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

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.

scholarly journals Health and social care service utilisation and associated expenditure among community-dwelling older adults with depressive symptoms

2021 ◽  
Vol 30 ◽  
Author(s):  
Shiyu Lu ◽  
Tianyin Liu ◽  
Gloria H. Y. Wong ◽  
Dara K. Y. Leung ◽  
Lesley C. Y. Sze ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Symptom Severity ◽  
Social Care ◽  
Late Life ◽  
Community Dwelling ◽  
Service Utilisation ◽  
Late Life Depression ◽  
Social Care Service ◽  
Health And Social Care

Abstract Aims Late-life depression has substantial impacts on individuals, families and society. Knowledge gaps remain in estimating the economic impacts associated with late-life depression by symptom severity, which has implications for resource prioritisation and research design (such as in modelling). This study examined the incremental health and social care expenditure of depressive symptoms by severity. Methods We analysed data collected from 2707 older adults aged 60 years and over in Hong Kong. The Patient Health Questionnaire-9 (PHQ-9) and the Client Service Receipt Inventory were used, respectively, to measure depressive symptoms and service utilisation as a basis for calculating care expenditure. Two-part models were used to estimate the incremental expenditure associated with symptom severity over 1 year. Results The average PHQ-9 score was 6.3 (standard deviation, s.d. = 4.0). The percentages of respondents with mild, moderate and moderately severe symptoms and non-depressed were 51.8%, 13.5%, 3.7% and 31.0%, respectively. Overall, the moderately severe group generated the largest average incremental expenditure (US$5886; 95% CI 1126–10 647 or a 272% increase), followed by the mild group (US$3849; 95% CI 2520–5177 or a 176% increase) and the moderate group (US$1843; 95% CI 854–2831, or 85% increase). Non-psychiatric healthcare was the main cost component in a mild symptom group, after controlling for other chronic conditions and covariates. The average incremental association between PHQ-9 score and overall care expenditure peaked at PHQ-9 score of 4 (US$691; 95% CI 444–939), then gradually fell to negative between scores of 12 (US$ - 35; 95% CI - 530 to 460) and 19 (US$ -171; 95% CI - 417 to 76) and soared to positive and rebounded at the score of 23 (US$601; 95% CI -1652 to 2854). Conclusions The association between depressive symptoms and care expenditure is stronger among older adults with mild and moderately severe symptoms. Older adults with the same symptom severity have different care utilisation and expenditure patterns. Non-psychiatric healthcare is the major cost element. These findings inform ways to optimise policy efforts to improve the financial sustainability of health and long-term care systems, including the involvement of primary care physicians and other geriatric healthcare providers in preventing and treating depression among older adults and related budgeting and accounting issues across services.

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 Medicines reablement in intermediate health and social care services

2017 ◽  
Vol 18 (04) ◽  
pp. 305-315
Author(s):  
Kate Gerrish ◽  
Sara Laker ◽  
Sarah Wright ◽  
Wendy Stainrod
Keyword(s):  
Social Care ◽  
Training Programme ◽  
Care Staff ◽  
Intermediate Care ◽  
Structured Interviews ◽  
Self Administration ◽  
Frontline Staff ◽  
Care Services ◽  
Health And Social Care ◽  
Pharmacy Technicians

Aim To evaluate a medicines reablement initiative involving health and social care, to include consideration of the training package, proportion of patients reabled successfully, and patient and staff perspectives of the service. Background Intermediate care services provide short-term intervention to support patients with chronic conditions transition from hospital to community-based services and involves maximising patients’ independence through reablement. The term ‘medicines reablement’ describes the process of rehabilitating patients to be independent with their medication. Methods Pharmacy technicians led the medicines reablement initiative. They delivered a competency-based training programme for frontline health and social care staff. They assessed and set goals with patients to facilitate independence in self-administration of their medication. The pharmacy technicians provided on-going support to staff helping patients to reable. They reassessed patients after six weeks to determine if medicines reablement had been successful or whether further input was needed. Data were collected by means of a questionnaire and semi-structured interviews with pharmacy technicians, frontline staff, managers, and patients. Findings Twenty per cent of patients discharged from hospital to intermediate care were assessed to be suitable for medicines reablement. Of these patients, 44% were successfully reabled and a further 25% benefited from the input of a pharmacy technician. Patients and staff were positive about medicines reablement, emphasising the importance of patients attaining independence for self-administration of medication. Although following training, health and social care staff felt confident in facilitating medicines reablement they valued on-going access to pharmacy technicians for timely support, help with problem solving, and advice throughout the reablement process. Conclusion Medicines reablement can lead to patients becoming independent with taking medication and contribute to staff satisfaction. Pharmacy technicians can play an important part in delivering medicines reablement training to frontline staff and overseeing the reablement process. Further research examining medicines reablement is needed to develop a stronger evidence base.

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

scholarly journals Sharing a vision. Do participants in integrated care programmes have the same goals and objectives?

2019 ◽  
Vol 33 (3) ◽  
pp. 122-129
Author(s):  
Axel Kaehne
Keyword(s):  
Integrated Care ◽  
Social Care ◽  
Care Delivery ◽  
Shared Vision ◽  
Window Of Opportunity ◽  
Care Providers ◽  
Care Services ◽  
The North ◽  
Health And Social Care ◽  
Goals And Objectives

Integrating health and social care services remains one of the most difficult undertakings in the field of care delivery. One of the key requirements for success in integration programmes is a shared vision amongst care providers. Shared visions may contain views as to what the new services should look like, how it should operate and what it should be able to achieve. The paper reports findings of an evaluation of a service integration programme in the North of England. It confirms that a programme consensus on issues such as aims and objectives and programme logics is seen by participants as a key to success. Yet, the study also found that there is a specific window of opportunity in integration programmes when participating organisations start on relatively high levels of commitment and enthusiasm which tend to tail off relatively quickly. The paper closes with a discussion about the implications of the findings for programme designers and service planners.

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