The growing focus on performance review and monitoring means that awareness and use of performance indicators has increased throughout a number of public services. Set within a national context, this book reviews the historical development and measurement issues of performance indicators within social care and the public sector for older people. It then provides an approach to effective local performance measurement in services for older people and an organizing framework within which organizations can arrange their performance appraisal for older people's services. The development of performance review in social care of older people is examined, as is the process of developing local performance measures and engaging staff in enquiry and quality management. The book also reviews the process of developing performance indicators and their utilization at an agency level. Performance Indicators in Social Care for Older People will be of particular interest in the UK for local service providers who are developing approaches for local performance review. It will also be of interest internationally, especially in countries where services for older people are currently developing in a similar direction.

This memorandum contains the replies received from the Department of Health to a series of questions tabled by the Select Committee, on a wide range of issues grouped under the headings of: current issues including NHS staffing; salaries and wages of non-NHS staff; retirement projections, dental and medical staff payscales; also included are; general expenditure issues; NHS resources and activity; personal social services resources and activity; capital expenditure and investment and questions on the departmental annual report

This contributed volume is based on the "European Core Competences Framework for health and social care professionals working with older people" (ECCF), developed and verified in a unique international cooperation between 26 universities and universities of applied sciences in 25 European countries, part of the European Later Life Active Network (ELLAN). In addition to the framework, the book outlines the necessary qualifications and describes the roles of professionals working with older people in health and social services. It explores healthy ageing for older people from different perspectives and describes the seven roles of health and social care professionals (Expert, Communicator, Collaborator, Organizer, Health and Welfare Advocate, Scholar, and Professional), before going on to define 18 related competences and elaborating them in performance indicators. Beyond the ECCF, the book explains the widely used CanMED role model and puts forward theories to support a client centered and integrated approach on health and social care in order to change attitudes toward older clients and offer better care and support. It also provides health and social care professionals, for example nurses, allied health professionals and social workers with new contextual information and cultural awareness. It gives a voice to students by addressing selected perspectives for professional development. The book includes questions for reflective learning helping to make the book a vital practical instrument for use in the educational context throughout Europe. Europe’s ageing populations represent a major challenge for both public health and social care systems. 18% of the population is 65 years old and over, and this proportion will increase in the coming years. As a result, more and more health and social care professionals will work with older people in different settings – at home, in the community, in hospitals or in long-term care settings. Older people, and especially the frail, face a host of interrelated issues, e.g. cognitive restrictions, functional restrictions, psychosocial problems, multimorbidity, polypharmacy and social isolation. These problems call for an integrated approach to health and social care, which this book supplies. It is intended for health and social care professionals, students and educators, for a better understanding of Europe’s ageing society and of the impact on care and services. Furthermore, the ECCF offers educational institutes a unique resource for curriculum development, education, training and assessment.

As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.

New Labour's modernisation agenda has produced an avalanche of change that has posed formidable challenges for everyone involved in social work, whether as service users, practitioners or managers. Modernising Social Work provides a radical appraisal of the far-reaching changes in their theoretical, historical and policy contexts. The book is organised into three sections that consider: the inter-relationship of modernisation and managerialism, modernisation's impact on service users and the ways in which social workers and front-line managers seek to exercise professional discretion for the benefit of service users within a workplace culture of intensified scrutiny and control. Analysis of a range of key developments in all three areas reveals the modernisation agenda as complex and contested. The book's three sections cover the main issues of the modernisation agenda, making it ideal for teaching. Locating the issues in their theoretical, historical and policy contexts meets the needs of student readers and experienced social workers will appreciate the emphasis on empirical research as well as practice experience.

Social Care Management, Strategy and Business Planning is a comprehensive guide to strategic social care management, covering all the knowledge and skills that managers in the 21st century must have, and showing how to make theory a practical reality. The book aims to make business planning a more accessible and user-friendly process, offering practical advice on how to tackle the everyday tasks which good social care management should involve. Topics covered include strategic planning, business development, commissioning and contracting, project management, decision-making, risk, and evaluation techniques. The book also acknowledges the challenges of working collaboratively within a complex legislative and policy framework and juggling different aspects of the management tasks whilst retaining professional identities and ethics. Also included are practical examples and lively tips and comments from practising managers on their experiences in different areas of business planning. This book will be essential reading for anyone involved in managing or leading practice either in the front line or at a more strategic level. It will be useful to post-qualifying social work students and is particularly valuable to anyone following a management training programme.

This new edition has been updated to reflect recent shifts in community and social care whilst still providing the authoritative account of its historical development. Particular attention is paid to partnerships between health and social care, the regulation of social care, direct payments and individual budgets and user/carer empowerment.

Practical Management of Dementia, Second Edition remains a comprehensive guide to identifying the challenges faced in caring for patients with dementia. Integrating new research into the diagnosis, detection and management of dementia, this book brings together a wealth of extensive practical experience and knowledge. It answers questions on medical, psychological and social management in an informative, evidence-based manner. Emphasising the need for a variety of pharmacological, psychological and social approaches that can be adapted for individual patients, it also encourages an understanding of the patients' spiritual needs. Reviews of the First Edition: 'This is a highly readable and useful resource.' NURSING STANDARD 'Comprehensive and valuable. Of merit to all healthcare team members from all care setting perspectives.' GERIATRICS TODAY 'Consistent and clear, well written and edited.' THE JOURNAL OF DEMENTIA CARE

"This book is a revised and updated edition of Elders and the Law (PEPAR Publications, 1993). It describes the legal framework for working with older people following the modernising agenda in health and social care, and the length has been considerably expanded to enable topics to be dealt with more comprehensively. It covers the range of legal issues affecting the welfare and financial security of older people in the community and residential settings, and emphasises the empowering nature of legal knowledge. It also describes and explains the application of law and policy relating to older people in the context of social work practice." "Older People and the Law is aimed at all professionals working with older people but particularly social workers. Its clarity of style means that older people themselves and carers will find it accessible."--BOOK JACKET.

This book addresses the practical management of mental health scenarios in the emergency setting and offers first-hand reflections on how emergency nurses, practitioners and allied mental health professionals handle these situations. Responding to mental health needs in emergency situations can be profoundly complex. Frequently emergency nurses and other personnel express their feelings of powerlessness, as they do not know what to say or do in order to achieve the best outcome, and have concerns that their intervention may make the situation worse for those in their care. How a practitioner confronts the mental health encounter and takes the essential steps in managing the event can have a critical impact on how that person copes in the future. This book helps readers understand what is involved in mental health work in emergency situations, and the practical, psychosocial and spiritual tensions that arise from managing the event and the sequelae. Moreover, it shows that it may be possible to provide a more effective emergency mental health service. This unique edited book presents critical reflections on aspects of mental health work gathered from the ‘hands-on’ experiences of the personnel. Mental health encounters in the emergency context are described in detail, illustrating not only what emergency nurses and mental health workers ‘do’ when mental health crises occur, but also what they feel about what they ‘do’. Written by a diverse team of emergency and mental health nurses and allied professionals currently engaged in emergency care both in hospital and pre-hospital settings, this book will appeal to emergency nurses and allied health professionals alike.