What have we learnt about joint working between health and social care?
In: Public money & management: integrating theory and practice in public management, Band 36, Heft 1, S. 7
ISSN: 0954-0962
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In: Public money & management: integrating theory and practice in public management, Band 36, Heft 1, S. 7
ISSN: 0954-0962
In: Public money & management: integrating theory and practice in public management, Band 36, Heft 1, S. 7-14
ISSN: 1467-9302
In: Policy & politics: advancing knowledge in public and social policy, Band 39, Heft 3, S. 361-378
ISSN: 0305-5736
In: Policy & politics, Band 39, Heft 3, S. 361-377
ISSN: 1470-8442
The impetus to work across boundaries is a longstanding theme in British public policy. Critical commentary has emerged from different perspectives, but has not provided empirically based analysis of joint working across different sectors and spheres of practice. In this article we present findings from an evaluation of joint working in the Supporting People Health Pilots. These raise questions about why some agencies – primarily in the voluntary sector – appeared to be more effective than others at working across boundaries. These questions and the broader implications of the findings for the voluntary sector are analysed.
In: Armed forces & society, Band 32, Heft 2, S. 219-233
ISSN: 1556-0848
While the concept of reflexivity has been used extensively across the social sciences over many decades, its impact on studies of the military has remained marginal. Reasons for this go to the heart of the dominant epistemological foundations of a military sociology that implicitly assumes that researcher bias can be neutralized by adhering to the traditional positivist model of sociological research. In this article, the authors argue that there is much to be gained by reflecting on the process of doing research, and "writing in" the authors where appropriate, particularly within the context of research on the military. In appraising the quality of research projects, it is helpful to know more about the motivations of researchers (especially given that many are veterans), theways in which access to the military sample were negotiated, and the criteria placed upon researchers and their projects by military funders. Overall, the authors argue that the paucity of material focused on the process of researching the military represents a significant limitation that is in need of further consideration.
In: Armed forces & society: official journal of the Inter-University Seminar on Armed Forces and Society : an interdisciplinary journal, Band 32, Heft 2, S. 219-233
ISSN: 0095-327X
In: Journal of political & military sociology, Band 32, Heft 2, S. 207-218
ISSN: 0047-2697
In: Children and youth services review: an international multidisciplinary review of the welfare of young people, Band 47, S. 370-377
ISSN: 0190-7409
Purpose – The purpose of this paper is to provide an update to a review of the joint working literature in the field of health and social care for adults, with particular emphasis given to the experiences of users and carers. Design/methodology/approach – The aims of the literature review remained largely the same as those of the original, they were to identify: models of joint working, evidence of effectiveness and cost-effectiveness and the factors promoting or hindering the models. However, to reflect the growing interest in the experiences of users and carers a fourth aim was added to map these experiences. Given their prominence in terms of policy debates about integration, the review focused on jointly organised services for older people and people with mental health problems in the UK only. Findings – The review demonstrates tentative signs that some initiatives designed to join-up or integrate services can deliver outcomes desired by government. Importantly some studies that report the experiences of users of services and carers suggest that they perceive benefits from efforts to join-up or integrate services. However it is our contention that the evidence is less than compelling and does not justify the faith invested in the strategy by current or previous governments. Originality/value – The study updates our knowledge of the impact of joint working in the field of health and social care for adults. Importantly the paper highlights what is known about the experiences of users and carers of joint/integrated services.
BASE
In: Housing, care and support, Band 4, Heft 2, S. 15-18
ISSN: 2042-8375
The fundamental role of housing in community care has long been acknowledged. However, progress in achieving any real integration of housing and social care has been slow. This article reports the findings from the Crossing the Housing and Care Divide programme, which was jointly sponsored by the Housing Corporation and Anchor Trust. The programme aimed to stimulate developments in services for older people that would enable housing to become part of community care, lead to greater inter‐agency working, enhance the involvement of users in the planning, monitoring and delivery of services and deliver a high quality of service more cost‐effectively. The programme offers many practical lessons for the effectiveness of services.
In: Social policy and society: SPS ; a journal of the Social Policy Association, Band 14, Heft 3, S. 457-469
ISSN: 1475-3073
The Healthy Start scheme provides food welfare to pregnant women and children under four years old in the UK. The Government provides vouchers to families living on a low income that can be exchanged for infant formula, plain cow's milk and fresh or frozen fruit and vegetables. This article reports on a qualitative study of parents using Healthy Start in England. Interviews were conducted with 107 parents from thirteen areas in England. Most found the scheme easy to use, but some vulnerable groups were unable to access the scheme. The vouchers provided a vital source of food at times of crisis, and put purchase of fruit and vegetables within reach for some. Parents reduced stigma by using self-service tills and by only visiting retailers known to accept the vouchers. Healthy Start provides additional protection by sitting outside of other social security benefits. To continue to provide this essential protection, their value should be reviewed and increased.
In: Cameron , A M , Bostock , L & Lart , R A 2014 , ' Service user and carers perspectives of joint and integrated working between health and social care ' , Journal of Integrated Care , vol. 22 , no. 2 , pp. 62-70 . https://doi.org/10.1108/JICA-10-2013-0042
Purpose – The purpose of this paper is to provide an update to a review of the joint working literature in the field of health and social care for adults, with particular emphasis given to the experiences of users and carers. Design/methodology/approach – The aims of the literature review remained largely the same as those of the original, they were to identify: models of joint working, evidence of effectiveness and cost-effectiveness and the factors promoting or hindering the models. However, to reflect the growing interest in the experiences of users and carers a fourth aim was added to map these experiences. Given their prominence in terms of policy debates about integration, the review focused on jointly organised services for older people and people with mental health problems in the UK only. Findings – The review demonstrates tentative signs that some initiatives designed to join-up or integrate services can deliver outcomes desired by government. Importantly some studies that report the experiences of users of services and carers suggest that they perceive benefits from efforts to join-up or integrate services. However it is our contention that the evidence is less than compelling and does not justify the faith invested in the strategy by current or previous governments. Originality/value – The study updates our knowledge of the impact of joint working in the field of health and social care for adults. Importantly the paper highlights what is known about the experiences of users and carers of joint/integrated services.
BASE
In: Rumble , H , West , K , Shaw , R & Cameron , A 2021 , ' Diarised reflections on COVID-19 and bereavement : Disruptions and affordances ' , Illness Crisis and Loss . https://doi.org/10.1177/10541373211044069
COVID-19 lockdown and social distancing measures have restricted funerals and memorial events and have limited the face-to-face social networks that grieving people might normally be able to draw upon for emotional support. However, while there is considerable expert informed speculation about the impacts of grief and 'COVID bereavement', detailed accounts of experiences of bereavement and bereavement support during the pandemic have the potential to enrich and provide nuance and subtlety to the evidence base. This paper draws on diary accounts of bereavement support volunteers in the UK, who have been providing support for the bereaved through these challenging times. These reveal layers of complexity to the experiences of loss, grief and bereavement during these extraordinary times. However, they also point to a number of additional themes that lend a more positive valence to the suspension of normal social expectations and memorial practices associated with the pandemic, which, we argue should be reflected upon for their potential to address the discontents of contemporary governance of end of life and bereavement.
BASE
In: International journal of care and caring, Band 7, Heft 3, S. 425-440
ISSN: 2397-883X
The adult social care sector in England has been encouraged to increase the role of volunteers in service delivery. To understand the volunteer role in care delivery and its impact upon paid care work, we undertook 94 qualitative interviews in seven care settings for older people in England. While the boundaries between care worker and volunteer were clearly established in some organisations, they were more indistinguishable in others. We discuss how both clear and murky boundary making, especially regarding 'emotional' and 'bodily' aspects of care, can contribute towards paid care work's invisibility, lack of recognition and poor remuneration.
In: Voluntary sector review: an international journal of third sector research, policy and practice, Band 13, Heft 2, S. 260-277
ISSN: 2040-8064
Faced with unprecedented challenges, the adult social care sector in England has seen increasing attention given to the potential of volunteers to contribute to service provision. This article reports the findings of a qualitative study that explored the contribution made by volunteers to social care services for older people. The article draws attention to the difficulties associated with recruiting and training volunteers to work in the sector, particularly during a period of reduced public expenditure, which is putting the sector under strain. Given the challenges faced, the article considers whether it is appropriate to involve volunteers in care work.