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It ain't what you do it's the way that you do it
 — lessons for health care from decommissioning of older people's services
Author(s)Suzanne Robinson, Jon Glasby, Kerry Allen
Journal titleHealth and Social Care in the Community, vol 21, no 6, November 2013
PublisherWiley Blackwell, November 2013
Pagespp 614-622
Sourcewileyonlinelibrary.com/journal/hsc
KeywordsHealth services ; Care homes ; Services ; Closure ; Local Authority ; Policy.
AnnotationPublic sector organisations are facing one of the most difficult financial periods in history, and local decision-makers are tasked with making tough rationing decisions. Drawing on local knowledge and best practice examples, this article highlights lessons and themes identified by those decommissioning care home services. The study employed semi-structured interviews with 12 Directors of Adult Social Services who had been highlighted nationally as having extensive experience of home closures. Interviews were conducted over a 2-week period in March 2011. Results from the study found that having local policy guidance that is perceived as fair and reasonable was advocated by those involved in home closures. Many local policies had evolved over time and had often been developed following experiences of home closures. Decisions to close care home services require a combination of strong leadership, clear strategic goals, a fair decision-making process, strong evidence of the need for change and good communication, alongside wider stakeholder engagement and support. Sharing lessons and experiences within and between sectors could well inform and develop decision-making practices. (RH).
Accession NumberCPA-131025205 A
ClassmarkL: KW: I: 5YW: PE: QAD

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