scholarly journals Understanding complex trajectories in health and social care provision

2004 ◽  
Vol 26 (7) ◽  
pp. 1008-1030 ◽  
Author(s):  
Davina Allen ◽  
Lesley Griffiths ◽  
Patricia Lyne
Keyword(s):  
Social Care ◽  
Care Provision ◽  
Health And Social Care ◽  
Complex Trajectories

scholarly journals Introducing the Care Certificate Evaluation: Innovative practice

Dementia ◽  
2017 ◽  
Vol 19 (2) ◽  
pp. 512-517
Author(s):  
Elaine Argyle ◽  
Louise Thomson ◽  
Antony Arthur ◽  
Jill Maben ◽  
Justine Schneider ◽  
...  
Keyword(s):  
Staff Development ◽  
Social Care ◽  
Policy Research ◽  
Research Programme ◽  
Direct Care ◽  
Care Staff ◽  
Care Provision ◽  
Front Line ◽  
Department Of Health ◽  
Health And Social Care

Although investment in staff development is a prerequisite for high-quality and innovative care, the training needs of front line care staff involved in direct care have often been neglected, particularly within dementia care provision. The Care Certificate, which was fully launched in England in April 2015, has aimed to redress this neglect by providing a consistent and transferable approach to the training of the front line health and social care workforce. This article describes the early stages of an 18-month evaluation of the Care Certificate and its implementation funded by the Department of Health Policy Research Programme.

Predictors of carer distress following stroke

1999 ◽  
Vol 9 (3) ◽  
pp. 265-271 ◽  
Author(s):  
Valerie Morrison
Keyword(s):  
Depressed Mood ◽  
Social Care ◽  
Stroke Survivors ◽  
Care Provision ◽  
Health And Social Care ◽  
Informal Carers ◽  
The Impact ◽  
The Relationship

Whilst there is a considerable literature surrounding predictors of depressed mood in stroke survivors, much less research has been directed towards identifying the impact of a stroke on primary informal carers and the nature of the relationship between patient and carer characteristics, stroke consequences and carer distress. This review attempts to elucidate such relationships so that implications for health and social care provision can be drawn.

Good practice in health and social care provision for LGBT older people in the UK

2017 ◽  
pp. 145-158
Author(s):  
Sue Westwood ◽  
Andrew King ◽  
Kathryn Almack ◽  
Yiu-Tung Suen ◽  
Louis Bailey
Keyword(s):  
Older People ◽  
Social Care ◽  
Good Practice ◽  
Care Provision ◽  
Health And Social Care ◽  
The Uk

scholarly journals Meeting the complex challenge of health and social care provision for rapidly-ageing populations: introducing the concept of “avoidable displacement from home”

2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Peter Lloyd-Sherlock ◽  
Jenny Billings ◽  
Janaína de Souza Aredes ◽  
João Bastos Freire Neto ◽  
Ana Amélia Camarano ◽  
...  
Keyword(s):  
Decision Making ◽  
Service Provision ◽  
Social Care ◽  
Care Provision ◽  
Individual Decision ◽  
Individual Decision Making ◽  
Specific Policy ◽  
Health And Social Care ◽  
Different Levels ◽  
Ageing Populations

Abstract: The increasing numbers of people at very old ages pose specific policy challenges for health and social care and highlight the need to rethink established models of service provision. The main objective of this paper is to introduce the concept of “avoidable displacement from home” (ADH). The study argues that ADH builds on and adds value to existing concepts, offering a holistic, person-centered framework for integrated health and social care provision for older people. It also demonstrates that this framework can be applied across different levels, ranging from macro policymaking to organizational and individual decision-making. The paper pays attention to the Brazilian context but argues that ADH is a universally applicable concept.

Community alarm services: The Carlisle experience Putting the quality back into quality assurance

2004 ◽  
Vol 7 (4) ◽  
pp. 18-23
Author(s):  
Laurie Brewis
Keyword(s):  
Independent Living ◽  
Social Care ◽  
Housing Stock ◽  
Housing Association ◽  
Local Population ◽  
Evolutionary Process ◽  
Care Provision ◽  
Health And Social Care ◽  
Familiar Environment ◽  
Operational Aspects

Carlisle Housing Association Ltd (CHA), created in December 2002 as a consequence of the transfer of Carlisle City Council's housing stock (7,200 properties), is located some 12 miles from the Scottish border in North Cumbria, in an area with a local population of more than 100,000 people. CHA is a subsidiary of the Riverside Group. CHA aims to deliver a sustainable community alarm service that aids the independent living options for its customers, with a focus on health and social care provision in the area.The purpose of this article is to set out the evolutionary process undertaken to develop the CHA community alarm service, rather than to explain the operational aspects of assistive technology. It aims to identify the co‐ordinated, person‐centred approach we have developed to assist vulnerable individuals to embark on a journey that fulfils their aspirations to remain as safe and independent as possible in a familiar environment.

scholarly journals Resource allocation across the dementia continuum: A mixed methods study examining decision making on optimal dementia care among health and social care professionals.

2020 ◽  
Author(s):  
Fiona Keogh ◽  
Tom Pierse ◽  
David Challis ◽  
Eamon O'Shea
Keyword(s):  
Decision Making ◽  
Resource Allocation ◽  
Mixed Methods ◽  
Social Care ◽  
Severe Case ◽  
Decision Making Process ◽  
Care Provision ◽  
Allocation Decision ◽  
Health And Social Care ◽  
Case Type

Abstract Background: The understanding of appropriate or optimal care is particularly important for dementia, characterised by multiple, long-term, changing needs and the increasing expectations of people using services, within a wider context of resource constrained health and social care services. This study sought to determine the optimal level, mix and cost of services for different dementia case types across the dementia continuum and to gain a greater understanding of the resource allocation decision making process among health and social care professionals (HSCPs).Methods: A balance of care (BoC) framework was applied to the study questions and developed in three important ways; firstly by considering optimality across the course of dementia and not just at the margin with residential care; secondly, through the introduction of a fixed budget to reveal constrained optimisation strategies; and thirdly through the use of a mixed methods design whereby qualitative data was collected at workshops using nominal group technique and analysed to obtain a more detailed understanding of the decision-making process. Twenty four HSCPs from a variety of disciplines participated in the resource allocation decision-making exercise.Results: HSCPs differentiated between case type severity; providing about 2.6 times more resources to case types with higher level needs than those with lower level needs. When a resource constraint was introduced there was no evidence of any disproportionate rationing of services on the basis of need, i.e. more severe case types were not favoured over less severe case types. However, the fiscal constraint led to a much greater focus on meeting physical and clinical dependency needs through conventional social care provision. There was less emphasis on day care and psychosocial provision when resources were scarcer following the introduction of a fixed budget constraint.Conclusions: HSCPs completed complex resource allocation exercises for people with dementia, including expected differentiation across case type severity. When rationing was introduced, HSCPs did not discriminate in favour of case types with high levels of need. They did, however, support conventional home care provision over psychosocial care, although participants were still keen to provide some residual cover for the latter, especially for case types that might benefit.

scholarly journals Informing patterns of health and social care utilisation in Irish older people according to the Clinical Frailty Scale

2021 ◽  
Author(s):  
Aisling M. O’Halloran ◽  
Peter Hartley ◽  
David Moloney ◽  
Christine McGarrigle ◽  
Rose Anne Kenny ◽  
...  
Keyword(s):  
Older People ◽  
Social Care ◽  
Classification Tree ◽  
Community Health Services ◽  
Care Provision ◽  
Care Needs ◽  
Clinical Frailty Scale ◽  
Care Utilisation ◽  
Health And Social Care ◽  
Tree Method

AbstractThere is increasing policy interest in the consideration of frailty measures (rather than chronological age alone) to inform a more equitable allocation of health and social care resources in the community. The Clinical Frailty Scale (CFS) has attracted interest for its simplicity and consideration of multiple relevant geriatric dimensions. However, a criticism of the CFS has been the possible subjectivity in the scoring, bringing the possible danger of lack of scoring consistency across agencies. For that reason, the authors of the CFS published a classification tree method to assist with routine scoring of the CFS.The aim of the present study was to apply the CFS classification tree to data from adults aged 65 and over from The Irish Longitudinal Study on Ageing (TILDA) and correlate derived CFS categories with patterns of health and social care utilisation in Irish older people assessed in Wave 5 of the study (year 2018). In addition, we explored how CFS categories and states changed over 8 years in TILDA between Wave 1 (2010) and Wave 5.Results showed the following prevalence of CFS categories in Wave 5: 6% ‘very fit’ (CFS1), 36% ‘fit’ (CFS2), 31% ‘managing well’ (CFS3), 16% ‘vulnerable’ (CFS4), 6% ‘mildly frail’ (CFS5), 4% ‘moderately frail’ (CFS6) and 1% ‘severely frail’ (CFS7). No participants were ‘very severely frail’ or ‘terminally ill’. In wave 5, increasing CFS categories had an association with increasing utilisation of hospital and community health services, and increasing hours of formal and informal social care provision. The transitions analyses from Wave 1 to 5 suggested a dynamic picture of CFS transitions, with 2-year probability of transitioning from ‘fit’ (CFS1-3) to ‘vulnerable’ (CFS4), and ‘fit’ to ‘frail’ (CFS5+) at 34% and 6%, respectively. ‘Vulnerable’ and ‘frail’ had a 22% and 17% probability of reversal to ‘fit’ and ‘vulnerable’, respectively.Our results suggest that the CFS classification tree was able to stratify the TILDA population aged 65 and over into subgroups with increasing health and social care needs. The CFS classification tree could be used to aid the allocation of health and social care resources in older people in Ireland, but given the frequency of CFS transitions in the population, it is recommended that CFS status in individuals is reviewed at least every 2 years.

scholarly journals State and Aims of Enhancement of Health and Social Care for Child Population

2020 ◽  
Vol 19 (3) ◽  
pp. 184-189
Author(s):  
Alexander A. Baranov ◽  
Valery Yu. Albitskiy ◽  
Nataliya V. Ustinova
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Systematic Approach ◽  
Social Care ◽  
Care Provision ◽  
Organizational Models ◽  
Child Population ◽  
Health And Social Care

The article discusses the major steps in development of health and social care for the child population in Russian Federation. Principal legislative and regulatory acts covering the medical care provision are specified. Two regional organizational models of health and social care for the child population were presented, they have shown their effectiveness. Principle problems for the development of systematic approach to the organization of health and social care for children in Russia are listed. Moreover, main directions for its development and nearest prospects associated with the implementation of program activities carried out within the framework of the Decade of Childhood.

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