scholarly journals Data linkage in social care: a pilot project

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Alison Orrell ◽  
Martin Heaven ◽  
Diane Seddon ◽  
Catherine Robinson
Keyword(s):  
Social Services ◽  
Service Provision ◽  
Social Care ◽  
Data Linkage ◽  
Local Authority ◽  
Third Sector ◽  
Pilot Project ◽  
Complete Picture ◽  
Third Sector Organisations ◽  
Discharge From Hospital

ABSTRACT BackgroundTo build the complete picture of service provision there is a need to broaden the linked data available to include health, social service provision by Local Authorities, and provision of support by third sector organisations. Data Linkage in Social Care is a pilot project to test the feasibility of linking datasets from a local authority, the NHS and third sector organisations. The focus of this work is individual level data from adults who are referred to social services in order to avoid admission to hospital or to facilitate their discharge from hospital. The data linkage will include data from statutory and third sector organisations and services which provide interventions and support in community settings. ObjectivesThe main aims of this research are to:1. Test the feasibility of linking datasets from Local Authority, the NHS and third sector organisations.2. Build a more complete picture of service provision using adults who have been referred to social services in order to avoid admission to hospital or to facilitate their discharge from hospital.3. Assess the range and quality of data available in each of the relevant organisations providing services to those individuals. The research outcome is a better understanding of the utility of data linkage across statutory and third party organisations. ApproachA Bangor University led research team partnered with the Gwynedd Local authority to explore the Governance Issues and practicalities of providing an anonymised dataset to the SAIL databank at Swansea. Two third sector agencies were also approached. With the various required Service Level Agreements in place, data were put through the tried and trusted SAIL process for analysis. Results Data relating to well over 20,000 referrals generated by 17,000+ social services clients in Gwynedd Local Authority from the period 2008 to 2015 were anonymised into the SAIL databank in Swansea, and linked to records from primary and secondary care. We will present results on the success of this process and on the emerging findings from the linked datasets.

scholarly journals Does sector matter for the quality of care services? A secondary analysis of social care services regulated by the Care Inspectorate in Scotland

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e022975 ◽  
Author(s):  
Anders Malthe Bach-Mortensen ◽  
Paul Montgomery
Keyword(s):  
Logistic Regression ◽  
Social Services ◽  
Social Care ◽  
Secondary Analysis ◽  
Third Sector ◽  
Low Risk ◽  
Care Providers ◽  
For Profit ◽  
Care Services ◽  
Better Than

ObjectivesSocial services are increasingly commissioned to third and for-profit sector providers, but little is known about whether and how these changes influence quality indicators. We assessed quality-related outcomes across for-profit, public and third sector organisations delivering social care services.DesignA secondary analysis was conducted on publically available data collected by the independent regulator of social care organisations in Scotland. All outcomes are reported as predicted probabilities derived from multivariate logistic regression coefficients. Generalised ordered logit models are utilised for the quality domains and the risk assessment score and logistic regression for whether complaints or requirements were issued to organisations.SettingOrganisations inspected by the Care Inspectorate in Scotland.Population13 310 social care organisations (eg, nursing homes and day care organisations).Primary outcomesThe quality and risk domains collected by the Care Inspectorate and complaints and requirements issued to organisations within the last 3 years.ResultsControlling for multiple factors, we find that public and third sector providers performed consistently and statistically significantly better than for-profit organisations on most outcomes. For example, for-profit services were the most likely to be rated as high and medium risk (6.9% and 13.2%, respectively), and the least likely to be classified as low risk (79.9%). Public providers had the highest probability of being categorised as low risk (91.1%), and the lowest probability of having their services classified as medium (6.9%) and high risk (2%), followed by third sector providers (86%, 8.5% and 4.5%, respectively). Public providers performed better than third sector providers in some outcomes, but differences were relatively low and inconsistent.ConclusionPublic and third sector providers were rated considerably higher than their for-profit counterparts on most observed outcomes. Regulators might use this information to consider how social care providers across sector are incentivised to manage their resources.

Bridging the Gap: An Evaluation of the Joint-Funded Occupational Therapy Approach

1987 ◽  
Vol 50 (6) ◽  
pp. 191-194 ◽  
Author(s):  
Denise Newman
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Social Services ◽  
Health Authority ◽  
Pilot Project ◽  
Therapy Approach ◽  
New Community ◽  
Discharge From Hospital

In September 1983, a joint-funded occupational therapy post was established as a pilot project by Wandsworth Health Authority and Wandsworth Social Services to bridge the gap between discharge from hospital to resettlement home. In February 1986, a project was undertaken to determine the value of this post in the light of the new community emphasis on health care. This highlighted the importance of the existing service and the need to develop it further through the establishment of five similar posts.

scholarly journals Assessing the engagement in a post-discharge phone Follow-Up project

ABOUTOPEN ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 38-42
Author(s):  
Giuliana Pitacco ◽  
Ramiro Mendoza-Maldonado ◽  
Sandro Centonze
Keyword(s):  
Social Services ◽  
Third Sector ◽  
Pilot Project ◽  
Community Services ◽  
Post Discharge ◽  
Self Assessment ◽  
Rehabilitation Facility ◽  
Use Of Services ◽  
The City

Introduction: The article describes a post-discharge telephone Follow-Up pilot project that was activated in 2018 in the city of Trieste. Methods: The pilot project, in addition to the interception of possible situations of discomfort to be reported to social services and to ensure informative support to guide people to an optimal use of services, aimed to investigate the conditions, 1 and 3 months after discharge, of people not followed by the community services, in particular: a) maintenance of functional capacity; b) self-assessment of the patient with respect to health conditions and level of engagement; c) state of the relationships network; d) use of public, private and/or third sector health or welfare resources. Results and Conclusions: The Telephone Follow-Up has made it possible to experiment a “light” way of taking care of people discharged from a hospital or rehabilitation facility, to intercept situations of discomfort, reporting them to the Local District and social services and facilitating the appropriate use of local assistance services.

Information Technology Supporting Healthcare and Social Care Services

2014 ◽  
Vol 7 (1) ◽  
pp. 41-58 ◽  
Author(s):  
Maria Manuela Cruz-Cunha ◽  
Ricardo Simoes ◽  
João Varajão ◽  
Isabel Miranda
Keyword(s):  
Information Technology ◽  
Special Needs ◽  
Social Services ◽  
Social Care ◽  
Pilot Project ◽  
Full Scale ◽  
Needs Analysis ◽  
User Needs ◽  
Care Services ◽  
The North

The authors are developing a pilot project for a Municipality in the North of Portugal, envisaging the definition and implementation of an e-marketplace for healthcare and social services, in order to facilitate the interaction between healthcare and social services professionals and people with special needs (or their relatives). Based on the results of a survey on user needs analysis and expectations conducted in 2011, the paper discusses the relevance and interest of such platforms and the main drivers and motivations of the population for using such services, as well as which services would motivate citizens to use the platform. The results of the study will be used to select the products and services perceived to be the most desired by the potential users. The paper thus makes three main contributions: (1) the results of the study confirm the interest and the perceived potential of such a service, from the end-users perspective; (2) the findings support the advantage of expanding this pilot project to a full scale implementation; and (3) the performed analysis improves our understanding of the relations between the characteristics of the inquired population and the perceived interest in such platforms.

scholarly journals Choice, needs or equality? Discursive struggles about defining home care for older people in Sweden

2021 ◽  
pp. 1-21
Author(s):  
Elin Peterson ◽  
Helene Brodin
Keyword(s):  
Home Care ◽  
Older People ◽  
Service Provision ◽  
Social Care ◽  
Local Authority ◽  
Universal Service ◽  
Structured Interviews ◽  
Care Policy ◽  
Starting Point ◽  
Care For Older People

Abstract Focusing on Swedish home care for older people, this article explores the discursive (re)production of home care as an institution. Equality and universal service provision have been described as defining features of the Nordic care regime. At the same time, Nordic research has highlighted a shift in social care policy, from a focus on universalism and egalitarian ideals towards a focus on freedom of choice, diversity and individualised services. This article takes as a starting point that home care for older people is formed by different and potentially conflicting ideas. We understand home care as a contested formation and define institutional change in terms of ongoing discursive struggles. The analysis draws on qualitative semi-structured interviews with key informants, including politicians, local authority officials and representatives of interest organisations. Informants were engaged in policy making, implementation or advocacy related to care for older people. We examine the meanings attached to home care for older people and the analysis reveals three different discourses – on choice, needs and equality. By comparing and contrasting discourses, we reveal silences, conflicts and tensions, and highlight the politics involved in (re)creating home care as an institution.

Report of the Working Party on the Role and Tasks of Social Workers: an alternative view

2017 ◽  
Author(s):  
Robert Pinker
Keyword(s):  
Social Work ◽  
Social Workers ◽  
Social Services ◽  
Social Care ◽  
Local Authority ◽  
Working Party ◽  
Alternative View ◽  
Care Model ◽  
Work Model ◽  
And Training

In this chapter, Robert Pinker explains the main reasons for his dissent to the Report of the Working Party on the Role and Tasks of Social Workers, also known as the Barclay Report. The working party, headed by Peter Barclay, was established in 1980 ‘to review the role and tasks of social workers in local authority social services departments and related voluntary agencies in England and Wales and to make recommendations’. The Barclay Report argued that social work was necessary, but urged a new emphasis on ‘community social work’. Pinker was opposed to the neighbourhood social care model proposed by Roger Hadley and the community social work model. He argues that the report's proposal was a prescription for managerial chaos. Pinker concludes with a discussion of the implications of the Barclay Report for the education and training of social workers.

scholarly journals Understanding the outcome of police safeguarding notifications to social services in South Wales

2019 ◽  
Vol 93 (2) ◽  
pp. 87-108
Author(s):  
Kat Ford ◽  
Annemarie Newbury ◽  
Zoe Meredith ◽  
Jessica Evans ◽  
Karen Hughes ◽  
...  
Keyword(s):  
Social Services ◽  
Social Worker ◽  
Social Service ◽  
Social Care ◽  
Local Authority ◽  
South Wales ◽  
Related Risk ◽  
Risk Thresholds ◽  
One Year ◽  
The Uk

In the UK, demand for the police has changed, with the majority of calls now vulnerability-related. Police safeguarding notifications (N=3,466) over a one-year period for a local authority in Wales were matched to social care records. Over half (57.5%) of notifications were referred to social services and only 4.8% received social service input (e.g. social worker intervention). Over a third of individuals had repeat notifications in the study year. Findings evidence high levels of police-identified vulnerability and an imbalance in vulnerability-related risk thresholds across agencies. Furthermore, some individuals require more appropriate action to mitigate the risk of future safeguarding notifications.

scholarly journals A Review of the Evidence of Third Sector Performance and Its Relevance for a Universal Comprehensive Health System

2010 ◽  
Vol 9 (4) ◽  
pp. 515-526 ◽  
Author(s):  
Elke Heins ◽  
David Price ◽  
Allyson M. Pollock ◽  
Emma Miller ◽  
John Mohan ◽  
...  
Keyword(s):  
Literature Review ◽  
Health System ◽  
Systematic Literature Review ◽  
Social Care ◽  
Third Sector ◽  
The Third ◽  
Health And Social Care ◽  
Comprehensive Health ◽  
Third Sector Organisations ◽  
Sector Performance

UK policy promotes third sector organisations as providers of NHS funded health and social care. We examine the evidence for this policy through a systematic literature review. Our results highlight several problems of studies comparing non-profits with other provider forms, questioning their usefulness for drawing lessons outside the place of study. Most studies deem contextual factors and the regulatory framework in which providers operate as much more important than ownership form. We conclude that the literature does not support the policy of a larger role for the third sector in healthcare, let alone a switch to a market-based system.

scholarly journals Rationed Care: Assessing the Support Needs of Informal Carers in English Social Services Authorities

2002 ◽  
Vol 31 (1) ◽  
pp. 81-101 ◽  
Author(s):  
HILARY ARKSEY
Keyword(s):  
Social Services ◽  
Social Care ◽  
Local Authority ◽  
Support Needs ◽  
Front Line ◽  
Policy And Practice ◽  
Informal Carers ◽  
The Right ◽  
The Impact ◽  
Different Levels

The passing of the Carers (Recognition and Services Act) 1995 was a step forward in trying to ensure that people who provide informal care to disabled, sick or elderly relatives or friends are properly recognised and properly supported. The Carers Act gave informal carers the right to an assessment of their own needs, and this article is based on a study into the impact of the legislation in four local authority social services departments. It is argued that the vision of supporters of the Carers Act, namely to achieve real benefits for many carers, has yet to be realised. The analysis draws on Klein et al.’s (1996) framework of service rationing strategies to demonstrate that decisions about priority setting and different forms of rationing of social care took place at three different levels: national government, local authority and front-line practitioner. Evidence is presented to show that some carers chose to impose rationing on themselves by reducing their demands. The article concludes with comments on the implications of rationing decisions for policy and practice.

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