Community Connecting, 23, November 2009, pp.14-16.
Publisher:
Community Connecting
Using case examples, this article describes the Practicalities and Possibilities Development Programme, which was developed by the Older People's Programme, the Centre for Policy on Ageing and Helen Sanderson Associates to help councils and their NHS partners work together to improve outcomes for older people using a range of person-centred techniques, and has been running in 9 local authorities in England over 18 months. The programme includes a resource pack containing lessons and stories showing how the areas (Bournemouth, Buckinghamshire, Cheshire, Cumbria, Dorset, Enfield, Hounslow, Leicester, and Tameside) created a personalised approach using different person-centred tools to learn who the older person is, what is important to them and how they want to be supported. The article sets out the lessons from the local authorities' work for helping older people experience the benefits of personalisation, including involving older people from the start both individually and collectively to identify key priorities, developing partnerships, the importance of a strategic approach with support from a senior lead, investing in creating the right conditions for change, and recognising that it is change both for staff and for older people and families.
Using case examples, this article describes the Practicalities and Possibilities Development Programme, which was developed by the Older People's Programme, the Centre for Policy on Ageing and Helen Sanderson Associates to help councils and their NHS partners work together to improve outcomes for older people using a range of person-centred techniques, and has been running in 9 local authorities in England over 18 months. The programme includes a resource pack containing lessons and stories showing how the areas (Bournemouth, Buckinghamshire, Cheshire, Cumbria, Dorset, Enfield, Hounslow, Leicester, and Tameside) created a personalised approach using different person-centred tools to learn who the older person is, what is important to them and how they want to be supported. The article sets out the lessons from the local authorities' work for helping older people experience the benefits of personalisation, including involving older people from the start both individually and collectively to identify key priorities, developing partnerships, the importance of a strategic approach with support from a senior lead, investing in creating the right conditions for change, and recognising that it is change both for staff and for older people and families.
Subject terms:
joint working, local authorities, older people, personalisation, person-centred care, service users, social care provision;
Everybody Business was launched on 14 November 2005 to improve health and social care practice at the front line. Older people’s mental health cuts across health and social care, physical and mental health and mainstream and specialist services. The new service development guide is committed to: improving people’s quality of life; meeting complex needs in a co-ordinated way; providing a person-centred approach; and promoting age equality.
Everybody Business was launched on 14 November 2005 to improve health and social care practice at the front line. Older people’s mental health cuts across health and social care, physical and mental health and mainstream and specialist services. The new service development guide is committed to: improving people’s quality of life; meeting complex needs in a co-ordinated way; providing a person-centred approach; and promoting age equality.
Extended abstract:
Author:CARE SERVICES IMPROVEMENT PARTNERSHIP Title: Everybody's business: integrated mental health services for older adults: a service development guide Publisher: Care Services Improvement Partnership, 2005
Summary
This service development guide sets out the key components of a modern older people's mental health (OPMH) service.
Context
Everybody's Business was launched on 14 November 2005 to improve health and social care practice at the front line. Older people's mental health cuts across health and social care, physical and mental health and mainstream and specialist services. The new service development guide is committed to: improving people's quality of life; meeting complex needs in a co-ordinated way; providing a person-centred approach; and promoting age equality.
Contents
A foreword begins by quoting the World Health Organization's assertion that a society can be defined by the way it treats its older citizens and lists the characteristics of an OPMH service which is fit for its purpose. An introduction emphasises the importance of carers, explains how the subject impinges on the whole health care system, outlines the development of OPMH services, and describes the guide. There follows six sections. ‘Foundations for developing a comprehensive older adult mental health service' is subdivided into discussions of involving service users and their carers, health promotion, assessment and care planning, developing culturally appropriate services, workforce development, a whole systems approach to commissioning integrated services, and leadership: champions, managers and leaders. ‘Primary and community care' covers primary care, home care, day services, housing, assistive technology and telecare, and care in residential settings. Two unsubdivided sections are on intermediate care and care for people in the general hospital. ‘Other specialist mental health services' is about integrated community mental health teams, memory assessment services, psychological therapies and in-patient care. Finally, ‘Special groups' is subdivided into discussions of younger people with dementia, older people with learning disabilities, and mental health care for older prisoners. Annexes discuss the policy context and describe some key policy drivers, and describe service assessment.
77 references
Subject terms:
joint working, mental health services, older people, person-centred care, quality of life, service development, social care provision;
Health and Social Care in the Community, 26(3), 2018, pp.314-329.
Publisher:
Wiley
The third sector has played a significant role internationally in the delivery of adult social care services for many years. Its contribution to care co‐ordination activities for older people, however, in England and elsewhere, is relatively unknown. A scoping review was therefore conducted to ascertain the character of the literature, the nature and extent of third sector care co‐ordination activity, and to identify evidence gaps. It was undertaken between autumn 2013 and summer 2014 and updated with additional searches in 2016. Electronic and manual searches of international literature using distinct terms for different approaches to care co‐ordination were undertaken. From a total of 835 papers, 26 met inclusion criteria. Data were organised in relation to care co‐ordination approaches, types of third sector organisation and care recipients. Papers were predominantly from the UK and published this century. Key findings included that: a minority of literature focused specifically on older people and that those doing so described only one care co‐ordination approach; third sector services tended to be associated with independence and person‐centred practice; and working with the statutory sector, a prerequisite of care co‐ordination, was challenging and required a range of features to be in place to support effective partnerships. Strengths and weaknesses of care co‐ordination practice in the third sector according to key stakeholder groups were also highlighted. Areas for future research included the need for: a specific focus on older people's experiences; an investigation of workforce issues; detailed examination of third sector practices, outcomes and costs; interactions with the statutory sector; and an examination of quality assurance systems and their appropriateness to third sector practice. The main implication of the findings is a need to nurture variety within the third sector in order to provide older people and other adults with the range of service options desired.
(Edited publisher abstract)
The third sector has played a significant role internationally in the delivery of adult social care services for many years. Its contribution to care co‐ordination activities for older people, however, in England and elsewhere, is relatively unknown. A scoping review was therefore conducted to ascertain the character of the literature, the nature and extent of third sector care co‐ordination activity, and to identify evidence gaps. It was undertaken between autumn 2013 and summer 2014 and updated with additional searches in 2016. Electronic and manual searches of international literature using distinct terms for different approaches to care co‐ordination were undertaken. From a total of 835 papers, 26 met inclusion criteria. Data were organised in relation to care co‐ordination approaches, types of third sector organisation and care recipients. Papers were predominantly from the UK and published this century. Key findings included that: a minority of literature focused specifically on older people and that those doing so described only one care co‐ordination approach; third sector services tended to be associated with independence and person‐centred practice; and working with the statutory sector, a prerequisite of care co‐ordination, was challenging and required a range of features to be in place to support effective partnerships. Strengths and weaknesses of care co‐ordination practice in the third sector according to key stakeholder groups were also highlighted. Areas for future research included the need for: a specific focus on older people's experiences; an investigation of workforce issues; detailed examination of third sector practices, outcomes and costs; interactions with the statutory sector; and an examination of quality assurance systems and their appropriateness to third sector practice. The main implication of the findings is a need to nurture variety within the third sector in order to provide older people and other adults with the range of service options desired.
(Edited publisher abstract)
Subject terms:
integrated care, literature reviews, older people, voluntary sector, voluntary organisations, adult social care, person-centred care, evidence, independence, joint working;
This report outlines the detailed findings from the first year of a strategic research programme, exploring the lives, experiences and mind-set of older people who could be described as experiencing or at-risk of self-neglect. The programme comprised desk research and background reading; in-home, ethnographic interviews with older people; mini groups with informal concerned observers; and a workshop with practitioners who work with older people. The research revealed how the phenomenon of self-neglect exists on a spectrum, depending on the extent to which the patterns of behaviour are entrenched: low levels – some changes in behaviour but few obvious signs; medium levels – changes in behaviour are continuing and the signs of this start to show; high levels – behaviours have become entrenched and have an impact on one’s life and health as well as potentially impacting on others; and safeguarding cases – behaviours have become entrenched to the extent that the individual is a danger to themselves and/or others. The research identified four distinctive characteristics of the mind-set of someone at risk of, or currently self-neglecting: low self-worth – feeling that one’s life no longer has value/purpose and that they are a burden on others; low motivation – the benefit/value in making a change is outweighed by the effort; lack of agency – not knowing how to, or not feeling able to, make change; and reluctance to ask for help. The report finds that practitioners developed a set of broad guiding principles for how to work as effectively as possible with older people who are experiencing self-neglect: building a relationship and rapport with that person; following a person-centred approach; identify the key people around the person to work with; effective partnership working; and remembering responsibilities and limits regarding your professional practice.
(Edited publisher abstract)
This report outlines the detailed findings from the first year of a strategic research programme, exploring the lives, experiences and mind-set of older people who could be described as experiencing or at-risk of self-neglect. The programme comprised desk research and background reading; in-home, ethnographic interviews with older people; mini groups with informal concerned observers; and a workshop with practitioners who work with older people. The research revealed how the phenomenon of self-neglect exists on a spectrum, depending on the extent to which the patterns of behaviour are entrenched: low levels – some changes in behaviour but few obvious signs; medium levels – changes in behaviour are continuing and the signs of this start to show; high levels – behaviours have become entrenched and have an impact on one’s life and health as well as potentially impacting on others; and safeguarding cases – behaviours have become entrenched to the extent that the individual is a danger to themselves and/or others. The research identified four distinctive characteristics of the mind-set of someone at risk of, or currently self-neglecting: low self-worth – feeling that one’s life no longer has value/purpose and that they are a burden on others; low motivation – the benefit/value in making a change is outweighed by the effort; lack of agency – not knowing how to, or not feeling able to, make change; and reluctance to ask for help. The report finds that practitioners developed a set of broad guiding principles for how to work as effectively as possible with older people who are experiencing self-neglect: building a relationship and rapport with that person; following a person-centred approach; identify the key people around the person to work with; effective partnership working; and remembering responsibilities and limits regarding your professional practice.
(Edited publisher abstract)
Subject terms:
older people, self-neglect, self-esteem, motivation, person-centred care, staff-user relationships, carers, joint working, professional role, qualitative research;
UNIVERSITY OF SOUTH WALES. Welsh Institute for Health and Social Care
Publisher:
University of South Wales. Welsh Institute for Health and Social Care
Publication year:
2017
Pagination:
10
Place of publication:
Pontypridd
This paper focuses on the role of the third sector in supporting older people's health and care needs, and how relationships within and without the sector need to develop in order to meet the rising challenge of ageing. It provides a 20-point summary of the key matters that came from a discussion process, structured around three areas: funding, current relationships within the sector and the future, followed by a discussion of the current situation of the third sector within Wales, thoughts on potential changes and how they may be achieved. The paper argues that there must be a major overhaul of the funding regime for the third sector, and financial pressures must be better understood. Given the emphasis on value for money, and the overall ‘professionalisation’ or ‘commercialisation’ of relationships between the public and third sector, the third sector is in danger of losing its original identity both in terms of volunteering but also in terms of the other roles it often fulfils like engagement, influencing, user voice. The paper calls for greater collaboration between the public and third sectors, with stronger representation of the third sector in Regional Partnership Boards and Public Service Boards, sub-committees and sub-regional bodies. The paper argues that much of what is required is about developing real relationships, spending time to reach out to each other, deliberately building trust by building a relationship, and not going beyond what we should as organisations. It concludes that a new approach to engagement is needed that fully involves communities, alongside a systematic improvement in the service planning process. Ultimately, a new approach to service delivery must be underpinned by a shift in the focus from what third sector organisations have and can offer to what actually matters to older people, the outcomes they want to achieve and how they want to be supported.
(Edited publisher abstract)
This paper focuses on the role of the third sector in supporting older people's health and care needs, and how relationships within and without the sector need to develop in order to meet the rising challenge of ageing. It provides a 20-point summary of the key matters that came from a discussion process, structured around three areas: funding, current relationships within the sector and the future, followed by a discussion of the current situation of the third sector within Wales, thoughts on potential changes and how they may be achieved. The paper argues that there must be a major overhaul of the funding regime for the third sector, and financial pressures must be better understood. Given the emphasis on value for money, and the overall ‘professionalisation’ or ‘commercialisation’ of relationships between the public and third sector, the third sector is in danger of losing its original identity both in terms of volunteering but also in terms of the other roles it often fulfils like engagement, influencing, user voice. The paper calls for greater collaboration between the public and third sectors, with stronger representation of the third sector in Regional Partnership Boards and Public Service Boards, sub-committees and sub-regional bodies. The paper argues that much of what is required is about developing real relationships, spending time to reach out to each other, deliberately building trust by building a relationship, and not going beyond what we should as organisations. It concludes that a new approach to engagement is needed that fully involves communities, alongside a systematic improvement in the service planning process. Ultimately, a new approach to service delivery must be underpinned by a shift in the focus from what third sector organisations have and can offer to what actually matters to older people, the outcomes they want to achieve and how they want to be supported.
(Edited publisher abstract)
Subject terms:
older people, voluntary sector, voluntary organisations, public sector, collaboration, joint working, person-centred care, financing;
Summarises discussions from workshop with people across the health, care and housing sectors to develop joint solutions to enable people to live independently for longer and alleviate pressure on the NHS and social care. The workshops aimed to identify the blockages preventing integration between health, care and housing; solutions to transform the system; and the implications for housing supply, commissioning decisions and care pathways. The three fictional personas were used to explore the experiences of individuals through the current health, care and housing system, and to identify what this might look like in an ideal world. Seven main themes emerged from the discussions: learning from good practice, focussing on the individual and their outcomes, rather than systems and cost savings; leadership from Government in relation to older people and older people’s housing; differences between housing and health that can create barriers to joint working; a more active role for local government and local citizens; the need to monitor the impact of early intervention and prevention; and improvements in current and new housing stock. A list of key actions and links to examples of good practice are included.
(Edited publisher abstract)
Summarises discussions from workshop with people across the health, care and housing sectors to develop joint solutions to enable people to live independently for longer and alleviate pressure on the NHS and social care. The workshops aimed to identify the blockages preventing integration between health, care and housing; solutions to transform the system; and the implications for housing supply, commissioning decisions and care pathways. The three fictional personas were used to explore the experiences of individuals through the current health, care and housing system, and to identify what this might look like in an ideal world. Seven main themes emerged from the discussions: learning from good practice, focussing on the individual and their outcomes, rather than systems and cost savings; leadership from Government in relation to older people and older people’s housing; differences between housing and health that can create barriers to joint working; a more active role for local government and local citizens; the need to monitor the impact of early intervention and prevention; and improvements in current and new housing stock. A list of key actions and links to examples of good practice are included.
(Edited publisher abstract)
Subject terms:
integrated care, health, social care, housing, integration, prevention, person-centred care, joint working, older people;
Reports on the results of a roundtable event to discuss how the NICE guideline 'Home care: delivering personal care and practical support to older people living in their own homes' can help to improve the experiences and outcomes of people who use home care services. The event was organisation by the NICE Collaborating Centre for Social Care and attended by 15 participants, including people who used home care, carers, providers, and commissioners. Areas discussed included the guidelines that would be the easiest or most important to implement, and what might help and what would get in the way of them implementing the guideline. The top three themes identified were: Recruiting, training and supporting home are workers; Ensuring care is person centred; and joint working between health and social care. The report also includes advice on holding a local roundtable event.
(Edited publisher abstract)
Reports on the results of a roundtable event to discuss how the NICE guideline 'Home care: delivering personal care and practical support to older people living in their own homes' can help to improve the experiences and outcomes of people who use home care services. The event was organisation by the NICE Collaborating Centre for Social Care and attended by 15 participants, including people who used home care, carers, providers, and commissioners. Areas discussed included the guidelines that would be the easiest or most important to implement, and what might help and what would get in the way of them implementing the guideline. The top three themes identified were: Recruiting, training and supporting home are workers; Ensuring care is person centred; and joint working between health and social care. The report also includes advice on holding a local roundtable event.
(Edited publisher abstract)
Subject terms:
home care, older people, good practice, policy implementation, person-centred care, recruitment, training, joint working;
Practice guideline providing good practice advice on the planning and delivery of person-centred home care and domiciliary care for older people. The guideline aims to promote older people's independence and to ensure safe and consistently high quality home care services. The guideline was developed by a guideline development group following a detailed review of the evidence on home care. The recommendations cover: ensuring care is person centred; providing information about care and support options; planning and reviewing home care and support; delivering home care, including advice on the length of home care visits; joint working between health and social care; ensuring safety and safeguarding people using home care services; and recruiting, training and supporting home care workers. The guideline also highlights the importance of prioritising continuity of care by ensuring the person has the same home care worker or workers so that they can become familiar and build a relationship. Recommendations for future research are provided. The guideline is for health and social care practitioners, home care providers, home care managers, home care workers, commissioners of home care in local authorities and CCGs and people using or planning to use home care services.
(Edited publisher abstract)
Practice guideline providing good practice advice on the planning and delivery of person-centred home care and domiciliary care for older people. The guideline aims to promote older people's independence and to ensure safe and consistently high quality home care services. The guideline was developed by a guideline development group following a detailed review of the evidence on home care. The recommendations cover: ensuring care is person centred; providing information about care and support options; planning and reviewing home care and support; delivering home care, including advice on the length of home care visits; joint working between health and social care; ensuring safety and safeguarding people using home care services; and recruiting, training and supporting home care workers. The guideline also highlights the importance of prioritising continuity of care by ensuring the person has the same home care worker or workers so that they can become familiar and build a relationship. Recommendations for future research are provided. The guideline is for health and social care practitioners, home care providers, home care managers, home care workers, commissioners of home care in local authorities and CCGs and people using or planning to use home care services.
(Edited publisher abstract)
Subject terms:
older people, home care, person-centred care, home care assistants, joint working, integrated care, independence, care planning, commissioning, telecare;
Whole person care – integrating physical, social and mental health care in a preventative and person-centred system – is potentially Labour’s big idea going into the 2015 election. The concept has already gained wide support among health professionals, policy experts, campaigners, practitioners and political advocates, who have united to welcome the approach. However, big questions remain around how to turn it from an interesting idea into a credible
programme for government. To inform the development of the whole person care agenda, Andy Burnham MP, the shadow health secretary, brings together a range of independent experts to explore the policy implications of integrated health and social care. Their essays do not represent Labour party policy, but outline the key areas that will need to be answered, in order to develop a coherent and effective ‘whole person’ approach to health and social care. The publication has been supported by Age UK.
(Edited publisher abstract)
Whole person care – integrating physical, social and mental health care in a preventative and person-centred system – is potentially Labour’s big idea going into the 2015 election. The concept has already gained wide support among health professionals, policy experts, campaigners, practitioners and political advocates, who have united to welcome the approach. However, big questions remain around how to turn it from an interesting idea into a credible
programme for government. To inform the development of the whole person care agenda, Andy Burnham MP, the shadow health secretary, brings together a range of independent experts to explore the policy implications of integrated health and social care. Their essays do not represent Labour party policy, but outline the key areas that will need to be answered, in order to develop a coherent and effective ‘whole person’ approach to health and social care. The publication has been supported by Age UK.
(Edited publisher abstract)
Subject terms:
older people, health care, mental health care, adult social care, holistic care, integrated services, person-centred care, joint working, policy formulation;
Quality in Ageing and Older Adults, 12(2), 2011, pp.109-118.
Publisher:
Emerald
The aims, role and impact of a specialist intermediate care service for people with dementia in Kent, entitled the Home Treatment Service (HTS) is described. The authors reflect on two workshops about the service, delivered as part of the "Dementia Care: A Positive Future" conference held in May 2010. The 45 workshop participants included service providers, professionals and family carers. The aims and nature of the service were outlined by members of the clinical team as: adopting a multi-professional approach, emphasising the value of a shared assessment process and having a commitment to flexible and intensive working within a person centred framework. Focusing on the HTS's work with care homes, presenters offered case illustrations to highlight its collaborative approach to working with service users, staff, managers and families to improve the quality of life for users presenting with challenging behaviour and preventing placement breakdown. Discussion with participants explored the obstacles and opportunities in working productively with care homes. The HTS's potential to reduce reliance on anti-psychotic medication was specifically highlighted. In addition to improving user and carer quality of life, outcomes of HTS intervention include a reduction in and quicker discharge from, mental health hospitals and maintaining the person in their existing setting.
The aims, role and impact of a specialist intermediate care service for people with dementia in Kent, entitled the Home Treatment Service (HTS) is described. The authors reflect on two workshops about the service, delivered as part of the "Dementia Care: A Positive Future" conference held in May 2010. The 45 workshop participants included service providers, professionals and family carers. The aims and nature of the service were outlined by members of the clinical team as: adopting a multi-professional approach, emphasising the value of a shared assessment process and having a commitment to flexible and intensive working within a person centred framework. Focusing on the HTS's work with care homes, presenters offered case illustrations to highlight its collaborative approach to working with service users, staff, managers and families to improve the quality of life for users presenting with challenging behaviour and preventing placement breakdown. Discussion with participants explored the obstacles and opportunities in working productively with care homes. The HTS's potential to reduce reliance on anti-psychotic medication was specifically highlighted. In addition to improving user and carer quality of life, outcomes of HTS intervention include a reduction in and quicker discharge from, mental health hospitals and maintaining the person in their existing setting.
Subject terms:
joint working, intermediate care, multidisciplinary services, older people, person-centred care, challenging behaviour, care homes, dementia;