'The Billion Dollar Question': Embedding Prevention in Older People's Services--Ten 'High-Impact' Changes

Allen, Kerry; Glasby, Jon

doi:10.1093/bjsw/bcs024

Cited by 27 publications

(45 citation statements)

References 15 publications

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“…Such characteristics of inclusiveness stand in contrast to other professional interventions that are more focussed on high level or urgent needs (Allen and Glasby, 2010). Some information is required from potential users or clients but this generally relates to schemes' priorities and is used to determine what is required, for example, data on housing tenure are generally required, but not much on disability per se.…”

Section: Gaps In the Researchmentioning

confidence: 99%

Handyperson schemes and the Equality Act 2010

Moriarty

Manthorpe

2013

Housing, Care and Support

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Purpose -The purpose of this paper is to explore whether handyperson services are able to meet the needs of diverse groups of older people, specifically in the UK policy context, to meet the requirements of the Equality Act (2010). Design/methodology/approach -The scoping review of the literature was conducted in 2012 using a wide range of literature from the UK. Findings -In an under-researched field it is difficult for policy makers to determine whether handyperson schemes and their associated services are accessible to and being used by all sections of the older population. Schemes do not generally collect and report data about their users.Research limitations/implications -The scoping review concentrates on UK literature. There are a variety of handyperson schemes and they operate in different ways with different criteria and priorities. Some of the accounts of handyperson schemes provide little data about user characteristics. Practical implications -The paper suggests how handyperson schemes may be able to meet the requirements of the Equality Act (2010) by outlining what data are needed and approaches to gathering it sensitively and proportionally. Originality/value -The paper is the first to consider the implications of the Equality Act for handyperson schemes, which may be relevant to other housing and care services.

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Section: Gaps In the Researchmentioning

confidence: 99%

Handyperson schemes and the Equality Act 2010

Moriarty

Manthorpe

2013

Housing, Care and Support

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“…5 We need to 'invert the triangle', focusing more on prevention across the whole life course and the various stages of old age. Prevention can be 'primary', preventing the onset of LTCs, frailty, or disability (with some of the broader solutions lying in communities, housing, or technology rather than health services); 'secondary', helping those with these problems to remain well; and 'tertiary', ensuring that when people do suffer acute crises or complications they recover well.…”

Section: A Greater Focus On Preventionmentioning

confidence: 99%

21st century health services for an ageing population: 10 challenges for general practice

Oliver

2012

Br J Gen Pract

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“…In a homecare re-ablement service, users receive homecare but are supported to increase their ability to manage tasks independently, in order to reduce the amount of homecare they will require in the longer term [ 6 ]. Increasingly, such services have been developed by local authorities in England to work with people who are newly referred to social care services as needing homecare support [ 3 , 7 ]. This could mean adults having difficulties managing independently at home, for example, people leaving hospital, recovering from illness or injury or experiencing a new deterioration of a long-term condition.…”

Section: Introductionmentioning

confidence: 99%

Occupational Therapy in HomEcare Re-ablement Services (OTHERS): study protocol for a randomized controlled trial

Whitehead

Drummond

Walker

et al. 2014

Trials

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BackgroundHomecare re-ablement services have been developed by local authorities in England in response to the government agenda for health and social care. These services aim to optimize users’ independence and ability to cope at home, and reduce the need for ongoing health and social care services. However, there is currently limited evidence and guidance regarding the optimum configuration and delivery of re-ablement services. In particular, the impact of occupational therapy input on service user outcomes has been highlighted as a specific research priority.Methods/DesignThis feasibility randomized controlled trial (RCT) will recruit 50 people from one local authority led homecare re-ablement service in England. Those who provide informed consent will be randomized to receive either usual homecare re-ablement (without routine occupational therapy input) or usual homecare re-ablement plus an enhanced program targeted at activities of daily living (ADL), delivered by an occupational therapist. The primary aim of this study is to assess the feasibility of conducting a further, powered study. The participant outcomes assessed will be independence in personal and extended ADL, health and social care-related quality of life, number of care support hours, falls, acute and residential admissions and use of health and social care services. These will be assessed at two weeks, three months and six months post-discharge from the re-ablement service.DiscussionTo our knowledge, this is the first RCT of occupational therapy in homecare re-ablement services. The results of this study will lay the foundations for a further powered study. The findings will be relevant to researchers, clinicians, commissioners and users of adult social care services.Trial registrationCurrent Controlled Trials registration number: ISRCTN21710246 (registered on 31March 2014)

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'The Billion Dollar Question': Embedding Prevention in Older People's Services--Ten 'High-Impact' Changes

Cited by 27 publications

References 15 publications

Handyperson schemes and the Equality Act 2010

Handyperson schemes and the Equality Act 2010

21st century health services for an ageing population: 10 challenges for general practice

Occupational Therapy in HomEcare Re-ablement Services (OTHERS): study protocol for a randomized controlled trial

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