Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 24
Working together: multidisciplinary approaches to working with elderly people in the community: the final report of an Age Concern England working party
- Author:
- AGE CONCERN ENGLAND
- Publisher:
- Age Concern
- Publication year:
- 1989
- Pagination:
- 40p., bibliogs.
- Place of publication:
- Mitcham
Discusses the theory behind multidisciplinary care in the community, and reports on schemes in Dinnington and Bridport.
Comprehensive assessment of older people with complex care needs: the multi-disciplinarity of the Single Assessment Process in England
- Authors:
- CHALLIS David, et al
- Journal article citation:
- Ageing and Society, 30(7), October 2010, pp.1115-1134.
- Publisher:
- Cambridge University Press
In the United Kingdom, the quality of assessment of older people with health and social care needs has been a concern of policy makers and others. This paper examined a key aspect of these concerns – whether sufficient expertise is deployed when an older person's eligibility for local authority adult social-care services requires a comprehensive needs assessment of their complex and multiple problems. The Single Assessment Process (SAP) was introduced in England in 2004 to promote a multi-disciplinary model of service delivery. After its introduction, a survey in 2005/06 was conducted to establish the prevalence and patterns of comprehensive assessment practice across England. The arrangements for multi-disciplinary working among local authority areas in England were categorised and reviewed. Results revealed that the provision of comprehensive assessments of older people that require the expertise of multiple professionals is limited, except where the possibility arose of placement in a care-home-with-nursing. Also, a systematic multi-disciplinary approach was absent. The authors concluded that policy initiatives to address the difficulties in assessment need to be more prescriptive if they are to produce the intended outcomes.
A guide to crisis response services
- Author:
- GREAT BRITAIN. Department of Health. Care Services Efficiency Delivery
- Publisher:
- Great Britain. Department of Health. Care Services Efficiency Delivery
- Publication year:
- 2009
- Pagination:
- 13p.
- Place of publication:
- London
Crisis response is well established in mental health services, aimed at supporting an individual during an exacerbation of his/her condition. These services are now being extended to older people experiencing a health or social care crisis, so as to avoid the negative impact of an unnecessary hospital admission. This guide is designed for service commissioners, managers, providers and others who are thinking of developing a new crisis response service or of improving their existing service. It includes: advice and guidance on the rationale for developing crisis response services; the main steps to follow and the challenges to overcome; examples of best practice. It sets out the key considerations, acknowledging that there are elements of crisis response services already in existence across health and social care, usually as part of intermediate care services. In many cases, the challenge facing commissioning teams is how to reconfigure existing services to introduce more efficient and effective working practices.
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.
Care management for older people: does integration make a difference?
- Authors:
- CHALLIS David, et al
- Journal article citation:
- Journal of Interprofessional Care, 20(4), August 2006, pp.335-348.
- Publisher:
- Taylor and Francis
England and Northern Ireland provide examples of different degrees of integration of health and social care within broadly similar administrative and funding frameworks. This paper examines whether integrated structures appear to impact upon the operation of care management, a key approach to providing coordinated care for vulnerable older people. It draws on a study undertaken by the Personal Social Services Research Unit (PSSRU) and funded by the Department of Health to evaluate the different forms and types of care management that have emerged since the NHS and Community Care Act for two user groups: older people and people with mental health problems. Results found there appeared to be more evidence of integrated practice between health and social care in Northern Ireland than England, although some key features, such as intensive care management, were no more evident. It is concluded that further investigation is required as to the extent to which integrated structures have impacted upon patterns of professional working and underlying beliefs about roles.
Home comforts
- Author:
- CASTLETON Beverly
- Journal article citation:
- Health Service Journal, 21.09.06 Intelligence Supplement, 2006, p.11.
- Publisher:
- Emap Healthcare
Prescribed telecare packages could help older or vulnerable people live at home safely for longer. The author asks why they are not more widely used, and looks at the successful experiences of North Surrey primary care trust.
Avoiding unnecessary hospital admissions: the Wandsworth community ward
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2012
- Place of publication:
- London
This film explores the impact that a community ward can have on the health and wellbeing of older people with complex health care needs. The experience of being supported by the multidisciplinary team that staffs the virtual ward is presented through the stories of Mr Clark and Mr and Mrs Dennison. With a GP at the centre of the team, Wandsworth's approach brings together a social worker, advanced nurse practitioner, pharmacist and community matron and makes effective use of telehealth to monitor the physical wellbeing of individuals. Both Mr Clark and the Dennisons also receive social care support and are strong supporters of the community ward approach. Although the cost impact of this initiative is not yet fully known, anecdotal evidence suggests that it is helping to avoid some hospital admissions, whilst providing improved outcomes for the individuals receiving support. The film will be of interest to health and social care commissioners and managers; GPs and community health professionals; social workers; service users and carers.
Stem the tide
- Authors:
- RAMSBOTTOM Helen, BRADLEY Mary
- Journal article citation:
- Health Service Journal, 1.3.12, 2012, pp.26-27.
- Publisher:
- Emap Healthcare
The floods in Cockermouth, Cumbria in 2009 resulted in GP surgeries affected by the flooding being relocated and transformed into a hub for health care in the community and a Centre for the Third Age. The Centre now provides integrated care for an ageing population and provides a single point of contact in the Cockermouth area to: coordinate the prevention agenda; promote independence; and improve overall health and wellbeing for older people. Using a preventive approach to meet older people's needs has also resulted in cost savings.
Community falls prevention for people who call an emergency ambulance after a fall: randomised controlled trial
- Authors:
- LOGAN Philippa A., et al
- Journal article citation:
- British Medical Journal, 15.05.10, 2010, p.1070.
- Publisher:
- British Medical Association
Participants in this randomised controlled trial were 204 adults aged more than 60 living at home or in residential care who had fallen and called an emergency ambulance but were not taken to hospital. Participants were taken from four primary care trusts in England. Participants were referred to community fall prevention services or standard medical and social care. The primary outcome was the rate of falls over 12 months, ascertained from monthly diaries. Secondary outcomes were scores on the Barthel index, Nottingham extended activities of daily living scale, and falls efficacy scale at baseline and by postal questionnaire at 12 months. 102 people were allocated to each group. 99 (97%) participants in the intervention group received the intervention. Falls diaries were analysed for 88.6 person years in the intervention group and 84.5 person years in the control group. The incidence rates of falls per year were 3.46 in the intervention group and 7.68 in the control group. The intervention group achieved higher scores on the Barthel index and Nottingham extended activities of daily living and lower scores on the falls efficacy scale at the 12 month follow-up. The number of times an emergency ambulance was called because of a fall was significantly different during follow-up. It is concluded that a service to prevent falls in the community reduced the fall rate and improved clinical outcome in the high risk group of older people who call an emergency ambulance after a fall but are not taken to hospital.
Together they cracked it
- Author:
- TICKLE Louise
- Journal article citation:
- Community Care, 27.8.09, 2009, pp.26-27.
- Publisher:
- Reed Business Information
One of the adult care green paper's key messages was to use more joint working to provided better adult social care. This article reports on examples of practice. Torquay North Zone intermediate care team aim to reduce the risk of hospital stays and readmission by using a multi-disciplinary intermediate care team. Gloucester Council have commissioned a carers emergency scheme which provides trained support workers if carers are unable to get home. A short case study of the Essex reablement service is also provided.