This study aimed to classify people by MLTC and social care needs (SCN) into distinct clusters and quantify the association between derived clusters and care outcomes. It highlights those at risk of worse care outcomes, including nursing home admission. Open access article - no login required.
The vast majority of older adults who are chronically ill rely on informal caregivers for support. Caregivers often require additional support to facilitate their role. Using existing research, this scoping review provides a comprehensive picture of what caregivers have indicated as priorities for support. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The aim of the present systematic review was to investigate cultural factors associated with burden in unpaid caregivers of older adults. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The purpose of this scoping review is to identify and synthesise what is already known about the quality of life of older carers and care-recipients, considered together, which we refer to as ‘dyadic QoL’; both in general, and with regard to the impact of community-based social care. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This qualitative study aimed to explore the experiences of carers of people with dementia of South Asian origin, living in the UK. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Unnecessarily prolonged stays in hospitals can have negative impacts on patients and present avoidable costs to health and social care systems. This paper presents the qualitative findings of a multi-methods study of the social care causes of delayed transfers of care (DTOC) for older people in England. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
In this qualitative study, we explored views of social care professionals in England on supporting older carers, as well as the feasibility, potential benefits and challenges of applying a dyadic outcomes approach into policy and practice. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Policy guidance promotes supporting people to live in their own homes for as long as possible with support from homecare services. We aimed to examine risk and safety issues for people with dementia and their homecare workers and risk mitigation practices adopted by homecare workers to address identified risks. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
This study investigates under what conditions older spouses receive personal care from their spouse. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
This systematic review aims to study and synthesise the best available evidence on the potential factors related to the willingness of older people to engage with long-term care services. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
Assistive telecare systems (ATSs) have great potential to be beneficial for informal carers (ICs) providing long-term care to older people (OP). However, little is known about ATS acceptance among ICs. This scoping study aims to investigate various factors that influence the ICs' acceptance of ATSs over time in the pre- and post-implementation phases. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
This qualitative evidence synthesis aimed to explore the experiences of older people and their carers (formal and informal) towards a reablement model of community aged care to ensure services are considerate of older people's needs. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
This study aimed to develop and evaluate a communication tool to guide transitional care for older patients. To read the full article, log in using your NHS OpenAthens details.
This study aimed to describe and analyse different aspects of health, functioning and social networks, and how they relate to formal and informal care in the home among older adults. To read the full article, log in using your NHS OpenAthens details.
Many people living with dementia choose to remain in their own homes, supported by home-care workers, who provide care that is specified in care plans. We explored how care plans of clients living with dementia, compared with ethnographic observations of home care they received. To read the full article, log in using your NHS OpenAthens details.
This grounded theory study sought to explore how older adults’ experience the transition from living at home to a care home with a specific focus on the latter part of the first year of the move. The study was carried out within a large Health Trust in the UK between August 2017 and May 2019. To read the full article, log in using your NHS OpenAthens details.
There are concerns that homecare often fails to meet the needs of clients with dementia, but there is limited evidence regarding effective interventions to improve its delivery for this client group. We aimed to assess whether a co-designed, 6-session dementia training intervention for homecare workers (NIDUS-professional) was acceptable and feasible. To read the full article, log in using your NHS OpenAthens details.
This study sought to establish the factors related to SCRQoL of people living with dementia (PLWD, proxy-reported by carers) and their carers. To read the full article, log in using your NHS OpenAthens details.
Despite apparent need, many older people with cognitive impairment and/or mental health needs do not fully engage with social care. However, little is known about how to support such individuals in their own homes and deliver effective care. To read the full article, log in using your NHS OpenAthens details.
To explore and understand the views of clients and formal and informal caregivers about the experienced quality of home care for older people.. To read the full article, log in using your MPFT NHS OpenAthens details.
Open access. Thirteen residential care homes and 10 nursing homes specialising in older people in Rushcliffe, England, participated in an improvement programme. The enhanced support provided included regular visits from named general practitioners and additional training for care home staff. We assessed and compared the effect on hospital use for residents in residential and nursing homes, respectively.
Hospitalisations are very common among nursing home residents and many of these are deemed inappropriate or preventable. Little is known about whether clinical care quality is related to hospitalisation, especially potentially preventable hospitalisations (PPHs). Among the few studies that have been conducted, the findings have been inconsistent. The objective of this study was to examine the relationship between quality indicators and overall and PPHs among Medicaid beneficiaries aged 65 years and older receiving care at nursing homes in Minnesota.. To read the full article, log in using your NHS OpenAthens details.
Free article. Editorial. Older people who reside in long-term care facilities (LTCFs) are frequently hospitalised.1 Hospitalisation in this vulnerable population is associated with iatrogenic conditions that often result in physical discomfort, psychological distress and functional disability, as well as excess healthcare costs. Several studies have demonstrated that a substantial proportion of these hospitalisations as well as emergency department (ED) visits that do not result in hospitalisation are potentially avoidable.2–12 Thus, efforts to reduce these potentially avoidable hospitalisations (PAH) could improve care quality and patient safety by reducing hospital and ED related complications, and save healthcare expenditures that could be used to further improve care.
The paper by Lloyd et al describes one such effort carried out in 13 residential care and 10 nursing homes in the UK
A devastating new study commissioned by Age UK highlights the extent of the local lottery that now exists when trying to secure residential care or care at home, and the long-feared emergence of ‘care deserts’ in some places. These are localities where this is literally no care to be had, even when older people can afford to pay, leaving significant sections of the population with potentially long distances to travel to get suitable care.
Open access. Researchers have shown that hospitalisation can decrease older persons’ ability to manage life at home after hospital discharge. Inadequate practices of discharge can be associated with adverse outcomes and an increased risk of readmission. This review systematically summarises qualitative findings portraying older persons’ experiences adapting to daily life at home after hospital discharge.
To identify factors that predict admission to long‐term care (LTC) and mortality among community‐based, dependent older people in Ireland, who were in receipt of formal home support.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
How do you use information for your work and CPD? What do you think of MPFT library services? Tell us here and you could win £25 vouchers: https://www.surveymonkey.co.uk/r/B2JVNPR
People have the right to take their own decisions wherever possible. But assessing mental capacity correctly is not always easy, especially in older people. Chloe Ablett and colleagues discuss the implementation of legal protections and make recommendations. To read the full article, log in using your MPFT NHS OpenAthens details.
Health inspectors say there has been a “significant improvement” in how public sector organisations work together to provide services for older people who need care in Stoke-on-Trent.
The Care Quality Commission (CQC) has revisited the city to look at how well older people – and specifically those over 65 – can move through the health and social care system following an initial inspection in September 2017.
(London) – Older people in England are at risk of not getting adequate assistance to live independent, dignified lives due to uneven assessments for social services, Human Rights Watch said in a report released today. In doing so, the United Kingdom government risks failing to secure older persons’ rights to health, and to live in the community.
to investigate the impact of the availability and supply of social care on healthcare utilisation (HCU) by older adults in high income countries. Open Access.
Integrated care is increasingly promoted as an effective and cost‐effective way to organise care for community‐dwelling frail older people with complex problems but the question remains whether high expectations are justified. Our study aims to systematically review the empirical evidence for the effectiveness and cost‐effectiveness of preventive, integrated care for community‐dwelling frail older people and close attention is paid to the elements and levels of integration of the interventions.
We've added 10 new Be Aware updates following your suggestions:
Musculoskeletal ; Osteoporosis ; Nutrition and obesity ; Falls ; HR ; Research Methods ; Information Governance ; Bladder, bowel and pelvic healthcare ; Rheumatology ; Medicines and healthcare products regulatory agency (circulated email)
Open access. Many European countries face challenges in long-term care for older people, such as the growing number of older people requiring care, the increasing complexity of their health care problems, and a decreasing workforce that is inadequately prepared. Optimizing the staff and skill mix of health care teams may offer part of the solution for these challenges. The aim of this study was to obtain insight into the development of teams in terms of staff and skill mix, and the influence of staff and skill mix on quality of care, quality of life, and job satisfaction.
We'd like to hear your suggestions for new book alert topics. Simply reply to this email with 'Book Alert Topic' and your suggestions. You can also view and sign-up to our current new book alerts here: http://library.sssft.nhs.uk/librarykeepuptodate
A game that aims to help nurses and others support older people to cook, eat and shop for food has been developed by researchers. To read the full article, log in using your MPFT NHS OpenAthens details.
loneliness has an adverse effect on health and well-being, and is common at older ages. Evidence that it is a risk factor for care home admission is sparse.. To read the full article, log in using your MPFT NHS OpenAthens details.
The three new areas we have now been asked to review and will report on individually by December are:
Staffordshire
Leeds
Reading
We have also been asked to choose three local system areas, from those that we carried out in our programme of work in 2017/18, to follow up on progress made.
The three follow-up areas are:
Stoke-on-Trent
York
Oxfordshire
- Quick access to the Royal Marsden online via the library website homepage: library.sssft.nhs.uk
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The report argues that while we may all assume that health and care professionals will keep a gentle eye on the wellbeing of older people who live at home and whose health is of concern or in decline, this can no longer be guaranteed, because of deficits within our over-stretched health and care services, plus fragmentation between them.
To determine the effectiveness of exercise on fall prevention in nursing home residents.. To read the full article, log in using your MPFT NHS OpenAthens details. SSOTP (legacy account) - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
To explore the extent to which environmental factors are associated with resident thriving.. To read the full article, log in using your MPFT NHS OpenAthens details. SSOTP (legacy account) - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
We're expanding our Be Aware updates and want to know what physical health topics you'd like to keep updated on. Let us know your ideas by replying to this email with 'physical health topics' followed by your suggestions
We have completed a review of local health and social care systems in 20 local authority areas. We have also published a report for each area in this programme.
the demand for residential respite care for older persons is high yet little is known about the occurrence of harm, including death in this care setting.. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Health Psychology Vol. 37, Iss. 2, (Feb 2018): 160-169.
Objective: To investigate the relationships between social isolation, health literacy, and all-cause mortality, and the modifying effect of social isolation on the latter relationship.
. To read the full article, log in using your NHS OpenAthens details.
This report, supported by the Associated Retired Community Operators (ARCO) and Legal and General Capital first discusses the issue of terminology around later life housing and housing-with-care in the UK and other international contexts. It then highlights how the housing-with-care sector varies across countries and the scene state of the sector in the UK. The report then goes on to look at three areas fundamental to the sector: legislation, financing, and planning
This House of Commons Library briefing paper provides background on the forthcoming Green Paper on social care for older people – there will be a “parallel process” of work looking at social care for working age adults (although it is not clear at this stage if there will be a Green Paper covering this group). A link to the full report in pdf form can be found at the bottom of this page.
Concerns about the treatment of older people by the NHS are often unreported, research has suggested.1
A survey by the social networking website Gransnet and the parliamentary and health service ombudsman found that only 58% of people who were concerned about the treatment of their older relative had complained to the NHS. To read the full article, log in using your NHS OpenAthens details.
Ipsos MORI and partners have conducted a new and timely research project highlighting the experiences of unmet need for care among older people living in their own homes.
We’ve just heard that SSOTP will not be renewing their agreement with SSSFT LKS for library services for this financial year. Because of this we will be reviewing our Be Aware bulletins. Sadly we won’t be accepting any new sign-ups from SSOTP staff and will be withdrawing some of the physical healthcare bulletins that we…
To investigate the associations between the quality of the physical environment and the psychological and social well-being of older people living in residential care facilities. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Against a background of rising numbers of frail older people, there is a need to improve quality and safety of services whilst containing costs. Improving patient outcomes requires change across hospital and community systems. Our objective was to change practice in order to deliver a Hospital at Home programme (admission avoidance and early supported discharge) for frail older people across a regional commissioning area. The programme, undertaken within the Northern, Eastern & Western Devon Clinical Commissioning Group (CCG) sub-localities of Exeter (population 120,000) and Woodbury, Exmouth and Budleigh Salterton (towns with populations of around 10,000), involved reconfiguration of existing services rather than being a stand-alone intervention.
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CCGs in northern Staffordshire are rolling out an innovative service linking GPs with their elderly patients and care home staff through online video technology. Stoke-on-Trent and North Staffordshire CCGs have been given £136,000 each by NHS England to buy equipment for their ‘Making Technology Enabled Care Services (TECS) a Reality in Elderly Care’ scheme.
Journal of Nursing Scholarship; Indianapolis49.1 (Jan 2017): 15-23.
The increasingly complex nature of care home residents' health status means that this population requires significant multidisciplinary team input from health services. To address this, a multisector and multiprofessional enhanced healthcare programme was implemented in nursing homes across Gateshead Council in Northern England. To explore the views and experiences of practitioners, social care officers, and carers involved in the enhanced health care in care home programme, in order to develop understanding of the service delivery model and associated workforce needs for the provision of health care to older residents. To read the full article, log in using your NHS OpenAthens details.
The analysis by Age UK finds that since 2010, 383,900 more people aged 65 or over are now living with some level of unmet need.
This means nearly 1 in 8 older people are struggling without the help they need to carry out essential everyday tasks, such as getting out of bed, going to the toilet, washing and getting dressed.
our in five local authorities in the UK report not having enough care for older people in their area, new research from Family and Childcare Trust reveals.
The Family and Childcare Trust’s Older People’s Care Survey –funded by Legal & General- finds that more than 6.4 million people aged 65 and over are living in areas that do not have enough older people’s care to meet demand.
Vulnerable older people are being denied regular showers and visits to the toilet because of cuts to social care budgets, a UNISON report has warned today (Friday).
The Damage: Care in Crisis is based on a survey of more than 1,000 staff across the UK working in homecare, residential support and day services, and looking after those with chronic health conditions such as dementia.
In its new report, ‘Ageing in squalor and distress’, Age UK draws on calls from older people and their families to its free telephone advice line. These calls paint a stark picture, showing how bleak life can be in poor privately rented accommodation.
This report, published jointly with the Nuffield Trust, looks at the current state of social care services for older people in England, through a combination of national data and interviews with local authorities, NHS and private providers, Healthwatch and other groups. It considers the impact of cuts in local authority spending on social care providers and on older people, their families and carers. Alongside this work, we were commissioned by the Richmond Group of Charities to interview older people about their experiences of social care.
Adult Serious Case Reviews (SCRs) investigate situations in which harm to or death of a vulnerable adult has occurred, or where abuse or neglect was suspected and local agencies’ responses were deemed in need of scrutiny. Under the 2014 Care Act, in England, SCRs have moved to a statutory footing, being renamed Safeguarding Adults Reviews (SARs). This paper reports an analysis of SCRs concerning older residents of care homes conducted in 2015.
To read the full article, log in using your NHS OpenAthens details
Despite awareness of the age related health needs of people with intellectual disabilities little is known regarding how residential social care staff are prepared to meet such needs. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Millions of older people are putting off difficult conversations about ageing until times of crisis or not having them at all, according to new research from Independent Age, the older people’s charity.
Come and visit our first pop-up library at Severn Fields, Shrewsbury 19th July 11.00am-3.00pm. Join the library, borrow and return books, get help finding information and evidence, set up an Athens account, find out what the library can do for you and your team.
The health and social care system’s management of discharging older patients from hospital does not represent value for money, according to the National Audit Office. The spending watchdog estimates that the gross annual cost to the NHS of treating older patients in hospital who no longer need to receive acute clinical care is in the region of £820 million.
QS117. This quality standard covers preventing excess winter deaths and health problems associated with cold homes. It includes people of all ages, and takes into account that some people are particularly vulnerable to the effects of the cold, such as people with cardiovascular or mental health conditions, young children and older people. For more information see the preventing excess winter deaths topic overview.
Two £25 vouchers are up for grabs in the library’s ‘Making the Most of Information’ survey.
To take part, just visit http://goo.gl/AdN4ok by Friday 19th February.
Hospital readmission only 30 days after discharge is a common occurrence in older adults. There are a variety of factors that can contribute to this, such as comorbidities or unmet activities of daily living needs (Albrecht et al, 2014; DePalma et al, 2013).
Care coordination can provide a suitable way of providing patients with services and support post-hospital discharge. In particular, care co-ordination consists of four main elements (Challis et al, 2002)
We're currently making some changes in the background of our email updates to solve some problems we've been having recently. During our testing phase this may automatically generate some alerts, which will show below, but you can ignore these! If all goes according to plan we will be resuming normal service in the next week…