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Community health services

What do informal carers need from district nursing services? (Cover story)

More than 5 million informal carers provide support to individuals who wish to remain within their own homes. The role of informal carers in maintaining people within their own homes has been identified as crucial. This article considers the assessment of need of informal carers in the primary care setting, placing particular emphasis on the role of the district nurse as an advocate for informal carers when working with other health and social care service providers.

Thu, 07/20/2017 - 15:10

Dying at home: A qualitative study of family carers’ views of support provided by GPs community staff

Background: Dying at home is the preference of many patients with life-limiting illness. This is often not achieved and a key factor is the availability of willing and able family carers.

Aim: To elicit family carers’ views about the community support that made death at home possible.

Design and setting: Qualitative study in East Devon, North Lancashire, and Cumbria.

Thu, 07/20/2017 - 15:10

Hospital at home: a resurgence

Swaleh Toofany examines the evolution and possible future options for hospital at home schemes

Healthcare providers are under pressure to deliver cost-effective care to a population that is ageing. Increased longevity means the number of patients with long-term conditions and chronic illness is growing. Expanding the range of services delivered to patients in their homes may provide a solution by keeping patients out of hospital.

Thu, 07/20/2017 - 15:09

System induced setbacks in stroke recovery

This study reports research on the experiences of stroke survivors and their informal carers who are receiving stroke services in the community. As part of a qualitative evaluation of a Pilot Community Stroke Service in Nottingham, England, interviews were conducted with stroke survivors, their families and friends, alongside interviews with the managers and professionals providing the service.

Thu, 07/20/2017 - 15:08

An integrated approach for individualised support : carers’ views

Purpose – The purpose of this paper was to capture carers’ views of a service in Bristol funded jointly by the Local Authority and the NHS Clinical Commissioning Group, which offers support to carers in the form of a one-off payment which they can use for anything they choose. 

Thu, 07/20/2017 - 15:08

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