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Results 241 - 250 of 313

Investing to save: assessing the cost-effectiveness of telecare: summary report

CLIFFORD Paul, et al
2012

This summary report describes the findings of a project evaluating the potential cost savings arising from the use of telecare. Another aim was to develop a methodology that will support routine evaluation and comparison of the cost-effectiveness of local telecare implementations. Evaluation was made of the suitability of telecare for 50 clients for whom Overview Assessments had been completed by FACE Recording & Measuring Systems Ltd. Where telecare appeared suitable, the social care costs of meeting the client’s needs before and after provision of telecare were estimated. Estimates were also made of the total savings achievable by the deployment of telecare. Out of the 50 cases, 33 were identified as potentially benefitting from telecare. The average weekly cost of telecare was £6.25, compared to £167 for the average weekly care package for the sample pre-telecare. The results confirmed previous studies showing that very substantial savings are achievable through the widespread targeted use of telecare. Potential savings lie in the range of £3m to £7.8m for a typical council, or 7.4-19.4% of total older people’s social care budget.

Frail older people and their networks of support: how does telecare fit in?: AKTIVE Working paper 2

YEANDLE Sue
2014

This paper focuses on the different types and configurations of formal and informal support in place, alongside telecare, to assist frail older people, and on how having telecare in place affected, and was influenced by, these arrangements. Based on detailed research with older telecare users and people involved in their care, the paper defines and contrasts three ‘ideal types’ identified as: ‘complex’; ‘family- based’; and ‘privatised support’ caring networks. It considers how telecare interacted with each type of caring network and explores differences in the relevance and applicability of each to frail older people in the AKTIVE study. 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. In this paper particular reference is made to differences between older people using telecare who lived alone or with others; and between those who had memory problems or were susceptible to falls. The paper shows how telecare enhanced all three types of network, in at least some examples in the study, although no network type was dependent, or solely reliant, upon it. This highlights that telecare is not a panacea, a substitute for human care or an adequate solution in and of itself.

Coping with change: frail bodies and daily activities in later life: AKTIVE working paper 4

FRY Gary
2014

This paper explores responses to changes arising from bodily frailty observed among older people participating in the AKTIVE study and discussed with them during research visits. 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. This paper identifies which daily activities were affected in older age and the strategies older people drew upon to cope. The paper also explores how telecare was combined with other support mechanisms to help older people maintain both practical and recreational daily activities. Throughout, there is discussion about limitations in how care support was sometimes provided, including how telecare was acquired and used by older people and/or those caring for or supporting them, and how far these problems might be overcome by more proactive implementation.

Building a business case for investing in adaptive technologies in England

SNELL Tom, FERNANDEZ Jose-Luis, FORDER Julien
2012

For many dependent adults, the provision of adaptive technologies provides a means to independent living and a decrease in the reliance on support from family members or more costly social care services. At present, the two main sources of state funding for equipment and adaptations are through Community Equipment Services (for minor adaptations up to a value of £1,000, such as grab rails) and through Disabled Facilities Grants (DFGs) (for major adaptations up to a value of £30,000, such as stairllifts or bathroom modifications). While costs of provision vary greatly by type of intervention, the majority of the research literature focuses on adaptations with an average value of approximately £6,000. The research described in this report provides an evaluation of the outcomes associated with the provision of adaptive technologies at an economic level, and, by extension. the likely impact of increases or reductions in investment in the context of increasing constraints on social care budgets. The analysis followed a three-stage process. The first stage was a systematic review of the literature in which the available evidence on the costs, effectiveness and outcomes associated with adaptive technologies was systematically collected and analysed. In the second stage, an analysis incorporating the findings gathered in the literature review was used to build a quantitative simulation model of the outcomes associated with aids and adaptations. At the final stage, the output of the literature review and model were used to inform a discussion around the policy implications. The research in this report was supported by a grant from Stannah and the British Healthcare Trades Association.

Assistive technology as a means of supporting people with dementia: a review

BONNER Steve, IDRIS Tahir
2012

Awareness of Assistive Technology (AT) products, devices and solutions available is still sketchy and variable around the UK. There is almost a ‘postcode lottery’ relating to the quality of AT solutions available to people with dementia due to the varying approaches taken around the country. This paper reviews the current policy and practice in relation to AT supporting people to live well with dementia, including different housing settings and rounding off with some good practice case studies which highlight the wide array of technology solutions available. Included in this review are: a brief summary of different types of AT; a review of policy initiatives, including legislation, which have attempted to encourage the greater use of AT; ethical considerations; current practice by major housing providers; good practice examples; and people with dementia’s experience.

Impact assessment toolkit: commissioning assistive technologies

SKILLS FOR CARE
2014

This online tool outlines the key steps of planning and implementing the impact assessment of assisted living technologies (ALT) and assistive living services (ALT). It includes practical tips, links to other sources of guidance and areas to discuss with partners. The toolkit covers designing an evaluation framework; assigning impact measures; establishing a sample of people to assess impact; establishing unit costs; developing data capture research tools; measuring return on investment; quality control; and using the findings to inform future delivery. The tool should be used in conjunction with two accompanying reports: 'Supporting commissioners of assisted living Services: stage 1: research report' and 'Commissioning assisted living technologies: guidance'.

Commissioning assisted living technologies: guidance

SKILLS FOR CARE
2014

The practice guidance has been produced to support people who have the responsibility for commissioning assisted living technology (ALT) and assisted living services (ALS). These services include : telecare; digital participation services which educate, entertain and encourage social interaction to enrich the lives of people in need of social support; and wellness services which encourage people to adopt and maintain healthy lifestyles. The guide looks at general principles, such as establishing a vision and defining the strategy; carrying out a local needs assessment; service specification and procurement; and developing systems to measure performance and impact. Although primarily developed for commissioners based in social care settings, it may also be useful for those working across housing or health services. An accompanying research report and toolkit have also been produced.

Guidance for commissioning public mental health services

JOINT COMMISSIONING PANEL FOR MENTAL HEALTH
2013

The Joint Commissioning Panel for Mental Health (JCP-MH) is a new collaboration co-chaired by the Royal College of General Practitioners and the Royal College of Psychiatrists, which brings together leading organisations and individuals with an interest in commissioning for mental health and learning disabilities. Public mental health involves: an assessment of the risk factors for mental disorder, the protective factors for wellbeing, and the levels of mental disorder and wellbeing in the local population; the delivery of appropriate interventions to promote wellbeing, prevent mental disorder, and treat mental disorder early; and ensuring that people at ‘higher risk’ of mental disorder and poor wellbeing are proportionately prioritised in assessment and intervention delivery. This guide is about the commissioning of public mental health interventions to reduce the burden of mental disorder, enhance mental wellbeing, and support the delivery of a broad range of outcomes relating to health, education and employment. It is the second version of the public mental health guide: It has been revised and updated to include new sources of data and information.

Guidance for commissioners of mental health services for people from black and minority ethnic communities

JOINT COMMISSIONING PANEL FOR MENTAL HEALTH
2014

This guide describes what ‘good’ mental health services for people from Black and Minority Ethnic (BME) communities look like. While all of the Joint Commissioning Panel for Mental Health commissioning guides apply to all communities, there are good reasons why additional guidance is required on commissioning mental health services for people from BME communities. The document sets out the key priorities that should guide the commissioning of mental health services for BME groups. These include: supporting equitable access to effective interventions, and equitable experiences and outcomes; identifying and implementing specific measures to reduce ethnic inequalities in mental health; developing local strategies and plans for improving mental health and wellbeing amongst BME communities; making targeted investments in public mental health interventions for BME communities; involving service users, carers as well as members of local BME communities in the commissioning process; collecting, analysing, reporting, and acting upon data about ethnicity, service use, and outcomes; creating more accessible, broader, and flexible care pathways, and integrating services across the voluntary, community, social care and health sectors; ensuring every mental health service are culturally capable and able to address the diverse needs of a multi-cultural population through effective and appropriate forms of assessment and interventions; developing a number of strategies to reduce coercive care, which is experienced disproportionately by some BME groups. This guide focuses on services for working age adults. However, it could also be interpreted for commissioning specialist mental health services, such as CAMHS, secure psychiatric care, and services for older adults. It includes case-examples derived from an online survey of various BME stakeholder groups on the issue of quality in BME service provision

Commissioning befriending: a guide for adult social care commissioners

ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
2014

A guide developed to inform commissioners of adult social care about how befriending services are being delivered across the South West and how to effectively commissioning high quality befriending services. It describes what befriending is; the different ways it can be delivered; and the positive benefits it can have through improving health, well being and increasing independence. It also explains how people and communities can be involved in delivering and developing services through volunteering. Case study examples of current befriending practice are used throughout. The guide also draws upon materials and guidance produced by the Mentoring and Befriending Foundation (MBF) and feedback from commissioners and befriending providers through a series of consultations undertaken by the MBF.

Results 241 - 250 of 313

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