Search results for ‘Subject term:"older people"’ Sort:
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Working with the NHS
- Author:
- WISTOW Gerald
- Journal article citation:
- Research Matters, 1, April 1996, pp.26-28.
- Publisher:
- Community Care
Joint arrangements between hospitals and social services for discharging patients are still unsatisfactory in many areas, with tensions between the competing demands of cost-effectiveness and thorough assessments of service users' needs. Reports on two recent studies which show things are improving and identify key areas for change.
Paying for long-term care: the shifting boundary between health and social care
- Author:
- WISTOW Gerald
- Journal article citation:
- Community Care Management and Planning, 3(3), June 1995, pp.81-89.
- Publisher:
- Pavillion
The delivery of services at the interface between health and social care is profoundly influenced by the historically different origins and purposes of these two forms of provision. Most fundamentally, the NHS was intended to provide a universal and comprehensive service, available to all on the basis of need rather than ability to pay. By contrast social care services retained some of the characteristics of the pre-1948 poor law out of which they emerged. Consequently, social care is selective, subject to means testing, and today, is provided within an increasingly mixed economy of care. Looks at: the changing boundary between health and social care; the implications of this shift; policy developments and responses; and options for the future.
Wrong way home
- Authors:
- WISTOW Gerald, HENWOOD Melanie
- Journal article citation:
- Health Service Journal, 23.6.94, 1994, pp.26-27.
- Publisher:
- Emap Healthcare
The Department of Social Security have confirmed that there is a loophole in the legislation which allows some people to make their own arrangements to enter care, funded by public moneys and with no assessment of their needs by social services departments. Outlines how the continuing social security route is open to some people and shows the damaging implications for the NHS. Argues that the loophole should be closed.
Continuing health care: the local development of policies and eligibility criteria
- Authors:
- LEWIS Helen, WISTOW Gerald, ABBOTT Stephen
- Journal article citation:
- Health and Social Care in the Community, 7(6), December 1999, pp.455-463.
- Publisher:
- Wiley
In 1995 the Department of Health issued guidance on continuing health care following the health service commissioner's finding against Leeds Health Authority for failing to provide long-term care. Under this guidance, health authorities were required to agree continuing health care policies and eligibility criteria with fundholders and local authorities. This study investigates the extent to which the drafting of local policies and criteria, within the framework of national guidance, led to consistency between health authorities. Discusses the results.
The development of domiciliary care: mission accomplished?
- Authors:
- WISTOW Gerald, HARDY Brian
- Journal article citation:
- Policy and Politics, 27(2), April 1999, pp.173-187.
- Publisher:
- Policy Press
The development of domiciliary care through the independent sector was central to the successful implementation of the 1993 community care changes. A considerable degree of success has been achieved: there has been substantial growth in the volume of home care hours funded by local authorities, and all of it concentrated in the independent sector. However, purchaser-provider relationships have created some provider instability and threatened continuity of care for users. Argues that the continuing task for local authorities as purchasers is to develop relationships with their providers which ensure that the quality of care services, and the way they are delivered, are consistent with user-defined standards.