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Making choices: meeting the current and future accommodation needs of older people: proposed criteria for change: consultation document
- Author:
- NORTHERN IRELAND. Health and Social Care Board
- Publisher:
- Northern Ireland. Health and Social Care Board
- Publication year:
- 2013
- Pagination:
- 72
- Place of publication:
- Belfast
The review of health and social care, ‘Transforming your care’ (2011) consulted on health and social care in Northern Ireland. One aim was to make home the hub of care for older people, with a recommendation to reduce the number of statutory residential care homes. This consultation document is the first in a two-stage consultation process, and outlines four criteria to be used as the basis for assessing the future role and function of statutory residential care for older people. The criteria are designed to be used by Trusts to assist decision making about the role of statutory provision in the context of planning suitable services for older people in the future. The proposed criteria are: availability and accessibility of alternative services; quality of care; care trends; and best use of public money. The consultation period runs from 29 November 2013 to 7 March 2014; but no final decisions on any individual home have been made and will not be made until both stages of consultation have been completed. (Edited publisher abstract)
Exploring assistance in Sweden and the United States
- Authors:
- SHEA Dennis, et al
- Journal article citation:
- Gerontologist, 43(5), October 2003, pp.712-721.
- Publisher:
- Oxford University Press
Few international comparisons of health services are performed using microlevel data. Using such data, this paper compares the need for and receipt of assistance with activities of daily living (ADLs) in comparable samples in the United States and Sweden, a country with a universal system of community-based services. Data from national surveys of community residents completed at approximately the same time in each nation are used to create comparable measures of need and assistance. Descriptive and logistic regression analyses compare need and assistance patterns across the nations and identify individual factors that explain receipt of assistance and unmet needs. Results indicate that a simple story of greater use of paid formal services in Sweden and more unpaid informal use in the United States masks a more complex relationship. Assistance with ADLs seems to be more targeted in Sweden; narrow differences in assistance widen considerably when the analysis is limited to those reporting need. Although these two different health systems result in similar levels of overall ADL assistance, a detailed microlevel comparison reveals key distinctions. Further microlevel comparisons of access, cost, and quality in cross-national data can further aid our understanding of the consequences of health policy.
What do service planner and policy-makers need from research?
- Author:
- MARSHALL Mary
- Journal article citation:
- International Journal of Geriatric Psychiatry, 14(2), February 1999, pp.86-96.
- Publisher:
- Wiley
Nine policy preoccupations have been identified in a recent study of dementia care policies in all European countries. These are used to structure a set of issues which researchers might usefully address to assist service planners and policy-makers. Areas where there is already a research literature are identified. Some description and commentary on the application of current policies in the UK is provided to illustrate the need for research. The importance of a research base is stressed with the suggestion that research in related fields could usefully be transferred.
Long-term care: federal, state and private options for the future
- Authors:
- O'BRIEN Raymond C., FLANNERY Michael T
- Publisher:
- Haworth Press
- Publication year:
- 1997
- Pagination:
- 303p.,bibliog.
- Place of publication:
- Binghamton NY
Examines the debate around long-term care for older people in a United States context. Contains chapters on: competing interests; Medicaid's provisions - federal, state and future; the practical effects of posturing for Medicaid's human needs; disincentives for Medicaid spend down; and possible alternatives. Concludes with a section on possible future options, including policy changes, national insurance programme, long-term care insurance, and integrated planning.
How can European states design efficient, equitable and sustainable funding systems for long-term care for older people?
- Authors:
- FERNANDEZ Jose-Luis, et al
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2009
- Pagination:
- 36p.
- Place of publication:
- Copenhagen
Long-term care expenditures are projected to rise significantly as a percentage of GDP in many countries. This paper discusses the different policy options available to governments in order to develop long-term care systems that are affordable, fair and flexible. The paper highlights the need to assess future demand for long term care services, to assess rationale for using public funds to fund long term care, and also the way in which funding arrangements can be implemented to maximise fairness and efficiency in the system. Brief comparative information is provided for six different countries (Japan, Germany, Austria, France, England and Denmark) to highlight differences in eligibility criteria, entry threshold (need), levels of care, method of assessment of need, benefits, and public sources of funding, methods individual funding, user charges and long term care insurance.
Housing and older people: a national overview
- Author:
- VALLELLY Sarah
- Journal article citation:
- Housing Care and Support, 2(2), June 1999, pp.29-31.
- Publisher:
- Emerald
Describes how the Anchor Trust is about to publish Age File 99 - a comprehensive, up-to-date report documenting the demographics, health, housing circumstances, finances, care arrangements and lifestyles of older people in England. It is intended to be an invaluable resource for anyone involved in shaping the national agenda for the delivery of housing, care support services for older people. Summary outlines the main findings related to the housing conditions and circumstances of older people.
Time for freedom: services for older people with learning difficulties
- Author:
- FITZGERALD Jane
- Publisher:
- Centre for Policy on Ageing/Values Into Action
- Publication year:
- 1998
- Pagination:
- 72p.,bibliog.
- Place of publication:
- London
Report directed at purchasers of services in health and local authorities, and the managers and care staff providers, as well as organisations for people with learning difficulties. Looks at the suitability and quality of community services for older people with learning difficulties, using the views of service users in five localities as a basis for the report. Makes recommendations for future policy based on the wants, needs and desirable services as perceived by older service users and their social networks, as well as service managers and carers.
Paying for age: interim report
- Authors:
- AGE CONCERN ENGLAND. Paying for Age Study Group, BIRCH Robin (chair)
- Publisher:
- Age Concern
- Publication year:
- 1998
- Pagination:
- 57p.,tables,bibliog.
- Place of publication:
- London
Part of a set of papers aiming to put the implications of an ageing society at the forefront of the national policy agenda in the next millennium. This paper looks at the economics of population ageing, presenting the demographic and social background, looking at financial resources, and options for financing long term care and other areas of need in later life.
Telecare implementation guide
- Author:
- GREAT BRITAIN. Department of Health. Integrating Community Equipment Services
- Publisher:
- Great Britain. Department of Health. Integrating Community Equipment Services
- Publication year:
- 2005
- Pagination:
- 44p.
- Place of publication:
- London
In simple terms, telecare includes detectors or monitors (for example, motion or fall detectors) often linked to community alarm systems that trigger a warning at a control centre that can be responded to within defined timescales. There are a number of configurations for equipment and response.
Implementing telecare: strategic analysis and guidelines for policy makers, commissioners and providers
- Authors:
- BARLOW James, et al
- Publisher:
- Audit Commission
- Publication year:
- 2004
- Pagination:
- 42p.
- Place of publication:
- London
Telecare can be defined as a service bringing health and social care directly to a user, generally in their own homes, supported by information and communication technology. It provides safety and security monitoring, physiological and activity monitoring and information. Telecare addresses a range of government policies and the Department of Health (DH) has outlined ambitious targets for telecare to be available in all homes that need it by December 2010. New grant funding has been made available to local councils as a first step. Telecare systems can support the independence and well-being of older or disabled people. They enable carers to respond to a crisis and can help prevent problems arising in the first place by providing early indication of deterioration in an individual's well-being). Telecare consists of assessment and referral of users; installation and maintenance of equipment; monitoring of users, and response in the event of an alert or change in condition.