scholarly journals Integration of health and social care services for persons in opioid substitution therapy – results of a case study in Austria

2019 ◽  
Vol 19 (4) ◽  
pp. 317
Author(s):  
Miriam Reiss ◽  
Markus Kraus ◽  
Thomas Czypionka
Keyword(s):  
Social Care ◽  
Substitution Therapy ◽  
Opioid Substitution Therapy ◽  
Care Services ◽  
Health And Social Care ◽  
Opioid Substitution

Integrated Care

2020 ◽  
pp. 166-191
Keyword(s):  
Integrated Care ◽  
Social Services ◽  
Social Care ◽  
Care Services ◽  
Health And Social Care ◽  
Governance Challenges ◽  
Quality Health ◽  
The Uk ◽  
Local Levels

Delivering high quality health and social care is considered to be one of the key governance challenges in the UK. People are living longer, and chronic diseases are more prevalent, which puts ever more pressure on health and social services to deliver. In order to better co-ordinate these services and deal with increased demand and funding pressures, authorities at both national and local levels are moving towards integrated care services. However, the integration of these services is plagued with difficulties. This chapter will explore the complexities of joining-up health and social care. It includes a case study of Continuing Healthcare (CHC), which is a package of care provided by the National Health Service (NHS) and which involves a number of providers across the health and social care sectors. While much of the chapter focuses on health and social care challenges in England, it will finish with analysis of Scotland's progress towards integrated services.

scholarly journals Responding to the NHS and social care workforce crisis

2019 ◽  
Vol 9 (2) ◽  
pp. 175-188 ◽  
Author(s):  
Neil Hanney ◽  
Helen Karagic
Keyword(s):  
Social Care ◽  
Positive Impact ◽  
Further Education ◽  
Content Type ◽  
Care Services ◽  
Apprenticeship Learning ◽  
Health And Social Care ◽  
The Government ◽  
Further Education Colleges

Purpose The purpose of this paper is to describe and analyse the development of a foundation degree, including a higher apprenticeship route, which enables learners to access both higher education (HE) and health and social care professional programmes. The underpinning rationale is the urgent workforce crisis in health and social care services. Design/methodology/approach The authors will review the multiple drivers which stimulated course development and the creation of a community of practice to ensure quality management. This case study illustrates the potential of a higher apprenticeship to enable both personal and professional development. Findings The paper provides insight into working with a number of further education colleges, how to ensure consistency in delivery and assessment and the strategies which contribute to quality assurance. This case study illustrates the potential of work-based learning to transform lives and to provide the workforce required by our public services. Practical implications This paper explores the lessons learnt from setting up a new collaborative partnership and the processes that need to be in place for success. Social implications The paper discusses the potential of widening access into HE, the positive impact on recruitment to professional courses and the long-term effect on the public service workforce. Originality/value The government is committed to the expansion of apprenticeship learning in health and social care. This paper shares the authors’ experience of working with a range of employers and education providers, the challenges and successes and recommendations for development.

Micro-Enterprise and Personalisation

2016 ◽  
Author(s):  
Catherine Needham ◽  
Kerry Allen ◽  
Kelly Hall
Keyword(s):  
Social Care ◽  
Cost Effective ◽  
Local Market ◽  
Care Services ◽  
Health And Social Care ◽  
Independent Variable ◽  
Similar Cost ◽  
Micro Enterprises

Shifts to independent delivery of health and social care services has led to increased numbers of micro-enterprises. Could these tiny organisations with just 5 or fewer employees be the best way of delivering cost-effective health and social care services in the context of decreased budgets and increased demands? What size is 'just right' for a care provider? This book explores size as an independent variable in care services, comparing outcomes and value for money across micro, small, medium and large organisations. Using interviews and surveys with 108 people using services and careers in 27 case study organisations it focuses on the contribution micro-enterprise can make to the care sector. Findings indicate that the quality of service provided by small organisations does support the assumption of an affinity between being small and being personalised. Small and micro-enterprises can deliver more personalised services, particularly in the home. They also offer better outcomes than larger providers for a similar cost. However stability can be a problem for micro-enterprises, particularly those that employ staff and need to have a relatively consistent financial turnover. The Care Act 2014 creates a conducive policy environment for micro-enterprise, as local authorities must stimulate a diverse local market and facilitate personalisation of services. However the challenges of austerity are a powerful counterweight, discouraging the sorts of innovative and experimentation which would allow micro-enterprise to thrive.

A case study evaluation of a community multidisciplinary team in South East England using a mixed-method approach

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711569
Author(s):  
Jessica Wyatt Muscat
Keyword(s):  
Mental Health ◽  
Mixed Method ◽  
Social Care ◽  
Free Form ◽  
Normalisation Process Theory ◽  
Multidisciplinary Teams ◽  
Mixed Method Approach ◽  
Health And Social Care ◽  
Method Approach

BackgroundCommunity multidisciplinary teams (MDTs) represent a model of integrated care comprising health, social care, and the voluntary sector where members work collaboratively to coordinate care for those patients most at risk.AimThe evaluation will answer the question, ‘What are the enablers and what are the restrictors to the embedding of the case study MDT into the routine practice of the health and social care teams involved in the project?’MethodThe MDT was evaluated using a mixed-method approach with normalisation process theory as a methodological tool. Both quantitative and qualitative data were gathered through a questionnaire consisting of the NoMAD survey followed by free-form questions.ResultsThe concepts of the MDT were generally clear, and participants could see the potential benefits of the programme, though this was found to be lower in GPs. Certain professionals, particularly mental health and nursing professionals, found it difficult to integrate the MDT into normal working patterns because of a lack of resources. Participants also felt there was a lack of training for MDT working. A lack of awareness of evidence supporting the programme was shown particularly within management, GP, and nursing roles.ConclusionSpecific recommendations have been made in order to improve the MDT under evaluation. These include adjustments to IT systems and meeting documentation, continued education as to the purpose of the MDT, and the engagement of GPs to enable better buy-in. Recommendations were made to focus the agenda with specialist attendance when necessary, and to expand the MDT remit, particularly in mental health and geriatrics.

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