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Progress and problems in developing outcomes-focused social care services for older people in England
- Authors:
- GLENDINNING Caroline, et al
- Journal article citation:
- Health and Social Care in the Community, 16(1), January 2008, pp.54-63.
- Publisher:
- Wiley
Social care services for adults are increasingly required to focus on achieving the outcomes that users aspire to, rather than on service inputs or provider concerns. This paper reports a study aimed at assessing progress in developing outcomes-focused services for older people and the factors that help and hinder this. It describes the current policy context and discusses the social care service outcomes desired by older people. It then reports on a postal survey that identified over 70 outcomes-focused social care initiatives across England and Wales, and case studies of progress in developing outcomes-focused social care services in six localities. The study found progress in developing outcomes-focused services was relatively recent and somewhat fragmented. Developments in intermediate care and re-ablement services, focusing on change outcomes, were marked; however, there appeared to be a disjunction between these and the capacity of home care services to address desired maintenance outcomes. Process outcomes were addressed across a range of re-ablement, day care and residential services. The paper concludes by discussing some of the challenges in developing outcomes-focused social care services.
Partnerships performance and primary care: developing integrated services for older people in England
- Authors:
- GLENDINNING Caroline, COLEMAN Anna, RUMMERY Kirstein
- Journal article citation:
- Ageing and Society, 22(2), March 2002, pp.185-208.
- Publisher:
- Cambridge University Press
Critically examines recent policy developments in England aimed at improving health and social services for older people. Summarises the current funding and organisation of services for older people, and highlights some key problem areas. Highlights three main policy themes that are shaping services: an emphasis on partnership; active demonstration of improved performance; and increasing involvement of frontline health professional in decisions of services development. Considers the implications and impact of these factors on the development of services for older people, and discusses whether health service developments are likely to address some of the most pressing needs of older people.