RPUs provide essential information on national policy developments, consultations and key research reports, alongside links to the original resources. Four times a year the update focuses solely on journal articles and latest findings from research. Research and Policy Updates are essential reading for all in adult social care.
This month’s RPU includes:
Two pieces of news about the Adult Social Care Outcomes Framework:
Publication of The Mandate for NHS England 2014/15
Centre for Mental health report looking at barriers to employment for people with mental health problems
Alzheimer Scotland report outlining their 8 Pillar Model of Community Support for people with dementia
SCIE document about co-production and how to do it
SCIE online tool about integrating services
Health and Wellbeing Boards one year on (King’s Fund)
Report summary for the Guardian and Department of Health looking at attitudes to homecare in England
First report in a proposed series on Real Life Reform
News about the Loneliness Resource Pack (Joseph Rowntree Foundation)
Review on how to deliver better services for people with long-term conditions (King’s Fund)
Journal article looking at what English local authorities are doing to facilitate personalised and flexible care for older people
This month’s RPU starts with news of a strategy document from government Fulfilling Potential – making it happen, and then an update on adult safeguarding with a new Statement of government policy on adult safeguarding. There is then a document from Employers and Carers and the Department of Health outlining findings from a task force looking at how to support working carers. This is followed by three consultations. The first is about the practical issues that will need to be addressed in changes to how care is to be funded - Caring for our future. The second is an online public consultation asking questions about “How can we improve health and care for vulnerable older people?” and the last is a consultation response to the document outlined earler, Fulfilling Potential – Making it happen; better working with disabled people. We then have a document from the Alzheimer’s society entitled Building dementia-friendly communities: a priority for everyone, which looks at recent views about trying to be part of the community when living with dementia. Two articles then follow from the Joseph Rowntree Foundation, the first on whether the universal credit system will “enable households to reach a minimum income standard”, and the second looking at Attitudes of different generations to the welfare system. Finally, a journal article on personalisation of adult social care: self-directed support and the choice and control agenda.
This month’s RPU has a focus on journal articles.
This month’s RPU starts with a document from the National Collaboration for Integrated Care and Support entitled Integrated Care: Our Shared Commitment. There are then two short pieces about dementia – the first being the announcement that the NHS Innovation Challenge Prize for Dementia is open for entries, and the next being the annual report of the Prime Minister’s Challenge on Dementia. There are then two sets of information about the Care Bill, the first being a summary from the Government about how the Care Bill fits to the Francis Report and the Caring for our Future White Paper and the second a series of factsheets about the Care Bill. The Government section finishes with information about the Department of Health 2013-14 Corporate Plan. Think Local Act Personal have commissioned a National Personal Budgets Survey,which is summarized here, and that is followed by another survey report - the Personal Social Services Survey of Adult Carers in England. Mind have published a report titled Personal budgets in England – making them work in mental health. There are then two reports from SCIE. Firstly, a report into maximising the potential of reablement, and then a Practice enquiry into supervision in a variety of adult care settings where there are health and social care practitioners working together. Finally, we outline a report from a group of charities calling for investment in preventative care and support for disabled adults.
Firstly this month, a number of documents and new initiatives from the Government. The NHS Choices website now includes new Care profiles, allowing people to look up and compare different residential and home care services. There is also news on the new dementia quality standard and commissioning guide, published by NICE, and also a useful document which explains the new Health and Care System. Finally from the Government, there is the publishing of the code of conduct and national minimum training for healthcare support workers and adult social care workers in England.
There are then two documents about dementia, one abouthow social workers can make personal budgets work for people with dementia, and the 2013 Alzheimer’s society report entitled Dementia 2013: The hidden voice of loneliness.
Think Local Act Personal have published some new “Making it real” tools and there is an interesting document on the transition to adult services and adulthood for young people with autistic spectrum conditions. SPRU have published their evaluation of the personal health budget pilot programme, and ADASS have issued a press release about their latest survey of directors which focuses on social care funding, and is subtitled “a bleak outlook is getting bleaker”. There are then documents onPersonal Independence Payment user-centred design and strengths based approaches to social care and another on Empowering Communities, Protecting Victims: Summary report on the community trigger trials. Finally a document from Shelter about the experiences of families claiming housing benefit during a time of cuts and changes to benefits
Welcome to the eighty third Research and Policy Update from research in practice for adults. This month’s RPU has a focus on journal articles and includes the following:
The Fifth Year of the Independent Mental Capacity Advocacy (IMCA) Service report provides statistical information by local authority area on IMCA referrals in areas such as care reviews and adult safeguarding and comments on the trends emerging, with recommendations for improvements.
The government’s Cardiovascular Disease Outcomes Strategy makes a call for sustained and co-ordinated multi-agency action to prevent and manage the disease. For local authorities, there is a clear link with joint-working to reduce health inequalities and improve public health.
The Personal Health Budgets Winter update / newsletter keeps the momentum going for the extension of personal health budgets and the development of joint health and social care budgets. Views are also invited on changes to direct payments for healthcare as part of a Consultation (details below).
Infection Prevention and Control in Care Homes is a detailed and practical resource developed with the Health Protection Agency and Care Quality Commission. It is intended principally for care home managers, but will also assist commissioning and contracting managers and public health in undertaking risk assessments and developing policies.
The government has published the responses sent in response to the Consultation on Strengthening the NHS Constitution.
The Care Quality Commission report, Not Just A Number gives an overview based on the national home care inspection programme and makes recommendations in areas such as late or missed calls, lack of continuity of care workers, and poor care planning.
The second Care Quality Commission Care Update provides an overview of performance based on inspections across the NHS, adult social care and dental care. It features a Focus on Dementia, which highlights the ways in which the health and social care system is struggling to cope with the rise in dementia.
Improving Later Life – Understanding the Oldest Old from Age UK is a lively and thought-provoking summary of the evidence about the experiences and needs of people who are 85 and over, a poorly understood and under-researched group, but one that is growing.
The Government has published the results of several 2012 consultations:
In addition, the Government’s Final Report into Winterbourne Hospital sets out a programme of action for reducing the number of vulnerable people living in hospital settings and for transforming services to meet the needs of people with challenging behaviour. The programme is supported by over 50 partners and progress will be reviewed in one year’s time.
The Final Report of The Independent Inquiry Into Care Provided By Mid Staffordshire NHS Foundation Trust(known as The Francis Report and shown under other Reports below) is a comprehensive and damning analysis of the poor care in an NHS hospital which led to an estimated 400-1,200 deaths over a period of four years. It calls for radical changes in NHS culture and leadership.
The National Quality Board (NQB), which brings together the national organisations across the health system, has also published a final report - Quality in the new health system – maintaining and improving quality from April 2013 - and sets out how quality will be maintained in the future.
The 2013/14 Outcomes Framework for Social Care has been updated and expanded to align it more closely to the Outcomes Frameworks for the NHS (and for Public Health), and to ensure that all health and social care services are working more effectively.
The second annual report, Improving Outcomes: A Strategy for Cancer, sets out actions to further improve cancer survival rates and the experience of patients, and to reduce the variations felt across the country. The Cancer Services Coming of Age report summarises a series of pilot sites that tested whether improved assessments of older cancer patients would result in improved access to appropriate cancer treatment, based on need and not age.
The Personal Budgets Update and Toolkit announces the Government’s intention to roll-out the scheme nationally following the three-year pilot and evaluation. Integration of health and social care personal budgets will be an important component for the future of social care.
The Cost of Troubled Families, a report produced by Department of Communities and Local Government (DCLG) examines the financial cost of troubled families (leaving aside the human cost) to local agencies, including local authorities, health services and the police. The report uses examples from a number of different areas. Working with Troubled Familiesprovides evidence and good practice for Family Intervention.
The Care Quality Commission (CQC) State of Health Care and Adult Social Care in England report outlines findings and general themes from over 13,000 inspections during 2011/12.
The Equality and Human Rights Commission inquiry into Home Care Of Older People provides information in simple language about what to expect from a home care service that is respectful of human rights.
The National Centre for Post-Qualifying Social Work at Bournemouth University has produced the SAFE Tool andSafeguarding Adults at Risk Workbook to support practice in safeguarding adults.
Stronger Together: How Health and Wellbeing Boards Can Work Effectively With Local Providers, from the NHS Confederation, makes a case for harnessing the influence, experience and skills of local providers to help improve the health outcomes of communities.
The Joseph Rowntree Foundation is disseminating findings from several research projects into Housing with Care for Older People, including an evidence review, practice examples, a consideration of quality, choice and affordability, and issues of boundaries and responsibilities.
The report by The Audit Commission Tough Times 2012: Councils’ financial health in challenging times examines how councils have coped in 2011/12, and the prospects for managing budgets in the next few years.
The only consultation featured in this month’s issue is on proposed new topics for the National Institute for Health and Clinical Excellence (NICE) Quality Standards in Social Care.