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Report of the task and finish group on care pathways for long term neurological conditions
- Author:
- WALES. Welsh Assembly Government. Task and Finish Group on Care Pathways for Long Term Neurological Conditions
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2010
- Pagination:
- 11p.
- Place of publication:
- Cardiff
This report by the Welsh Neuroscience Expert Group Care Pathways sub-group outlines a process for the development of care pathways to support children, young people and adults with long term neurological conditions. The aim of these pathways is to help people with long term neurological conditions manage their condition, maintain independence and achieve the best possible quality of life through an integrated process of education, information sharing, assessment, care planning and service delivery. It is suggested that this would be as delineated in the National Service Framework for Long Term Conditions for England. Areas addressed are: early recognition, diagnosis and treatment; acute care; early specialist rehabilitation; community and longer term rehabilitation; transitions; vocational and educational rehabilitation; equipment and accommodation; personal care and support for the sufferer, their families and carers; palliative care, care within hospital and other health or social care settings; quality assurance, audit and development.
Telecare and physical disability: using telecare effectively in the support of people with severe physical disabilities and long-term chronic conditions
- Editors:
- KERR Brian, et al, (eds.)
- Publisher:
- University of Stirling. Dementia Services Development Centre; Joint Improvement Team
- Publication year:
- 2010
- Pagination:
- 40p.
- Place of publication:
- Stirling
This booklet provides practical guidance on how telecare can contribute to improved outcomes and enhance the support, protection, and quality of life of people with complex physical disabilities and disabling long-term conditions. It also considers the importance of telecare in providing support and reassurance to carers. Sections in the booklet include: definitions of telecare and related concepts; the importance of good needs and risk assessment if telecare is to help meet those needs and manage risk; ethical dilemmas and how they can be resolved; how telecare can form part of a package of care and support, and issue particular to carers. Illustrative case studies are include throughout. Suggested content and a timetable for a one-day training programme are included to help trainers design both awareness raising and skill-development programmes. Examples of equipment which might contribute to the safety and quality of life of the telecare user are featured. A reference list and additional resources are included at the end of the book. This is one of four publications funded by the Scottish Government’s National Telecare Development Programme. The books are primarily aimed at assessors, care and support staff and their managers, telecare service managers and development staff.
Valuing older people: positive psychological practice
- Author:
- STIRLING Elspeth
- Publisher:
- Wiley-Blackwell
- Publication year:
- 2010
- Pagination:
- 213p., bibliog.
- Place of publication:
- Chichester
A global guide to positive psychological practice when dealing with older and very old people. The author, previously a clinical psychologist, champions social role valorisation (SRV) in relation to older people and ageing. SRV theory is based on opposing society’s tendency to devalue particular groups of people because they are ‘different. The author applies it, not only to counteract stereotyped attitudes that older people are valueless, but to promote beneficial effects of having our elders active in society and observing and learning from, for example, their coping behaviour. Chapters cover: the psychology and ecology of ageing; preventive psychology in later life; assessment in the new paradigm; new paradigm principles for intervention; older people and cognitive disabilities; new paradigm principles of service design; and psychological therapies with older people.
Delivering personal budgets for adult social care: reflections from Essex
- Author:
- OFFICE FOR PUBLIC MANAGEMENT
- Publisher:
- Office for Public Management
- Publication year:
- 2010
- Pagination:
- 9p.
- Place of publication:
- London
Essex County Council (ECC) has commissioned a three year study to investigate the impact of personal budgets taken as cash payments by older and disabled people and their families. This paper reflects on some of the issues raised through face-to-face interviews, conducted between November 2009 and January 2010, with 46 older and/or disabled people who were receiving cash payments and/or interviews with their relatives. In addition four interviews were conducted with older service users whose personal budgets were being managed by the council. The majority had only been receiving cash payments for a couple of months at the time of interview. Generally service users reported positive outcomes. The predictors of take-up of self-managed budgets appeared to be the confidence of service users, based on their own sense of rights, their skills and support available from close relatives and wider social networks. For older service users and those with learning disabilities family members often played a central role in making the initial decision about whether to opt for cash payments. Findings suggested that frontline staff may be making implicit assumptions about which service users are capable of managing cash payments which may influence what choices, if any, are offered. A lack of clarity was found about what is meant by ‘choice and control’ leading to open interpretation by individual frontline staff. The importance of ensuring frontline staff are clear about choice and control and confident in explaining the principles underpinning self-directed support is stressed.
Community care statistics 2008-09: social services activity report, England
- Author:
- NATIONAL HEALTH SERVICE. Information Centre for Health and Social Care
- Publisher:
- National Health Service. Information Centre for Health and Social Care
- Publication year:
- 2010
- Pagination:
- 78p.
- Place of publication:
- London
This report collates data on the social care activity of Councils with Adult Social Services Responsibilities (CASSRs) in England. Information is drawn from two sources, the Referrals, Assessments and Packages of Care (RAP) and the new Adult Social Care Combined Activity Return (ASC-CAR). This report is new for 2008-09 and replaces a number of reports based on separate data collections that were published previously. The data is reported under the following headings: access to care; packages of care; community based services; residential care; and carers. An estimated 2.04 million contacts from new clients were made to CASSRs in England in 2008-09, down 1% from the previous year. There were an estimated 1.78 million clients receiving services, a slight increase from 2007-08. Overall 1.54 million clients were receiving home care of various kinds. Most services were received by clients with physical disabilities, frailty or sensory impairment (72%) the remaining 18% had mental heath problems; 86,000 adults aged over 18 received direct payments. Since 2003 there has been a steady decline in the number of residents supported in care homes; 229,000 in 2008-09. During the year 398,000 carers received a carer’s assessment or review.
What is the problem, exactly? The distribution of Incapacity Benefit claimants' conditions across British regions
- Author:
- ANYADIKE-DANES Michael
- Journal article citation:
- Policy Studies, 31(2), March 2010, pp.187-202.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Whilst there are notable differences in the spatial distribution of those claiming Incapacity Benefit (IB) in Great Britain, where the percentage of claimants to population is two to three times higher in the North than it is in the South, there are also marked regional differences in the relative importance of the medical conditions from which IB claimants suffer. For example, about one third of males in the South are unable to work due to mental and behavioural disorders, but the proportion in the North is under a quarter. The converse is true of diseases of the musculoskeletal system and connective tissue. As the roll-out of Pathways to Work gathers pace with its offer of a condition management programme to claimants, and the new regime for those unable to work due to sickness is introduced, those charged with planning and managing the re-activation of benefit claimants need to have a more spatially informed understanding of the dimensions of the problem they are to address. This paper seeks to address this information gap by examining the regional distribution of conditions and its connection to the regional distribution of claimant numbers, as applicable for both men and women.
Paying the piper and calling the tune: power and the direct payment relationship
- Author:
- LEECE Janet
- Journal article citation:
- British Journal of Social Work, 40(1), January 2010, pp.188-206.
- Publisher:
- Oxford University Press
This paper provides empirical evidence from original research, which investigated the impact on the support relationship of the direct employment of workers, by direct payment users. The study used a grounded theory approach, with questionnaires to measure job satisfaction and stress, and in-depth interviews with respondents. It explored and compared the experiences of eight direct payment relationships with eight traditional service delivery homecare relationships. The research reveals the importance of the concept of power in helping us to understand the effect of direct employment and, based on this research, makes some suggestions for policy and practice.