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People living in care homes have complex needs, and are the oldest and frailest of the population. Care homes that so not have on site nursing rely on primary health care services for medical and nursing support and access to specialist services and secondary health care. Research consistently demonstrates that people living in care homes have erratic and inequitable access to NHS services, particularly those that offer specialist expertise in key areas such as dementia and end of life care. Primary health care providers are very aware of the need to improve how they work with care homes. This has led to the development of a range of initiatives that range from the funding of NHS beds in care homes to the creation of specialist roles designed to promote better working between primary care and care homes. This study aimed to make explicit what is known about developing integrated working between health and care home providers, assess the consequences for older people and provide guidance and recommendations for integrated working that can inform future service development and research in these settings.
Working paper on the self-reported medical diagnosis
Report on economic growth and austerity in Ireland
Report on health spending and austerity
Working Paper on healthcare spending