Search results for ‘Subject term:"older people"’ Sort:
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Choice, consumerism and devolution: growing old in the welfare state(s) of Scotland, Wales and England
- Authors:
- MOFFATT Suzanne, et al
- Journal article citation:
- Ageing and Society, 32(5), July 2012, pp.725-746.
- Publisher:
- Cambridge University Press
For the first time since the inception of the UK welfare state, there are now formal differences in entitlement for older people as a result of devolution. This article reviews how choice and devolution have impacted on people over state retirement age. It considers the extent to which a more consumerist approach to public services might redress or increase later-life inequalities. The article suggests that for many people over state retirement age, the prospect of becoming a consumer in these varied contexts is difficult and unwelcome, and that although it is too early in the devolutionary process for any significant impact of these divergent policies to materialise, continued policy divergence will lead to different experiences and outcomes for older people. The article concludes that these divergent social policies offer significant research on later-life inequalities.
Individual service funds for homecare
- Authors:
- TOMLINSON Caroline, LIVESLEY Michelle
- Publisher:
- In Control
- Publication year:
- 2012
- Pagination:
- 36p.
- Place of publication:
- Wythall
Personalisation is a key element of government policy for public services. The national Think Local Act Personal partnership is bringing together sector leadership to promote and support personalisation. However it is clear that many people receiving support are not aware of the agenda and the possibilities it presents for them to have choice and control in their lives. This project was initiated to help people to make progress in one of the most challenging areas of adult social care to truly personalise - homecare. Following discussions about practically helpful approaches, a stakeholder group of representatives of people receiving, commissioning and providing support, has come together to explore the specific opportunities presented by Individual Service Funds. This report suggests that homecare should not been seen as a commodity but an essential part of many people's lives. In particular this report is intended as a practical contribution to the development of Individual Service Funds in homecare. It is hoped that it can be used as the basis for further work in localities with commissioners and with homecare providers keen to rise to the personalisation challenge.
Progress in personalisation for people with dementia
- Authors:
- ADAMS Trevor, ROUTLEDGE Martin, SANDERSON Helen
- Publisher:
- Helen Sanderson Associates
- Publication year:
- 2012
- Pagination:
- 40p.
- Place of publication:
- London
Today, the dominant approach in services to people with dementia is person centred care, developed in the 1980s. Since then, person centred care has changed the way people with dementia are seen and addressed, and has given rise to a dramatic increase in the quality of care. This paper examines personalisation and describes how it builds on and extends person centred care. It reviews recent ideas about personhood within person centred care and highlights the increasing recognition that people with dementia have agency. The paper argues that developing services that support agency and self-direction is central to personalisation, and extends person centred care. It outlines the progress that has been made towards the implementation of personalisation, which has been a key feature of government policy since 2007.
Personalising reablement: inserting the missing link
- Author:
- NEWTON Clive
- Journal article citation:
- Working with Older People, 16(3), 2012, pp.117-121.
- Publisher:
- Emerald
Home-based reablement has been shown to be both effective and cost-effective. This paper argues that reablement services would be even more effective if they were to identify and work towards goals that are important and meaningful to the individual by applying learning from personalisation and person-centred planning. It draws on the evidence from a large prospective longitudinal study carried out in 2008-2010 that demonstrates that the success of reablement varies considerable at the individual level. The paper finds that motivation is key to the success of reablement, and argues that person-centred approaches can ensure that motivation supports the achievement of outcomes. It concludes that reablement staff should be trained to identify personal goals with service users and use task-centred approaches to achieve them. Partnership with voluntary organisations can help to deliver improved outcomes.
Simple things, done well: making practical progress on digital engagement and inclusion
- Author:
- FINK Sarah
- Publisher:
- Policy Exchange
- Publication year:
- 2012
- Pagination:
- 45p.
- Place of publication:
- London
This report supports the greater use of the internet to deliver more personalised, cheaper and speedier public services but says that the government must pay special attention to older people who often prefer face-to-face contact when carrying out activities such as paying bills, grocery shopping or banking. Four out of ten people aged 65 or over do not have access to the internet at home, with 5.4 million having never used the internet. Only 5% of those aged 65 or above own a smartphone compared to nearly three quarters of 16-24 year olds. The report recommends setting up a UK wide network of ‘silver sidekicks’ – older, tech savvy people who would be paid to go into peoples’ homes and community centres to teach them how to use the internet to make digital transactions such as renewing a driving licence or paying a utility bill. The report estimates that the creation of 1,000 paid roles would be sufficient to reach up to 4.5 million people not on the internet over five years. If just one in ten of this group can be persuaded to go online, the net savings for government from cheaper transactions could be worth up to £120 million in the same time period.
One hundred not out: resilience and active ageing
- Author:
- ROBERTS Yvonne
- Publisher:
- Young Foundation
- Publication year:
- 2012
- Pagination:
- 33p.
- Place of publication:
- London
For the first time in history in the UK the number of people over 60 outnumbers those under 16. A common reaction to this is pessimistic. This breeds social pessimism; as if we have created inexorably longer lives but are powerless to make the choices we need to if we are to reap the benefits. This in turn feeds ageism and deepens individual pessimism about our own future and those of our loved ones. In this report, the author argues for strategies that see active ageing - and older people - as assets rather than burdens, that focus on people as active contributors, not passive recipients. Drawing on the work of the Young Foundation and international examples, the author outlines and recommends new kinds of sustainable and scalable services with strong roots in voluntary action and the community. The report examines: the person; well-being; assets; and prevention.
Home care in Italy: a system on the move, in the opposite direction to what we expect
- Author:
- GORI Cristiano
- Journal article citation:
- Health and Social Care in the Community, 20(3), May 2012, pp.255-264.
- Publisher:
- Wiley
In Italy, the public system of home care for older people is underfunded and mostly cash-oriented; a system, thus, relying almost entirely on informal care provided by the family. This article analyses how the provision of home care in Italy has changed in the last decade. It discusses the reasons behind the increased uptake of the Indennità di Accompagnamento (IA), a “companion payment”. It examines an increase in the needs and demands of older people; the traits of the Italian welfare system; and the peculiar features of the companion payment itself. The article then looks at why services in kind rose to a lesser degree, pinpoints the main reason as being based on the politics of social care at national level, and finally focuses on the challenges that the Italian home-care system has to face within the changed policy environment with respect to quality of care, carers’ conditions and support for older people with high-level needs.
Personalization and community care: a case study of the British system
- Author:
- POWELL Jason L.
- Journal article citation:
- Ageing International, 37(1), March 2012, pp.16-24.
- Publisher:
- Springer
- Place of publication:
- New York
In the United Kingdom, personalisation services are developing as a social policy response to user demands for more tailored, effective and flexible forms of health and social care support. This process is being implemented under the personalization which is also seen as a vehicle for promoting service user rights through increasing participation, empowerment and control while also promoting self-restraint by having users manage the costs of their health and social care. This paper reviews the background to the emergence of this policy shift, assesses the existing research evidence for personalization albeit limited and identifies themes for future policy research in this area.
Integrating public and private home care services: the Kotitori model in Tampere, Finland
- Authors:
- LIINA-KAISA Tynkkynen, et al
- Journal article citation:
- Journal of Integrated Care, 20(5), 2012, pp.284-295.
- Publisher:
- Emerald
This case study introduces a novel home care service integrator model called “Kotitori”. In the model the City contracts with a private provider in order to meet the older customer needs in a personalised way. The model introduces a unique form of public-private partnership in Finland, and describes the basic elements of Kotitori, the development process of the model, and the model's distinctive features compared to more traditional ways of home care service delivery. The author suggests that the transferability potential of the Kotitori model is good both nationally and internationally. The model is potentially beneficial for countries with an interest in developing integrated care in general, as it reflects a form of accountable care organisation.
IFS in action: personalising block contracts: as research report
- Author:
- HOOLAHAN Sian
- Publisher:
- Centre for Welfare Reform
- Publication year:
- 2012
- Pagination:
- 19p.
- Place of publication:
- Sheffield
Choice Support was formed in 1984 in south east London to provide a range of support services for disabled and disadvantaged people. In 2010, a 3-year partnership was set up between Choice Support and Southwark Council to develop personalisation in adult social care. This is the 1st of 3 short research reports outlining progress and describing the steps necessary to make the changes. The aims of the project were to transform a block contract worth in excess of £6 million, to develop individual funding for 83 people, and hence to transform the options and supports available to people in Southwark. Savings are expected to be £1.79 million over 4 years, a 29.75% saving for Southwark Adult Services. By November 2011, the following has been achieved: the large block contract for 83 people has been broken down into individual budgets; Individual Service Funds (ISF) have been created for more flexible services; better and more empowering services have been created; and a more dynamic and respectful relationship between a service provider and commissioner have been developed.