Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 51
Last nail in the coffin of cradle-to-grave NHS
- Author:
- CRESWELL Jackie
- Journal article citation:
- Community Care, 25.8.94, 1994, p.9.
- Publisher:
- Reed Business Information
Reports on critical response to draft Department of Health guidance on the continuing care of older people, which appears to open the way for the NHS to discharge older people into means-tested social services.
Commission on hospital care for frail older people: main report
- Author:
- HSJ/SERCO COMMISSION ON HOSPITAL CARE FOR FRAIL OLDER PEOPLE
- Publisher:
- Health Service Journal
- Publication year:
- 2014
- Pagination:
- 16
- Place of publication:
- London
A report from the HSJ/Serco Commission, addressing the problem of how the NHS should care for the country's increasing number of frail older people. The commission's central conclusion is that hospital providers and commissioners should not rely on government plans for greater integration between health and social care as a solution - they must and can take action now themselves to tackle the problem. The report sets out five key findings: there is a myth that providing more and better care for frail older people in the community, increasing integration between health and social care services and pooling health and social care budgets will lead to significant, cashable financial savings in the acute hospital sector and across health economies; the commonly made assertion that better community and social care will lead to less need for acute hospital beds is probably wrong as improving community care may postpone the need for hospital care, but it will make frail older people neither invincible nor immortal; more realism is needed in the debate about the quality and quantity of care that can be provided in an environment of funding that is declining relative to demand; hospitals should not be used to provide care that should more appropriately be provided elsewhere; while acute hospital admission is often the right thing to do for frail older people, being in hospital also creates risks for older people and hospitals need to gear up to provide the very best care for frail older people, who are now their most frequent users, involving geriatricians from the start of the admission together with the other appropriate specialists. Alongside the report HSJ has published a series of case studies showing good practice from around the NHS. Further evidence that led to the commissioners' conclusions and a full bibliography is also available. (Edited publisher abstract)
Exploring the system-wide costs of falls in older people in Torbay
- Authors:
- TIAN Yang, et al
- Publisher:
- King's Fund
- Publication year:
- 2013
- Pagination:
- 12
- Place of publication:
- London
One in three people aged over 65, and half of those aged over 80, fall at least once a year. Falls cost the NHS more than £2 billion per year. With the number of people aged 65 and over predicted to increase by 2 million by 2021, the costs incurred of treating patients across health, community and social care services are set to rise further. This paper uses Torbay’s unique patient-level linked data set to explore the NHS and social care costs of the care pathway for older people in the 12 months before and after being admitted to hospital as a result of a fall. On average, these costs for each patient who fell were almost four times as much in the 12 months after admission for a fall as the costs of the admission itself. Over the 12 months that followed admission for falls, costs were 70% higher than in the 12 months before the fall. Comparing the 12 months before and after a fall, the most dramatic increase was in community care costs (160%), compared to a 37% increase in social care costs and a 35% increase in acute hospital care costs. While falls patients in this study accounted for slightly more than 1% of Torbay’s over-65 population, in the 12 months that followed a fall, spending on their care accounted for 4% of the whole annual inpatient acute hospital spending, and 4% of the whole local adult social care budget. The authors discuss how linked health and social care data can be used to inform policy and practice. The findings strengthen the case for an integrated response for frail older people at risk of falls. However, to allow comparison of different models of care, other localities need to emulate Torbay’s recording and analysis of whole-system data at the patient level - which, to the authors' knowledge, is the first time that such detailed analysis of the costs in the health and social care system has been carried out in relation to falls patients in England. (Edited publisher abstract)
Intermediate care
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2001
- Pagination:
- 13p.
- Place of publication:
- London
Sets out guidance on the development of new intermediate care services to be commissioned by the NHS and councils.
No more piggy in the middle
- Author:
- HUDSON Bob
- Journal article citation:
- Health Service Journal, 5.4.01, 2001, p.20.
- Publisher:
- Emap Healthcare
Argues that the concept of 'intermediate care' has yet to be defined and that service co-ordinators will occupy a major role in deciding its boundaries.
Grey matters
- Authors:
- CARPENTER Iain, CALNAN Michael
- Journal article citation:
- Health Service Journal, 9.1.97, 1997, pp.22-23.
- Publisher:
- Emap Healthcare
Health and local authorities spend vast sums on community care for elderly people, yet there is no national standard for assessing their needs. The authors report on the potential benefits of a standardised assessment.
Who foots the bill
- Author:
- CHAMBERLAIN Linda
- Journal article citation:
- Community Care, 2.9.93, 1993, pp.16-17.
- Publisher:
- Reed Business Information
Discusses the confusion over funding of nursing home patients; whether people that have been discharged into the community are still entitled to social security benefits to pay their nursing home fees or whether the NHS is responsible.
Opportunities to improve health and well-being: integrating secondary and acute health care and housing in the new NHS
- Author:
- MOLYNEUX Peter
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2011
- Pagination:
- 8p.
- Place of publication:
- London
In the current economic climate, Clinical Commissioning Groups will be looking to their local providers to work together to ensure that better patient outcomes are delivered at lower cost. There will be greater choice for patients and greater integration between health, social care and community services. This paper looks at the current policy and operating context for the NHS, and considers the contribution that housing services can make to meet the challenges that lie ahead. It argues that new forms of alignment between health, housing and social care may emerge from the changes within the NHS. Housing organisations have a key role to play in engaging with their local health care commissioners in helping them with these challenges. There will be an increased focus on integration of care pathways, especially for those with long-term conditions. Housing organisations have a track record in reducing the demand for acute health care services, and in addition have developed flexible, responsive community based services for older people who live in their own homes. The current crisis provides an opportunity to accelerate the provision of ‘care closer to home’, identify the demand for new purpose-built, special housing, and to adapt the home to enable independent living. This paper is the fourth of 4 briefings by the Housing LIN on personalisation, public health reform, and the emerging primary and secondary health care landscapes.
Intermediate care: what do we know about older people's experiences?
- Author:
- PETCH Alison
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2003
- Pagination:
- 37p.,bibliog.
- Place of publication:
- York
Traditionally ‘intermediate care’ has often been used to refer to a range of services at the boundary of primary and secondary care, although there have been differing assumptions as to the goal of intermediate care, the intensity of support provision and the appropriate target groups. Confusingly, intermediate care has also been used within the hospital as a term for units located between the intensive care unit and the general ward. The current form of intermediate care provision started to shape up with the NHS Plan. This proposed a range of intermediate care services designed to bridge between hospital and home and to: help people recover and regain independence more quickly; bring about swifter hospital discharge when people are ready to leave; and avoid unnecessary long-term care.
Real life research: the ups and downs of an intermediate care study
- Authors:
- TRAPPES-LOMAX Tessa, ELLIS Annie, FOX Mary
- Journal article citation:
- Managing Community Care, 9(5), October 2001, pp.18-24.
- Publisher:
- Pavilion
The second article about a comparative study of joint health and social care rehabilitation for older people. Discusses what has worked well so far, and how the various obstacles to doing systematic research across two complex have been tackled organisations. Also describes the sample group and report on data collection so far.