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Results for 'independence'

Results 1 - 10 of 19

Living, not existing: putting prevention at the heart of care for older people in Wales

ROYAL COLLEGE OF OCCUPATIONAL THERAPISTS
2017

This report focuses on the important contribution that occupational therapists can make to support further integration of health and social care in Wales. It looks at the role of occupational therapy in helping older people to remain independent and live in their own communities for as long as possible, preventing or delaying the need for expensive care long-term. The report focuses on three key areas: prevention or delaying the need for care and support; helping older people to remain in their communities; and ensuring equality of access to occupational therapy. It provides recommendations to improve the design and delivery of services and examples of best practice and individual case studies to how occupational therapists can contribution to integrated, person-centred services. These include for occupational therapists to work more closely with general practitioners, take on leadership roles to provide expertise to community providers on the development of person and community centred services; and the development of formal partnership agreements across local housing, health and social care sectors to ensure all older people have access to occupational therapy services.

Quick guide: health and housing

NHS ENGLAND
2016

This is one of a series of quick, online guides providing practical tips and case studies to support health and care systems. It provides practical resources and information for Clinical Commissioning Groups (CCGs) from a range of national and local organisations on how housing and health can work together to prevent and reduce hospital admissions, length of stay, delayed discharge, readmission rates and ultimately improve outcomes. Specifically, the guide describes: how housing can help prevent people from being admitted to hospital – by enabling access to home interventions (social prescribing), improving affordable warm homes (safe, warm housing), improving suitability and accessibility, and providing housing support; how housing can help people be discharged from hospital – through coordination of services, provision of step down services, and accessible housing design; and how housing can support people to remain independent in the community – by enabling informed decisions about home and housing options, providing assistive technology and community equipment, supporting social inclusion, providing supported housing, and promoting healthy lifestyles.

Harnessing social action to support older people: evaluating the Reducing Winter Pressures Fund

GEORGHIOU Theo, et al
2016

Presents the findings of an evaluation of seven social action projects funded by the Cabinet Office, NHS England, Monitor, NHS Trust Development Authority and the Association of Directors of Adult Social Services. The aim of the Reducing Winter Pressures Fund was to scale up and test projects that used volunteers to support older people to stay well, manage health conditions or recover after illness, and thereby reduce pressure on hospitals. The organisations supported by the fund comprised a range of national and local charities. These projects fell into three broad categories: community-based support, supporting discharge from hospital wards, and supporting individuals in A&E department to avoid admissions. Between them, the projects offered a wide range of services to older people – both direct (for example help with shopping or providing transport) and indirect (linking with other services). The evaluation resulted in a mixed set of findings. From the interviews with staff, volunteers and local stakeholders, there was evidence of services that had made an impact by providing practical help, reassurance and connection with other services that could reduce isolation and enable independence. Those involved with the projects felt that volunteers and project staff could offer more time to users than pressurised statutory sector staff, which enabled a fuller understanding of a person’s needs while also freeing up staff time. However, the analysis of hospital activity data in the months that followed people's referral into the projects did not suggest that these schemes impacted on the use of NHS services in the way that was assumed, with no evidence of a reduction in emergency hospital admissions, or in costs of hospital care following referral to the social action projects. The one exception was the project based in an A&E department, which revealed a smaller number of admissions in the short term. The report questions whether these sorts of interventions can ever be fully captured solely using hospital-based data and conceptualising reduced or shortened admissions as a key marker of success.

Wigan Community Link Worker Scheme

Wigan Borough Clinical Commissioning Group and Wigan Council

The Wigan Community Link Worker service provides person centred support that enables individuals to access community activities keep them independent, whilst taking greater control of their health and wellbeing, and connecting them to their communities. The service was jointly commissioned by Wigan Borough Clinical Commissioning Group and Wigan Council with the aim of improving the health and wellbeing of local people through better connections to appropriate sources of support in the community. Initially piloted in 2015, run by City Health Care Partnership (CHCP), with 11 practices the service has grown and now covers the whole Borough (63 practices). In March 2016, funding for the service was extended for a year.

The future of loneliness: facing the challenge of loneliness for older people in the UK, 2014 to 2030

FUTURE FOUNDATION
2014

This report, commissioned by Friends of the Elderly, looks at the key factors likely to shape the future of older-age loneliness in the UK over the next 15 years. It identifies the challenges and opportunities in reducing loneliness and highlights possible interventions and preventative measures. The report draws on existing research resources, in-depth interviews with six older people who lived alone, and data from the English Longitudinal Study of Ageing and Government Actuaries' Department forecasts on age, marital status and partnership status. Areas discussed include: the implications of demographic change; wealth and work; leisure and social life; family and friends; the use of new technologies for contact and communication; and independence and connectedness at home. Key findings include: a connection between low contact with family members and loneliness, a link between poverty and loneliness; and the potential of technology to reduce loneliness.

Call and Check

Jersey Post

Call and Check is a Jersey based initiative which uses the delivery platform of the postal service to support people to live independently in their own homes. Postal workers are trained to make short visits to residents which involve conversations covering health and social wellbeing topics. The service links residents with health social care and voluntary sector providers whilst also preventing social isolation.

What role can local and national supportive services play in supporting independent and healthy living in individuals 65 and over?

WINDLE Karen
2015

This report explores the evidence base around effective and cost-effective preventative services and the role that they can play in supporting older people’s independence, health and wellbeing. It looks at the available evidence to support the benefits of preventative services in mitigating social inclusion and loneliness and improving physical health. It also highlights evidence on the effectiveness of information, advice and signposting in helping people access preventative services and the benefits of providing practical interventions such as minor housing repairs. It considers a wide range of primary and secondary preventative services, including: health screening, vaccinations, day services, reablement, and care coordination and management. It then outlines two teritary prevention services which aim to prevent imminent admission to acute health settings. These are community based rapid response services and ambulatory emergency care units, which operation within the secondary care environment. The report then highlights gaps in the evidence base and and looks at what is needed to develop preventative services to achieve health and independent ageing by 2013. It looks at the changes needed in service funding and commissioning, the balance between individual responsibility and organisational support, and how preventative services should be implemented.

Report on the DFG summit: hosted by the College of Occupational Therapists and Foundations in December 2015

ASTRAL PUBLIC SERVICES
2016

A summary of the main points raised at the Disabled Facilities Grant summit together with some apposite case studies showing what works well now. Disabled facilities grants are a national housing grant available to adults and children with a disability to facilitate access to and within the property. The grant is available to all owner occupiers, private and housing association tenants subject to a statutory means test. The meeting discussed five key questions about DFGs and their context within the wider theme of people remaining independent in the community, regardless of their means. The questions are: what works well in current practice; how to improve customer service; how to support self-funders; how to collaborate better with other services; and how to redesign services for the future. The document closes with major themes that emerged from the day together with some key recommendations of what can be changed nationally and locally to advance collaborative systems, prevention and DFG regulations.

Prevention in Bexley

London Borough of Bexley

The London Borough of Bexley is currently supporting different groups of people using a prevention approach: promoting citizenship for adults with learning disabilities; following a community-based recovery model in mental health day services and providing an integrated reablement service to enable older people to regain their independence and stay in their homes for longer.

Supporting the independence of older people: are councils doing enough?

THOMAS Huw Vaughan
2015

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.

Results 1 - 10 of 19

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