Older people feel that ageism underlies many of their more specific concerns. A number of pieces of research carried out on behalf of the Inter‐Ministerial Group on Older…
Older people feel that ageism underlies many of their more specific concerns. A number of pieces of research carried out on behalf of the Inter‐Ministerial Group on Older People also reveal the importance of the Government addressing the ageist attitudes to older people that affect their ability to participate in society.
Classification is a useful tool for understanding, organising and accessing knowledge. It can form a valuable part of the infrastructure of evidence based policy and…
Classification is a useful tool for understanding, organising and accessing knowledge. It can form a valuable part of the infrastructure of evidence based policy and practice by clarifying the full range of knowledge that might be relevant to a practitioner or policy maker's information need. This paper explores two possible classifications for social care, one based on the purposes of knowledge, and the other on the institutional sources of knowledge. Following application to a sample of social care documents, the sources‐based approach is identified as the most ‘fit for purpose’ for the social care community.
The potential for including patients in implementation processes has received limited attention in the literature. The purpose of this paper is to explore the different…
The potential for including patients in implementation processes has received limited attention in the literature. The purpose of this paper is to explore the different roles adopted by 63 patients that emerged during and after four participatory quality improvement interventions, and the nature of their impact upon implementation processes and outcomes.
A cross-case ethnographic comparison of Experience-based Co-design in two clinical pathways in two UK NHS Trusts.
Two key themes emerge from the data. First, the authors found a range of different roles adopted by patients within and across the four projects; some were happy to share their experiences, others also helped to identify improvement priorities alongside staff whilst others were also involved in developing potential solutions with the staff who had cared for them. A few participants also helped implement those solutions and became “experts by experience” through engaging in the whole co-design process. Second, in terms of the impact of patient engagement with the co-design process whilst the changes championed by patients and carers were often small scale, as co-designers patients provided innovative ideas and solutions. Through their involvement and contributions they also acted as catalysts for broader change in the attitudes of staff by providing a motivation for wider organisational and attitudinal changes.
The research was conducted in two clinical pathways in two NHS trusts. However, the findings complement and add to the growing body of knowledge on experience based co-design.
Patient engagement is likely to require support and facilitation to ensure that patients can play a meaningful role as partners and co-designers in service improvement and implementation. Different roles suited particular individuals, with participants stepping in and out of the co-design process at various stages as suited their needs, capacities and (albeit sometimes perceptions re) skills. In this context, facilitation needs to be sensitive to individual needs and flexible to support involvement.
Patients and carers can play active roles in service improvement, particularly where the approach facilitate active engagement as co-designers.
Analysis of the role patients and carers in implementation and improvement.
This paper examines the experience of the two year action research programme Better Government for Older People within the wider context of an ambition to create ‘quality…
This paper examines the experience of the two year action research programme Better Government for Older People within the wider context of an ambition to create ‘quality in ageing’. It argues that within the limits of the originating aims and values of the Better Government for Older People a great deal has been achieved to improve services for older people, and to encourage and recognise the direct contributions of senior citizens within 28 pilot areas and wider Networks of local authorities across the UK. However, the author suggests that such service improvements and experiments in engagement are unlikely to be sustained and developed without a wider commitment by central and local Government to the development of strategies for an ageing population.The paper describes the antecedents of the Better Government for Older People programme, its structure and operational practices. It goes on to examine the programme's achievements against its stated aims and values, seeking to identify what still needs to be achieved. In the final section it seeks to explore the barriers to realising the ambitions of quality in ageing, arguing that ageism coupled with political and professional inertia are major constraints. In conclusion it argues that legislation is likely to be a pre‐requisite for the cultural and organisational shift required in order to move to a system based on older people as citizens rather than service recipients.