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Lessons from the COVID-19 pandemic
- Author:
- GREENBROOK Sally
- Publisher:
- British Geriatrics Society
- Publication year:
- 2022
- Pagination:
- 12
- Place of publication:
- London
This report aims to reflect on the experiences of the pandemic from the specific perspective of older people's healthcare. The COVID-19 pandemic will not be the last pandemic and, given our ageing society, it is unlikely to be the last pandemic that affects older people more than any other population group. We have aimed to highlight both the positive and negative aspects of the handling of the pandemic and have drawn out ten lessons that must be learnt by governments and healthcare organisations before the next pandemic. The report sets out ten lessons from the pandemic: 1. Treatment decisions should always be tailored to the individual patient and blanket decisions should never be applied to an entire patient group; 2. There is a need to ensure that a balance is achieved between protecting care home residents from a virus that could be fatal for them and also protecting the human rights of individuals to see their families and loved ones; 3. Services should be available and adequately funded to provide patients with the most appropriate care in the best place for them - for some patients, this will be hospital but for others, it will not; 4. During a pandemic, particular attention should be paid to the risk of contracting the illness in patients admitted to hospital for unrelated illnesses and measures must be taken to prevent this happening; 5. Planning for the response to a pandemic should involve experts on the population most affected by the illness in question - these experts should be involved at the earliest possible stage; 6. Clinical trials must include the populations most at risk and most likely to benefit from the treatments being tested - in the majority of cases, this will include older people; 7. Quick development and rollout of the vaccine was essential - during a pandemic, sufficient funding should always be made available to ensure that scientists are able to collaborate and develop vaccines quickly; 8. A time of great crisis can also bring great innovation - changes made during a crisis that are beneficial to patients should be retained; 9. Measures taken to curb the impact of a pandemic may have unintended but serious consequences on the health of many older people - these consequences must be identified as quickly as possible and mitigating action taken; 10. NHS workforce planning must cover three crucial elements - ensuring there are enough staff, ensuring all NHS staff have the skills they need to care for the ageing population and ensuring that staff are cared for mentally and emotionally and are supported to remain working in the NHS. The impact of not doing so may be catastrophic for individuals and society. (Edited publisher abstract)
UK healthcare: development opportunities 2014
- Author:
- KNIGHT FRANK
- Publisher:
- Knight Frank
- Publication year:
- 2014
- Pagination:
- 6
- Place of publication:
- London
An analysis of current trends in the demand for new care home development in the UK. It shows that demand is expected to improve going forward, driven by strong growth prospects in the UK's population of over 65s and as current stock approaches obsolescence. The analysis reveals that more than half of the 12 counties in England and Wales with the highest prospects of development are located in the UK's southern regions, with Greater London climbing to the top spot. The Scotland Hotspots analysis reveals that Highlands and Islands has replaced Borders as the top ranked county for care home development. (Edited publisher abstract)
Building better care homes for adults: design, planning and construction considerations for new or converted care homes for adults
- Author:
- MacKENZIE Audrey
- Publisher:
- Care Inspectorate
- Publication year:
- 2014
- Pagination:
- 26
- Place of publication:
- Dundee
Good design, planning, construction, conversion, refurbishment and on-going maintenance are vital if a care home for adults is to be capable of providing a good service. This document provides information on Scottish regulations, National Care Standards and guidance used by the Care Inspectorate to assess building plans or when giving advice. The document will be of interest to service providers, developers, architects, builders, local authority and NHS commissioners, as well as those looking for or using a registered care home for adults. (Edited publisher abstract)
Older people who self fund their social care: a guide for health and wellbeing boards and commissioners
- Authors:
- MILLER Clive, BUNNIN Antonia, RAYNER Vic
- Publishers:
- Office for Public Management, Sitra
- Publication year:
- 2013
- Pagination:
- 28
- Place of publication:
- London
OPM and Sitra have published a guide for health and wellbeing boards and commissioners looking at what the proposed Dilnot-inspired changes to health and social care funding will mean in practice. The guide focuses specifically on how policy changes will affect people who fund their own social care, and is intended to improve the strategic planning and design of this new system; and provide practical advice to commissioners. It notes that in England, older people who pay entirely for their own social care and support account for 45% of residential care home places, 47.6% of nursing home placements, and 20% of home care support. These people are often referred to as 'self-funders'. The self-funded registered residential care and registered nursing home market is worth £4.9 billion per year, and the self-funded home care market £652 million. (Edited publisher abstract)
Older people who self-fund their social care: a guide for health and wellbeing boards and commisioners; executive summary
- Authors:
- MILLER Clive, BUNNIN Antonia, RAYNER Vic
- Publishers:
- Office for Public Management, Sitra
- Publication year:
- 2013
- Pagination:
- 4
- Place of publication:
- London
There is a lack of public awareness about what the Dilnot Commission-inspired changes to funding social care will mean, and how these new policies will affect the extent and ways in which people will be required to secure effective and sustainable care and support from 2016. The particular and variable needs of people who currently fund their own care (‘self-funders’) raise questions about how the new system will actually work in practice. This summary outlines and briefly explains the content of the full version of the guide. (Edited publisher abstract)
Redesigning a local authority residential care home to provide an intermediate care resource
- Author:
- LLOYD-JONES Angie
- Journal article citation:
- Journal of Care Services Management, 4(4), September 2010, pp.286-294.
- Publisher:
- Taylor and Francis
Key national policy drivers have identified the need for change in the way that services are delivered, with shifts to interagency redesign and the need for a whole system approach to early intervention, prevention, rehabilitation and enabling. The Scottish Borders Council has carried out a pilot study to redesign a wing within a local authority residential care home to provide an intermediate care resource that would deliver short-term intensive rehabilitation to support people to live in their own homes. This paper presents the findings from the evaluation carried out on this pilot. The evaluation provides statistical data which includes the number of admissions, reasons for referral, diagnosis, length of stay and discharge outcomes. The unit was consistently in demand and was full on 3 occasions. Of the 51 admissions, 36 were discharged to their own homes. Qualitative data based on feedback from 26 questionnaires indicated that the clients were happy with the service they had received on the unit and felt that they had achieved the aims of their rehabilitation. The paper concludes that the redesign has demonstrated an effective model that can be a transferable framework to deliver intermediate care in other residential care homes.
Adult care services: additional care home capacity for 2010
- Author:
- HERTFORDSHIRE COUNTY COUNCIL. Adult Care Services
- Publisher:
- Hertfordshire County Council. Adult Care Services
- Publication year:
- 2006
- Pagination:
- 14p.
- Place of publication:
- Hertford
This analysis estimates the net number of beds projected to be required by Adult Care Services (ACS), in each area of Hertfordshire in 2010 and suggests how that demand might be met. Adult Care Services (ACS) had undertaken general trend and market analysis since 2000 to inform commissioning strategies and annual price negotiations. However it was realised that a new kind of analysis was needed if the right number of places were going to be available in the right place. In October 2004 an evidence-based report projected capacity to 2010. This report is an updated version of that analysis. Fifty percent of the 6402 beds within Hertfordshire are residential beds. In order to increase the ratio of extra care housing to residential care, the authority will look to work with providers to remodel a number of residential beds to produce some of the increase required in nursing and residential dementia beds. The residential beds lost could then be provided as extra care. The report describes a need to develop an integrated care home and housing strategy agreed with District Councils and clearly communicated to both care home and housing providers from both the voluntary and private sectors. The authority aims to put user choice at the centre of the care axis to ensure that its services are sufficiently future proof to meet the expectations of the next generation of older people who will increasingly be owner occupiers.
Extra-care and older people
- Author:
- MANTHORPE Jill
- Journal article citation:
- Community Care, 10.01.08, 2008, pp.30-31.
- Publisher:
- Reed Business Information
This article reviews two pieces of research. The first contains advice to planners and funders of existing housing schemes who may be considering the future of their services and housing stock. The second looks at the social well-being of older people living in extra care housing with the aim of ensuring that designers and managers of extra care schemes take well-being into account as well as "bricks and mortar" or care-orientated features of extra-care housing.
The design of the long-term care system in Spain: policy and financial constraints
- Authors:
- COSTA-FONT Joan, PATXOT Concepio
- Journal article citation:
- Social Policy and Society, 4(1), January 2005, pp.11-20.
- Publisher:
- Cambridge University Press
The provision and financing of long-term care (LTC) in Spain has only recently become a policy concern. However, welfare policy reforms show the need to anticipate the effects of a transition from the traditional ‘family-based’ model of care (78 per cent of Spanish elders who are disabled are treated by their own families) to a modern ‘community-based’ model. This paper examines the current models of providing and funding long-term care in Spain and on the basis of the empirical evidence evaluates the prospects for the future organisation and funding of the system.
Who cares plans: a guide to care planning in homes for older people
- Authors:
- COLEMAN Valerie, REGAN Dominic, SMITH Jef
- Publisher:
- Counsel and Care
- Publication year:
- 1999
- Pagination:
- 84p.,bibliog.
- Place of publication:
- London
Practical text on care planning for older people in residential care. The focus is on how an individual resident's life can be a positive and enriching experience.