Search results for ‘Subject term:"older people"’ Sort:
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Dementia across local districts in England 2014 to 2015
- Authors:
- TAMPUBOLON Gindo, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 33(8), 2018, pp.1127-1131.
- Publisher:
- Wiley
Background: The number of older people needing dementia care is projected to rise rapidly, and local districts are now charged with responding to this need. But evidence on local area factors of dementia is scarce. The authors studied the odds of dementia prevalence and its individual risk factors enriched with area factors. Materials and methods: This study analysed objectively assigned dementia prevalence in people aged 60 and over living in community in England, drawing data from the English Longitudinal Study of Ageing 2014 to 2015 and local districts statistics using multilevel logistic models. Dementia status is ascertained using a modified version of the Telephone Interview for Cognitive Status. A number of individual risk factors were considered including social determinants, internet use, social connections, and health behaviours; 2 contextual factors were included: the index of multiple deprivation and land use mix. Results: The prevalence of dementia by this method is 8.8% (95% confidence interval 7.7%‐9.2%) in older adults in England. Maps of dementia prevalence across districts showed prevalent areas. In the full model, no area characteristics were significant in predicting dementia prevalence. Education, social connections, internet use, and moderate to vigorous physical activity showed protective associations. Conclusion: Dementia in older adults in England is largely predicted by individual characteristics, although some districts have a large share of their population with dementia. Given the health and social care costs associated with dementia, differential interventions and support to districts and to groups of individuals defined by these characteristics seem warranted. (Edited publisher abstract)
Caring in the older population: a research brief for local authorities
- Author:
- LLOYD James
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2009
- Pagination:
- 13p.
- Place of publication:
- London
This document is for local authorities engaged in planning and delivering services to support older carers and summarises ILC -UK and the National Centre for Social Research's Living and caring?: an investigation of the experience of older carers. It gives key points, the background and the characteristics of care provision and discusses access to services, leisure, health, housing, and quality of life and care recipients.
Towards an ageing society: summary of the final evaluation report of HACT’s older people’s programme
- Author:
- HOUSING ASSOCIATION CHARITABLE TRUST
- Publisher:
- Housing Association Charitable Trust
- Publication year:
- 2007
- Pagination:
- 8p.
- Place of publication:
- London
Hact’s Older People’s Programme set out to improve housing for older people. It was hugely successful. This document is a summary of the final evaluation report produced by Moyra Riseborough. It includes insights about specific policy areas, lessons for programme funders, government and local authorities.
Older people's housing strategies: addressing your older homeless population: draft version
- Author:
- COALITION ON OLDER HOMELESSNESS
- Publisher:
- Coalition on Older Homelessness
- Publication year:
- 2006
- Pagination:
- 6p.
- Place of publication:
- London
The Coalition on Older Homelessness has produced a draft paper aimed at local authorities to encourage them to include older homeless people in their strategic thinking.
'They call it fairer charging ...'
- Author:
- THOMPSON Pauline
- Journal article citation:
- Working with Older People, 8(3), September 2004, pp.10-14.
- Publisher:
- Emerald
Describes research into the 'Fairer charging' system, introduced by local councils in 2003. Much has been said about charges for care in homes, but far less about charges for services to people living at home. Describes powers to charge and national guidance and gives the main findings. A mixed picture emerged, with many variations. Makes a number of recommendations, and concludes it is almost impossible to devise a fair system and councils struggle with complex guidance.
We are the champions
- Author:
- MANTHORPE Jill
- Journal article citation:
- Community Care, 6.5.04, 2004, p.36.
- Publisher:
- Reed Business Information
Reports on the results of a recent survey undertaken for Better Government of Older People. The study looked at the role of older people's champions, who have the responsibility for implementing the National Service Framework's in local authorities, how they feel about their role and how effective they are.
We will need to take you in: the experience of homelessness in old age
- Author:
- WILSON David
- Publisher:
- Scottish Council for Single Homeless
- Publication year:
- 1995
- Pagination:
- 122p.,tables,bibliog.
- Place of publication:
- Edinburgh
Research report exploring the experiences of homeless older people in Scotland, focusing on 2 rural and 2 urban local authorities.
Growing old in the countryside: community care; the Care Project community care report
- Author:
- NEWTON M
- Publisher:
- Help the Aged
- Publication year:
- 1993
- Pagination:
- 77p.,diags.,bibliog.
- Place of publication:
- London
Report of a research study contrasting local authority community care provision between rural and urban areas in England. Examines trends in the development of services, looks at problems encountered, and makes recommendations for improvements to services for older people in rural areas.
Making use of evidence in commissioning practice: insights into the understanding of a telecare study’s findings
- Authors:
- WOOLHAM John, et al
- Journal article citation:
- Evidence and Policy, 17(1), 2021, pp.59-74.
- Publisher:
- Policy Press
Background: This paper discusses findings from a study of English Local Authority (LA) Adult Social Care Departments (ASCDs) that explored how managers use telecare. A decade earlier, a large clinical trial, the ‘Whole System Demonstrator’ project (WSD), funded by the Department of Health (DH) investigated telecare’s effectiveness in promoting and maintaining independence among users. It found no evidence that telecare improved outcomes. Despite these conclusions, the DH did not change its policy or guidance, and LAs did not appear to scale back investment in telecare. Aims and objectives: The present study explores how English ASCDs responded to WSD findings and why investment continued despite evidence from the WSD. Methods: Data were obtained from an online survey sent to all telecare lead managers in England. The survey achieved a final response rate of 75%. Findings: The survey asked questions focused on awareness and use of research in general, and specifically knowledge about the findings of the WSD. Most respondents were highly critical of the WSD methods, and its findings. Discussion: Critical examination of telecare manager views found widespread inaccurate information about the trial methodology and findings, as well as the wider political and policy context that shaped it. Conclusions: The WSD could not explain why telecare did not deliver better outcomes. A more nuanced understanding of the circumstances in which it might achieve good outcomes has received little consideration. LA difficulties in using evidence in telecare commissioning potentially leaves the sector at risk of market capture and supplier induced demand. (Edited publisher abstract)
Understanding resource allocation processes in social care for frail older people: lessons from a national survey
- Authors:
- STEWART Karen, et al
- Journal article citation:
- Journal of Long-Term Care, February 2021, pp.43-57. Online only
- Publisher:
- King's College London
- Place of publication:
- London
Context: Traditionally local authorities in England allocated resources in social care following a professional assessment of need and a costed care plan. With the introduction of personal budgets, resource allocation tools have been used to provide service users with an initial indicative budget for their care. This is promoted as being more transparent, equitable and giving people greater control over decisions about their care. Objective: This study examined the different approaches to resource allocation and the content of resource allocation tools used for social care in England. Methods: Information was obtained from local authorities about their resource allocation systems. An analytic framework was developed and applied to the tools to explore: who identified needs; whether informal and formal support were recorded; and whether 17 need indicators covering functional status, mental health, and health and wellbeing were present and in what detail. Findings: Ninety-one per cent of 152 authorities responded and 61 per cent of authorities’ tools were analysed. Three approaches were identified: points-based self-assessment tools; standardised assessment data (FACE); and non-points-based/ready reckoner tools. Most authorities used a points-based self-assessment tool. All tools included the service user’s views and a high proportion included a professional’s view, while fewer covered the carer’s view on need. Coverage and presence of detail for the 17 need indicators showed high variation and was least on points-based self-assessment tools. Limitations: The study is the first to examine a large sample of resource allocation tools and provides a valuable baseline for future work. However, non-points-based/ready reckoner tools were under-represented in the sample. Implications: Further research could build upon this study to examine key properties of the tools used such as reliability, validity, sensitivity and specificity; and explore their impact upon service users and staff in terms of time use, cost, utility and equity. (Edited publisher abstract)