Search results for ‘Subject term:"older people"’ Sort:
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Moving in the right direction
- Author:
- LEVEAUX Caroline
- Journal article citation:
- Health Service Journal, 8.3.12, 2012, pp.22-23.
- Publisher:
- Emap Healthcare
Care navigators models were introduced by the NHS London Leading Workforce Transformation Programme to address the challenges of complex systems and to help those with long term conditions access services. This article reports on a care navigator model to address the unplanned use of services by older people at Central and North West London Foundation Trust which focused on improving information and advice on adult social care to help all local residents, including self-funders.
Room for improvement in residential care
- Author:
- SHEPHERD Stuart
- Journal article citation:
- Health Service Journal, 10.6.10, 2010, pp.20-21.
- Publisher:
- Emap Healthcare
Drawing on the result of surveys of geriatric medicine departments and primary care trusts published in Clinical Medicine, it is reported that many care home residents lack access to specialist health care services. A short case study of a multidisciplinary service which provides a model of good practice in care home health provision is provided. The service hosted by NHS Southwark and also covers Lambeth and Lewisham in south London,
Integrated care for patients and populations: improving outcomes by working together: a report to the Department of Health and the NHS Future Forum
- Authors:
- GOODWIN Nick, et al
- Publisher:
- King's Fund
- Publication year:
- 2011
- Pagination:
- 20p., bibliog.
- Place of publication:
- London
The implementation of integrated care aims to transform the way in which care is provided for the ageing population and people with long-term conditions and complex health and social care needs. This report looks at the case for integrated care; existing barriers and how they can be overcome; how the Department of Health can support a framework to enable integrated care; and options for implementing integrated care, including approaches to evaluate its impact. The report also highlights three main priorities for the future: setting clear goals to improve the experience of patients and service users; offering patient with complex needs guaranteed levels of services, and implementing changes at both scale and pace. It has been written to inform the development of the Department of Health's integrated care strategy and to contribute to the work of the NHS Future Forum.
Better partnership between care homes and the NHS: findings from the My Home Life programme
- Authors:
- OWEN Tom, et al
- Journal article citation:
- Journal of Care Services Management, 3(1), December 2008, pp.96-106.
- Publisher:
- Taylor and Francis
Partnership between healthcare and social services agencies has been a major theme of government policy for the last ten years and the potential for care homes to contribute significantly to health and social care planning and provision is growing. Yet, despite this, partnership working and access to basic levels of NHS support for care home residents can often be very limited. My Home Life (http://www.myhomelife.org.uk), a UK programme led by Help the Aged, National Care Forum and City University, aims to improve the quality of life for those living, dying, visiting and working in care homes for older people. The programme has identified the need for improved access to health and health care as crucial in optimising the quality of life of older people in care homes. This paper explores the current difficulties that face care homes in accessing healthcare services and examines the potential for better partnership working between care homes and the NHS as a means of delivering better access to healthcare for residents. The paper draws on the learning from a joint event hosted by the Care Services Improvement Partnership and My Home Life programme in collaboration with the Care Homes Learning Network (South West), which brought together a range of stakeholders from the NHS, social services, academic institutions and the care homes sector to discuss how best to improve partnership working.
Lost and confused
- Authors:
- JANZON Karin, et al
- Journal article citation:
- Health Service Journal, 9.11.00, 2000, pp.26-29.
- Publisher:
- Emap Healthcare
Little is known about the needs of people entering nursing and residential homes. Reports on research at Barking and Havering health authority which suggests the NHS may be failing them.
Optimal NHS service delivery to care homes: a realist evaluation of the features and mechanisms that support effective working for the continuing care of older people in residential settings
- Authors:
- GOODMAN C., et al
- Journal article citation:
- Health and Social Care Delivery Research, 5(29), 2017, Online only
- Publisher:
- National Institute for Health Research
- Place of publication:
- London
Objectives: The OPTIMAL study asked what features of health-care provision to care homes are associated with positive outcomes for residents, the NHS and care home staff. Methods: Using realist methods the study focused on five outcomes: (1) medication use and review; (2) use of out-of-hours services; (3) hospital admissions, including emergency department attendances and length of hospital stay; (4) resource use; and (5) user satisfaction. Phase 1: interviewed stakeholders and reviewed the evidence to develop an explanatory theory of what supported good health-care provision for further testing in phase 2. Phase 2 developed a minimum data set of resident characteristics and tracked their care for 12 months. The study also interviewed residents, family and staff receiving and providing health care to residents. The 12 study care homes were located on the south coast, the Midlands and the east of England. Health-care provision to care homes was distinctive in each site. Findings: Phase 1 found that health-care provision to care homes is reactive and inequitable. The realist review argued that incentives or sanctions, agreed protocols, clinical expertise and structured approaches to assessment and care planning could support improved health-related outcomes; however, to achieve change NHS professionals and care home staff needed to work together from the outset to identify, co-design and implement agreed approaches to health care. Phase 2 tested this further and found that, although there were few differences between the sites in residents’ use of resources, the differences in service integration between the NHS and care homes did reflect how these institutions approached activities that supported relational working. Key to this was how much time NHS staff and care home staff had had to learn how to work together and if the work was seen as legitimate, requiring ongoing investment by commissioners and engagement from practitioners. Residents appreciated the general practitioner (GP) input and, when supported by other care home-specific NHS services, GPs reported that it was sustainable and valued work. Access to dementia expertise, ongoing training and support was essential to ensure that both NHS and care home staff were equipped to provide appropriate care. Limitations: Findings were constrained by the numbers of residents recruited and retained in phase 2 for the 12 months of data collection. Conclusions: NHS services work well with care homes when payments and role specification endorse the importance of this work at an institutional level as well as with individual residents. GP involvement is important but needs additional support from other services to be sustainable. A focus on strategies that promote co-design-based approaches between the NHS and care homes has the potential to improve residents’ access to and experience of health care. (Edited publisher abstract)
Social care for older people: home truths
- Authors:
- HUMPHRIES Richard, et al
- Publisher:
- King's Fund
- Publication year:
- 2016
- Pagination:
- 98
- Place of publication:
- London
This report looks at the current state of social care services for older people in England, through a combination of national data and interviews with local authorities, NHS and private providers and other groups. It considers the impact of cuts in local authority spending on social care providers and on older people, their families and carers. The research findings are reported in five sections: views of local authorities about the scale and nature of the savings and perceptions of the future; views of social care providers, including residential, home care and voluntary sector organisations about the impact of local authority budget pressures; the views of interviewees about the impact on older people, their families and carers; the view from the NHS on the experience of managing rising pressures from older patients; and the impact of national and local strategies to improve care and support for older people, such as Care Act 2014, integration, and the Better Care Fund. The report finds that social care for older people is under huge pressure, with increasing numbers of people are not receiving the help they need; social care providers are struggling to retain staff, maintain quality and stay in business; under-investment in primary and community NHS services is undermining the policy objective of keeping people independent and out of residential care; and funding has not kept pace with the new demands created by the Care Act 2014. The report makes recommendations to address three major challenges in adult social care, which are, to: achieve more with fewer resources, for example, through better commissioning and integrated care; establish a more explicit policy framework, which makes it clear that primary responsibility for funding care sits with individuals and families; and reform the long-term funding of social care because reliance on additional private funding is unlikely to be sufficient or equitable. (Edited publisher abstract)
A survival guide to later life
- Author:
- SHOARD Marion
- Publisher:
- Robinson
- Publication year:
- 2004
- Pagination:
- 644p.
- Place of publication:
- London
This book explains all the different ways in which elderly people can help themselves and how their relatives and friends can make life easier for them. Its guidance and suggestions, offering many little-known tips, include: how older people can live in their own homes for as long as possible; what social services departments and the NHS can be made to provide; how to choose a care home; whether an older person should move in with relatives; how to keep afloat financially and staying healthy and happy.
Access to and use of Patient Advice and Liaison Services (PALS) by children, young people and parents: a national survey
- Author:
- SOCIAL POLICY RESEARCH UNIT
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2003
- Pagination:
- 4p.
- Place of publication:
- York
Patient Advice and Liaison Services (PALS) are a key part of the user involvement system in the NHS in England. Reports on a national survey of PALS to examine the extent to which PALS have developed in ways that are inclusive of children, young people and parents. Respondents from 243 PALS provided information for the survey; 122 in PCTs, 101 in NHS trusts, 15 serving both PCTs and NHS Trusts, and 5 in Children's Hospitals. Discusses the findings in relation to staffing, location and open hours, links with other organisations, training and ability to deal with users concerns.
Moving on from community care: the treatment, care and support of older people in England
- Author:
- EASTERBROOK Lorna
- Publisher:
- Age Concern
- Publication year:
- 2003
- Pagination:
- 260p.,bibliog.
- Place of publication:
- London
This book gives an overview of the wide range of recent changes within the NHS, local government and the independent sector, relating to health, housing and social care for older people in England. It explores the background to the last decade of change; and explains the more important aspects for older people with ongoing care needs: getting access to services; knowing what help is available, and from whom; the standards and quality of services; paying for services; and how organisations should be communicating with users and carers.