Search results for ‘Subject term:"older people"’ Sort:
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A structured literature review to identify cost-effective interventions to prevent falls in older people living in the community
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2018
- Pagination:
- 156
- Place of publication:
- London
Summarises the findings from a literature review to identify cost-effective interventions in preventing falls in older people living in the community in England. The review was conducted to inform an economic model to estimate the return on investment of the cost effective interventions across communities in England. The review identified 26 studies, of which 12 were judged to be directly applicable. These included 6 types of interventions: exercise, home assessment and modifications, multifactorial programmes; medicines review and modification to drugs; cardiac pacing and expedited cataract surgery. Based on the evidence, the review recommends interventions to be included in the economic model. (Edited publisher abstract)
Helping older people maintain a healthy diet: a review of what works
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2017
- Place of publication:
- London
This review of evidence looks at ‘what works’ in supporting older people to maintain a healthy diet and reduce the risk of malnutrition. Malnutrition in older people can have a significant impact on their health and social care needs. The report draws on evidence from a literature review on the success criteria for community programmes encouraging healthy eating for people over 65 years; and on findings from telephone interviews with older people’s leads from PHE centres, local authorities, local AHSNs and third sector organisations in England to discover what examples of emerging practices exist that could be scaled-up and used by others. The literature review highlighted four programme success criteria: access to healthier food and drink options and food poverty; ability to prepare healthier food; functional and cognitive impairment and ability to eat healthier food including poor oral health; and food and dietary resilience. Findings on emerging practice show that many areas have developed innovative programmes of work aimed at tackling malnutrition among older people. These include: Purbeck Malnutrition Taskforce Pilot; Older People’s Essential Nutrition (OPEN), Eastleigh; Nutrition and Wellbeing Service, Hertfordshire Independent Living Service (HILS); Vitality for Life, Kensington and Chelsea; Paperweight armbands and raising awareness of malnutrition among older people, Salford; Staffordshire Eat Well programme; Casserole Club, Staffordshire; and One to One Nutritional Support, Kent. (Edited publisher abstract)
Falls and fracture consensus statement: supporting commissioning for prevention
- Authors:
- PUBLIC HEALTH ENGLAND, NATIONAL FALLS PREVENTION COORDINATION GROUP
- Publisher:
- Public Health England
- Publication year:
- 2017
- Pagination:
- 22
- Place of publication:
- London
This document outlines interventions and approaches that local commissioners and strategic leads in England should consider in order to help prevent falls and fractures in older people. It has been produced by the National Falls Prevention Coordination Group (NFPCG), which was set up with the aim of coordinating falls prevention activity in England and encourage ‘whole-system’ local commissioning for falls prevention. It highlights interventions which cover the whole of the patient pathway, from risk reduction to providing care for older people who have suffered injury following a fall. These include risk reduction, risk assessment, strength and balance exercise programmes, healthy homes, and interventions in high-risk care environments such a hospitals, care and nursing homes. It also explains how commissioning for falls and fracture prevention involves working across the health, social care and housing sectors. It provides advice on how falls prevention can be supported at all stages of the commissioning cycle, including - assessing needs, designing services, sourcing providers, delivering to service users, monitoring and evaluation, and in the governance frameworks that oversee and assure this activity. It also sets out the future commitments of the National Falls Prevention Coordination Group. (Edited publisher abstract)
The older adults’ NHS and social care return on investment tool: final report
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2020
- Pagination:
- 50
- Place of publication:
- London
This report summarises the evidence on nine identified interventions to support older people. It is the final report of a project to provide a return on investment (ROI) tool to help stakeholders and decision-makers to compare the cost-effectiveness of interventions to reduce the need for services in older adults. The focus is on the use of social care services, but the report also reviews interventions which also reduced the need for health services. The ROI includes nine interventions, identified though a literature review. They are: community singing; a help at home scheme; a befriending service; the WHELD intervention for people living with dementia in nursing home; the INTERCOM intervention providing hospital discharge support for COPD patients; voluntary and community sector (VCS) services aimed at patients with long-term conditions, which use social prescribing and other approaches to put patients in touch with services; health coaching; the BELLA intervention providing self-management support for COPD patients; and a home care reablement service. An accompanying technical report provides further detail of the literature review, selection of the interventions for inclusion in the tool and the modelling methods. The return investment tool is available to download. It can be adapted to local conditions and presents results showing the economic benefits of each intervention. (Edited publisher abstract)
An evidence summary of health inequalities in older populations in coastal and rural areas: full report
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2019
- Pagination:
- 74
- Place of publication:
- London
A rapid evidence review on the health inequalities experienced by older people in coastal and rural areas, supplemented with case studies. The review aimed to identify key determinants of health inequalities experienced by older populations in coastal and rural areas; looks at the strengths and assets of ageing populations in these areas; reviews the effectiveness health and social care system interventions and whole system approaches; and assess the opportunities for using digital technology. In addition to a rapid review of the national literature (covering the UK and Ireland), a search of international literature focusing on interventions to reduce health inequalities was also carried out. It is intended for local authorities, clinical commissioning groups and other health and care organisations to inform strategic planning, service design and commissioning, as well as the development of local community infrastructure. It also provides summary of key considerations in taking an asset-based approach in reducing inequalities and promoting productive healthy ageing in these areas. Two accompanying reports have also been published, an executive summary with main messages and an annex of included studies. (Edited publisher abstract)
A menu of interventions for productive healthy ageing: for pharmacy teams working in different settings
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2019
- Pagination:
- 26
- Place of publication:
- London
This guide lists interventions that pharmacy teams working in different healthcare settings can use to support older people to improve the quality of their lives. It includes evidence-based interventions on: preventing and reducing falls; increasing levels of physical activity; maintaining a healthy weight and preventing malnutrition; reducing the risk of social isolation and loneliness; reducing the risk of dementia; supporting people diagnosed with dementia; delaying the progress of dementia and reducing the need for medicines. For each area the guide includes the rationale for intervention, a list of suggested interventions and evidence of impact. The guidance will also be useful for pharmaceutical and medical committees, local authorities, clinical commissioning groups and local NHS England teams. (Edited publisher abstract)
Evidence review for an evidence-informed toolkit for local authorities: commissioning better oral health for vulnerable older people
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2018
- Pagination:
- 71
- Place of publication:
- London
This review provides a synthesis of evidence for 10 key areas for potential interventions that might be used by local authorities to improve the oral health of vulnerable older people, aged 65 years and over in need of special care, support, or protection. The focus is on those groups for whom adult social care departments in local authorities commission services, which include: residential and nursing home residents, older people living with dementia, older people living with learning disabilities, and frail older people. Searches were undertaken using electronic databases for systematic reviews and other reviews published from 1991 onwards, and additional searches were also carried out. Recommended interventions identified include programmes of training in oral care for care staff and carers, protocols developed for oral care in care settings, and routine denture identification marking to ensure that lost dentures can be returned to the right person. (Edited publisher abstract)