Friday, 9 September 2011

Enhanced reablement shows results

Staffordshire County Council has produced a short video promoting its Living Independently Staffordshire reablement scheme that offers greater flexibility and a longer period of support following illness or injury. 

Following four successful pilots, the scheme, which provides up to 12 weeks of free intensive support to help people get back on their feet, is set to operate across the county.

Previously people received up to six weeks reablement support, but the Community Reablement team found some individuals needed more time to regain their independence, and often ended up in hospital again or long term care.

The revamped service is now available to people over 18 if they are referred by their GP, hospital or direct from the community. No other county in the country offers reablement care to people as young as 18. 

Support ranges from simple help with medication, or relearning how to boil a kettle, to more demanding situations, such as regaining the ability to talk and carry out other daily tasks.

Pilot scheme results show more than 50% of people who used the service were able to go back to their own lives and live independently without further support. 

See video

Blueprint for effective use of fall detectors

An evaluation of the use of fall detectors is underway with the purpose of drawing up guidelines on how to use them effectively. 

Evaluation is being carried out by the Health Design and Technology Institute, Coventry University, in partnership with the West Midlands Region Telehealthcare Network, and Warwickshire PCT.  The project is funded by NHS West Midlands.

Currently one third of older people lie undetected when they fall, for at least one hour.  Detectors can be deployed to raise the alarm early and ensure a timely and appropriate response, but their use across the region varies. 

Evaluation will include:
  • Focus groups with telehealthcare representatives, and interviews with older people
  • Evaluating the experience of 20 older people issued with fall detectors as part of their existing care package
  • A literature review and market appraisal of existing fall detector technology
  • Collecting data from existing sources about the range of fall detectors used across the region and demographic profiles of users.
Contact: Dr. Gillian Ward, Project Lead, g.ward@coventry.ac.uk or Nikki Holliday, n.holliday@coventry.ac.uk

Project brief
Fall Detectors – What do users want?                                                                    
One third of older people who fall lie undetected for at least 1 hour. Fall detectors can provide an early alert which can ensure a timely and appropriate response, but their use varies across the region. Understanding of the detectors role and use will be explored in this project, which will capture and analyse user experience to ensure detectors are deployed in a more efficient and effective way.

The Health Design & Technology Institute (HDTI), Coventry University in partnership with the West Midlands Region Telehealthcare Network and Warwickshire PCT, has been funded by NHS West Midlands to carry out an evaluation of the use of fall detectors within the West Midlands Region. Through understanding the users' perspectives, guidance will be produced on the use of detectors to support referral and application across the region.
The service evaluation will use "rapid appraisal techniques" for the swift assessment of local views and perceptions of the problems and needs relating to the use of fall detectors across the region.
The evaluation will include
·        focus groups with telehealthcare leads and interviews with older people

·        evaluating the experience of  20 older people issued with fall detectors as part of their existing care package

·        a literature review and market appraisal of existing fall detector technology

·        collecting data from existing sources about the range of fall detectors used across the region and demographic profiles of users
The project will conclude with a workshop to summarise the findings and agree priority areas for action.
Following ethical approval, focus groups and interviews will took place April to May 2011 and the service evaluation began in April 2011. You can get involved by;
·        taking part in a focus group

·        responding to a survey on the use of fall detectors in your area

·        helping in the recruitment of service users for interview and the service evaluation.
The project steering group includes; Sue Williams, Project Development Manager, ADASS and JIP West Midlands; Jim Ellam, Assistive Technology Project Lead, Staffordshire County Council; Nathan Downing, JIP Telecare Project Lead; Liz Long, Health Improvement and Falls Service Manager, Dudley MBC; Mary Jerrison, Osteoporosis and Falls Management Team Leader,  South Staffs PCT;
Sue Ducker, Warwickshire PCT; Simon Fielden, Director HDTI, Coventry University.

If you would like further information about the project please contact Dr. Gillian Ward, Project Lead, HDTI, g.ward@coventry.ac.uk or Nikki Holliday, Research Assistant, HDTI, n.holliday@coventry.ac.uk


Shock at reluctance to help elderly stay at home

Members of the All Party Parliamentary Group on Housing and Care for Older People have expressed their shock at lack of investment in measures to help vulnerable people remain in their homes for longer.
Reporting on their Inquiry into the barriers preventing older people from living well at home, members noted that relatively minor and cost effective changes, such as hand rails and stair lifts, could help people remain independent.

Instead, the Inquiry found evidence of delays and duplication in assessing individual needs, insufficient funds for preventative home care, inflexible administration of personalised support, shortages of Disabled Facilities Grants for home adaptations and of occupational therapists to advise on them, under-resourced and few home improvement agencies, and insufficient numbers of handy person schemes to get things done for older home owners. 

Members recommend a joined up approach between health, social care and housing, with the soon to be established Health and Wellbeing Boards placing greater emphasis on housing issues.  

Their Inquiry also recommends better equity release schemes for home owners, to give them the cash needed to modify their homes. 

Full report here

Southern Cross transfer due for completion this Autumn

Transfer of Southern Cross care homes to new operators is due to be completed by the end of October 2011. 

A restructuring committee made up of representatives from the company, its landlords and lenders, are overseeing the process that involves 750 care and nursing homes, and up to 31,000 residents. 

Southern Cross Healthcare is the largest independent care home operator in England. It will cease operating when transfers have been completed.

The Association of Directors of Adult Social Services (ADASS) is maintaining an updated guide to the transfer of homes. 

Details  

Care home transfer tracker launched

A new website tracking the transfer of care homes run by Southern Cross has been launched by the Association of Directors of Adult Social Services (ADASS).

The site lists the name of every home in England managed by Southern Cross, and gives information on the progress of transfers to new operators.  

There are three stages to the process:
  • Conclusion of TUPE agreements in relation to staff
  • Deregistration and reregistration of the new care provider with the Care Quality Commission
  • Finalising agreements between landlords of the homes and Southern Cross
Names of the new operating companies will be added to the site as they become available. A fully comprehensive list will be available in Autumn when the transfer process is due to end.
ADASS President Peter Hay said: “We hope this source will help settle the nerves of residents, carers and the wider public alike, as we approach the final phases of the transition from Southern Cross to other operating companies. 

 “We have stressed all along that our over-riding concern has been the wellbeing and security of all Southern Cross residents. This website and the data it holds are part of that determination and commitment.”

Southern Cross care homes information


Tuesday, 5 July 2011

Thumbs up for Jim’s technology drive

Staffordshire County Council’s Assistive Technology Project Manager, Jim Ellam, has been praised for his promotion of assistive technology at the Smart Healthcare Live event, in a recent Guardian online article.
Jim spoke at last month’s conference, about the range of technology available to keep people out of hospitals and living independently in their own homes.





Bringing down the cost of public services

Improvement and Efficiency West Midlands (IEWM) has launched its latest film Bringing down the Bill: Improving Efficiency in the West Midlands. 

The film demonstrates how IEWM is working with local authorities and their partners to help bring down the costs of local public services, and can be viewed on the IEWM website.  

Read more