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Welfare Reform on the Web (September 2010): Care of the elderly - UK

Grim future for younger workers in 'pensioner ghettos'

E. Simon

Daily Telegraph, Aug. 17th 2010, p. 7

Research by annuity providers Partnership suggests that some parts of Britain could become retirement ghettos within a generation, with three pensioners for every four in work. In order to provide long-term care services for increasing numbers of frail older people, local authorities will be forced to raise council tax, potentially driving out younger workers.

Long-term care commission told it cannot consider 'death tax'

J. Dunning

Community Care, July 29th 2010, p. 11

The coalition government has apparently ruled out a compulsory levy on estates to fund long-term care for the elderly, despite saying that the newly formed commission of inquiry can look at all options. Just two options have been ruled into its discussions: a voluntary insurance scheme and the partnership model set out by Wanless in his 2006 report to the King's Fund.

The (multi-) billion dollar question: embedding prevention and rehabilitation in English health and social care

K. Allen and J. Glasby

Journal of Integrated Care, vol. 18, Aug. 2010, p. 26-35

In England there is a growing recognition of the need to embed prevention and rehabilitation more fully in services for older people. However, at least two key issues remain. Firstly, despite an increase in funding and support for rehabilitation, many such projects remain something of a 'bolt on' to the traditional structure, and have yet to rebalance the system as a whole, which remains focused on meeting the needs of people in crisis. Secondly, although many projects can demonstrate innovation and positive benefits, there is a risk that such provision duplicates or supplements current services rather than reducing future demand.

Neglect of older people in formal care settings part one: new perspectives on definition and the nursing contribution to multi-agency safeguarding work

L. Phair and H. Heath

Journal of Adult Protection, vol.12, Aug. 2010, p. 5-13

This paper identifies defining attributes of neglect and highlights why older people are particularly vulnerable to the consequences of neglect. The nursing contribution to multi-agency safeguarding work, specifically health focused investigations, is discussed in detail, including when nurses should be involved, the knowledge and skills required, and considerations for giving a professional opinion. The paper offers a model for registered nurse involvement in health safeguarding investigations, and concludes with suggestions about how such investigations can be approached.

Nurses don't trust NHS to care for the elderly

D. Rose

The Times, Aug, 30th 2010, p.5

An Age UK survey shows that almost one in three NHS nurses would not trust the NHS to care for an elderly relative. The study shows that many elderly people under NHS care did not receive assistance at mealtimes and that many were left hungry and malnourished because their food had been left out of reach.

Older people's vision for long term care

H. Bowers and others

Joseph Rowntree Foundation, 2009

This study examined the experiences and aspirations of older people living in residential and nursing homes. Few older people actively plan to be in a care home; typically they find themselves living in one because of a health crisis or because somebody else persuaded them it would be a good idea. Once they had entered a home, older people said that they felt they had lost control over other aspects of their lives, and in some cases were not even treated as a person. Based on the fieldwork, the report also presents a framework describing what a good life for older people might look like. Six keys to a good life are identified in terms of: personal identity and self-esteem; meaningful relationships; personal control and autonomy; home and personal surroundings; meaningful daily and community life; and personalised support and care.

Retirement lifestyles in a niche housing market: park-home living in England

M. Bevan

Ageing and Society, vol. 30, 2010, p.965-985

Residential mobile homes are a small niche market in the United Kingdom housing system. Usually referred to a 'park homes', in recent years the sector has offered a lifestyle choice for older people. This paper reports a study of 40 residents' views about park-home living, including their motivations for choosing this form of accommodation and subsequent experiences. Despite their diverse reasons for moving to park-homes, most respondents reported very positive experiences of park-home living and shared similar views about the benefits, but there were a few dissenting voices. The positive attributes of parks that were emphasised by the respondents were the rural and coastal locations and settings, the ambience of peace and quiet and safety and security that they said came from living among 'like-minded' people. Many parks are age-segregated communities that provide opportunities for lower-income groups to buy into a retirement lifestyle from which they would otherwise be excluded.

Rural dimensions of elder abuse: contributions to the No Secrets review from rural older people

M. Cornes, J. Manthorpe and N. Haselden

Journal of Adult Protection, vol.12, Aug. 2010, p. 20-29

In England, there has been little research interest in the distinguishing features of rural elder abuse. However, as part of the consultation exercise around the review of the guidance document No Secrets, (Department of Health, 2008), a project was commissioned to listen to the views and experiences of a group of older people living in a rural community. This article reports on the consultation process and findings. Messages for the review are identified that largely support the literature in confirming the variety of experiences and views held by rural older people, their personal activity related to protecting themselves, and their sense of heightened vulnerability but also security from living in rural areas.

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