Results for 'independence'
Results 1 - 10 of 20
AUDITOR GENERAL FOR WALES
This report assesses whether organisations with responsibilities for delivering housing adaptations in Wales - which include local authorities, housing associations and Care and Repair agencies - have an effective approach that delivers value for money. It finds that the current system needs to change in order to meet the needs of older and disabled people. The review involved fieldwork at five local authorities and four housing associations, a survey of people who had received adaptations; and an analysis of data and expenditure on current services. It reports that although users express high levels of satisfaction with housing adaptations, the system is complex, reactive and results in people with similar needs often receiving different standards of service because of where they live and who is providing the service. Although public bodies are aware of the benefits of adaptations in supporting independence, ineffective partnership working results in missed opportunities to address needs and avoid and reduce demand and costs in health and social care services. The report makes nine recommendations for improvement, including: for the Welsh Government to set a minimum standard for adaptation work, so people can receive the same standard wherever they live; for local authorities to work more closely with partner agencies who deliver adaptations and streamline the application and delivery processes; and the provision of more accessible versions of information to the public.
ROYAL COLLEGE OF OCCUPATIONAL THERAPISTS
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.
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.
GEORGHIOU Theo, et al
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.
NHS Wigan Borough Clinical Commissioning Group
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.
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 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.
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.
ASTRAL PUBLIC SERVICES
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.
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.
Results 1 - 10 of 20