Health and social care services for older people: achievements, challenges, and future directions

2015 ◽  
Author(s):  
Roger Beech
Keyword(s):  
Social Care ◽  
Care Service ◽  
Improve Patient Care ◽  
Evidence Base ◽  
Acute Hospital ◽  
Social Care Service ◽  
Care Services ◽  
Health And Social Care ◽  
Hospital Beds ◽  
Timely Access

Key points• The ageing of the population will increase patient demands for acute hospital beds, a scarce and expensive resource.• Health and social care service options delivered ‘closer to home’ can improve patient care and reduce older people’s demands for acute hospital beds by preventing acute events and providing an alternative.• The growth of such service options has created a more complex health and social care landscape.• Therefore, to improve the patient experience and to ensure their timely access to appropriate care, innovations for improving the integration of services for health and social care need to be developed and evaluated.• Further increasing the evidence base about care closer-to-home service options and ways of improving their integration represents a shared agenda for service commissioners, providers, and academics.

Literature on health and social care

2019 ◽  
pp. 103-122
Author(s):  
Sandra Torres
Keyword(s):  
Ethnic Minorities ◽  
Social Care ◽  
Care Service ◽  
Care Staff ◽  
Service Utilisation ◽  
Social Care Service ◽  
Care Services ◽  
The North ◽  
Behavioural Patterns ◽  
Health And Social Care

This chapter focuses on the literature on ethnicity/ race and ageing/ old age that brings attention to issues related to health and social care. Just as it was the case in the previous chapter, this chapter exposes the main trends observed as far as what characterises the literature in focus. Besides being research on the North American context and focusing on very few ethnic minorities, this chapter discusses the fact that this literature takes for granted that ethnicity and race matter for older people’s health and social care service utilisation but does not, in fact, answers why this is the case. In addition, this chapter problematizes the fact that by focusing almost exclusively on older ethnic minorities’ experiences, the literature fails to bring attention to the views of those whose practices are important to the issues being discussed (i.e. health and social care staff). Noted is also that few of the studies reviewed take into account the attitudinal and/or behavioural patterns that are implicitly conveyed to pose a challenge to older ethnic minorities’ access and usage of health and social care services. Thus, by bringing attention to the areas that have received attention (i.e. access and usage/ attitudes, preferences and experiences/ the suitability of different programs, interventions and services and self-care practices), this chapter identifies the array of areas that remain unexplored.

scholarly journals PATIENT AND PUBLIC INVOLVEMENT IN HEALTH AND SOCIAL CARE IN ENGLAND

2014 ◽  
Vol 8 (4) ◽  
pp. 39-41
Author(s):  
Jane Randall-Smith ◽  
Catherine Pritchard
Keyword(s):  
Public Involvement ◽  
Social Care ◽  
Care Service ◽  
Local Area ◽  
Patient And Public Involvement ◽  
Consumer Participation ◽  
Social Care Service ◽  
Care Services ◽  
Statutory Authority ◽  
Health And Social Care

Signifcant changes were brought about in health and social care in England in 2013, as a result of the Health and Social Care Act 2012. As part of the changes in 2013, a network of local Healthwatch organisations was set up to act as the people’s champion for health and social care in their local area. Healthwatch Shropshire is one of these local Healthwatch. It gathers experiences and opinions from patients, carers, service users and the wider public about publicly funded health and social care services and uses this information to infuence health and social care service delivery. Healthwatch Shropshire also recruits and trains volunteers to support its work, in particular, specially trained volunteers visit locations where health and social care services are provided and report on their fndings. Healthwatch Shropshire also has information and signposting services, provides volunteering opportunities, and has a statutory authority to visit locations where health and social care services are being delivered.Keywords: patient participation, consumer participation, public opinion

Impact of occupational therapy in an integrated adult social care service: Audit of Therapy Outcome Measure Findings

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sharon J. Davenport
Keyword(s):  
Occupational Therapy ◽  
Social Care ◽  
Outcome Measure ◽  
Care Service ◽  
Data Gathering ◽  
Sampling Bias ◽  
Therapy Outcome ◽  
Social Care Service ◽  
Content Type ◽  
Health And Social Care

PurposeHealth and social care services should demonstrate the quality of their interventions for commissioners, patients and carers, plus it is a requirement for occupational therapists to measure and record outcomes. Use of the “Therapy Outcome Measure” (TOMs) standardised tool was implemented by an occupational therapy adult social care service to demonstrate outcomes from April 2020, following integration to a community NHS Trust.Design/methodology/approachThe aim was to demonstrate occupational therapy outcomes in adult social care through a local audit of the TOMs. The objective was to determine if clients improved following occupational therapy intervention in the four domains of impairment, activity, participation and wellbeing/carer wellbeing. 70 cases were purposively sampled over a 2-month timeframe, extracting data from the local electronic recording system.FindingsOccupational therapy in adult social care clearly makes an impact with their client group and carers. Evidence from the dataset demonstrates clinically significant change, as 93% of clients seen by adult social care occupational therapy staff showed an improvement in at least one TOMs domain during their whole episode of care. 79% of activity scores, 20% of participation scores and 50% of wellbeing scores improved following intervention. 79% of carer wellbeing scores improved following occupational therapy.Research limitations/implicationsThe audit did not collect data on uptake from the separate teams (equipment, housing, STAR and adult social care work) in occupational therapy adult social care. Potential sampling bias occurred as cases with completed scores only were purposively sampled. Sampling was not random which prevented data gathering on uptake of TOMs across the separate teams. Additionally, the audit results can only be applied to the setting from which the data was collected, so has limited external validity.Originality/valueThese novel findings illustrate the valuable and unique impact of occupational therapy in this adult social care setting. The integration of adult social care into an NHS Community Trust has supported the service to measure outcomes, by utilising the same standardised tool in use by allied health professions across the Trust.

scholarly journals Covid-19: why we need a national health and social care service

BMJ ◽  
2020 ◽  
pp. m1465 ◽  
Author(s):  
Allyson M Pollock ◽  
Luke Clements ◽  
Louisa Harding-Edgar
Keyword(s):  
National Health ◽  
Social Care ◽  
Care Service ◽  
Social Care Service ◽  
Health And Social Care

Multi-agency working and implications for care managers

2016 ◽  
Vol 24 (2) ◽  
Author(s):  
Rowan Jasper ◽  
Mark Wilberforce ◽  
Hilde Verbeek ◽  
David J Challis
Keyword(s):  
Job Satisfaction ◽  
Time Use ◽  
Design Methodology ◽  
Social Care ◽  
Care Service ◽  
Supervisory Support ◽  
Social Care Service ◽  
Health And Social Care ◽  
Using Data ◽  
Practical Implications

Purpose To examine the association between multi-agency working and psychosocial characteristics of work, practitioner time-use and job satisfaction. Design/methodology/approach A comparison of practitioners working in multi-agency (health and social care) and single-agency (social care only) teams, using data from the 2008 evaluation of Individual Budgets pilots in England. Participants worked in care manager roles supporting adult social care service users, and comprised social workers and a smaller number of health professionals. Data was collected using a self-completed questionnaire. Findings Data were returned from 249 respondents (a 29 per cent response rate), with two-thirds working in single-agency teams. No significant differences were found between team type and job satisfaction. Respondents in multi-agency teams reported greater decision autonomy but poorer supervisory support than those in single-agency teams. The latter finding was robust to further exploration using regression to control for confounding factors. Research limitations/implications These data were not specifically collected for the study and response rates were relatively low due to organisational upheaval at the time of data collection, which may affect interpretation. Practical implications Government policy is dedicated to extending integrated forms of working, including multi-agency teamwork. This research suggests that such structures need careful planning for them to work effectively, with particular attention to supervision arrangements. Originality/value This research gives a systematic and objective exploration of the relationship between job characteristics, time-use and satisfaction of practitioners in single as compared to multi-agency teams.

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