Search results for ‘Subject term:"older people"’ Sort:
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Breaking down barriers to better health and care
- Author:
- NHS ENGLAND
- Publisher:
- NHS England
- Publication year:
- 2019
- Pagination:
- 6
- Place of publication:
- Redditch
This guide provides details on how NHS organisations and local councils in England are moving from fragmented services to local partnerships and integrated care systems in order to meet the health needs of the population. The paper looks at how health and care needs are changing as a result of the rising number of older people; people living in ill health for longer; more and more people living with more than one long-term condition; nearly a third of people with a long-term physical condition in England also having a mental health concern such as anxiety or depression; rise in overweight and obesity rates; and the significant difference in healthy life expectancy between people living in the most deprived and the least deprived areas. For these reasons, NHS organisations and local councils in England are joining forces to integrate services and to invest in ways to prevent illness and keep people out of hospital. Their aim is that people can live healthier lives and get the care and treatment they need, in the right place, at the right time. The paper briefly outlines two approaches to an improved provision of care: working in partnership and giving more power to local areas through the establishment of integrated care systems. The paper describes some examples of integrated care, including moving services closer to local communities in Frimley; improving day-to-day health and wellbeing in Lancashire and South Cumbria; and expanding and improving hospital services in Dorset. Originally published in 2018, updated 2019. (Edited publisher abstract)
Making integrated care happen at scale and pace: lessons from experience
- Authors:
- HAM Chris, WALSH Nicola
- Publisher:
- Kings Fund
- Publication year:
- 2013
- Pagination:
- 8
- Place of publication:
- London
The current fragmented services in health and social care fail to meet the needs of the population. A shift to an approach that develops integrated models of care for patients, especially older people and those with long-term conditions, can improve the patient experience and the outcomes and efficiency of care. Making integrated care happen at scale and pace: Lessons from experience is intended to support the process of converting policy intentions into meaningful and widespread change on the ground. The authors summarise 16 steps that need to be taken to make integrated care a reality and draw on work by The King’s Fund and others to provide examples of good practice. There are no universal solutions or approaches to integrated care that will work everywhere and there is also no ‘best way’ of integrating care, and the authors emphasise the importance of discovery rather than design and of sharing examples of good practice when developing policy and practice. Finally, the paper acknowledges that changes are needed to national policy and to the regulatory and financial frameworks for local leaders to fully realise a vision of integration. (Publisher abstract)
The future of gerontological social work: a case for structural lag
- Authors:
- FERGUSON Alishia, SCHRIVER Joe
- Journal article citation:
- Journal of Gerontological Social Work, 55(4), May 2012, pp.304-320.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Social work leaders have been consistently predicting a future shortage of gerontological social workers to care for the growing number of older people in the US. This article begins by discussing this traditional perspective but then goes on to challenge it using a literature review of alternative perspectives. Published evidence demonstrates that, along with population growth, economic and social factors must be taken into account before predicting future gerontological social work demand. The authors look at such factors as time to death analysis, major practice categories, interdisciplinary issues in long term care and the need to demonstrate the value of gerontological social work. They go on to present structural lag theory as a tool for making sense of the implications related to these alternative perspectives and to explain how these factors affect the profession and may limit its presence in gerontological work settings. Recommendations are made to correct the lag, allowing the social work profession a more substantive voice in the aging enterprise.
Community partnerships for older adults: a case study
- Authors:
- BOLDA Elise J., et al
- Journal article citation:
- Families in Society, 86(3), July 2005, pp.411-418.
- Publisher:
- The Alliance for Children and Families
Over the past several decades, federal policy has made states and communities increasingly more responsible for providing long-term care for older adults. The Community Partnerships for Older Adults, a national program of The Robert Wood Johnson Foundation, saw this as an opportunity to explore new, sustainable ways to meet current and future needs for community-based long term care. This initiative focuses on collaborative organizational partnerships, a distinctive philosophy of teaching and learning through the exchange of experience between communities, and program learning focusing on known factors promoting organizational sustainability. Using principles that emphasize the development of social capital and collective efficacy, the authors present a case study of the early experiences of this initiative to address the challenges inherent in meeting the growing supportive service needs of older adults. The implications of this multi-site community intervention for social work education and practice in aging are discussed.
Strategic partnerships enhance resources for care of rural-dwelling older adults
- Authors:
- HOLLEY Lyn M., et al
- Journal article citation:
- Quality in Ageing and Older Adults, 19(4), 2018, pp.242-250.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to disseminate a new model that addresses the urgent social challenge of providing adequate long-term care in rural circumstances through innovative use of existing resources, and to suggest future research. Design/methodology/approach: This paper is exploratory in and is based upon the analysis of qualitative observations (interviews and site visits) framed in the financial and operational records of the facility studied, macro- and micro-level demographics, and the scholarly and practice literatures. Findings: Significant cost savings upon implementation, improvements in quality of care and both worker and client satisfaction were apparent. Research limitations/implications: The model has been in operation only one year; the trend has been positive, however, more research is needed to identify its stability and develop a more refined description of its components: while essential features of this innovative model can be applied in any residential long-term care situation, replicating its success is obviously linked with the skill and authority of the director. Evaluation research is currently in progress. Practical implications: The paper suggests budget-neutral solutions to persistent challenges of caring for older adults in rural circumstances: Social implications: Quality and financing of long-term residential care for elders is insufficient and worsening. This model addresses problems central to financing and quality of care by connecting existing resources in new ways. It does not require additional funding or changes in qualifications required for jobs. Originality/value: The model is the original creation of a residential long-term care facility director working with a network of partnerships that he discovered and developed: partnerships include a broad range of organizations in the public and non-profit sectors, and the state university. (Publisher abstract)
Promoting Resident and Family Councils: a pilot evaluation
- Authors:
- ZNIDARSICH Jamie, DAVIES Susan L., SULLIVAN Susan Mary
- Journal article citation:
- Working with Older People, 20(2), 2016, pp.101-109.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to evaluate the status and impact of a recently formed Resident and Family Council to determine whether the group was achieving the goals of improving long-term care facility relationships, enhancing communication and promoting positive change within the facility. Design/methodology/approach: The pilot evaluation was designed to develop recommendations for future sustainability, of the council, as well as providing wider lessons about the benefits and potential pitfalls of such groups. Data were gathered utilising participatory qualitative research methods. Semi-structured interviews were conducted with nine council members, representing all groups within the Resident and Family Council. Documents relating to the work of the council and observational field notes maintained during meetings were also analysed. Findings: A number of themes and dynamics were identified relating to communication, collaboration and future sustainability. Practical implications: Recommendations for initiating Resident and Family Councils should include surveying interest within long-term care facilities, involving the facility ombudsmen or volunteer coordinator, and assessing resources within the community, such as volunteer organisations or partnering with local education organisations. Originality/value: This original research can serve as a template for establishing Resident and Family Councils within long-term care facilities. (Edited publisher abstract)
Towards partnership in long-term care
- Author:
- NUROCK Shirley
- Journal article citation:
- Journal of Dementia Care, 13(5), September 2005, pp.20-22.
- Publisher:
- Hawker
This article explores themes from a recent research project which looked at how relatives can become partners in care for people with dementia in nursing and residential care homes. The author also draws on the experience of her own career.
The national service framework for long-term conditions
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2005
- Pagination:
- 107p.
- Place of publication:
- London
This National Service Framework (NSF) for Longterm Conditions is a key tool for delivering the government’s strategy to support people with longterm conditions outlined in the NHS Improvement Plan: Putting People at the Heart of Public Services. The NSF aims to build on proposed changes in NHS management and commissioning to bring about a structured and systematic approach to delivering treatment and care for people with longterm conditions. The NSF applies to health and social care services working with local agencies involved in supporting people to live independently, such as providers of transport, housing, employment, education, benefits and pensions. At the heart of this NSF are the 11 quality requirements (QRs) set out in detail in Chapter 2. These are drawn from and mapped against the core and developmental standards in National Standards, Local Action, and are to be fully implemented by 2015. Chapters 3, 4 and 5 explain how these QRs could be delivered. They cover models for clinical neuroscience networks for commissioning and service delivery, initiatives to support local delivery and guidance on taking the next steps.
Ageing at home? meeting housing, health and social needs
- Authors:
- STEWARD Jill, et al
- Journal article citation:
- Journal of Integrated Care, 22(5/6), 2014, pp.242-252.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to consolidate the range of issues relevant to owner occupiers who age in place and to offer an initial overview of how effective partnerships can respond to and meet the changing needs of housing, health and social care of our ageing population. Design/methodology/approach: Issues affecting older people's changing needs are considered holistically and considered in terms of how partnerships can be enhanced to develop improved services in the future. Findings: Most owners wish to stay in their own homes for as long as possible and it can be cost-effective to do so; however, we need to look at new and innovative ways of developing and providing front-line services to enhance health and safety in the home, but also quality of life and wellbeing such as combating loneliness and isolation. However, although there are examples of evidence-based good practice, service provision is variable and there is a risk that many older home owners may miss out on services for which they may are eligible. With this in mind, it may be helpful to develop a new framework where one key practitioner holds responsibility to consolidate and coordinate the range of local services available as a package that offers a range of housing, health and social care services. Originality/value: There are currently many policy and practice gaps in older owner occupier's housing conditions and suitability to meet their changing needs. This paper has a particular starting point in housing, and how other personal or technological services can help support independence for as long as possible and adapt to the owner-occupier's changing health and social care needs as they age in place. The authors emphasise the importance of sharing evidence-based good practice partnerships. (Publisher abstract)
Rearranging the deckchairs on the Titanic of long-term care: is organizational integration the answer?
- Authors:
- GLENDINNING Caroline, MEANS Robin
- Journal article citation:
- Critical Social Policy, 24(4), November 2004, pp.435-457.
- Publisher:
- Sage
Since 1997 the British government has actively promoted collaboration between health and social care services, culminating in proposals for fully integrated health and social care organizations -called Care Trusts - to address problems in co-ordinating services for older people. This paper draws on historical evidence to examine the origins and development of these difficulties. A consistent theme over the past 50 years has been the changing role of health services in the provision of long-term support for older people and the consequent redefinition of the boundaries between health and social services. However, these changes have largely not been matched by corresponding transfers of resources that might enable social services to meet their increased responsibilities. Moreover, the demands of the acute hospital sector risk marginalizing the social support valued by older people themselves. The paper argues that organizational restructuring will therefore fail to improve coordination between health and social services for older people unless these underlying issues are also addressed.