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An evaluation of Wigan Council’s Partnership for Older People Project
- Authors:
- BEECH Roger, et al
- Journal article citation:
- Research Policy and Planning, 29(2), 2012, pp.69-81.
- Publisher:
- Social Services Research Group
Wigan Council participated in the Department of Health for England’s Partnership for Older People Project (POPP) and piloted eleven community based schemes for promoting older people’s health and well-being and reducing their need for higher intensity forms of care. This paper describes evaluation activity that guided decisions about the development and ongoing sustainability of these schemes. A mixed method, observational study design generated information about the number and characteristics of POPP service users and the ‘value’ and ‘effectiveness’ of POPP schemes from the perspectives of older people and other POPP stakeholders. From May 2006 through January 2008 there were 7,572 referrals to POPP schemes. A survey covering 1,362 service users and interviews with whole system stakeholders revealed high levels of support for POPP schemes in terms of their relevance, value and ability to promote partnership working between agencies. Results also offered ‘plausible’ evidence that some schemes were helping to reduce older people’s use of more intensive and higher cost services. Implications: evaluation results supported a decision that all POPP schemes should be sustained when pilot funding from the Department of Health ended. The study also demonstrated the importance of local evaluation activity when developing new services. (Edited publisher abstract)
Integrated housing with care and support for older people: economic evidence
- Authors:
- TINELLI Michela, KNAPP Martin, GUY Danielle
- Publisher:
- London School of Economics and Political Science, Care Policy and Evaluation Centre
- Publication year:
- 2019
- Pagination:
- 9
- Place of publication:
- London
This case summary draws on existing research to provide economic evidence on extra care housing. Extra care housing provides self-contained accommodation with 24-hour on-site care and support, to help residents to continue living independently and potentially reducing the need to transfer to a care home in the long term. The summary looks at: whether extra care housing is effective; residents views of extra-care housing; whether it is cost-effective; and how it is currently implemented. The evidence suggests that extra-care housing can be cost-effective. However, research has focused on comparison with the cost of living in a residential care home, which may not always be the relevant comparator. There is also evidence that extra care housing produces health benefits and increases life expectancy of residents, and reduces needs for care and use of health and social care resources. (Edited publisher abstract)
British Red Cross 'Support at Home' hospital discharge scheme. A small-scale social care intervention: economic evidence
- Authors:
- KNAPP Martin, et al
- Publisher:
- London School of Economics and Political Science, Care Policy and Evaluation Centre
- Publication year:
- 2019
- Pagination:
- 4
- Place of publication:
- London
This case summary presents economic evidence on British Red Cross 'Support at Home' hospital discharge scheme. Through the scheme volunteers offer short-term (4–12 week) practical and emotional support for older people recently discharged from the hospital. A British Red Cross evaluation of the schemes effectiveness identified benefits such as enabling safe discharge, supporting carers and enabling patient advocacy. The intervention costs an average £169 per person, including volunteer time. The programme led to savings from older people needing less help with daily activities and improvements in wellbeing. These savings amounted to £884 per person on average (costs are at 2011 price levels). The summary notes that the quality of evidence on the evaluation was not high due to a lack of control group. (Edited publisher abstract)
Healthier and happier: an analysis of the fiscal and wellbeing benefits of building more homes for later living
- Author:
- WALKER Chris
- Publishers:
- WPI Strategy, Homes for Later Living
- Publication year:
- 2019
- Pagination:
- 32
- Place of publication:
- London
An analysis of the benefits and the savings that could be generated if more older people in the UK could access homes for later living, including housing with and without care services, The report shows that moving into specialist retirement housing reduces incidence of falls and reduces delays in discharge from hospital, resulting in cost savings for public services. The analysis estimates that each person living in a home for later living contributes to fiscal savings to the NHS and social care services of approximately £3,500 per year. In addition, it also shows that by maximising independence and increasing social interaction, homes for later living can significantly improve the health, wellbeing and quality of life of residents compared to living in other types of accommodation. The report calls for 30,000 additional homes for later living every year to boost mental and physical health of older people. (Edited publisher abstract)
Dance to Health 'Phase 1 roll-out [test and learn]' evaluation: first report
- Author:
- SHEFFIELD HALLAM UNIVERSITY. Sport Industry Research Centre
- Publisher:
- Sheffield Hallam University. Sport Industry Research Centre
- Publication year:
- 2019
- Pagination:
- 27
- Place of publication:
- Sheffield
An evaluation of the Dance to Health falls prevention dance programme. The evaluation investigates whether Dance to Health is an effective and cost-effective way to address older people’s falls and whether the programme helps older people in danger of falling overcome lost confidence, reduced independence and increased isolation. The evaluation used a mixed methods approach that included quantitative, qualitative and econometric research. Primary outcome measures included the impact on falls, positive side-effects (mentally and physically), patient pull, attendance and adherence, fidelity to existing falls prevention programmes and cost effectiveness. The findings show that Dance to Health is helping older people in danger of falling overcome lost confidence, reduced independence and increased isolation. There was a 44 percent reduction in the number of falls, positive improvements in participants' physical and mental wellbeing, including improved Timed Up and Go (TUG) times and reduced fear of falling. Additionally, based on the analysis conducted, there is a potential cost saving of over £149m over a 2-year period, of which £120m is a potential cost saving for the NHS. Dance to Health's fidelity to existing physiotherapy programmes was also confirmed. The evidence suggests that Dance to Health offers the health system a more effective and cost-effective means to address the issue of older people's falls. (Edited publisher abstract)
Dance to Health: evaluation of the pilot programme
- Author:
- AESOP
- Publisher:
- Aesop
- Publication year:
- 2017
- Pagination:
- 44
- Place of publication:
- Brize Norton
Outlines the results of Aesop's falls prevention dance programme for older people, Dance to Health. This arts based intervention address older people's falls and problems with some current falls prevention exercise programmes, by incorporating evidence-based exercise programmes into creative, social and engaging dance activity. The programme was developed using the Aesop 7-item checklist, which lists the features an arts programme should have for it to be taken up by the health system and made available to every patient who could benefit. The report outlines the rationale for creating the programme, the outcomes achieved - in addition to reduced falls, cost effectiveness, and the wider impact of the programme. It reports that the pilot successfully brought people from the worlds of dance and older people's exercise together, was able to train dance artists in the evidence-based falls programme, and also developed six evidence-based falls prevention programmes with 196 participants. A total of 73 per cent of participants achieved the target of 50 hours’ attendance over the six months, compared with a national average for completing standard falls prevention exercise programmes of 31 per cent for primary prevention and 46 per cent for secondary prevention. Additional outcomes identified included increases in group identification, relationships and reduced loneliness, functional health and wellbeing, and mental health and wellbeing. (Edited publisher abstract)
Costs and economic consequences of a help-at-home scheme for older people in England
- Authors:
- BAUER Annette, et al
- Journal article citation:
- Health and Social Care in the Community, 25(2), 2017, pp.780-789.
- Publisher:
- Wiley
Solutions to support older people to live independently and reduce the cost of an ageing population are high on the political agenda of most developed countries. Help-at-home schemes offer a mix of community support with the aim to address a range of well-being needs. However, not much is currently known about the costs, outcomes and economic consequences of such schemes. Understanding their impact on individuals’ well-being and the economic consequences for local and central government can contribute to decisions about sustainable long-term care financing. This article presents results from a mixed-methods study of a voluntary sector-provided help-at-home scheme in England for people of 55 years and older. The study followed a participatory approach, which involved staff and volunteers. Data were collected during 2012 and 2013. Social care-related quality of life was measured with the Adult Social Care Outcomes Toolkit for 24 service users (59% response rate) when they started using the scheme and 4–6 months later. A customised questionnaire that captured resource use and well-being information was sent to 1064 service users (63% response rate). The same tool was used in assessment with service users who started using the scheme between November 2012 and April 2013 (100% response rate). Costs of the scheme were established from local budget and activity data. The scheme was likely to achieve a mean net benefit of £1568 per person from a local government and National Health Service (NHS) perspective and £3766 from the perspective of the individual. An expenditure of £2851 per person accrued to central government for the additional redistribution of benefit payments to older people. This article highlights the potential contribution of voluntary sector-run help-at-home schemes to an affordable welfare system for ageing societies. (Publisher abstract)
What role can local and national supportive services play in supporting independent and healthy living in individuals 65 and over?
- Author:
- WINDLE Karen
- Publisher:
- Great Britain. Government Office for Science
- Publication year:
- 2015
- Pagination:
- 48
- Place of publication:
- London
This report explores the evidence base around effective and cost-effective preventative services and the role that they can play in supporting older people’s independence, health and wellbeing. It looks at the available evidence to support the benefits of preventative services in mitigating social inclusion and loneliness and improving physical health. It also highlights evidence on the effectiveness of information, advice and signposting in helping people access preventative services and the benefits of providing practical interventions such as minor housing repairs. It considers a wide range of primary and secondary preventative services, including: health screening, vaccinations, day services, reablement, and care coordination and management. It then outlines two teritary prevention services which aim to prevent imminent admission to acute health settings. These are community based rapid response services and ambulatory emergency care units, which operation within the secondary care environment. The report then highlights gaps in the evidence base and and looks at what is needed to develop preventative services to achieve health and independent ageing by 2013. It looks at the changes needed in service funding and commissioning, the balance between individual responsibility and organisational support, and how preventative services should be implemented. (Edited publisher abstract)
An analysis of the economic impacts of the British Red Cross Support at home service
- Authors:
- DIXON Josie, et al
- Publishers:
- University of Kent. Personal Social Services Research Unit, London School of Economics. Personal Social Services Research Unit
- Publication year:
- 2014
- Pagination:
- 40
- Place of publication:
- Canterbury
This independent economic evaluation of the British Red Cross Support at Home service focuses on four services which were found to improve outcomes in an earlier British Red Cross evaluation. The services all aim to help people to build their confidence and regain their independence during times of particular difficulty.Those evaluated were 'Next Steps', where volunteers provide home visits and monitor how people are coping following hospital discharge; 'Care in the Home' services delivered by staff and volunteers providing social visits, support and help with household tasks; and a Neighbourhood/Community service in Scotland which focused on linking people to existing services and volunteer-led services such as befriending. The final sample for this analysis consisted of a total of 52 people, the majority of who were over 65. Two outcomes were used in the economic analysis: an increased ability to manage daily activities and improved wellbeing. The evaluation identified cost savings that were related to a reduced need for formal/ informal care and general help around the home; a reduced risk of falls and malnutrition, particularly amongst those with unmet care needs; and, to a lesser degree, a reduced need for treatment of depressive symptoms. The total savings identified amounted to more than five times the cost of the service. The average cost of the intervention was £169 per person (based on the services and sample data in the Red Cross evaluation) and the identified savings came to £880 per person. (Edited publisher abstract)
Living well for longer: the economic argument for investing in the health and wellbeing of older people in Wales
- Authors:
- EDWARDS Rhiannon Tudor, et al
- Publisher:
- Bangor University
- Publication year:
- 2018
- Pagination:
- 68
- Place of publication:
- London
This report, commissioned by Public Health Wales, explores the economic case for investing in older people in Wales to support people to live longer in good health in older age. It looks at investing in older people as assets, highlighting the importance of their contribution to the economy in Wales and the importance of housing and enabling independence in later life. It then draws on the results of rapid reviews of international and UK evidence to show the relative cost-effectiveness and return on investment on preventing loneliness and social isolation; caring for older carers; and preventing falls. It concludes that enabling people to work for longer, facilitating volunteering and supporting working parents through care of grandchildren brings many economic returns in terms of improving wellbeing; reducing loneliness, and supporting formal and wider community services. In addition co-production enables older people to remain active in the community and provides intergenerational benefits within the community and public sector services. The report concludes that Wales should focus investment on: fully integrated health and care services; maintaining physical and mental well being in older age, with a focus on reducing social isolation and loneliness; maintaining services to promote prevention (particularly falls prevention), rehabilitation and reablement; investment in sustainable homes, transport and communities; and support for informal carers. (Edited publisher abstract)