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Paying for long-term domiciliary care: a comparative perspective
- Authors:
- GLENDINNING Caroline, et al
- Journal article citation:
- Ageing and Society, 17(2), March 1997, pp.123-140.
- Publisher:
- Cambridge University Press
Concerns over growing numbers and proportions of older people in industrialised societies have prompted interest in the development of cheaper ways of providing long-term care for older people. While debate in the UK is currently focused on the costs of residential and nursing care, other European and Nordic countries have introduced schemes designed to encourage or sustain the provision of 'social' care by family members, friends and 'volunteers', on the assumption that this can be provided a lower net public expense that either residential care or formally-organised domiciliary services. This article describes four different models on which such payments are currently based. These models are discussed and evaluated, taking into account factors which include the eligibility criteria for payments; maximising the autonomy of older people and family care-givers; and the relationships between financial payments and access to services.
Good practice in social care for disabled adults and older people with severe and complex needs: evidence from a scoping review
- Authors:
- GRIDLEY Kate, BROOKS Jenni, GLENDINNING Caroline
- Journal article citation:
- Health and Social Care in the Community, 22(3), 2014, pp.234-248.
- Publisher:
- Wiley
This article reports findings from a scoping review of the literature on good practice in social care for disabled adults and older people with severe and complex needs.The review formed part of a larger study to identify social care service models with characteristics desired by people with severe and complex needs and scope the evidence of effectiveness. Systematic database searches were conducted for literature published between January 1997 and February 2011 on good practice in UK social care services for three groups: young adults with life-limiting conditions; adults who had suffered a brain injury or spinal injury and had severe or complex needs; and older people with dementia and complex needs. Five thousand and ninety-eight potentially relevant records were identified through electronic searching and 51 by hand. Eighty-six papers were selected for inclusion, from which 29 studies of specific services were identified. However, only four of these evaluated a service model against a comparison group and only six reported any evidence of costs. Thirty-five papers advocated person-centred support for people with complex needs, but no well-supported evaluation evidence was found in favour of any particular approach to delivering this. The strongest evaluation evidence indicated the effectiveness of a multidisciplinary specialist team for young adults; intensive case management for older people with advanced dementia; a specialist social worker with a budget for domiciliary care working with psycho-geriatric inpatients; and interprofessional training for community mental health professionals. The dearth of robust evaluation evidence identified through this review points to an urgent need for more rigorous evaluation of models of social care for disabled adults and older people with severe and complex needs. (Edited publisher abstract)
Primary care and social services: developing new partnerships for older people
- Authors:
- RUMMERY Kirstein, GLENDINNING Caroline
- Publisher:
- Radcliffe Medical Press
- Publication year:
- 2000
- Pagination:
- 122p.,bibliog.
- Place of publication:
- Abingdon, Oxon
Guide to the new initiatives in encouraging partnerships between health and social care, particularly in services for older people. Part one looks at: the problem of the health and social care divide; the new emphasis on partnerships in policy and practice; users and patients experiences of the health and social care divide; and implementing partnerships between NHS and local authority services. Part two examines joint commissioning and deals with: models of joint commissioning; a quasi single commissioning agency; a model for joint commissioning of specific services; integrated health and social care teams; a model for joint commissioning of specific services; integrated health and social care teams; and primary care groups and trusts and the potential for joint commissioning with social services partners. Part three looks at frontline collaboration between primary care and social services staff and includes sections on: community care for older people; and co-location/attachment schemes within a primary care setting. Section four is on evaluating front line collaboration projects. Section five looks at new possibilities in working in partnership for older people.