English

People with learning disabilities have high dependency needs and high prevalence of physical, psychological and social morbidities. Some studies have shown that South Asian and white populations have a similar prevalence of learning disabilities and related psychological morbidity (McGrother et al, 2002), although other studies have shown an increased prevalence of severe levels of learning disabilities in the South Asian population (Emerson et al, 1997).

In every other industry, 'the customer is king' - so why should health care be any different? With reference to the Department of Health's newly published legislation, Real Accountability Guidance on the NHS duty to report on consultation, the author examines the importance of patient and carer input into NHS services. 

Describes a new strand in this journal in its coverage of research that involves mental health service users and is important to their concerns. Looks at some of the ways in which service user involvement can change research and heralds the dawn of a new era where service users and informal carers are not just the subjects of investigation, but can now have an effect on an influential research forum. (Quotes from original text)

Findings from a small scale evaluation of one local voluntary sector carers' organisation in the north of England are used to discuss the commissioning of carers support services in rural areas. The issues raised match closely those identified in the new national strategy for carers both in terms of analysis of need and suggested responses. Respite in order to facilitate 'time out' and personalisation of services through a dedicated support officer emerge as the most important elements of service delivery from the carers' perspective.

Primary carers provide much of the day-to-day care for community-dwelling people living with dementia (PWD). Maintaining that contribution will require a more in-depth understanding of the primary carer role and the support needs that flow from that role. This study explored patterns of formal and informal support utilisation by people caring for a PWD in a rural-regional context. In-depth semi-structured interviews were conducted with 18 rural primary carers of a PWD and thematically analysed.

Care: Personal Lives and Social Policy considers how normative assumptions about the meanings, practices and relationships of care are embedded in our everyday lives. It explores the ways in which these shape our sense of self and the nature of our relations with others. At the same time the book examines how social policy and welfare practices construct these relations and give or deny them meaning and validity. 

As you may have heard, the Queen’s Speech, which opened the 2008-2009 parliamentary year, included reference to the importance of rights for informal carers (House of Commons, 2008). I am no stranger to the world of informal caring as many of you may know. Indeed, I have made it no secret and frequently mention it at the annual Royal College of Nursing Congress and have done so since 2001.

Objective: caregiver effects of geriatric care models focusing primarily at the patient have not been consistently studied. We studied caregiver effects of a nurse-led comprehensive geriatric evaluation and management (GEM) programme for community-dwelling frail older people that showed—in a randomised comparison with usual care-–health-related quality of life benefits for the care receivers.

Carers UK surveyed 4,282 carers between September 2010 and July 2011 to examine the financial pressures of caring, and these pressures have on carers' health. The sample included carers from the 4 nations of England, Wales, Scotland and Northern Ireland. This report presents the key findings. Carers identified the extra costs of caring, the need to cut back to save money, debt and worry due to financial hardship.

Carers are often too wrapped up in their duties to think about their needs. This article reports on a pilot project in Kensington and Chelsea, run by charity wpf Counselling and Psychotherapy and funded by the council. The project aimed to offer carers of older people and people with mental health problems counselling to help them gain independence. The article also contains a brief case study.