Care Coordination for Older People in the Non-Statutory Sector: Activities, Time Use and Costs
<p><strong>Context:</strong> Care coordination is one important mechanism to provide effective care at home for frail older people in a world with ageing populations. In England this has usually been undertaken by state funded local authority social care services. The Care Act 2014...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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LSE Press
2020-08-01
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| Series: | Journal of Long-Term Care |
| Subjects: | |
| Online Access: | https://journal.ilpnetwork.org/articles/10 |
| _version_ | 1797961745819500544 |
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| author | Jane Hughes Rowan Jasper Angela Worden Nik Loynes Caroline Sutcliffe Michele Abendstern David Challis |
| author_facet | Jane Hughes Rowan Jasper Angela Worden Nik Loynes Caroline Sutcliffe Michele Abendstern David Challis |
| author_sort | Jane Hughes |
| collection | DOAJ |
| description | <p><strong>Context:</strong> Care coordination is one important mechanism to provide effective care at home for frail older people in a world with ageing populations. In England this has usually been undertaken by state funded local authority social care services. The Care Act 2014 promoted greater involvement of the non-statutory sector in the provision of care and support, including care coordination, for older people at home to offer greater flexibility and consumer choice.</p><p><strong>Objective(s):</strong> To explore how organisations in the non-statutory sector in England undertake care coordination activities, targeting, their staff time use and costs to support older people at home.</p><p><strong>Method(s):</strong> A case study approach was used involving semi-structured interviews with practitioners in 17 services selected from a national survey in 2015. Estimates of practitioner time use for a typical case, and associated costs for each service were calculated. Data were analysed to identify the range of care coordination activities undertaken, forms of targeting, patterns of staff time use and service costs.</p><p><strong>Findings:</strong> Two services undertook no targeting activities; of eight care coordination activities only two were undertaken in all services. Costs of care coordination activities varied both within and between services in two distinct settings: hospital discharge and memory services. More time was spent by practitioners in direct contact with service users and carers than on indirect activities in most care coordination services.</p><p><strong>Limitations:</strong> A case study approach is more difficult to generalise; recall bias may have influenced data on time use and costs from practitioner interviews; some costs had to be attributed using national data.</p><p><strong>Implications:</strong> Both service setting and gatekeeping mechanisms shaped care coordination activities. Where services were designed to substitute for statutory services their sustainability needs to be addressed in terms of length of contracts, extent of case responsibility and full costing.</p> |
| first_indexed | 2024-04-11T01:03:41Z |
| format | Article |
| id | doaj.art-e6ed32c6bbf148d28dfadef52477b506 |
| institution | Directory Open Access Journal |
| issn | 2516-9122 |
| language | English |
| last_indexed | 2024-04-11T01:03:41Z |
| publishDate | 2020-08-01 |
| publisher | LSE Press |
| record_format | Article |
| series | Journal of Long-Term Care |
| spelling | doaj.art-e6ed32c6bbf148d28dfadef52477b5062023-01-04T15:00:30ZengLSE PressJournal of Long-Term Care2516-91222020-08-010202010.31389/jltc.1028Care Coordination for Older People in the Non-Statutory Sector: Activities, Time Use and CostsJane Hughes0Rowan Jasper1Angela Worden2Nik Loynes3Caroline Sutcliffe4Michele Abendstern5David Challis6Institute of Mental Health, University of NottinghamThe University of YorkInstitute of Mental Health, University of NottinghamNew York UniversityThe University of ManchesterFormerly University of ManchesterInstitute of Mental Health, University of Nottingham<p><strong>Context:</strong> Care coordination is one important mechanism to provide effective care at home for frail older people in a world with ageing populations. In England this has usually been undertaken by state funded local authority social care services. The Care Act 2014 promoted greater involvement of the non-statutory sector in the provision of care and support, including care coordination, for older people at home to offer greater flexibility and consumer choice.</p><p><strong>Objective(s):</strong> To explore how organisations in the non-statutory sector in England undertake care coordination activities, targeting, their staff time use and costs to support older people at home.</p><p><strong>Method(s):</strong> A case study approach was used involving semi-structured interviews with practitioners in 17 services selected from a national survey in 2015. Estimates of practitioner time use for a typical case, and associated costs for each service were calculated. Data were analysed to identify the range of care coordination activities undertaken, forms of targeting, patterns of staff time use and service costs.</p><p><strong>Findings:</strong> Two services undertook no targeting activities; of eight care coordination activities only two were undertaken in all services. Costs of care coordination activities varied both within and between services in two distinct settings: hospital discharge and memory services. More time was spent by practitioners in direct contact with service users and carers than on indirect activities in most care coordination services.</p><p><strong>Limitations:</strong> A case study approach is more difficult to generalise; recall bias may have influenced data on time use and costs from practitioner interviews; some costs had to be attributed using national data.</p><p><strong>Implications:</strong> Both service setting and gatekeeping mechanisms shaped care coordination activities. Where services were designed to substitute for statutory services their sustainability needs to be addressed in terms of length of contracts, extent of case responsibility and full costing.</p>https://journal.ilpnetwork.org/articles/10older peoplecare coordinationstaff time usecostsenglandnon-statutory sector |
| spellingShingle | Jane Hughes Rowan Jasper Angela Worden Nik Loynes Caroline Sutcliffe Michele Abendstern David Challis Care Coordination for Older People in the Non-Statutory Sector: Activities, Time Use and Costs Journal of Long-Term Care older people care coordination staff time use costs england non-statutory sector |
| title | Care Coordination for Older People in the Non-Statutory Sector: Activities, Time Use and Costs |
| title_full | Care Coordination for Older People in the Non-Statutory Sector: Activities, Time Use and Costs |
| title_fullStr | Care Coordination for Older People in the Non-Statutory Sector: Activities, Time Use and Costs |
| title_full_unstemmed | Care Coordination for Older People in the Non-Statutory Sector: Activities, Time Use and Costs |
| title_short | Care Coordination for Older People in the Non-Statutory Sector: Activities, Time Use and Costs |
| title_sort | care coordination for older people in the non statutory sector activities time use and costs |
| topic | older people care coordination staff time use costs england non-statutory sector |
| url | https://journal.ilpnetwork.org/articles/10 |
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