Search results for ‘Subject term:"older people"’ Sort:
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Trafford: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2017
- Pagination:
- 45
- Place of publication:
- Newcastle upon Tyne
One of 20 local area reports produced as part of the local system reviews programme to understand how older people move through the health and social care system, with a focus on the how services work together. It looks at how hospitals, community health services, GP practices, care homes and homecare agencies work together. It looks at the planning, commissioning and delivery of health and social care services across three key areas: maintaining the wellbeing of a person in their usual place of residence, care and support when people experience a crisis; and step down services, return to usual place of residence and/or admission to a new place of residence. Across these three areas, the review asks whether services are: safe, effective, caring, responsive, and well led. The reviewers found that a system-wide commitment to transform and integrated services, with Trafford Council and NHS Trafford Clinical Commissioning Group sharing responsibility for a new model of integrated services due to come into effect in April 2018. However, the experience of people receiving health and social care was varied. There were missed opportunities to support people to stay in their usual place of residence and prevent admissions to hospital. In addition, although services were in place to support people as they prepared to come out of hospital, there was insufficient capacity in homecare services to meet demand. (Edited publisher abstract)
Home care services for older people: findings from a national survey of social care commissioners
- Authors:
- HUGHES Jane, CHESTER Helen, CHALLIS David
- Journal article citation:
- Research Policy and Planning, 30(1), 2013, pp.51-64.
- Publisher:
- Social Services Research Group
This paper explores local authority commissioning and contracting arrangements for home care, staff training opportunities and the range of services provided for older people utilising data from a national postal survey with a 74 per cent response rate. Local authority provision focused on intermediate care services. Joint commissioning of this with health was common but less likely for specialist mental health services. Most home care was commissioned from and provided by independent sector providers with contractual requirements identified as a means of influencing and monitoring training opportunities. A range of services were provided for users, additional to personal care. Local authority training was sometimes available to independent providers, focused on statutory requirements rather than user needs. Implications for the development of high quality services are discussed in terms of user need, service flexibility and training for staff providing direct care. It is suggested that within the commissioning process key drivers of the development of more personalised high quality home care services are: regular dialogue with service providers; greater health and social care involvement in a joint commissioning process; alignment of contracting arrangements to reflect service outcomes; and specification of training requirements within the setting and monitoring of home care contracts. (Publisher abstract)
National Audit of intermediate care report 2013
- Author:
- NHS BENCHMARKING NETWORK
- Publisher:
- NHS Benchmarking Network
- Publication year:
- 2013
- Pagination:
- 110
- Place of publication:
- Manchester
The National Audit of Intermediate Care provides an overview of intermediate care commissioning and provision in England. This is the second year of the audit, which has been extended to cover crisis response and social care re-ablement services. The 2012 audit focused on health based bed and home intermediate care services; and this report presents findings from data collected on these subjects for both 2011/12 and 2012/13 for comparison. The audit is a partnership project between the British Geriatrics Society, the Association of Directors of Adult Social Services, AGILE - Chartered Physiotherapists working with older people, the College of Occupational Therapists - Specialist Section Older People, the Royal College of Physicians (London), the Royal College of Nursing, the Patients Association, the Royal College of Speech and Language Therapists, and the NHS Benchmarking Network. A Steering Group. The focus of this audit is on quality of service provision, and it finds diversity of provision and variations in commissioning. The cost of an intermediate care bed day reported by commissioners ranged from an average of £182 in residential care homes to an average of £260 per bed day in acute hospital settings. The data also continue to suggest that mental health workers are still rarely included in the establishment in intermediate care teams. People with dementia comprise only 12% of service users, and thus continue to be under-represented. (Edited publisher abstract)
Equality in later life: a national study of older people's mental health services
- Author:
- HEALTHCARE COMMISSION
- Publisher:
- Healthcare Commission
- Publication year:
- 2009
- Pagination:
- 37p.
- Place of publication:
- London
This study of older people's mental health services assessed available national data and visited specialist mental health trusts. The interview tool covered questions relation to several of the core standards used by the Healthcare Commission to assess trusts' performance. The key findings are reported in four main themes: age discrimination, the quality of inpatient care, the comprehensiveness of services; and working with other organisations (how specialist services worked with primary care, adult social services and acute hospitals). The findings highlight strengths and weakness of services, and key priorities for improvement are included.
Listening to users of domiciliary care services: developing and monitoring quality standards
- Authors:
- HENWOOD Melanie, LEWIS Helen, WADDINGTON Eileen
- Publisher:
- Nuffield Institute for Health
- Publication year:
- 1998
- Pagination:
- 43p.
- Place of publication:
- Leeds
Describes the findings from a project which developed a set of quality indicators, derived from discussions with users of domiciliary care services and their carers. Based on these quality indicators the team then developed a set of quality assurance frameworks for use by the various stakeholders in domiciliary care. These can be used to help develop the commissioning and delivery of services for older people in ways which address the specific concerns expressed by users.
Services for people who are elderly: addressing the balance; the multi-disciplinary assessment of elderly people and the delivery of high quality continuing care
- Author:
- GREAT BRITAIN. Department of Health. NHS Health Advisory Service
- Publisher:
- Stationery Office
- Publication year:
- 1997
- Pagination:
- 197p.,tables.
- Place of publication:
- London
Review setting out to establish the current state of commissioning, purchasing and delivery of services for elderly people and to suggest ways of improving them. Includes chapters on: meeting the healthcare needs of older people; commissioning and purchasing services; providing services to older people; the concepts, problems and challenges that affect commissioners, purchasers and providers; a strategy for the future; and the way forward for purchasers, commissioners and providers. Includes checklists.
Manchester: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2017
- Pagination:
- 52
- Place of publication:
- Newcastle upon Tyne
One of 20 local area reports produced as part of the local system reviews programme to understand how older people move through the health and social care system, with a focus on the how services work together. The review looks at the planning, commissioning and delivery of health and social care services across three key areas: maintaining the wellbeing of a person in their usual place of residence, care and support when people experience a crisis; and step down services, return to usual place of residence and/or admission to a new place of residence. Across these three areas, the review asks whether services are: safe, effective, caring, responsive, and well led. Reviewers found a sense of a true partnership between health and social care services in Manchester, based on a period of time building relationships across the system, including the voluntary and community sector. However, joint health and social care working was inconsistent, with different delivery and outcomes across the city. The experiences of people receiving services also varied. In relation to the prevention agenda, it found that although there were good initiatives in place, there was not enough use of the voluntary and community sector. Areas identified for improvement include, better commissioning and contract monitoring to improve the quality of social care services in the city; the need to ensure consistent services across the city; the need to move to a strengths-based model of home care; and more support for older people with low-level mental health issues (Edited publisher abstract)
Improving domiciliary care for older people in Wales: the view from Age Cymru
- Author:
- AGE CYMRU
- Publisher:
- Age Cymru
- Publication year:
- 2015
- Pagination:
- 15
- Place of publication:
- Cardiff
Report from Age Cymru which discusses the challenges facing domiciliary care in Wales and what needs to be done to provide a high quality home care service to older people in the future. The report identifies four key areas for action: improvements in commissioning practices and contract monitoring; the regulation and registration of social care workers providing home care, contributing to improving the status of the profession; dementia training for domiciliary care staff; and joint working between health and social care to improve care transfers. Case studies are included throughout the report to highlight issues raised. (Edited publisher abstract)
Delivering dignity: securing dignity in care for older people in hospitals and care homes
- Author:
- COMMISSION ON DIGNITY IN CARE FOR OLDER PEOPLE
- Publisher:
- Commission on Dignity in Care for Older People
- Publication year:
- 2012
- Pagination:
- 22p.
- Place of publication:
- London
The final report of the Commission on Dignity in Care for Older People, which is based on the knowledge of the commissioners, the witnesses who gave written and oral evidence, and submissions from organisations and individuals in response to the consultation document which was published in February 2012. The report provides 37 recommendations on how to tackle the underlying causes of poor care. Rather than splitting the recommendations between hospitals and care homes, the report is structured around who is responsible for implementing different changes. It begins by looking at the issue of the personal responsibility that each member of staff has to provide dignified care and to challenge poor practice. It then considers the leadership required from ward sisters, charge nurses and care home managers, and boards and senior management teams, before looking at: the wider context of how services are commissioned; the role of professional bodies, universities and regulators; and patient and resident rights and representation. There are also specific recommendations for the Government.
Raising the quality of home care: a study of service users’ views
- Authors:
- FRANCIS Jennifer, NETTEN Ann
- Journal article citation:
- Social Policy and Administration, 38(3), June 2004, pp.290-305.
- Publisher:
- Wiley
Raising standards is one of the key objectives of the British government's Modernizing Agenda. The quality of life of vulnerable older people who are being maintained at home is fundamentally dependent on the quality of the home-care services they receive, so raising standards of home care is clearly central to this agenda. This paper draws on a small-scale study of service users and providers to examine the aspects of quality of home care of importance to older people, their experiences and barriers to improvement. Six key aspects of quality were investigated: reliability, continuity, flexibility, communication, staff attitudes and skills and knowledge. If performance indicators are to have the desired effect, more work needs to be done to ensure they reflect key aspects of quality from the user perspective. We identify potential areas for improvement in commissioning and organization but these all have resource implications that will need to be met if home care is to realize its full potential in maintaining and improving quality of life for older people.