Search results for ‘Subject term:"older people"’ Sort:
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Evaluation of the implementation of the single assessment process and its impact on occupational therapy practice
- Authors:
- RIDOUT Alicia, MAYERS Christine
- Journal article citation:
- British Journal of Occupational Therapy, 69(6), June 2006, pp.271-280.
- Publisher:
- Sage
http://www.cot.co.uk/Homepage/Library_and_Publications/British_Journal_of_Occupational_Therapy_(BJOT)/
Integrating primary care and social services for older adults with multimorbidity: a qualitative study
- Authors:
- DAMBHA-MILLER Hajira, et al
- Journal article citation:
- British Journal of General Practice, early cite 17 May 2021,
- Publisher:
- Royal College of General Practitioners
Background: Growing demand from an ageing population, chronic preventable disease and multimorbidity has resulted in complex health and social care needs requiring more integrated services. Integrating primary care with social services could more efficiently utilise resources, and improve experiences for patients, their families and carers. There is limited evidence on progress including key barriers and drivers of integration to inform large-scale national change. Aim: To elicit stakeholder views on drivers and barriers of integrated primary care and social services. and highlight opportunities for successful implementation. Design and setting: A qualitative interview study. Method: Semi-structured interviews with maximum variation sampling to capture stakeholder views across services and professions. Results: Thirty-seven interviews were conducted across England including GPs, nurses, social care staff, commissioners, local government, voluntary and private sectors, patients and carers. Drivers of integration included groups of like-minded individuals supported by good leadership, expanded interface roles to bridge gaps between systems and co-location of services. Barriers included structural and interdisciplinary tension between professions, organisational self-interest and challenges in record-sharing. Conclusions: Drivers and barriers to integration identified in other contexts are also present in primary care and social services. Benefits of integration are unlikely to be realised if these are not addressed in the design and execution of new initiatives. Efforts should go beyond local and professional level change to include wider systems and policy-level initiatives. This will support a more systems-wide approach to integrated care reform, which is necessary to meet the complex and growing needs of an ageing multimorbid population. (Edited publisher abstract)
Integrating mental health services for older people in England - from rhetoric to reality
- Authors:
- TUCKER Sue, et al
- Journal article citation:
- Journal of Interprofessional Care, 23(4), July 2009, pp.341-354.
- Publisher:
- Taylor and Francis
The provision of integrated, person-centred care is particularly important for older people with mental health problems. Nevertheless, a series of reports at the end of the last century highlighted unacceptable differences in collaborative working practices in England, variations that a national service framework specifically aimed to address. This study utilised a cross-sectional survey of old age psychiatrists to explore the extent to which, some three years after the publication of this guidance, structures to deliver integrated care across the interfaces between specialist old age mental health and primary, acute and social care services were in place. Three hundred and eighteen (72%) consultants responded. Measures to facilitate integrated practice were generally poorly developed: many areas missed targets to agree protocols for the management of older people with mental health problems with primary care; more than 45% of respondents reported the presence of fewer than two of four indicators of integration with the acute sector; and approaching 30% of respondents reported the presence of fewer than four of 13 markers of integration with social care. The implications of these findings and the challenges inherent in providing integrated care for this client group are discussed.
Community statistics: 1 April 2000 - 31 March 2001
- Author:
- NORTHERN IRELAND. Department of Health and Social Studies
- Publisher:
- Northern Ireland. Department of Health and Social Services
- Publication year:
- 2001
- Pagination:
- 105p.,tables.
- Place of publication:
- Belfast
Contents: all programmes of care; family and child care; mental health; learning disability; physical and sensory disability; health promotion and disease prevention; primary health and adult community care.
Social skills
- Author:
- BANYARD Richard
- Journal article citation:
- Health Service Journal, 112(5820), August 2002, pp.24-25.
- Publisher:
- Emap Healthcare
This article argues that attaching social workers to general practices can improve older people's access to services.
Progress in partnerships
- Authors:
- GLENDINNING Caroline, et al
- Journal article citation:
- British Medical Journal, 7.7.01, 2001, pp.28-31.
- Publisher:
- British Medical Association
Primary care groups and trusts are expected to develop partnerships with local authorities, particularly for commissioning services and developing services for older people. Reports on the results of a survey which showed that nearly half of the groups and trusts surveyed do not routinely consult with social services when commissioning community health services, and even fewer consult with social services about commissioning acute care. However, relationships between front line social services staff and community based and practice based health professionals are improving.
Of primary importance: inspection of social services departments' links with primary care groups; Working in partnership: joint working between health and social services in primary care
- Author:
- GREAT BRITAIN. Department of Health. Social Services Inspectorate
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1999
- Pagination:
- 2p.
- Place of publication:
- London
Letter accompanying two reports.
Of primary importance: taking inspection findings further; summary messages for board members of Primary Care Groups
- Author:
- GREAT BRITAIN. Department of Health. Social Services Inspectorate
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1999
- Pagination:
- 6p.
- Place of publication:
- London
Summary of a report on the inspection of social services department's links with primary health services. Highlights the main messages in the report, emphasising the need for primary care groups to work more closely with SSDs.
Of primary importance: inspection of social services departments' links with primary health services - older people
- Author:
- O'HAGAN Gerald
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1999
- Pagination:
- 47p.
- Place of publication:
- London
Inspection report looking at the links between primary care and social services departments. Focuses on: improving services; partnership in practice; working in parallel rather than in partnership; SSDs and primary care groups; and future direction.
Delivering unique care: care co-ordination in practice
- Author:
- ADAM Ruth
- Journal article citation:
- Journal of Integrated Care, 14(2), April 2006, pp.37-47.
- Publisher:
- Emerald
The National Primary Care Development Team (NPDT) is spreading the unique care approach to case management across the country. This article presents a case study of how Brent is successfully implementing unique care through the care co-ordination service. It aims to outline key steps in the development of the service, moving from the initial vision, to pilot phase and on to mainstreaming of the service. The collaborative methodology was adopted. The evidence suggests impressive reductions in service use, alongside an increase in quality of life and improved perception of health and social care services among older people who have had contact with the team.