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Welfare Reform on the Web (December 2003): Care of the Elderly - UK

DEVELOPING THE HEALTH AND SOCIAL CARE WORKFORCE

V. Drennan and others

British Journal of Health Care Management, vol.9, 2003, p.372-375

Article reports on the perceptions of stakeholders in North Central London as to the development of the health and social care workforce supporting older people. Focuses on priorities for workforce planning, education and training.

DO THE WORK OR RISK A FALL

H. Wing

Community Care, Oct.23rd-29th 2003, p.38-39

Argues that commitment to good record-keeping, proper procedures and risk assessments protect care home staff from blame when things go wrong. These are not bureaucratic processes designed to impose burdens on staff. They are intended to provide evidence to support decisions taken and to back-up the approach a home takes to any situation.

EMERGENCY READMISSION

Anon

Registered Homes and Services, Vol.8, 2003, p85-86

Reports claims by Paul Burstow, Liberal Democrat spokesman on older people, that deaths caused by emergency re-admissions to hospital will rise due to the government's policy of fining social services departments judged to have a large number of "bed blockers" under their care. He argues that fining social services in this way provides an incentive for premature ejections of such elderly people from hospital

FRAIL SAFE

K. Burke

Health Service Journal, Vol. 113, Nov. 13th 2003, p.10-11

The article discusses how choice can be extended to older NHS patients through use of central electronic records, the single assessment scheme for health and social care, use of direct payments for social care, more thorough consultation about prescription medicine and extension of telecare.

HOME COMFORT

M. Henwood and E. Waddington

Community Care, Nov.20th- 26th, 2003, p.38-39

Describes the Red Cross's Home from Hospital service, which uses trained volunteers to provide practical and emotional support to (mainly older) people after their discharge. Home from Hospital offers a time-limited service of four to six weeks duration. Most of the volunteers are white females aged 55-65.

A REAL ALTERNATIVE TO RESIDENTIAL CARE

J. Smith

Registered Homes and Services, vol.8, 2003, p86-88

Report of an interview with John Gatward, Chief Executive of the Hanover Group, in which he presents their very sheltered housing scheme as an alternative to residential care

ROYAL COMMISSION REVISITED

Anon

Registered Homes and Services, vol. 8 2003, p84-85

Nine of the Commissioners from the Royal Commission on Long Term Care have called on the government to implement the 1999 report in full by providing free personal care for older people in England. Article reports reaction of stakeholders to this statement

SHIFTING THE BALANCE

N. Edwards

Health Service Journal, Vol.113, Nov. 2003, p 28-29

The Healthy Communities Collaborative pilots found inventive ways of reducing falls among older people, in turn lowering demand on the NHS acute and intermediate care sectors. Falls prevention pilots cut incidents by 60% in three primary care trusts. Replication across the country would save 600,000 bed days a year. Pilots are expanding to eight PCTs and work is spreading to nutrition.

WHAT DO CARE MANAGERS DO? A STUDY OF WORKING PRACTICE IN OLDER PEOPLES' SERVICES

A. Weinberg and others

British Journal of Social Work, vol. 33, 2003, p.901-919

Paper explores the principal activities of local authority staff undertaking the role of care manager. Data were obtained by asking a sample of staff in a social services department to complete a diary schedule in which thirty-four job-related activities were grouped into five broad categories on the basis of previous research. Results showed that during their working week, care managers spent:

  • 64% of their time in direct and indirect user and carer related activities.
  • 32% of their time on administrative tasks
  • 27% of their time in assessment activities
  •   7% of their time in monitoring and reviewing activities
  •   5% of their time in counselling and support.
  •   4% of their time liasing with health staff.
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