The King's Fund Inquiry into Care Services for Older People in London was established to find out whether the care system operating in 2004 was meeting the needs and preferences of older Londoners who require care and whether there will be sufficient care services of the right design and quality ...
A report commissioned by the King's Fund in December 2004 to provide support to the Enquiry into Care Services in London. The data helps to provide an understanding of housing issues that impact on people's ability to make choices about their care and their way of life.
The demand for care and support in old age is growing nationally, but London faces some particular challenges. For example, although there are fewer older people in inner London, many are likely to need social care as a result of poor health, poverty, poor housing and lack of social support. ...
This report shows that managers in NHS and social care organisations struggle to prevent discrimination on the grounds of age. Based on a telephone survey of 75 senior managers in hospitals, primary care groups, community trusts and social services departments, it shows that while the majority support moves to combat ...
The ultimate goal of the new Older People's Service Development Programme in London is to promote the independence of older people in London through the development of person-centred coordinated services. The aim will be to establish systems to identify vulnerable older people in the community who may be at risk ...
This inquiry concludes that care and support for older and disabled people could collapse unless the Government allocates at least £700 million extra to social services each year. It shows that Britain's estimated one million care and support workers exist on low pay, with poor training, inadequate support from their ...
The Government is planning controversial changes to the funding of long term care for older people. This important book explores the past and future of policy in this area and reflects the changing balance between the state's and the individual's responsibilities to cover risks associated with ill health and disabilities. ...
This book is intended as a guide to effective ways of helping older homeless people. The authors hope to raise awareness of the problems and needs of a generally neglected group of seriously disadvantaged people, to demonstrate that, contrary to widespread assumption, many of them will accept and respond to ...
This report has been prepared to share information about rapid response services for older people, to encourage the identification and adoption of good practice and to give people the opportunity to learn from the experiences of others. It draws on information shared at a workshop held by the Rehabilitation Programme ...
This paper aims to support primary care groups (PCGs) planning to develop local services for older people and carers. It provides a comprehensive overview of current policy developments and draws on the wider literature to discuss the likely issues and challenges that PCGs will face in reshaping services for their ...
The King's Fund Long-Term Care Finances project began in October 1999. Its aim is to find ways in which the debate on funding long-term care can move forward. This report gives the results of an interview survey of 100 people undertaken in June and July 2000. They were asked questions ...
This report is drawn from two seminars attended by frontline practitioners and others working in health, housing and social care held at the King's Fund in February and April 1999. Participants discussed their views of current treatment, care and support of older people, and what they would want for their ...
Following a seminar for front-line health, housing and social care professionals, King's Fund staff were invited to take part in an afternoon event on 13 April 1999 to consider current care arrangements and provision for older people; and to discuss their thoughts on what they would want should they need ...
The findings outlined in this book describe a service in inner London that cannot be sustained because it is unable to meet the demands imposed upon it. Services in outer London are comparable with those in other English cities. The mental illness services are in a state of transition, and ...
This working paper is about engaging with older people around the development of community services. It sets out to do three things: make a case for engaging with older people to find out about their lives and the support they may require as they become ill or frail and to ...
This report is the fifth in a series of reports prepared to inform the work of the King's Fund London Commission. It emphasises the diversity of London's older people, and highlights the fact that individual requirements for well-coordinated, patient-centred care are incompatible with the complex pattern of service provision in ...
This report presents some of the main themes that emerged from a series of workshops on various aspects of primary care organised and hosted by the King's Fund in the summer and autumn of 1996. The topics covered in the workshops were change in primary health care, frail elderly people, ...
This report focuses on the provision of equipment and adaptations for older people with disabilities. It looks at the problems which older people with disabilities experience in gaining access to the help with equipment and adaptations that they require, sets out some examples of ways in which service provision can ...
The National Health Service in London faces profound challenges. Currently, services are under intense strain. Access to appropriate care for Londoners is jeopardised, and public confidence has declined. In inner London, in particular, there are high levels of deprivation and growing health inequalities. While some of the country's leading hospitals ...
The National Health Service in London faces profound challenges. Currently, services are under intense strain. Access to appropriate care for Londoners is jeopardised, and public confidence has declined. In inner London, in particular, there are high levels of deprivation and growing health inequalities. While some of the country's leading hospitals ...
This publication looks at how older people can benefit when joint commissioning of services takes place. It outlines the state of joint commissioning around the country, then looks in more detail at the five development sites: Oxfordshire, the Victoria area of London, Easington in County Durham, Hillingdon, and Wiltshire. The ...
This report was commissioned by the King's Fund as part of the process of evaluating the impact and effectiveness of their work in the five development sites of the project. The two questions the report attempted to answer were: to what extent the sites had met the service change targets ...
This handbook was commissioned by the London Health partnership for use by groups who wish to address a concern about transport. It describes how to make the most of the transport that is available; suggests how to get a local transport scheme started; and provides background information of interest to ...
This pamphlet describes the whole systems approach taken by the London Health Partnership to achieve their aim of improving the well-being of older people by addressing long-standing problems of providing care and promoting health in cities. This summary was presented to the 1996 British Urban Regeneration Association Conference.
This is the fourth in a series of briefings from the King's Fund's Joint Community Care Commissioning Project, and the last before the Project's final report. It continues the theme of achieving change through joint commissioning and questions whether it really can lead to a significant improvement in the quality ...
This is the third publication in a series based on the work of the King's Fund Nursing Development Units. Using interviews with staff, this book offers examples from five different units of the way in which patients and clients have become actively involved in delivery of care and service developments. ...
This is a summary of a workshop in a continuing series of short events designed to explore the development of collaborative commissioning in the light of evolving local experience. Participation was drawn from the five sites involved in the King's Fund Centre's Joint Commissioning project, eight other health and local ...
This is a summary of a workshop in a continuing series of short events designed to explore the development of collaborative commissioning in the light of evolving local experience. Participation was drawn from the five sites involved in the King's Fund Centre's Joint Commissioning project, eight other health and local ...
The first briefing gave an indication of some of the major issues involved in joint commissioning services for older people. It also gave an introduction to the work taking place at the five King's Fund development sites which are: Easington; Hillingdon; Oxfordshire; Westminster; and Wiltshire. This second briefing concentrates on ...
The first two briefings looked at major issues involved in joint commissioning services for older people and examined progress at each of the five development sites. This third briefing concentrates upon the achievement of change, particularly making a positive impact on older people's lives through collaborative commissioning. A major theme ...
This report discusses progress and problems arising in the joint commissioning of community care services during 1993. Particular attention is given to the commissioning of services for older people, which in terms of expenditure, size of population and potential for service change represent a major challenge in health and social ...
This report describes a two year study of the introduction of primary nursing in one of three matched elderly care wards in Mid Staffordshire health authority in order to improve the quality of care given to each patient and patient-staff relationships.
The imbalance in London between primary health care and hospital services has long been recognised. Attempts are now being made to address this issue by strengthening community-based services. This paper quantifies the nature of the challenge facing primary health care in the capital relative to the rest of the country. ...
This study examines the changes in nursing care of elderly patients that have taken place since the early 1980s in the former geriatric unit which is now the Tameside nursing development unit. This NDU was one of the first to be established in Britain. In 1990 the Department of Health ...
This document is a personal view of the current issues of acute care in London based on the author's experience of working in the south east segment of inner London. It is a view informed by impressions gained in working in five different London teaching and postgraduate hospitals and the ...
In this booklet the author describes how the team introduced a user-friendly tool for assessing the nutrition of elderly patients on their ward and a flexible health promotion programme to meet the special requirements of the patients and their carers. This series looks at some ways nurses in Nursing Development ...
This report provides a users' perspective on acute health services in London. It begins with an overview of the situation in the capital and proceeds, by considering two vulnerable groups - elderly people and single homeless people, to look in detail at aspects of acute services which are of concern ...
In this booklet, the author, a ward sister, describes how she consulted carers on how to provide effective ward services for elderly people and how the team has set about meeting the carers needs. This series looks at some ways nurses in Nursing Development Units (NDUs) have tried to make ...
The care of elderly people is a matter of both increasing urgency and major uncertainty. Community care policies have come under increasing scrutiny over the past decade, and three factors have been particularly influential: an awareness of an ageing population, allied with other demographic and social changes that are likely ...
This document is intended to serve as a source of information aimed at African-Caribbean carers of elderly people and those who support them. It offers information around what services area available to those carers and whom to approach for help. It acknowledges the important roles played by African-Caribbean community organisations ...
The care given to a random sample of adults who died in 1987 is described retrospectively by relatives and others who had known them. Most praised, or were satisfied with, the care given by general practitioners but both the statistics and the quotations reveal some disconcerting inadequacies in this care, ...
This report suggests ways in which managers and professionals can make community care more responsive to elderly people. The first part of the report examines ageism and its effects on health care. It describes how elderly people from black and ethnic minority groups are effected by racism. Part Two is ...
The report was prepared by a small study group composed of individuals drawn from organisations concerned with the health and welfare of elderly people throughout the United Kingdom. Following an introductory section setting out the W.H.O. approach to health promotion the report is organised in three parts. Part one - ...
Early in 1987 five health visitor managers and five district nurse managers came together from across London to explore ways of working together in the 'spirit of Cumberlege'. The focus was caring for elderly people in the community. A record was kept of the process of the workshop with a ...
Arthur Andersen and Co. Management Consultants has been involved with a number of research projects designed to measure value for money in health and local authority services. This booklet describes the components which they believe make up a successful joint planning exercise. Its purpose is to present some lessons and ...
This workshop was arranged to bring together those who were at the leading edge of developing quality assurance in community care for people with learning difficulties, those with mental health problems, people with physical disabilities and frail elderly people. Three main issues were examined: the definition of quality assurance in ...
This document defines the standard of care for facilities for elderly patients, and includes a checklist of standards together with guidelines for rating the criteria of service.
This publication consists of the collated information of a survey undertaken in the autumn of 1985 by the Long Term and Community Care Team at the King's Fund Centre. All NHS district general managers in the UK were contacted, to find out about innovations in services for the elderly during ...
This research project is the result of collaboration by the following organisations:- The King's Fund; London Boroughs Training Committee; London Voluntary Services Council; National Institute of Social Work; Age Concern Greater London. It was financed by the King's Fund. The limits of altruism explores the social and psychological processes which ...
This paper aims to set out principles of good practice for services for people suffering from dementia. It is intended to be used by all those who are involved in operating, planning or monitoring services for these people. It begins by stating some key principles which should underlie the provision ...
The Continuing Care Project (CCP) is concerned with improving the quality of the arrangements made for support and care in the community when elderly people are discharged from hospital. This current study, which describes practices in use in 1982, shows that whilst significant progress has been made in tackling the ...
This conference took place within the context of three related developments. Firstly, there was the wide-ranging debate about standard setting and the measurement of quality in public services. Secondly, there were the more specific concerns about standards of care in residential accommodation for the elderly, and thirdly, there was the ...
This paper aims to present two main types of information. Firstly, it aims to identify the various factors - demographic, economic and ideological - which have come together to create an unprecedented crisis for those involved in the provision of health and social services to the elderly population. Secondly, it ...
A summary of social characteristics in all district health authorities in England has not been published before. The items presented here are about children, the elderly, housing, migration and economic factors, and include a selection of composite scores. Similar information about electoral wards may be used to identify the most ...
The appropriate and safe use of drugs by the elderly requires special knowledge and skills if the benefits of treatment are to outweigh the risks. This review of published reports covers the use and misuse of drugs by the elderly, drug therapy in elderly patients and prescribing for the elderly. ...
This study day arose from the D.H.S.S. study of the same name published in 1981 and was concerned with the policy implications of the D.H.S.S. document. An overview of the 'Respective Roles' study was given before discussing "models" of geriatric care with their advantages and disadvantages, and opportunities for mutual ...
The conference aimed to introduce members of London district health authorities to the particular problems of providing services for elderly people within London, following reorganisation of the NHS in April 1982. Quality of provision for old people, both in the community and in hospitals in London contrasted greatly with the ...
This series of study days was organised by the King's Fund Centre with help and advice from the DHSS and the Centre for Policy on Ageing. It provided an opportunity for members of staff who are responsible for the inspection and registration of homes and the officers in charge of ...
During the period 1975-1979, a project "Care of the elderly" was undertaken, with support from the King's Fund, by members of Devon's social services department, Exeter health care district and the Institute of Biometry and Community Medicine, University of Exeter. The overall purpose of the project was to promote the ...
This report is a summary of the final conferences on the care of elderly people based on a study of Danish experience in the field. The subjects for discussion were housing, the need for flexibility in care and the identification of good practices. Four syndicate groups discussed specific topics, keeping ...
A service for the elderly mentally ill was started at St Francis' Hospital, Haywards Heath, in 1967. This collection of papers has been published following a grant from the King's Fund. The report gives some account of what has happened since the establishment of the service, the type of services ...
This is the fourth in the series of do-it-yourself surveys of hospitals published by the King's Fund. The report describes the views of elderly people who are likely to spend the rest of their lives in hospital, together with the views of their visitors and the hospital staff. The survey ...
The conference was convened by the King's Fund and the Association of General Practitioner Hospitals, to promote discussion and debate on the place that English and Welsh general practitioner hospitals have in the provision of care for the elderly. Topics under discussion included the provision of co-ordinated community geriatric care ...
In June 1978, a small multi-disciplinary group consisting of two doctors, a nurse and a social worker spent a week in Denmark studying the Danish approach to care of the elderly. The conference was held to examine the Danish experience of long-term care for the elderly. Discussion focussed on what ...
This experimental project took place in Newcastle upon Tyne to look at the health of elderly people. The aims of the project were: to develop experimental after-care and preventive medicine with patients, their friends and families; to help develop relationships that bridge the gap between family and friend and hospital ...
This publication contains reports on a series of five conferences held at the King's Fund Centre between September 1972 and January 1973 on the subject of psychogeriatric services. The reports are entitled: 1) planning services for the elderly; 2) priorities for psychogeriatric care; 3) organisation of psychogeriatric care; 4) care ...
The present study was designed to assess the nutritional status of the housebound and to compare their dietary intakes with those of more active old people. For this comparison the results of two surveys were available: elderly people on the list of a large group practice in the London borough ...
The purpose of this publication is to illustrate some of the good ideas and practices that have already been introduced, or are being planned, in the provision of services for elderly people in hospital, community and the home, with particular reference to psychogeriatric care. It does not attempt to provide ...
The function of a meals on wheels service is to provide meals sufficiently often and of such nutritive value as to make a significant contribution to total food intake. In this investigation the meals supplied by six meals on wheels kitchens and two luncheon clubs in two North London boroughs ...
Volunteers are able to spend time listening to elderly people whether in hospital or in a home, time which professional staff and even relatives are unable to spare. If used effectively on a hospital ward, volunteers can relieve some of the pressure which staff may feel in being unable to ...
This publication contains reports on a series of twelve conferences held at the Hospital Centre between June-December 1970 on the subject of services for the elderly in hospital and community. These reports have been prepared largely at the request of the conference participants who asked for a record of the ...
In 1962, sixty women living alone took part in a seven-day weighed diet survey. When the dietary intake of women in their early and late seventies was compared it was found that there was a decline in dietary intake of as much as 30 per cent in some nutrients between ...
This book consists of a series of papers on various aspects of day hospitals for elderly people in Great Britain and Northern Ireland in 1970. The author stresses that the reason for and the primary role of the day hospital are therapeutic and the major reasons for their use are ...
This purpose of this booklet is to illustrate some of the good ideas and practices that have already been introduced, or are being planned, in the provision of services for elderly people in hospital, community and the home. The information was collected in preparation for an exhibition and conference held ...
The precise nutritional needs of old people are unknown. In an attempt to discover levels of intake compatible with health it was decided to carry out a survey of the dietary needs of elderly women living alone, and to make a clinical assessment of the subjects. The survey results are ...
This booklet is for wardens and matrons who are catering for elderly people in residential accommodation and who seek guidance about changes in diet which may be necessary. the first few paragraphs are concerned with general principles of feeding elderly people and the remainder of the booklet gives more detailed ...
This document reports the results of a Committee of which the terms of reference were : to ensure in Lewisham full co-operation between all services for the elderly, to ascertain what gaps existed and how they could be best filled. The Special Committee agreed to look particularly at the application ...
This document reports the work of the Hospital Personal Aid Service during 1959. The Service undertook visits, on behalf of hospitals, to elderly people awaiting admission to hospital whose medical condition did not warrant immediate admission to an acute ward.
This document reports the work of the Hospital Personal Aid Service during 1960. The Service undertakes to visit, on behalf of hospitals, elderly people awaiting admission to hospital whose medical condition does not warrant immediate admission to an acute ward although no patient is visited and no action is taken ...
This document reports the work of the Hospital Personal Aid Service during 1958. The Service undertook visits, on behalf of hospitals, to elderly people awaiting admission to hospital whose medical condition did not warrant immediate admission to an acute ward.
This booklet is for wardens and matrons who are catering for elderly people in residential accommodation and who seek guidance about changes in diets which may be necessary. The first few paragraphs are concerned with general principles of feeding elderly people, and the remainder of the booklet gives more detailed ...
This document reports the work of the Hospital Personal Aid Service during 1955. The Service undertook visits, on behalf of hospitals, to elderly people awaiting admission to hospital whose medical condition did not warrant immediate admission to an acute ward.
This report describes the King's Fund provision of homes for elderly people who do not require continued hospital treatment, but do need somewhere to go before returning to their own homes. Although the day-to-day running of these homes is undertaken by voluntary organisations, the hospital services undertake to accept responsibility ...
This resource list contains information on selected books, journal articles, films, tapes and exercises which may be useful in training staff or volunteers who are working with `confused', `mentally infirm' or `mentally ill' elderly people. It does not set out to provide a blue print for a programme of training ...
These information sheets will be of use to health service staff or community health councils who wish to find out the views of elderly users of health services. The purposes of these sheets is: 1) to give some useful reading references for this field; 2) to give details of some ...