Results for 'independent living'
NHS ENGLAND, et al
This quick guide highlights a number of case studies from around the country where technology is being used successfully to enhance the delivery of care to support independent living (telecare), to enhance the health and wellbeing information exchange between patients and professionals (telehealth) and to enhance the information exchange between professionals (telemedicine). It also includes information about secure email and collaboration. Drawing on the case studies, the guide sets out a series of top tips for developing and implementing successful technological initiatives.
OXFORD BROOKES UNIVERSITY. Institute of Public Care
This document by the South West Housing LIN leadership sets out a vision for a whole system approach to meeting housing, health and wellbeing outcomes for the older population in South West England over the next 5 years. It highlights: the aims and objectives of the group; specific issues facing the sector in the region; and examples of innovative practice and the group’s priorities over the next 5 years. These include: supporting initiatives which contribute to more integrated approaches to service design and delivery; promoting the development of new models of care based in and around the housing services, taking the opportunities these present to develop community based, local services and highlight the benefits of taking co-productive and inclusive approaches to service design; building an evidence base which shows how housing and housing related services contribute to the wider health and social care agenda, through prevention, as well as supporting the management of long term conditions; raising awareness around dementia, including how housing organisations can enable people living with dementia, and their carers, to live independently within the community; and raising awareness about the potential that technologies offer in supporting older people to live independently, and seeking to address the barriers to wider adoption.
THOMAS Huw Vaughan
This report examines how effective councils in Wales have been in providing strategic leadership on older person’s issues. It analyses the Welsh Government’s and councils’ budgets, looking at the range and availability of preventative services across Wales, focusing on four core aspects that support older people to continue to live independently: practical support services; community based facilities; advice and information services; and housing and housing based services. The report also assesses councils’ performance management arrangements for overseeing services to older people, examining the information that is used by councils to judge performance. The review argues that Councils’ strategies and leadership focus too much on delivery of social services and do not always recognise the important contribution that other services can make in supporting and sustaining the independence of older people. Despite some innovative examples of councils supporting older people, the wider preventative services that can help reduce demand for health and social services are undervalued. A lack of data is making it difficult for councils to demonstrate the impact of their services in supporting the independence of older people, and this weakens their decision making and scrutiny when setting future priorities.
LOCAL GOVERNMENT ASSOCIATION
This document identifies and collates key pieces of evidence about the cost effectiveness of prevention in order to make the case for greater investment in prevention interventions. The report recommends that the Government should introduce a Prevention Transformation Fund, worth at least £2 billion annually. This would enable some double running of new investment in preventative services alongside ‘business as usual’ in the current system, until savings can be realised and reinvested into the system – as part of wider local prevention strategies. Based on the analysis of an extensive range of intervention case studies that have provided a net cost benefit, the report suggests that investment in prevention could yield a net return of 90 per cent.
WATSON Pat, SHUCKSMITH Janet
The Community Agents Project, a programme jointly funded through health and adult social care services, is an innovative approach to meeting the social needs of the elderly and vulnerable population. Community agents act as a one-stop shop, signposting people to the appropriate service that meets their needs. This could be an organisation or voluntary group that can help with shopping, arrange transport to the GP surgery or hospital appointments, help to complete forms, offer encouragement to maintain a care plan, organise a befriender, accompany to a local social activity or signposting to other agencies. The project has received a total of 486 referrals across the borough of Redcar & Cleveland for the period September 2014-September 2015, generating positive outcomes in the following areas: maintaining independence; faster discharge from hospital; reducing admissions to hospital; reducing isolation; improved financial status; appropriate use of health and social services; cost saving; and increases in community capacity. The report estimates a social return on investment of £3.29 for every £1 invested in the Community Agents Project.
HEALTHWATCH BRADFORD AND DISTRICT
Summarises the findings of a study of people’s experiences of receiving care services in their home. The report is based on 240 responses from older people or their carers. It shows that: people value their home care service and recognise its importance in keeping them as independent as possible and enabling them to live at home; many respondents raised concerns about rushed visits, unpredictable and variable timings of care and missed visits; nearly half of respondents felt there was insufficient time and/or carers’ approach or skill level resulted in care needs not being met; service users rated the attitude and approach of staff overall as good and felt they were treated with dignity and respect but a high number of respondents made reference to poor communication and poor attitude of some care staff; there was a high recognition of lack of skills and training among some care staff; many respondents highlighted the need for the same care workers to visit regularly; overall support and effectiveness from the service generally received positive commentary. The report sets out recommendations for both home care providers and Bradford Council, calling for more choice, flexibility and a person centred approach that promotes the well-being and independence of individuals.
Examines how health and social care integration can work better for working-age disabled people in the care system and applies key lessons and themes from integrated care and disabled people’s definitions of independent living to a wider range of public services. The report draws on desktop analysis of the impact of current integrated care initiatives on working-age disabled people, findings from interviews and focus groups with disabled adults, and Scope’s Better Care Project research. It argues that while the drivers behind integration have mostly been considered in the context of the ageing population the evidence strongly indicates that disabled adults should become a priority group for integrated care, alongside older people. It suggests that existing integrated care initiatives are not going far enough and considers how the Better Care Fund, Integrated Care Pioneers and Integrated Personal Commissioning can do more to improve outcomes for disabled adults. To help ensure the full potential of integrated care is full realised, the report identifies key action points on the following three fronts: incentives and rewards for independent living; a longer-term approach to risks and benefits; and making it clearer whether schemes apply to disabled adults. The report concludes that future plans for joined up support should apply the lessons from existing integrated care initiatives to the wider integrated support agenda, addressing all the barriers to independent living and encompassing education, work, volunteering, welfare and housing.
PUBLIC HEALTH ENGLAND
Examines how local authorities and health teams are working together to improve the health of local communities through prevention and early intervention. The report features seven case studies. Each one describes a particular programme or close partnership between a local authority and local public health or health care teams, often with the additional support of the voluntary sector. Each initiative focuses on a specific area and/or set of activities, including: integrating wellbeing; transforming the food culture in schools; helping people stay in their own homes; GPs linking people to other sources of support; healthy homes and housing conditions; promoting public health in schools; and active living.
Examines older people’s expectations from their housing and housing providers and the choices the UK housing market currently offers older and vulnerable people, and explores innovative housing and care solutions that could meet the demands of an ageing population and more widely support people with other social needs. The study drew on both quantitative surveys and qualitative interviews undertaken in previous research to establish what older groups need and expect from the housing market, and then used statistical methods to create a clear picture of the housing that older people inhabit now and the choices that the English housing market offers to them. Having established that the market presents only a limited range of options to older people, the research explored the international literature to identify different models of housing and support, focusing on countries that face similar demographic challenges. The report considers ideas that could potentially be adopted in England and adapted to an English housing and health context. A number of options were tested with two focus groups, involving over-55s and over-65s. Finally, based on the information drawn from the research, and through consultation with external experts, this report outlines a range of possible policy measures designed to ensure that the current and future stock of housing for older people is more effectively focused on supporting their health requirements.
This paper explores the identities and lifestyle choices of older people participating in the AKTIVE study and considers how telecare can support the maintenance of independence and preferred identities. Focusing on older people living at home with different types of frailty, the AKTIVE project aimed both to enhance understanding of how they (and those supporting them) accessed, engaged with and used the telecare equipment supplied to them, and to explore the consequences for them of doing so. The paper focuses on strategies and situations which enable older people to retain important elements of their identity, including their attachment to home and good relations within families. It also examines the circumstances in which telecare can be a source of stigma for older people, compromising self-perceptions and viewed as a sign of dependency. The paper draws on research evidence about who the older people in the AKTIVE study felt they ‘really are’. Using three key concepts, ‘identity’, ‘choice’ and ‘stigma’, it explores the subjective realities older people shared in talk and interactions during research visits over six to nine months in 2012-13 and outlines the ‘identity-management strategies’, which are conceptualised as a form of resilience, used by older people to maintain or protect cherished elements of their identities and the role of telecare in these choices, behaviours and strategies.