Centre for Policy on Ageing
 

 

Care coordination
 — translating policy into practice for older people
Author(s)Diane Seddon, Anne Krayer, Catherine Robinson, Bob Woods, Yvonne Thomis
Journal titleQuality in Ageing and Older Adults, vol 14, no 2, 2013
PublisherEmerald, 2013
Pagespp 81-92
Sourcewww.emeraldinsight.com/qaoa.htm
KeywordsNeeds [elderly] ; Evaluation ; Social Services Departments ; Health services ; Coordination ; Policy ; Qualitative Studies ; Wales.
AnnotationThe findings are presented from research on the implementation of Unified Assessment (UA) policy and the work of care coordinators who oversee the delivery of support to older people with complex needs. The research used a mixed methods approach that included staff interviews (n=95) and focus groups (n=3) spanning eight local authority areas in Wales. The care coordinator role is controversial, and the lack of common terminology across health and social care obscures its importance. It is seen as a social care responsibility. Limited ownership amongst healthcare professionals leads to tensions in practice. The challenges of breaking down silo thinking embedded in established professional practices are highlighted as are infrastructure and capacity deficits. Disparities between policy intentions and practice means that UA is failing to meet core objectives relating to the delivery of seamless support. Practice implications identified are that practice development may be supported by: guidelines that are more prescriptive and include a formal role definition; joint training to promote shared understanding of key concepts; investment in administrative and IT infrastructures; and more coordinated direction at strategic level. (RH).
Accession NumberCPA-170616214 A
ClassmarkIK: 4C: PF: L: QAJ: QAD: 3DP: 9

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