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Because it’s there …: voluntary councils reflect on contributing to strategic planning for integrated services for older people in Cwm Taf
- Authors:
- RICHARDS Sharon, MORRIS Anne, GREENWELL Stewart
- Journal article citation:
- Journal of Integrated Care, 23(4), 2015, pp.219-231.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to understand the strategic role of third-sector agencies, with a history that often left them 'sidelined' by the public sector, showing how all agencies involved can be respected and trusted, with conflicts of interest around commissioning services well managed. It highlights how power differentials between agencies/sectors influence behaviour and how a voluntary council can promote the voice of users and carers. Design/methodology/approach: A case study considering the nature of voluntary sector activity in Cwm Taf, referring to learning from elsewhere, confirming and challenging the experience. It draws on the experiences of two key third-sector workers and draws on local survey data, as well as the experiences of community co-ordinators. Findings: The importance of 'being there' in policy development, implementing change and taking action; 'being at the top table' was critical in developing a stronger third sector and user voice, supporting the ambitions of Social Services and Well-being (Wales) Act 2014. Third-sector agencies have been good and mature partners, honest brokers/commissioners, completer/finishers and critical friends. Originality/value: Power and influence are significant in changing the way that older people receive a different offer – not, 'what can we do for you?', but, 'help us to understand what will make a difference to your life. Third-sector agencies are crucial change agents, better at representing users and carers than public sector agencies doing it alone. It explores the concept of interdependence, as more energising for older people and agencies. (Edited publisher abstract)
Promoting involvement of older people in shaping policy and practice
- Authors:
- WOOD Christine, WRIGHT Mel
- Journal article citation:
- Working with Older People, 15(2), 2011, pp.80-86.
- Publisher:
- Emerald
Two case studies from the Northeast of England and London are used to illustrate how older people can be effectively enabled and involved to influence their communities and the services that impact on their lives. Age Concern Durham County created a ten-hour introductory level course called ‘‘The Confident Consumer’’. This includes basic assertiveness skills, advice on how to challenge discrimination, and uses role play to improve communication skills for older people. The case studies have demonstrated that older people do want to be involved and are enthusiastic participants when given the opportunity to use their voice. By reaching out to older people and working actively in partnership with service providers, older people can help to shape their own world.
Implications of welfare reform on the elderly: a case study of provider, advocate, and consumer perspectives
- Authors:
- ESTES Carroll L., et al
- Journal article citation:
- Journal of Aging and Social Policy, 18(1), 2006, pp.41-63.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
This American case study incorporates interviews with service providers for the aging, members of advocacy organizations, and two focus groups of older consumers conducted in the multi-ethnic urban community of San Francisco. Study findings suggest that welfare reform has had both direct and indirect effects on the elderly and their services in the study community. Direct effects derive primarily from changes in the welfare reform legislation that had the effect of undermining both immigrants' eligibility for and claiming of public assistance benefits. Indirect effects on older persons include increased child-care demands upon grandparents. The case study data bear on a significant policy change within the broader trend of devolution at a historical point when anti-immigrant sentiment in the United States was running high.
The underfunding of social care and its consequences for older people
- Author:
- HELP THE AGED. Social Policy Ageing Information Network
- Publisher:
- Help the Aged. Social Policy Ageing Information Network
- Publication year:
- 2001
- Pagination:
- 28p.
- Place of publication:
- London
This paper argues that while health services are finally being provided with extra funds for older patients, social care has suffered from and is still suffering from long term underfunding and that major new investment in the NHS will not bring the desired results without a comparable boost in resources for social care. The paper contains real life examples of the experiences of older people trying to access the care system.
The underfunding of social care and its consequences for older people
- Author:
- HOWELLS Sophie
- Publisher:
- Age Concern
- Publication year:
- 2002
- Pagination:
- 13p.
- Place of publication:
- London
This paper argues that while health services are finally being provided with extra funds for older patients, social care has suffered from and is still suffering from long term underfunding and that major new investment in the NHS will not bring the desired results without a comparable boost in resources for social care. The paper contains real life examples of the experiences of older people trying to access the care system.
Policy values and culture change in long-term care- the role of state government in catalyzing change
- Author:
- REYNOLDS William E.
- Journal article citation:
- Journal of Social Work in Long-Term Care, 2(3/4), 2003, pp.397-409.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The quality of care in nursing homes remains far from optimal. Excessive reliance on a medical model of care fails to address residents' desire to be treated with kindness, courtesy and consideration. In addition, the issue of improving quality of care is linked to addressing growing concerns about nursing home staffing. One solution is for government to play a role in catalyzing a change in the organizational culture of nursing homes to address the concerns that both residents and staff have with the existing culture. A number of states are providing grants to nursing homes to implement culture change. This has included New York State which has emphasized culture change in its Dementia Grant Programme. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
Thinking preventively about dementia: a review
- Author:
- COOPER Brian
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(10), October 2002, pp.895-906.
- Publisher:
- Wiley
Recent developments in a number of research fields afford prospects for advances in primary and secondary prevention of dementia. These include findings from case-control and cohort studies of associations with earlier head injury and vascular disease, possibilities of pharmacological protection for persons at high risk for Alzheimer's disease, and the use of more effective anti-dementia drugs in the mild to moderate stages of severity. Research aimed at tertiary prevention is lagging behind, but there are some indications that the worst features of late-stage decline could already be mitigated by improvements in community support services and nursing-home care. Containment of the growing social and economic burdens of dementia calls for a national policy to ensure that new research findings can be translated into practice and applied to the benefit of all old people who stand in need. For this purpose the most appropriate conceptual framework is supplied by a preventive model, broadly similar to those already developed for some other forms of chronic degenerative disease.