight standards are: Rooting out age discrimination; Person-centre care; Intermediate care; General hospital care; Stroke; Falls; Mental health in older people; and, The promotion of health and active life in older age. Chapter three discusses the local delivery of these standards and the achievement of the standards. Chapter four describes how the performance management systems will help deliver the targets in the NHS plan and ensure the NSF standards are met. Chapter five sets out the underpinning programmes essential to the delivery of the NSF. These are: finance; workforce development; research and development; clinical and practice decision support services; and, information systems. Annex one provides a glossary for terms used in the text. Annex two is Acknowledgements and provides the names of the members of the various task groups involved in the development of the NSFOP. Annex three provides a summary of milestones and annex four contains references.
Conclusion
"It is true though that services sometimes fail to meet older peoples' needs - sometimes by discriminating against them, by failing to treat them with dignity and respect, by allowing organisational structures to become a barrier to proper assessment of need and access to care, and because best evidence-based practice is not in place across important clinical areas.
This National Service Framework sets out a programme of action and reform to address these problems and deliver higher quality services to older people. There will be more consultants, nurses and therapists working for older people and better access to high-tech surgery and community equipment. New national standards will be put in place to modernise the NHS and social services and promote new ways of working."
369 references
Subject terms:
local authorities, older people, social services, standards, central government, falls, health authorities, health care;
While broad in scope, these standards acknowledge the unique and complex needs of individuals, and the additional specific knowledge, and skills required in order to deliver a service that is tailored to the needs of each person. With the emphasis on caring for people with complex health and personal care needs living in their own home instead of in residential or nursing homes or long stay hospitals, the provision of personal domiciliary care services is evolving rapidly and reflects changes at the interface between health and social care. These standards will be applied to agencies providing personal care to the wide range of people who need care and support whilst living in their own home, including: older people, people with physical disabilities, people with sensory loss including dual sensory impairment, people with mental health problems, people with learning disabilities, children and their families, and personal or family carers.
While broad in scope, these standards acknowledge the unique and complex needs of individuals, and the additional specific knowledge, and skills required in order to deliver a service that is tailored to the needs of each person. With the emphasis on caring for people with complex health and personal care needs living in their own home instead of in residential or nursing homes or long stay hospitals, the provision of personal domiciliary care services is evolving rapidly and reflects changes at the interface between health and social care. These standards will be applied to agencies providing personal care to the wide range of people who need care and support whilst living in their own home, including: older people, people with physical disabilities, people with sensory loss including dual sensory impairment, people with mental health problems, people with learning disabilities, children and their families, and personal or family carers.
Subject terms:
home care, learning disabilities, mental health problems, older people, physical disabilities, social welfare law, social care provision, standards, carers, health care;
NORTHERN IRELAND. Department of Health, Social Services and Public Safety
Publisher:
Northern Ireland. Department of Health, Social Services and Public Safety
Publication year:
2013
Pagination:
269
Place of publication:
Belfast
This Service Framework for Older People is one of a range of Service Frameworks which set out standards for health and social care to be used by patients, service users, carers and their wider families to help them understand the standard of care they can expect to receive in Northern Ireland. It sets standards in relation to people over 65 whilst taking account of the needs of those over 50, where appropriate, particularly in relation to preventative measures. The Framework sets standards in relation to: Person-centred Care; Health and Social Wellbeing Improvement; Safeguarding; Carers; Conditions more Common in Older People; Medicines Management and Transitions of Care. Each standard is accompanied by a statement on what the standard is intended to achieve. It also sets out the evidence base and rationale for the development of the standard, the impact of the standard on quality improvement as well as the performance indicators that will be used to measure that the standard during the three year period 2013 - 2016. The Framework has been developed by multidisciplinary Programme Board with the involvement of patients, users of services and their carers. The Framework will be regularly review in the light of new evidence.
(Edited publisher abstract)
This Service Framework for Older People is one of a range of Service Frameworks which set out standards for health and social care to be used by patients, service users, carers and their wider families to help them understand the standard of care they can expect to receive in Northern Ireland. It sets standards in relation to people over 65 whilst taking account of the needs of those over 50, where appropriate, particularly in relation to preventative measures. The Framework sets standards in relation to: Person-centred Care; Health and Social Wellbeing Improvement; Safeguarding; Carers; Conditions more Common in Older People; Medicines Management and Transitions of Care. Each standard is accompanied by a statement on what the standard is intended to achieve. It also sets out the evidence base and rationale for the development of the standard, the impact of the standard on quality improvement as well as the performance indicators that will be used to measure that the standard during the three year period 2013 - 2016. The Framework has been developed by multidisciplinary Programme Board with the involvement of patients, users of services and their carers. The Framework will be regularly review in the light of new evidence.
(Edited publisher abstract)
Subject terms:
older people, standards, person-centred care, safeguarding adults, carers, service transitions, medication, wellbeing, health, falls, end of life care, health care, social care, performance indicators;
This quality standard covers the mental wellbeing of older people (65 years and over) receiving care in all care home settings, including residential and nursing accommodation, day care and respite care. This quality standard uses a broad definition of mental wellbeing, and includes life satisfaction, optimism, self-esteem, feeling in control, having a purpose in life, and a sense of belonging and support. The standard outlines six quality statements: participation in meaningful activity; personal identity; recognition of mental health conditions; recognition of sensory impairment; recognition of physical problems and access to health care services.
(Edited publisher abstract)
This quality standard covers the mental wellbeing of older people (65 years and over) receiving care in all care home settings, including residential and nursing accommodation, day care and respite care. This quality standard uses a broad definition of mental wellbeing, and includes life satisfaction, optimism, self-esteem, feeling in control, having a purpose in life, and a sense of belonging and support. The standard outlines six quality statements: participation in meaningful activity; personal identity; recognition of mental health conditions; recognition of sensory impairment; recognition of physical problems and access to health care services.
(Edited publisher abstract)
Subject terms:
older people, care homes, access to services, health care, sensory impairments, mental health, wellbeing, quality of life, leisure activities, social activities, residential care, nursing homes, day centres, short break care;
The National Service Framework (NSF) is broadly based upon the NSF issued in England by the Department of Health in 2001, but has been updated and amended to reflect the structures, policies and situation in Wales. The draft was consulted upon from July to October 2005. It contains 10 key standards: Rooting out Age Discrimination; Person Centred Care; Promoting Health and Well Being; Challenging Dependency (new standard); Intermediate Care; Hospital care; Stroke; Falls and Fractures; Mental Health in Older People; and Medicines and Older people.
The National Service Framework (NSF) is broadly based upon the NSF issued in England by the Department of Health in 2001, but has been updated and amended to reflect the structures, policies and situation in Wales. The draft was consulted upon from July to October 2005. It contains 10 key standards: Rooting out Age Discrimination; Person Centred Care; Promoting Health and Well Being; Challenging Dependency (new standard); Intermediate Care; Hospital care; Stroke; Falls and Fractures; Mental Health in Older People; and Medicines and Older people.
Extended abstract:
Author
WALES . Welsh Assembly Government.
Title
National service framework for older people In Wales .
Publisher
Welsh Assembly, 2006.
Summary
This National Service Framework (NSF) is broadly based upon the NSF issued in England by the Department of Health in 2001, but has been updated and amended to reflect the structures, policies and situation in Wales. The draft was consulted upon from July to October 2005. It contains 10 key standards: Rooting out age discrimination; Person centred care; Promoting health and well being; Challenging dependency (new standard); Intermediate care; Hospital care; Stroke; Falls and fractures; Mental health in older people; and Medicines and older people.
Context
Method
Contents
Chapter 1 sets the scene, with an introduction, discussion of the health and social well-being of older people in Wales and of the ageing society of the future, and how the NSF will help to achieve the vision.
Chapter 2 gives the ten standards. Rooting out age discrimination says that health and social care services should be provided regardless of age on the basis of clinical and social need. Users are encouraged to comment on their experiences, good or bad. They can become more involved in representing older people's views. Person centred care states that services should meet individual needs. Users should be given the opportunity to express views which are listened to and respected; receive the care needed when it is needed, regardless of organisational boundaries; understand the reasons if services may not be provided; and know where and how to access ongoing support and information. Promoting health and well-being addresses the various social, economic and environmental factors that influence health and well being, but says there is also much we can do to protect our own health and enhance our chances of a long, active and independent life: a dopt a healthy lifestyle ; keep safe ; make use of preventive services ; and get regular health checks. Challenging dependency makes the points that a s people grow older they may become less mobile and may struggle to do things they have always been able to do for themselves, and therefore may need help with these tasks, but still want to retain independence and control. Certain conditions which are more common as we grow older, such as foot problems, malnutrition and incontinence, can seriously hinder independence but can often be treated. The intermediate care section explains that, while hospital admission may sometimes be necessary, there should be services available in one's own home or another community setting, thus avoiding unnecessary hospital admission. People should not stay in hospital longer than necessary, and help should be available to regain independence as quickly and fully as possible. Hospital care is explained in the next standard, saying that obviously there are times when this is the best place to be. Staff should understand and respect needs as an individual and as an older person, treatment should be of high quality, and safety and well-being should be protected and promoted. Transfer from hospital should be well-planned and co-ordinated. Stroke is discussed next. Chances increase as people age, but many strokes can be prevented. Information on decreasing risk is given. Signs of a stroke are given and what to do are explained. The roles of specialist units and rehabilitation are outlined. The falls and fractures standard explains incidence, effects, preventative measures, what to do if one has a fall, and osteoporosis. Mental health in older age comes next, explaining that some problems are more common in older people and describing depression and dementia and what can be done. Medicines and older people explains that as people age use of medicines increases. The importance of careful management, and the responsibility of those who prescribe, dispense and administer, are discussed.
Chapter three discusses supporting implementation, covering the implementation framework; workforce planning, training and development; information management and technology; and research and development.
Appendices give the implementation plan and a policy gateway summary.
A substantial executive summary and a much briefer summary are available as separate documents.
All contents are in both English and Welsh.
395 references
Executive summary ISBN 0 7504 4002 3
Summary ISBN 0 7504 1003 1
Subject terms:
independence, hospitals, intermediate care, medication, mental health care, older people, person-centred care, stroke, standards, ageing, discrimination, falls, health care;
This report took as its basis the current clinical evidence for stroke services, set out within the Intercollegiate Working Party for Stroke national clinical guidelines published by the Royal College of Physicians. These guidelines are reflected in the National Service Framework (NSF). The NSF stroke standard translates the guidelines and further evidence based practice into a four year plan and concludes with an expectation that every person who has a stroke will be seen by a specialist stroke team and have access to a specialist stroke service by 2004.
This report took as its basis the current clinical evidence for stroke services, set out within the Intercollegiate Working Party for Stroke national clinical guidelines published by the Royal College of Physicians. These guidelines are reflected in the National Service Framework (NSF). The NSF stroke standard translates the guidelines and further evidence based practice into a four year plan and concludes with an expectation that every person who has a stroke will be seen by a specialist stroke team and have access to a specialist stroke service by 2004.
Subject terms:
information technology, interagency cooperation, management, older people, stroke, staff management, standards, evidence-based practice, health care, health needs, health professionals;
Describes the standards of the Health Advisory Service for social care and health services for older people which underpin the work of the organisation as it carries out its remit of evaluating, inspecting and advising services. Standards are presented in simple list form to give the reader an understanding of their breadth and content, and there is a brief description of how the standards were developed. Contents include: what the Health Advisory Service is and what it does; development of the standards; the standards and criteria.
Describes the standards of the Health Advisory Service for social care and health services for older people which underpin the work of the organisation as it carries out its remit of evaluating, inspecting and advising services. Standards are presented in simple list form to give the reader an understanding of their breadth and content, and there is a brief description of how the standards were developed. Contents include: what the Health Advisory Service is and what it does; development of the standards; the standards and criteria.
Subject terms:
interagency cooperation, management, older people, planning, social services, social care, social care provision, standards, user participation, community care, health care;
This document contains a statement of national minimum standards published by the Secretary of State for Health under section 23(1) of the Care Standards Act 2000. The statement is applicable to care homes (as defined by section 3 of the Act) which provide accommodation, together with nursing or personal care, for older people. Contains standards on: choice of home; health and personal care; daily life and social activities; complaints and protection; environment; staffing; and management and administration.
This document contains a statement of national minimum standards published by the Secretary of State for Health under section 23(1) of the Care Standards Act 2000. The statement is applicable to care homes (as defined by section 3 of the Act) which provide accommodation, together with nursing or personal care, for older people. Contains standards on: choice of home; health and personal care; daily life and social activities; complaints and protection; environment; staffing; and management and administration.
Subject terms:
leisure, management, nursing homes, older people, quality of life, residential care, staff, staff management, standards, care homes, complaints, health care;
NORTHERN IRELAND. Department of Health, Social Services and Public Safety
Publisher:
Northern Ireland. Department of Health, Social Services and Public Safety
Publication year:
2015
Pagination:
157
Place of publication:
Belfast
This Service framework for learning disabilities is one of a set of Service Frameworks which sets out standards for health and social care to be used by service users and carers, to help them understand the standard of care they can expect to receive in Northern Ireland. The Service Framework for Learning Disability aims to improve the health and wellbeing of people with a learning disability and their carers and families by promoting social inclusion, reducing inequalities in health and social wellbeing and improving the quality of health and social care services. The Framework sets standards in relation to: Safeguarding and Communication and Involvement in the Planning and Delivery of Services; Children and Young People; Entering Adulthood; Inclusion in Community Life; Meeting General Physical and Mental Health Needs; Meeting Complex Physical and Mental Health Needs; At Home in The Community; Ageing Well; and Palliative and End of Life Care. Each standard is accompanied by a statement on what the standard is intended to achieve. It also sets out the evidence base and rationale for the development of the standard and the performance indicators that will be used to measure that the standard during the three year period 2013 - 2016. The Framework has been developed with the involvement of people from all aspects of health and social care, including patients, users of services and their carers.
(Edited publisher abstract)
This Service framework for learning disabilities is one of a set of Service Frameworks which sets out standards for health and social care to be used by service users and carers, to help them understand the standard of care they can expect to receive in Northern Ireland. The Service Framework for Learning Disability aims to improve the health and wellbeing of people with a learning disability and their carers and families by promoting social inclusion, reducing inequalities in health and social wellbeing and improving the quality of health and social care services. The Framework sets standards in relation to: Safeguarding and Communication and Involvement in the Planning and Delivery of Services; Children and Young People; Entering Adulthood; Inclusion in Community Life; Meeting General Physical and Mental Health Needs; Meeting Complex Physical and Mental Health Needs; At Home in The Community; Ageing Well; and Palliative and End of Life Care. Each standard is accompanied by a statement on what the standard is intended to achieve. It also sets out the evidence base and rationale for the development of the standard and the performance indicators that will be used to measure that the standard during the three year period 2013 - 2016. The Framework has been developed with the involvement of people from all aspects of health and social care, including patients, users of services and their carers.
(Edited publisher abstract)
Subject terms:
learning disabilities, standards, health care, social care provision, social care, safeguarding adults, end of life care, user participation, social inclusion, older people, community care, mental health problems, health needs, complex needs, adults, children, young people;