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Directory of services for older people 2007/08
- Author:
- TRUELOVE Angharad
- Publisher:
- Keyways
- Publication year:
- 2007
- Pagination:
- 300p.
- Place of publication:
- Chichester
Published in co-operation with the Guardian, this new directory provides a comprehensive directory of contact details of services for older people, helping you to make a referral, transfer or discharge. This reference book will put you directly in touch with specialists, clinics and key teams in PCTs, County Councils and hospitals across the UK.
From hospital to home: assessing the transitional care needs of vulnerable seniors
- Authors:
- GRAHAM Carrie L., IVEY Susan L., NEUHAUSER Linda
- Journal article citation:
- Gerontologist, 49(1), February 2009, pp.23-33.
- Publisher:
- Oxford University Press
This qualitative study assessed the needs of patients and caregivers during the transition from hospital to home. The study specifically identified unmet needs of ethnic minorities, recent immigrants, and seniors with limited English proficiency (LEP). Findings are translated into recommendations for improving services to these groups during health care transitions. This needs assessment included extensive analysis of qualitative data collected from 20 language-, culture-, and ethnic-specific focus groups with caregivers who recently assisted a senior after a hospital discharge. Findings from these focus groups were supplemented by 5 in-depth, longitudinal case studies of recently hospitalized seniors and their caregivers. Inadequate information and training at discharge were themes that spanned all groups, despite ethnicity or language. Additional unmet needs were identified for ethnic minorities, those with LEP, and recent immigrants, including lower levels of social support than might be expected, lack of linguistically appropriate information and services, and cultural and financial barriers to using long-term care services. Recommendations include assessments of informal care, bilingual information and services, partnerships with community agencies providing culturally competent services, and expansion of home- and community-based services to near-poor seniors.
As if expendable: the UK government’s failure to protect older people in care homes during the Covid-19 pandemic
- Author:
- AMNESTY INTERNATIONAL
- Publisher:
- Amnesty International
- Publication year:
- 2020
- Pagination:
- 52
- Place of publication:
- London
This report examines the impact of decisions, policies, and decision-making processes at the national and local level on the human rights of older people in care homes in England in the context of the COVID-19 pandemic. It is based on interviews with 18 relatives of older people who either died in care homes or are currently living in care homes in different parts of England; nine owners, managers and staff of care homes in different parts of the country; eight staff and volunteers working in non-profit organisations advocating on behalf of care home residents and staff; three members of parliament and local authorities, and four legal and medical professionals. Among the government’ failures, the report highlights discharge of patients from hospitals into care homes; denial of access to hospitals and other medical services; misuse of ‘do not attempt resuscitation’ (DNAR) forms; inadequate access to testing; insufficient PPE and poor PPE guidance; poor, late and contradictory guidance; and failure to respond to gaps in staffing. The report also discusses the suspension of visits and failure of oversight, including the failure to wear PPE, challenges of remote communications and the devastating impact of prolonged isolation. The report argues that the UK government’s response to the COVID-19 pandemic violated the human rights of older people in care homes in England and that remedial action must be taken without delay to ensure that mistakes are not repeated. It calls for a full independent public inquiry to consider the overall pandemic preparations and response in adult social care and care homes, including a full investigation into actions taken to ensure a comprehensive and timely cross-government response for social care and a review of the adequacy of the funding made available to support adult social care services and care homes in responding to the pandemic. (Edited publisher abstract)
Birmingham: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2018
- Pagination:
- 45
- Place of publication:
- Newcastle upon Tyne
One of 20 targeted local system reviews looking specifically at how older people move through the health and social care system, with a focus on how services work together. The review found there was a system-wide commitment to serving the people of Birmingham, but that services had not always worked effectively together. It highlighted a number of areas where improvements are needed to ensure those responsible for providing health and social care services work better together. Overall, the review found that peoples’ experience of health and social care was variable and access and availability of services was inconsistent across the city. Fewer people had the chance to exercise choice and control over their care and support - some were offered care placements in parts of the city that were not accessible to their families; some were admitted to hospital with social care needs that could have been managed more effectively and safely at home; and some people stayed in hospital for longer than they needed to. The review also found that more could be done to engage diverse communities in the planning and delivery of services to ensure that services met the specific cultural and health needs of local populations. In addition, there was not a systematic and joined up approach across the city to using feedback from people, their families and carers, about services being provided. Suggested areas for improvement include: for the system’s leadership to build on recent improvements in relationships and organisational structures by strengthening relationships, improving communication and ensuring there is a shared understanding among staff of their role in achieving the strategic vision at an operational level; and improving information sharing across health and social care, as this has proved a barrier to integrated working. (Edited publisher abstract)
Bradford: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2018
- Pagination:
- 49
- Place of publication:
- Newcastle upon Tyne
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)
Independent advocacy with older people: a national conference hosted by the Older people's Advocacy Alliance (OPAAL), 25 July 2002
- Author:
- HELP THE AGED
- Publisher:
- Help the Aged
- Publication year:
- 2003
- Pagination:
- 24p.
- Place of publication:
- London
Advocacy services must be defined in terms of their scope and purpose and be based upon appropriately trained and supported personnel, whether voluntary or paid. As an essential first step, these advocacy services must be available to all older people who are: at the point of discharge from hospital; directly affected by a change in the management or running of their care service; at the point of accessing continuing care and community care services; at the point of being assessed for continuing care and community care services; and at all reviews affecting care services in hospital and in the community.
Evaluation of Redcar and Cleveland Community Agents Project: outputs and outcomes summary report
- Authors:
- WATSON Pat, SHUCKSMITH Janet
- Publisher:
- Teesside University. Health and Social Care Institute
- Publication year:
- 2015
- Pagination:
- 9
- Place of publication:
- Middlesbrough
The Community Agents Project, a programme jointly funded through health and adult social care services, is an innovative approach to meeting the social needs of the elderly and vulnerable population. Community agents act as a one-stop shop, signposting people to the appropriate service that meets their needs. This could be an organisation or voluntary group that can help with shopping, arrange transport to the GP surgery or hospital appointments, help to complete forms, offer encouragement to maintain a care plan, organise a befriender, accompany to a local social activity or signposting to other agencies. The project has received a total of 486 referrals across the borough of Redcar & Cleveland for the period September 2014-September 2015, generating positive outcomes in the following areas: maintaining independence; faster discharge from hospital; reducing admissions to hospital; reducing isolation; improved financial status; appropriate use of health and social services; cost saving; and increases in community capacity. The report estimates a social return on investment of £3.29 for every £1 invested in the Community Agents Project. (Edited publisher abstract)
Our future health: older people's priorities for health and social care
- Author:
- HELP THE AGED,
- Publisher:
- Help the Aged
- Publication year:
- 2000
- Pagination:
- 14p.
- Place of publication:
- London
Report on standards of health care for older people derived from a focus group of users. Outlines core principles related to ageism, quality of life, involvement, staying healthy, access to services, dignity, training, information and advocacy. Looks at what is wrong with health care with reference to issues such as delays, assessment, home care, charges, domestic help, primary care, residential care, hospital care and discharge, and preparation for death. Concludes with suggestions as to how this booklet can be used by professionals.
Across the health-social care divide: elderly people as active users of health care and social care
- Author:
- ROBERTS Kathryn
- Journal article citation:
- Health and Social Care in the Community, 9(2), March 2001, pp.100-107.
- Publisher:
- Wiley
Discusses several ways in which elderly people may assume an active role when using welfare services. Findings are presented from a study that explored the experience and behaviour of elderly people on discharge from inpatient care with regard to criteria indicating user influence or control (namely participation, representation, access, choice, information and redress). Differences were revealed between health care and social care in relation to users being provided with opportunities to assume an active role and in being willing and able to assume an active role. These differences were manifest in elderly service users accessing services, seeking information, exercising choice and acting independently of service providers. Suggests that social care needs and appropriate service delivery are more easily recognised than making the link between perceived health care needs and appropriate services. It appears that informal and private providers are more widely available and accessible for social care. If comprehensive continuing care is to be provided, incorporating both health and social care elements, greater uniformity appears to be required across the welfare sector. Lessons for social care provision from the delivery of health care suggest the clear definition of contact points to facilitate service use. Making health care more accessible, however, does not appear to be easily attainable due to the monopoly provision of health care and the lack of direct purchasing power by potential users.
Community health care for elderly people: report of a CSAG Committee
- Authors:
- GREAT BRITAIN. Department of Health. Clinical Standards Advisory Group, CLARK June (chair)
- Publisher:
- Stationery Office
- Publication year:
- 1998
- Pagination:
- 63p.,bibliog.
- Place of publication:
- London
Research study looking at community health services for older people in the light of the NHS and Community Care Act 1990. The report finds services vary greatly from place to place and are often fragmented as a result of division of responsibility between agencies providing care. There is cost shunting between health and social services, and insufficient provision of social services, with health services (particularly district nurses) picking up the unmet need. There are gaps in the provision of health services in rehabilitation, community physiotherapy, equipment services, and respite care. Community nursing services are under considerable pressure. Implementation of recent policy is inadequate and poorly monitored and communication between hospital and primary health care poor, though fundholders are able to secure certain improvements. The distinction between health and social care is a major problem for both health and social services and for patients. Contracts for community health services for older people are usually given low priority by health services.