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Developing multidisciplinary assessment - exploring the evidence from a social care perspective
- Authors:
- SUTCLIFFE Caroline, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(12), December 2008, pp.1297-1305.
- Publisher:
- Wiley
This paper provides an initial evaluation of the impact of the Single Assessment Process (SAP) in England upon practice regarding multidisciplinary assessment. The objectives were to investigate changes in recorded health needs of older people and in the number of multidisciplinary assessments undertaken using social care agencies' case files. Also to examine differences in approaches to the use of multidisciplinary assessment for older people with different health needs. An audit of case files of older people living in the community in receipt of social care in three areas carried out at two time periods before and after implementation of the SAP in 2004. Information extracted from files covered a number of domains including evidence of multidisciplinary assessments, and presence of mental and physical health problems. Data from 144 files at Time 1 were compared with 145 files from Time 2. Little evidence emerged that older people at Time 2 were more dependent. However, significantly more multidisciplinary assessments were undertaken following the introduction of the SAP, in particular by occupational therapists and secondary health care teams. Cognitive impairment was a significant predictor of multidisciplinary assessment at both time periods. The impact of the introduction of the SAP has been mediated by the influence of other policies in England: intermediate care and integrated health and social care provision. Nevertheless, the data suggest that consideration be given to more effective targeting of multidisciplinary assessments on the grounds of both cost and more accurate identification of those who will benefit from the process.
Senior and heard
- Author:
- HARDING Mary-Louise
- Journal article citation:
- Health Service Journal, 12.2.04, 2004, pp.32-33.
- Publisher:
- Emap Healthcare
Reports on the London older people's service development programme, which aims to address the social as well as the medical needs of older people. The programme covers 25 borough-based projects, each with a dedicated lead manager and multidisciplinary steering group. It identifies people at risk and co-ordinates work across team care boundaries.
Assessing older people with dementia living in the community: practice issues for social and health services: report of the SSI workshop and visits May-June 1995
- Author:
- GREAT BRITAIN. Department of Health. Social Services Inspectorate
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1996
- Pagination:
- 36p.,bibliog.
- Place of publication:
- London
Report of an exploratory project undertaken by the SSI to consider the assessment of older people with dementia who need support to live in the community. The study focused in particular on health needs and multidisciplinary work. Includes an action checklist.
Assessing older people with dementia living in the community: practice issues for social and health services
- Author:
- GREAT BRITAIN. Department of Health. Social Services Inspectorate
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1996
- Pagination:
- 1p.
- Place of publication:
- London
Letter accompanying the action checklist for the document 'Assessing older people with dementia living in the community.'
Rehabilitation services for older people: a bulletin for trusts and social care organisations
- Author:
- DISTRICT AUDIT
- Publisher:
- District Audit
- Publication year:
- 2002
- Pagination:
- 11p.
- Place of publication:
- London
Rehabilitation and preventative services have an essential part to play in helping older people maintain their independence and a good quality of life. Effective rehabilitation services can prevent the need for older people to be admitted to hospital, facilitate their discharge from hospital and reduce their reliance on institutional care or community services. However, rehabilitation services are failing to make the necessary impact: services are unco-ordinated, they do not engage with older people as individuals and so cannot respond to their needs.
A movable feast: different examples of respite care provision for people with dementia and their carers
- Author:
- ARCHIBALD Carole
- Publisher:
- University of Stirling. Dementia Services Development Centre
- Publication year:
- 1996
- Pagination:
- 63p.
- Place of publication:
- Stirling
This report emphasises the importance of respite in helping people to continue to care, but equally questions existing service provision and offers innovative service examples. What the report emphasises is that carers and people with dementia are a disparate group of people with different needs. Respite provision needs to be a 'movable feast' if it is to meet these needs.
Developing a combined service to assess older people's needs
- Authors:
- BENTLEY Jane, et al
- Journal article citation:
- Health Visitor, 71(2), February 1998, pp.59-61.
- Publisher:
- Health Visitors' Association
Describes the development of a single, comprehensive assessment tool to establish the needs of the over-75s, thus enabling health professionals to plan integrated care.
NHS continuing care: sixth report of session 2004-05: volume 2: oral and written evidence
- Author:
- GREAT BRITAIN. Parliament. House of Commons. Health Committee
- Publisher:
- Stationery Office
- Publication year:
- 2005
- Pagination:
- 148p.
- Place of publication:
- London
NHS continuing care means fully funded care for people who do not require care in an NHS acute hospital, but who nevertheless require a high degree of ongoing health care. Anybody can qualify for NHS continuing care funding if their needs satisfy eligibility criteria, although the largest group of people who receive continuing care funding are elderly people. Continuing care funding is intended to cover the entire costs of care, including all medical care, nursing care, personal care, living costs and accommodation costs, the same as if their care was being provided in an NHS hospital. Eligibility for continuing care funding is currently established with reference to criteria introduced by the Department of Health in 1995. The criteria relate to the complexity, intensity or unpredictability of a patient's healthcare needs, requiring the regular supervision of a consultant, specialist nurse or other member of the NHS multidisciplinary team. From 1995 onwards, individual Health Authorities were each required to develop local policies and eligibility criteria for continuing care funding within this general framework.
The feasibility and acceptability of a specialist health and social care team for the promotion of health and independence in 'at risk' older adults
- Authors:
- DRENNAN Vari, et al
- Journal article citation:
- Health and Social Care in the Community, 13(2), March 2005, pp.136-144.
- Publisher:
- Wiley
Population ageing, escalating costs in pensions, health-care and long-term care have prompted a new policy agenda for active ageing and quality of life in old age across the European Union and other developed countries. In England, the National Service Framework for Older People (NSF OP) explicitly demands for the first time that the NHS and local authorities, in partnership, agree programmes to promote health ageing and to prevent disease in older people. These programmes are expected to improve access for older people to mainstream health promotion services and also to develop multiagency initiatives to promote health, independence and well-being in old age. This paper describes the evaluation of one interagency project team established to test out mechanisms for addressing health promotion for older people through primary care. A mixed methodology was used to understand the processes of service development, the impact of the team's intervention, and the primary and secondary outcomes for older people. The project demonstrated that multi-agency partnerships have the potential to improve the quality of the lives of older people deemed 'at risk' by their general practitioners, particularly through income generation but also in the identification of medical problems such as unrecognised hypertension, hearing loss and visual loss. It also offered some key learning points for other multi-agency groups developing similar services.
Rehabilitation of the older person: a handbook for the interdisciplinary team
- Editors:
- SQUIRES Amanda, HASTINGS Margaret
- Publisher:
- Nelson Thornes
- Publication year:
- 2002
- Pagination:
- 412p.,bibliog.
- Place of publication:
- Cheltenham
- Edition:
- 3rd.
Issues concerning rehabilitation of the elderly and considered from a multi-faceted team management approach. A shift in emphasis from people to person and from multidisciplinary to interdisciplinary reflects changes in the rehabilitation of older people. The book is divided into three sections dealing with the opportunity for, and theory and practice of, rehabilitation.