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Report of the National Audit of continence Care for Older People (65 years and over) in England, Wales and N. Ireland: summary report
- Author:
- ROYAL COLLEGE OF PHYSICIANS. Clinical Effectiveness and Evaluation Unit
- Publisher:
- Royal College of Physicians
- Publication year:
- 2006
- Pagination:
- 6p.
- Place of publication:
- London
Bladder and bowel problems are common in the elderly and are associated with a considerable morbidity and impact on quality of life. Inequalities in service provision and access to services have been recognized but there has been no systematic approach to measuring the quality of continence care for older people. This study aimed to develop quality standards, to assess the reliability and utility of the resulting audit package and to report on the standards of care provided in primary care, secondary care and care home setting. Fifteen sites in secondary care, primary care and in long-term care settings were randomly selected to pilot the audit package. Data collectors completed audit questionnaires relating to the structure [organization] of care, the outcomes of care, and the process of care for 20 subjects with urinary incontinence and 10 subjects with faecal or double incontinence The audit tool was reliable (median kappa score of 0.7). Access to integrated continence services, as defined by Good Practice in Continence Services was inadequate. Eighty-five per cent of hospitals had no written policy for continence care. There were deficiencies in obtaining information, in carrying out basic and specialist examinations and investigations and in determining the cause of incontinence. There was a high prevalence of catheter use in secondary care settings. The pilot has indicated significant inadequacies in continence care and demonstrates that in many sites the National Service Framework milestone for integrated continence services has not been met. A national audit of continence care is required to determine the extent of inadequate continence care.
2010/11 national survey of investment in mental health services for older people
- Author:
- MENTAL HEALTH STRATEGIES
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2011
- Pagination:
- 43p.
- Place of publication:
- London
This report provides details of the level of investment in mental health services for older people’s mental health services (OPMH) covering people aged 65 and above, in England for 2010/11 and compares it with the reported results in previous in OPMH in England since 2006/07. Analysis is provided for England as a whole and also for geographical regions. The report notes that local authorities (LA’s) experience greater difficulty in separating out mental health from their more general social care investment, so figures may not be as accurate as those from NHS organisations. Based on the reported information real term investment has increased 35.5% since 2006/07 and 3.8% since 2009/10. Although differences in the English average of expenditure may be narrowing there are still inequalities in expenditure per head. Commissioners must reduce health inequalities, improve services and ensure value for money.
NHS funding for long term care: follow up report
- Author:
- HEALTH SERVICE OMBUDSMAN
- Publisher:
- Stationery Office
- Publication year:
- 2004
- Pagination:
- 17p.
- Place of publication:
- London
The problems faced by disabled and elderly people in accessing NHS funding for long term care are highlighted in the Health Service Ombudsman’s report. The report is based on evidence gathered from almost 4,000 complaints received since the publication of the Ombudsman’s first report in February 2003 and shows how, from the patient’s point of view, applying for funding for long term care has been a lengthy hit and miss process.
Ensuring the effective discharge of older patients from NHS acute hospitals: thirty-third report of session 2002-03; report, together with formal minutes, oral and written evidence
- Author:
- GREAT BRITAIN. Parliament. House of Commons. Committee of Public Accounts
- Publisher:
- Stationery Office
- Publication year:
- 2003
- Pagination:
- 18p.
- Place of publication:
- London
On any given day, some 3,500 older patients remain in National Health Service (NHS) acute hospitals after medical staff have declared them fit and safe to be discharged, because arrangements are not complete for them to move on. Many delays are for a few days, but about one-third are for more than 28 days. The Department of Health estimate that delayed discharges cost the National Health Service around £170 million a year (or around £0.5 million for every day of the year), and account for 1.7 million lost bed days annually. Reducing delays has become a Government priority, and was the subject of legislation during the winter of 2002–03. Delayed discharge is as much about the availability of services in the community as what happens in hospital. While hospitals can do much to move patients efficiently through the system, they have to retain them longer than is medically necessary if patients cannot be discharged safely to a more appropriate place. Delays can occur at a number of points, and the most common causes are patients awaiting a care home placement or assessment of needs, problems with transfers to further NHS care, or delays in the availability of public funding. To tackle the problem, successful co-ordination is needed between NHS acute Trusts, Primary Care Trusts, local authority social services departments, and independent sector providers and others.
National service frameworks: a practical aid to implementation in primary care; funding streams
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2002
- Pagination:
- 2p.
- Place of publication:
- London
The following funds have been announced directly to support the NSFs: chronic heart disease, cancer, mental health, and older people.
Nothing personal: rationing social care for older people
- Author:
- HELP THE AGED
- Publisher:
- Help the Aged
- Publication year:
- 2002
- Pagination:
- 112p.,bibliog.
- Place of publication:
- London
Local authorities are rationing social services in an effort to manage limited services. The strategies include waiting lists eligibility criteria and charging for home care services. As a result social services departments can help only the most dependant people. This book looks at the ways in which chronic underfunding of social care is undermining the original intentions of the NHS and Community Care Act 1990.
Policy and change
- Editors:
- SMITH Randall, RAISTRICK Jane
- Publisher:
- University of Bristol. School for Advanced Urban Studies
- Publication year:
- 1994
- Pagination:
- 450p.,tables,bibliogs.
- Place of publication:
- Bristol
Collection of papers drawing together recent research into changes in social policy over the last 10 years. Examines both the pressures for change and the impact that it has had on major policy areas. Chapters focus on urban policy, health and social care, housing, and labour markets. Also looks at: management in the public sector; quality and decentralisation; the changing role of the non-profit sector; information technology and organisational change; quasi-markets and social policy; privatisation and quasi-markets; the NHS and health care expenditure; user empowerment and older people; the housing market; and the Social Charter and Europeanisation of employment and social policy.