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Health matters: why we must commit to delivering prevention in an ageing world
- Authors:
- HIMAWAN Arunima, BEACH Brian, MAYHEW Les
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2021
- Pagination:
- 16
- Place of publication:
- London
This report is designed as a first statement on why we need bolder spending commitments on prevention. The analysis finds that all G20 countries have improved their health outcomes in the last 20 years, but not at equal rates. The biggest improvements in healthy life expectancy have been seen in countries where the state pays for a greater share of health spending, reducing the cost barriers for individuals. Greater spending commitments can form the basis of longer-term prevention strategies that seek to: democratise access to prevention, to alleviate health inequalities; inspire and engage policymakers, healthcare professionals and individuals to consider, support and access prevention; effectively utilise technology. (Edited publisher abstract)
Homeshare UK: annual report 2017-18
- Author:
- SHARED LIVES PLUS
- Publisher:
- Shared Lives Plus
- Publication year:
- 2018
- Pagination:
- 42
- Place of publication:
- Liverpool
This annual report highlights the successes, challenges and priorities for Homeshare. There has been increased interest in Homeshare amongst local authorities who are beginning to recognise that this flexible model can achieve a range of local outcomes along with key national strategic aims including supporting older people to remain in their own homes for longer, supporting wider choice in social care options and supporting community-based support. There is a growing qualitative evidence base for Homeshare about its impact and the potential outcomes including impacts on health and wellbeing, reducing isolation and loneliness for both householder and homesharers and helping build resilience in communities. The Homeshare model is increasingly being recognised as a preventive approach that meets the needs of people with low level support needs. Schemes are expanding and/or developing their services in direct response to need amongst specific target groups including: people living with HIV, older males, refugees, people with disabilities. Six schemes now report to be financially sustainable. There are challenges too, and include: Homeshare still only attracts people who can ‘self-fund’; there are still large areas not well serviced by Homeshare particularly Northern Ireland, Scotland, Wales, the North East and South East; there is still a lack of formalised referral routes from health and social care professionals to Homeshare providers; the escalating needs of older householders may mean they need more support than can be offered through a homesharing arrangement; safeguarding is still the key concern cited by potential referral agencies. (Edited publisher abstract)
Telecare: telecare services for older people
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2009
- Pagination:
- 5p.
- Place of publication:
- London
This briefing is part of the Department of Health's prevention package which aims to raise the focus on older people's prevention services and encourage their use. This and the other resources in the package are designed to support PCTs, SHAs and Local Authorities in prioritising and effectively commissioning services that support the health, well-being and independence of older people. The paper describes telecare as the use of electronic sensors and aids that make the home environment safer so that people can live at home independently for longer. A number of different types of telecare device are described, along with related assistive technologies. Two case studies are provided to show how telecare can support older people. There is some information about availability of telecare in the UK and links to websites that provide further information.
Intellectual activity and likelihood of subsequently improving or maintaining instrumental activities of daily living functioning in community-dwelling older Japanese: a longitudinal study
- Authors:
- FUJIWARA Yoshinori, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(6), June 2009, pp.547-555.
- Publisher:
- Wiley
This study aimed to test the a priori hypothesis that increase or maintenance of the level of cognitive activity would be independently associated with a subsequent beneficial impact (i.e. improvement or maintenance) on instrumental activity of daily living (IADL) functioning. An observational study was carried out using 4-year longitudinal data from 1477 community-dwelling Japanese who were 66 years and older and living in Yoita town, a rural community located in the northwest along the Sea of Japan. Baseline assessment occurred in November 2000. Intellectual Activity and IADL were evaluated using the Tokyo Metropolitan Institute of Gerontology (TMIG) Index of Competence. Results showed that an Increase or maintenance of exposure to intellectual activities over a period of 2 years was associated with increased likelihood of better IADL functioning trajectory (i.e. improvement or stability) over the subsequent 2 years, even after adjustment for major confounders. The authors conclude that this study documented a longitudinal, independent association of exposure to intellectual activities with better IADL functioning over time. These findings provide preliminary support for promotion of exposure to intellectual activities among older adults as an opportunity to prevent disability in the older segment of the population. Assessment of public health programs targeting such an opportunity is warranted.
Leaving hospital revisited: a follow-up study of a group of older people who were discharged from hospital in March 2004
- Author:
- COMMISSION FOR SOCIAL CARE INSPECTION
- Publisher:
- Commission for Social Care Inspection
- Publication year:
- 2005
- Pagination:
- 54p.
- Place of publication:
- London
This new report on the experiences of older people after leaving hospital reveals that decisions that are made at the time of discharge from hospital can have long-term consequences. The report finds that very few people who go into residential care at this time return to their own homes, and that older people are less likely to need residential care if the right support and rehabilitation is offered to them on leaving hospital. The report from CSCI calls for a 'genuinely comprehensive preventative approach' to give more practical support and care to all older people, in order to maintain and enhance their quality of life and independence. The study on which the report is based stresses the importance to older people of being cared for by one carer they know really well, rather than a succession of strangers; of better contingency planning to avoid repeated yet avoidable hospital readmissions; of having a focus on rehabilitation rather than just administering care; and of supporting people to live their lives independently in their own homes, rather than always opting for residential care.
Improving health and wellbeing through housing: a High Impact Change Model
- Authors:
- LOCAL GOVERNMENT ASSOCIATION, HOUSING LEARNING AND IMPROVEMENT NETWORK
- Publisher:
- Local Government Association
- Publication year:
- 2022
- Pagination:
- 22
- Place of publication:
- London
This resource aims to support local care, health, and housing partners to work together to deliver the range of housing that is most effective in enabling older people and other people with health and care needs to live independently and to shape local housing markets and services to achieve this. The model encourages local partners to integrate housing delivery with local health and care commissioning and service provision. This is important because: housing is an important determinant of health - substandard housing is a cause of health inequalities; ensuring people have good housing can help to delay or reduce a person's need for health and care services in the future and help them retain their independence, health and wellbeing for longer; it is estimated that the cost of poor housing to NHS is £1.4 billion per year - the actions in this model can help reduce the cost of poor housing to the NHS. The model recognises that the majority of people are seeking to remain living in their existing homes as they get older, but this will not always be possible for everyone. It also recognises that there are people who may want to move to a more suitable home, but there are often limited housing choices available. It identifies the key housing-related actions and activities that will successfully enable older people and other people with health and care needs to live independently for as long as possible. (Edited publisher abstract)
The TAPPI inquiry report: Technology for our Ageing Population: Panel for Innovation – phase one
- Authors:
- BEECH Lois, PORTEUS Jeremy
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2021
- Pagination:
- 58
- Place of publication:
- London
This report details phase one of the Technology for our Ageing Population: Panel for Innovation (TAPPI) project. The TAPPI inquiry, and by extension this report, is intended to scope out the need for a transformational TAPPI framework that addresses the opportunity that technology has to enhance the lives of our ageing population and the barriers that prevent its adoption. The report has been divided into the four key themes: the perspectives on the ageing population; building quality and scalable construction/development; improving design, quality and standards; and delivering better housing, health and social care outcomes. The report synthesises the oral and written evidence presented to the Panel and includes examples of practice that either exemplify how older and disabled adults have used technology at home to support their independence or enabled the facilitation or design of housing and related, health or social care services, data or systems to deliver a range of better outcomes. The Panel has distilled the evidence into a number of overarching insights and principles as follows: supporting wellness – recognising that technology is omnipresent in society will enable us to accept its value and help us to shape how it can be better utilised to enable people to live fulfilled and healthy lives; promoting independence – good quality should mean that across the housing, health and social care sectors digital infrastructures are in place to support independent living; facilitating prevention – we need to move to a system whereby technology is recognised as a key part of a preventative model across housing, health, and social care; reducing inequalities – the creation of a Minimum Digital Living Standard will embed digital inclusion and improved digital skills across all sectors and at all levels. This will reduce the inequalities in how people access, use and value technology and ensure we all understand the benefit of digitalisation. (Edited publisher abstract)
“Listen and then listen again”: prevention and promotion of independence for older adults
- Author:
- CARE INSPECTORATE WALES
- Publisher:
- Care Inspectorate Wales
- Publication year:
- 2020
- Pagination:
- 25
- Place of publication:
- Llandudno Junction
Explores the progress made by local authority social services and health boards in supporting older adults to be as independent as possible, in line with the Social Services and Well-being Act (Wales) 2014. The research looked at the experiences of people aged over 65 who had received support from social care and health services, focusing on these key themes: people – are their voices heard and do they have control; partnerships, integration and co-production – who is working together and who is designing support together; prevention – how are services stopping people from reaching crisis or from needing care and support; and well-being - what matters to people. The key findings are: People (voice and control) – almost all of the time, people were treated with dignity and respect by care staff who made a positive difference in their lives but more work is needed to make sure that carers have their voices heard; Well-being – the importance of helping older people to maintain their well-being was increasingly recognised as a positive way to promote independence, and an aspect of work many care staff found rewarding; Partnerships and integration – many people benefitted from positive relationships they developed with care staff who treated them as equals but leaders and manager need to develop a culture of sustainability, through working together and designing services together; Prevention – the duty to support people before they reach crisis is not consistently carried out across Wales. (Edited publisher abstract)
Simply the best? Making Leeds the best city to grow old in
- Author:
- MELANIE HENWOOD ASSOCIATES
- Publisher:
- Centre for Ageing Better
- Publication year:
- 2020
- Pagination:
- 14
- Place of publication:
- London
Research exploring the local strategic policy context for meeting the care and health need of older people in Leeds, and how the Leeds Neighbourhood Networks understand and contribute to the agenda. The Leeds Neighbourhood Network (LNN), comprised of 37 locally led ‘schemes’ operated by a number of voluntary sector organisations, provides preventative support to older people in order to enable them to continue living independently and participate in their communities. They assist with a range of services and activities that promote the independence, health and wellbeing of older people throughout Leeds. This paper outlines the number of opportunities and challenges the LNNs face within the strategic policy context, and looks at the potential for Leeds to share more widely the benefits of its approach and experience. It describes how the LNNs are firmly rooted in their local neighbourhoods and understand the needs and preferences of local citizens they are in touch with and suggests there is an opportunity for them to develop a more outward looking style and connect people to a much wider range of community assets and resources. Furthermore, the LNNs could be more closely involved in supporting self-management for people with long-term conditions, and for health practitioners to benefit from being able to access groups of people needing support with diabetes, or COPD, or similar chronic conditions. Among the challenges, the paper cites the extremely diverse nature of LNNs, the risk that other third sector organisations perceive their own contribution to be less valued, the need to constantly adjust and tailor the ‘offer’ to reflect the changing needs of the older population, the lack of synergy between the LNNs and partners, the difficulties in implementing and evidencing strengths and asset-based approaches and the uncertainty about future funding and the direction of government policy. (Edited publisher abstract)
Managing better: a critical prevention study
- Author:
- CARE AND REPAIR CYMRU
- Publisher:
- Care and Repair Cymru
- Publication year:
- 2018
- Pagination:
- 22
- Place of publication:
- Cardiff
A case study of Bridgend County Care and Repair's Managing Better service. The service is a three year programme funded by the Welsh Government, which has been co-produced by Care & Repair Cymru, RNIB Cymru and Action on Hearing Loss Cymru. The report shows how Managing Better is working across primary, secondary, and social care, to develop interventions and prevent avoidable pressures on public services. The service has a focus on increasing independence, reducing dependency and improving personal resilience. Individual case studies are included which show how Managing Better has operated in Bridgend and that by effectively targeting interventions service users' quality of life can be much improved and pressure on public services can be reduced. The case studies include services for patients moving from hospital to home patients, and helping people with visual impairment or hearing impairment to live independently at home. It is estimated that every £1 invested in Managing Better yields a £4 saving in other services. (Edited publisher abstract)