scholarly journals A Community Virtual Ward Supporting Integrated Care for Older Persons with Complex Health and Social Care Needs.

2017 ◽  
Vol 17 (5) ◽  
pp. 269
Author(s):  
Clare Lewis ◽  
Mary McDermott ◽  
Alan Martin ◽  
Declan Patton ◽  
Linda Nugent
Keyword(s):  
Integrated Care ◽  
Older Persons ◽  
Social Care ◽  
Care Needs ◽  
Health And Social Care

scholarly journals Older persons with dementia in prison: an integrative review

2019 ◽  
Vol 16 (1) ◽  
pp. 1-16 ◽  
Author(s):  
Shelley Peacock ◽  
Meridith Burles ◽  
Alexandra Hodson ◽  
Maha Kumaran ◽  
Rhoda MacRae ◽  
...  
Keyword(s):  
Older Persons ◽  
Social Care ◽  
Correctional Facility ◽  
Research Literature ◽  
Integrative Review ◽  
Inclusion Criteria ◽  
Care Needs ◽  
Content Type ◽  
Health And Social Care ◽  
Correctional Settings

Purpose The number of prisoners over 55 years is increasing and many are at risk of developing dementia. This has generated new responsibilities for prisons to provide health and social care for older persons. The purpose of this paper is to synthesize the existing research literature regarding the phenomenon of the health and social care needs of older persons living with dementia in correctional settings. Design/methodology/approach Using an integrative review method based on Whittemore and Knafl, the inclusion criteria for the review are: articles written in English; a focus on some form of dementia and/or older persons with discussion of dementia; to be set in a correctional context (correctional facility, prison and jail); be derived from a published peer-reviewed journal or unpublished dissertation/thesis; and be a qualitative, quantitative or mixed methods study. Based on those criteria, a search strategy was developed and executed by a health sciences librarian in the following databases: Medline, CINAHL, Embase, PsychINFO, Proquest Nursing and Allied Health and Web of Science; searches were completed up to April 2019. After data were extracted from included studies, synthesis of findings involved an iterative process where thematic analysis was facilitated by Braun and Clarke’s approach. Findings Eight studies met the inclusion criteria. Key findings of the eight studies include recognition of dementia as a concern for correctional populations, dementia-related screening and programming for older persons and recommendations for improved screening and care practices. Most significant is the paucity of research available on this topic. Implications for research are discussed. Originality/value This paper identified and synthesizes the limited existing international research on the health and social care needs of older persons with dementia living in correctional settings. Although existing research is scant, this review highlights the need for increased awareness of dementia as a concern among older persons living in correctional settings. As well, the review findings emphasize that enhanced screening and interventions, particularly tailored approaches, are imperative to support those living with dementia in correctional settings.

scholarly journals Impact of integrated care on the use of emergency care among older people in Stockholm County

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Doheny ◽  
J Agerholm ◽  
N Orsini ◽  
P Schön ◽  
B Burström
Keyword(s):  
Older People ◽  
Integrated Care ◽  
Emergency Care ◽  
Older Persons ◽  
Social Care ◽  
Matched Control ◽  
Stockholm County ◽  
Complex Needs ◽  
Health And Social Care ◽  
Care System

Abstract Background In Sweden, health care is a regional responsibility and social care of older people is a municipal responsibility. The system is fragmented and the use of emergency care by older persons is rising. Better integration, coordination, and collaboration between health and social care providers is necessary to address the complex needs of an ageing population. Since 2006, Norrtälje municipality in Stockholm Region has integrated health and social care. This study aims to assess the impact of the integrated care system in Norrtälje on rates of emergency care visits, compared to the rest of Stockholm county. Methods A repeated cross-sectional study with an interrupted time series analysis compared the integrated care system in Norrtälje to a matched control from Stockholm county, using. population-based register data between 2000-2015 obtained from Stockholm Region’s administrative database of healthcare utilization and from the Longitudinal Integration database for Health Insurance and labour market studies from Statistics Sweden. Results There was no statistically significant difference in the post-intervention rates of emergency care visits in Norrtälje compared to the matched control. However, there was a decreasing trend in the rate of visits among females 65-79 years, those in lower income groups, those living alone and those born outside of Sweden. Conclusions The implementation of the integrated care system in Norrtälje had no statistically significant impact on the rate of emergency care visits among older persons compared to standard care. However, there was a reduced rate of visits among potentially vulnerable sub-groups. Further research is needed as the full implementation of the Norrtälje Model was completed as recently as 2016 and the full impact may not yet be realised. Key messages Bringing about change in the delivery of health and social care is complex and challenging. Thus, to observe differences in the utilisation of emergency care requires more time and resources. Innovation in the delivery of health and social care is needed to effectively manage and coordinate the ever changing needs of older persons with complex needs given the current fragmented services.

scholarly journals Complex care needs and devolution in Greater Manchester: a pilot study to explore social care innovation in newly integrated service arrangements for older people

2020 ◽  
Vol 44 (6) ◽  
pp. 838
Author(s):  
Baber Malik ◽  
Jude Wells ◽  
Jane Hughes ◽  
Paul Clarkson ◽  
John Keady ◽  
...  
Keyword(s):  
Older People ◽  
Integrated Care ◽  
Social Care ◽  
Complex Care ◽  
Care Providers ◽  
Care Needs ◽  
Health And Social Care ◽  
Complex Care Needs ◽  
Home Care Providers

ObjectiveThe aim of this study was to describe emergent approaches to integrated care for older people with complex care needs and investigate the viability of measuring integrated care. MethodsA case study approach was used. Sites were recruited following discussion with senior staff in health and social care agencies. Service arrangements were categorised using a framework developed by the researchers. To investigate joint working within the sites, the development model for integrated care was adapted and administered to the manager of each service. Data were collected in 2018. ResultsSix case study sites were recruited illustrating adult social care services partnerships in services for older people with home care providers, mental health and community nursing services. Most were established in 2018. Service arrangements were characterised by joint assessment and informal face-to-face discussions between staff. The development of an infrastructure to promote partnership working was evident between adult social care and each of the other services and most developed with home care providers. There was little evidence of a sequential approach to the development of integrated working practices. ConclusionComponents of partnerships promoting integrated care have been highlighted and understanding of the complexity of measuring integrated care enhanced. Means of information sharing and work force development require further consideration. What is known about the topic?The devolution of health and social care arrangements in Greater Manchester has aroused considerable interest in much wider arenas. Necessarily much of the focus in available material has been upon strategic development, analysis of broader trends and mechanisms and a concern with changes in the healthcare system. What does this paper add?The findings from this study will enable emerging approaches to be described and codified, and permit the specific social care contribution to the new arrangements to be discerned. The findings are relevant beyond the immediate context of Greater Manchester to wider integrated care. The evidence can be used by commissioners and services, providing a sound basis for further work as service systems develop. What are the implications for practitioners?This research is important because it is one of the first pieces of work to examine the new integrated care arrangements in Greater Manchester. By providing guidance to promote evidence-based practice, this study contributes to service development in Greater Manchester and the achievement of the broad national service objectives of improving user and carer experiences and ensuring value for money.

scholarly journals The burden of triumph: meeting health and social care needs

The Lancet ◽  
2017 ◽  
Vol 390 (10103) ◽  
pp. 1630-1631 ◽  
Author(s):  
Andrew Dilnot
Keyword(s):  
Social Care ◽  
Care Needs ◽  
Health And Social Care

Challenging times: building a health, housing and social care local workforce strategy

2018 ◽  
Vol 21 (3/4) ◽  
pp. 108-122
Author(s):  
Patricia Dearnaley ◽  
Joanne E. Smith
Keyword(s):  
Service Delivery ◽  
Older People ◽  
Health Care Services ◽  
Social Care ◽  
Workforce Planning ◽  
Care Needs ◽  
Fiscal Impact ◽  
Content Type ◽  
Care Services ◽  
Health And Social Care

Purpose The purpose of this paper is to stimulate a wider debate around the coordination of workforce planning in non-statutory services (in this case, specialist housing for older people or those with long-term health and social care needs, such as learning disabilities). The authors argue that current NHS reforms do not go far enough in that they fail to include specialist housing and its workforce in integration, and by doing so, will be unable to optimise the potential efficiencies and streamlining of service delivery to this group. Design/methodology/approach The paper used exploratory study using existing research and data, enhanced by documentary analysis from industry bodies, regulators and policy think tanks. Findings That to achieve the greatest operational and fiscal impact upon the health care services, priority must be given to improving the efficiency and coordination of services to older people and those requiring nursing homes or registered care across the public and third sectors through the integration of service delivery and workforce planning. Research limitations/implications Whilst generalisable and achievable, the model proposed within the paper cannot be fully tested theoretically and requires further testing the in real health and social care market to evidence its practicality, improved quality of care and financial benefits. Originality/value The paper highlights some potential limitations to the current NHS reforms: by integrating non-statutory services, planned efficiency savings may be optimised and service delivery improved.

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