Search results for ‘Subject term:"personalisation"’ Sort:
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Beyond direct payments: making the case for microenterprise, Individual Service Funds and new forms of commissioning in health and social care
- Authors:
- DUFFY Simon, CATLEY Angela
- Publisher:
- Think Local Act Personal
- Publication year:
- 2018
- Pagination:
- 28
- Place of publication:
- London
This guidance shows that direct payments are not the only way to give people choice and control over their lives and makes the case for new approaches to support people, should a direct payment not be the preferred option. It makes the case for the following alternatives: micro-enterprises - funding a local person, family or small business to develop a good support solution with the person; Individual Service Funds – having a flexible budget which is managed for you by a local support organisation or person; and new models of commissioning – where funders organise their systems differently to enable choice, flexibility or reduce the complexity of personal budgets. It suggests three new approaches of commissioning: community sourcing, place-based working, and a modernised infrastructure which uses the internet to make it easy to individualise funding and widen support options. The guidance includes examples of good practice and advice to help implement these approaches. (Edited publisher abstract)
Personalization: from day centres to community hubs?
- Author:
- NEEDHAM Catherine
- Journal article citation:
- Critical Social Policy, 34(1), 2014, pp.90-108.
- Publisher:
- Sage
The article explores the relationship between personalisation reforms of social care services in England and the redevelopment of day centres for older people and people with a disability. Recognising the ways in which personalisation reforms have been driven by a rejection of institutionalisation, it considers how intersecting story-lines delegitimise the day centre model and promote alternative shared spaces such as ‘community hubs’. Using responses drawn from a small survey of day centre workers and case study interviews with social care managers, the article argues that the personalisation narrative has been much more effective in legitimising the closure of day centres than in stimulating the emergence of new collective spaces. There are a range of possible explanations for this apparent (Edited publisher abstract)
Care management in the twenty-first century: Persistent challenges in implementation in the context of the emergence of self-care
- Authors:
- STEWART Ailsa, MACINTYRE Gillian
- Journal article citation:
- Journal of Integrated Care, 21(2), 2013, pp.91-104.
- Publisher:
- Emerald
Purpose – The purpose of this paper is to examine the persistent challenges in implementing care management within the context of integration. In addition the appropriateness of the care management model will be considered within the current, personalisation focused, health and social care policy landscape. The paper draws upon a recent evaluation of a care management and assessment pilot project specific and persistent challenges remain. Professional and organisational boundaries, communication and information sharing remain key challenges. Policy imperatives have shifted the emphasis in community care services towards self-care, co-production and personalisation contributing to a lack of clarity over the place of care management within the broader integration agenda. Research (Publisher abstract)
What kind of home is your care home? A typology of personalised care provided in residential and nursing homes
- Authors:
- ETTELT Stefanie, et al
- Journal article citation:
- Ageing and Society, early cite 30 October 2020,
- Publisher:
- Cambridge University Press
This paper examines how care home managers in England conceptualised the approach to delivering personalised care in the homes they managed. The researchers conducted interviews with care home managers and mapped the approaches they described on two distinct characterisations of personalised care prominent in the research and practitioner literature: the importance of close care relationships and the degree of resident choice and decision-making promoted by the care home. The researchers derived three ‘types’ of personalised care in care homes. These conceptualise the care home as an ‘institution’, a ‘family’ and a ‘hotel’. This study adds a fourth type, the ‘co-operative’, to propose a type that merges proximate care relationships with an emphasis on resident choice and decision-making. This study concludes that each approach involves trade-offs and that the ‘family’ model may be more suitable for people with advanced dementia, given its emphasis on relationships. While the presence of a range of diverse approaches to personalising care in a care home market may be desirable as a matter of choice, access to care homes in England is likely to be constrained by availability and cost. (Edited publisher abstract)
Personalisation, ambiguity and conflict: Matland's model of policy implementation and the 'transformation' of adult social care in England
- Author:
- ELLIS Kathryn
- Journal article citation:
- Policy and Politics, 43(2), 2015, pp.239-254(16).
- Publisher:
- Policy Press
The article draws on Matland's (1995) modelling of policy implementation to investigate the personalisation of adult social care in England. The shift from policy formation to enactment by local authorities is linked to a move from 'symbolic' to 'political' implementation. Successive studies, however, highlight certain enduring features of local authorities as sites of contradiction and dissent in adult social care, particularly on the frontline. Taking these into account arguably permits a closer analysis of the dynamics of power at work in the implementation of the personalisation agenda as well as enriching our understanding of the nature of political implementation. (Publisher abstract)
Guidance on delivering personalised care and support planning: the journey to person-centred care: supplementary information for commissioners
- Author:
- COALITION FOR COLLABORATIVE CARE
- Publisher:
- NHS England
- Publication year:
- 2015
- Pagination:
- 21
- Place of publication:
- London
Forms part of the 'Personalised care and support planning handbook', one of three handbooks developed to help commissioners and practitioners to deliver improved personalised care and support for people with long term conditions and their carers. Drawing on research, best practice and case studies, it sets out: the commissioners' role in making personalised care and support planning happen; highlights the business case for person-centred, co-ordinated care; and presents some approaches commissioners might take to embed personalised care and support planning. The handbook includes the Houses of Care, the 'More than medicine approach' and a collaborative approach. (Original abstract)
Exploring the commissioning of personalisation within a capitated budget model
- Author:
- NHS IMPROVING QUALITY
- Publisher:
- NHS Improving Quality
- Publication year:
- 2014
- Pagination:
- 167
- Place of publication:
- London
This document describes the findings of a round table event to look at how capitated budgets for people with complex health needs could support personal budgets for people with two or more long term conditions.A capitated budget is not a patient held budget, but is an average amount calculated on a population (capitation) basis. It sets out a number of key messages around practical implementation, including current barriers and solutions for overcoming them. Areas covered include contracting implications, links between capitation based budgets and personal budgets, data implications. The document is part of a suite of learning materials being produced by the Long Term Conditions (LTC) Year of Care Commissioning Programme to support the spread and adoption of capitated budgets for people with complex care needs. (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)
Dying with dignity: applying personalisation to end of life care
- Author:
- DUFFY Simon
- Publisher:
- Centre for Welfare Reform
- Publication year:
- 2010
- Pagination:
- 32p.
- Place of publication:
- Sheffield
Too many people die in hospital or in nursing homes rather than at home with family and friends. This is despite the fact that dying in hospital is expensive and wasteful. This report offers a framework for rethinking the organisation of end of life care. It proposes a Personalised Model for End of Life Care (PMELC) that is both realistic and positive. If implemented this model would: help more people die at home; help more families plan positively for death; make better use of existing resources; and help professionals design more responsive supports. The PMELC involves 4 key elements: GP-led commissioning; individual budgets; an expert coordinating body for palliative care; and community-based support systems. The report argues that putting the PMELC into practice would make good use of existing institutions and would be feasible within the current economic and political context and the proposed development of a tariff for end of life care.
Effectiveness of supported living in relation to shared accommodation
- Authors:
- FISHER Karen, et al
- Publisher:
- University of New South Wales Consortium
- Publication year:
- 2008
- Pagination:
- 93p., bibliog.
- Place of publication:
- Sydney, NSW
This research aimed to build on existing knowledge, and increase understanding about accommodation services and housing for people with disabilities. The project was in two parts. Part 1 aimed to improve understanding of how people with disabilities access housing in Australia as well as to identify strategies to improve access to housing. Part 2 described innovative models of care for people with disabilities requiring 24 hour support, developed a service framework describing key components of successful models and a cost-effectiveness analysis of selected models compared to 24 hour staffed group homes. Contents include: existing supported living arrangements; goals of supported living policy; facilitators and barriers; framework for effective supported living services; national case studies; application of framework for effective supported living services to the case studies; cost effectiveness analysis. The report concludes that trends in Australian accommodation support policy for people with disability are consistent with international policy changes. Factors most likely to be associated with cost effective approaches to accommodation support include: a focus on client outcomes; administration practices; affordability of services; sustainability.