Dependency of residents in care homes

We hear anecdotally that the characteristics of people living in care homes continue to change over time. Yet our published figures show little change in the age of residents and the profile of the length of time the residents have been living in our care homes has hardly changed.

What may have changed however is the relative  dependency of residents. To find out about this, the JIT has established a project, with the support of the Care Inspectorate, Scottish Care, ISD and others to see what we can learn from the Augmented IoRN (Indicator of Relative Need) data that is routinely collected by many care homes.

The Augmented IoRN tool measures functional dependency and is part of a Care Home Staffing Model: Positive support in principle has already been given by a range of care home provider organisations. Our aim is to produce a report on what we learn before the turn of the year. Watch this space!

Reshaping Care for Older People: ‘A look into the rear-view mirror’ 

Trend data are an invaluable source of information and understanding. Published national data are a ready resource for reviewing the ‘big trends’. This report  brings together trend data on care home residents, home care provision, telecare and emergency admissions and beddays for people aged 65 and over at Scotland level.

The analysis underpinning the report also employs an original approach that, in essence, imagines what the trends since 2003 might have been had the rate per 1000 aged 65+ stayed fixed whilst the population of Scotland gets older. The report compares the actual trends against these hypothetical trends to illustrate change.

A version of the analysis at individual health and social care partnership level has also been produced and issued to partnerships.

Measuring functional independence, measuring change: Community IoRN redesign project to support reablement/rehabilitation

An expert working group, comprising NHS and social work professionals (and endorsed by Social Work Scotland), ISD and the JIT has taken a fresh look at the IoRN. The result of 18 months of careful deliberation is ‘IoRN2’ – a working revision of the instrument  that we hope  will prove to be better and more sensitive than the original. Much of the effort has been to improve the sensitivity of the instrument where people are “relatively independent”. We believe this will be especially useful in reablement/rehabilitation/intermediate care and in prevention.

A number of pilots are underway to test the revised IoRN. These involve both NHS and social work staff, reflecting the potential of the IoRN as an information resource for integrated care. Some useful links are here.

Perspectives on Data Sharing

The integration of health and social care brings with it renewed calls to overcome unnecessary barriers to the sharing of information for the benefit of the public. This presentation [here] was made by Pete Knight at a Capita Conference in September 2013. It approaches data sharing from the perspective of improving care for older people in particular, taking account of some of the challenges we face in the future.

Data sharing is viewed from two angles – to improve the care for an individual and to improve how we plan for and deliver good outcomes to Scotland’s citizens in the future.

Key Scotland trends in re-shaping care for older people – paper for the Scottish Parliament Finance Committee in January 2014

This paper, originally prepared for the Parliament’s Finance Committee, presents and comments on a selection of Scotland level trends and cross sectional analyses. The factual data included are all available from published figures.