Results for 'independent living'
Results 11 - 19 of 19
HEALTHWATCH BRADFORD AND DISTRICT
Summarises the findings of a study of people’s experiences of receiving care services in their home. The report is based on 240 responses from older people or their carers. It shows that: people value their home care service and recognise its importance in keeping them as independent as possible and enabling them to live at home; many respondents raised concerns about rushed visits, unpredictable and variable timings of care and missed visits; nearly half of respondents felt there was insufficient time and/or carers’ approach or skill level resulted in care needs not being met; service users rated the attitude and approach of staff overall as good and felt they were treated with dignity and respect but a high number of respondents made reference to poor communication and poor attitude of some care staff; there was a high recognition of lack of skills and training among some care staff; many respondents highlighted the need for the same care workers to visit regularly; overall support and effectiveness from the service generally received positive commentary. The report sets out recommendations for both home care providers and Bradford Council, calling for more choice, flexibility and a person centred approach that promotes the well-being and independence of individuals.
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.
PUBLIC HEALTH ENGLAND
Examines how local authorities and health teams are working together to improve the health of local communities through prevention and early intervention. The report features seven case studies. Each one describes a particular programme or close partnership between a local authority and local public health or health care teams, often with the additional support of the voluntary sector. Each initiative focuses on a specific area and/or set of activities, including: integrating wellbeing; transforming the food culture in schools; helping people stay in their own homes; GPs linking people to other sources of support; healthy homes and housing conditions; promoting public health in schools; and active living.
Examines older people’s expectations from their housing and housing providers and the choices the UK housing market currently offers older and vulnerable people, and explores innovative housing and care solutions that could meet the demands of an ageing population and more widely support people with other social needs. The study drew on both quantitative surveys and qualitative interviews undertaken in previous research to establish what older groups need and expect from the housing market, and then used statistical methods to create a clear picture of the housing that older people inhabit now and the choices that the English housing market offers to them. Having established that the market presents only a limited range of options to older people, the research explored the international literature to identify different models of housing and support, focusing on countries that face similar demographic challenges. The report considers ideas that could potentially be adopted in England and adapted to an English housing and health context. A number of options were tested with two focus groups, involving over-55s and over-65s. Finally, based on the information drawn from the research, and through consultation with external experts, this report outlines a range of possible policy measures designed to ensure that the current and future stock of housing for older people is more effectively focused on supporting their health requirements.
This paper explores the identities and lifestyle choices of older people participating in the AKTIVE study and considers how telecare can support the maintenance of independence and preferred identities. 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. The paper focuses on strategies and situations which enable older people to retain important elements of their identity, including their attachment to home and good relations within families. It also examines the circumstances in which telecare can be a source of stigma for older people, compromising self-perceptions and viewed as a sign of dependency. The paper draws on research evidence about who the older people in the AKTIVE study felt they ‘really are’. Using three key concepts, ‘identity’, ‘choice’ and ‘stigma’, it explores the subjective realities older people shared in talk and interactions during research visits over six to nine months in 2012-13 and outlines the ‘identity-management strategies’, which are conceptualised as a form of resilience, used by older people to maintain or protect cherished elements of their identities and the role of telecare in these choices, behaviours and strategies.
NATIONAL INSTITUTE FOR HEALTH RESEARCH. School for Social Care Research
A scoping study investigated approaches to prevention services in local authorities which enable older people to retain their independence for as long as possible to maintain their quality of life and reduce pressure on local authority and NHS budgets. The study involved a survey of Directors of Adult Social Services in 9 local authorities to identify what they viewed as their top 3 investments in prevention services for older people, and interviews with lead managers for each intervention. It also reviewed local and national evidence as to whether these interventions lead to a delay or reduction in uptake of social care services This paper summarises the key findings from the research. It explains that the top 3 interventions were reablement (a top 3 approach for all of the local authorities surveyed), technology-based interventions (among the top 3 interventions in 6 authorities), and information and advice (among the top 3 in 3 authorities), while a number of other prevention interventions were identified by one local authority each. It reports on how local authorities seek evidence and guidance on prevention services and factors influencing how local funding was spent, and on assessment of the outcomes and impact of prevention interventions. It also summarises national and local evidence for the top 3 interventions.
DOUGHTY Kevin, MULVIHILL Patrick
Purpose: The purpose of this paper is to consider the importance of digital healthcare through telecare and portable assistive devices in supporting the reengineering of healthcare to deal with the needs of an older and more vulnerable population wishing to remain in their own homes.
Design/methodology/approach: It supports the importance of the assessment process to identify hazards associated with independent living, and the possible consequences of accidents. By measuring and prioritising the risks, appropriate management strategies may be introduced to provide a safer home environment.
Findings: A process for assessing and managing these risks has been developed. This can be applied to a wide range of different cases and yields solutions that can support independence.
Research limitations/implications: The developed digital reablement process can be used to provide vulnerable people with a robust form of risk management.
Practical implications: If telecare services follow the process described in this paper then they will improve the outcomes for their users.
Originality/value: The process described in this paper is the first attempt to produce a robust assessment process for introducing telecare services in a reablement context.
MAYO-WILSON Evan, et al
Background: Home visits for older adults aim to prevent cognitive and functional impairment, thus reducing institutionalisation and mortality. Visitors may provide information, investigate untreated problems, encourage medication compliance, and provide referrals to services.
Methods and Findings: Data Sources: Ten databases including CENTRAL and Medline searched through December 2012. Study Selection: Randomised controlled trials enrolling community-dwelling persons without dementia aged over 65 years. Interventions included visits at home by a health or social care professional that were not related to hospital discharge. Two authors independently extracted data. Outcomes were pooled using random effects. Main Outcomes and Measures used were mortality, institutionalisation, hospitalisation, falls, injuries, physical functioning, cognitive functioning, quality of life, and psychiatric illness.
Results: Sixty-four studies with 28642 participants were included. Home visits were not associated with absolute reductions in mortality at longest follow-up, but some programmes may have small relative effects. There was moderate quality evidence of no overall effect on the number of people institutionalised. There was high quality evidence for number of people who fell, which is consistent with no effect or a small effect, but there was no evidence that these interventions increased independent living. There was low and very low quality evidence of effects for quality of life and physical functioning respectively, but these may not be clinically important.
Conclusions: Home visiting is not consistently associated with differences in mortality or independent living, and investigations of heterogeneity did not identify any programmes that are associated with consistent benefits. Due to poor reporting of intervention components and delivery, the authors cannot exclude the possibility that some programmes may be effective.
BRITISH RED CROSS
The aim of this report is to illustrate how British Red Cross preventative services providing time-limited practical and emotional support deliver savings for public sector partners including the NHS and local authorities. It presents brief case studies of 5 people who received personalised support from British Red Cross staff and volunteers to help them live independently in their communities. In each case it describes the action taken and the impact of the services and support provided. It includes an independent economic analysis of each case study assessing the costs which could have been incurred by statutory services in delivering care in the absence of the British Red Cross services. It reports that savings of between £700 and over £10,000 were delivered per person, and that this reflects a minimum return on investment of over 3.5 times the cost of the British Red Cross service provided.
Results 11 - 19 of 19