Developing multidisciplinary assessment—exploring the evidence from a social care perspective

Abstract

The impact of the introduction of the SAP has been mediated by the influence of other policies in England: intermediate care and integrated health and social care provision. Nevertheless, the data suggest that consideration be given to more effective targeting of multidisciplinary assessments on the grounds of both cost and more accurate identification of those who will benefit from the process.

Case management for people with long-term conditions: impact upon emergency admissions and associated length of stay

“…The latter identifies changes in the healthcare systems that help practices in primary care settings improve outcomes among patients with chronic illnesses. Furthermore, ideally, health outcomes should include both the patient and carer experience and well-being (Hunt et al, 1985;Goldberg, 1992;Picker Institute, 2008); quality of care (Challis et al, 1995) service content (changes in nature and content of care plans; Sutcliffe et al, 2008); as well as resource use such as service receipt. Case management also needs an internal logical coherence between models, resources and outcome (Challis, 2003).…”

“…Coulter (1991) proposed six categories of disease and treatment outcomes: death, disease, physical well-being, psychological well-being, social well-being and quality of life. Furthermore, ideally, health outcomes should include both the patient and carer experience and well-being (Hunt et al ., 1985; Goldberg, 1992; Picker Institute, 2008); quality of care (Challis et al ., 1995) service content (changes in nature and content of care plans; Sutcliffe et al ., 2008); as well as resource use such as service receipt. This would permit greater exploration of the implications of differences in CMLTC systems and processes as well as making closer linkages between the activities undertaken by case managers and the service-level outcomes experienced by patients.…”

An examination of factors influencing delayed discharge of older people from hospital

“…Third, evidence of cognitive impairment in the study cohort was not determined by the use of a standardised tool. The approach adopted was designed to minimise the risk of under-reporting this patient characteristic and replicated one used previously (Sutcliffe et al, 2008). Finally, although variables entered into regression analysis explained a large amount of total variance for both delay and LOS, other factors, including those collected but not presented in this paper, may also have impact on delay and LOS.…”

Reliability of needs assessments in the community care of older people: impact of the single assessment process in England

“…Further work is needed to explore these aspects and their relationship to impact. 15,60 Limitations of this study It is difficult to isolate the effect of the phenomenon of interest (the SAP policy change) from other influences ongoing at the time of the study. 61 Although the groups were similar, some needs were more prevalent after the introduction of the SAP.…”