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Results for 'prevention'

Results 1 - 10 of 148

Prevention: wrestling with new economic realities

KNAPP Martin
2013

Purpose : The purpose of this paper is to discuss the economic pressures on long-term care systems, and describe how an economic case might be made for better care, support and preventive strategies. Design/methodology/approach: Discussion of recent developments and research responses, with illustrations from previous studies. Findings: Economics evidence is highly relevant to decision makers in health, social care, and related systems. When resources are especially tight, economics evidence can sometimes persuade uncertain commissioners and others to adopt courses of action that improve the wellbeing of individuals, families, and communities. Originality/value: The paper uses long-established approaches in economic evaluation to discuss preventive and other strategies in today's challenging context.

The swing to early intervention and prevention and its implications for social work

GRAY Mel
2014

Social investment does not yet appear to have entered the social work lexicon yet reflects a shift toward early intervention and prevention and policies relating to early childhood education and care across the world. Recently, the prime minister of Australia announced new measures relating to childcare to ease the burden on working families and ensure high-standard care for pre-school children. Also announced was a mental health check to be administered by general practitioners for children as young as three years old. This change in social policy follows closely on the heels of the backlash against ameliorative welfare and move toward the preventive end of the social care spectrum. This paper examines developments leading to the social investment approach. It begins by defining social investment and providing an overview of key theorists contributing to our understanding of what ‘social investment is investing in’ and ends with a discussion of its implications for social work.

The lives we want to lead: the LGA green paper for adult social care and wellbeing

LOCAL GOVERNMENT ASSOCIATION
2018

A consultation paper from the Local Government Association, which seeks views on the future of care and support for adults and their unpaid carers. The paper puts forward options to secure the immediate and long-term funding for adult social care, and makes the case for a shift towards preventative, community-based personalised care, which helps maximise people's health, wellbeing and independence. It also considers the importance of housing, public health, other council services, in supporting wellbeing and prevention. Sections cover: differing views about the future of long-term funding for social care; the wider changes needed across care and health to bring out a greater focus on community-based and person-centred prevention; the role of public health and wider council services in supporting and improving wellbeing; and the nature of the relationship between social care and health, integration, accountability and how the new NHS funding could be used for maximum impact. Thirty consultation questions are included throughout the report. The consultation will run until 26 September 2018.

WRVS: delivering the preventative social care agenda

BERRY Lynne
2010

This article starts by outlining the importance of increased prevention investment and produces a series of evidence that emphasises how preventative approaches improve the quality of life of older people, whilst providing value for money. It describes prevention in this context as: giving older people respect for who they are; giving older people the feeling they are in control; having people older people trust around them; and giving older people the help they want, when they need it. After providing simple statistics outlining the success, this article moves on to illustrate, through personal stories, how the work of the Women's Royal Voluntary Service (WRVS) sits at the heart of delivering the preventative social care agenda. The paper ends by putting out a question for debate: what will the entitlement to preventative support mean in practice in a reformed social care system?

Preventive social care: is it cost effective?

CURRY Natasha
2006

This paper attempts to pull together and review key pieces of evidence about the cost effectiveness of prevention. The findings, which reflect a paucity of quantified information about the effectiveness of preventive interventions, suggest that there is a strong financial case for reducing hospitalisation (particularly through falls) and for reducing the rate of institutionalisation by maintaining independence. Small-scale trials show that small interventions could prevent falls and reduce the rate of institutionalisation. However, establishing a direct causal relationship between such interventions and long-term financial savings has proved problematic although. There is a lack of consensus over the cost effectiveness of intermediate care although there is evidence that it is cost effective when targeting specific groups/illnesses/events such as stroke and falls. Evidence for secondary stroke prevention services is perhaps the strongest, and most widely quantified, body of research. There is some evidence that primary prevention strategies (such as smoking cessation and reduced salt intake) have potential to reduce the incidence of stroke. The paper makes a series of recommendations, calling for a greater focus on low-level interventions, particularly where there is qualitative evidence that they are valued by service users; implementation of promising interventions, even if not supported by robust evidence, accompanying by formal evaluation during roll-out; development of standard outcome measures of prevention; targeting resources to ensure greatest impact; and greater integration between health and social care services as a drive to shift services towards the preventive end of the spectrum.

A toolkit to support the commissioning of targeted preventative services: South West regional commissioning

SOUTH WEST JOINT IMPROVEMENT PARTNERSHIP
2010

This toolkit was developed by the Institute of Public Care to help commissioners of adult social care and health services in the South West of England target prevention and early intervention services more effectively, given the prospect of severely limited resources and a significant projected rise in the region’s population of older people. With reduced expenditure per head therefore available, the toolkit aims to help local authorities assess existing services, identify shortcomings, and contribute to the development of new, more effective preventative services. There is a particular focus on identifying individuals likely to come to rely on high-intensity, high-cost services while they are still divertible from that path. This toolkit includes a series of tools templates and performance information frameworks that will help local authorities in the South West and their partners to: develop a more refined framework for understanding the distribution of prevention, early intervention, intervention and substitute support services; analyse the distribution of current services for older people across levels of need and identify where greater targeting of those in need might be effective; and plan how to refocus where greater targeting of those in need might be most effective.

Hospital to a Healthier Home: evaluation of a winter pressures pilot service

CARE AND REPAIR CYMRU
2019

An evaluation of the Hospital to a Healthier Home pilot scheme, delivered by Care and Repair, which ran from 11 hospitals between January and March 2019. The scheme aimed to support older people to be safely and more quickly discharged from hospitals to their homes and prevent them being re-admitted by making their homes safe and more accessible. This evaluation describes how the Hospital to a Health Home case worker service started, what type of interventions have been provided to patients and hospital staff, costs, benefits and the difference it has made to patient well-being, quicker safe discharges, and preventing re-admissions. The pilot involved dedicated Care and Repair case workers based at each hospitals to facilitate practical improvements to a patient’s home and offer practical support on issues such as benefits entitlements. During the evaluation period: 626 patients were referred through Hospital to a Healthier Home service; 508 patients received work that helped quicker safe discharge. Based on an local assessment of bed day savings, the evaluation found that service costs are fully substantiated, and return £2.80 for every £1 invested (both revenue and capital). NHS frontline staff interviewed for the evaluation study also felt the service was of significant benefit and had the potential to deliver more.

Local Area Coordination: summative evaluation

LUNT Neil, BAINBRIDGE Laura
2019

The results from the third phase of an evaluation of a Local Area Coordination approach developed in York, which involved the introduction of three Local Area Coordinators. The evaluation aimed to identify early outcomes at the level of individuals, families, community and system (including project objectives and cost effectiveness). It also aimed to identify emerging insights and potential future opportunities for data collection, and longitudinal approaches to Local Area Coordination outcomes over a longer timeframe. Methods used included analysis of performance data, review of documentation and interviews with Local Area Coordinators, Programme Managers and community organisations. The findings show that Local Area Coordination is operating as intended, and is providing support to people not previously known to services. People also welcome long-term focus of Local Area Coordinator work. It also identified examples of real changes as a consequence of Local Area Support, including preventative interventions and helping families navigate complex and challenging circumstances.

The 'front door' to adult social care

AUDITOR GENERAL FOR WALES
2019

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.

Review of integrated care: focus on falls

HEALTHCARE INSPECTORATE WALES
2019

Based on a review of integrated care for older people who are at risk of experiencing a fall in Wales, this report highlights learning for staff and for health and social care managers. It focuses on services to help people avoid a fall and how to support people who have had a fall, providing examples of desirable and undesirable pathways through the health and care system. It focuses on the three areas: prevention of falls and promotion of independence, for people living in their own home or in a care home; response to falls when they happen in the community, either for someone living at home or in a care home; and following attendance at hospital due to a fall. It also highlights key themes identified from the review and how the affected service users, service providers and commissioners. The review identified examples of good practice but also found a lack of co-ordination and communication between health, social care and voluntary services could often be a barrier to delivering good quality care. The report has been informed by evidence from six individual falls services, the views of staff and older people. It makes eight recommendations for the Welsh Government, health boards and local authorities. The include a National Falls Framework for Wales, to standardise the approach to preventing, treating and reabling older people who are at risk of falling or have already fallen The report will be relevant for service providers, commissioners and service users.

Results 1 - 10 of 148

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News

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Moving Memory Practice example about how the Moving Memory Dance Theatre Company is challenging perceived notions of age and ageing.

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