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S. Tucker, R. Baldwin, J. Hughes, S. Benbow, A. Barker, Alistair Burns, D. Challis (2009)
Integrating mental health services for older people in England – From rhetoric to realityJournal of Interprofessional Care, 23
Welsh Government
Sustainable Social Services for Wales: A Framework for Action
P. Abbott, L. Meerabeau (1990)
The Sociology of the Caring Professions
Welsh Assembly Government
Designed to Add Value – a third dimension: A Strategic Direction for the Voluntary and Community Sector in supporting Health and Social Care
J. Walsh, J. Harrison, Jane Young, P. Butow, M. Solomon, L. Masya (2010)
What are the current barriers to effective cancer care coordination? A qualitative studyBMC Health Services Research, 10
S. Nutley, I. Walter, H. Davies (2007)
Using Evidence
J. Creswell, V. Clark (2006)
Designing and Conducting Mixed Methods Research
R. Ward, C. Stevens, Philip Brentnall, J. Briddon (2008)
The attitudes of health care staff to information technology: a comprehensive review of the research literature.Health information and libraries journal, 25 2
J. Glasby, H. Dickinson, Community Care (2008)
Partnership working in health and social care
J. Rycroft‐Malone, T. Bucknall
Models and Frameworks for Implementing Evidence‐Based Practice
J. Heffernan, M. Husni (2009)
Continuity of care coordination, health needs and social deprivationPsychiatric Bulletin, 33
D. Challis, J. Hughes, P. Clarkson, M. Abendstern, C. Sutcliffe
A systematic evaluation of the development and impact of the single assessment process in England
M. Bowler (2006)
Use of community matrons for care of long-term conditions.Nursing times, 102 33
J. Coughlin, J. Pope, Ben Leedle (2006)
Old Age, New Technology, and Future Innovations in Disease Management and Home Health CareHome Health Care Management & Practice, 18
Welsh Assembly Government
A Community Nursing Strategy for Wales
S.M. Nutley, I. Walter, H.T.O. Davies
Using Evidence – How Research Can Inform Public Services
J. Rycroft-Malone, T. Bucknall (2010)
Models and Frameworks for Implementing Evidence-Based Practice: Linking Evidence to Action
D. Challis, M. Abendstern, P. Clarkson, J. Hughes, C. Sutcliffe (2010)
Comprehensive assessment of older people with complex care needs: the multi-disciplinarity of the Single Assessment Process in EnglandAgeing and Society, 30
B. Hannigan, D. Allen (2011)
Giving a fig about roles: policy, context and work in community mental health care.Journal of psychiatric and mental health nursing, 18 1
D. Allen
Doing occupational demarcation: the ‘boundary‐work’ of nurse managers in a district general hospital
Welsh Assembly Government
A Strategy for Social Services in Wales Over the Next Decade and Beyond: Fulfilled Lives, Supportive Communities
H. Soni (2014)
Partnership Working in Health and Social Care Glasby Jon and Dickinson Helen Partnership Working in Health and Social Care 128pp £9.99 Policy Press 9781447312819 1447312813 [Formula: see text].Nursing management, 21 8
Welsh Assembly Government
Creating a Unified and Fair System for Assessing and Managing Care
P. Williams, Helen Sullivan (2010)
Despite all we Know about Collaborative Working, Why do we Still Get it Wrong?Journal of Integrated Care, 18
C. Sicotte, G. Paré (2010)
Success in health information exchange projects: solving the implementation puzzle.Social science & medicine, 70 8
D. Allen
Doctor‐nurse relationships: accomplishing the skill mix in health care
Helen Chester, J. Hughes, D. Challis (2010)
Patterns of Commissioning, Contracting and Care Management in Social Care Services for Older People in EnglandBritish Journal of Social Work, 40
C. Ehrlich, E. Kendall, Heidi Muenchberger, Kylie Armstrong (2009)
Coordinated care: what does that really mean?Health & social care in the community, 17 6
Department of Health
Recognised, Valued and Supported: Next Steps for the Carers Strategy
D. Holland, M. Harris (2007)
Discharge Planning, Transitional Care, Coordination of Care, and Continuity of Care: Clarifying Concepts and Terms from the Hospital PerspectiveHome Health Care Services Quarterly, 26
Commission for Social Care Inspection
The state of social care in England 2006‐07
Scottish Executive
Guidance on single shared assessment of community care needs
Department of Health
Guidance on the Single Assessment Process for Older People
D. Allen (2000)
Doing Occupational DemarcationJournal of Contemporary Ethnography, 29
P. Clarkson, M. Abendstern, C. Sutcliffe, J. Hughes, D. Challis (2009)
Reliability of needs assessments in the community care of older people: impact of the single assessment process in England.Journal of public health, 31 4
W. Ranadé, B. Hudson (2003)
Conceptual Issues in Inter-Agency CollaborationLocal Government Studies, 29
M. Patton (1980)
Qualitative research and evaluation methods
Joanne Culverhouse, P. Bibby (2008)
Occupational Therapy and Care Coordination: The Challenges Faced by Occupational Therapists in Community Mental Health SettingsThe British Journal of Occupational Therapy, 71
Department of Health
Building the National Care Service
D. Allen, L. Griffiths, P. Lyne (2004)
Understanding complex trajectories in health and social care provision.Sociology of health & illness, 26 7
Purpose – The authors aim to present findings from their research on the implementation of Unified Assessment (UA) policy and the work of care coordinators who oversee the delivery of support to older people with complex needs. Design/methodology/approach – A mixed methods approach included staff interviews ( n =95) and focus groups ( n =3). Findings – The care coordinator role is controversial and the lack of common terminology across health and social care obscures its importance. It is seen as a social care responsibility. Limited ownership amongst healthcare professionals leads to tensions in practice. The challenges of breaking down silo thinking embedded in established professional practices are highlighted as are infrastructural and capacity deficits. Disparities between policy intentions and practice means that UA is failing to meet core objectives relating to the delivery of seamless support. Research limitations/implications – Further research is needed to develop and evaluate evidence‐informed interventions that test solutions to the problems faced in practice and support the delivery of more effective arrangements. Practical implications – Practice development may be supported by: guidelines that are more prescriptive and include a formal role definition; joint training to promote shared understanding of key concepts; investment in administrative and IT infrastructures; and more coordinated direction at strategic level. Originality/value – Over a decade has elapsed since the publication of UA Policy Guidance; however, there is limited published evidence on the effectiveness of UA policy and its translation into practice.
Quality in Ageing and Older Adults – Emerald Publishing
Published: Jun 14, 2013
Keywords: Unified assessment; Care coordination; Complex needs; Older people; Seamless support; Interventions; Elder care; Elderly people
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