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Pembrokeshire housing's sheltered housing co-design service review: case study 137
- Authors:
- EDWARDS Keith, BLANLUET Noreen
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2017
- Pagination:
- 8
- Place of publication:
- London
A case study of a review of services in five sheltered schemes and three linked semi-sheltered schemes for older people, carried out by Pembrokeshire Housing. Based on co-production principles, the review included full engagement with residents and used their unique expertise as a prerequisite for designing a service that would meet the needs of older people now and in the future. The case study looks at the stages of the co-production process and outlines key learning points. Learning points included being open and honest with residents, which helped develop trust and ensuring co-production is a genuine process. The co-production process also led to the identification of untapped resources among staff and residents. (Edited publisher abstract)
A review of independent living adaptations
- Authors:
- BIBBINGS Jennie, et al
- Publisher:
- Welsh Government Social Research
- Publication year:
- 2015
- Pagination:
- 143
- Place of publication:
- Cardiff
A review of the provision of independent living adaptations within Wales, providing a map of the current system, including performance indicators, and exploring the feasibility of options for change. The review identified a fragmented service delivery system with many points of access and a range of diverse pathways with a variety of funding streams for different tenures. Funding for adaptations has developed in an ad hoc way in response to wider policy changes, leading to complexity in funding streams as well as eligibility criteria. Based on the qualitative and quantitative research undertaken as part of this review, three models for change were developed and analysed: option 1 - 'Status quo' - maintains existing funding streams and delivery agencies, with a strong focus on adopting best practice; option 2 - 'Unified system' -merges all existing funding streams into a single pot, to be delivered by a single organisation across all tenures and ages; option 3 - 'Tiered system' , which this review recommends - retains existing funding streams but with a greater focus on building on elements of best practice. The emphasis is on streamlining the front end of service delivery in a way which is more equitable for service users, while maintaining a range of funding streams to relieve pressure across the system. (Edited publisher abstract)
Seamless, community-focused health, social care and well-being for older people in Wales: key principles and features
- Author:
- PARLIAMENTARY REVIEW OF HEALTH AND SOCIAL CARE IN WALES
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2018
- Pagination:
- 77
- Place of publication:
- Cardiff
This document was produced as part of the final stage of the Parliamentary Review of Health and Social Care in Wales to inform recommendations on how to secure seamless, community-focused health, care and wellbeing services for older people in Wales. It is based on work by the Panel, including: an evidence review to understand current good practice, a call for case study examples highlighting current good practice in Wales and an expert forum and stakeholder consultation events. The document proposes an illustrative series of key service features which could be expected within a seamless, community-focused health and social care system. It suggests: a summary of the experience older people should be entitled to from a seamless ‘whole system’; design principles to guide the development of local services in the next 3-5 years; and references to evidence and examples of current good practice and innovation. A final section includes examples of promising examples of emerging seamless services from local areas in Wales. (Edited publisher abstract)
Living, not existing: putting prevention at the heart of care for older people in Wales
- Author:
- ROYAL COLLEGE OF OCCUPATIONAL THERAPISTS
- Publisher:
- Royal College of Occupational Therapists
- Publication year:
- 2017
- Pagination:
- 16
- Place of publication:
- London
This report focuses on the important contribution that occupational therapists can make to support further integration of health and social care in Wales. It looks at the role of occupational therapy in helping older people to remain independent and live in their own communities for as long as possible, preventing or delaying the need for expensive care long-term. The report focuses on three key areas: prevention or delaying the need for care and support; helping older people to remain in their communities; and ensuring equality of access to occupational therapy. It provides recommendations to improve the design and delivery of services and examples of best practice and individual case studies to how occupational therapists can contribution to integrated, person-centred services. These include for occupational therapists to work more closely with general practitioners, take on leadership roles to provide expertise to community providers on the development of person and community centred services; and the development of formal partnership agreements across local housing, health and social care sectors to ensure all older people have access to occupational therapy services. (Edited publisher abstract)
The importance and impact of community services within Wales
- Author:
- OLDER PEOPLE'S COMMISSIONER FOR WALES
- Publisher:
- Older People's Commissioner for Wales
- Publication year:
- 2014
- Pagination:
- 45
- Place of publication:
- Cardiff
This report makes a strong business case for key local and community-based services and facilities, such as buses and community transport, public toilets, pavements, public seating, outdoor areas, libraries, leisure facilities, and community and day centres. The report argues that community services are essential to the health, wealth, and wellbeing of villages, towns, cities and communities and the overall health of the economy and as a result they should be regarded as community assets rather than costs. They are essential to enable older people to continue to make a contribution and to undertake activities that have economic benefit. Community services are fundamental to the prevention of frailty and maintenance of health and wellbeing of older people and they are integral to the delivery of key policy priorities and statutory services cost containment. The report calls on local authorities to engage and consult more effectively with older people when key decisions are made about community services and concludes that a real culture shift is required in terms of community service planning and delivery, moving towards a more sustainable, innovative, long-term, integrated approach to secure better outcomes with fewer resources. (Edited publisher abstract)
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.
Best practice guidance for engagement and consultation with older people on changes to community services in Wales
- Author:
- OLDER PEOPLE'S COMMISSIONER FOR WALES
- Publisher:
- Older People's Commissioner for Wales
- Publication year:
- 2014
- Pagination:
- 16
- Place of publication:
- Cardiff
This guidance is intended for local authorities when proposing changes to community services, to ensure full and meaningful engagement with older people when key decisions are being made regarding services and facilities that are important to them. These include local buses, public toilets, libraries, day and community centres, and lifelong learning. Local authorities must have regard to this guidance when discharging their functions and the Older People’s Commissioner will use it as a standard by which to assess the extent to which they are safeguarding and promoting the interests of older people in Wales. This document outlines the legal context, sets out the duties of local authorities to pursue practical engagement with older people and describes a framework of requirements for a more formal, focused engagement through consultation. Guidance on the role of equality impact assessment in engagement and consultation is also included. (Edited publisher abstract)
Health and social care services for older people: summary of workforce strategies with recommendations for the future
- Author:
- CARE COUNCIL FOR WALES
- Publisher:
- Care Council for Wales
- Publication year:
- 2010
- Pagination:
- 45p., bibliog.
- Place of publication:
- Cardiff
The Older People’s Workforce Development Network for Health and Social Care was set up by the Care Council for Wales to develop a workforce strategy for those working with older people in the health and social care sectors in Wales. This summary document is a guide to the workforce issues identified in 19 existing strategies and plans that have a bearing on the health and social care of older people. Part A provides background contextual information and identifies the key themes for workforce development. Five key themes identified were: workforce plans; recruitment and retention of staff; qualifications, training and staff development; service development issues; and working together. Information is also provided on implementing these strategies, the main challenges for the future and how to take work forward the full strategy. Part B looks at what each of the 19 plans and strategies reviewed for this document had to say about those who work with older people in health and social care settings.