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Thinking ahead? Exploring adult social care provision with older people in Northern Ireland
- Author:
- CHAPMAN Alexandra
- Journal article citation:
- Health and Social Care in the Community, 27(1), 2019, pp.161-169.
- Publisher:
- Wiley
A plethora of government policies impacting older people in the United Kingdom (UK) have been strongly influenced by the rhetoric that service users should be actively involved in their social care; including decisions and delivery. User involvement is integral to the government's current drive to make service more “person‐centred” or “personalised” in adult social care. However, there has been little engagement with the broader Northern Ireland public on future adult social care policies. It has been suggested that knowing preferences for the type of future care and where and how it should be provided can be valuable for service users, providers and policy‐makers. Using a qualitative approach, this paper draws on data collected from three focus groups with people aged over 60 who are not in receipt of social care services. The focus groups took place between April 2016 and January 2017. The findings demonstrate that participants had limited knowledge and understanding of the current social care system in Northern Ireland. In addition, participants had not thought about their possible future care needs. The findings emphasise the importance of promoting and engaging the public in social care debates, particularly at a time when the need for reform of the health and social care system has been identified in Northern Ireland. (Edited publisher abstract)
Developing social care policy: the public voice
- Authors:
- GRAY Ann Marie, DOWDS Lizanne, DEVINE Paula
- Publisher:
- Economic and Social Research Council
- Publication year:
- 2011
- Pagination:
- 4p.
- Place of publication:
- Swindon
Using data from the 2010 Northern Ireland Life and Times (NILT) Survey, this briefing paper explores what kind of social care adults in Northern Ireland want and how they feel about their own future social care provision. The survey asked for views on five different ways of paying for social care, dependant on level of income; what preparations people had made for meeting financial aspects of care by age; and their views on moving into residential care by age. The survey found support for a model of funding similar to that proposed by Dilnot whereby the state should pay for a basic level of care with the remainder being means tested. Most people would like to be able to have their care needs met at home, had a distrust of the private sector in the delivery of care. The majority of respondents, 81 per cent of NILT respondents felt that social care systems should be the same across the UK.
Living matters dying matters: a palliative and end of life care strategy for adults in Northern Ireland
- Author:
- NORTHERN IRELAND. Department of Health, Social Services and Public Safety
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2010
- Pagination:
- 117p., bibliog.
- Place of publication:
- Belfast
The Northern Ireland Health Minister launched 'Living Matters Dying Matters: A Palliative and End of Life Care Strategy for Adults in Northern Ireland’. Palliative and end of life care is the active care of patients with advanced progressive illness. This report outlines the strategy and identifies palliative and end of life care as a continuum of care that evolves as a person's condition progresses. This, the report suggests, is an integral part of care delivered by all health care professionals, families and carers, to those living with, and dying from any advanced, progressive and incurable condition. The strategy highlights how palliative and end of life care should focus on the person rather than the disease, and aims to ensure quality of life for those living with an advanced, incurable condition. The 5 year strategy presented offers vision and direction for service planning and delivery, and has been developed so implementation fits within the existing legal framework. The strategy builds on current and predicted demographics, intelligence and consultation which have informed the implementation of other departmental policy areas, service frameworks, and priorities for action targets and takes into account policy context from the other UK countries and the Republic of Ireland. The strategy sets out a vision for palliative and end of life care across all conditions and care settings based on what people value most and expect from such care – a vision which emphasises the importance of: understanding palliative and end of life care; best and appropriate care supported by responsive and competent staff; recognising and talking about what matters; timely information and choice; and co-ordinated care, support and continuity.
Policies for peace of mind?: devolution and older age in the UK
- Authors:
- McCORMICK James, MCDOWELL Eleanor, HARRIS Andrew
- Publisher:
- Institute for Public Policy Research
- Publication year:
- 2009
- Pagination:
- 37p., bibliog.
- Place of publication:
- London
This paper considers the changing landscape of policy and practice for older people since 2000 and how this varies across the four countries of the United Kingdom. It reflects on UK Government reforms over this period as well as the early choices made by the devolved administrations, which have varying powers. Much more is known about policy inputs - programmes designed to improve older people’s quality of life - than about their impact. As a result of devolution to the three smaller countries of the UK, it is possible to identify the intended policy aims for older people, as well as the role of policies reserved to Westminster. In particular, the research explores how far policies have sought to improve well-being for all older people or for some, targeted for example on need, resources or stage within older age. The paper draws mainly on a desk review of published documents, supplemented by a small number of interviews with policymakers in each of the four countries of the UK.
Mental health social work in Ireland: comparative issues in policy and practice
- Editors:
- CAMPBELL Jim, MANKTELOW Roger
- Publisher:
- Ashgate
- Publication year:
- 1998
- Pagination:
- 189p.,tables,bibliogs.
- Place of publication:
- Aldershot
Contains chapters on: a history of mental health in Northern Ireland; mental health policy in the Republic of Ireland; mental health social work and the law in Northern Ireland; mental health social work and the law in the Republic of Ireland; community care and the social inclusion of individuals with psychiatric disabilities in Northern Ireland; deinstitutionalisation in the Republic of Ireland; mental health social work and addictions in the Republic and Northern Ireland; and mental health social work and older people.
Dementia in Northern Ireland: report of the Dementia Policy Scrutiny
- Author:
- NORTHERN IRELAND. Department of Health and Social Services
- Publisher:
- Northern Ireland. Department of Health and Social Services
- Publication year:
- 1995
- Pagination:
- 59p.
- Place of publication:
- Belfast
Examines policy covering health and social service provision for people with dementia and their carers in Northern Ireland. Makes recommendations on the development of quality services to meet their needs.
Dementia: a literature review for the Northern Ireland Dementia Policy Scrutiny
- Author:
- DOWNS Murna
- Publisher:
- University of Stirling. Dementia Services Development Centre
- Publication year:
- 1994
- Pagination:
- 36p.
- Place of publication:
- Stirling
Literature review accompanying a report by the Northern Ireland Department of Health and Social Services.