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Centre for Policy on Ageing | |
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Four years on
— the impact of the National Service Framework for Older People on the experiences, expectations and views of older people | | Author(s) | Jill Manthorpe, Roger Clough, Michelle Cornes |
| Corporate Author | Older People Researching Social Issues - OPRSI |
| Journal title | Age and Ageing, vol 36, no 5, September 2007 |
| Pages | pp 501-506 |
| Source | http://www.ageing.oupjournals.org |
| Keywords | National Health Service ; Medical care ; Standards of provision ; Evaluation ; Social surveys. |
| Annotation | Four years into its 10-year programme, the impact of the National Service Framework for Older People (NSFOP) on the experiences and expectations of older people is evaluated. A mixed methods approach to evaluation was taken in ten purposively selected localities in England; 1839 people participated in public listening events, 1639 took part in nominal groups, and 120 were interviewed individually. The existence of the NSFOP was not widely known beyond the NSFOP local implementation teams and voluntary sector activists. Many, but not all older people, identified themselves as members of a group that was subject to age prejudice that altered the quality and standard of their care. This identity included a role as carer for others, but there was less emphasis on the rights of older people. Positive changes in primary care services were offset by difficulties in accessing general practice and a sense that services were becoming impersonal. The quality of social care at home varied from sensitive and personal to fragmentary, hurried and impersonal. Hospitals treatment was perceived as improved in speed and quality in most places, but hospitals were also seen as risky and insufficiently caring, with discharge sometimes being unprepared, over-zealous and disorganised. It is concluded that older people do not perceive improvements as the result of a NSFOP, but nonetheless they do perceive improvements in systems. It is difficult to attribute any of the changes in experiences that were identified to the NSFOP itself, but it is seen that other change processes run contrary to some aspects of the NSFOP, whilst some trends are congruent with the aspirations of the NSFOP. Government initiatives face the difficulty of distinguishing experiences that may be attributable to multiple causes. They are influenced nonetheless by the outcome of public consultation, since these provide relatively rapid means of feedback and commentary by citizens and regulators on the performance of services. (KJ/RH). |
| Accession Number | CPA-080508204 A |
| Classmark | L4: LK: 583: 4C: 3F |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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