English

This report presents the findings of a survey exploring the challenges of raising young children alongside supporting older parents or disabled family members.

Aims and objectives.  Few surveys have been carried out documenting the quality of life for non-cancer patients in general district hospitals reaching the final trajectory towards death. We carried out a survey of 80 patients facing the final stages of their chronic illness as well as their carers and hospital staff.

Background.  Cystic fibrosis (CF) is the most common autosomal recessive genetic disease in Caucasian people, traditionally conceptualized as a condition whereby sufferers died in childhood. However, the current median survival age of 30 and a predicted median survival age of 40 for those born with the disease over the last decade ensure that families members will assist hospital staff with treatment and care well into most patients' adulthood.

Carers are family members, friends, and neighbours who perform medical tasks and personal care, manage housekeeping and financial affairs, and provide emotional support to people who are ill, disabled, or elderly. From a carer's perspective, the primary requisite for a good doctor is competence. Assuming equal technical skills and knowledge, the difference between ‘good’ and ‘bad’ doctors comes down to attitudes and behaviour-communication. An important aspect of communication is what doctors say to carers, and how they interpret what carers say to them.

Background: In recent years, there has been a gradual shift towards the study of individual symptom presentations in psychosis, this is particularly found in studies of delusional beliefs. However, the literature remains sparse on informal caregiver experiences of individual symptoms.

Aim: The study sought to investigate carer experiences of supporting a relative with delusional beliefs, which involve family members.

Methods: Semi-structured interviews were undertaken with five caregivers and subject to interpretative phenomenological analysis.

Taking as its starting point the establishment of the Standing Commission on Carers in 2007 and the launch of the National Strategy for Carers in 2008, this article explores who carers are and how demographic changes are likely to impact on carer numbers. It deduces that the need for care is likely to rise significantly in the near future and as such carer numbers will grow. It argues that future policy must take this, and the importance of carers themselves being supported, into account.

General medical practitioners (GPs) and members of the primary care team have a pivotal role in supporting unpaid carers in their caring role and helping them to maintain their own health and well-being. This paper investigates the difference that caregiving makes to individuals’ access to and use of GP and primary care services. It is based on longitudinal analysis of carers’ contacts with GPs, and a review of the literature including evaluations of measures to improve primary-care-based support for carers. Men increase their consultation rates with GPs when taking on a caring role.

Support for carers now has a higher profile following the introduction of the Carers' Act (2004). In this article, Gary Kitchen reports on a successful review his organisation, Get Heard, carried out of a support service to carers of people with dementia in Cheshire, and demonstrates how vital these services are.

An estimated 50,000 children in Britain today regularly take on the hard work and responsibility of caring for a relative who is ill or disabled. These ‘young carers’ were, until recently, a hidden and neglected group in society, unacknowledged and unsupported. There are now over 100 young carers projects throughout Britain, and the Government’s National Carers Strategy document outlines a series of commitments designed to improve young carers’ lives.