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1 – 10 of over 121000
Article
Publication date: 1 June 2002

Jill Manthorpe and Helen Alaszewski

This article reports on the findings of a small research study exploring provision at local level for people with dementia. The study involved a survey of practitioners and…

Abstract

This article reports on the findings of a small research study exploring provision at local level for people with dementia. The study involved a survey of practitioners and managers, and the difficulties of this approach are illustrated and explored. Responses contained a range of relevant opinions about service delivery, particularly perceived levels of quality and adequacy. Those providing care pointed to the unfulfilled potential of services for people with dementia, and their views provide a perspective on the workings of local services and their inter‐relationships. The views of staff may be helpful to the development of planning and quality mechanisms. While they cannot substitute for those of users and carers, they are views emanating from experience and concern.

Details

Quality in Ageing and Older Adults, vol. 3 no. 2
Type: Research Article
ISSN: 1471-7794

Keywords

Article
Publication date: 4 February 2010

Jessica Abell, Jane Hughes, Siobhan Reilly, Kathryn Berzins and David Challis

Policy requires that those with complex long‐term needs be offered case management, a primary care led service dependent on local health and social care resources. This paper…

Abstract

Policy requires that those with complex long‐term needs be offered case management, a primary care led service dependent on local health and social care resources. This paper explores the arrangement of networks for a number of case management services, using data from a postal questionnaire.

Details

Journal of Integrated Care, vol. 18 no. 1
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 1 August 2008

Caroline Glendinning and Elizabeth Newbronner

Adult social care services are increasingly establishing reablement services as part of their range of home care provision, sometimes alone, sometimes jointly with NHS partners…

Abstract

Adult social care services are increasingly establishing reablement services as part of their range of home care provision, sometimes alone, sometimes jointly with NHS partners. Typically, home care reablement is a short‐term intervention, often free of charge, that aims to maximise independent living skills. This paper describes two small studies examining the impact of home care reablement on subsequent service use. The evidence so far strongly suggests that a period of home care reablement can reduce the subsequent use of home care services and that, for some people, these benefits may last for a year or more. However, a number of organisational and cultural factors can limit the immediate and longer‐term benefits of home care reablement.

Details

Journal of Integrated Care, vol. 16 no. 4
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 13 May 2009

Lucy Wilkinson

Previous literature about race equality in social care has identified specific examples of good practice, but also a lack of widespread action by services to address both race…

Abstract

Previous literature about race equality in social care has identified specific examples of good practice, but also a lack of widespread action by services to address both race discrimination and cultural competence. This paper is based on work by the Commission for Social Care Inspection to produce a practice‐focussed bulletin for social care service providers about providing appropriate services for black and minority ethnic people. It is based on evidence from self‐assessment work by services and importantly, the views and experiences of black and minority ethnic people using social care services. The findings suggest that only a minority of services are taking specific action on race equality and that there is an under‐reporting of concerns by black and minority ethnic people using services. The key to appropriate services is not adapting existing services based on generalisations about ‘culture’ but providing culturally competent, personalised support that addresses individual needs alongside a systematic approach to remove barriers to race equality in the service.

Details

Ethnicity and Inequalities in Health and Social Care, vol. 2 no. 1
Type: Research Article
ISSN: 1757-0980

Keywords

Article
Publication date: 3 April 2017

Chris Hatton

The purpose of this paper is to compare data from national social care statistics on day services and home care for people with learning disabilities across England, Scotland…

Abstract

Purpose

The purpose of this paper is to compare data from national social care statistics on day services and home care for people with learning disabilities across England, Scotland, Wales and Northern Ireland.

Design/methodology/approach

National social care statistics (England, Scotland, Wales and Northern Ireland) reporting the number of adults with learning disabilities accessing day services and home care were reviewed, with data extracted on trends over time and rate of service use.

Findings

Regarding day services, despite some variations in definitions, the number of adults with learning disabilities in England, Scotland and Wales (but not Northern Ireland) using building-based day services decreased over time. Data from Scotland also indicate that adults with learning disabilities are spending less time in building-based day services, with alternative day opportunities not wholly compensating for the reduction in building-based day services. Regarding home care, there are broadly similar rates of usage across the four parts of the UK, with the number of adults with learning disabilities using home care now staying static or decreasing.

Social implications

Similar policy ambitions across the four parts of the UK have resulted (with the exception of Northern Ireland) in similar trends in access to day services and home care.

Originality/value

This paper is a first attempt to compare national social care statistics concerning day services and home care for adults with learning disabilities across the UK. With increasing divergence of health and social service systems, further comparative analyses of services for people with learning disabilities are needed.

Details

Tizard Learning Disability Review, vol. 22 no. 2
Type: Research Article
ISSN: 1359-5474

Keywords

Article
Publication date: 1 April 2001

Gail Mountain

The current evidence to support rehabilitation commissioned and/or provided by social services gives some promising indications. However, it also reveals an urgent need for more…

Abstract

The current evidence to support rehabilitation commissioned and/or provided by social services gives some promising indications. However, it also reveals an urgent need for more and better information about what works best and for whom.

Details

Journal of Integrated Care, vol. 9 no. 2
Type: Research Article
ISSN: 1476-9018

Article
Publication date: 1 February 2004

Susan Nancarrow

This paper presents the experiences and perspectives of practitioners involved in the delivery of intermediate care. The findings emerged from three workshops involving…

Abstract

This paper presents the experiences and perspectives of practitioners involved in the delivery of intermediate care. The findings emerged from three workshops involving therapists, nurses, social workers and managers from across South Yorkshire which were designed to explore service development issues and practitioner roles in intermediate care delivery. It explores the practitioners' interpretations of intermediate care and their vision for the future of the service, and discusses the implications for services, employers and policy makers.

Details

Journal of Integrated Care, vol. 12 no. 1
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 1 October 2005

Penny Banks

The Government's vision for social care highlights choice and control by individuals. This paper draws on findings from a King's Fund study and considers how far collaborative…

Abstract

The Government's vision for social care highlights choice and control by individuals. This paper draws on findings from a King's Fund study and considers how far collaborative commissioning is ready to meet the challenges of ensuring a diverse menu of flexible, integrated services for people using either direct payments or individual budgets. It concludes that more needs to be done to build commissioning skills, and other investment in developing the care market will be needed to deliver the Green Paper's aspirations.

Details

Journal of Integrated Care, vol. 13 no. 5
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 29 April 2020

Manuel Aguilar-Hendrickson

Spain departed from the Southern European tradition of residual long-term care services with the 2006 reform. The paper aims to present the main traits of the reform and its…

Abstract

Purpose

Spain departed from the Southern European tradition of residual long-term care services with the 2006 reform. The paper aims to present the main traits of the reform and its implementation, explores the reasons that may explain why the reform happened and to which extent and why it fell short of expectations.

Design/methodology/approach

The article draws on available literature on the reform and on administrative data to present a complex and nuanced view of the reform process and its limits.

Findings

The reform was actually a measure to enhance and rationalize a preexisting process of social care services development, rather than the creation of a completely new care system. A rapid increase in female labor market participation since the 1990s and the looming demands of a late baby-boom and the subsequent fertility crash appear to be two key factors that explain both the previous development and its bolstering by the reform. The budgetary constraints of the Great Recession and governance problems, linked to a complex and sometimes dysfunctional multilevel governance arrangement, help to understand why the reform bogged down. Nevertheless, the overall balance is more nuanced, and significantly more services are provided 12 years after the reform.

Originality/value

While many assessments of the reform have been negative, putting it into a larger context of social care development, the 2006 Dependency Act has contributed to a significant increase in expenditure and coverage. The impact of budgetary restrictions has been important, but other factors, such as governance arrangements, may explain more of the problems of the implementation.

Details

International Journal of Sociology and Social Policy, vol. 40 no. 11/12
Type: Research Article
ISSN: 0144-333X

Keywords

Article
Publication date: 30 May 2020

Rachael Frost, Kate Walters, Jane Wilcock, Louise Robinson, Karen Harrison Dening, Martin Knapp, Louise Allan and Greta Rait

Post-diagnostic dementia care is often fragmented in the United Kingdom, with great variation in provision. Recent policies suggest moving towards better community-based care for…

Abstract

Purpose

Post-diagnostic dementia care is often fragmented in the United Kingdom, with great variation in provision. Recent policies suggest moving towards better community-based care for dementia; however, little is known on how this care is delivered. This study aimed to map the post-diagnostic dementia support provided in England a decade after the introduction of a National Dementia Strategy.

Design/methodology/approach

A mixed-methods e-survey (open Nov 2018–Mar 2019) of dementia commissioners in England recruited through mailing lists of relevant organisations was conducted. The authors descriptively summarised quantitative data and carried out thematic analysis of open-ended survey responses.

Findings

52 completed responses were received, which covered 82 commissioning bodies, with representation from each region in England. Respondents reported great variation in the types of services provided. Information, caregiver assessments and dementia navigation were commonly reported and usually delivered by the voluntary sector or local authorities. Integrated pathways of care were seen as important to avoid overlap or gaps in service coverage. Despite an increasingly diverse population, few areas reported providing dementia health services specifically for BME populations. Over half of providers planned to change services further within five years.

Practical implications

There is a need for greater availability of and consistency in services in post-diagnostic dementia care across England.

Originality/value

Post-diagnostic dementia care remains fragmented and provided by a wide range of providers in England.

1 – 10 of over 121000