Long-term care in the UK: do we need it, does it matter, who will pay?

The Lancet ◽  
1992 ◽  
Vol 339 (8785) ◽  
pp. 96-97 ◽  
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
The Uk

Organizing across borders

2005 ◽  
Vol 48 (5) ◽  
pp. 643-653 ◽  
Author(s):  
Chris Holden
Keyword(s):  
Case Studies ◽  
Long Term Care ◽  
Care Work ◽  
Term Care ◽  
User Choice ◽  
Care Services ◽  
Organization Of Care ◽  
The Uk

Internationalized providers of care services face competing incentives and pressures relating to profit and quality. Case studies of corporate providers of long-term care in the UK demonstrate that their mode of organization has important implications for both user choice and the organization of care work. French Les fournisseurs internationalisés sont soumis à des pressions et à des incitatifs concurrentiels pour produire des profits et de la qualité. Des études de cas portant sur les fournisseurs institutionnels d'assistance à long terme au Royaume-Uni révèlent que leur mode d'organisation a d'importantes répercussions tant au niveau du choix des bénéficiaires qu'au niveau de l'organisation du travail d'assistance. Spanish Los prestadores transnacionales de servicios se enfrentan con incentivos que compiten entre sí y con la tensión entre calidad y ganancia. Se estudian unoscasos de prestadores de cuidados de larga duración en el Reino Unido. Estos demuestran que el modo de organización tiene consecuencias importantes, tanto para opciones abiertas al usuario como para la organización de los cuidados.

Preventing falls and falls-injuries in hospitals and long-term care facilities

2007 ◽  
Vol 17 (2) ◽  
pp. 75-91 ◽  
Author(s):  
David Oliver
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Falls Prevention ◽  
Care Homes ◽  
Term Care ◽  
Long Term Conditions ◽  
Global Challenge ◽  
The Uk ◽  
Developed Nations

Falls are predominantly a problem of older people. In the UK, people over 65 currently account for around 60% of admissions and 70% of bed days in hospitals. There are approximately half a million older people in long-term care settings – many with frailty and multiple long-term conditions. The proportion of the population over 65 years is predicted to rise 25% by 2025, and that over 80 by 50%, with a similar increase in those with dependence for two or more activities of daily living. Despite policies to drive care to the community, it is likely that the proportion of older people in hospitals and care homes will therefore increase. Accidental falls are the commonest reported patient/resident safety incidents. Similar demographic trends can be seen in all developed nations, so that the growing problem of fall prevention in institutions is a global challenge. There has been far more focus in falls-prevention research on older people in ‘community’ settings, but falls are a pressing issue for hospitals and care homes, and a threat to the safety of patients and residents, even if a relatively small percentage of the population is in those settings at any one time.

Who Will Pay for Long-Term Care in the UK? Projections Linking Macro- and Micro-Simulation Models

2005 ◽  
Vol 24 (4) ◽  
pp. 387-426 ◽  
Author(s):  
Ruth Hancock ◽  
Adelina Comas-Herrera ◽  
Raphael Wittenberg ◽  
Linda Pickard
Keyword(s):  
Long Term Care ◽  
Simulation Models ◽  
Term Care ◽  
Micro Simulation ◽  
The Uk

The Employment of Migrant Workers in Long-Term Care: Dynamics of Choice and Control

2011 ◽  
Vol 41 (1) ◽  
pp. 43-59 ◽  
Author(s):  
ISABEL SHUTES
Keyword(s):  
Migrant Workers ◽  
Long Term Care ◽  
Welfare States ◽  
Care Providers ◽  
Term Care ◽  
Care Workers ◽  
The Uk ◽  
Home Care Providers ◽  
And Control

AbstractThe employment of migrant workers in long-term care is increasingly evident across western welfare states. This article examines the ways in which immigration controls shape the exercising of choice and control by migrant care workers over their labour. It draws on the findings of in-depth interviews with migrant care workers employed by residential and home care providers and by older people and their families in the UK. It is argued that the differential rights accorded to migrants on the basis of citizenship and immigration status shape, first, entry into particular types of care work, second, powers of ‘exit’ within work, and, third, ‘voice’ regarding the conditions under which care labour is provided.

The role of autonomy in explaining mental ill-health and depression among older people in long-term care settings

2005 ◽  
Vol 25 (5) ◽  
pp. 731-748 ◽  
Author(s):  
GERALDINE BOYLE
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Structured Interviews ◽  
Term Care ◽  
Domiciliary Care ◽  
Private Households ◽  
National Service Framework ◽  
The Uk

This paper examines the extent of mental ill-health and probable depression among older people in long-term care. It presents selected findings from a study in Greater Belfast, Northern Ireland, that compared the quality of life, autonomy and mental health of older people living in nursing and residential homes with those of older people living in private households who were receiving domiciliary care. Structured interviews were conducted with 214 residents in institutions and 44 older people receiving domiciliary care. The study found that those in private households were more severely physically-impaired and had a higher level of mental ill-health than the residents of institutional homes. It is suggested, however, that the mental ill-health effects were associated less with physical impairments than with the restrictions placed on the older person's decisional autonomy, and that long-term care environments that constrain the older person's autonomy contribute to the development of depression. Although the UK National Service Framework for Older People specified that those with depression should be given treatment and support, priority should also be given to preventing the depression associated with living in long-term care settings.

scholarly journals Old age psychiatry services: long-stay care facilities in Australia and the UK

2002 ◽  
Vol 26 (1) ◽  
pp. 24-26 ◽  
Author(s):  
John Snowdon ◽  
Tom Arie
Keyword(s):  
Old Age ◽  
Long Term Care ◽  
Focus Attention ◽  
Old People ◽  
Term Care ◽  
What Works ◽  
Care Facilities ◽  
Old Age Psychiatry ◽  
The Uk

We are old age psychiatrists; T.A. based in Britain, J.S. in Australia. A return visit by T.A. to Australia allowed us to focus attention on differences between the two countries in their provision of long-term care for old people with mental disabilities. What works well? What constrains development?

scholarly journals Understanding and Explaining How Staff Promote Quality for Older People Living in Long-Term Care Facilities

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 145-146
Author(s):  
Julienne Meyer ◽  
Kirsty Haunch ◽  
Carl Thompson ◽  
Karen Spilsbury
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Valuable Resource ◽  
Social Psychological ◽  
Term Care ◽  
Care Facilities ◽  
Emotional Dimensions ◽  
The Uk

Abstract Little is known about how the workforce influences quality in long term care facilities for older people. Conceptually, quality is complex, often contested, and dynamic, has overlapping physical, social, psychological and emotional dimensions and can refer to both quality of life and quality of care. Assuming ‘more staff equates to better quality’ is intuitively appealing but research suggests that a more nuanced, non-linear, relationship exists. A programme of research in the UK is developing theoretical and empirical explanations of how staff promote quality for older people living in long-term care facilities. It shifts the debate from numbers of staff and their relationship to quality indicators toward recognising the ways in which staff more broadly influence quality. Our work will be useful for people and organisations making policy and delivering services on the best ways to deploy and support quality in long term care through the most valuable resource: its staff.

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