Search results for ‘Subject term:"older people"’ Sort:
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Positive outcome?
- Author:
- HENWOOD Melanie
- Journal article citation:
- Community Care, 26.9.02, 2002, p.40,41.
- Publisher:
- Reed Business Information
Describes the Department of Health-commissioned research programme, Outcomes of Social Care for Adults (OSCA).
Lanarkshire's managed care network: an integrated improvement collaborative
- Author:
- HENDRY Anne
- Journal article citation:
- Journal of Integrated Care, 18(3), June 2010, pp.45-51.
- Publisher:
- Emerald
“Promoting the Development of Managed Clinical Networks” set a strategy in place for the development of MCNs in Scotland, where they operate on a local, regional or national basis. This article describes how MCNs enable virtual integration of health, social care and housing service delivery, through collaborative working across care sectors within an agreed governance framework. When focused on outcomes and experience for service users and carers, they can provide integrated support for improvement in the pathways, processes and experience of care and support for older people. The article provides a case study of the development of a managed care network of health and social care partners in Lanarkshire in the context of current policy drivers in Scotland. It outlines the process of transforming the policy into practice, asks what should we integrate, and then considers the integration of resources. The author suggests that by ensuring that the resources available follow the patient to where they add most value, the integration framework development programme hopes to evidence a sustainable shift in the balance of care, improved experience, and better outcomes for both service users and carers.
Ageing well in Dorset: how not to be invisible
- Author:
- COWEN Robin
- Journal article citation:
- Journal of Integrated Care, 17(6), December 2009, pp.31-36.
- Publisher:
- Emerald
This article describes a Dorset County Council commissioned project in 2008 to develop a plan for ageing well, that engaged and involved older people. The completed plan, supported by Cabinet and the Local Strategic Partnership, was carried out using outcome-based accountability, a methodology for focusing on outcomes, rather than process. Examining how the outcome-based plan worked to support this strategic development in adult services, at a time when it had been more widely used in children’s services, the author overviews outcome-based accountability, and how it starts with the end – or goals it should achieve. Working with the local older people to define the outcome, helped to retain a focus what mattered most to the older people of Dorset, which was at the heart of the commission.
Making personal budgets work for older people: developing experience
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2008
- Pagination:
- 9p.
- Place of publication:
- London
This paper explores the findings of the Individual Budget Pilot evaluation in the context of the experiences of older people and others. It sets out approaches to develop personal budgets to ensure they are attractive and useful to older people.
Piloting telecare in Kent County Council: the key lessons: final report
- Author:
- ALASZEWSKI Andy
- Publisher:
- University of Kent. Centre for Health Services Studies
- Publication year:
- 2006
- Pagination:
- 111p., bibliog.
- Place of publication:
- Canterbury
The reports focuses on use of telecare in Kent where 550 people are currently piloting a range of telecare interventions. The Kent project currently covers six out of 12 districts in the county with suitable candidates supplied with appropriate sensors to use in their homes which monitor aspects such as falls, movement, smoke and the environment. The county is also piloting telecare to support patients with dementia and those needing intermediate care. The report found that there were practical problems in implementing telecare in the pilot sites such as getting social services care managers to make enough referrals and also in the variation of data recording between call centres once telecare was in operation. However it also reported that frontline staff were generally positive about telecare and the benefits it could provide for users, carers and the social services directorate and that those using the technology also felt positively about it.
Integrating social and health care: a comparative study of outcomes for older poeple and their carers
- Authors:
- LEVIN Enid, et al
- Publisher:
- Royal Free Hospital. Department of Primary Care and Population Sciences, Univers
- Publication year:
- 2002
- Pagination:
- 165p.
- Place of publication:
- London
This report focused on older people aged 75+ who were assessed for community care support. Assessments were undertaken at first interview, and at six month follow up, and analysis made of whether or not people were still in the community and the variables affecting this. The conclusions were striking: If everything else is held constant, each unit increase in MMSE (the Mini Mental State Examination) score raised the likelihood of people remaining in their own homes by 14% (low MMSE scores being indicators of cognitive impairment). The second largest contribution was made by the intensity of home care support; for every unit increase of home care, the chance of remaining at home rose by 8%.4.
Social service users' own definitions of quality outcomes
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2003
- Pagination:
- 4p.
- Place of publication:
- York
The Shaping Our Lives project, working in partnership with Black User Group (London), Service User Action Group (Wakefield), Ethnic Disabled Group Emerged (Manchester) and an alliance of user groups in Waltham Forest (London), looked at the application in practice of on-going work about what service users meant by 'user-defined outcomes'. Both the research and the development projects covered a range of experiences - including those of older people, mental health users, minority ethnic communities and disabled people and involving 66 users in all.
Making contact: an activity-based model of care
- Author:
- POOL Jackie
- Journal article citation:
- Journal of Dementia Care, 9(4), July 2001, pp.25-26.
- Publisher:
- Hawker
Changing the culture of care in an institutional setting is never an easy task. Reports on the success of a care practice development project at Addenbrooke residential home in Gosport, Hampshire.
Seeking residents' views in homes for older people: a user's perspective approach
- Authors:
- WALKERDEN Steve, CAMPBELL Tina
- Journal article citation:
- Managing Community Care, 7(5), October 1999, pp.35-43.
- Publisher:
- Pavilion
This article describes the experiences of a major provider of residential care for older people in Australia, in ascertaining the views of their residents. It discusses resource implications, outlines benefits and recommends the use of a specific approach which provides a practical demonstration of commitment to quality care.
Outcomes of reablement and their measurement: findings from an evaluation of English reablement services
- Authors:
- BERESFORD Bryony, et al
- Journal article citation:
- Health and Social Care in the Community, 27(6), 2019, pp.1438-1450.
- Publisher:
- Wiley
Reablement – or restorative care – is a central feature of many western governments’ approaches to supporting and enabling older people to stay in their own homes and minimise demand for social care. Existing evidence supports this approach although further research is required to strengthen the certainty of conclusions being drawn. In countries where reablement has been rolled out nationally, an additional research priority – to develop an evidence base on models of delivery – is emerging. This paper reports a prospective cohort study of individuals referred to three English social care reablement services, each representing a different model of service delivery. Outcomes included healthcare‐ and social care–related quality of life, functioning, mental health and resource use (service costs, informal carer time, out‐of‐pocket costs). In contrast with the majority of other studies, self‐report measures were the predominant source of outcomes and resource use data. Furthermore, no previous evaluation has used a global measure of mental health. Outcomes data were collected on entry to the service, discharge and 6 months post discharge. A number of challenges were encountered during the study and insufficient individuals were recruited in two research sites to allow a comparison of service models. Findings from descriptive analyses of outcomes align with previous studies and positive changes were observed across all outcome domains. Improvements observed at discharge were, for most, retained at 6 months follow‐up. Patterns of change in functional ability point to the importance of assessing functioning in terms of basic and extended activities of daily living. Findings from the economic evaluation highlight the importance of collecting data on informal carer time and also demonstrate the viability of collecting resource use data direct from service users. The study demonstrates challenges, and value, of including self‐report outcome and resource use measures in evaluations of reablement. (Edited publisher abstract)