Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 13
Outcomes-focused social care services for older-people and possibilities
- Author:
- SOCIAL POLICY RESEARCH UNIT
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2006
- Pagination:
- 4p.
- Place of publication:
- York
In 2005, the Social Policy Research Unit was invited by the Social Care Institute for Excellence (SCIE) to review: research and knowledge on outcomes valued by older people; and progress in developing outcome-focused services for older people in England and Wales. This research briefing summarises some of the main findings. The briefing includes discussion of the extent and nature of outcomes focused services; factors that help and hinder outcomes- focused approaches; and a number of case study examples.
An independent review of Shared Lives for older people and people living with dementia
- Authors:
- PPL, CORDIS BRIGHT, SOCIAL FINANCE
- Publisher:
- PPL
- Publication year:
- 2018
- Pagination:
- 46
- Place of publication:
- London
Shared Lives is based around a Shared Lives carer sharing their home with an adult in need of care, to encourage meaningful relationships, independent living skills and community integration. This review explores how Shared Lives’ respite service for older people and people with dementia compare to ‘traditional’ forms of care for across three areas: outcomes for service users, carer and care commissioners; direct care costs to commissioners; and impact on the broader health system, such as a reduced usage. The review found that Shared Lives model provides positive outcomes for both service users and carers. It found that Shared Lives arrangements were able to reduce social isolation experience by carers and help increase their general wellbeing. Shared Lives also resulted in increased independence, wellbeing and choice for service users. In addition, the study found that the costs Shared Lives approach are similar to ‘traditional’ respite provision and provide an important option for commissioners. Appendices include details of calculations of the cost of providing Shared Lives respite care and day services; the results of a rapid evidence assessment on outcomes of 'traditional' respite care; and details of Healthcare service usage modelling. (Edited publisher abstract)
Evidence to inform the commissioning of day centres for older people
- Authors:
- ORELLANA Katharine, MANTHORPE Jill, TINKER Anthea
- Publisher:
- King's College London. Institute of Gerontology
- Publication year:
- 2017
- Pagination:
- 2
- Place of publication:
- London
This briefing summarises the findings of research into the role and purpose of generalist day centres for older people. The results show that day centres result in benefits for older people attending centres, their family carers and centre volunteers. These include enriching the lives of socially isolated people who were unable to go out without support and improvements in the quality of life for family carers. In addition, day centres can provide access to information and support, monitoring of health and wellbeing and signposting to health and care services. The study also identified the potential for their development and optimisation to improve older people’s health and wellbeing, support carers and maximise the impact of health and social care services. The briefing highlights the implications of the findings for commissioners, which include the need to look beyond the obvious costs when commissioning or reviewing day centre provision. (Edited publisher abstract)
Outcomes-based commissioning for social care in extra care housing: is there a future?
- Authors:
- SMITH Randall, et al
- Journal article citation:
- Housing Care and Support, 20(2), 2017, pp.60-70.
- Publisher:
- Emerald
The purpose of this paper is to provide an overview of the process of commissioning adult social care services in England. It reflects the literature on commissioning at the strategic level followed by a section on operational or micro-commissioning. The rest of the paper focusses on the emergence of ideas about outcomes-based commissioning (OBC) in the field of adult social care and ends with critical consideration of the effectiveness of OBC in adult social care as applied to support and care provided in extra care housing. Design/methodology/approach: The review of strategic and operational commissioning in adult social care in England (and Scotland in brief) is based on both policy documents and a review of the literature, as are the sources addressing OBC in adult social care particularly in extra care housing settings. Findings: The core of this paper focusses on the challenges to the implementation of OBC in adult social care in the context of provision for residents in extra care housing. Of central importance are the impact of the squeeze on funding, increasing costs as a result of demographic change and the introduction of a national living wage plus the focus on the needs of service users through the idea of person-centred care and resistance to change on the part of adult social care staff and workers in other relevant settings. Originality/value: Addressing the implementation of OBC in adult social care in England in the context of extra care housing. (Publisher abstract)
Why we need social innovation in home care for older people
- Authors:
- BURNS Diane, et al
- Publisher:
- Centre for Research on Socio-Cultural Change
- Publication year:
- 2016
- Pagination:
- 33
- Place of publication:
- London
This report analyses the root causes of some of the failings of current approaches to home care and explains how and why the progress towards personalisation and outcome based commissioning has been uneven and inconsistent. It then proposes an alternative radical social innovation approach to thinking about ways in which home care can effectively and consistently deliver choice, control and independence across the board. The argument in this report is set out in three main sections. First, it describes the hyper active state and the centrally driven reforms in the sector and explain the disappointment which arises from thinking about home care through a narrow market citizenship lens. Second, the report analyses how the activity specifics of home care intersect with the sectoral business model to create an intractable mess so that putting more state money in is a necessary but insufficient condition of reform. At an individual level, the sector consists of travelling carers performing physical maintenance tasks on unsettled rotas. At firm level, the branch retail business model sees firms choosing to pursue diverse objectives of resilience or cash generation; specifics which are often obscured by provider demands for a fair price from local authorities. Finally, the report sketches a new agenda for radical social innovation that connects with a much broader notion of full citizenship which is about a duty towards carers and those who are cared for as much as their rights to a decent living. The report argues that this should be led by local authority commissioners, empowered by mobilisation of a political coalition for change; engaging old people and other citizens in political debate and choices about the general form of provision for the elderly and recognising the huge social value of maintaining precarious independence in later years. (Edited publisher abstract)
Choice, competition and care: developments in English social care and the impacts on providers and older users of home care services
- Authors:
- RODRIGUES Ricardo, GLENDINNING Caroline
- Journal article citation:
- Social Policy and Administration, 49(5), 2015, p.649–664.
- Publisher:
- Wiley
This article critically examines recent changes in markets for home (domiciliary) care services in England. During the 1990s, the introduction of competition between private (for-profit and charitable) organisations and local authority providers of long-term care services aimed to create a ‘mixed economy’ of supply. More recently, care markets have undergone further reforms through the introduction of direct payments and personal budgets. Underpinned by discourses of user choice, these mechanisms aim to offer older people increased control over the public resources for their care, thereby introducing further competitive pressures within local care markets. The article presents early evidence of these changes on: a) The commissioning and contracting of home care services by local authorities and individual older people; b) The experiences and outcomes for individual older people using home care services.. Drawing on evidence from two recent empirical studies, the article describes how the new emphasis on choice and competition is being operationalised within six local care markets. There are suggestions of small increases in user agency and in opportunities for older people to receive more personalised home care, in which the quality of care-giving relationships can also be optimised. However, the article also presents early evidence of increases in risk and costs associated with the expansion of competition and choice, both for organisations providing home care services and for individual older service users. (Edited publisher abstract)
Strategic commissioning of long term care for older people: can we get more for less?
- Author:
- LAING William
- Publisher:
- LaingBuisson
- Publication year:
- 2014
- Pagination:
- 29
- Place of publication:
- London
This discussion paper analyses the state of the UK market in care services for older people in order to identify market failures and achievements in the area of both commissioning and in supply. The paper briefly outlines the development of the market from 1975 to 2014 and lists the key features of the social care market for older people today. It then looks at the successes and failures of the market, and the mismatch between public sector commissioners’ need to contain costs and providers’ need to earn an adequate return in order to sustain existing services and develop the new ones. The final section lists the features an efficiently functioning social care market should have and puts forward a new care commissioning strategy as a solution to current market failures. The strategy is founded on outcomes-based, long term contracts headed by a new group of professionals working for Social Care Maintenance Organisations (SCMOs). The model covers the whole care pathway from advice and guidance, home care and residential care. The paper then sets out the reasons why this model might be expected to deliver efficiency savings. (Edited publisher abstract)
Improving the quality of life for people with learning disabilities as they grow older: a challenge for providers
- Author:
- WARD Cally
- Publisher:
- Association for Real Change
- Publication year:
- 2013
- Pagination:
- 24
- Place of publication:
- Chesterfield
This document is uses eight outcomes statements to identify what learning disability providers must do to meet the Real Change Challenge of improving the quality of life for people who have a learning disability as they grow older. It provides advice and sets out practical steps on how to ensure that people with learning difficulties continue to have lives that are healthy, happy and fulfilled. The eight outcomes aim to ensure that people are supported, involved, have good health, feel safe, are able to take part in activities, are in contact with people in their social networks, are supported when people close to them die, and that they can come to terms with their own end of life. Bullet points provide advice on how to deliver outcomes and implications for staff development. (Original abstract)
Singing from the same hymn sheet? commissioning of preventative services from the third sector
- Authors:
- MILLER Robin, et al
- Journal article citation:
- Journal of Integrated Care, 21(5), 2013, pp.288-299.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore the delivery of preventative services for older people from third sector organisations (TSOs) and the extent to which current commissioning arrangements enables the aspirations of policy to be achieved. Design/methodology/approach: Semi-structured interviews with key-contacts within a sample of TSOs which had been identified by directors of Adult Social Services as delivering one of the top three preventative interventions in their local authority area. Findings: There was evidence of considerable trust between local authorities and TSOs and as a consequence TSOs were given autonomy to develop holistic and integrated models of delivery that supported rather than diverted the TSOs’ core missions. Both sectors found it difficult to set target outcomes and connected performance frameworks for preventative services. As a consequence a major element of the commissioning cycle is not being completed and TSOs cannot be confident that they are using their resources as effectively as possible. Research limitations/implications: This study was based in one English region, and would benefit from being extended to other English regions and home nations. Practical implications: Universities, policy makers, commissioners and the third sector need to work together to develop common outcome frameworks for preventative services and to gather consistent data sets that can be more easily synthesised to give a “realistic” understanding of the impact of different interventions and delivery models. Originality value: The paper contributes to the limited evidence bases of commissioning of TSOs and preventative services. (Publisher abstract)
Progress and problems in developing outcomes-focused social care services for older people in England
- Authors:
- GLENDINNING Caroline, et al
- Journal article citation:
- Health and Social Care in the Community, 16(1), January 2008, pp.54-63.
- Publisher:
- Wiley
Social care services for adults are increasingly required to focus on achieving the outcomes that users aspire to, rather than on service inputs or provider concerns. This paper reports a study aimed at assessing progress in developing outcomes-focused services for older people and the factors that help and hinder this. It describes the current policy context and discusses the social care service outcomes desired by older people. It then reports on a postal survey that identified over 70 outcomes-focused social care initiatives across England and Wales, and case studies of progress in developing outcomes-focused social care services in six localities. The study found progress in developing outcomes-focused services was relatively recent and somewhat fragmented. Developments in intermediate care and re-ablement services, focusing on change outcomes, were marked; however, there appeared to be a disjunction between these and the capacity of home care services to address desired maintenance outcomes. Process outcomes were addressed across a range of re-ablement, day care and residential services. The paper concludes by discussing some of the challenges in developing outcomes-focused social care services.