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printer friendly page                 Single Assessment Process - training materials - Books and journal articles The following listing is subject to ongoing review and revision... A national template The blurring of long-term health and social care has led to a new, more enlightened continuing care framework aimed at resolving the current mess [author: Melanie Henwood] A journal article in Community Care, 29 June 2006, pp 30-31. The national framework on NHS continuing health care has been launched (19 June) for consultation. In this article the author reviews the current situation of continuing care and gives her view of what a national framework should provide, against which the proposed framework appears to measure up. Henwood concludes that the proposed framework offers "a real prospect for putting in place a more equitable system." However, achievement of the framework will depend on additional costs associated with adoption of it being met, which could amount to an estimated £110m in the first year. Assessment processes will provide the critical gateway to determining eligibility and a decision support tool has been developed to ensure consistent application. This and seven other documents are part of the consultation documentation that are downloadable from the Department of Health's website. The deadline for the consultation is: 22 September 2006. Contact Details: Melanie Henwood Tel:  |  Fax: E–mail: melanie@henwood-associates.co.uk |  Web links: http://www.communitycare.co.uk  |  http://www.dh.gov.uk/Consultations/LiveConsultations/LiveConsultationsArticle/fs/en?CONTENT_ID=4136175&chk=fOAfTD Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 03075508 Notes: Active steps to prevention A shift towards more preventive services is paying dividends in reducing older people's stays in hospitals ... [authors: Gerald Wistow, Derek King] A journal article in Community Care, 29 June 2006, pp 32-33. In this article, the authors present the first year's results from the Innovation Forum's older people project, Improving Futures for Older People, which was set up by the Office of the Deputy Prime Minister and the Local Government Association in 2003, as a partnership between central government and the highest-rated local authorities to pioneer ways of delivering public services. The project adopted a target for all participating authorities: to achieve over three years from April 2004, a 20 per cent reduction in unscheduled hospital in-patient bed days occupied by older people aged 75 or over compared with the predicted level. The pilot councils are Kent (lead council), Cornwall, Cheshire, Dorset, Hampshire, Hertfordshire, City of Westminster, West Sussex and Wigan. Considerable success was recorded during the first year, with the number of bed days used below the predicted rate. If the first year's progress can be sustained, the project will be a pathfinder, and demonstrate the ability of councils to initiate and lead the co-ordination of change in acute hospital and community services. This will not only improve the futures of older people but also the future of local democracy more generally. The project is being evaluated by researchers attached to each field site and co-ordinated by the London School of Economics. Contact Details: Gerald Wistow Tel:  |  Fax: E–mail: gerald.wistow@btinternet.com |  Web links: http://www.communitycare.co.uk/prtl  |  Target group: LAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 03075508 Notes: Adjusting the focus [preparation for SAP by health and social care professionals] [author: Rebecca Ellinor] (16 March 2004) Article in: Care and Health Magazine, issue 57, 2004, pp 6-9. In 2002, guidance was issued for health and social care professionals about a new way of assessing older people's needs. After 24 months of preparation for the Single Assessment Process (SAP), are professionals ready to put it into practice? While organisations across the public, private and voluntary sectors agree that SAP is a good idea, putting it into action is more easily said than done, and is an example of where government could have offered more direction. Some of the SAP key players identify difficulties including: obtaining commitment at the chief executive strategic level; the appropriateness of the accredited SAP tools; assessment overload; SAP in the context of the national IT agenda; engaging general practitioners (GPs); and data protection issues. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.careandhealth.com  |  Target group: All staff  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14779994 Notes: An age-old problem? A perception that depression is a "natural" part of old age, means many older people are not getting the help they need [author:Mike George] (1 February 2005) Article in: Care and Health Magazine, issue 99, pp22-23. This article considers the needs of older people in Britain who suffer from depression, which is estimated to be between 1.4 million and 1.9 million. It is considered one of the most prevalent health problems facing older people today. It is argued that age discrimination prevents older people from being referred to services, especially speciliast mental health services, when needed. This process may be reinforced by the National Standards Framework for Mental Health which focuses predominantly on those of working age and below, yet Professor Susan Benbow (Chair of the Faculty for the Psychiatry of Old Age at the Royal College of Psychiatry) urges a higher priority to be given to older people's needs and believes better support can be given by community-based health and social care services. Ben Bano, Director of Social Care and Older People's Services at East Kent NHS and Social Care Partnership Trust is in agreement and East Kent already has a local area agreement framework which "offers an ideal opportunity to work on a multi-agency basis on common approaches to promoting social inclusion of older people who are isolated and potentially prone to depression." In the same way, "SAP can be used as an opportunity to identify issues before they become problems" advocates Jonathan Ellis, Policy Manager at Help the Aged. Further work undertaken by Hertfordshire Partnership NHS Trust is also mentioned. Contact Details: Mike George Tel:  |  Fax: E–mail:  |  Web links: http://www.careandhealth.com  |  Target group: LA/HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14779994 Notes: Assessing patients' eligibility for fully funded nursing care [author: William Anderson, Hilary Bungay] (13 January 2004) Article in: Nursing Times, vol 100, no 2, pp 38-39. The introduction of free nursing care in nursing homes requires that patient's needs for care from a registered nurse are determined as part of the assessment of health and social care needs. It is important that patients are assigned to the band of care that is appropriate for them so that they receive the correct contribution to their care. A minimum data set/resident assessment instrument (MDS/RAI) was piloted on residents living in nursing homes as an assessment tool to see whether this agreed with decisions that had been made by the NHS-designated assessor for the registered nursing contribution to care. Comparison of findings showed that the assessment tool was a means of improving the quality of assessments. Further information about training to use the assessment tool and the MDS/RAI can be found at the website of the Senectus Project. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.senectus.org  |  http://www.nursingtimes.net Target group:  |  Type / Format: article; assessment tool Availability / Price:  |  ISBN/ISSN: 0954-7762 Notes: see Related Organisations Conversing with clients a generic approach to mental health needs assessment [author: Malcolm T Firth] Article in:: Practice, vol 11, no 2, 1999, pp 35-48. Good practice requires mental health professionals to engage service users in a reciprocal working relationship, and good assessment underpins care management and the Care Programme Approach (CPA). Both processes can be aided by a comprehensive assessment of needs which allows workers to be flexible, and which invites clients to have an active voice in service provision. This paper examines how a structured form of needs assessment, the Manchester Care Assessment Schedule (MANCAS), can encourage purposeful conversations between clients and workers which assist engagement, and which are relevant to care plans and to review. The approach is broad-based, and relies as much on workers' use of self and pre-existing professional skills as on the written format. Contact Details: British Association of Social Workers, 16 Kent Street, Birmingham B5 6RD. Tel: 0121 622 3911  |  Fax: 0121 622 4860 E–mail:  |  Web links: http://www.basw.co.uk  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 09503153 Notes: Copy supplied by Malcolm Firth, Lecturer in Social Work, CHSSC, University of Salford, Allerton Building, Frederick Road, Salford, Greater Manchester M6 6PU. Tel 0161 295 6425 E-mail: m.firth@salford.ac.uk Malcolm Firth was formerly Lecturer/Practitioner - Social Work, ,Manchester Mental Health and Social Care NHS Trust, and Hon Research Fellow, University of Manchester Department of Psychiatric Social Work. Courtesy entitles [older people consider dignity to be a key element in their treatment ] [author: Michael Calnan, Gillian Woolhead, Paul Dieppe ] (20 February 2003) Article in: Health Service Journal, vol 113, no 5843, pp30-31. The National Service Framework for older people (NSF) emphasises the need for older people to be treated respectfully as individuals. However, a study of 72 people in Bristol and South Wales ranging in age from 50 to 90 (median age 72), showed that dignity - and lack of it - were key issues in their estimation of care. Their concerns about lack of dignity centred on lack of privacy, mixed sex wards, forms of address, and loss of independence. The study - which forms part of an EU funded project relating to the Fifth framework (quality of life) programme - suggested that older people do not complain about care for fear of retaliation. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.hsj.co.uk  |  Target group: LA/HA  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 0952-2271 Notes: Evaluation of the implementation of the Single Assessment Process and its impact on occupational therapy practice a special study presented as part of the requirement for the degree of MSc in Professional Health Studies, College of York St John [author: Alicia Ridout] (2004) This special study (122 pp) aimed to survey senior occupational therapists across health and social care in a large city, to explore the impact of implementing the single assessment process (SAP) on their practice. The study was to be carried out within the context of national policy and the occupational therapy professional standards of practice and the local approach to implementation A 10-item questionnaire was constructed with these purposes in mind; and of 54 distributed variously to staff from primary care, acute hospitals, mental health and social services, 31 were returned (58% response). The data generated (including both qualitative and some objective quantitative data) would then allow themes for future evaluation and research to be developed which would support the profession's engagement with the implementation and its own modernisation agenda. The study highlights risks to and inconsistencies within the therapists' use of SAP, both between services and therapists' practice. Primary care therapists appeared to be the group practising in the most-client-centred way and adhering more closely to the process principles and professional standards of practice. Social services provided the poorest response rate and highlighted numerous practice issues. The therapists generated a wide range of strategies with which to improve the implementation, and appeared to be engaged with it despite obvious frustrations. One overarching theme was therapists' wish for a more corporate implementation across the profession in the city, indicating motivation to improve the services provided by occupational therapists. The report includes a literature review, copies of letters, the questionnaire, and data collection form. View dissertation. Contact Details: Tel:  |  Fax: E–mail:  |  Web links:  |  Target group: Occupational therapists across all services  |  Type / Format: book Availability / Price:  |  ISBN/ISSN: Notes: Ever ready [pilot of "Evercare nurses" in the UK by 10 PCTs] [author: Carol Lewis] (8 January 2004) Article in: Health Service Journal, vol 113, no 5886, pp26-27. A model of care for older people which has helped nurse practitioners to cut hospital admissions and prescriptions through improved risk management is being piloted in the UK by 10 primary care trusts (PCTs), and has been well received. "Evercare nurses" are based on a US model of an expanded clinical role. The pilots report good results in increasing quality of social care. However, there has been criticism of diverted resources and an unthinking importing of US ideas. This article reports on Evercare projects in Airedale, Bristol South and West, Bristol North, and South Gloucestershire PCTs. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.hsj.co.uk  |  Target group: PCT  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 0952-2271 Notes: Explaining about ... sheltered housing and the Single Assessment Process [authors: Peter Huntbach, Jilly Alexander] Journal article in Working with Older People, December 2005, vol 9, issue 4, pp 8-11. The authors explain in this article, that for many professionals within the sheltered housing sector, this is a time of real change and opportunity. There are benefits to be reaped for residents and staff by connecting health, housing and social care professionals through the Single Assessment Process and this article outlines how SAP does work in practice within the sheltered housing service and where it sits with the assessments and support plans already undertaken. It concludes that sheltered housing providers will have to adapt their working practises to incorporate needs assessments and support plans, as required by Supporting People. To do so will help both residents to be at the centre of the process and establish the role of staff within the whole system of care management. Contact Details: Peter Huntbach Tel: +44 (0)1273 293248  |  Fax: E–mail: peter.huntback@brighton-hove.gov.uk |  Web links:  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 13663666 Notes: Find the connections Social care research has to take account of the increasing amount of partnership and joint working [author: Bob Hudson] (20 January 2005) Article in: Community Care, no 1556, pp 36-37. This article reports on a Good practice : developing an evidence base conference held by the Integrated Care Network to develop effective working in partnership and integration. The need to take a broad interpretation of what constitutes research is emphasised and three levels of thinking about joint working are identified. Examples of local practitioner-researcher programmes are outlined. Contact Details: bob@bobhudsonconsulting.com Tel:  |  Fax: E–mail:  |  Web links: http://www.communitycare.co.uk  |  Target group: SSD  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 03075508 Notes: For patients' sake, don't boycott e-health records Personal view [author: Marlene Winfield] 21 July 2007 A brief article in the BMJ (British Medical Journal), 21 July 2007, vol 335, p158. The author is a national patient lead, NHS Connecting for Health, London - but gives a personal view on the BMA's decision to advise general practitioners to boycott the creation of summary care records for their patients. The author does not accept that the risks of a breach of confidentiality about health information on a patient's record, justifies a wholesale boycott by GPs. The patient will have several options to safeguard what health information is on the summary care record on the national database and GPs should be reassured by this process. The author concludes that "True collaboration produces better outcomes for both patients and the NHS than paternalism". Contact Details: Marlene Winfield Tel:  |  Fax: E–mail: marlene.winfield@nhs.net |  Web links: http://www.bmj.com  |  Target group: HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 09598138 Notes: Green paper pledges 'virtual' care trust for every council HSJ Exclusive: Next month's ground-breaking document will establish 'duty to co-operate' [author: Daniel Martin ] (16 December 2004) Article in: Health Service Journal, vol 114, no 5936, p5. The green paper for adult social care will propose that every council should set up a new kind of 'virtual' care trust. HSJ has learned that the paper, due out next month, will give every council a duty to set up a care trust, involving the director of adult social services and representatives of primary care trusts. The green paper will outline a model for care trusts similar to that for children's trusts, which are currently being rolled out across England. The 'duty to co-operate' between the NHS and local authorities will require legislation. HSJ has termed this development as a "Sure Start" for older people's services. Contact Details: Tel:  |  Fax: E–mail: daniel.martin@emap.com |  Web links: http://www.hsj.co.uk  |  Target group: LA/HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 0952-2271 Notes: Happy ever after [Unique Care, an alternative to Evercare] [author: Ann Dix] (9 December 2004) Article in: Health Service Journal, vol 114, no 5935, pp 28-31. Unique Care, which is based on case management (itself a US model of care) is now being promoted by the National Primary Care Development Team (NPDT) as a more viable alternative to the Evercare model for managing people with long-term conditions. This article describes how the Castlefields health centre in Runcorn, run by national primary care director Dr David Colin-Thomé, has been using this form of managed care for more than four years. Those over 65s who are likely to become high users of hospital services are identifIed, and their conditions are managed in ways that reduce hospital admissions. This work involves a half-time nurse and full-time social worker case manager. The practice has also extended case management to mental health. Case management of cancer patients is also being piloted in 9 PCTs, including Halton, Castlefields' local PCT. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.hsj.co.uk  |  Target group: LA/HA  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 0952-2271 Notes: National Primary Care Development Team: http:// www.npdt.org Home comforts Prescribed telecare packages could help older or vulnerable people live at home safely for longer. So why are they not more widely used? [author: Beverly Castleton] (September 2006) Article in HSJ Intelligence (supplement) within Health Service Journal, 21 September 2006, p11. Dr Castleton is Associate Medical Director at North Surrey PCT describes how work in the PCT has begun to show how telecare can be brought into the mainstream of care delivery and applied on a community-wide scale, bringing an improved quality of life of the people who use it. The model of care is based on the Columba Project for independent living and is a collaboration between the PCT, Runnymede BC, Careline and telecare solutions specialist Tunstall. Two key elements were involved: an intermediate care team for assessing patient needs and equipping a dedicated short-term residential unit with telecare equipment, to familiarise patients with the technology and help to re-able them. After a period in the unit - typically four to six weeks - two-thirds of patients were able to live independently at home, supported by home care, supplemented by a prescribed telecare package. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: www.hsj.co.uk  |  Target group: LAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 09522271 Notes: Identifying the development needs of community matrons [authors:Alison Pooler, Pam Campbell] (12 September 2006) Article in Nursing Times, 12 September 2006, pp 36-38. The aim of this research was to gain some insight into the needs of community matrons from both the practitioners' and managers' perspectives. Focus groups with community matrons in different PCTs were used. These groups identified that skills in physical assessment and prescribing were taken as prerequisites or essential to the role, and that the educational priorities were viewed as clinical education relating to the management of many long-term conditions linked to major causes of unplanned admissions. The preferred format for education appears to be work-based learning delivered by clinicians. It is concluded that PCTs need to ensure that community matrons have their learning needs assessed and to put in place systems of work-based learning that allow for appropriate development. Although matrons themselves may not initially see the value of non-clinical education, this will be vital to the long-term success of their role. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: www.nursingtimes.net  |  Target group: HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 09547762 Notes: Implementing the single assessment for older people [authors: Keith V Wilson, Angie Clegg, Frances Fairclough et al] An article in Nursing Times, vol 101, no 43, 25 October 2005 issue, pp 32-35. The National Service Framework for Older People envisages that the single assessment process will act as a key driver in the improvement of services for older people. Leeds Teaching Hospitals NHS Trust implemented a form of contact assessment that works in both hospital and community settings. In this instance, as a result of introducing SAP, improved person-centred information follows the patient on discharge. In conclusion, it is suggested that whilst awaiting the arrival of the NHS IT strategy (or a local interim SAP software solution), a window of opportunity exists for staff to ensure the principles of the SAP are well-established and practised among staff team before the additional and challenging requirement to learn a new software application becomes necessary. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.nursingtimes.net  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 09547762 Notes: Implementing the Single Assessment Process driving change or expecting the impossible? [authors: David McNally, Michelle Cornes, Roger Clough] (April 2003) Article in: Journal of Integrated Care, vol 11, issue 2, pp 18-29 The authors consider the potential for single assessment to overcome longstanding difficulties with care management. and look at initial progress in one SHA area in northern England. They identify some key priorities for the next stages of local implementation, and conclude that not only is much more work required in localities, but additional national guidance and resources may also be required. Contact Details: Pavilion Publishing, The Ironworks, Cheapside, Brighton BN1 4GD. Tel: 0870 161 3505  |  Fax: 0870 161 3506 E–mail: info@pavpub.com |  Web links: http://www.pavpub.com  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14615436 Notes: David McNally (formerly Local Implementation Officer, National Service Framework for Older People, Knowsley Primary Care Trust), now at Trafford Primary Care Trusts, tel 0161 873 9572; Email: david.mcnally@trafford-pcts.nhs.uk Implementing the Single Assessment Process: Opportunities and challenges [author: Dr Angela Dickinson] [August 2006] Article in Journal of Interprofessional Care, Volume 20, Number 4 (August 2006), pp. 365 - 379 The aim of the study was to evaluate a pilot introduction of the Single Assessment Process in the South-East of England. A qualitative case study design, incorporating observation and semi-structured interviews, was used to collect data. Assessment visits were observed and recorded, and interviews were carried out with older people and their carers (n = 9), health and social care practitioners, operational managers, and other key individuals involved in the pilot (n = 26). Overall the evaluation found three major themes that had an impact on the implementation of the Single Assessment Process. These were: the process of implementing policy and change; the health and social care boundary; and communication and sharing of assessments. Front-line practitioners had a major impact on SAP implementation, particularly through their reluctance to engage with the process, work together and share assessments. Success of the national SAP implementation will depend on the extent to which those working directly with older people can be engaged in the policy process. Contact Details: Dr Angela Dickinson, Centre for Research in Primary and Community Care, University of Hertfordshire, Hatfield, UK. Tel: 01707 285993  |  Fax: E–mail: a.m.dickinson@herts.ac.uk |  Web links:  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: Notes: Implementing the single assessment process using the Minimum Data Set - Home Care : a pilot study [author: Julia Miller, Sandra Birnie, Kim Dutton (et al)] (December 2004) Article in: Nursing Older People, vol 16, no 9, pp 14-18. Julie Miller and colleagues describe a study designed to examine the role of contact assessment in primary care. The study was carried out in six GP surgeries - two in Chester, three in Ellesmere Port and one in rural Cheshire - with the social service access team and the social service blue badge scheme. The project was run for one week in primary care and the blue badge scheme, and three weeks in social services. Each patient of 75 years and over who attended the GP surgery and each client of 65 years and over who contacted the access team of blue badge scheme during the pilot was asked to complete the self-assessment questionnaire. The article gives further details including the findings with discussion. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.nursingolderpeople.co.uk  |  Target group: HA  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 1472-0795 Notes: In sickness and in health Domiciliary workers act as agents of independence, enabling older and disabled people to stay at home. But they have to put up with low pay. [author: Anabel Unity Sale] An article in Community Care, 16 November 2006, issue 1649, pp26-27. The author joins a domiciliary worker for a Monday morning shift and observes the stresses and strains of the work at first hand. The home care worker is with a private care provider (Enara Community Care) working within the London Borough of Islington, one of seven agencies it uses. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: www.communitycare.co.uk  |  Target group: LA/HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 03075508 Notes: In the same boat : [managing staff from social care, health and housing] [author: Sarah Wellard] (August 2005) Article in Community Care, issue 1587, 25 August 2005, pp 40-41. (Management in practice series) A case study of the single assessment process and multi-agency working in Sedgefield PCT, County Durham spearheaded by Ann Workman (Community Partnership Manager), who has led the pathfinder team since May 2004. Adult social care, health and housing departments are being reorganised into five neighbourhood level multi-disciplinary teams, with district nurses, social workers and housing support officers all working together. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.communitycare.co.uk  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 03075508 Notes: Information needs of United Kingdom primary care clinicians [author: Deborah A Swinglehurst] Article in Health Information and Libraries Journal, vol 22, no 3, pp 196-204. This paper reviews the literature on the information needs of primary care clinicians to enable evidence-based decision making. Drawing on the literaure, and using a specific example of a clinical informaticist service, some lessons are drawn onthe role of information professionals in facilitating evidence-based health care. (The specific example is based in the Imperial College, London). It was concluded that evidence-based information to clinician's questions in a user-friendly format has the potential to facilitate changes in practice. The successful implementation of information services requires attention to both academic and service dimensions, fostering closer working relationships between clinicians and information professionals. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.blackwellpublishing.com/hir  |  Target group: HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 1471-1834 Notes: Inside multi-disciplinary practice challenges for single assessment [authors: Michelle Cornes, Roger Clough] (April 2004) Article in: Journal of Integrated Care, vol 12, issue 2, pp 18-29 The authors draw on their study on assessment and care management practice in three localities in North West England, which tracked older people's journeys through the health and social care system, and now highlights some of the key issues which will need to be tackled if the new single assesment process (SAP) is to become user and carer friendly. They argue that the concept of the "whole system" is a misnomer, and a more accurate picture is one of "disputed territory". They suggest that too much emphasis has been placed on IT systems and paperwork, and that the real challenge is to cut through the jargon of modernisation, and to see things from a wholly different perspective. Some discussion topics to aid local implementation of SAP are suggested. Contact Details: Pavilion Publishing, The Ironworks, Cheapside, Brighton BN1 4GD. Tel: 0870 161 3505  |  Fax: 0870 161 3506 E–mail: info@pavpub.com |  Web links: http://www.pavpub.com  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14615436 Notes: Other contact details: michellecornes@aol.com Inter-agency information sharing in health and social care services: the role of professional culture [authors: Sue Richardson, Sheena Asthana] An article in the journal : British Journal of Social Work, vol 36, no 4, June 2006, pp657-669. This article uses a literature review to examine the ways in which professional culture might shape inter-organizational exchange of personal information in a health and social care context. The aim is to explore a simplified model of possible information-sharing behaviours ("ideal, over-open, over-cautious, and chaotic") and to suggest that patterns of information sharing may be influenced by a number of factors. It is proposed that these factors include not only inter-professional differences in the approach taken to information sharing but also the ways in which the professions inter-relate. Contact Details: Tel:  |  Fax: E–mail: sue.richardson@plymouth.ac.uk |  Web links: http://www.bjsw.oxfordjournals.org  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 00453102 Notes: Interprofessional Mentorship: taking on the challenge [authors:Michelle Marshall, Frances Gordon] (April 2005) Article in the Journal of Integrated Care, vol 13, no 2, April 2005 pp 38-43. The current emphasis on the development of an interprofessional workforce in health and social care puts interprofessional learning at the heart of undergraduate curricula. This paper explores the concept of interprofessional mentorship and considers how this role might be developed in order to faciliate interprofessional learning in the practice placement. Contact Details: Tel:  |  Fax: E–mail: f.gordon@sheffield.ac.uk |  Web links:  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14769018 Notes: Involving older people in the implementation of the National Service Framework making progress in the North West [authors: David McNally, Michelle Cornes, Pat Leahy] (December 2002) Article in: MCC: Building knowledge for integrated care [Managing Community Care] vol 10, no 6, pp 37-42. Central to the National Service Framework for Older People (NSF) is the belief that older people should be involved as "genuine partners" in the implementation process. The authors describe how regional and local implementation teams (LITs) in North West England are working in partnership to develop a coherent and sustainable strategy for engaging with older people. They note that in the NSF there is little in the way of guidance on how to translate the rhetoric of partnerships into practice. Their article considers older people's views regarding aspects of services that need inproving, what matters most to older people, and involving older people in LITs, for which some points for good practice guidance are suggested. Although no reference is made to the Single Assessment Process, the material is relevant to Standard Two of the NSF and person-centred care. Contact Details: Pavilion, The Ironworks, Cheapside, Brighton, East Sussex BN1 4GD. Tel: +44 (0)1273 623222  |  Fax: +44 (0)1273 625526 E–mail: info@pavpub.com |  Web links: http://www.pavpub.com  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14615436 Notes: MCC: Building knowledge for integrated care [Managing Community Care] continues as Journal of Integrated Care in 2003. David McNally (formerly Local Implementation Officer, National Service Framework for Older People, Knowsley Primary Care Trust), now at Trafford Primary Care Trusts, tel 0161 873 9572; Email: david.mcnally@trafford-pcts.nhs.uk Journal of Dementia Care for all who work with people with dementia This journal is published six times a year by Hawker Publications. Its Advisory Board includes many prominent specialists in the field of dementia and its Consultant Editors are Tracy Packer, Consultant Nurse in dementia care, North Bristol NHS Trust and Jill Manthorpe, Professor of Social Work, King's College London. The journal is a multidisciplinary journal for all professional staff working with people with dementia, in hospitals, nursing and residential care homes, day units and the community. The journal is committed to improving the quality of care provided for people with dementia, by keeping readers abreast of news and views, research, developments, practice and training issues. The journal is grounded firmly in practice with articles on care practice, vocational issues, technology developments in the field, reviews of resources and events. Contact Details: Sue Benson (Editor) Subscriptions, ESCO Business Services, Robjohns Farm, Vicarage Road, Finchingfield, Essex CM7 4LJ Tel: +44 (0)1371 810433  |  Fax: E–mail:  |  Web links:  |  Target group:  |  Type / Format: journal Availability / Price: annual subscription rate: UK institutional £70 (dd £60)  |  ISBN/ISSN: 1351-8372 Notes: Link Age shows its benefits [assessment of] progress on modernising provision for older people [author:Chris Smith] (15 February 2005) Article in: Care and Health Magazine, issue 101, pp 12-13 Link Age strategy is the contribution of the Department for Work and Pensions (DWP) to modernise benefit provision and create an integrated network of services for older people. Link Age is designed to ensure older people, or their carers, get their state benefits as soon as possible; it also involves local authorities, voluntary groups, GPs and nurses, and large charities such as Age Concern have also signed up. The DWP has opened its computer system to partner organisations to speed up claims and people trained in giving benefit advice can sort out a claim as part of the single assessment process; and this can involve form-filling by a trained volunteer. Examples of current practice cited in the article are the Care Direct call-centre in Somerset and Nottinghamshire County Council pilot schemes overseen by John Hannam, Link Age Project Manager. The impact of Link Age to date will be assessed at a conference chaired by the Local Government Association (LGA) in London in the last week of February. Contact Details: Chris Smith Tel:  |  Fax: E–mail:  |  Web links: http://www.careandhealth.com  |  Target group: LA/HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14779994 Notes: Mainstreaming interprofessional partnerships in a metropolitan borough [Author: Dave Doyle, Michelle Cornes] (October 2006) An article in Journal of Intergrated Care, vol 14, issue 5, October 2006, pp27-46 This article reflects 'practice wisdom' on the development of interprofessional partnerships for older people in a metropolitan borough in north west England. It is suggested that most interprofessional partnership working continues to sit outside mainstream services, and that integration and seamless service remain a significant challenge. The focus is on local plans for service reconfiguration ('Go Integral') and their likely implications for non-traditional services such as intermediate care and falls prevention. Finally, the social care and social work values are shown to glue the system together so that it becomes easily accessible and meaningful to older people. Contact Details: Tel:  |  Fax: E–mail: dave.doyle@knowsley.gov.uk |  michellecornes@aol.com Web links: http://www.pavpub.com  |  Target group: LAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14769018 Notes: Matron's mate Community matrons can save money and improve care - and Nina Barnett and colleagues have the evidence to prove it An article in Health Service Journal, vol 116, no 6032, 16 November 2006, pp26-27. A brief article featuring the work of Harrow PCT who decided to explore the community matron role through a pilot supervised by a steering group from health, social care and clinical governance which included Nina Barnett and colleagues. Harrow PCT recruited 2 matrons in December 2005 who were then trained and accredited in advanced clinical skills, as well as being assigned mentors. In the first 3 months of the pilot, the trusts identified GP practices that wanted to support its objectives and help in the accurate identification of high-risk patients, particularly vulnerable older people; and the Department of Health's patients at risk of readmission (PARR) tool was used in conjunction with other data. This pilot suggests that community matrons can make a positive difference to vulnerable patients and reduce care costs for the PCT. In a wider context, it has highlighted the need for service redesign, as the community matron role can provide both the co-ordination and supervision needed to develop an existing but often fragmented service. (Nina Barnett is a specialist pharmacist for older people at Harrow PCT, pharmacist prescriber for the Denham Unit nursing home and pharmacy adviser for older people for London, Eastern and South East Specialist Pharmacy Services). Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.hsj.co.uk  |  Target group: HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 09522271 Notes: Multi-disciplinary person-centred care: has government policy helped or hindered? [author: Wendy Parkinson] (October 2004) Article in: Nursing Older People, vol 16, no 7, pp14-17. Government policy appears to make all the right noises about person-centred care for older people, but, asks the author, what is the reality behind the rhetoric? The author concludes that for those people cared for at home, exclusion criteria have become increasingly wide and there are fewer people receiving community care. Is the focus really on the older person or is it on the resources available? If the latter, how does this impact on 'patient choice'? Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.nursingolderpeople.co.uk  |  Target group: LA/HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14720795 Notes: NTAwards 2004 - Nursing Older People (19 October 2004) Article in: Nursing Times, vol 100, no 42, p 63 Marie Barnes and Josie Melia were overall winners for the NTAwards 2004 Nursing Older People, for the development of the older people's champions network at St Helen's and Knowsley NHS Hospital Acute Trust. The NSF requires every trust to have an identified 'champion' of older people's services. Ms Barnes has taken this concept and developed it to an entire network of older people's champions within the Trust - 85 so far - all volunteers who include porters, ward hostesses and nurses. Highly commended entries in this category were presented to: William Anderson, Canterbury and Coastal PCT, for the establishment of a specialist support team for nursing homes; Elisabeth Baranowski, Sarah Bray and Gill Bedson, all from Luton PCT, for an Evercare project describing the APN (Advanced Primary Nurse) role; Mark Dowell, Gateshead Health NHS Trust, for a service providing rapid access to specialist stroke management; and a further Evercare project involving the roll-out of the APN role across three PCTs presented to Aileen Fraser, Joanne Chambers and Neil Willison, from Bristol North PCT, South Gloucestershire PCT and Bristol North PCT respectively. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.nursingtimes.net  |  Target group: SHAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 0954-7762 Notes: Nurse-led implementation of the single assessment process in primary care: a descriptive feasibility study [authors: H C Roberts, Z M Hemsley, G Thomas (et al)] (July 2006) An article in the journal : Age and Ageing, July 2006, vol 35, no 4, pp 394-398. The objective of this study was to determine the resources required to carry out the single assessment process in one urban primary care practice, in Southampton. The participants were 944 people aged 70+ years, registered with the practice, not living in residential/nursing home or terminally ill. Participants were sent the six-item Sherbrooke questionnaire (case-finding tool); 863 (91%) of participants replied. From such results as detailed, it was concluded that targeting those scoring 3+ on the Sherbrooke questionnaire (28% of the sample) may improve the identification of patients who would benefit from further assessment. A contact approach rather than a case-finding one may improve the relevance of this process to older people. Contact Details: Helen C Roberts Tel:  |  Fax: E–mail: hcr@soton.ac.uk |  Web links: http://www.ageing.oxfordjournals.org  |  Target group: HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 00020729 Notes: Older and wiser [interview with Ian Philp, National Director of Older People's Health] [author: Alexis Nolan] (9 December 2004) Article in: Health Service Journal, vol 114, no 5935, pp 18-19. April 2005 marks the last of the milestones in the National Service Framework for Older People (NSF), when every health and social care system should have an integrated falls service. This article outlines the findings of Ian Philp's report, "Better health in old age"; refers to the forthcoming green paper on adult social services; and lists priorities for older people's services. Philp stresses the importance of implementing the single assessment process (SAP): although it is "the most difficult, but potentially the most transformational part of the older people's programme, he describes it as the "hard wiring that pulls together the reforms in primary, intermediate, emergency and social care, long-term conditions and mental health issues." Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.hsj.co.uk  |  Target group: LA/HA  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 0952-2271 Notes: Older people's perception of healthcare [authors: Obaid Khan, Theresa Allain, Christine Purvis] Article in : Geriatric Medicine, vol 35, no 9, September 2005, pp27-33. Comprehensive assessment and provision of holistic care to older patients depends upon positive multi-disciplinary attitude and enthusiasm. In this article, the authors discuss a recent local survey they conducted to determine whether or not older patients exposed to health care services in North Bristol approve of staff attitudes towards them and their care. The working group consisted of the clinical audit project lead, the clinical audit facilitator and five members of the patient panel. A questionnaire was designed and given to 86 patients who were over 70 years, cognitively intact and who had spent more than 15 days in hospital. 71 patients returned their questionnaire (not all were fully completed). The audit was undertaken on two of the hospital sites - Frenchay, an acute hospital setting and Blackberry Hill, a rehabilitation care centre. In conclusion, it was acknowledged that a significant number of respondents remain concerned about the need to repeat the same information unnecessarily and they would like staff to be able to communicate with them in a more effective manner. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.gerimed.co.uk  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 0268201X Notes: On the case [critique of case management based on US-style Evercare] (11 January 2005) Article in: Care and Health Magazine, issue 96, pp16-18. This article considers whether too much emphasis is placed in the Evercare model for the UK on health at the expense of social care. Evercare, is part of the United Healthcare Group based in Minnesota, USA. The Kaiser Permanente programme is briefly considered as an alternative model. The author reviews the progress of Evercare providing two pilot programmes, Halton PCT and Bexley Care Trust as case studies. The views of the Long Term Medical Conditions Alliance, Age Concern, Help the Aged, and those within the Department of Health are amongst those quoted. The article urges readers to consider the recent report by the King's Fund, "Case managing long-term conditions: what impact does it have in the treatment of older people?" (King's Fund, November 2004) Contact Details: Mike George Tel:  |  Fax: E–mail:  |  Web links: http://www.careandhealth.com  |  Target group: LA/HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14779994 Notes: On the receiving end [author: Kina Avebury] (September 2004) Article in: Working with Older people, volume 8, issue 3, pp 27-30 Kina Avebury writes of her experiences of being on the receiving end of assessment and service provision as an older person, following a personal accident in her home which is in the London Borough of Hackney. Kina Avebury is herself, a highly experienced social services and social care practitioner. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.pavpub.com  |  Target group: LA/HA  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 1366-3666 Notes: One for all [implementation of the single assessment process] [author: Mark Hunter] (3 July 2003) Article in: Community Care, no 1479, pp 30-31. It is now more than two years since the single assessment process (SAP) was announced as part of the National Service Framework for Older People (NSF). The SAP is intended to help local agencies simplify health and social care assessments for older people. However, as the deadline for implementation (1 April 2004) approaches, many authorities are still confused over the government's guidance and funding. In Cambridgeshire, the local implementation team has piloted a paper-based SAP format used by health, social care and housing staff and then adapted it to the computerised Cambridge assessment tool. The article notes that the London Older People's Service Development Programme has piloted joint initiatives between health and social services in a variety of settings. Jonathan Monks, the SAP programme manager in Worcestershire has reservations as to the readiness of authorities such as his for full SAP implementation in April 2004. He is also concerned about the cost of commercially available assessment systems, and the implementation guidance being 'too prescriptive and too complicated'. So he is trying to simplify the process and 'produce tools that people can actually use', in the belief that SAP will 'eventually produce the kind of one-stop assessment shop originally envisaged in the National Service Framework for Older People' (NSF). Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.communitycare.co.uk  |  Target group: SSD  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 03075508 Notes: Opening doors A scheme being trialled in Norttinghamshire is extending the ethos of direct payments by allowing some service users to do their own assessments of their needs. [author: Simon Creasey] An article in Community Care, 16 November 2006, issue 1649, p51. This article focuses on the Midlands self assessment pilot undertaken in Nottinghamshire Council which received £60,000 and has three occupational therapists pulling the project together, which is being led by Pete McGavin from its social services department. The focus is on the distribution of cheap, easy to use equipment that can help the county's service users. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: www.communitycare.co.uk  |  Target group: LA/HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 03075508 Notes: Outcomes-focused social care services for older people - progress and possibilities [authors: Caroline Glendinning, Sue Clarke, Philippa Hare et al] (November 2006) Research findings from the Social Policy Research Unit: Research Works, 2006-03, November 2006; SPRU, University of York. Outcomes-focused services are now central to Government policies. In order to help social care services in their implementation of this new way of working, SPRU was invited by the Social Care Institute for Excellence (SCIE) to research the outcomes valued by older people and the best methods for developing an outcomes-focused service. This Research Works contains the key findings from this research, including case studies from selected localities showing significant developments in intermediate care and reablement services. Barriers to a successful implementation of an outcomes approach are also discussed. The study was carried out by SPRU and Acton Shapiro. The full report (152pp) is published by SCIE (December 2006) as one of its Knowledge Reviews (number 13). It is entitled 'Outcomes-focused services for older people'. Contact Details: The University of York, Heslington, York Y010 5DD Tel: +44 (0)1904 321950  |  Fax: E–mail: SPRU@york.ac.uk |  Web links: http://www.york.ac.uk/inst/spru/pubs/ccatreps.htm  |  Target group: LAs  |  Type / Format: article Availability / Price: download  |  ISBN/ISSN: Notes: Person-centred assessment with older people [author: Jonathan Webster] (May 2004) Article in: Nursing Older People, May 2004, vol 16 no 3, pp 22-27 This practice article describes the principles behind the assessment of older people's needs and the challenges inherent in developing a person-centred framework for assessment. It suggests that person-centred assessment calls for skilled, empowered and well supported nurses who are able to work in creative, innovative ways and who recognise that the needs of the older person are at the centre of all therapeutic working. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.nursingolderpeople.co.uk  |  Target group: Nursing staff  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 1472-0795 Notes: Person-centred assessment with older people [author: Jonathan Webster] An article in Nursing Older People, vol 16, no 3, May 2004 pp 22-28. This article describes the principles behind the assessment of older people's needs and the challenges inherent in developing a person-centred framework for assessment. It suggests that person-centred assessment calls for skilled, empowered and well-supported nurses who are able to work in creative, innovative ways and who recognise that the needs of the older person are at the centre of all therapeutic working. This article is published as part of the Continuing Professional Development series for nursing staff and as such, it has mini-assessment exercises to do and a number of bibliographic references. The author is Consultant Nurse for Older People at the Royal West Sussex NHS Trust and Western Sussex PCT. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.nursingolderpeople.co.uk  |  Target group: HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 09547762 Notes: A picture of health [a successful example of joint working between health and social care] [author: Vari Drennan, Steve Iliffe, Deborah Haworth (et al)] (24 April 2003) Article in: Health Service Journal, vol 113, no 5852, pp22-24. The Well-Being project, a scheme offering joint health and social care assessment to people aged 75+ in the London Borough of Camden identified more than a quarter of them as needing its services. This article by a group of researchers from the Royal Free and University College Medical School notes that using general practitioners (GPs) to identify the target population proved inefficient, as almost half of those contacted were no longer at the same address. Assessments, conducted by a community nurse and a social welfare officer, often involved two visits. Given such problems, the article suggests that the project has provided valuable learning for implementing targets in the National Service Framework for older people (NSF), including single assessment, falls prevention, and reviewing medication. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.hsj.co.uk  |  Target group: PCT/SSD  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 0952-2271 Notes: Profiling intermediate care patients using the single assessment process : a road to better service provision? [authors: Mathew Mackenzie, Iain Carpenter, Kathy Kotiadis] Article in: Journal of Integrated Care, August 2005, vol 13, issue 4, pp 43-48. This paper demonstrates that three intermediate care services in Shepway, East Kent each cater for distinct patient groups, and that data from a single assessment process (SAP) tool can be used to differentiate between them. By applying statistical techniques, inferences can be made about the likelihood of admission to a particular service, given specific health characteristics. In conclusion, the utility of standardised assessment as a means of providing data for audit and planning is highlighted, and the importance of the SAP as a means of developing care services is stressed by the authors. Contact Details: Tel:  |  Fax: E–mail: M.Mackenzie@kent.ac.uk |  Web links: http:www.pavpub.com  |  Target group: LAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 1476-9018 Notes: Protecting electronic data Nurses are using laptops to store patients' personal data but how can you ensure this information is safe? [author: Martin Allen] (11 July 2006) Journal article in Nursing Times, 11 July 2006, pp 20-21. This brief article does look at practical ways in which patient records stored on laptops can be protected, given the increased use of portable IT in the healthcare sector. Healthcare staff are urged to ensure solutions are in place before any mishap occurs, as laptops are particularly vulnerable to theft. The use of data encryption is recommended. The author is the Managing Director of Pointsec Mobile Technologies. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.pointsec.com  |  http://www.nursingtimes.net Target group: HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 09547762 Notes: Respect your elders [mental health services for older people] [author: William Little] (17 March 2005) Article in: Health Service Journal, vol 115, no 5947, pp 25-26. Report on progress made by the Department of Health as compared to the NSF for older people's mental health services (Standard 7). Voluntary organisations claim none of the milestones that should have been established in April 2004 have been achieved; and the DH also admits to progress that is "patchy". There is concern that age discrimination is particularly entrenched in the mental health services. Further analysis of the situation is supported by Age Concern and Susan Benbow, of the National Institute for Mental Health in England and examples of good practice are cited - flexible carers service - by Age Concern Oxfordshire and training being carried out by Bolton, Salford and Trafford Mental Health Trust. Readers are also directed to Godfrey and Denby's book " Depression and Older People: towards securing wellbeing in later life" (2004, Marston Book Services)(see separate entry). Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.hsj.co.uk  |  http://www.publications.doh.gov.uk/nsf/olderpeople Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 09522271 Notes: Risk management and older people [author: Margaret Dangoor] (October 2004) Article in: Care, issue 4, pp4-5. The author writes as Executive Director of the Association of Litigation and Risk Management, ALARM, an organisation which supports managers working in the NHS with a particular responsibility for patient safety. This brief article outlines the work of ALARM and refers to an article by Jane Cowan published in the journal "Clinical Governance: an international journal" (5 Feb 2003, vol 8, no 1, pp92-95) that suggests patient safety and risk management has not been given enough emphasis in the NSF for Older People. The single assessment process should play a key role in alerting professionals, userrs and carers to exploring risk issues and making it a factor in the assessment. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.counselandcare.org.uk  |  Target group: HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: Notes: Sea change or quick fix? Policy on long-term conditions in England [author: Bob Hudson] (July 2005) Article in: Health and Social Care in the Community, vol 13, no 4 pp 378-385. Long-term conditions is a policy area that has risen rapidly up the political agenda in England, culminating in the development of the National Health Service and Social Care Model in 2005, which is to be implemented over the following 2 years. The Model draws heavily upon US ideas of case management and proposes the creation of 3000 community matrons to undertake this role with the most vulnerable patients. Although welcomed in principle, the specific proposals in the Model have been subject to some criticism, and these issues are explored in this paper. The problematic areas include patient identification, transplanting US models to England, the role of case management, workforce and funding issues and the mix of medical and social models. The author concludes that there is a danger of long-term care policy developing an unduly health-focused approach at a time when the thrust of partnership working is towards an inclusive, whole-system model. Contact Details: Tel:  |  Fax: E–mail: bob.hudson@durham.ac.uk |  Web links:  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 09660410 Notes: Senior and heard a programme to address the social as well as medical needs of old people has given a shot in the arm to London boroughs, as national service framework targets loom [author: Mary-Louise Harding ] (12 February 2004) Article in: Health Service Journal, vol 114, no 5892, pp32-33. A service development programme is helping London boroughs meet deadlines for national service frameworks for older people. The scheme identifies older people at risk - high-resource users aged 75 and over - and co-ordinates work across care-team boundaries. Hospital admissions among the elderly people the project has helped have dropped by 47per cent. An evaluation of the programme is being undertaken by the Institute for Applied Health and Social Policy. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.hsj.co.uk  |  Target group: LA/HA  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 0952-2271 Notes: Sharing letters with patients : one year on [Northumbria Healthcare NHS Trust experience] [author: Simon Eaton] Article in : Geriatric Medicine, vol 35, no 9, September 2005, pp 21-25. Since April 2004 patients have had the right to receive a copy of any letter written about them. As a follow-up to his review of this policy last year, Dr Eaton discusses the experiences over the past year of implementation of this policy within Northumbria Healthcare NHS Trust. In this period, various efforts were taken to ascertain views, comments and concerns about the policy thoughout the Trust and local primary care services. On the whole, implementation of this policy has been successful and considerably less problematic than anticipated. However, care needs to be taken though in the language used and sensitivity needs to be employed when relaying new information or diagnosis. The major workload impact was focused on preparing and sending out the letters. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.gerimed.co.uk  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 0268201X Notes: 'Single' assessment for older people comparison of the MDS-HC with current auditable methods in the home care setting [authors: G Iain Carpenter, David J Challis, Cameron Swift] (October 2005) Article in: Journal of Integrated Care, vol 13, issue 5, pp 35-41 A randomised controlled trial compared the the extent to which the the Minimum Data Set - Home Care (MDS-HC) and current community care assessments (CCAs) used in assessing older people met the following criteria: usable by a range of professionals including social workers; a tool which exhibits reliability; a practical tool for workers in the field; sensitivity to change; auditable in terms of both the process and the product of the assessment; sufficiently comprehensive to cover the key domains relevant for care of older people; and improve need identification. The study was conducted in two social service departments (SSDs) with 384 subjects aged 65+ meeting these criteria. The authors outline methods used and discuss the results. They find that use of a well-developed standardised assessment (the MDS-HC) was associated with much better coverage of key domains than that of existing assessment instruments: it is likely that the instrument's characteristics were the key to better auditable results. They note that MDS-HC took no longer to use than existing assessments, and conclude that assessment methods of unproven reliability and validity may jeopardise the interests of older people and the need to raise assessment standards. Contact Details: Pavilion, Richmond House, Richmond Road, Brighton, East Sussex BN2 3RL. Tel: 01273 623222  |  Fax: 01273 625526 E–mail: info@pavpub.com |  Web links: http://www.pavpub.com  |  Target group: SAP leads, SSDs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14769018 Notes: Address for correspondence: Professor G I Carpenter, CHSS, George Allan Wing, University of Kent, Canterbury, CT2 7NE. Tel 01227 827868 Fax 01227 827868 E-mail: G.I.Carpener@kent.ac.uk Single assessment in acute hospitals [authors: David McNally, Jan Peet] (September 2003) Article in: Working with Older People, vol 7, no 3, pp 18-21 National guidance on the single assessment process (SAP) focuses on its implementation in localities. While this should include hospitals, the authors note that local progress on the SAP has generally only been made in the community. A joint St Helens and Knowsley Older People's Service collaborative project with Whiston and St Helens Hospitals seeks to improve older people's experience of hospital care and discharge through implementing single assessment. This is one of 10 collaborative projects in the north-west, which tackles various aspects of the National Service Framework for Older People (NSF). The authors outline how single assessment in an acute hospital has been implemented alongside that in the community, which will not only ensure continuity but also reduces the number of times older people are asked for information. Contact Details: Pavilion Publishing, The Ironworks, Cheapside, Brighton BN1 4GD. Tel: 0870 161 3505  |  Fax: 0870 161 3506 E–mail: info@pavpub.com |  Web links: http://www.pavpub.com  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 13663666 Notes: David McNally (formerly Local Implementation Officer, National Service Framework for Older People, Knowsley Primary Care Trust), now at Trafford Primary Care Trusts, tel 0161 873 9572; e-mail: david.mcnally@trafford-pcts.nhs.uk Jan Peet is St Helen's & Knowsley Older People's Collaborative Project Manager. Email: janpeet2311@aol.com Striving for fusion Partly due to its geography and economies of scale, south west local authorities have a history of working collaboratively A one page article in Community Care, 7th September 2006, issue 1639, p52. The single assessment process was specified as the way forward in the government's National Service Framework for Older People, but councils in the South West (Cornwall, Devon, Torbay and Plymouth along with NHS agencies) have extended it to apply to all adults with health and social care needs. The process is aimed at simplifying assessments, reducing duplication and empowering service users to a far greater extent than before. It also allows for sharing of information between professionals working for different agencies, once the consent of the service user has been gained. This brief article outlines how the South West has achieved this using champions across the organisations and running group events that were funded by the Modernisation Agency for all stakeholders. The collaboration hopes to sign a contract with an IT supplier in the next few months and launch the e-SAP in early 2007. Heather Eardley, is the Programme Manager for South West Pennisula SAP. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: www.communitycare.co.uk  |  Target group: LA/HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 03075508 Notes: Taking the accent off the acute [Mithran Samuel] 15 June 2006 Journal article in Community Care, 15 June 2006, pp 26-29. One of the three articles which examine the challenges faced by a health service in the throes of fundamental reforms, against a background of anxiety in the NHS over increased costs, which are hampering the development of preventive services and partnerships with social care. The author finds that the shift of capacity and resources from acute to community services must overcome conflicts between some of the policy strands currently operating and change fatigue among GPs and at primary care trusts A discussion forum is available on the website of Community Care which poses the question : do you think the government's changes will lead to a leaner, more locally responsive health service within five years? Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.communitycare.co.uk  |  Target group: HAs/LAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 03075508 Notes: Teleaddicts Telemedicine and community matrons are among the options being explored by a Kent PCT fighting to keep emergency admissions down An article in Health Service Journal, vol 116, no 5997, HSJ Intelligence supplement, pp10-11. The locality involved is Dartford, Gravesham and Swanley PCT in Kent which has beaten the deadline to get community nurses in post since March 2004. The PCT started by analysing data (using the Evercare caseload model) to find "frequent fliers" in the previous year and found 2000 such patients. The PCT looked at four categories of long-term condition and found a locally significant cohort of patients who would often turn up at A&E, worried about their symptoms, through lack of immediate advice and support. Capacity was identified within the existing community nursing workloads and the roles of 11 district nurses and two practice nurses were redesigned to manage caseloads. The project was officially launched in December 2004. There are now 15 community matrons with caseloads of 40-50 patients. A second phase of the project is to introduce four new roles of associate community matron, who will concentrate on the frequent fliers with a cancer diagnosis. At the same time of developing community matrons, the PCT developed a £1m pilot scheme involving 275 people with chronic illnesses which began in 2006. It will be the most widespread technology in the country and will be subject to an academic study to ensure the benefits are properly evaluated. It is technology that has been developed in the US as TeleHealth technology with some success since 2003, initially in Seattle with people living in nursing homes. It is hoped that such success can be replicated in the PCT but much will depend on the community matrons and management of their caseloads. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.hsj.co.uk  |  Target group: HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 09522271 Notes: The assessment gap [comment on the single assessment process] [author: Paul Clarkson, David Challis] (15 July 2004) Article in: Community Care, no 1531, pp 38-39. The authors, from PSSRU at University of Manchester, are investigating the implementation and impact of SAP in England. This article examines the relevance of recent research for the debates leading up to the deadline for full implementation in April this year. Integrating assessment practices between health and social care will require more than the breaking down of professional barriers. Joint structures, providing incentives for collaboration are just as important. Contact Details: Paul.C.Clarkson@man.ac.uk Tel:  |  Fax: E–mail:  |  Web links: http://www.communitycare.co.uk  |  Target group: SSD  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 03075508 Notes: The British Journal of Healthcare Computing & Information Management Journal that provides comprehensive coverage of developments in healthcare informatics in the UK and hosts the Autumn Forum conference and exhibition (see: SAP Discussion forum - events). Published monthly (10 issues per year). Free email newsletter available. Contact Details: BJHC Limited, 45 Woodland Grove, Weybridge, Surrey KT13 9EQ Tel: +44 (0)1932 821723  |  Fax: +44 (0)1932 820305 E–mail: mail@bjhc.co.uk |  Web links: http://www.bjhc.co.uk/index.html  |  Target group: HAs  |  Type / Format: journal Availability / Price: by subscription but free sample copy available  |  ISBN/ISSN: Notes: The clinician's perspective on electronic health records and how they can affect patient care [author: Stephen H Walsh] Article in: British Medical Journal, May 2004, Vol 328, pp 1184-7 Many attempts to get clinicians to use electronic health records have failed, often because of difficulties with data entry. This article examines lessons learned from previous attempts to get clinicians to use computers in health care, discusses how clinicians actually work, makes recommendations on designing or selecting clinical computer systems and explores how the use of electronic health records might affect patient care. View full text of article  | Download article in pdf format Contact Details: Stephen H Walsh Birmingham Heartlands and Solihull NHS Trust, Solihull Hospital, Solihull B91 2JL Tel:  |  Fax: E–mail:  |  Web links:  |  Target group:  |  Type / Format: article Availability / Price: Available as a downloadable document from BMJ website.  |  ISBN/ISSN: Notes: The e-record Revolution [ health care staff in England and the implications of access to electronic patient records] [author:Mahua Chatterjee] (15 February 2005) Article in: Nursing Times, vol 101, no 7, pp 20-22. This article introduces the Integrated Care Records Service (ICRS) and its potential. ICRS implementation is in its early stages with the programme due to be rolled out nationally by 2007. Northumberland Tyne and Wear SHA are already using the technology in their single assessment process and other examples are cited in relation to nursing care records. The author goes on to assess the pros and cons of e-records and concludes that "there are numerous issues that need to be addressed if the system is to be truly effective by the time it is introduced nationally." Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.nursingtimes.net  |  Target group: HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: Notes: The Freedom of Information Act [author:John Dow] (April 2005) Article in the Journal of Integrated Care, vol 13, no 2, April 2005 pp 34-37. This article highlights some of the key features of the Freedom of Information Act and considers its implications for health and social services authorities. The Act was implemented from 1 January 2005, and it is already raising questions about its implementation. Further information can be found from various sources including: Department for Constitutional Affairs (www.dca.gov.uk/foi) and The Information Commissioner (www.informationcommissioner.gov.uk). Contact Details: Tel:  |  Fax: E–mail: john_dow@bathnes.gov.uk |  Web links:  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14769018 Notes: The Implementation of Single Shared Assessment in Meadowbank, Falkirk : a Joint Future [Author: Gail MacNamara] (August 2006) An article in Journal of Intergrated Care, vol 14, issue 4, August 2006, pp38-44. This paper briefly describes a small research study, and presents its findings on the factors that have had an impact on the implementation of single shared assessment (SSA) in co-located primary care and social work teams. Findings highlight continuing difficulties of policy implementation and the need for ongoing support, guidance and training. Contact Details: Tel:  |  Fax: E–mail: gail.macnamara@falkirk.gov.uk |  Web links: http://www.pavpub.com  |  Target group: LAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14769018 Notes: The Single Assessment Process [author: Hester Ormiston] (April 2002) Article in: MCC [Managing Community Care]: Building knowledge for integrated care, vol 10, no 2, pp 38-43. This paper aims to assist people responsible for revising local approaches to community care assessment in line with government requirements, as detailed in the National Service Framework for Older People (NSF). Standard 2 of the NSF, on person-centred care, states that "the NHS and social services treat older people as individuals and enable them to make choices about their own care". This is achieved through the single assessment process (SAP), integrating commissioning arrangements and integrated provision of services. The paper analyses the SAP's key elements and suggests approaches to be adopted, some of which are based on workshops with local stakeholders from a number of authorities. The paper is practical in its approach, listing the various aspects to be covered. Included in the references: EASY-Care Elderly Assessment System UK Version 1999-2002 (University of Sheffield). Contact Details: Pavilion Publishing, The Ironworks, Cheapside, Brighton BN1 4GD. Tel: 0870 161 3505  |  Fax: 0870 161 3506 E–mail: info@pavpub.com |  Web links: http://pavpub.com  |  Target group: SAP Leads  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14615436 Notes: The Single Assessment Process in Primary Care : older people's accounts of the process [authors: Jackie Powell, Judy Robison, Helen Roberts] Article in the British Journal of Social Work, vol 37, no 6, 2007, pp 1043-1058. Recent government policies have been active in addressing social inclusion and active participation of older people in many aspects of societal life. Independence and well-being animate these developments and are evident in the emphasis on person-centred services within the single assessment process for older people. Drawing on a feasibiilty study of SAP as a "case-finding" approach, this paper presents findings drawn from older people's accounts of this experience. These accounts indicate the potential of the process for identifying "low-level" need, whilst raising issues of access to formal services and resource constraint; also they underline the importance of understanding how older people seek ways of managing their own health and well-being, whilst continuing to contribute to the social cohesion of society by providing support to their peers and to younger generations. Interdependence, it is suggested, rather than dependence should underlie any approach to assessing older people's needs, if we are to appreciate and build upon the complexity of older people's strategies for actively managing their lives. Contact Details: Jackie Powell Tel:  |  Fax: E–mail: J.M.Powell@soton.ac.uk |  Web links: htttp://www.bjsw.oxfordjournals.org  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 00453102 Notes: The Single Assessment Process (SAP) : a personal perspective [author: Nicky Bradbury] (January 2006) Brief article in PSIGE Newsletter, January 2006, pp 39-40. PSIGE is the Psychologists' Special Interest Group Working with Older People, within the Division of Clinical Psychology of the British Psychological Society. The author is a consultant psychologist within a mental health trust and considers what impact SAP has had on the working lives of individual clinical psychologists and believes that the effect is largely dependent on the services which employ them. As for the intended benefits to older people and their families, the author believes that the outcomes have, so far, "fallen well short of expectation". To keep SAP as an evolving process involving so many organisations when no one of them "owns it presents a continuing challenge". Contact Details: Tel:  |  Fax: E–mail:  |  Web links:  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 13603671 Notes: The single issue [author: Jon Glasby] (May 2004) Article in: Nursing Older People, May 2004, vol 16 no 3, p 6 The single assessment process offers much to the care and support of older people, but, it also presents staff with major challenges. This short article draws upon Jonathan Ellis's presentation paper given at the Department of Health conference in Birmingham on 19 February 2004 - " Integrated Care for Older People". Jonathan Ellis is the Health and Social Care Policy Manager for Help the Aged. This powerpoint presentation is available. View presentation Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.nursingolderpeople.co.uk  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 1472-0795 Notes: The use of assessment scales in old age psychiatry services in England and Northern Ireland [authors: S Reilly, D Challis, A Burns, J Hughes] (May 2004) Article IN: Aging & Mental Health, vol 8, no 3, pp 249-255. Implementation of the Single Assessment Process (SAP) in the UK is designed to ensure that more standardised assessment procedures are in place across all agencies, that practice improves, and older people's needs are comprehensively assessed. This study by the Personal Social Services Research Unit (PSSRU) provides a unique picture of the range and prevalence of standardised scales used within old age psychiatry services in England and Northern Ireland, reported by 73% of old age psychiatrists. Most services (64%) used three or more standardised assessment scales (range 1-12). 62 separate instruments were identified. The six most used measures were the Mini Mental State Examination (MMSE, 95%), the Geriatric Depression Scale (GDS, 52%) and the Clock Drawing (50%), the Clifton Assessment Procedures for the elderly 26%), the Barthel Index (18%), and the Health of the Nations Outcome Scales (HoNOS65+, 18%). Shared documentation, along with other indicators of integration between health and social care were associated with greater use of standardised scales. The provision of a memory clinic was associated with greater use of neuropsychiatric scales and lower levels of use of cognitive scales. These results provide key material for shaping the provision of psychiatric services for older people. Contact Details: Dr Siobhan Reilly, Research Fellow, PSSRU at Manchester, Faculty of Medicine, Dentistry and Nursing, University of Manchester, 1st Floor, Dover Street Building, Oxford Road, Manchester M13 9PL Tel: +44 (0)161 275 5680  |  Fax: +44 (0)161 275 5790 E–mail: Siobhan.reilly@man.ac.uk |  Web links: http://www.tandf.co.uk/journals  |  http://www.pssru.ac.uk/manchester.htm Target group: MHTs, SAP Leads  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 1360-7863 Notes: United front [joint working and implications for IT systems] [author: Steve Mathieson] An article in the Health Service Journal supplement "HSJ Intelligence" within the 3 November 2005 issue, pp4-7. The key point made in this article highlights that joint working in IT between health and social services and local authorities remains difficult, with technical and organisational barriers. A number of localities have tried information-sharing, but so far they are only able to deal with very basic data. Two Cambridgeshire pilots of deeper integration had mixed results. Additionally, persuading the public to allow their information to be shared presents another hurdle to trusts and local authorities. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.goodmanagement-hsj.co.uk/jointworking  |  Target group: SHAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 09522271 Notes: Use of community matrons for care of long-term conditions [author: Mandy Bowler] (15 August 2006) Journal article in Nursing Times, 15 August 2006, vol 102, no 33, pp31-33. Improving care for people with long-term conditions has become a national priority and has led to many new - and often challenging - roles for nurses. This article describes the appointment of 12 community matrons to act as key workers and the use of their advanced clinical skills to improve the care offered to vulnerable patients with multiple long-term conditions. This article also makes reference to the June 2005 conference "Developing the Role of the Community Matron in Case Management : A Practical Guide" - the programme of which can be viewed at the website given below. Reference is also made to the Department of Health's policy guidance document, Supporting People with Long Term Conditions : an NHS and Social Care Model to Support Local Innovation and Integration (2005) - click on link below: View document Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.nursingtimes.net  |  http://www.ukhcc.com/event/rcm.html Target group: HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 09547762 Notes: Using the Liverpool Care Pathway in a nursing [authors: Kathryn Mathews, Jemma Finch] (12 September 2006) Article in Nursing Times, 12 September 2006, pp 34-35. The Liverpool Care Pathway provides evidence-based guidelines relating to the care of dying patients. This article outlines a pilot project to introduce it to a 150-bed BUPA nursing home in Hatfield, Hertfordshire (St Christopher's). The authors are both Liverpool Care Pathway Nursing Home facilitators, Mount Vernon Cancer Network. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: www.nursingtimes.net  |  www.lcp-mariecurie.org.uk Target group: HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 09547762 Notes: Validation of short screening tests for depression and cognitive impairment in older medically ill inpatients [authors: Hannah Goring, Robert Baldwin, Alison Marriott, Helen Pratt, Chris Roberts ] (May 2004) Article in: International Journal of Geriatric Psychiatry, vol 19, no 5, pp 465-471. Depression and cognitive impairment in medically ill patients can be detected by screening questionnaires. Very short scales such as the short Geriatric Depression Scale (GDS4) and the Orientation-Memory-Concentration test (OMC) appear to be valid alternatives to longer ones. These very short scales may be useful screening instruments for use with the Single Assessment Process (SAP), as recommended by the National Service Framework for Older People (NSF). Appendix includes questions for the GDS4 and Short OMC test of cognitive function. Contact Details: Robert Baldwin Manchester Mental Health and Social Care Trust, York House, Manchester Royal Infirmary, Oxford Road, Manchester M13 9BX. Tel: +44 (0)161 276 5317  |  Fax: +44 (0)161 276 5303 E–mail: Robert. Baldwin@man.ac.uk |  Web links: http://www.interscience.wiley.com  |  Target group: Mental health  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 0885-6230 Notes: The research was supported by a grant from the North West Research and Development arm of the Department of Health (grant holders Robert Baldwin and Elizabeth Matthew) and by Tameside and Glossop Community and Priority NHS Trust who seconded Helen Pratt. Hannah Goring and Helen Pratt are based at Tameside General Hospital; Alison Marriott at Manchester Mental Health and Social Care Trust,; and Chris Roberts at the School of Epidemiology and Health Sciences, University of Manchester. What are the benefits and the challenges of shared assessments through the Single Assessment Process (DH 2001) and the development of integrated care planning as described in Our Health, Our Care, Our Say (DH 2006) through a common assessment framework across primary, secondary, social and mental healthcare services? Ask the experts (October 2007) Article in Nursing Older People, vol 19, no 8, 2007, p14.> Three opinions are given in response to the above question, from three different healthcare professionals: Deborah Sturdy, Nurse Adviser Older People, DH; Jill Jackson, Nurse Consultant Older People, Wakefield District PCT; and, Clare Abley, Nurse Consultant Vulnerable Older Adults, Newcastle upon Tyne. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.nursingolderpeople.co.uk  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14720795 Notes: Your guide to ... Indicator of relevant need in Single Shared Assessment [examination of the] standardised system for assessing old people's needs currently being rolled out in Scotland [author:Mike George] (15 February 2005) Article in: Care and Health Magazine, issue 101, pp 30-31 An operational guidance resource pack is available - see website for pack and further details on the Scottish system of single shared assessment and indicator of relative need (SSA-IoRN). Contact Details: Mike George Tel:  |  Fax: E–mail:  |  Web links: http://www.careandhealth.com  |  http://www.scotland.gov.uk/Topics/Health/care/17673/9484 Target group: LA/HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14779994 Notes: arkgroup Ltd., Single assessment process: passing the April milestone [author: Lynne Bradey] (July 2004) Article in: ELDERLY CLIENT ADVISOR, in volume 9, issue 5. Lynne Bradey, a solicitor at Wrigleys Solicitors, considers where the NHS should be now that the April 2004 milestone is long past. It is left for readers to decide how well the single assessment process for older people is working in practice. Contact Details: 2nd Floor, 86/88 Upper Richmond Road, Putney, London SW15 2SH Tel: +44 (0)20 8785 2700  |  Fax: +44 (0)20 8785 9373 E–mail: info@ark-group.com |  Web links: http://www.ecadvisor.com  |  Target group: HA  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 1369-2700 Notes: Elderly Client Advisor is a journal available on subscription published 6 times per year. Community Care Positive outcomes Research on the outcomes valued by older people and the methods providers use to achieve them is analysed [author: Jane Maddison] An article in Community Care, 11 January 2007, pp 32-33. This article summarises research on the outcomes valued by older people and lessons learned from authorities developing outcomes-focused services for older people in England and Wales. The research was commissioned by the Social Care Institute for Excellence (SCIE) and carried out by the Social Policy Research Unit (SPRU) at the University of York and Acton Shapiro. Further information including a download of the report (Outcomes-focused services for older people) can be obtained from SPRU's website, details given. For information on training for authorities wishing to develop an outcomes approach consult the Acton Shapiro website. The author has provided questions about this article to guide discussion in teams. These can be viewed from (www.communitycare.co.uk/prtl) and individuals' learning from the discussion can be registered on a free, password-protected training log held on the site. Contact Details: Jane Maddison, Senior Researcher Tel:  |  Fax: E–mail: Jane@actonshapiro.co.uk |  Web links: http://www.york.ac.uk/inst/spru/pubs/ccatreps.htm  |  http://www.actonshapiro.co.uk Target group: LAs  |  Type / Format: article Availability / Price: download report/summary  |  ISBN/ISSN: 03075508 Notes: Community Care Magazine An injection of social care Social workers must tell their health sector counterparts how they can contribute to multi-disciplinary practice - otherwise they risk losing their professional identity [author:Daisy Bogg] An article in Community Care, 29 March 2007, pp 30-31. This article examines the social work role in partnership trusts. As a profession, the author writes, we have become disenfranchised and cannot afford to rest on our laurels. Professional identity is placed at risk only if we let it. As we move towards integration, the validity of the social care perspective becomes ever more vital in the switch to person-centred care. The author is a Consultant Practitioner in mental health social care for Bedfordshire & Luton Partnership Trust. The author has provided questions about this article to guide discussion in teams; these can be viewed at the website link given below. (KJ) Contact Details: Daisy Bogg, Consultant Practitioner in mental health social care Tel:  |  Fax: E–mail: daisy@bogg.eclipse.co.uk |  Web links: http://www.communicare.co.uk/prtl  |  Target group: LAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 03075508 Notes: Community Care Magazine Directors call for strong leadership to hasten move to electronic records (workforce news) [author: Mithran Samuel] A news item in Community Care, 12 April 2007, p8. This bulletin reports on a poll, commissioned by the former ADSS and answered by 134 of the 150 councils, which found 94 per cent of authorities had partially implemented electronic case management systems, but there were several barriers to full implementation. David Johnstone, of the new ADASS, is leading on this issue which will ensure it is considered at the next executive meeting and is then likely to call for a national framework for care records standards. Contact Details: Mithran Samuel Tel:  |  Fax: E–mail: mithran.samuel@rbi.co.uk |  Web links: http://www.communicare.co.uk/prtl  |  Target group: LAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 03075508 Notes: Community Care Magazine We can help you integrate The Integrated Care Network is supporting practitioners in meeting the demands of the new era in social care [author: Bob Hudson] An article in Community Care, 22 February 2007, pp 32-33. Social care is at the heart of many of the key developments in public services reform and the next few years will herald further chagne in service commissioning and delivery. The Integrated Care Network (ICN) seeks to assist local agencies and professionals in addressing the partnership agenda that arises from these reforms nad has produced a range of supporting materials. This article describes four linked publications that address the role of social care in the changing policy context. (KJ) Contact Details: Bob Hudson Tel:  |  Fax: E–mail: bob@hudsonb.fsworld.co.uk |  Web links: http://www.communicare.co.uk/prtl  |  Target group: LAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 03075508 Notes: Counsel and Care Care, support and dignity : making the Single Assessment Process work [author: Professor Ian Philp] (Spring 2007) A brief article in Generations, news and views from Counsel and Care, Spring 2007 issue, p3. Professor Philp reiterates the underlying principle of the process as one that should be centred on the needs, views and objectives of the person accessing services, as well as their family and carers. Furthermore, he believes that SAP is as relevant in 2007 as it was in 2002 when it was first introduced. Contact Details: Professor Ian Philp, National Director for Older People, Department of Health Tel:  |  Fax: E–mail:  |  Web links: http://www.counselandcare.org.uk  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: Notes: Department of Health National service framework for older people: [main report]; executive summary; and Medicines for older people: implementing medicines-related aspects of the NSF for older people [pack cover title]: Modern standards and service models: national service frameworks: older people (author: Department of Health) (2001) 3 volumes in pack. This National Service Framework (NSF) sets out eight standards for the care of older people in all settings across health and social services. These are: rooting out age discrimination; person-centred care; intermediate care; general hospital care; stroke; falls; mental health for older people; and the promotion of health and active life in older age. The main report also describes how it is expected that the NSF will be delivered locally; and sets out "milestones", performance measures for assessing progress, and programmes supporting implementation. Most older people take prescribed medicines as part of their treatment; the medicines document describes how the use of medicines for and by older people can be improved. The executive summary outlines the eight standards and milestones. The NSF has been developed from advice of an External Reference Group (ERG), co-chaired by Ian Philp and Denise Platt, Chief Inspector, Social Services Inspectorate (SSI), supported by nine task groups examining different aspects of older people's health care. Contact Details: Department of Health, PO Box 777, London SE1 6XH. Tel: 0800 555 777  |  Fax: +44 (01)1623 724524 E–mail: doh@prolog.uk.com |  Web links: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4003066  |  Target group: SSD/PCT/HA  |  Type / Format: book; policy Availability / Price:  |  ISBN/ISSN: Notes: Department of Health, Supporting people with long term conditions liberating the talents of nurses who care for people with long term conditions [author: Department of Health - DH] (1 February 2005) Nurses play a central role in caring for people with long-term conditions. This paper (30pp) describes some of these roles, paying particular attention to the new clinical function of community matron. It presents examples in practice of experiences in implementing case management, including Evercare and Unique Care. Contact Details: Department of Health, PO Box 777, London SE1 6XH. Tel: 08701 555 455  |  Fax: E–mail: dh@prolog.uk.com |  Web links: http://www.dh.gov.uk/assetRoot/04/10/24/98/04102498.pdf  |  Target group: Nurses  |  Type / Format: book Availability / Price: FOC from the above address, or as download.  |  ISBN/ISSN: Notes: Other contact details: Professional Leadership Team, Room 5W06, Quarry House, Quarry Hill, Leeds LS2 7UE. Tel 0113 254 6057. Department of Health, Supporting people with long term conditions an NHS and social care model to support local innovation and integration [author: Department of Health - DH] (5 January 2005) The NHS and social care model is a blueprint to support local NHS and social care organisations in improving local services to people with long-term conditions. It draws on existing successes and innovations for the NHS and social care and international experience, to help local health communities to develop a more integrated systematic approach. This "Improving care, improving lives" document (44pp) includes examples of case management and disease-specific care management to illustrate how the model should work. View document Contact Details: Department of Health, PO Box 777, London SE1 6XH. Tel: 08701 555 455  |  Fax: E–mail: dh@prolog.uk.com |  Web links:  |  Target group: Nurses  |  Type / Format: book Availability / Price: FOC from the above address, or as download.  |  ISBN/ISSN: Notes: Other contact details: Long Term Conditions Team, Room 4N26, Quarry House, Quarry Hill, Leeds LS2 7UE. Tel 0113 254 6070 Department of Health The national service framework for long-term conditions [author: Department of Health - DH] (March 2005) This national service framework (NSF) sets eleven quality requirements for health and social care services for people with long-term neurological conditions to live as independently as possible. Much of the guidance in this document (107pp) can also apply to anyone living with a long-term condition. The quality requirements are: a person-centred service; early recognition, prompt diagnosis and treatment; emergency and acute management; early and specialist rehabilitation; community rehabilitation and support; vocational rehabilitation; providing equipment and accommodation; providing personal care and support; palliative care; supporting family and carers; and caring for people with neurological conditions in hospital or other health and social care settings. This NSF is supported by a web-based NSF good practice guide, an NSF information strategy, a leaflet for the public and glossary of terms (see www.dh.gov.uk/longtermnsf). Contact Details: DH Publications Orderline, PO Box 777, London SE1 6XH. Tel: 08701 555 455  |  Fax: E–mail: dh@prolog.uk.com |  Web links: www.dh.gov.uk/longtermnsf  |  Target group: All staff  |  Type / Format: book; guidance Availability / Price: Web link as above, or FOC from the above address. Also available in Braille, audio cassette tape, disk and large print (ref 265109).  |  ISBN/ISSN: Notes: Other contact details: Older People and Disability Policy Management Unit, Care Services Division, Department of Health, Room 8E30 Quarry House, Quarry Hill, Leeds LS2 7UE. European Health Management Association (EHMA) online publications Integrating services for older people: a resource book for managers [edited by Henk Nies and Philip C Berman] [2004] This resource provides guidelines for those involved in the development of integrated care services, written by expert authors from a wide range of backgrounds, and with real-life examples from countries around Europe. Focusing on the management of integrated care at the client level, the organisation level and the system level, this book is for managers and professionals in the health and social care field. Access the resource book online via the web link below. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.ehma.org/carmen/index.html  |  Target group:  |  Type / Format: online book Availability / Price: Online via web link.  |  ISBN/ISSN: Notes: The resource book was produced by the CARMEN network (Care and Management of Services for Older People Network), supported by the European Commission‘s ’Quality of Life and Management of Human Resources‘ Programme. CARMEN has been managed by the European Health Management Association (EHMA). Foundations - National Co-ordinating Body for Home Improvement Agencies Delivering adaptations HIAs delivering government strategies (2003) 15 page booklet which provides evidence that the service of delivering adaptations managed by Home Improvement Agencies (HIAs) can help local authorities and health services address a number of their targets in a cost-effective, client focused way. Contact Details: Bleaklow House, Howard Town Mill, Glossop, Derbyshire SK13 8HT Tel: +44 (0)1457 891909  |  Fax: +44 (0)1457 869361 E–mail: foundations@cel.co.uk |  Web links: http://www.foundations.uk.com  |  Target group: LAs  |  Type / Format: book Availability / Price: FOC  |  ISBN/ISSN: Notes: Foundations - National Co-ordinating Body for Home Improvement Agencies Delivering home improvement agency services to visually impaired people Good practice guide (2004) This guide is aimed primarily at people who work in Home Improvement Agencies (HIAs) but it provides a useful knowledge base, checklists and guide for all who work with those who have a visual impairment. The guide draws on the experiences of six HIAs involved in a good practice research project, jointly undertaken by Foundations and the Centre for Housing Policy at the University of York, the latter commissioned by Thomas Pocklington Trust. 51 pages. Contact Details: Bleaklow House, Howard Town Mill, Glossop, Derbyshire SK13 8HT Tel: +44 (0)1457 891909  |  Fax: +44 (0)1457 869361 E–mail: foundations@cel.co.uk |  Web links: http://www.foundations.uk.com  |  Target group: LAs  |  Type / Format: book Availability / Price: £9.95  |  ISBN/ISSN: 0954545702 Notes: Foundations - National Co-ordinating Body for Home Improvement Agencies Developing services for black and minority ethnic communities Good practice guide (2004) The purpose of this guide is to provide a useful handbook for Home Imrprovement Agencies (HIAs) and other similar service providers. The focus of the guide is equality of service provision for black and minority ethnic individuals. It provides information on how to ensure that services are equally accessible to all community members. 46 pages. Contact Details: Bleaklow House, Howard Town Mill, Glossop, Derbyshire SK13 8HT Tel: +44 (0)1457 891909  |  Fax: +44 (0)1457 869361 E–mail: foundations@cel.co.uk |  Web links: http://www.foundations.uk.com  |  Target group: LAs  |  Type / Format: book Availability / Price: £9.95  |  ISBN/ISSN: 0954545710 Notes: Foundations - National Co-ordinating Body for Home Improvement Agencies Energy efficiency and fuel poverty HIAs delivering government strategies (2003) 15 page booklet which provides evidence that this service managed by Home Improvement Agencies (HIAs) can help local authorities and health services address a number of their targets in a cost-effective, client focused way. Contact Details: Bleaklow House, Howard Town Mill, Glossop, Derbyshire SK13 8HT Tel: +44 (0)1457 891909  |  Fax: +44 (0)1457 869361 E–mail: foundations@cel.co.uk |  Web links: http://www.foundations.uk.com  |  Target group: LAs  |  Type / Format: book Availability / Price: FOC  |  ISBN/ISSN: Notes: Foundations - National Co-ordinating Body for Home Improvement Agencies Falls and accident prevention HIAs delivering government strategies (2003) 15 page booklet which provides evidence that this service managed by Home Improvement Agencies (HIAs) can help local authorities and health services address a number of their targets in a cost-effective, client focused way. Contact Details: Bleaklow House, Howard Town Mill, Glossop, Derbyshire SK13 8HT Tel: +44 (0)1457 891909  |  Fax: +44 (0)1457 869361 E–mail: foundations@cel.co.uk |  Web links: http://www.foundations.uk.com  |  Target group: LAs  |  Type / Format: book Availability / Price: FOC  |  ISBN/ISSN: Notes: Foundations - National Co-ordinating Body for Home Improvement Agencies Handyperson services HIAs delivering government strategies (2003) 15 page booklet which provides evidence that Handyperson Services managed by Home Improvement Agencies (HIAs) can help local authorities and health services address a number of their targets in a cost-effective, client focused way. These include falls prevention, hospital discharge, energy efficiency and fitting minor adaptations. Contact Details: Bleaklow House, Howard Town Mill, Glossop, Derbyshire SK13 8HT Tel: +44 (0)1457 891909  |  Fax: +44 (0)1457 869361 E–mail: foundations@cel.co.uk |  Web links: http://www.foundations.uk.com  |  Target group: LAs  |  Type / Format: book Availability / Price: FOC  |  ISBN/ISSN: Notes: Foundations - National Co-ordinating Body for Home Improvement Agencies Home Improvement Agencies - delivering government strategies across health, housing and social care (Information card 2) (2004) HIAs help people to remainin their own home, safe, secure and independent. This card explains how this helps deliver government strategies such as hospital discharge, falls prevention and energy efficiency and fitting minor adaptations. Contact Details: Bleaklow House, Howard Town Mill, Glossop, Derbyshire SK13 8HT Tel: +44 (0)1457 891909  |  Fax: +44 (0)1457 869361 E–mail: foundations@cel.co.uk |  Web links: http://www.foundations.uk.com  |  Target group: LAs  |  Type / Format: journal Availability / Price: FOC  |  ISBN/ISSN: Notes: Foundations - National Co-ordinating Body for Home Improvement Agencies Home Improvement Agencies - the key to independent living (Information card 1) (2004) This card describes the function and role of Home Improvement Agencies (HIAs), which homeowners and private sector tenants who are older, disabled or on low income to repair, maintain or adapt their homes. Contact Details: Bleaklow House, Howard Town Mill, Glossop, Derbyshire SK13 8HT Tel: +44 (0)1457 891909  |  Fax: +44 (0)1457 869361 E–mail: foundations@cel.co.uk |  Web links: http://www.foundations.uk.com  |  Target group: LAs  |  Type / Format: journal Availability / Price: FOC  |  ISBN/ISSN: Notes: Foundations - National Co-ordinating Body for Home Improvement Agencies Hospital discharge HIAs delivering government strategies (2003) 15 page booklet which provides evidence that this service managed by Home Improvement Agencies (HIAs) can help local authorities and health services address a number of their targets in a cost-effective, client focused way. Contact Details: Bleaklow House, Howard Town Mill, Glossop, Derbyshire SK13 8HT Tel: +44 (0)1457 891909  |  Fax: +44 (0)1457 869361 E–mail: foundations@cel.co.uk |  Web links: http://www.foundations.uk.com  |  Target group: LAs  |  Type / Format: book Availability / Price: FOC  |  ISBN/ISSN: Notes: Glasgow School of Social Work, Universities of Glasgow & Strathclyde Single shared assessment : the limits to 'quick fix' [Andrew Eccles] (February 2008) Article in: Journal of Integrated Care, vol 16, no 1; pp 22-30 Joint working between health and social services has been a key focus of policy in recent years, albeit - underneath the protocols and partnership agreements - integrated processes have developed unevenly. A single shared assessment tool has been one of the concrete expressions of policy on the ground. This paper explores the implementation of the shared assessment process in Scotland. It discusses the broader policy agenda, before exploring the introduction of the shared assessment tool in a large urban authority. Based primarily on interviews with front-line staff in health and social work and manages charged with delivering shared assessment, the paper suggests a lack of engagement on issues such as working cultures and equity of workloads, while some of the main reasons behind the implementation of shared assessment, such as overcoming duplication, have not generally materialised for staff. Overall, single shared assessment has been driven by process rather than by engagement with wider ideas about joint working, which has led to uneven and at times, unwilling implementation. Contact Details: Tel:  |  Fax: E–mail: andrew.eccles@strath.ac.uk |  Web links: http://www.pavpub.com  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14769018 Notes: [Greenwich NHS, Age Concern Greenwich, Neighbourhood Renewal Greenwich and Greenwich Council] Ageing Well in Greenwich: Maintaining Health and Independence [June 2006] 'Ageing Well in Greenwich' is a booklet designed to help older people living in the Borough to make the most of life and know where to find information if they need further support. The material is ordered in the following sections: (1) Keeping healthy and well: a positive attitude; adult learning; keeping well; looking after your feet; looking after your health; loving in later life; retire or continue to work? (2) Keeping safe: accident prevention at home; feeling safe; protecting older people from abuse. (3) Financial, legal and housing matters: know what you're entitled to; housing matters; organising your will and legal matters. (4) Dealing with life changes: assisted transport; caring for someone else; coping with bereavement; maintaining independence. Contact Details: Maggie Rastall Adult Services and Older People's Services, London Borough of Greenwich, Town Hall, Wellington Street, Woolwich, London SE18 6PW Tel: 020 8921 3124  |  Fax: E–mail: maggie.rastall@greenwich.gov.uk |  Web links: http://www.greenwich.gov.uk  |  Target group:  |  Type / Format: book Availability / Price:  |  ISBN/ISSN: Notes: Adapted from a booklet produced by Southwark Social Services with their permission. Growing Older (GO) Programme, Economic & Social Research Council - ESRC Growing older in the 21st century [author: Malcolm Dean] (December 2001) This is an overview of the Economic and Social Research Council's (ESRC) Growing Older (GO) Programme. It is designed as an accessible guide to the amount of research material generated by the programme, which has been conducted since 1999 and finished at the end of 2003. The Programme comprised 24 projects across six topic areas: defining and measuring quality of life; inequalities in quality of life; technology and the built environment; health and productive ageing; family and support networks; and participation and activity in later life. Contact Details: ESRC Growing Older Programme, Department of Sociological Studies, Elmfield, Northumberland Road, University of Sheffield, Sheffield S10 2TU. Tel: +44 (0)114 222 6467  |  Fax: +44 (0)114 222 6492 E–mail: Marg.Walker@shef.ac.uk |  Web links: http://www.shef.ac.uk/uni/projects/gop/index.htm  |  Target group:  |  Type / Format: book Availability / Price: upon request, free of charge  |  ISBN/ISSN: - Notes: Growing Older (GO) Programme, Economic & Social Research Council - ESRC Growing older Programme - project summaries (December 2001) This gives a summary of each of the 24 projects that were part of the Economic and Social Research Council's (ESRC) Growing Older (GO) Programme. It is designed as an accessible guide to the individual projects generated by the Programme. Contact Details: ESRC Growing Older Programme, Department of Sociological Studies, Elmfield, Northumberland Road, University of Sheffield, Sheffield S10 2TU. Tel: +44 (0)114 222 6467  |  Fax: +44 (0)114 222 6492 E–mail: Marg.Walker@shef.ac.uk |  Web links: http://www.shef.ac.uk/uni/projects/gop/index.htm  |  Target group:  |  Type / Format: book Availability / Price: upon request, free of charge  |  ISBN/ISSN: - Notes: Growing Older (GO) Programme, Economic & Social Research Council - ESRC Quality of life: an annotated bibliography [author: Kristiina Martimo] (December 2001) This bibliography contains key references on quality of life and quality of life in old age. It provides an introduction to some of the literature on quality of life that is most relevant to the Growing Older Programme. Contact Details: ESRC Growing Older Programme, Department of Sociological Studies, Elmfield, Northumberland Road, University of Sheffield, Sheffield S10 2TU. Tel: +44 (0)114 222 6467  |  Fax: +44 (0)114 222 6492 E–mail: Marg.Walker@shef.ac.uk |  Web links: http://www.shef.ac.uk/uni/projects/gop/index.htm  |  Target group:  |  Type / Format: book Availability / Price: upon request, free of charge  |  ISBN/ISSN: - Notes: Health and Social Care Quality Centre (HSCQC) Care [Counsel and Care; Health and Social Care Quality Centre] Care is a quarterly newsletter (started in 2004) published by the Health and Social Care Quality Centre (HSCQC) and commissioned by Counsel and Care. Each newsletter is focused on one of the standards in the National Service Framework for Older People, e.g. safety and risk management in health care (issue 4 October 2004). The publication is supplied free of charge to health care professionals via PCTs; otherwise free subscriptions can be registered c/o HSCQC - contact details given below. Alternatively, the latest newsletter can be downloaded from the Counsel and Care website link given below. Contact Details: Dr Gillian Dalley, Editor, 3 - 5 Lambeth Road, London SE1 7DQ Tel: +44 (0)20 7582 7100  |  Fax: +44 (0)20 7582 7545 E–mail: subscriptions@carequality.org |  Web links: http://www.carequality.org  |  http://www.counselandcare.org.uk/index.htm Target group: HAs  |  Type / Format: journal Availability / Price:  |  ISBN/ISSN: - Notes: Healthcare Commission, Audit Commission; Commission for Social Care Inspection (CSCI) Living well in later life a review of progress against the National Service Framework for Older People [authors: Healthcare Commission, Audit Commission, Commission for Social Care Inspection (CSCI)] (March 2006) This is the first collaborative in-depth review of the National Service Framework for Older People (NSF). The Healthcare Commission, the Audit Commission and the Commission for Social Care Inspection (CSCI) have worked in partnership to assess NHS and local authorities progress in meeting the standards set out in the NSF. The chapter, Designing and delivering services around older people (pp 36-51) comments on SAP (pp 38-40) . None of the 10 local authority areas (+40 NHS trusts) that were inspected had introduced one model of single assessment across all partner organisations in the area. There was little evidence of an approach to assessment that "genuinely placed the older person at the centre, and that focused on the issues that the older person saw as most important". Factors which were affecting implementation of SAP included: project management that did not pay enough attention to delivering the requirements of the NSF; lack of a shared electronic system for keeping records; limited testing of single assessments; and incomplete interagency evaluation of SAP. While multidisciplinary training of staff had started in most areas, there are both difficulties in getting staff to attend, and in agreeing about what information could be shared. There were, however, indications that SAP was bringing other benefits, in particular: more consistent and regular reviews of care and support; greater co-ordination of systems to safeguard older people; and better systems to review prescribed medication. p 51 Developing the electronic single assessment process throughout Surrey - provides background on the FAME project which began in Woking. A summary report is also available (weblink 2). Contact Details: Healthcare Commission, Finsbury Tower, 103-105 Bunhill Row, London EC1Y 8TG. Tel: 020 7448 9200  |  Fax: 020 7448 9222 E–mail: feedback@healthcarecommission.org.uk |  Web links: http://www.healthcarecommission.org.uk/assetRoot/04/02/46/42/04024642.pdf  |  http://www.healthcarecommission.org.uk/assetRoot/04/02/46/43/04024643.pdf Target group:  |  Type / Format: book Availability / Price: Available in other formats and languages on request: 0845 601 3012.  |  ISBN/ISSN: 184562881X Notes: Helen Sanderson Associates (HSA); Older People's Programme - OPP Person centred thinking with older people practicalities and possibilities [authors: Helen Bowers, Gill Bailey, Helen Sanderson (et al)] (2007) The book (94 pp) is about person centred thinking to enable older people to have much greater control and say over what they need and want, in order to be full and active citizens. It summarises what is being learnt about self-directed support and older people, and introduces each of the person centred thinking tools. These are: appreciations; relationships; what is important to and for people; communication; histories; wishing; good days and bad days; and working or not working. The book explores how these tools provide the foundation for support planning. The pack provides real life examples for using these person centred thinking tools. The materials on learning centred thinking were developed by the Learning Community for Person Centred Practices and are used with permission. The book was supported by the Care Services Improvement Partnership (CSIP) and In Control. Contact Details: Helen Sanderson, Helen Sanderson Associates, 34 Broomfield Road, Heaton Moor, Stockport, Cheshire SK4 4ND. Tel: 0161 442 8271  |  Fax: E–mail:  |  Web links: www.helensandersonassociates.co.uk  |  www.opp-uk.org.uk Target group:  |  Type / Format: book; toolkit Availability / Price:  |  ISBN/ISSN: Notes: Other contact at HSA: Gill Bailey. Contacts at the Older People's Programme: Helen Bowers, Lorna Easterbrook, Alison Macadam and Cathy Smith. Tel: 01202 416052 Help the Aged Housing choice for older people a discussion paper [author: Joe Oldman] (2006) This discussion paper (61 pp) gives an overview of some of the current policy issues impacting on older people's housing in England: the diversity of housing needs, and housing options. Part 3, Finding solutions, first examines the extent to which strategic planning and policies such as Supporting People (SP) and the Decent Homes Standard deliver results. The role of co-ordinating housing advice and information is considered in the context, for example, of HOPDEV (the Housing and Older People Development Group), Link-Age, the Single Assessment Process (SAP), Home Improvement Agencies ((HIA), and Housing Options for Older People (HOOP). Contact Details: Joe Oldman, Help the Aged, 207-221 Pentonville Road, London N1 9UZ. E-mail: info@helptheaged.org.uk http://www.helptheaged.org.uk Tel: +44 (0)20 7278 1114  |  Fax: +44 (0)20 7278 1116 E–mail: joe.oldman@helptheaged.org.uk |  info@helptheaged.org.uk Web links: http://www.helptheaged.org.uk  |  Target group: housing; general public  |  Type / Format: book; policy Availability / Price: £10.00 Also available on website.  |  ISBN/ISSN: 1845980069 Notes: Help the Aged; Nuffield Institute for Health, University of Leeds Depression and older people towards securing well-being in later life [authors: Mary Godfrey, Tracy Denby] (2004) Older people with depressive disorders are largely invisible in health and care services, and many fail to seek or receive effective treatment. The report reviews the nature and scope of the evidence on depression and older people; evaluates the current policy and practice response; and identifies gaps in the evidence base and areas for further work. The report also examines user and carer needs; risk factors in depression; and how people access services or support, identification and treatment in primary care as well as specialist mental health services. The report presents a framework and suggestions for an approach aimed at supporting a "good life" in older age. This is seen as central in developing strategies for primary prevention of later life depression. Help the Aged commissioned the report, which was undertaken at the Nuffield Health and Social Care Group, Institute of Health Sciences and Public Health Research, University of Leeds. Contact Details: Marston Book Services, PO Box 269, Abingdon, Oxon OX14 4YN. Tel: 01235 465500  |  Fax: E–mail: direct.orders@marston.co.uk |  Web links:  |  Target group: Mental health; general practitioners  |  Type / Format: book Availability / Price: £ 14.99 plus £2.75 P&P.  |  ISBN/ISSN: 1861346425 Notes: Published by Policy Press in association with Help the Aged. Hertfordshire County Council Single Assessment Process in Hertfordshire: investing in change management [authors:Stephen Casson, Dorothy Skidmore] (April 2005) Article in the Journal of Integrated Care, vol 13, no 2, April 2005 pp 28-33. This paper describes how Hertfordshire met the challenge of providing a training programme to improve services for older people, with the introduction of single assessment, in the complex setting of a shire county with a number PCTs, acute trusts, a county partnership trust and a county council social care service. Having set the context for single assessment, it describes the Hertfordshire approach. It focuses on some of the key drivers for successful implementation of such a radical programme of change: the siting of sessions by geographical location, the crucial role of managers and team leaders, setting the context of the sessions in the reality of staff experience, the importance of a shared language, common paperwork and clear protocols, and the role of the local implementation teams in supporting the process both through its implementation phase and into the future. Finally, it recognises that this training programme was only one aspect of equipping staff to be confident and competent in their assessments of older people and that service improvements will be achieved gradually, requiring commitment from managers and support from the local implementation teams. Contact Details: Dorothy Skidmore, Development Manager Tel:  |  Fax: E–mail: Dorothy.Skidmore@hertscc.gov.uk |  Stephen@scasson.fsbusiness.co.uk Web links: http://www.hertsdirect.org/  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14769018 Notes: Housing Learning & Improvement Network (LIN), Change Agent Team Single assessment process and the housing sector a discussion paper [author: Sue Garwood] (13 April 2005) Sue Garwood, an extra care specialist, has produced this discussion paper (19 pp) for Housing LIN. Her paper explores the issues, starting from the Single Assessment Process Guidance and paperwork, and assessing these from the perspective of their reference to, and inclusion of, the housing sector. Issues are then covered from a particular housing sector perspective, also assistive technology. View discussion document  | View Housing LIN newsletter Contact Details: Housing LIN, c/o EAC, 3rd Floor, 99 Albert Embankment, London SE1 7TP. Tel: 020 7820 1882  |  Fax: E–mail: housinglin@eac.org.uk |  Web links: http://icn.csip.org.uk/housing/  |  Target group: housing  |  Type / Format: book Availability / Price:  |  ISBN/ISSN: Notes: The newsletter, Housing with Care Matters: E-news from the Housing Learning & Improvement Network, Change Agent Team, Spring 2005, refers to this report, and that comments or examples are invited by 27 May 2005, to be sent to housinglin@eac.org.uk Jessica Kingsley Publishers Integrating Care for Older People new care for old - a systems approach [authors: Christopher Foote, Christine Stanners] (2002) The authors of this book (384 pp) share their practical experience of implementing a multi-agency approach to the support of older people. They show how systems thinking can help with the complexity of developing a model of care that co-ordinates medical, social and community services. Insight is offered into the effective use of on-going assessment, evaluation, costing and information technology, with examples. The resource aims to meet the growing need for material on multi-agency practice and is a tool for all those working across organisational and professional boundaries to deliver an integrated care system for older people. The book is based on a case study of the South Buckinghamshire EPICS (Elderly Persons Integrated Care System) project, where the authors worked as part of the EPICS team. Chapter 4, 'Assessment: getting to know the older person', emphasises the importance and value of involving the older person in all stages of the assessment process. It also stresses the tension for practitioners between conforming to a standardised system and their wish to use their independent professional judgement - which is the most appropriate way to gain their commitment to a sustainable assessment process. The chapter discusses the selection and use of assessment tools as a way of facilitating the implementation of an assessment process. Contact Details: Jessica Kingsley Publishers. 116 Pentonville Road, London N1 9JB. Tel: +44 (0) 20 7833 2307  |  Fax: +44 (0) 20 7837 2917 E–mail: post@jkp.com |  Web links: http://www.jkp.com  |  Target group:  |  Type / Format: book Availability / Price: £16.95  |  ISBN/ISSN: 184310010X Notes: This book is one of more than 80 items (most date from 1987 to 1998) in the EPICS Collection held in the Library at the Centre for Policy on Ageing. As a concept, EPICS (the Elderly Persons Integrated Care System) could be described as a precursor to SAP. Joseph Rowntree Foundation - JRF; Department of Applied Social Science, University of Stirling Promoting person-centred care at the front line [authors: Anthea Innes, Suzi Macpherson, Louisa McCabe] (2006) Recent policy developments across the UK highlight the importance of a more "person-centred" approach within community care services. Within this framework, however, little attention has been given to the role played by frontline workers in limiting, facilitating or delivering on these policy imperatives. Understanding the roles and experiences of frontline workers is crucial in understanding how frontline care can be made more "person-centred". The authors look at the barriers to and opportunities for promoting person-centred care for older people, disabled people, and people from minority ethnic groups. Their report examines perceptions of frontline work: what the most important qualities of frontline workers are, and the value attached to care work. Organisational and systemic issues that influence the experiences of frontline workers and service users are explored. Recommendations are made on further research to fill gaps in knowledge, while policy recommendations include a scoping study, a national mapping exercise, consideration of training needs for this group of staff, and more consultation with care workers and users alike on practice issues. Contact Details: York Publishing Services, 64 Hallfield Road, Layerthorpe, York YO31 7ZQ. Tel: 01904 4330033  |  Fax: 01904 430668 E–mail:  |  Web links: http://www.jrf.org.uk  |  Target group: Service providers and users  |  Type / Format: book Availability / Price: £ 9.95 . Also avalaible as PDF from web link. Alternative formats such as large print, Braille, audio tape or disk available from Communications Department, Joseph Rowntree Foundation, The Homestead, 40 Water End, York YO30 6WP.  |  ISBN/ISSN: 1859354513 Notes: Also available from the above website , Findings, 0296, May 2006. This summarises the main points (4 pp). King's Fund Case-managing long-term conditions : what impact does it have in the treatment of older people? [Ruth Hutt, Rebecca Rosen, Janet McCauley] (November 2004) 24 page document, to download from website. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.kingsfund.org.uk  |  Target group: LA/HAs  |  Type / Format: book Availability / Price:  |  ISBN/ISSN: Notes: London Older People's Service Development Programme, Social Services Inspectorate - SSI, Department of Health - DH A brighter future for older people : London Older People's Service Development Programme Digest ( June 2003) This digest is one of the final outcomes of the Older People's Development Programme in London, which was a 2-year whole systems improvement initiative ending in June 2003. It comprises: an index of the Programme's work; information on the 25 original projects, with contact details; information on 4 projects funded by and linked to the Programme on medicines management, and patients as teachers; and a paper describing some of the Programme's lessons and ideas. The case finding or case management projects all involved social service departments (SSDS), primary care trusts (PCTs) or other health service trusts, and voluntary sector organisations working together on projects around the National Service Framework for Older People (NSF). Most of the projects included an element of piloting the Single Assessment Process (SAP), testing assessment tools such as EASY-Care, and involving older people. Contact Details: Val Jones, SW London Health Authority, Hartfield House, 41-47 Hartfield Road, London SW19 3RG Tel: +44 (0)20 8545 6091  |  Fax: E–mail: val.jones@swlha.nhs.uk |  Web links: http://www.london.nhs.uk/olderpeople  |  Target group: General  |  Type / Format: book Availability / Price:  |  ISBN/ISSN: Notes: Mark Hunter "Sorry, we can't tell you that" [Data protection and sharing information across social care agencies] [author: Mark Hunter] A journal article in Community Care, 6 July 2006, pp 28-29. The problems faced by agencies trying to contact survivors of the 7 July London bombings have highlighted confusion over data protection and how it inhibits the work of social care agencies. This article attempts to clarify when, what and how data can be shared according to the Data Protection Act 1998 which came into force on 1 March 2000. Under the act, all organisations that collect, hold or process personal information must ensure that they comply with eight key principles but these should not be used to resist passing on any information. Confidentiality can be preserved whilst information is shared but the author argues that a clearer lead should be taken by the Cabinet Office, who have admitted in a report (see pdf link below to Cabinet Office document, 2006) on data sharing that a "persistent confusion exists among practitioners over the interpretation of the Data Protection Act and its relationship with the common law duty of confidentiality, and other legislation such as the Human Rights Act, Health and Social Care Act 2001 and other data-sharing legalisation." Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.communitycare.co.uk  |  http://www.cabinetoffice.gov.uk/regulation/documents/mad/data_sharing.pdf Target group: LAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: Notes: MHA Care Group with support from the Alzheimer's Society The Person - not the Problem MHA Care Group August 2002 A training and information video for everyone interested in understanding dementia. This very powerful drama is the story of retired GP Eleanor Jennings who has recently developed dementia. As she moves into a residential care home, her husband, also a GP, makes a visit to see how she is settling in. Issues highlighted in the video such as communication, care with dignity and respect, and acknowledging the feelings of relatives are supported with a booklet suggesting pointers for group discussion. 'The Person - not the Problem' shows the importance of getting to know and supporting not only the person with dementia, but also their partner and family. By encouraging family input and support whilst preparing a care package, staff are helped to understand better the person they are looking after. Video duration 28 minutes. Contact Details: MHA Care Group, Epworth House, Stuart Street , Derby DE1 2EQ Tel: 01332 296200  |  Fax: 01332 296925 E–mail: enquiries@mha.org.uk |  Web links: http://www.mha.org.uk  |  Target group:  |  Type / Format: video; book Availability / Price: Available for purchase, price £20.00  |  ISBN/ISSN: Notes: National Primary Care Research and Development Centre (NPCRDC) Impact of case management (Evercare) on frail elderly patients controlled before and after analysis of quantitative outcome data [authors: Hugh Gravelle, Mark Dusheiko, Rod Sheaff (et al)] (6 January 2007) Article in: British Medical Journal, vol 334 no 7583, pp 31-34. Case management aims to improve outcomes in patients, and particularly to reduce unplanned hospital admission. In 2002/3, nine Primary Care Trusts (PCTs) piloted case management of older people selected as being at high risk of emergency admission. Rates of emergency admission, emergency bed days, and mortality from April 2001 to March 2005 in 62 Evercare practices were compared with those of 6960 to 7695 control practices in England (depending on the analysis being carried out). The intervention had no significant effect on rates of emergency admission, emergency bed days for a high risk population aged 65+ with a history of two or more emergency admissions in the preceding 13 months. For the general population aged 65+, effects on the rates of emergency admission, emergency bed days and mortality were also non-significant. Case management of frail older people introduced an additional range of services in primary care without an associated reduction in hospital admissions. This may have been because of identification of additional cases. Employment of community matrons is now a key feature of case management policy in the NHS in England. Without more radical system redesign, this policy is unlikely to reduce hospital admissions. Contact Details: Martin Roland NPCRDC, 5th floor, Williamson Building, The University of Manchester, Oxford Road, Manchester M13 9PL. Tel:  |  Fax: E–mail: m.roland@manchester.ac.uk |  Web links: http://www.bmj.com  |  Target group: HAs  |  Type / Format: article Availability / Price: Available as a downloadable document from BMJ website.  |  ISBN/ISSN: 09598138 Notes: This article is the abridged version of a paper published on bmj.com on 15 November 2006. Openmind, the mental health magazine CPA - process or event? ... radical shift in thinking to support the CPA to deliver in the way originally intended says author [author: Steve Morgan] (January/February 2007) Article in Openmind, issue 147, pp19-21. A critical review of the current implementation of the CPA (Care Programme Approach) introduced some 16 years ago to assess needs and review progress in a way that places the individual at the centre of their care; in this article mental health care is the focus. The author sees CPA implemented too often as an administrative approach rather than a creative approach being adopted which would involve more genuine service user involvement. This would involve a greater focus on values, principles and meanings in order to achieve the radical shift in thinking required to support CPA to deliver in the way originally intended. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.openmindmagazine.co.uk  |  Target group: LAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 0265511X Notes: PAVA Directory to support organisations, agencies and practitioners in adult protection [author: PAVA] [September 2004] The Practitioner Alliance Against Abuse of Vulnerable Adults (PAVA) has published a new directory aimed at those working within adult protection. The document, which acknowledges good practice in adult protection, is designed to support organisations, agencies and practitioners by referencing twenty one sites across England where positive work to protect vulnerable adults from abuse and exploitation is taking place. Following the publication of No Secrets1 (National Guidance on Protection of Vulnerable Adults) in the year 2000, the Directory seeks to illustrate what progress has been made in some areas of the country by presenting concise information on strategies which are working well. The directory also lists contact details for those wishing to access more information on initiatives which are of interest. The directory is the result of much work and dedication from colleagues around the country and PAVA anticipates it will prove to be an invaluable resource tool. View Press Release for additional information. View press release Contact Details: Andy Foskett, PAVA Project Coordinator, Clarence House, 46 Humberstone Gate, Leicester LE1 3PJ Tel: 0116 262 1654 Mobile: 07903 312116  |  Fax: E–mail: andy.foskett@pavauk.org.uk |  Web links: http://www.pavauk.org.uk  |  Target group:  |  Type / Format: book Availability / Price: A downloadable copy of this directory will be available from the PAVA website from early November.  |  ISBN/ISSN: Notes: For further information on PAVA see entry on 'related organisations' list. Pavilion Joint Working between Social and Health Services in the Care of Older People in the Community : a cost study [authors: Paul McCrone, Steve Iliffe, Enid Levin et al] (December 2005) Article in: Journal of Integrated Care, vol 13, issue 6, pp34-43. There have been few economic evaluations of joint working between social and health care. This paper focuses on collaboration between professional providing care for people aged 75 and over, and examines the economic costs of contacts made by social workers with community nurses, GPs and older people or their carers. Two areas were studied, one where social care and primary care services were co-located, and the other with social work teams located separately from local health services. The two forms of social care location had an impact on contacts and costs but overall it was fairly small. Contact costs made up only a small amount of the overall costs of care. These findings suggest that altering the organisational arrangements for care delivery may improve the process of care delivery, but result in only minor changes to the proportion of overall resources directed to older service users. (KJ) Contact Details: Steve Iliffe Tel:  |  Fax: E–mail: s.iliffe@pcps.ucl.ac.uk |  Web links: http://www.pavpub.com  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 1476-9018 Notes: Pavilion, Journal of Integrated Care Practical evidence for service development [editor: Peter Thistlethwaite] This journal is edited to ensure practical relevance to the needs of people working on the development of policy and service provision. The Journal aims to be a meeting point for ideas from those studying or evaluating care and from those implementing policy or research findings; and of particular value is the perspective of service users and carers. The editorial board wishes to narrow the gap between research and service delivery, and to promote evidence-based approaches. Published six times a year. Formerly titled: Managing Community Care. Contact Details: Liz Mandeville (Pavilion Editor) The Ironworks, Cheapside, Brighton, East Sussex BN1 4GD Tel: 01273 623222  |  Fax: 01273 625526 E–mail: info@pavpub.com |  Web links: http://www.pavpub.com  |  Target group: LA/HA  |  Type / Format: journal Availability / Price: by subscription  |  ISBN/ISSN: 1476-9018 Notes: Pavilion The Castlefields integrated care model the evidence summarised [authors: David Lyon, Julia Miller, Kirsty Pine] (February 2006) Article in: Journal of Integrated Care, vol 14, issue 1, pp 7-12. This article presents and reviews the evidence from a pilot project run by Halton Primary Care Trust at Castlefields Health Centre in Runcorn, where a social worker was based and worked proactively with a district nurse to introduce an integrated case management approach for patients. The practice had noticed that social interventions were at least as valuable as mmedical ones for older people. Indeed, an important element of this model was the identification of high-risk people aged 65+ not already known about, and for whom anticipatory assessments and care packages could be arranged. Decision-making was noticeably simplified and speeded up, with most assessments completed in a single day. The authors recommend that PCTs should consider the benefits of social care input to case management, especially when planning new services and new roles such as that of community matron. Contact Details: Tel: 01273 623222  |  Fax: 01273 625526 E–mail: info@pavpub.com |  Web links: http://www.pavpub.com  |  Target group: LA/HA  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 14769018 Notes: Pavilion Publishing (Brighton) Ltd., The Sandwell Telecare Project [authors: Paul Waddington, Barry Downs] (June 2005) Article in: Journal of Integrated Care, vol 13, issue 3, June 2005, pp 40-48. This article begins with a case study of the Sandwell Telecare Project, an innovatory venture to pioneer the introduction of electronic aids to enable vulnerable people to live independently. The article concludes with an account of the evaluation, which was undertaken by an independent consultant. This article is particularly timely in view of the Department of Health's expressed intention to make a substantial national investment in assistive technology such as this Project for the two years from 2006. The investment will be known as the Preventative Technology Grant. Contact Details: Tel:  |  Fax: E–mail: paul.waddington@uce.ac.uk |  barry_downs@sandwell.gov.uk Web links:  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: Notes: Practice Development Unit (MHSOP) of Cardiff and Vale NHS Trust Signpost To Older People and Mental Health Matters Journal produced by the Practice Development Unit (MHSOP) of Cardiff and Vale NHS Trust in association with the Dementia Services Development Centre Wales. Produced three times a year. The journal has articles, news of developments in the field, reviews of resources, training courses, webwatch, and letters page. This specialist journal is aimed at those working with and caring for people with dementia, older people with mental health problems and their carers. Signpost provides an inter-agency and multidisciplinary communication network for formal and informal carers, with the intention of supporting common aims and a shared vision of improving quality within services. This is with the overall aim of enhancing the quality of care received by older people with mental health needs and thereby improving their quality of life. Contact Details: Simon O'Donovan (Editor) Signpost Subscriptions Practice Development Unit (MHSOP), Whitchurch Hospital, Park Road, Whitchurch, Cardiff CF14 7BP Tel: 029 2033 6073  |  Fax: E–mail: pdu@cardiffandvale.wales.nhs.uk |  Web links: http://signpostjournal.co.uk  |  Target group:  |  Type / Format: journal Availability / Price: Subscriptions range £15 to £25 per year.  |  ISBN/ISSN: 1368-4345 Notes: PSSRU, University of Manchester Developing multidisciplinary assessment exploring the evidence from a social care perspective [Authors: Caroline Sutcliffe, Jane Hughes, Michele Abendstern, Paul Clarkson, David Challis] (December 2008) Article in: International Journal of Geriatric Psychiatry, vol 23, no 12,, pp 1297-1305. This paper provides an initial evaluation of the impact of the Single Assessment Process (SAP) in England upon practice regarding multidisciplinary assessment. It aims to investigate changes in recorded health needs of older people and in the number of multidisciplinary assessments undertaken using social care agencies' case files; and to examine different approaches to the use of multidisciplinary assessment for older people with different health needs. An audit of case files of older people living in the community in receipt of social care in three areas was carried out at two time periods before and after the implementation of SAP in 2004. Information extracted from files covered a number of domains, including evidence of multidisciplinary assessment, and practice of mental and physical health problems. Data for 144 files for Time 1 were compared to 145 from Time 2. Little evidence emerged that older people at Time 2 were more dependent. However, significantly more multidisciplinary assessments were undertaken following the introduction of the SAP, in particular by occupational therapists and secondary health care teams. Cognitive impairment was a significant predictor of multidisciplinary assessment at both time periods. The impact of the introduction of the SAP has been mediated by the influence of other policies in England: intermediate care and integrated health and social care protection. Nevertheless, the data suggest that consideration be given to more effective targeting of multidisciplinary assessment on the grounds of both cost and more accurate identification of those who will benefit from the process. Contact Details: Caroline Sutcliffe, Research Associate PSSRU at Manchester, Faculty of Medicine and Human Sciences University of Manchester, Dover Street Building, Oxford Road, , Manchester M13 9PL Tel:  |  Fax: E–mail: caroline.sutcliffe@manchester.ac.uk |  Web links:  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: Notes: PSSRU, University of Manchester The Single Assessment Process - involvement of geriatricians [author: Paul Clarkson, Michele Abendstern, Jane Hughes et al] (October 2007) Article in the BGS (British Geriatrics Society) Newsletter, October 2007, no 13, pp 18-19.> At the Personal Social Services Research Unit (PSSRU) at the University of Manchester, the authors as researchers at PSSRU, have recently completed a national survey describing the involvement of geriatricians in the SAP. A questionnaire was sent to all consultants specialising in geriatric medicine in England, identified from a database drawn from the British Geriatrics Society membership. The questionnaires were sent to respondents in October 2005; 382 (49%) geriatricians returned compelted questionnaires which were designed to elicit their views on the SAP in five areas of information, which reflected processes likely to be important in judging the impact of the policy. This article then goes on to describe the findings of this survey. It concludes with the view that SAP underpins the fundamental principles of geriatric medicine and the key role that geriatricians should play across all areas in the implementation of this policy should be taken more fully on board. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.bgsnet.org.uk  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 17486343 Notes: Pyramid Theatre Company Impact evaluation report, 'Who's Helen?' Liverpool 2004 overview [author: Pyramid Theatre Company] (8 November 2004) "Who's Helen?" is a one-act, one-woman play, lasting 50 minutes, which was commissioned by Pyramid Theatre Company. The aim is to raise awareness of the problems of older people in an entertaining and informative manner. During the 2004 autumn tour, twelve performances of "Who's Helen?" were booked in Liverpool / Merseyside. Questionnaires were handed out to audience members, and this impact evaluation report is based on responses in the 373 (out of 699) returned. The report points to interest from a wide range of age groups - including schoolchildren - highlighting the likely intergenerational interest on awareness raising. For service providers, the production provided an insight into the needs, feelings, fears and preoccupations of the older person, and in many cases helped them assess their own attitudes to their work with older people. The report also explains the "hot seating" and other discussion features of this and other Pyramid productions: audiences can explore areas of concern with "Helen" in character. Recommendations made by audiences regarding issues raised by the play cover themes such as social contact, services, and benefits/pensions. An accompanying pack provides information on theatre in health education, other productions by Pyramid, community based theatre projects, and drama techniques training courses. Contact Details: Philippa Easton, Artistic Director, Pyramid Theatre Company, 'Brynitirion', 48 Penygroes Road, Caerbryn, Ammanford, Carmarthenshire. SA18 3DQ. Tel: 01269 850325 Cell: +447800893908 (PE)  |  Fax: E–mail: enquiries@pyramidtheatrecompany.co.uk |  Web links:  |  Target group: All staff  |  Type / Format: publicity material; book Availability / Price: This and other information on application by telephone, e-mail or post.  |  ISBN/ISSN: Notes: See also Related organisations listing. Other contact: Jeff Jenions, Company Manager. Ricability, Calling for help a guide to community alarms Ricability October 2003 More than one and a half million older and disabled people in the UK use community alarms. This guide explains how alarms work and the types of organisations that run alarm schemes. The results of tests on 13 different models of alarm are summarised; and a checklist suggests what to look out for when choosing one. Contact details of useful organisations are also given. This guide is also available in large print, Braille, on tape or from Ricability's website. 24 pp Contact Details: Chris Lofthouse, 30 Angel Gate, City Road, London EC1V 2PT. Tel: +44 (0)20 7427 2460  |  Fax: E–mail:  |  Web links: http://www.ricability.org.uk  |  Target group: individual  |  Type / Format: book Availability / Price: free of charge  |  ISBN/ISSN: 0900621621 Notes: Royal College of Physicians & Faculty of Public Health Medicine Assessing health needs of people from minority ethnic groups [author: Salman Rawaf and Veena Bahl (eds)] (1998) Book published in collaboration with the Department of Health, shows how health needs assessment in the NHS could contribute towards a healthier nation. It directs particular attention to the special health needs and expectations of the larger ethnic minority groups in the UK, and includes a chapter on the unique health problems of refugees and asylum seekers. This book provides a framework for the quantitative and qualitative assessment of the health needs of these ethnic groups and gives guidance on the allocation of priority to the provision of the appropriate health services. Contact Details: Royal College of Physicians 11 St Andrews Place, Regent's Park, London, NW1 4LE Tel: 020 7935 1174  |  Fax: E–mail: publications@rcplondon.ac.uk |  Web links:  |  Target group:  |  Type / Format: book; guidance Availability / Price: £16.50  |  ISBN/ISSN: 1860160581 Notes: Social Care Workforce Research Unit, King's College London Assessing the mental health needs of older people systematic review on the use of standardised measures to improve assessment practice [author: Jo Moriarty] (November 2002) The introduction of the Single Assessment Process (SAP) highlights the importance of summarising current knowledge in the use of standardised measures to improve the identification of mental health problems in older people and their carers, as in Standard Seven of the National Service Framework for Older People (NSF). This systematic review (115 pp) presents evidence on the use of such standardised tools and scales. It is primarily aimed at supporting the assessment practice of social workers and staff in community and long-term settings with no professional background in mental health. It outlines some of the reasons for using standardised measures and the criteria for selecting between different measures. It provides information on different mental health problems (dementia, cognitive impairment, depression, anxiety, and alcohol or substance abuse) and the screening measures available to assist in their identification. It covers the assessment of carers' needs, and looks at the wider assessment context. The review cites 199 articles, books and reports, which are presented as tables of useful sources by topic or name of measure. View report Contact Details: Janet Robinson, Unit Administrator, Social Care Workforce Research Unit, King's College London. Franklin Wilkins Building, 150 Stamford Street, London SE1 9NH. Tel: 020 7848 3752  |  Fax: 020 7848 3700 E–mail: scwru@kcl.ac.uk |  janet.j.robinson@kcl.ac.uk Web links: http://www.scwru.kcl.ac.uk/  |  Target group: Social workers, Residential care staff  |  Type / Format: book Availability / Price: Also available as hard copy from the Unit.  |  ISBN/ISSN: 0954648129 Notes: SOLACE Foundation Imprint Loose talk and a hard nut: commissioning for better outcomes [author: Andrew Cozens (ed)] (February 2007) An A5 booklet (30 pp) insert in Public (the magazine for senior executives across the public sector) published by The Guardian), 01/01/07 issue. The booklet has 7 articles, all focused on aspects of commissioning public services. Title/author as follows: 1. A new framework for local authorities by Andrew Cozens. 2. How the white paper could look in practice by Lee Digings. The NHS rediscovers commissioning by Nigel Edwards. 4. We welcome the changes at community level by Janet Callender. 5. How the new vision affects the third sector by Jo Williams. 6. Better commissioning, better services by Neil Bentley. 7. Successful governance is all in the mix by Gerald Wistow. Contact Details: Hope House 45 Great Peter Street London SW1P 3LT Tel:  |  Fax: E–mail: hope.house@solace.org.uk |  Web links: http://www.solace.org.uk  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: Notes: Values into Action Making decisions best practice and new ideas for supporting people with high support needs to make decisions [authors: Stephanie Beamer, Mark Brookes] (2001) 92 pp report, with workbook, 'It's your choice'. This report is aimed at service providers, families, friends, carers and those who support people with learning difficulties who have high support needs to make choices.It uses real life stories to challenge the idea that people with high support needs cannot make their own decisions. It discusses current practice and law, suggesting that both are often limited in vision. It offers a model of supported decision making as a solution. The accompanying workbook, 'It's your choice', is written in plain English, with pictures, and tells people with learning difficulties about making decisions. Contact Details: Tel:  |  Fax: E–mail:  |  Web links:  |  Target group: General  |  Type / Format: workbook; book Availability / Price:  |  ISBN/ISSN: Notes: Whurr Publishers Ltd., The Single Assessment Process [author: Siān Wade] (2004) Chapter 10, pp 154-170 in: Intermediate care of older people; edited by Siān Wade (ISBN 1862563566). The Single Assessment Process is introduced in the context not only of intermediate care, but also the White Papers, 'The new NHS: modern, dependable' (1997) and 'Modernising social services' (1998). This chapter provides some background, and describes some of the processes that have been adopted, or need to be adopted, in order to achieve implementation of SAP. It looks at strategies that might be adopted to 'make' the process work, but also acknowledges a range of challenges that need to be addressed or overcome, if it is to be effective or of benefit to older people. Included as tables are: the 12 steps to implementation of SAP, as recommended by the Department of Health (DH); 7 key issues that may need exploring on contact assessment; the domains and sub-domains of SAP (also specialist assessment domains); potential outcomes of single assessment for the user, staff and organisation; and the selling benefits of SAP. Contact Details: 19a Compton Terrace, London N1 2UN. Tel:  |  Fax: E–mail:  |  Web links: http://www.whurr.co.uk  |  Target group: All staff  |  Type / Format: article Availability / Price: £24.50  |  ISBN/ISSN: Notes: Wolters Kluwer (UK) Ltd The Single Assessment Process [author: Jef Smith] (September 2005) Article in Croner's Care Management Briefing, September 2005, pp 6-8. In this brief article, the author discusses SAP, problems with its implementation and how it may affect assessment processes for a range of service user groups in the future. Contact Details: 145 London Road, Kingston upon Thames, Surrey KT2 6SR Tel: +44 (0)20 8247 1175  |  Fax: E–mail: info@croner.co.uk |  Web links: www.croner.co.uk  |  Target group: LAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 1742-9331 Notes: www.communitycare.co.uk Do It Yourself Online self-assessment of needs by older and disabled people is being piloted in Kingston, London. [author: Josephine Hocking] An article in Community Care, 3 May 2007, issue 1671, pp 36-37. Details of a scheme being led by Bill Brittain and Phil Levick of Kingston's team working with people with long-term needs, which helps maintain the independence of service users. Contact Details: Tel:  |  Fax: E–mail:  |  Web links:  |  Target group:  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 03075508 Notes: www.nursingtimes.net Holistic care for older inpatients [author: Janis Smy] Journal article in Nursing Times, 16 May 2006, vol 102, no20, pp 16-17. A team of nurses from Bradford won an NT Award for training "older people's champions" to ensure patients' mental health needs, as well as physical needs are met. Team leader, Kath Williams and senior manager in practice development Suzanne Wightman from South West Yorkshire Mental Health NHS Trust have spent the past two years training, educating and supporting their general hospital colleagues in the identification and care of older patients who have mental health issues, in addition to the surgical or medical problem that brought them in to the hospital. Assisted by healthcare support work Ruth Endecott and ward development manager Jo Crossland, they have recruited and trained a hospital-wide multidisciplinary team of older people's champions. Dementia care mapping to improve the patient's healthcare journey has been introduced. The project has now come to an end and it was funded by the Department of Health. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: http://www.expertpatients.nhs.uk  |  Target group: HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 09547762 Notes: www.nursingtimes.net The rise of the expert patient [author: Ann Shuttleworth] Journal article in Nursing Times, 7 February 2006, vol 102, no 6, pp 18-19. The author explains the implications of the white paper Our Health, Our Care, Our Say : a new direction in community services, published in February, in respect of the government's commitment to supporting the concept of "self-care". This will have an affect upon the relationship between nurse and patient in particular. The author describes how the national Expert Patients Programme (EPP), which is a government initiative, will empower patients with long-term conditions through courses, to give them confidence to lead a better life. Key factors in helping to develop expert patients are outlined in the article. For further information about the national NHS EPP, visit the website link given below. Contact Details: Tel:  |  Fax: E–mail:  |  Web links: www.expertpatients.nhs.uk  |  Target group: HAs  |  Type / Format: article Availability / Price:  |  ISBN/ISSN: 09547762 Notes:

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