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Promoting Healthy older People

Promoting Healthy older People

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Published by Guy Dewsbury
A background paper (Draft form) on the thinigs that have been done to assist older people's health in the UK.
A background paper (Draft form) on the thinigs that have been done to assist older people's health in the UK.

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Categories:Types, Research
Published by: Guy Dewsbury on Nov 22, 2012
Copyright:Attribution Non-commercial

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07/13/2013

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July 9
th
2010
Guy Dewsbury PhD
The current trend in which older are becoming more aware and more responsible for their ownhealth has a clear link to trends that have been identified by the Department of Health, theKings Fund and the World Health Organisation. Tracing things back to their origin is somewhat
difficult as there has always been a certain amount of rhetoric on older people’s health. A
decisive change can be seen to some extent with the Governments release of 
Our HealthierNation (1998)
in which it is mentioned that there should be a people should improve their ownhealth supported by communities working through local organisations against the backdrop of the Government which will be achieved through the introduction of NHS direct; Health skillsprogramme and the expert patient. This was followed the following year by the WHO directive
Health 21 (19999)
, which set out the agenda for a healthy society and cites healthy ageing asone of its 21 targets. In the UK 1999, the International Year of Older Persons, also saw theintroduction of the
Health Act
(1999) which advanced pooled budgets and joint commissioningof integrated service between health and social care.
Saving Lives: Our Healthier Nation
(1999)set out targets by which there would be reductions in death rates of cancer, coronary heartdisease, stroke, accidents, and mental illness, which will be achieved by the introduction of NHSDirect, Health Skills and Expert Patients; the establishment of the Health Development Agencyand increased education and training for health and establish a new Public Health Fund. In thesame year the DH released the
Long Term Care
 –
The
Government’s
response to the HealthCommittees Report for Long Term Care
(1999) in which they introduce the National ServiceFramework for older people and calls for more consistent data on older people health andsocial policy. Urge to move towards Danish model of care of older people.
The new century heralded a plethora of publications from on older people’s health, which
started with the DH publication entitled
Out
 
in the open: Breaking down the barriers for olderpeople
(2000)
 
which
i
ntroduces the notion of commissioning services for older people and the
NHS plan: The government’s response to the Royal
commission for long term care
(2000)announced the development of Intermediate Care Services to enable older people retain
 
independence at home, integrated services for older people. These papers were followed in2001 by the establishment
NSF for older people
(2001) which set out to root out agediscrimination by providing person-centred care and promoting older
people’s health andindependence and fitting services to older people’s needs.
The key passage of this NSF is theestablishment of Standard 8 refers to the promotion of health and an active life in older age.Also in 2001 the DH released a paper called
Caring for older people a nursing priority
(2001) inwhich it asserts the need for nursing as a key part in
enhancing older people’s autonomy and
independence. Nurses, it contends, must attend to the whole person not just the acutesymptoms. In this way, nursing changes its focus from acute care to prevention.The year 2002 WHO released their influential document on
Active Ageing
(2001) whichcontinues where their Health21 agenda document left off by demonstrating that WHO considerhealth from a life-course perspective and aims to enable older people to get the best possiblequality of life for as long as possible through local community strategies. The DH document
Information services for older people in England
(2002) considers the strategies required toprovide health and social care information to older people including educational needs andother opportunities and also calls for monitoring wellbeing which underpins independence andhealthy ageing. This year the Kings Fund released a document entitled
Great to be Grey
(2002)which reflects on the recruitment and retention of older staff.The DH document called
Better health in Old age
(2004) promotes the development of olderpeople as active citizens within their communities and within their families, helping to create astronger and more prosperous society and has a whole section on promoting health and activelife in reports and case studies. Also in 2004 the DH released
Choose Health: making healthchoices
(2004) builds on previous DH documents and extols the virtues of making healthychoices; providing better information; demand for health as market influence; (Page 86 isinteresting as it goes through some of the reasons why older people do not take exercise.). TheDH documents were compounded in 2005 by the release of the Kings Fund report entitled
Thebusiness of caring
(2005) which found older people experienced restricted access to care andpractical support, limited choice and control over care services, and were being put at risk byuntrained staff and difficulties with funding. The document calls for a culture that sees olderpeople as equal partners focusing on their rights as well as needs and suggests care servicesshould be responsive to fluctuating needs and unpredictable health. The DH also released anumber of documents on which the first was entitled
independence, wellbeing and choice
(2005) in which it advances that care service should support independence whist providingchoice and control over how their needs are met and the NHS and social care should haveshared agenda. The DWP and DH released
Health work and well-being
 –
caring for our future
 –
 A strategy for the health and well-being of working age people
(2005) which focused on
 
promoting health in and out of work. This should also be read with
A New Pension Settlementfor the Twenty-First Century: The second report of the Pensions Commission [The TurnerReport]
(2005)
 
which states that the current system of private funded pensions combined withthe current state system will deliver increasingly inadequate and unequal results. Long-termpension policy needs to be robust in the face of rising life expectancy as a result a pensionsrethink is in order.
Independence, Well-being and Choice: Our vision for the future of socialcare for adults in England
(2005)
 
The Green Paper on older people using social care and otherlocal authority services will be given individual budgets so that they can buy in the services theyneed.
Opportunity Age: Meeting the challenges of ageing in the 21st century
(2005) was thefirst ever cross-government strategy that looks specifically at the issues facing British society aspeople live longer, healthier lives and addresses extending people's working lives, supportingactive ageing in the community and giving people more choice and independence, especially'shedding the stereotypes' that surround older people. The
SPAIN (the Social Policy on AgeingInformation Network)What Price Care in Old Age?
 (2005) report argues that although thegovernment has taken steps to address the failing system of social care for older people, risingcosts have meant there is little sign of a reversal in the trend towards targeting care at everfewer people with very high care needs. Little progress has been made in closing the gapbetween funding for older care recipients as compared to others.The
National Service Framework for Long Term Conditions
(2005) sets 11 quality requirementsto transform the way health and social care services support people with long-termneurological conditions to live as independently as possible. Although the NSF focuses onpeople with long-term neurological conditions, much of the guidance it offers can apply toanyone living with a long-term condition. The Department of Health published the White Paper
Our health, our care, our say
(2006)
 
on future plans for the whole health and social caresystem by proposing a radical shift in the way in which services are delivered through four maingoals: the provision of better prevention services with earlier intervention; More choice and alouder voice; Tackling inequalities and improved access to community services; and moresupport for people with long-term needs. The final report from the Social Exclusion Unit of theODPM
A Sure Start to Later Life: Ending inequalities for older people
(2006) detailsgovernment plans to mitigate the exclusion, poverty and isolation experienced by older peopleby locating a single, accessible gateway to wide ranging services in the community, wherepotential problems can be identified quickly and prevented from becoming worse.
Time to Care? An overview of home care services for older people in England, 2006: A Reportfrom the Commission for Social Care Inspection
(2006) states that home care is an essentialservice, which is enabling thousands of older people to remain safely at home, however, thereis evidence that the current arrangements for commissioning and providing home care are

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