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Reading between the lines: the role discourse in shaping responses to safeguarding older people
- Author:
- GALPIN Diane
- Journal article citation:
- Journal of Adult Protection, 16(6), 2014, pp.399-410.
- Publisher:
- Emerald
Purpose: This paper reports on findings from research into the role of language and discourse in shaping responses to older people at risk of abuse in England. Design/methodology/approach: The study comprised of a critical discourse analysis (CDA) of the coalition governments underpinning policy statement outlining its approach to safeguarding adults in 'A Vision for Adult Social Care: Capable Communities and Active Citizens.' Critical discourse analysis is used to deconstruct policy to identify hidden meaning. Findings: The results suggest ideological, philosophical and economic discourses underpinning policy may promote 'Big Society' rather than address the abuse of older people, and that this might leave some older people vulnerable and at risk. Research limitations/implications: It is acknowledged the qualitative approach of CDA has its limitations as issues of subjectivity and interpretation exist. Practical implications: Drawing on this analysis may provide a heightened awareness of the use of discourse to expose potentially hidden motivations in others, and ourselves, by seeking out the ideological, philosophical and theoretical hiding places which enable specific discourses to become taken for granted. Originality/value: This paper explores practice in safeguarding adults from an ideological, economic and philosophical perspective. (Edited publisher abstract)
Future health trends in the North East and how they might be supported or disrupted by policy changes: future of ageing: think piece
- Author:
- JAGGER Carol
- Publisher:
- Great Britain. Government Office for Science
- Publication year:
- 2014
- Pagination:
- 15
- Place of publication:
- London
This paper discusses the expected future trends in health in the North East, looking in particular to 2025 and 2040, and how policy changes might impact positively or negatively. Although life and health expectancies in the North East have risen in the last decade, values are still well below the average for England. The paper argues that inequalities in disability free life expectancy across England are wider than those in life expectancy and therefore the continued inclusion of life expectancy (SMR) in the NHS resources allocation formula disadvantages areas such as the North East. Extending the state pension age will be challenging in the North East since most areas have DFLE at birth below 65. Employers will therefore have to accommodate substantial numbers of workers who are already limited before 65. Net decreases in the numbers of people pre-retirement (55-64 years) compared to England, but similar doubling of the next generation of the very old who will be reliant upon them for care, may also impact on employers. Trends in diabetes, overweight and excess alcohol consumption are increasing in the North East and the region currently ranks amongst the highest on diabetes, CVD, IHD, stroke, excess alcohol consumption, and obesity as well as mental ill health in women. All of these are likely to impact on DFLE, potentially to a greater extent than life expectancy. (Edited publisher abstract)
Commission on the Voluntary Sector & Ageing: a policy review
- Author:
- CARNEY Gemma M.
- Journal article citation:
- Voluntary Sector Review, 5(2), 2014, pp.203-211.
- Publisher:
- Policy Press
- Place of publication:
- Bristol
This article comments on the English Commission on the Voluntary Sector & Ageing, a voluntary sector-led initiative aimed at making proposals for voluntary sector leaders and charitable organisations on how to approach the ageing population. By examining the work of the commission, the review contributes to debates on the implications of population ageing for the voluntary sector. (Publisher abstract)
The role of pets in the lives of older people: a review
- Author:
- McNICHOLAS June
- Journal article citation:
- Working with Older People, 18(3), 2014, pp.128-133.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to summarise some of the major scientific research projects that identify the value of pet ownership and pet interaction to older people with a view to disseminating such findings to health professionals and care workers engaged in the welfare of older people. Design/methodology/approach: A review of findings from major international studies across a number of health related disciplines. Findings: Pets may serve significant functions that enhance the physical, emotional and social well-being of older people. With recognition from health professionals, pet ownership may rank highly amongst those elements which should be preserved wherever possible. Originality/value: The dissemination of the importance of pet ownership to the health and well-being of older people, with special implications for policy development amongst care providers. (Publisher abstract)
Re-shaping social care services for older people in England: policy development and the problem of achieving ‘good care’
- Authors:
- LEWIS Jane, WEST Anne
- Journal article citation:
- Journal of Social Policy, 43(1), 2014, pp.1-18.
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
The first part of the paper argues that the care relationship is crucial to securing care quality, which has implications for the way in which quality is achieved and measured. However, for more than twenty years, governments have emphasised the part that increasing market competition and, more recently, user choice of services can play in driving up the quality of care. The second part of the paper analyses the development of social care services for older people, from the reform of 1990 to the changes following the general election of 2010. The paper goes on to examine whether competition and choice are in any case enough to result in ‘good care’, given the evidence of limitations both in the amount of choice available and in how far older people are able or willing to choose. It is argued that if ‘good care’ depends disproportionately on the quality of the care relationship, then more attention should be paid to the care workforce, which has received relatively little comment in recent government documents. (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)
Healthy ageing in the 21st century: the best is yet to come
- Authors:
- BIRMINGHAM POLICY COMMISSIONS. III. Healthy Ageing in the 21st Century, FIELD Steve, (chair)
- Publisher:
- University of Birmingham
- Publication year:
- 2014
- Pagination:
- 48
- Place of publication:
- Birmingham
In 2011, the University of Birmingham launched a policy commission on healthy ageing, to explore different expectations for flourishing in later life, and how good health in later life can be promoted. This report has been published just as the Care Bill 2013/14 reaches its final stages in the House of Lord; and it urges policy-makers to “recognise and accommodate super-diversity when planning services for an ageing population. It presents seven key findings. First, the experience of ageing is complex, and only loosely associated with how old someone is. Second, different cultures think about ageing in different ways, yet our society does not fully understand these differences. Third, health inequalities associated with socio-economic disadvantage are also found in the older population. Fourth, enabling people to experience healthy ageing is a long-term project, which needs to be planned carefully. Fifth, older people want control and independence, but this can be in tension with their need for security, care and support. Sixth, technological support for older people can contribute to healthy ageing, if the support is sensitively developed and applied. Lastly, older people make a huge contribution to society. Some communities and faith groups draw on this contribution in responding to the needs of all their members. Sharing this good practice presents a real opportunity for communities of all kinds. The report discusses seven recommendations for healthy ageing in the UK’s 21st century super-diverse society. First, when planning services for an ageing population in the UK, cultural sensitivity should be a vital component. Second, the human rights of older people should be at the heart of health and social care policy. Third, a new statutory post of Commissioner for Older People should be created in England. Fourth, reciprocal relationships that bolster healthy ageing should be central to future care and support arrangements. Fifth, policy makers need to design policies that harness people’s instinctive behaviours to work towards, rather than against, healthy ageing. Sixth, more effort is needed to give older people a louder voice in respect of their environment and local community. Lastly, ageing in a super-diverse society is a major challenge that society does not yet fully understand; and Research Councils and other research commissioning bodies should prioritise gaining a better understanding. (Edited publisher abstract)
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)