Centre for Policy on Ageing
 

 

Health and social care of older people
 — could policy generalise good practice?
Author(s)Colin T Currie
Journal titleJournal of Integrated Care, vol 18, issue 6, December 2010
Pagespp 19-26
Sourcehttp://www.pierprofessional.com/jicflyer/index.htm.
KeywordsServices ; Health services ; Community care ; Social policy ; Integration ; Cost effectiveness ; Quality.
AnnotationHealth and social care services for older people have traditionally been provided separately, however this separation has increasingly had unacceptable consequences for the quality and cost-effectiveness of the care provided. The article discusses evidence to support the view that more integrated care - delivered jointly, promptly and flexibly to meet the changing clinical and dependency needs of frailer older people at home - can minimise unnecessary use of more costly and less preferable care elsewhere, and thus reduce the overall costs of late-life care while improving quality. This paper considers the background to the widely prevailing culture of separatism. It then presents quantitative evidence of the current postcode lottery in care, describes examples of good practice, considers some options on functional and structural integration, and speculates on policy that might deliver better and more cost-effective care for an ageing population at a time of public spending cuts. Briefly discusses the successes of two primary care trusts in integrating health and social care services for older people, namely Torbay and the Isle of Wight. (JL).
Accession NumberCPA-110905006 A
ClassmarkI: L: PA: TM2: TO: WEC: 59

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