Results for 'access to information'
Results 1 - 6 of 6
AUDITOR GENERAL FOR WALES
To meet the aims of the Social Services and Well-being (Wales) Act 2014, local authorities need to have created a comprehensive ‘front door’ to social care and to have in places an effective Information, Advice and Assistance (IAA) service. This audit report considers the effectiveness of IAA services in Wales, the availability of preventative and community-based support, and the systems put in place to ensure those who need care and support or are at risk are identified and helped. It also considers the impact of the front door on demand for social care and in respect of improving wellbeing. Although local authorities are supporting people to access a wider range of support options, there is a lack of comprehensive understanding of what is available and the preventative services that are needed. It also found that carers are still not getting equal access to the services they need. Based on the findings, the report concludes that councils are preventing social-care demand, but there is variation in the availability, accessibility and quality of information, advice and assistance services. It makes recommendations to help improve access to information, advice and assistance services.
BLANCHARD Catherine, BRITTAIN Andrea
British Red Cross Independent Living services such as Support at Home, Home from Hospital, and Mobility Aids provide time-limited support to help people live independently in their own home. This study explores the challenges facing people using these services, whose increasingly complex needs are creating greater obstacles to their ability to live independently. Phase one of the study conducted interviews with 29 service users, eight volunteers and 22 staff members into the problems service users face to living independently. Phase two used follow up questionnaires with 170 service users to explore key issues in more depth, including carers, mobility, information and advice, social isolation and loneliness. The results of the questionnaires found high levels of mobility reported-difficulties, which could impact on people's ability to maintain existing relationships and over half of respondents found difficult to find information and advice; The research also found that high numbers of service users live alone and also have high levels of social isolation and loneliness that require long-term intervention. Of the167 service users who answered questions on social isolation, 64 per cent experienced 'some' social isolation and a quarter fell into the 'most isolated' group. Drawing on findings, the report makes recommendations for the Independent Living service in relation to service development, advocacy and communications and data collection. These include: for services to be person-centred, consider partnerships and employ good practice in signposting; for the collection of data on whether people live alone, how long they have lived alone; and being clear in communications that loneliness and social isolation are different concepts.
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.
WYE Lesley, et al
The aim of this study was to explore how commissioners obtained, modified and used information to inform their decisions, focusing in particular in the knowledge obtained from external organisations such as management consultancies, Public Health and commissioning support units. In eight case studies, researchers interviewed 92 external consultants and their clients, observed 25 meetings and training sessions, and analysed documents such as meeting minutes and reports. Data were analysed within each case study and then across all case studies. Commissioners used many types of information from multiple sources to try to build a cohesive, persuasive case. They obtained information through five channels: interpersonal relationships people placement (e.g. embedding external staff within client teams); governance (e.g. national directives); copy, adapt and paste (e.g. best practice guidance); and product deployment (e.g. software tools). Furthermore, commissioners constantly interpreted (and reinterpreted) the knowledge to fit local circumstances (contextualisation) and involved others in this refinement process (engagement). External organisations that drew on these multiple channels and facilitated contextualisation and engagement were more likely to meet clients’ expectations. Sometimes there was little impact on commissioning decisions because the work of external organisations targeted and benefited the commissioning decision-makers less than the health-care analysts. The long-standing split between health-care analysts and commissioners sometimes limited the impact of external organisations. The paper concludes that to capitalise on the expertise of external providers, wherever possible, contracts should include explicit skills development and knowledge transfer components.
This report explores four big ways that knowledge power and people power will affect the NHS in 2030 and the wider health system, through precision medicine, new forms of health data, people–powered health, and the use of behavioural insights. Section 1, in particular, concentrates on where new kinds of medical information about individuals will come from, as well as how it is interpreted in stratified care. Section 2 moves onto people managing their own health information and new digital platforms for supporting patient–led research and care. Section 3 looks at the possibility of a social movement for health: people being trusted to have a more active role in their own health and to look after others, supported by the NHS, as well as people supporting health services. Section 4 explores how insights into human behaviours can help redesign health services, products and treatments in a way that reflects better how people live their lives and make choices. This is followed by a summary of how these developments will change the function of the NHS. The final sections focus on the challenges involved in getting to the best version of this future and ideas for how these changes can be supported today. Concentrating on the widest gaps between these ideas and current policy, the conclusion includes four proposals that would support new functions in the health system. These are: developing digital platforms and widely agreed protocols for developing new kinds of health knowledge; creating prototypes for health data sharing that concentrate on understanding emerging attitudes to digital privacy; establishing an institution that supports and evaluates people powered health research; and creating a central institution to set standards and mandate processes that will maximise the clinical and research value of large genomic and other data sets as they become available.
TREADGOLD Paul, GRANT Carol
This research report highlights how providing information to patients and their carers improves outcomes, reduces costs and gives people a better experience of care. Consumer health information (CHI) is defined as information and support provided to help patients and carers understand, manage and/or make decisions about their health, condition or treatment. High quality means effective information, which meets the needs of users and empowers them to make choices and take control of their health and wellbeing. The Patient Information Forum (PiF) commissioned research to identify the benefits of investing in health information. The project, which looked at over 300 studies, found that there are good business reasons to justify the investment of more time, money and training in health information provision and support. These include positive impacts on service use and costs, substantial capacity savings, and significant returns on investment by increasing shared decision-making, self-care and the self-management of long-term conditions.
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