Search results for ‘Subject term:"older people"’ Sort:
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The bigger picture: policy insights and recommendations
- Author:
- LLOYD James
- Publishers:
- Independent Age, Strategic Society Centre
- Publication year:
- 2014
- Pagination:
- 50
- Place of publication:
- London
This report evaluates the performance of government policy on care and support of older people who struggle with day-to-day activities in England during the period 2011 to 2013, using the data and insights from ‘The bigger picture: understanding disability and care in England’s older population’. Part 1 of this report examines the reach of publicly funded support; the unmet need in the older population; and variation and consistency of care and support. Part 2 considers the implications of the Care Act implementation and looks at policy development beyond 2016, focusing on eligible needs after the Act, financial eligibility and the means test after 2016 and mapping, identifying and engaging older population groups. The report concludes that given the feasibility and budget challenges implied by the sheer numbers of older people experiencing difficulties with activities of daily living, a rethink and revolution is required among national and local policymakers around how individuals and families are engaged and supported. This will mean revisiting the balance between consistency and variation in services organised by local authorities, as well as fully integrating and exploiting the different ‘touch points’ and ‘gateways’ available for engaging the older population. It will also mean evaluating which aspects of the vision of the Care Act need to be fulfilled by local authorities directly, or can be devolved to empowered, third-party charities and organisations at a local level. (Edited publisher abstract)
A realistic evaluation of integrated health and social care for older people in Wales, to promote independence and wellbeing: interim report
- Authors:
- CHICHLOWSKA S.Carnes, et al
- Publisher:
- Welsh Government Social Research
- Publication year:
- 2013
- Pagination:
- 123
- Place of publication:
- Cardiff
Researchers at the Centre for Innovative Ageing, Swansea University provide a critical overview of each of a range of integration projects or services across Wales, comparing them to an idealised ‘testable theory’ of how integration should work. The aim is that older people are able to maintain their wellbeing and independence whilst being able to live with a range of care needs extending to complex and chronic conditions, preferably in their own homes and their own communities. The first section of the report is a summary of the literature review related to policy strategy and provision of integrated health and social care services for older people, using literature sourced nationally across Britain and locally in Wales. The second section comprises information on the models of care of the projects and services selected, based on a small number of interviews with stakeholders. The information will be used to develop a conceptual model of integrated care that can be used to assess the impact of services to older people. The report observes the emergence of several unintended and undesirable outcomes of developing integrated care, including competition between services and alienation of GPs and other health and service professionals. Assessment, patient notes and data collection is still largely paper based, creating difficulties in sharing and disseminating information across services. Further work is required to evaluate integrated health and social care. (Original abstract)
Independence, well-being and choice: our vision for the future of social care for adults in England: consultation response
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2005
- Pagination:
- 28p.
- Place of publication:
- London
The Social Care Institute for Excellence (SCIE) welcomes the green paper’s emphasis on independence and choice, and also wishes to encourage careful thinking about the issues of interdependence and control. SCIE supports the proposal to have an inclusive debate about risk. Structural change may be necessary, but is certainly not sufficient. The green paper recognises this, particularly through the emphasis on cultural change. Drawing on what is known about the implementation of changes designed to promote user- and carer-centred working, SCIE argues for an incremental approach and for forthcoming legislation to be framed in a way that allows for learning and experimentation by all concerned, including the users of services and their carers and supporters. The green paper’s seven outcomes for social care cannot be delivered by social care alone. Effective, outcome-focused partnership working across the human services and spanning from central government to the frontline must therefore be resourced and developed.
Still not ready for ageing
- Author:
- READY FOR AGEING ALLIANCE
- Publisher:
- Ready for Ageing Alliance
- Publication year:
- 2016
- Pagination:
- 6
- Place of publication:
- London
Assesses progress made by the Government to the challenges of the ageing society since the formation of the Ready of Ageing Alliance in 2013. It is argued that the Government is failing to make sufficient progress in three key areas identified in the 2014 Alliance Manifesto. These are that the economy, our communities, and the health and care system is ready for an increasingly ageing population. The paper highlights that savings levels remain far too low and that future generations of older people will find themselves poorer than today’s pensioners; social care funding reform has received little discussion since plans for its reform were shelved; health and care face major staffing shortages over the short and medium; and there is insufficient progress in tackling isolation and loneliness and in ensuring communities are equipped to help people live independently for longer. It makes recommendations for Government, including the creation of a permanent commission on Demographic Change and a single point of contact in Government responsible for leading and responding to the challenges and opportunities of ageing. (Edited publisher abstract)
The Integrated Care Evaluation Framework ((ICE-F): a realistic evaluation of integrated health and social care services in Wales
- Authors:
- CARNES-CHICHLOWSKA Susan, BURHOLT Vanessa, REA David
- Publisher:
- Welsh Government Social Research
- Publication year:
- 2015
- Pagination:
- 81
- Place of publication:
- Cardiff
Building on the interim report from researchers at the Centre for Innovative Ageing, Swansea University, this report sets out the Integrated Care Evaluation Framework (ICE-F) developed to help service providers to design and undertake evaluations of integrated services. Specifically the ICE-F assesses the impact of delivering integrated care to older people with the aim of improving wellbeing and independence. The model provides guidance on core elements that need to be considered in the evaluation, namely cost efficiency, effectiveness and the personal benefit of independence and wellbeing. It describes the stages necessary, the data requirements and the tools providers can use to assess the outcomes of their services.The framework is structured in four stages: describing what the service hopes to achieve and how; making a decision about what is going to be used to know whether the service will achieve it overall aims; the construction of a template for service evaluation; and the health economic evaluation of cost effectiveness, followed by a cost benefit analysis on the social return of investment. The final section provides a refined theory of integrated care, explaining why and how some aspects of the different contexts, mechanisms and outcomes work together in Wales. A series of recommendations for the Welsh Government and providers of integrated health and social care are also provided. (Edited publisher abstract)
Government's response to the House of Lords Committee on Public Service and Demographic Change report 'Ready for ageing?': one year update: presented to Parliament by the Secretary of State for Health
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- TSO
- Publication year:
- 2014
- Pagination:
- 32
- Place of publication:
- London
This report summarises the steps taken by Government to address the challenges of an ageing society, following their response to the recommendations of the Committee on Public Service and Demographic Change in July 2014. It focuses on what the government is doing to help older people in the following areas. Helping people live fuller working lives by supporting later working, improving health and well-being of the workforce and providing back to work support. Putting in place a new pensions system and ensuring older people have a secure retirement income. Making the health and care system more personalised and sustainable. Supporting people to live independent lives in older age through improved planning and involvement in their local communities though providing improvements in housing and transport, tackling loneliness and encouraging social participation . The final section reports on the Government efforts to ensure that policies are sustainable and can meet the challenges of an ageing society. (Edited publisher abstract)
Modernising social care services for older people: scoping the United Kingdom evidence base
- Authors:
- JACOBS Sally, et al
- Journal article citation:
- Ageing and Society, 29(4), May 2009, pp.497-538.
- Publisher:
- Cambridge University Press
In common with other developed countries at the end of the 20th century, modernising public services was a priority of the United Kingdom (UK) Labour administration after its election in 1997. The modernisation reforms in health and social care exemplified their approach to public policy. The authors were commissioned to examine the evidence base for the modernisation of social care services for older people, and for this purpose conducted a systematic review of the relevant peer-reviewed UK research literature published from 1990 to 2001. Publications that reported descriptive, analytical, evaluative, quantitative and qualitative studies were identified and critically appraised under six key themes of modernisation: integration, independence, consistency, support for carers, meeting individuals' needs, and the workforce. This paper lists the principal features of each study, provides an overview of the literature, and presents substantive findings relating to three of the modernisation themes (integration, independence and individuals' needs). The account provides a systematic portrayal both of the state of social care for older people prior to the modernisation process and of the relative strengths and weaknesses of the evidence base. It suggests that, for evidence-based practice and policy to become a reality in social care for older people, there is a general need for higher quality studies in this area.
What role for housing in health and social care provision?
- Author:
- ADAMS Sue
- Journal article citation:
- Journal of Integrated Care, 16(5), October 2008, pp.30-36.
- Publisher:
- Emerald
This article considers how greater recognition of the negative impacts of poor-quality and inappropriate housing on older people's health and well-being, combined with targeted housing repair and adaptation assistance, could contribute to achieving a range of current health and social care objectives, including enabling older people to live independently in mainstream housing and better management of chronic health conditions.
Tackling delayed transfers of care across the whole system: overview report based on work in the Cardiff and Vale of Glamorgan, Gwent and Carmarthenshire health and social care communities
- Author:
- WALES AUDIT OFFICE
- Publisher:
- Wales Audit Office
- Publication year:
- 2007
- Pagination:
- 110p.
- Place of publication:
- Cardiff
Tackling Delayed Transfers of Care Across the Whole System, makes a number of recommendations, including a clear local vision of service models to promote the independence of vulnerable older people and the strengthening of processes so that provision is centred on people's needs for care. The report also says that commissioning is under-developed and needs to ensure that health and social care communities have the appropriate capacity in a wide range of services that promote independence. The Committee found that the number of people experiencing a delayed transfer of care, has fallen over time but is not a good measure on its own of the extent of the problem because it does not reflect the length of the delays they suffer. A better measure is the number of hospital bed days occupied by people experiencing a delay, and that number in Wales as a whole actually rose by 2 per cent between 2005-06 and 2006-07 from 262,595 to 268,491. The report recommends that the Assembly Government should align its guidance, budgets, priorities, performance measures and incentives more closely with its vision of the whole system, in particular by improving the current measurement systems which are inaccurate and understate the impact of delayed transfers of care.
The lived experience of bathing adaptations in the homes of older adults and their carers (BATH‐OUT): a qualitative interview study
- Authors:
- WHITEHEAD Phillip J., GOLDING‐DAY Miriam R.
- Journal article citation:
- Health and Social Care in the Community, 27(6), 2019, pp.1534-1543.
- Publisher:
- Wiley
The onset of disability in bathing may be followed by disability in other daily activities for older adults. A bathing adaptation usually involves the removal of a bath or inaccessible shower and replacement with a level, easy access shower. The purpose is to remove the physical environmental barriers and restore older adults’ ability to bathe safely and/or independently. The aim of this study was to explore the views and experiences of older adults and their carers who had received a bathing adaptation in order to examine how the adaptation had affected them and identify mechanisms of impact and outcomes from their perspectives. The study was nested within a feasibility Randomised Controlled Trial (RCT) (BATH‐OUT) conducted within one local authority housing adaptations service in England. Semi‐structured interviews were completed between 21 December 2016 and 19 August 2017 with 21 older adults and five carer participants of the feasibility RCT. Interview participants were purposively sampled on living arrangement and gender. Interviews were audio‐recorded, transcribed verbatim and analysed in seven stages using framework analysis. Findings were presented thematically. Five themes were identified: ease of use; feeling safe; feeling clean; independence, choice and control; and confidence and quality of life. The removal of the physical barriers in the bathroom led to older adults re‐mastering the activity of bathing, having an improved sense of physical functioning which gave a sense of ‘freedom’. This appeared to impact a range of areas contributing to a wider sense of increased confidence consistent with constructs underpinning social care‐related quality of life. This study suggests that future research should examine housing adaptations from a person–environment fit approach, and that timely restoration of bathing ability is especially important as it can affect confidence and perceived competence in other areas of daily living. (Edited publisher abstract)