120 research outputs found
A nurse practitioner service for nursing and residential care homes
No full textAn economic component was added retrospectively to an evaluation that sought to discover
whether the provision of a Nurse Practitioner service would improve the health of nursing and
residential home residents (Jerram, 2001). The residents of 28 homes on the south coast were
recruited; 191 residents in 14 study homes and 154 residents in control group homes who would
continue to receive routine care. The combined study also aimed to examine whether the nurse
practitioner service would improve residents’ access to health care and reduce GPs workload, and
to estimate the relative cost implications.
An important part of the research was to estimate unit costs for the Nurse Practitioner (NP). NPs
have advanced skills in assessment and clinical decision-making and work with many client
groups and in different service contexts (Horrocks et al., 2002). It was important therefore that a
unit cost was estimated for this study that reflected the resources and working patterns put in place
to support this client group. This short article outlines the service-specific estimation work
following the four-stage methodology summarised in Netten and Beecham (1999)
Improving Housing with Care Choices for Older People: An Evaluation of Extra Care Housing
No full textThe Changing Landscape of Residential Care: Care Homes and Alternative Forms of Housing with Care
No full textThis thesis draws together a series of publications that were based on research studies conducted between 1981 and 2011, covering care homes and alternative forms of housing with care. The majority of the studies were funded by the Department of Health or its predecessors, and were aimed at responding to policy issues, particularly for local authority grant funding. However, the funding provided the opportunity to collect information for broader purposes, and a central feature linking the studies was the collection, as far as possible, of consistent information about the characteristics of residents over time. The thesis includes 12 pieces of work, based on information collected in ten studies, and illustrates the changes in care home provision from 1981 onwards, and the potential role of alternative forms of housing with care.
The aim of the thesis is to explore the following themes: the changing role of care homes and the development of the independent sector, particularly the private sector; factors associated with care home costs; changes in the relative role of residential and nursing homes, including changes in the characteristics of residents over time; changes in the quality of provision; the impact of care home closures; provision for self-funders and the expectations of residents; and the development of alternative forms of housing with care, and the degree to which specialised housing can provide an alternative to residential care.
Care homes in the UK provide around 470,000 places and account for over half the expenditure on social care for older people in England. However, information about care facilities and residents is very limited. The papers presented here aimed to fill some of the gaps in understanding residential care and possible alternatives by making use of data collected in a unique series of related research studies conducted over a period of 30 years
A methodological framework to derive the cost of the GP consultation
No full textWith an emphasis on a primary care-led NHS, the cost of a GP consultation will be a major element in any economic analysis. No standardized methodology is available for deriving this cost, and there are a wide range of estimates. Wherever possible, local unit costs should be derived from individual practice information, particularly when local circumstances are relevant to a study, but unless standardized methodology is used, studies undertaken in different settings or at different times will not be compatible. This paper proposes a framework which will enable each practice to determine their unit consultation costs and offers data that can be used where local information is not available
The effect of financial incentives and access to services on self-funded admissions to long term care.
No full textWith the growth in the numbers and proportion of older people in the population the funding and incentive structures around long-term care are of international concern. A study of the circumstances of self-funded admissions to care homes allowed the comparison of self-funders with publicly-funded admissions to care homes in the UK, the influences on self-funders in their decision to move into a care home and resources on which they were able to draw. These findings contribute to our understanding of the impact of current policy on self-funders and our thinking about the way that future policy and practice changes could improve the way we use society’s resources in the provision of long-term car
Measuring the Social Care Outcomes of Informal Carers: An Interim Technical Report for the Identifying the Impact of Adult Social Care (IIASC)Study
No full text
The costs of what? Measuring services and quality of care
No full textIf we are to be able to reflect the cost implications of changes in the nature, quality
and productivity of long-term care interventions in future projections, we need an
approach to measurement that reflects the value and quality of care. This paper describes
a theoretically based but pragmatic approach to identifying the welfare gain from
government expenditure on social care and illustrates an application in projecting the
costs of long-term care used in the Wanless review of future needs of social care for older
people in England
Using survey data to measure changes in the quality of home care. Analysis of the Older People's User Experience Survey 2006 (PSSRU Discussion Paper 2417/2)
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