Results for 'disabilities'
Results 11 - 16 of 16
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.
LLOYD James, ROSS Andy
Explores disability and care at a national, regional and local authority level in England. The report brings together data from Census 2011, DWP and HSCIC ‘administrative data’, as well as from Wave 6 of the English Longitudinal Study of Ageing, to look at the prevalence of disability, need and care of different types, and to paint a picture of the lives of different groups. In particular, Chapter 3 provides a snapshot of disability and care in the older population in England, identifying key results. Chapter 4 looks in detail at the lives of older people with limited day-to-day activities, from their health characteristics to their living situation. Chapter 5 explores the characteristics of older people receiving unpaid and paid care including the overall adequacy of their care, as well as older people with substantial levels of disability who experience difficulty undertaking three or more ‘activities of daily living’. Chapter 6 explores the interaction of older people experiencing limited day-to-day activities with public support, i.e. disability benefits and the local authority care and support system. Chapter 7 examines the prevalence of unpaid older carers and the outcomes they experience, as well as the extent of local authority support for them. The report shows that around half of the 65+ population in England reported their day-to-day activities were limited. Of the 6.7 per cent of the older population living at home in England who reported difficulty undertaking three or more activities of daily living, around 70,000 did not receive any care, and could therefore be classed as experiencing substantial unmet need. Around 20 per cent of older carers experienced self-care (ADL) difficulties themselves.
This report evaluates the performance of government policy on care and support of older people who struggle with day-to-day activities in England during the period 2011 to 2013, using the data and insights from ‘The bigger picture: understanding disability and care in England’s older population’. Part 1 of this report examines the reach of publicly funded support; the unmet need in the older population; and variation and consistency of care and support. Part 2 considers the implications of the Care Act implementation and looks at policy development beyond 2016, focusing on eligible needs after the Act, financial eligibility and the means test after 2016 and mapping, identifying and engaging older population groups. The report concludes that given the feasibility and budget challenges implied by the sheer numbers of older people experiencing difficulties with activities of daily living, a rethink and revolution is required among national and local policymakers around how individuals and families are engaged and supported. This will mean revisiting the balance between consistency and variation in services organised by local authorities, as well as fully integrating and exploiting the different ‘touch points’ and ‘gateways’ available for engaging the older population. It will also mean evaluating which aspects of the vision of the Care Act need to be fulfilled by local authorities directly, or can be devolved to empowered, third-party charities and organisations at a local level.
This report focusses on meeting the needs of working-age disabled adults as health and social care services are increasing integrated. It provides an empirical evidence base to demonstrate how whole person care (which is about making the connections between physical health, mental health and social care services) can be used to effectively meet these needs. The report also draws on the findings of a focus group with 12 disabled adults and carers on desired outcomes from the integration of health and social care services. Interviews with social care and voluntary sector professionals, commissioners and local authority policy to see if they are willing to include working-age disabled adults' needs in plans for future integration. The report looks at how working-age disabled adults have different needs and outcomes from older people and identifies the health inequalities they face in day-to-day life. Ten dimensions of health inequality are identified including housing, employment, financial security and quality of life. The report makes seven recommendations to inform the service response, including: taking a long term view of managing long-term conditions, viewing whole person care as a 10-year journey with matched by stable funding; debates on funding gap in social care should give consideration to the needs of working-age disabled adults; shifting resources from case management to community coordinated care to support prevention and providing a single point of contact for health and social care needs; service integration should take place across a much wider range of services to meet the needs of disabled people.
AIDEN Hardeep, BUSH Marc
A third of all people using care services are disabled adults of working age. This pamphlet builds on the analysis in 'The other care crisis', which provided evidence that exposed the £1.2 billion gap in social care spending for disabled adults. Based on new research undertaken by Deloitte, this pamphlet quantifies the long-term savings to individuals and the Government of closing this gap in social care expenditure. It recommends that the Government's Spending Review should commit to establishing a national minimum threshold for eligibility that encourages councils to provide social care to people with ‘moderate’ or equivalent level needs The Government should encourage councils and the NHS to jointly invest in preventative care and support through Health and Wellbeing Boards. The Care Bill should contain a duty on Health and Wellbeing Boards to identify, plan for and commission preventative services that maximise the independence of disabled people. This should be a statutory part of their Joint Strategic Needs Assessments and Health and Wellbeing strategies. The pamphlet has been jointly produced by the National Autistic Society, Mencap, the Lenard Cheshire Disability, Sense, and Scope.
This article discusses how to successfully mainstream telecare to transform service delivery and provide more preventative and personalised care for people of all ages and abilities. Based on experiences from the city of Wakefield, a metropolitan district of West Yorkshire, England, the article explores the use of technology and support systems, such as door sensors, smoke detectors or flood sensors, to assist vulnerable people by improving and improving well-being and maintaining independence, enabling individuals to live safely and securely at home for as long as possible. Alongside the management of adults and older people, telecare has also had a positive impact on the support of people with learning disabilities. The article concludes that to successfully integrate and mainstream telecare, there needs to be adequate training and assessment for all staff involved in the implementation in order to deliver a sustainable and deliverable telecare service. Overall, the cost efficiencies were crucial when considering the future of telecare and, with significant cost savings made over a relatively short period, the potential for future investments was a significant factor for the continuing delivery of services.
Results 11 - 16 of 16