Four years on: The impact of the National Service Framework for Older People on the experiences, expectations and views of older people

Manthorpe, Jill; Clough, Roger; Cornes, Michelle; Bright, Les; Moriarty, Jo; Iliffe, Steve

doi:10.1093/ageing/afm078

Cited by 30 publications

(22 citation statements)

References 17 publications

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“…‘Service user’, ‘lay’, ‘professional’ and indeed ‘older’ are all transitory states 27 rather than permanent or fixed categories. This was certainly something which perplexed OPRSI.…”

Section: Discussionmentioning

confidence: 99%

Wise owls and professors: the role of older researchers in the review of the National Service Framework for Older People

Cornes

Peardon

Manthorpe

2008

Health Expectations

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Aim This article explores the involvement of older people in research and inspection, reflecting on the learning from the recent Ôjoint reviewÕ of the National Service Framework for Older People in England.Methodological context Working in 10 different localities, the Ôjoint reviewÕ comprised a formal inspection of health and local council services (carried out by the Healthcare Commission, Commission for Social Care Inspection and the Audit Commission) and an externally commissioned university-led research project designed to ascertain the views and experiences of older people living in the 10 inspection sites. In total, 1839 older people were interviewed individually and through focus groups and an additional 4200 older people completed questionnaires. A distinctive feature of the research was the inclusion of a team of older researchers who had undertaken training in research methods in later life. Reflections of the older researchers and other members of the research team on undertaking this large-scale user involvement project were ascertained via a day-long seminar which was tape recorded and transcribed.Learning While many espouse the principle of Ôservice user involvementÕ in research, there is a need to move beyond the rhetoric of participation and any blanket assumptions about what it means to be an Ôolder researcherÕ, a Ôservice user researcherÕ or indeed, a Ôprofessional researcherÕ. This means ensuring that within any given team (user-controlled or collaborative) there are clear lines of accountability and equal opportunities for individual appraisal, support, and personal or professional development. Such considerations are key to working with Ôolder researchersÕ and encouraging diversity in the research workforce more generally.

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Section: Discussionmentioning

confidence: 99%

Wise owls and professors: the role of older researchers in the review of the National Service Framework for Older People

Cornes

Peardon

Manthorpe

2008

Health Expectations

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“…We have outlined the process of data collection elsewhere (Manthorpe et al . 2007), but set out here (see Box 2) the questions used for group discussions to illustrate the wide range of issues and experiences discussed in the local context.…”

Section: Methodsmentioning

confidence: 99%

Elderly people's perspectives on health and well-being in rural communities in England: findings from the evaluation of the National Service Framework for Older People

Manthorpe

Iliffe

Clough³

et al. 2008

Health &Amp; Social Care in the Community

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Addressing the problems of meeting the needs of ageing populations in rural areas is recognised as a political and service delivery challenge. The National Service Framework (NSF) for Older People (NSFOP) set out a series of service standards to raise quality, to redress variations in service use and to enhance the effectiveness of services across health and social care in England and alluded to the challenges of meeting such standards in rural communities. This paper reports findings from the consultations undertaken with 713 elderly people as part of the midpoint review of the NSFOP in 2006, presenting and analysing the views and experiences of elderly people from rural areas. The consultations to engage with elderly people employed a mixed methodology that included public events, focus groups and individual interviews. The data reveal participants' views of how different patterns of social change in diverse country areas in England influence health and well-being in later life. The costs and benefits of centralization of services, and the pivotal issue of transport are important themes. The findings raise questions about the unclear and contradictory usages of the term 'rural' in England and the portrayal of rural ageing as a homogeneous experience.

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“…In the United Kingdom, the National Service Framework for Older People (NSFOP) introduced in 2001 promoted individual care planning for the senior population, either in hospitals or in the community. Evaluations of this programme have shown that, although older people might not perceive improvements as a result of the NSFOP, they do observe improvements in the LTC systems as a whole (Manthorpe et al, 2007).…”

Section: Addressing Long-term Care Systems Governancementioning

confidence: 97%

Can We Get Better Value for Money in Long-term Care?

Llena‐Nozal¹,

Mercier²,

Tjadens³

et al. 2011

OECD Health Policy Studies

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It is well established that ageing populations will lead to increases in the demand for services in the years to come, thereby putting upward pressure on total expenditure on formal long-term care (LTC) systems in a context where large spending items such as pensions and health are also expected to grow. This may well create pressure on governments to ensure that spending in the sector is well worth the expenditure, or, in other words, that systems of long-term care deliver value for money. A review of OECD countries' experiences reveals different policies aimed at improving the efficiency of LTC systems and the "interface" between LTC and health care. However, it is evident that this is an area for further work: often, no definite conclusions can be drawn. The statistical data for Israel are supplied by and under the responsibility of the relevant Israeli authorities. The use of such data by the OECD is without prejudice to the status of the Golan Heights, East Jerusalem and Israeli settlements in the West Bank under the terms of international law.

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Four years on: The impact of the National Service Framework for Older People on the experiences, expectations and views of older people

Cited by 30 publications

References 17 publications

Wise owls and professors: the role of older researchers in the review of the National Service Framework for Older People

Wise owls and professors: the role of older researchers in the review of the National Service Framework for Older People

Elderly people's perspectives on health and well-being in rural communities in England: findings from the evaluation of the National Service Framework for Older People

Can We Get Better Value for Money in Long-term Care?

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