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dc.contributor.authorIliffe , Steve
dc.contributor.authorDavies, Susan
dc.contributor.authorGordon, Adam L
dc.contributor.authorSchneider, Justine
dc.contributor.authorDening , Tom
dc.contributor.authorBowman, Clive
dc.contributor.authorGage, Heather
dc.contributor.authorMartin , Finbarr
dc.contributor.authorGladman, John
dc.contributor.authorVictor, Christina
dc.contributor.authorMeyer, Julienne
dc.contributor.authorGoodman, Claire
dc.date.accessioned2017-01-18T17:26:18Z
dc.date.available2017-01-18T17:26:18Z
dc.date.issued2016-03-01
dc.identifier.citationIliffe , S , Davies , S , Gordon , A L , Schneider , J , Dening , T , Bowman , C , Gage , H , Martin , F , Gladman , J , Victor , C , Meyer , J & Goodman , C 2016 , ' Provision of NHS generalist and specialist services to care homes in England : review of surveys ' , Primary Health Care Research and Development , vol. 17 , no. 2 , pp. 122-137 . https://doi.org/10.1017/S1463423615000250
dc.identifier.issn1463-4236
dc.identifier.otherPURE: 8508524
dc.identifier.otherPURE UUID: 282befb9-47f8-4c52-9d5b-3284ed197acf
dc.identifier.otherScopus: 85014498394
dc.identifier.urihttp://hdl.handle.net/2299/17527
dc.descriptionSteven Iliffe, et al, ‘Provision of NHS generalist and specialist services to care homes in England: review surveys’, Primary Health Care Research & Development, Vol. 17(2): 122-137, first published on line May 5, 2015. This article has been published in a revised form in Primary Health Care Research & Development [http://dx.doi.org/10.1017/S1463423615000250. This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. © Steve Iliffe et al. Cambridge University Press 2015
dc.description.abstractBackground: The number of beds in care homes (with and without nurses) in the UK is three times greater than the number of beds in NHS hospitals. Care homes are predominantly owned by a range of commercial, not-for-profit or charitable providers and their residents have high levels of disability, frailty and co-morbidity. NHS support for care home residents is very variable, and it is unclear what models of clinical support work and are cost effective. Objectives: To critically evaluate how the NHS works with care homes. Methods: A review of surveys of NHS services provided to care homes that had been completed since 2008. It included published national surveys, local surveys commissioned by Primary Care organisations , studies from charities and academic centres, grey literature identified across the nine government regions, and information from care home, primary care and other research networks. Data extraction captured forms of NHS service provision for care homes in England in terms of frequency, location, focus and purpose. Results: Five surveys focused primarily on general practitioner services, and ten on specialist services to care home. Working relationships between the NHS and care homes lack structure and purpose and have generally evolved locally. There are wide variations in provision of both generalist and specialist healthcare services to care homes. Larger Care home chains may take a systematic approach to both organising access to NHS generalist and specialist services, and to supplementing gaps with in-house provision. Access to dental care for care home residents appears to be particularly deficient. Conclusions: Historical differences in innovation and provision of NHS services, the complexities of collaborating across different sectors (private and public, health and social care, general and mental health), and variable levels of organisation of care homes, all lead to persistent and embedded inequity in the distribution of NHS resources to this population. Clinical commissioners seeking to improve the quality of care of care home residents need to consider how best to provide fair access to health care for older people living in a care home, and to establish a specification for service delivery to this vulnerable population.en
dc.format.extent16
dc.language.isoeng
dc.relation.ispartofPrimary Health Care Research and Development
dc.rightsEmbargoed
dc.subjectcare homes
dc.subjectco-morbidity
dc.subjectcommunity nursing
dc.subjectequity
dc.subjectgeneral practice
dc.subjectinequalities
dc.subjectintegrated health and social care
dc.subjectundeserved communities
dc.titleProvision of NHS generalist and specialist services to care homes in England : review of surveysen
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionHealth & Human Sciences Research Institute
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionOlder People's Health and Complex Conditions
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionNursing, Midwifery and Social Work
dc.description.statusPeer reviewed
dc.date.embargoedUntil2015-11-06
dc.relation.schoolSchool of Health and Social Work
dc.description.versiontypeFinal Accepted Version
dcterms.dateAccepted2016-03-01
rioxxterms.versionAM
rioxxterms.versionAM
rioxxterms.versionofrecordhttps://doi.org/10.1017/S1463423615000250
rioxxterms.licenseref.startdate2015-11-06
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.date.embargo2015-11-06
herts.rights.accesstypeEmbargoed


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