Stockton JSNA

Older People

What evidence is there for effective intervention?

National Service Framework for Older People (Department of Health, 2001).

Under Pressure: Tackling the financial challenge for councils of an ageing population (Audit Commission, 2011).
The report outlines if care service costs simply increase in line with population change, they could nearly double by 2026.  Carers aged over 60 provide care worth twice public spending on care services for older people. The biggest single financial impact will be on social care spending.  There are big differences in care costs – some council spend three times more than the average per person on some services.  Small investments in services such as housing and leisure can reduce or delay care costs and improve wellbeing.

Preventive Social Care. Is it cost-effective? (King’s Fund, 2006).
There is little quantified information of the effectiveness of preventive services.  Available cost-effectiveness analyses are often small scale and not comparable with other studies.    It is often not clear quantitatively or qualitatively what element(s) of a reportedly successful service elsewhere have contributed to its success and could be potentially replicated.  “Measuring the effectiveness of community services (e.g. improved public transport) has seemingly proved too complex”.  Although the benefits are difficult to quantify, low level interventions provided informally, and by all sectors, are highly valued.

‘The billion dollar question’: embedding prevention in older people’s services – 10 ‘high impact’ changes (University of Birmingham, 2010).
This paper draws on Interlinks, an EU review of prevention and long term care in older people’s services across 14 European countries and ‘The case of adult social care reform - the wider social and economic benefits’ and finds evidence to invest in: Healthy life styles; Vaccination; Screening; Falls prevention; Adaptations/practical support; Telecare; Intermediate care; Re-ablement; Partnership working; and Personalisation.

Confident Communities, Brighter Futures - framework for developing wellbeing (Department of Health, 2010).
Age-related decline in mental wellbeing should not be viewed as an inevitable part of ageing.  The factors affecting mental health and wellbeing for older people are the same as in the general population.  To promote the wellbeing of older people: psychosocial interventions, high social support before and during adversity, prevention of social isolation, multi-agency response to prevent elder abuse, walking and physical activity programmes, learning, volunteering. To reduce prevalence of depression: early intervention, target prevention in high risk groups.  For dementia: exercise and anti-hypertensive treatment.

Excess winter deaths and illness and the health risks associated with cold homes.  NICE guidelines [NG6]  March 2015

Home care: delivering personal care and practical support to older people living in their own homes. NICE guidelines [NG21]  September 2015

Home care for older people.  NICE quality standard [QS123]  June 2016

Older people with social care needs and multiple long-term conditions.  NICE guidelines [NG22]  November 2015

Older people: independence and mental wellbeing.  NICE guidelines [NG32]  December 2015

Older people in care homes.  NICE advice [LGB25]  February 2015

Improving later life series (Age UK, 2016).  Research findings written by experts, in a lay-friendly manner, to help inform older people, or those who work with or on behalf of older people.  These short books have brief 'chapters' on many topics relevant to older people's lives. These books aim to: highlight and inform on coming issues and trends; provide the impetus and the start of an evidence base for strategic planning policy and services; and help professionals advise older people, their families, and carers.

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