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‘The Billion Dollar Question’: embedding prevention in older people's services—Ten ‘High-Impact’ changes
- Authors:
- ALLEN Kerry, GLASBY Jon
- Journal article citation:
- British Journal of Social Work, 43(5), 2013, pp.904-924.
- Publisher:
- Oxford University Press
With ageing populations, social changes and rising public expectations, many countries are exploring ways of developing a more preventative approach within their health and social care services. In England, this has become a growing priority over time—made even more significant by recent economic change and by the urgent need to reduce public sector spending. However, a key dilemma for policy makers and managers is the patchy nature of the evidence base—with a lack of certainty over how to reform services or prioritise spending in order to develop a more genuinely preventative approach. Against this background, this commentary reviews national and international evidence around ten policy measures and interventions, highlighting some of the most promising approaches as well as the fragmented and contested nature of the evidence base. (Publisher abstract)
The (multi-) billion dollar question: embedding prevention and rehabilitation in English health and social care
- Authors:
- ALLEN Kerry, GLASBY Jon
- Journal article citation:
- Journal of Integrated Care, 18(4), August 2010, pp.26-35.
- Publisher:
- Emerald
As policy makers seek to develop a more preventative and rehabilitative approach to older people's services, new policies and integrated initiatives have made a positive contribution. This paper provides a critical review of English health and social care, exploring attempts to embed a more preventative and rehabilitative approach through multi-disciplinary and cross-organisational initiatives. Data for this article were collected between February and September 2009, as part of the European Commission Framework 7 Interlinks project. An English National Expert Panel (NEP) was created and took part in a consultation on the identification and discussion of key national strategy, policies and initiatives in prevention and rehabilitation and related literatures. A national report on English rehabilitation and prevention was then validated by each NEP member. The report considers: developments in English rehabilitation and prevention; hospital discharge; intermediate care; reablement; and the pilot project initiatives Health Action Zones, Partnerships for Older People Projects, and LinkAge Plus. The article concludes that, in spite of a stated commitment to prevention, there is a lack of clarify about what it means or how to do it in practice. It ends with a list of several outstanding questions for older people’s services in England.
'The billion dollar question': embedding prevention in older people's services: 10 'high impact' changes
- Authors:
- ALLEN Kerry, GLASBY Jon
- Publisher:
- University of Birmingham. Health Services Management Centre
- Publication year:
- 2010
- Pagination:
- 19p., bibliog.
- Place of publication:
- Birmingham
There is a need to invest more fully and strategically in both prevention and rehabilitation for older people, to help them stay healthier, more independent and more socially included for longer and to recover these capacities as fully as possible when they do require hospital treatment. While there is growing recognition that only a more preventative agenda will be sufficient to respond to current and future pressures, there is much less clarity about how to do this in practice. This paper seeks to identify the most promising ‘10 high impact changes’ with regards to prevention in older people’s services. The paper draws on two main sources. The first is an EU review of prevention and long-term care in older people’s services across 14 European counties known as Interlinks. The second key source is a recent review of the social and economic benefits of adult social care, commissioned by the Department of Health and Downing Street. This paper identifies and reviews the following 10 prevention strategies: promoting healthy lifestyles; vaccination; screening; falls prevention; housing adaptations and practical support; telecare and technology; intermediate care; reablement; partnership working; and personalisation.