{"title":"Getting together and being personal: Building personalisation on a co-production approach","authors":"M. Kettle, J. O'Donnell, S. Newman","doi":"10.1179/175016811X12883685966891","DOIUrl":"https://doi.org/10.1179/175016811X12883685966891","url":null,"abstract":"This paper explores the context of personalisation in Scotland, and then goes on to evaluate the initial stages of a co-production approach taken by one large Scottish local authority in conjunction with an independent sector provider. It analyses the development of the strategy, including the decision to take a co-production approach. It concludes by identifying the key lessons learned to date, and the future direction of the agenda.","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"29-34"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X12883685966891","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65651775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Urinary tract infection :A less well-known winter risk?","authors":"T. McDonald","doi":"10.1179/175016811X12883685967098","DOIUrl":"https://doi.org/10.1179/175016811X12883685967098","url":null,"abstract":"In the normal course of events associated with managing the care of older people, data are often gathered for a particular purpose, such as compliance with government regulations, which could be useful in enhancing local understanding of service operations such as standards of care. Benefits for both the organisation and service recipients can flow from a secondary or adjunct analysis of these data. In this instance, data gathered on urinary tract infection (UTI) in aged care homes in Australia and New Zealand are considered against a backdrop of environmental temperature change or seasons, producing patterns of UTI rates and suggesting a causal link. QPS Benchmarking involves over 500 facilities in Australia and New Zealand, where trend analysis is showing a higher rate of UTI occurring in colder areas in both countries as well as during colder months of the year. While the pattern is variable, it is quite common (35% of UTI participants) for cold climate facilities to experience higher UTI rates than wa...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"34 1","pages":"57-62"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X12883685967098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65651969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Sundström, K. Herlofson, S. O. Daatland, Eigil Boll Hansen, L. Johansson, B. Malmberg, M. P. González, M. Á. Tortosa
{"title":"Diversification of old-age care services for older people: Trade-offs between coverage, diversification and targeting in European countries","authors":"G. Sundström, K. Herlofson, S. O. Daatland, Eigil Boll Hansen, L. Johansson, B. Malmberg, M. P. González, M. Á. Tortosa","doi":"10.1179/175016811X12883685966936","DOIUrl":"https://doi.org/10.1179/175016811X12883685966936","url":null,"abstract":"Information on public services for older people is often limited to institutional care and Home Help/ Home Care, be it for individuals in surveys, statistics for a specific country or for international comparisons. Yet, these two major services in many countries are supplemented — or substituted — by other, minor services. The latter include services such as transportation services, meals-on-wheels, alarm systems, and day care. In this study the authors use various data sources to provide information on all or most of these types of support for Denmark, Norway, Sweden, Germany, England, Spain, and Israel, concluding with a closer scrutiny of Swedish service profiles. When all types of support are considered, service coverage in these countries is approximately 50–100% higher than for the two major types alone. Data suggest some degree of targeting, at least in countries with higher coverage rates for services. Coverage is estimated as a percentage of a specific age group which uses a service. In countries with lower coverage rates, users may demand or get what is available, with little differentiation between client needs. When user rates are high, there is also a greater overlap between family care and public services. In countries with lower coverage rates, family care and public services are more often substituted for each other. It is suggested that a range of services, major and minor, may suit the varying needs of older people more effectively than the choice between nothing, Home Help or institutional care, but minor services also may be used as an inexpensive substitute for full support.","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"35-42"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X12883685966936","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65651834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Developing tomorrow's social care workforce through the use of apprenticeships","authors":"Karen West-Whylie","doi":"10.1179/175016811X12883685966972","DOIUrl":"https://doi.org/10.1179/175016811X12883685966972","url":null,"abstract":"Modern apprenticeships have developed rapidly in recent years as an alternative pathway into employment for many young people for whom traditional academic routes are not satisfactory. In post-industrial areas such as Barking and Dagenham, the concept of apprenticeship resonates strongly. Application of the model to the social care sector traditionally, however, was felt to be more problematic, with questions being raised around safeguarding, appropriateness, and reliability. This paper describes the work undertaken in Barking and Dagenham Council (the Council) to implement apprenticeships in the social care sector. It focuses on the creativity and energy that service managers contributed to the scheme, the outcomes that are being achieved for both participants and service users, and the leadership required to make apprenticeships work in the sector. The Council's experience with apprenticeships highlights their applicability to a range of settings, with placements described in the Council's own homecare ...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"6 1","pages":"43-48"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X12883685966972","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65651893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A perspective on the UK market for secure hospital care","authors":"P. Sugarman","doi":"10.1179/175016811X12883685967052","DOIUrl":"https://doi.org/10.1179/175016811X12883685967052","url":null,"abstract":"Secure psychiatric facilities have a long history, which sets the background for both the current secure mental hospital market and in part the care home sector too. Since the closure of the UK county asylums there has been a national shortage of state-run secure beds, leading to a period of growth in the independent sector. Despite considerable risks and barriers to entry for specialist healthcare, and government spending curbs, the sector looks set for long-term growth, to meet the underlying social need. This may have positive implications for the adjacent social care market.","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"53-56"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X12883685967052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65651910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Gnosall project: Setting new benchmarks for dementia care","authors":"N. Greaves, I. Greaves","doi":"10.1179/175016811X12883685967016","DOIUrl":"https://doi.org/10.1179/175016811X12883685967016","url":null,"abstract":"A pioneering project in Staffordshire is expected to play a pivotal role in shaping the treatment of dementia in the UK. The GP who developed the scheme has already won national recognition for his work. Dr Ian Greaves received the 2010 GP Enterprise Award from the Royal College of Practitioners. He introduced a service at the Gnosall Health Centre that helped to reduce the diagnosis period for dementia from the national average of 3 years to just 4 weeks. Since its launch, the project has saved the NHS about £400,000. The National Dementia Strategy recognises the importance of early diagnosis and improved patient care. This paper describes how specialist services, families, and primary care providers have worked together to make the project a success — particularly through the screening of primary care vascular databases for patients with cognitive decline. There is considerable evidence associating vascular disease and dementia.","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"49-52"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X12883685967016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65652220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Personal budgets and international contexts: Lessons from home and abroad","authors":"S. Carr","doi":"10.1179/175016811X12883685966819","DOIUrl":"https://doi.org/10.1179/175016811X12883685966819","url":null,"abstract":"AbstractThis paper examines a selection of emerging lessons on the design and implementation of personal budget schemes from some of the international literature. It is not a report of an exhaustive systematic review covering all related issues (such as social care market development), but gives some key lessons for promoting personal budget uptake from recent research on user and carer responses, staff training and development, risk and safeguarding, and cost-effectiveness implications. The paper also compares some features of different approaches in other countries and offers a brief exploration of the policy contexts. In the UK, while personal budgets aim at giving individuals more choice and control over their care and support, and promote independent living, they need to be seen as part of the wider adult social care transformation agenda and are just one part of the picture. The provision of personal budgets needs to be consistent with the principles and values of personalisation — personal budgets ...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"9-22"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X12883685966819","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65651706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"We must all be flexible and responsive to change","authors":"B. Lewis","doi":"10.1179/175016811X12883685967179","DOIUrl":"https://doi.org/10.1179/175016811X12883685967179","url":null,"abstract":"","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"3-5"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X12883685967179","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65652012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality improvement, personalisation and regulation in care homes","authors":"C. Bowman","doi":"10.1179/174591909X12614814030177","DOIUrl":"https://doi.org/10.1179/174591909X12614814030177","url":null,"abstract":"AbstractThis paper considers the legitimacy of regulation as a driver for quality improvement in care homes. It suggests that the focus on measurable aspects of compliance has been to the detriment of the development of personalisation and suggests that regulation with regard to providers should be principally about licensing and that licensed care should have a 'care code'. The role of regulation in monitoring care commissioning is discussed and a case for the use of a comprehensive standardised assessment is made that firstly informs care but also facilitates commissioning and produces quantifiable outcomes. Comments are made regarding case-mix and service intensity and the potential for user feedback and new technology to enhance understanding of services.","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"4 1","pages":"302-309"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/174591909X12614814030177","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65605021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unpaid carers hold the key to sustainable social care: Is it time they got the credit?","authors":"A. Fox, Gordon Conochie","doi":"10.1179/175016810X12773688140301","DOIUrl":"https://doi.org/10.1179/175016810X12773688140301","url":null,"abstract":"AbstractThis paper reviews the challenges faced by unpaid family carers and the current support and services available to them. It argues that current carer support should be built on and presents the evidence for doing so, including evidence of the opportunities to make substantial savings in residential care costs. The paper suggests a new way in which proposed resource allocation and personal budget systems could be developed in order to sustain caring, avoiding the risk of a new perverse incentive to families to end caring roles. The paper provides some modelling of the costs and benefits of this approach.","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"4 1","pages":"270-279"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016810X12773688140301","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65650954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}