Search results for ‘Subject term:"older people"’ Sort:
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Better with age: reforming the future of local social care for older people
- Authors:
- IACOPINI Giorgia, LESLIE Chris
- Publisher:
- New Local Government Network
- Publication year:
- 2009
- Pagination:
- 63p.
- Place of publication:
- London
It is expected over two million extra people will need care by the middle of the 21st century, however state funding for social care is currently growing at a much slower rate than the population explosion among older people demands. Health experts have predicted that the UK is heading for a funding gap of £6bn within two decades unless the system is changed. This report argues that local government must remain in the driving seat when commissioning care services and facilities for older people, but that the current local funding strains are unsustainable in their present state. With too many frail elderly people being forced to sell and move out of their homes, the report argues that a nationwide combined social insurance offer is needed to pay for a higher quality of care for Britain’s ageing population. In particular, a combination of gradual social insurance payments by all should be supplemented by a chance for the baby-boomer generation to buy into a higher-grade of care options through a Government-backed first charge on the equity of their properties, only to be recouped after death. In this way, a new higher quality care guarantee could commence in 2030 funded by the compulsory social insurance payments, and until then, retirees would have the choice to commit a small portion of the eventual proceeds of their property to an insurance fund to cover their own-home care costs for the remainder of their lives
Involving older people in commissioning: more power to their elbow?
- Authors:
- WISTOW Gerald, WADDINGTON Eileen, DAVEY Vanessa
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2011
- Pagination:
- 75p., bibliog.
- Place of publication:
- York
This research set out to investigate what happens when older people are given the opportunity to shape service commissioning and delivery. The study also raises wider question of whether it can change the nature of local power relations in the long term. Dorset and Salford were identified as two areas where structures and processes exist which encourage and facilitate the involvement of older people in local decision-making. Through focus groups the research examined: how older people in these areas were involved in commissioning and service delivery; what difference their involvement made; the factors which lead to successful engagement; and the barriers to involving older people. Key findings revealed that public policy has made increasing reference to voice and choice for service users. Yet there were few examples where users have a real say in commissioning and more strategic approaches to service planning. Older people and agencies felt that their local involvement processes were worthwhile and associated with identifiable results. National focus groups were more sceptical about whether outcomes justified the time and resources involved. In conclusion, involvement should concentrate specifically on outcomes more than on processes.
At home: audit tool for housing and related services for older minority ethnic people
- Authors:
- BROWN Philip, et al
- Publisher:
- Housing and Older People Development Group
- Publication year:
- 2006
- Pagination:
- 72p., CD ROM
- Place of publication:
- London
The ‘AT HOME’ toolkit has been designed to help ensure that housing and related services take account of the needs of black and minority ethnic (BME) elders. It will be particularly useful to service commissioners and providers, as well as older people from BME groups.
Commissioning care services for older people: achievements and challenges in London
- Author:
- BANKS Penny
- Publisher:
- King's Fund
- Publication year:
- 2005
- Pagination:
- 20p.
- Place of publication:
- London
What services are available to older people is determined to a large extent by how care is commissioned locally. This paper examines how care is being commissioned in six London boroughs, and how local authorities are working with their primary care trust partners, to transform the mix of services on offer. It shows how service users are involved, and assesses the extent which commissioners understand and manage the market and respond to need. It also highlights factors that are helping or hindering commissioning practice across the capital.
Home care: commissioning for older people with complex needs
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Place of publication:
- London
This film highlights the challenges of commissioning home care for older people. It shows examples of providing good quality, person centred home care for older people with complex needs. The St Monica's trust approach to high quality person centred home care is built on the recruitment of the right staff and support , training and partnership working. This resource is aimed at commissioners of home care for older people, commissioners, care providers and carers. (Edited publisher abstract)
Commissioning care and support for older people with high support needs
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2013
- Pagination:
- 4
- Place of publication:
- York
This paper provides practical guidance for commissioners of older people’s services on the range of models and approaches available for supporting older people with high support needs. It describes the options that are available, what makes them successful and beneficial, and suggests five priorities for commissioners. (Original abstract)
A preliminary analysis of dementia in Wales
- Author:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES
- Publisher:
- Care and Social Services Inspectorate Wales
- Publication year:
- 2010
- Pagination:
- 26p.
- Place of publication:
- Cardiff
This report provides a preliminary analysis relating to the current knowledge about and provision for people with dementia in Wales. The research involved fact finding from people with dementia, their carers, some expert professionals, and from desk top research. Three meetings were held; 1 attended by carers only and 2 attended by both carers and people with dementia. The sessions were structured around the idea of a dementia journey and people’s experience of this, what had worked well and what was difficult, as well as what needed improving. The report begins by discussing the issues raised at the meetings. It then moves on to the other information obtained during the preliminary analysis, looking at: the pattern of provision of social service and social care; and national and local studies and research. A significant finding is that there are wide variations in what is available across Wales and that this variability doesn’t seem to be related to need. The findings are considered in relation to the future commissioning of services. This analysis should be used to inform the second stage of the National Service Framework’s (NSF) review of older people.
The future social care market
- Author:
- NATIONAL MARKET DEVELOPMENT FORUM
- Publisher:
- National Market Development Forum
- Publication year:
- 2010
- Pagination:
- 6p.
- Place of publication:
- Oxford
The social care market is going to change in the coming years. Key trends include greater choice and control over service provision for users and carers, a stronger emphasis on communities and prevention, and changes in the basis of funding care. This paper looks at some assumptions that might be made about the social care market in the future and the potential issues and problems to be faced. The paper is based on discussions by participants in the National Market Development Forum between March and July 2010. The assumptions range from the almost inevitable, such as the growth in the numbers of older people, to the highly speculative, such as increased migration of older people. Key challenges that the social care market is likely to pose for commissioners and providers in the future are discussed. With these assumptions and challenges in mind, the paper suggests potential responses that will help to create an ‘ideal’ social care market. Key to the future will be the provision of accommodation into which care and health services can be delivered within the community, together with a combined preventative approach from health and social care.
Strategic approaches for older people from black and minority ethnic groups
- Authors:
- MANTHORPE Jill, HARRIS Jess, LAKEY Sheila
- Publisher:
- King's College London. Social Care Workforce Research Unit
- Publication year:
- 2008
- Pagination:
- 78p., bibliog.
- Place of publication:
- London
In 2026 the older black and minority ethnic (BME) population in the UK will reach over 1.8 million, a ten-fold increase since 2005. In 2004 Better Government for Older People (BGOP) commissioned a survey of local government strategies for black and minority ethnic older people. The survey identified a third of local authorities who responded had approaches underway; another third were considering or initiating responses; but approximately one third of local authorities had no plans to produce a strategic document to reflect their plans in meeting the needs of their BME older communities. The local authorities who were failing to meet the needs of older BME groups requested guidance about developing strategic approaches to population. This guide shares a collection of ideas and approaches that have deemed successful in some areas. It consists of seven important dimensions: a strategic approach; commitment and leadership; partnership; a picture of older people; involving older people; communication and information; and evaluation and impact.
Commissioning care closer to home: final report
- Authors:
- WISTOW Gerald, WADDINGTON Eileen, KITT Iain
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2009
- Pagination:
- 60p.
- Place of publication:
- London
A project to promote better commissioning by social care and partner agencies of care closer to home for older people was commissioned in 2007. Seven local sites agreed to participate in the fieldwork: three focusing on the commissioning implications for adult social care, local authority and community sector partners of the shift from care in acute hospital settings (Blackpool, Islington and Sandwell), and four focusing on more effective commissioning arrangements for older people with mental health needs (Hampshire, Knowsley, Leeds and Oxfordshire). The key findings were that care closer to home is being interpreted and implemented in a variety of ways, that it is not clear whether it is seen as a specific objective of central government policy or a dimension of other policies, and that there is a corresponding lack of clarity about where ownership and accountability lie locally and nationally for its implementation and how its success will be measured. This report describes the overall findings from the project, including the commissioning framework designed for commissioning care closer to home, analyses the implications for the further development of care closer to home, and describes the work undertaken at the fieldwork sites.