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An evidence base for the delivery of adult services
- Author:
- PETCH Alison
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2011
- Pagination:
- 60p., bibliog.
- Place of publication:
- Edinburgh
This independent evidence review was commissioned by the Association of Directors of Social Work to inform current debates on the future delivery of adult services. It sought to ground such debate in a firm understanding of the conclusions that can be drawn from initiatives evaluated both within the UK and elsewhere, ensuring that any future developments can be based on a clear understanding of the likely impact. The debate is motivated by the aspiration to establish the optimum conditions for the provision of support to the 650,000 people in Scotland who have contact with social services. Key conclusions highlight the need to ensure the most effective configuration for the delivery of adult health and social care is imperative given the current financial and demographic challenges. It has a high profile within the current policy context, exemplified by the Reshaping Care for Older People agenda. Social services for adults have delivered major achievements over the last two decades. There have been major shifts in the models of support from dependency and institutionalisation to greater choice and control by the individual. At the same time there has been recognition of key areas such as the needs of family carers and the demands of dementia that were previously invisible. The large majority of those receiving care and support express high levels of satisfaction.
Overview of health and social care services for older people
- Author:
- PETCH Alison
- Journal article citation:
- Community Care, 20.11.08, 2008, pp.36-37.
- Publisher:
- Reed Business Information
Reviews the findings of a Department of Health funded study designed to inform the National Service Framework for Older People. The study looked at the key findings from a group of 16 studies commissioned by the Policy Research Programme under the ‘Older People’s use of services’ Research Initiative. Outcomes from the projects are summarised under five key principles: no discrimination in health and social care services; services should be delivered by professionals who are trained in the care and treatment of older people; services should be person-centred; older people should be helped to regain their independence and to remain living in the community; and older people with complex needs should receive integrated and long-term care services.
Intermediate care or integrated care: the Scottish perspective on support provision for older people
- Author:
- PETCH Alison
- Journal article citation:
- Journal of Integrated Care, 11(6), December 2003, pp.7-14.
- Publisher:
- Emerald
Looks at how the concept of intermediate care appears to have been rejected in Scotland in favour of an emphasis on integrated care. The article explores the apparent divergence in the broader context of policy variation post-devolution and against the aspirations for a whole-system approach.
The tartan road: the Scottish route to health and social care integration
- Author:
- PETCH Alison
- Journal article citation:
- Journal of Care Services Management, 6(1), 2012, pp.16-25.
- Publisher:
- Taylor and Francis
Plans for health and social care integration in Scotland were announced in December 2011. Under the proposals the existing community health partnerships are to be replaced by health and social care partnerships which will be the joint and equal responsibility of the NHS and the local authority in each area. The partnerships are intended to deliver integrated care and support in the community, with an initial focus on services for older people. This article explores the proposals in the context of earlier developments in Scotland, the evidence on effective models for integrated working, and the existing community health partnerships. It draws on the findings of an evidence review commissioned from the author by the Scottish Association of Directors of Social Work. It also looks at the Reshaping Care for Older People programme launched in 2011, and the work of the community health partnerships. The article notes the 7 proposed health and care integration outcomes set out in the formal consultation on the integration proposals, and identifies and discusses factors most likely to lead to successful implementation of the proposals.
How does the community care?: public attitudes to community care in Scotland
- Authors:
- CURTICE Lisa, PETCH Alison
- Publisher:
- Scotland. Scottish Executive. Social Research
- Publication year:
- 2002
- Pagination:
- 49p.
- Place of publication:
- Edinburgh
As part of the 2001 Scottish Social Attitudes Survey, the Scottish Executive funded a module of 40 questions on the attitudes of people in Scotland to a range of community care issues. Interviews were completed with 1605 individuals across Scotland. Three quarters of respondents felt comfortable about living next door to a frail older person and more than half about living next door to a person with a learning disability. Less than half, however, felt comfortable about living next door to a person with mental illness or with dementia. Respondents were strongly in favour of individuals with support needs living in the community rather than in care homes or hospitals. This view was most common for a person with a learning disability and least common (but still the majority) for a person with dementia. Most people interviewed thought that a person with a mental illness or a learning disability should not serve on a jury. Support needs, it was felt, should in the main be met by paid workers. The exception was for the person with a learning disability needing to be accompanied to a club where the potential contribution of family members and volunteers was cited. A substantial majority considered the funding of support to be the responsibility of the government. Respondents with personal experience of care were even more likely than others to take this view. There was strong support for individuals remaining within their own homes when this was their wish, even when this was a more expensive option. Only a fifth of respondents thought that those able to pay should be able to access better quality provision, suggesting strong support for equity. Respondents expressed a willingness to pay higher taxes to generate funds for increased expenditure on health, support for older people and pensions. The top priorities for additional government spending on older people were home helps, special housing provision, and district nurses.