Search results for ‘Subject term:"older people"’ Sort:
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A framework to discharge frail older people
- Author:
- LEES-DEUTSCH Liz
- Journal article citation:
- Nursing Times, 112(37/38), 2016, pp.13-15.
- Publisher:
- Nursing Times
A framework to discharge frail older patients who have had an unplanned admission to hospital and are subsequently discharged (or transferred)to another setting. It discusses current issues in discharge practice, briefly reviews the background policy to guide the discharge assessment of older people and examines challenges in discharging them from the acute setting. Finally, it uses an assessment framework to integrate current principles form national discharge guidance into practice. (Publisher abstract)
Intermediate care or integrated care: the Scottish perspective on support provision for older people
- Author:
- PETCH Alison
- Journal article citation:
- Journal of Integrated Care, 11(6), December 2003, pp.7-14.
- Publisher:
- Emerald
Looks at how the concept of intermediate care appears to have been rejected in Scotland in favour of an emphasis on integrated care. The article explores the apparent divergence in the broader context of policy variation post-devolution and against the aspirations for a whole-system approach.
Governing the coordination of care for older people: comparing care agreements in Denmark and Norway
- Authors:
- VABO Signy Irene, BURAU Viola
- Journal article citation:
- International Journal of Social Welfare, 28(1), 2019, pp.5-15.
- Publisher:
- Wiley
Increasing specialisation and demands to decrease the length of hospital stays have important consequences for the integration of specialised health and local care services. Based on case studies of care agreements in Denmark and Norway, this article compares subnational governance strategies for coordinating care services for older people discharged from hospitals. The question is how, and to what degree, national government regulations have an impact on local service coordination strategies. The analysis reveals that the numerous subnational procedures for coordination are somewhat more itemised in Denmark, and that regional variation in care agreements is greater in Norway. The identified differences can partly be accounted for by national differences in regulation, which is tighter in Denmark than in Norway. The study suggests that despite decentralisation of responsibility, subnational procedures to facilitate coordination are heavily influenced by national government policy. (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)
Show me the way to go home: a narrative review of the literature on delayed hospital discharges and older people
- Authors:
- GLASBY Jon, LITTLECHILD Rosemary, PRYCE Kathryn
- Journal article citation:
- British Journal of Social Work, 34(8), December 2004, pp.1189-1197.
- Publisher:
- Oxford University Press
This Research Note reports findings from a narrative review of the literature on the rate and cause of delayed hospital discharge in the UK. In addition to summarizing our knowledge to date in this important area, the Research Note raises a series of questions about aspects of current hospital discharge policy and practice (and in particular, the recent reimbursement policy to charge social services departments for delayed discharges).
Improving public services for older people: twenty-ninth report of session 2003-04; report, together with formal minutes
- Author:
- GREAT BRITAIN. Parliament. House of Commons. Committee of Public Accounts
- Publisher:
- Stationery Office
- Publication year:
- 2004
- Pagination:
- 22p.
- Place of publication:
- London
The UK population is becoming older, with currently more than 10.5 million over the state pension age, whilst this figure is forecast to reach 16 million (or 25 per cent of the population) by the year 2040. This demographic trend has significant implications for the delivery of, and demand for, public services, particularly in terms of social services, health, housing, public transport and leisure services. This overview report draws on a number of the Committee's previous reports on pensioner poverty discharge of older patient from NHS acute hospitals , the inherited SERPS problem, and fuel poverty amongst vulnerable groups. Conclusions reached include: stronger co-ordination of activities and initiatives by public bodies is required to ensure better service delivery to older people and avoid duplication; service delivery to older people needs to be based on research and consultation to ensure effective access arrangements; and the specific needs of older people from ethnic minorities needs particular attention.
Hospital discharge and the citizenship rights of older people: will the UK become a test-bed for Eastern Europe?
- Authors:
- FORD Deirdre, STEPNEY Paul
- Journal article citation:
- European Journal of Social Work, 6(3), 2003, pp.257-272.
- Publisher:
- Taylor and Francis
The authors draw on their UK and European experiences as well as the growing body of research on hospital discharges of older people to illustrate how citizenship rights and social justice cannot be upheld without ethical good practice in this field. Entitlements and ethical considerations can be obscured by the economic interests of the agencies involved. These developments which are already evident in other European welfare states provide a warning to Eastern Europe about the dangers of importing managerial and market principles into the field of care for older people. Research evidence supported by case studies is used to illustrate how rights to health care and even human rights can be overridden when policies of cost containment combined with efficiency targets begin to shape decisions about care. Argues that research can provide guidance on the essential elements for good practice in inter-professional work, especially concepts of well-being that include justice, fairness, participation and autonomy to counteract the jeopardised citizenship of older people.
Acute hospitals and older people in Australia
- Author:
- McCORMACK John
- Journal article citation:
- Ageing and Society, 22(5), September 2002, pp.637-646.
- Publisher:
- Cambridge University Press
The Australian health care system is frequently portrayed as being in crisis, with reference to either large financial burdens in the form of hospital deficits, or declining service levels. Older people, characterised as a homogeneous category, are repeatedly identified as a major contributor to the crisis, by unnecessarily occupying acute beds while they await a vacancy in a residential facility. Several enquiries and hospital taskforce management groups have been set up to tackle the problem. This article reviews their findings and strategic recommendations, particularly as they relate to older people. Short-term policy responses are being developed which specifically target older people for early discharge and alternative levels of care, and which, while claiming positive intentions, may introduce new forms of age discrimination into the health system.
A charge too far
- Author:
- GLENDINNING Caroline
- Journal article citation:
- Community Care, 11.7.02, 2002, pp.34-36.
- Publisher:
- Reed Business Information
Looks at the introduction of penalties for local authorities that fail to prevent delayed discharges, and corresponding incentives for hospitals. The author argues that this does not take into account the complexity of care services. Looks at the differences between the Swedish and UK model.
Another fine mess
- Author:
- CLODE Drew
- Journal article citation:
- Community Care, 11.7.02, 2002, pp.30-32.
- Publisher:
- Reed Business Information
Examines government plans to punish local authorities in England for bed-blocking, which are under criticism from both health care professionals and local government.