community care plans

Any new settlement on long-term care and support must address the apportionment of responsibility for its delivery as well as its funding. With the state's capacity limited and family input likely to decline, the wider community must expect to play a growing role. This offers an opportunity to end social care's marginalisation, argues David Brindle.

The Review of Nursing in the Community has proposed a new service delivery model for Scotland that aims to meet the challenges nurses face now, and will face in the future. The model, which is based on seven key elements of practice, is currently being piloted in four NHS board areas: NHS Borders, NHS Highland, NHS Lothian and NHS Tayside. The pilot will be formally evaluated through 2009-2010 to provide the evidence the Scottish Government needs to decide on the future shape of nursing services in the community.

The MDS-RAI (Minimum Data Set Resident Assessment Instrument for Long Term Care Facilities) is designed to provide a comprehensive standard assessment of residents' needs for use in nursing and residential homes. This action research project explored how care home staff and management could raise care provision standards through embedding its use in daily practice.

Laura-Jayne explains to Edwina an innovative care and education planning process for young people Filmed at Ballikinrain School, 13 April 2010.

The purpose of this guidance is to describe and clarify good practice in health facilitation and health action planning and support localities to make progress on this and on reducing health inequalities experienced by people with learning disabilities. It builds on previous DH guidance and reflects the learning that has taken place since 2002 along with key recommendations of relevant recent reports and research. Short examples of good practice are included throughout.

The Capability Framework defines a common set of capabilities for nurses built around five key areas: Practising Ethically, Knowledge for Practice, Leadership for Practice, Multi-Professional Approach, Care Delivery & Intervention, it will help the development of educational programmes to ensure that LACNs are fully competent and capable to meet the challenges they face. It has been developed by NHS Education for Scotland (NES) and the Scottish Government Health Directorate.

Although alcohol is widely recognised as a major generator of employment and income from exports in Scotland, a considerable (and increasing) amount of harm is associated with its misuse.

The effects of this misuse – which are considered in this paper – are wide, and generate substantial costs not only for the health service, but also for criminal justice, communities, employers, and the wider Scottish economy.

The Our Health, Our Care, Our Say White Paper sets out a vision to provide people with good quality social care and NHS services in the communities where they live. NHS services are halfway through a 10 year plan to become more responsive to patient needs and prevent ill health by the promotion of healthy lifestyles. Social care services are also changing to give service users more independence, choice and control.

The JRF’s recent public consultation revealed a strong sense of unease about some of the changes shaping British society. This Viewpoint continues the discussion about modern ‘social evils’ on the theme of ‘distrusting and fearful society’. Shaun Bailey looks at relationships between individuals, the state and community, and the effects these relationships have on our daily lives that may lead us not to trust.

Social care services should enable disabled people to participate in society on an equal basis to others.

This bulletin looks at how social care services can ensure they promote equality for disabled people. This will only be achieved if care providers focus on the barriers that disabled people face.