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Personhood, identity and care in advanced old age
- Authors:
- HIGGS Paul, GILLEARD Chris
- Publisher:
- Policy Press
- Publication year:
- 2016
- Pagination:
- 208
- Place of publication:
- Bristol
Pushing forward new sociological theory, this book explores the theoretical and practical issues raised by age and infirmity. It begins with a theoretical examination of the fourth age, interrogating notions of agency, identity and personhood, as well as the impact of frailty, abjection and ‘othering’. It then applies this analysis to issues of care. Key topics covered in this book include: advanced old and the fourth age paradigm; defining personhood and identity; understanding frailty; understanding abjection; cognitive, emotional and social aspects of caring for frail old people; organisational and policy aspects of caring for frail old people; care work and bodywork; and care and the limits of personhood. (Edited publisher abstract)
Public support for older disabled people: evidence from the English Longitudinal Study of Ageing on receipt of disability benefits and social care subsidy
- Authors:
- HANCOCK Ruth, MORCIANO Marcello, PUDNEY Stephen
- Publisher:
- University of East Anglia
- Publication year:
- 2016
- Pagination:
- 35
In England, state support for older people with disabilities consists of a national system of non-means-tested cash disability benefits and a locally administered means-tested system of social care. Evidence on how the combination of the two systems targets those in most need is lacking. This study estimates a latent factor structural equation model of disability and receipt of one or both forms of support. The model integrates the measurement of disability and its influence on receipt of state support, allowing for the socio-economic gradient in disability, and adopts income and wealth constructs appropriate to each part of the model. This paper finds that receipt of each form of support rises as disability increases, with a strong concentration on the most disabled, especially for local-authority-funded care. The overlap between the two programmes is confined to the most disabled. Less than half of recipients of local-authority-funded care also receive a disability benefit; a third of those in the top 10 per cent of the disability distribution receive neither form of support. Despite being non-means-tested, disability benefits display a degree of income and wealth targeting, as a consequence of the socio-economic gradient in disability and likely disability benefit claims behaviour. The scope for improving income/wealth targeting of disability benefits by means testing them, as some have suggested, is thus less than might be expected. (Edited publisher abstract)
Community care statistics, social services activity, England, 2015-16
- Author:
- NHS DIGITAL
- Publisher:
- NHS Digital
- Publication year:
- 2016
- Pagination:
- 21
- Place of publication:
- Leeds
This is a report on the social care activity of Councils with Adult Social Services Responsibilities (CASSRs) in England between 1st April 2015 and 31st March 2016. It contains aggregate information mainly taken from council administrative systems used to record the process of assessing eligibility to state funded social care and providing services where people are eligible. This is the second year of the SALT (Short and Long Term) collection and councils were provided with the opportunity to revise their 2014-15 data; as such, some data has been updated from last year. The report shows that there were 1,811,000 requests for support from new clients, which had reached the stage of having a known outcome to that request during the reporting period. 28 per cent of these were from clients aged 18-64, with the remaining 72 per cent from clients aged 65 and over. There were 245,000 completed instances of Short Term Support to Maximise Independence, for new and existing clients during the reporting period. There were 873,000 clients receiving long term support during the reporting period. The report also reveals that there were 387,000 carers in contact with the council, of whom 314,000 (81 per cent) received direct support. There were also 57,000 instances of respite or other support delivered to the cared-for person. A third of carers in contact with the council (131,000) did not receive a review or assessment during the year. Over half the carers in contact with the council (53 per cent) are aged 18-64 and nine per cent (35,000 carers) are aged over 85. (Edited publisher abstract)
Integrating health and social care
- Authors:
- BERMINGHAM Rowena, HOBBS Abbi
- Publisher:
- Great Britain. Houses of Parliament. Parliamentary Office of Science and Technology
- Publication year:
- 2016
- Pagination:
- 5
- Place of publication:
- London
An ageing population and the increasing prevalence of long-term conditions are putting pressure on health and social care services. The four UK nations have committed to better integration between health and social care as one solution to these challenges. This briefing outlines what integration is and examines policies to enable it in the four UK nations, such as co-ordinating resources and pooled budgets. It provides examples of integration in England, which include Integrated Care Pilots, Integrated Care Pioneers, and New Care Models. Three key challenges to achieving integration are identified as data sharing; incentives and targets; and workforce practices. The briefing also highlights the difficulties of assessing the effectiveness of integration schemes. (Edited publisher abstract)
Exploring the Care Act’s potential for anti-discriminatory practice with lesbian, gay, bisexual and trans older people
- Author:
- CROSSLAND John
- Journal article citation:
- Quality in Ageing and Older Adults, 17(2), 2016, pp.97-106.
- Publisher:
- Emerald
Purpose: The planning and provision of care for older people in the lesbian, gay, bisexual and trans (LGBT) communities is an increasing challenge to traditional welfare systems. The purpose of this paper is to explore the potential of the newly implemented Care Act 2014 in England for developing an anti-discriminatory approach. Design/methodology/approach: The review draws on existing research and conceptual literature to identify how key provisions of the new act can be interpreted in light of current knowledge. Findings: Overall the provisions of the Care Act lend themselves well to positive interpretation in relation to the needs of older LGBT people and their support networks. A potential tension, however, arises in the locality focus of the legislation that could constrain good practice with geographically dispersed communities. There is also a need to challenge both heteronormative and ageist assumptions that lead to older LGBT people remaining unrecognised. Practical implications: Applied with imagination and commitment, the provisions of the new act could enable new forms of person-centred care to emerge to support older LGBT people. Social implications: Social workers are in a key position to influence how the Care Act is interpreted and applied in practice and can act as change agents for a societal move towards older LGBT people having greater choice and control over their well-being. (Edited publisher abstract)
Learning from international experiences: developing older LGBT affirmative housing and care options in England
- Author:
- ROSS Paul D. S.
- Journal article citation:
- Quality in Ageing and Older Adults, 17(1), 2016, pp.60-70.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to formulate recommendations from international and local examples to aid the design and delivery affirmative housing and care options for older LGBT individuals in England. Design/methodology/approach: This paper combines a desk-top review conducted by the author with personal views and recommendations for practice by discussing the levers within both the Care Act and Equality Act for greater LGBT participation in the design, delivery and evaluation of housing with care services. Findings: The provision of LGBT affirmative housing and care options for individuals in England is currently limited. International and European evidence suggests that multi-faceted, person-centred approaches are central in delivering affirmative services to older LGBT individuals. Originality/value: This paper adds to a growing literature on minority housing and care services. The author draws on both a professional and personal interest in facilitating the development of LGBT affirmative services in England. (Edited publisher abstract)
Serious case reviews into dementia care: an analysis of context and content
- Authors:
- MANTHORPE Jill, MARTINEAU Stephen
- Journal article citation:
- British Journal of Social Work, 46(2), 2016, pp.514-531.
- Publisher:
- Oxford University Press
Adult Serious Case Reviews (SCRs) are commissioned by local Safeguarding Boards to investigate how local professionals and agencies worked together to safeguard a vulnerable adult following an incident of abuse, harm or death if the Board identifies concerns about agencies' actions from which lessons may be learned. This paper presents the results of a study undertaken in 2013 analysing Adult SCRs where the person who was at risk of harm, or had been harmed or died, had a dementia. Of the eighty-four SCRs available, fourteen were identified as involving a person with dementia and in a further seven the victim(s) may have had dementia. Discrete themes are presented: the situation of self- or publicly funded residents; the potential of poor care quality in all settings for people with dementia, and by different staff and family carers; the lack of communication with family members; and poor integration of care for people with dementia. The SCRs provide vivid illustrations of the ‘faultlines’ that may exist in dementia support systems. In England, Adult SCRs are moving to a statutory basis under the Care Act 2014 and this paper draws attention to their potential as learning materials in dementia care for commissioners, for social workers and for safeguarding practice. (Publisher abstract)
Frailty: a costly phenomenon in caring for elders with cognitive impairment
- Authors:
- BUTLER Aine, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 31(2), 2016, pp.161-168.
- Publisher:
- Wiley
Objectives: Dementia draws on a variety of public and private resources. There is increasing pressure to define the cost components in this area to improve resource allocation and accountability. The aim of this study was to characterize frailty in a group of cognitively impaired community-dwelling elders and evaluate its relationship with cost and resource utilization. Methods: The study assessed a cross-sectional, convenient sample of 115 cognitively impaired patients of age >55 years who attended the National Memory Clinic in St James' University Hospital, a Trinity College-affiliated hospital in Dublin, Ireland. Participants had a clinical diagnosis of possible Alzheimer's disease or mild cognitive impairment. Frailty was measured using the biological syndrome model. Formal health and social care costs and daily informal caregiving costs were collected and the total costs of care estimated by applying the appropriate unit cost estimate for each resource activity. Stepwise regression models were constructed to establish the factors associated with increased care costs. Results: Patient dependence, frailty and number of co-morbid illnesses explained 43.3% of the variance in observed daily informal care costs in dementia and cognitively impaired patients. Dependence was the sole factor retained in an optimal model explaining 19% of the variance in formal health and social care costs. Conclusion: Frailty retained a strong association with daily informal care costs even in the context of other known risk factors for increasing care costs. Interventions that reduce frailty as well as patient dependence on others may be associated with cost savings. (Edited publisher abstract)
Older persons’ experiences and perspectives of receiving social care: a systematic review of the qualitative literature
- Authors:
- JOSE Jose de Sao, et al
- Journal article citation:
- Health and Social Care in the Community, 24(1), 2016, pp.1-11.
- Publisher:
- Wiley
This article presents and discusses a systematic review of relevant qualitative research-based evidence on the older persons’ experiences and perspectives of receiving social care published between 1990 and September 2014. This review aimed to obtain answers to the following questions: How is the reception of social care experienced by the older persons? What are the negative and positive aspects of these experiences? What are the factors which influence the experiences? The synthesis of the findings of reviewed papers identified six analytical themes: asking for care as a major challenge; ambivalences; (dis)engagement in decisions concerning care; multiple losses as outcomes of receiving social care; multiple strategies to deal with losses originated by the ageing process; and properties of ‘good care’. These themes are discussed from the point of view of their implications for theory, care practice and social policy, and future research. (Edited publisher abstract)
Let's all get home safely: a commentary on NICE and SCIE guidelines (NG27) transition between inpatient hospital settings and community or care home settings
- Authors:
- WINFIELD Anna, BURNS Eileen
- Journal article citation:
- Age and Ageing, 45(6), 2016, pp.757-760.
- Publisher:
- Oxford University Press
Safe and appropriate transition between inpatient settings and the community is one of the major challenges facing the modern NHS. The National Institute for Health and Care Excellence in conjunction with the Social Care Institute for Excellence published guidance on this challenging area in December 2015. This commentary provides context, summary and discussion of the key areas covered. The guidance particularly emphasises the importance of a person-centred approach in which patients are individuals and equal partners in the multidisciplinary team who should be treated with dignity and respect. Additionally, communication and information sharing is crucial both on admission and when taking a proactive approach to discharge, including the role of the discharge coordinator in liaising with community teams and arranging follow-up post-discharge. Self-care and the significance of carers are also highlighted as valuable in facilitating safe discharge and reducing readmissions. It is clear that in older people with complex needs, safe appropriate transition between hospital and community settings has a positive impact on patients and their carers. Given the financial and capacity pressures facing the NHS, strategies to reduce readmissions and prevent delays in discharge are increasingly important. These guidelines are therefore both timely and advocated to improve care for older people. (Publisher abstract)