London: Alzheimer's Society, 2007
The number of people with dementia in the UK will rise sharply over the next 15 years as the population ages. This presents society with the challenge of raising the standard of care in residential homes. Areas for improvement include:
(See also Health Service Journal, Jan. 24th 2008, p. 16-17)
Public Accounts Committee
London: TSO, 2008 (House of Commons papers, session 2007/08; HC228)
Report calls for dementia care to be given the same priority as cancer and heart disease in the light of its financial and human impact. Like those conditions, it should be accorded a single leader within the Department of Health responsible for driving improvements in diagnosis, treatment and care. The committee found that many people do not receive a formal diagnosis of dementia because of GPs' lack of knowledge, a fear of dementia, and a perception that little can be done to help people with the condition. Carers are also often poorly supported, leading to people with dementia being admitted to hospital where they they experience poorer outcomes and longer stays than those who are of sound mind.
C. Glendinning and others
Health and Social Care in the Community, vol.16, 2008, p. 54-63
Increasingly, policies for adult social care in England are calling for these services to focus primarily on delivering the outcomes required by individual older people. This paper has drawn on a postal survey of local authorities and six in-depth case studies to explore the range of current outcomes-focused services and activities. The study found that progress in developing outcomes-focused services was relatively recent and somewhat fragmented. Developments in intermediate care and re-ablement services, focusing on change outcomes, were marked; however, there seemed to be a disjunction between these and the capacity of home care services to address desired maintenance outcomes. Process outcomes were addressed across a range of re-ablement, day care and residential services.