Search results for ‘Subject term:"older people"’ Sort:
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A pilot falls prevention programme for community dwelling older people
- Author:
- CHADDERTON Hugh
- Publisher:
- British Geriatrics Society
- Publication year:
- 2006
- Place of publication:
- London
This paper is a short report of a pilot falls prevention programme that took place in an NHS Trust in Wales in 2005-06. The paper includes the epidemiology of falls, the health and social policy framework in Wales, the questions, governance and funding, the setting, patients and methods, a discussion of the findings, and a final summary.
National clinical audit of falls and bone health in older people
- Author:
- ROYAL COLLEGE OF PHYSICIANS. Clinical Effectiveness and Evaluation Unit
- Publisher:
- Healthcare Commission
- Publication year:
- 2007
- Pagination:
- 121p.
- Place of publication:
- London
The first national clinical audit to investigate the care received by patients who have fallen and fractured bones (hip, wrist, arm, pelvis or spine) shows that an inadequate service is being provided by most local health services, and that there are unacceptable variations of care across PCTs and Trusts in England, Northern Ireland and Wales. The audit, commissioned by the Healthcare Commission and carried out by the Royal College Of Physicians' Clinical Effectiveness and Evaluation Unit (CEEu), shows that most PCTs and Trusts were nowhere near meeting national standards and guidelines from NICE, SIGN and the National Service Framework for Older People on the care and prevention of falls
Ideas for the NHS long-term plan from the Centre for Ageing Better
- Author:
- CENTRE FOR AGEING BETTER
- Publisher:
- Centre for Ageing Better
- Publication year:
- 2018
- Pagination:
- 13
- Place of publication:
- London
Sets out the case for why NHS England should make bold commitments to healthy ageing in its long-term plan and suggests some ideas for actions it could take and some areas for action with others. It highlights the importance of prioritising prevention and early intervention; supporting people managing long-term conditions and living with disabilities to retain their skills and maintain their independence; and the role of the NHS in supporting health at work and to support those who have fallen out of work due to poor health or disability to return to work. It also highlights the importance of NHS services working in partnership with social care and housing providers to ensure that care is integrated and reaches people where they live. (Edited publisher abstract)
Sustainability and Transformation Plans: analysis of extent to which housing and ageing are mentioned in SPTs. Integration briefing 4
- Author:
- CARE AND REPAIR ENGLAND
- Publisher:
- Care and Repair England
- Publication year:
- 2017
- Pagination:
- 19
- Place of publication:
- Nottingham
This briefing provides a brief overview of Sustainability and Transformation Plans (STPs) and discusses the potential of housing and housing interventions to achieving the STP aims of greater investment in primary care and focusing more on prevention. Based on a search of all 44 STPs, the briefing found a wide variation in inclusion of references to housing and older people, with some plans containing no reference to housing interventions. The briefing argues that housing services can play a critical role in NHS transformation and in the aims of shifting health care away from hospitals, deliver more health care at home, and improve hospital discharge. (Edited publisher abstract)
Towards affordable healthcare: why effective innovation is key
- Authors:
- BAMFORD Sally-Marie, et al
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2017
- Pagination:
- 58
- Place of publication:
- London
This report explores the potential for innovation to improve health care within the UK and how the ‘right type’ of innovation could make health care better and cheaper, essentially doing “more with less”. It is the second in a major programme of work looking into how we can afford a sustainable older society. The report showcases seven specific global and UK innovations with a strong evidence base of demonstrable success, and calculates the savings that could be achieved by implementing them across the UK. The examples include: The Memory First Project, an integrated dementia service run by a consortium of GPs which has successfully reduced dementia diagnosis times in Staffordshire; Canterbury Integrated Care in New Zealand, which has resulted in reduced nursing home admissions and hospital use; Stay on Your Feet Programme, aimed at preventing falls among older people in a region of Australia; Protocol 3 (P3) which provides care services to older people in need of care 24/7 in Belgium; and EASYCare, a global project to extend healthy active life in old age. By modelling the seven health innovations in the UK, the report concludes that the innovations could save the NHS up to £18.5 billion between 2015 and 2030. The report concludes that whilst the UK is well placed to innovate to improve health outcomes and reduce costs, it is often not doing enough with the tools at its disposal. (Edited publisher abstract)
Evaluation of Southwark and Lambeth integrated care programme: report
- Authors:
- WOLFE Charles, et al
- Publisher:
- King's College London
- Publication year:
- 2016
- Pagination:
- 117
- Place of publication:
- London
Detailed evaluation of the Southwark and Lambeth Integrated Care (SLIC) project, which was set up as a partnership of commissioners and providers across health and social care, along with local people, to improve the value of care in Southwark and Lambeth. Its main aims were to identify and address care needs at an early stage; provide join up care around people and across providers and provide care in the most appropriate setting. The programme focused on older people and long term conditions and aimed to reduce emergency hospital admission and care home utilisation. The evaluation assesses the value of the £10.6 million spent on the project, looks at what worked and what didn’t in improving value and the reasons for this. It also highlights lessons learnt from the programme. Methods included an analysis of quantitative data to examine expenditure, documentary analysis, interviews with stakeholders and focus groups. It also provides a synthesis of the published evidence on integrated care, including evaluations of the Southwark and Lambeth Integrated Care project to date, and literature on governance. Successful outcomes of the project identified included: good integrated working by partners across health and social care; reduced admission to care homes and no increase in the rate of emergency admissions to hospital; citizen engagement and co-production; and a reported shift in investment from acute care towards community and primary care. (Edited publisher abstract)
Heatwave plan for England: protecting health and reducing harm from severe heat and heatwaves
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2015
- Pagination:
- 45
- Place of publication:
- London
The Heatwave Plan for England is intended to protect the population from heat-related harm to health. It aims to prepare for, alert people to, and prevent, the major avoidable effects on health during periods of severe heat in England. It recommends a series of steps to reduce the risks to health from prolonged exposure to severe heat for: the NHS, local authorities, social care, and other public agencies, professionals working with people at risk; and individuals, local communities and voluntary groups. The plan describes the Heat-Health Watch system which operates in England from 1 June to 15 September each year. The system comprises five main levels (Levels 0-4), from long-term planning for severe heat, through summer and heatwave preparedness, to a major national emergency. Each alert level triggers a series of appropriate actions which are detailed in the Heatwave Plan. (Edited publisher abstract)
Unblocking: securing a health and social care system that protects older people
- Authors:
- THOMSON Alex, HOWELL Steven
- Publisher:
- Localis
- Publication year:
- 2015
- Pagination:
- 41
- Place of publication:
- London
This report sets out proposals to address the problems faced by the health and social care system as it needs to cater for an ageing population. It proposes a rethink of services by building the care system around the very different needs of individuals in order to provide person-centred co-ordinated care. The report draws on interviews with health and social care experts and a survey of over 100 local health leaders. It discusses some of the main symptoms of a lack of integration between health and social care services and the negative effects they have on older people's experience of the system. These include delayed transfers of care and unnecessary hospital admissions. It then looks at the causes of these problems at a national and local level. The lack of focus on prevention, a lack of integration between health and social care, lack of appropriate housing for older people, and divides between the care workforce are some of the issues discussed. The report then proposes some solutions to improve care and facilitate greater integration between health and social care. Recommendations include: shift the blame away from patients by using the phrase 'preventable bed occupation' instead of 'bed blocking'; the introduction of single, place-based commissioning budgets for 40-55 year olds and care provision for those over 85 to improve co-ordinated care for older people; making acute trusts statutory members of Health and Wellbeing boards to help reduce fragmentation of the heath and care system; getting the Government to commit to a fixed five-year budget to allow for long-term strategic planning; and increasing the flexibility of primary care by supporting technology and innovation. (Edited publisher abstract)
Heatwave plan for England 2014: protecting health and reducing harm from severe heat and heatwaves
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2014
- Pagination:
- 44
- Place of publication:
- London
The Heatwave Plan for England is intended to protect the population from heat-related harm to health. It aims to prepare for, alert people to, and prevent, the major avoidable effects on health during periods of severe heat in England. It recommends a series of steps to reduce the risks to health from prolonged exposure to severe heat for: the NHS, local authorities, social care, and other public agencies, professionals working with people at risk; and individuals, local communities and voluntary groups. The plan describes the Heat-Health Watch system which operates in England from 1 June to 15 September each year. The system comprises five main levels (Levels 0-4), from long-term planning for severe heat, through summer and heatwave preparedness, to a major national emergency. Each alert level triggers a series of appropriate actions which are detailed in the Heatwave Plan. (Edited publisher abstract)
Irreversible? Health and social care policy in a post-Coalition landscape
- Editors:
- WILSON CRAW Dan, EDOBOR Martin
- Publisher:
- Fabian Society
- Publication year:
- 2013
- Pagination:
- 40
- Place of publication:
- London
With increasing demands on the NHS from an ageing population, cuts to frontline services and an estimated 800,000 older people in England currently not receiving the care they need, Britain faces a growing crisis in health and social care. This pamphlet is the culmination of the Young Fabians' health service and social care reform series, involving Young Fabian members, who have held meetings with Shadow Ministers, MPs, community stakeholders and health care workers. The authors, all Young Fabian members, set out new analysis and solutions for the Labour Party to debate and reflect on. (Edited publisher abstract)