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Improving care and support for people with frailty: how NICE resources can support local priorities
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2019
- Place of publication:
- London
An online resource highlighting NICE guidance, quality standards, advice and practical tools that can help local partnerships to support people living with frailty. The resource signposts to relevant information from NICE, explains how NICE quality standards can be used to improve care and support, links to tools to support quality improvement, and shared learning case studies. It is one of a series of resources designed to help tackle priorities across local health and social care systems and help systems work together to provide consistent, high-quality care, based on the best evidence. (Edited publisher abstract)
For future living: innovative approaches to joining up housing and health
- Author:
- DAVIES Bill
- Publisher:
- Institute for Public Policy Research
- Publication year:
- 2014
- Pagination:
- 45
- Place of publication:
- Newcastle upon Tyne
Examines older people’s expectations from their housing and housing providers and the choices the UK housing market currently offers older and vulnerable people, and explores innovative housing and care solutions that could meet the demands of an ageing population and more widely support people with other social needs. The study drew on both quantitative surveys and qualitative interviews undertaken in previous research to establish what older groups need and expect from the housing market, and then used statistical methods to create a clear picture of the housing that older people inhabit now and the choices that the English housing market offers to them. Having established that the market presents only a limited range of options to older people, the research explored the international literature to identify different models of housing and support, focusing on countries that face similar demographic challenges. The report considers ideas that could potentially be adopted in England and adapted to an English housing and health context. A number of options were tested with two focus groups, involving over-55s and over-65s. Finally, based on the information drawn from the research, and through consultation with external experts, this report outlines a range of possible policy measures designed to ensure that the current and future stock of housing for older people is more effectively focused on supporting their health requirements. (Edited publisher abstract)
Old age mental health services in England: implementing the National Service Framework for Older People
- Authors:
- TUCKER Sue, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 22(3), March 2007, pp.211-217.
- Publisher:
- Wiley
There is much variation in the services provided for older people with mental health problems. In England, the National Service Framework for Older People (NSFOP) sought to address these inconsistencies and improve care. This study describes the situation three years after its publication. A postal survey of old age psychiatrists collected data on the NSFOP mental health model: the range of specialist mental health provision, the nature of the specialist: generic service interface and the degree of interdisciplinary/interagency working. Three hundred and eighteen (72%) consultants responded. Considerable differences existed in the deployment of key professionals within community teams, with more than a third lacking ring-fenced social work time. Few services had dedicated rehabilitation beds and nearly a third lacked separate facilities for people with organic and functional illnesses. Increasing numbers of consultants had access to a memory clinic and there was some suggestion that liaison services were developing, but little indication of increased support for care homes. Several services had yet to agree protocols with primary care, or to implement measures promoting effective information-sharing and integrated care, and there was little evidence that the introduction of the Single Assessment Process (SAP) had significantly changed practice. Although just over half of consultants reported that mental health services were improving, less than a quarter considered community provision adequate. Three years after the publication of the NSFOP there remained significant gaps in services for older people with mental health problems and substantial variation in provision between districts.
The national service framework for long-term conditions
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2005
- Pagination:
- 107p.
- Place of publication:
- London
This National Service Framework (NSF) for Longterm Conditions is a key tool for delivering the government’s strategy to support people with longterm conditions outlined in the NHS Improvement Plan: Putting People at the Heart of Public Services. The NSF aims to build on proposed changes in NHS management and commissioning to bring about a structured and systematic approach to delivering treatment and care for people with longterm conditions. The NSF applies to health and social care services working with local agencies involved in supporting people to live independently, such as providers of transport, housing, employment, education, benefits and pensions. At the heart of this NSF are the 11 quality requirements (QRs) set out in detail in Chapter 2. These are drawn from and mapped against the core and developmental standards in National Standards, Local Action, and are to be fully implemented by 2015. Chapters 3, 4 and 5 explain how these QRs could be delivered. They cover models for clinical neuroscience networks for commissioning and service delivery, initiatives to support local delivery and guidance on taking the next steps.
Better outcomes for older people: framework for joint services for older people; draft for consultation July 2004
- Author:
- SCOTLAND. Scottish Executive. Joint Services Group
- Publisher:
- Scotland. Scottish Executive. Joint Future Unit
- Publication year:
- 2004
- Pagination:
- 91p.
- Place of publication:
- Edinburgh
The purpose of the Framework is to encourage the development and mainstreaming of joint services, which form one element of a wide range of joint working activities now in place across Scotland. The Framework reflects thechanges in the shape and nature of our modern health, housing, social care and wellbeing services. Established ways of thinking about services and providing them are changing radically in many parts of Scotland. Joint services demonstrate how we can deliver better outcomes for individuals and their carers. The Framework is designed to become a major tool in a shared endeavour to assist older people to lead more independent lives and have more personal control over their lifestyles, care and environment.
The shape of future care for older people with mental health needs
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2003
- Pagination:
- 24p.
- Place of publication:
- Oxford
A report from the charity Friends of the Elderly, warns that councils in the South East are unprepared for an increase in demand for mental health services for older people. The charity is saying that areas of serious need will be created which will ‘stretch current service provision to the limit and probably beyond’. The report recommends that statutory authorities work in a more integrated way with voluntary and independent providers.
Improving care in care homes: a qualitative evaluation of the Croydon care home support team
- Authors:
- LAWRENCE Vanessa, BANERJEE Sube
- Journal article citation:
- Aging and Mental Health, 14(4), May 2010, pp.416-424.
- Publisher:
- Taylor and Francis
The Croydon care home support team (CHST) was developed in response to reports of patient abuse within long-term care in order to improve standards of care within care homes. The CHST adopts a systemic approach that places an equal emphasis on the social, mental health and nursing needs of residents and aims to address the whole culture of care within the individual homes. This paper describes a qualitative methodology used to assess the perceived impact of the CHST among care home staff. In-depth interviews were conducted with 14 care home managers and 24 members of care home staff across 14 care homes. Grounded theory principles guided the collection and analysis of the data. The results demonstrated improved communication between staff, improved staff development and confidence, and improved quality of care, and point towards the effectiveness of the CHST model. The collaborative approach of the CHST was considered pivotal to its success and presented as an effective method of engaging care home managers and staff. The data demonstrate the potential for specialist multi-disciplinary teams to raise standards of care across long-term care settings. Increased awareness of safeguarding issues, improved staff morale and communication and ongoing opportunities for discussion and problem solving promised to sustain improvements.
The feasibility and acceptability of a specialist health and social care team for the promotion of health and independence in 'at risk' older adults
- Authors:
- DRENNAN Vari, et al
- Journal article citation:
- Health and Social Care in the Community, 13(2), March 2005, pp.136-144.
- Publisher:
- Wiley
Population ageing, escalating costs in pensions, health-care and long-term care have prompted a new policy agenda for active ageing and quality of life in old age across the European Union and other developed countries. In England, the National Service Framework for Older People (NSF OP) explicitly demands for the first time that the NHS and local authorities, in partnership, agree programmes to promote health ageing and to prevent disease in older people. These programmes are expected to improve access for older people to mainstream health promotion services and also to develop multiagency initiatives to promote health, independence and well-being in old age. This paper describes the evaluation of one interagency project team established to test out mechanisms for addressing health promotion for older people through primary care. A mixed methodology was used to understand the processes of service development, the impact of the team's intervention, and the primary and secondary outcomes for older people. The project demonstrated that multi-agency partnerships have the potential to improve the quality of the lives of older people deemed 'at risk' by their general practitioners, particularly through income generation but also in the identification of medical problems such as unrecognised hypertension, hearing loss and visual loss. It also offered some key learning points for other multi-agency groups developing similar services.
Single assessment process for older people: key implications, guidance for local implementation and annexes to the guidance
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2002
- Pagination:
- 42p.
- Place of publication:
- London
The purpose of SAP is to ensure that older people receive appropriate, effective and timely responses to their health and social care needs, and that professional resources are used effectively. In pursuit of these aims, SAP should ensure the following goals. Individuals are placed at the heart of assessment and care planning, and these processes are timely and in proportion to individuals' needs. Professionals are willing, able and confident to use their judgement. Care plans or statements of service delivery are routinely produced and service users receive a copy. Professionals contribute to assessments in the most effective way, and care co-ordinators are agreed in individual cases when necessary. Information is collected, stored and shared as effectively as possible and subject to consent. Professionals and agencies do not duplicate each other's assessments.
A journey of improvement: lessons and experiences from using the collaborative methodology in improving older people's services across 12 London Boroughs
- Author:
- UNIVERSITY OF LONDON. King's College. Institute of Applied Health and Social Policy
- Publisher:
- National Health Service. London
- Publication year:
- 2003
- Pagination:
- 31p.
- Place of publication:
- London
The London Older People’s Service Development Programme was a two-year, two phase service improvement programme covering most of London between 2001-2003. Run by the London Directorate of Health and Social Care (LDHSC), it used the ‘collaborative’ methodology, successfully employed in other national service improvement programmes for primary care, cancer, coronary heart disease, medicines management, and more recently emergency care. A total of 25 Borough-based projects took part.