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Social care – an overview Rosemary Chesson Professor in Health Services Research MS – Making the Connections.

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Presentation on theme: "Social care – an overview Rosemary Chesson Professor in Health Services Research MS – Making the Connections."— Presentation transcript:

1 Social care – an overview Rosemary Chesson Professor in Health Services Research MS – Making the Connections

2 Influences on social care Social Changes Scientific, medical & technological developments

3 Influences on social care Social Changes Scientific, medical & technological developments Changes in: Health and social care policy & legislation

4 Influences on social care Social Changes Scientific, medical & technological developments Changes in: Health and social care policy & legislation Organisational culture

5 Influences on social care Social Changes Scientific, medical & technological developments Changes in: Health and social care policy & legislation Organisational culture Health and social care structures

6 Cross-cutting agenda in Scotland Joint Future Agenda User Involvement Social Inclusion Community Planning

7 Legislative development affecting people with MS & their carers 1999Strategy for Carers in Scotland The promotion of new and more flexible services for carers including respite care at a local level 2002Community Care and Health Act Free personal care in nursing homes Carer assessment in own right Direct payment schemes Carer information strategies

8 Changes in social care provision Enhanced role for the voluntary sector Partnership with statutory sector Greater consultation with users Across both statutory and voluntary sector, emphasis on: - evidence-based practice - cost-effectiveness/value for money - recognition of importance of evaluation & research

9 Social Care Case Study: Respite Care Legislative Framework Strategy for carers double funding for carers services Social Justice Annual Report 2000: funding for 22,000 extra weeks of respite care. Expanded access to the direct payment schemes, enabling people to purchase their own non-residential services. Regulation of Care (Scotland) Act care commission to regulate and inspect all care services - national care standards introduced - local outcome agreements

10 Policy/Implementation Ever changing scene Local authorities developing strategies, eg Aberdeen Mapping and provision Strategies now being implemented

11 MS Society and Respite Care Definitions and policy review (2000) Review of MS Society Holiday Homes in Scotland (2001) MS Society Respite Care Directory (2003)

12 Key issues in social care for ppl with MS and their carers Accessing information on social care Accessing social care services - availability of service - late on the scene - confusion regarding costs/funding Direct payments Equity

13 MS & Respite Psychosocial aspects of caring (Whos there for carers?) Carers expressed a need for a regular break Dissatisfaction with current provision, esp hospital units Some expressed reluctance to use respite Services not sufficiently flexible

14 Seeking respite I would like some respite care on a weekly basis. I would like to go to (the city) shopping for a whole day. I havent been able to do that for ages. I would like to have some relief care. My mother was ill recently and I had to go away and my daughter had to go off school on study leave. I could not stay with my mother for more than 24 hours. My husbands mother is also concerning us now, but the nurses cannot give us a solution. I would like to be able to lift up the phone, when I am in that situation, and ask someone to come and stay with my husband, to take responsibility for him too Carer V

15 Co-ordination between health and social care I think that most of the problem of support in this country is that, and I am seeing it more and more, is that it is not cohesive. Even the assessment that we are going through now is split between services. And actually, all of the benefits are split between the NHS and the Council, it depends whether it is a nurse, etc. Carer X

16 Postcode lottery? We got the information mainly from the district nurse. She told us about the Independent Living Fund Scheme and now we have just started The nurse told the lady in charge of the Independent Living Fund Scheme and she helped us fill in the forms and so on. Now it is paying for two ladies to come 20 hours a week. Before, volunteers from Crossroads were coming in and out. Now we can more or less choose who is coming and for how long. Carer G

17 Direct payment (Scottish League) local authorityNo of ClientsRanking Fife Scottish Borders 33 2 Angus 24 3 Glasgow Argyll & Bute 2 20 Renfrewshire 3 21

18 The future ?Priorities determined by public consultation ?Costs/resources ?Effects of Join Future Agenda (? r/ship between health and social care) ?Closer working between voluntary and statutory sector ?Extension of befriending ?Community rather than individual focus

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