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Involving specialist clinicians in policies for integrated care
- Authors:
- CLARKSON Paul, et al
- Journal article citation:
- Journal of Integrated Care, 19(6), 2011, pp.14-22.
- Publisher:
- Emerald
Drawing on a survey examining the impact of the Single Assessment Process for Older People, a policy aimed at integrating assessments, this article discusses issues concerning the involvement of clinicians in integrated approaches to assessment. Cross-sectional surveys of specialist clinicians (geriatricians and old age psychiatrists) were undertaken in 2004 and 2005 as part of a study examining the initial impact of the single assessment process. This article presents a review of the data, exploring the involvement of specialist clinicians in assessment practice. It reports that clinician involvement was limited, with changes to assessment predominantly related to paperwork, and little involvement of older people. The authors suggest that clinicians have previously not been engaged in policies around integrated assessments, that factors that can help engagement include development of a shared vision and appropriate systems to promote information sharing, and that there are lessons to learn in terms of the factors that may help or hinder the achievement of integrated practice.
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)
Priorities for the next government
- Author:
- KING'S FUND
- Publisher:
- King's Fund
- Publication year:
- 2014
- Pagination:
- 12
- Place of publication:
- London
Sets out the key health and social care challenges and priorities for the next government. These include: meeting the financial needs, with a renewed drive to improve productivity, the establishment of a health and social care transformation fund and a new settlement for health and social care; transforming services for patients, through integrated care delivered at scale and pace, a new deal for general practice and political backing for service changes; improving the quality of care, by engendering a new culture of care, parity of esteem for mental health and a revolution in the care of older people; and a new approach to NHS reform, with a new political settlement to demarcate the role of politicians, a focus on reform from within and investment in the right kind of leadership. (Edited publisher abstract)
Irreversible? Health and social care policy in a post-Coalition landscape
- Editors:
- WILSON CRAW Dan, EDOBOR Martin
- Publisher:
- Fabian Society
- Publication year:
- 2013
- Pagination:
- 40
- Place of publication:
- London
With increasing demands on the NHS from an ageing population, cuts to frontline services and an estimated 800,000 older people in England currently not receiving the care they need, Britain faces a growing crisis in health and social care. This pamphlet is the culmination of the Young Fabians' health service and social care reform series, involving Young Fabian members, who have held meetings with Shadow Ministers, MPs, community stakeholders and health care workers. The authors, all Young Fabian members, set out new analysis and solutions for the Labour Party to debate and reflect on. (Edited publisher abstract)
Together: a vision of whole person care for a 21st century health and care service
- Editor:
- BURNHAM Andy
- Publisher:
- Fabian Society
- Publication year:
- 2013
- Pagination:
- 98
- Place of publication:
- London
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)
An uncertain age: reimagining long term care in the 21st century
- Author:
- KPMG INTERNATIONAL
- Publisher:
- KPMG International
- Publication year:
- 2013
- Pagination:
- 56
- Place of publication:
- London
The Lien Foundation, a philanothropic organisation in Singapore, commissioned KPMG International to produce this report, to inform and stimulate global debate on the long term care of older people. Experts from the aged care sector worldwide were interviewed for their views. While no single breakthrough idea emerged, there were some highly innovative and interesting approaches, and three findings stand out as being critical and relevant: Firstly, the debate on funding and finance threatens to obscure the scale and gravity of the overall challenge. Secondly, care should be redesigned to break down organisational boundaries through greater integration: the medical model must change to accommodate practical methods that pay more attention to people’s needs, rather than to the treatment of disease. Lastly, discussion of this subject must involve government, private and non-governmental bodies and providers, as well as the wider public. Person-centred care; investing in human and technological resources; change attitudes and policies towards ageing. The report is arranged in two main sections, the first on the current state of long term care. It quantifies "the narrowing longevity gap", pressure on traditional family-based care. resource challenges and workforce shortages Section 2, on shaping tomorrow’s long term care systems, considers: delivery of person-centred care; integrating care; rethinking medical care; looking beyond institutional boundaries toward the community; investing in the formal and informal workforce; using technology; focusing on outcomes; developing better funding models; and changing attitudes to ageing. The conclusion notes that governments need to emulate countries such as Australia, where a 10-year plan for a seamless system of care is being implemented. (Edited publisher abstract)
Reforming long-term care in Portugal: dealing with the multidimensional character of quality
- Author:
- SANTANA Silvina
- Journal article citation:
- Social Policy and Administration, 44(4), August 2010, pp.512-528.
- Publisher:
- Wiley
This article provides an overview of the informal and institutional setting of long-term care in Portugal and focuses on service quality, discussing it alongside broader problems related to the organisation of long-term care in the country. It analyses the main providers, discussing structural, organisational, quality and financing aspects of a very complex situation that is currently evolving at a very fast pace, in adapting to Portuguese society’s new needs in the social care network and the recent introduction of what is designated as a third level of care, the National Network of Long-term Integrated Care (Rede Nacional de Cuidados Continuados Integrados – RNCCI). It presents the results of the first self-assessments these bodies have made of the quality and suitability of services provided from the users’ point of view. The results of a survey conducted by the Eurobarometer between 25 May and 30 June 2007 on the attitudes, needs and expectations of Portuguese citizens regarding long-term care and care of the elderly are discussed. The article concludes that the information and data available are insufficient to support any deep analysis of the situation and field action, and sets some lines for future work in this area.
Integrated services for older people: building a whole system approach in England; summary
- Author:
- AUDIT COMMISSION
- Publisher:
- Audit Commission
- Publication year:
- 2002
- Pagination:
- 2p.
- Place of publication:
- London
Services for older people must work together if they are to meet people’s needs and aspirations effectively. This study looks at the way in which authorities, trusts and other organisations are working together, alongside older people, to promote integrated services in England. These aspirations will only be achieved if the full range of services that have a contribution to make work together in order to deliver better outcomes for older people and also involve older people as partners
Integrated services for older people: building a whole system approach in England
- Author:
- AUDIT COMMISSION
- Publisher:
- Audit Commission
- Publication year:
- 2002
- Pagination:
- 48p.
- Place of publication:
- London
Services for older people must work together if they are to meet people’s needs and aspirations effectively. This study looks at the way in which authorities, trusts and other organisations are working together, alongside older people, to promote integrated services in England. These aspirations will only be achieved if the full range of services that have a contribution to make work together in order to deliver better outcomes for older people and also involve older people as partners
Transforming primary care: safe, personalised care for those who need it most
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2014
- Pagination:
- 49
- Place of publication:
- London
This document sets out the actions the Department of Health is taking on their vision for personalised proactive care, focussing on the role of primary care. It covers four key areas, looking at: how services will change; support for staff; how health and care services will support the vision; and how it will be implemented. The paper suggests the changes will be initially focussed on people with the most complex care needs, with GPs developing personalised programmes of care and support tailored to their needs and views. In addition, it outlines plans to improve continuity of care by giving all people aged 75 and over a named GP, who will be responsible for care oversight. The changes will also include a new approach to service quality assurance, greater use of information and technology to ensure easier access to medical records, online appointment booking and prescriptions, steps to further reduce bureaucracy, provision of training for staff to ensure they are able to work across professional boundaries in a more joined up way and support for greater integration between health and care services. (Edited publisher abstract)