Discharged home with no home to go to

Peer research is a distinct type of service user involvement extending the expertise of lived experience into research. In peer research people with direct experience are involved in designing, delivering and shaping research (Revolving Doors, 2016).The Homelessness Research Programme at the Social Care Workforce Research Unit is currently running two research projects involving peer researchers. The first is looking at specialist primary care and the second at hospital discharge arrangements for homeless people. Both projects recently ran training and induction days for their peer researchers. In this blog James Fuller and Alan Kilmister (Peer Researchers on the Hospital Discharge Project) describe how they became involved in peer research, how their experience can make a difference and why striving for impact and change must be at the heart of this kind of participatory methodology. (1,372 words)

James: I am currently working as a support worker in a ‘day centre’ for homeless people in London. The main motive for throwing myself into the hospital discharge research project is a strong sense of righteous indignation at the way the people who use our service are routinely returned there by hospital staff who should know we have no accommodation – the clue is in our title!

One man has been delivered to our car park three times this year, on two occasions in a taxi, always clutching his transparent bag of medicines and still wearing his ward wristband. All we can do is get him to see our wonderful specialist nurse at the earliest opportunity (she can only fit us in one day a week) and use our best first-aiding to tend any wounds.

In the dark days I was myself discharged from hospital detox onto the street, which meant I couldn’t access even daytime rehabs, not having a secure address in what had been my local borough for more than five years. I was back in detox six months later. In the interim I was put out of the Emergency Investigation Unit of a well-known London hospital in pretty short order and with nowhere to go. Such experiences stick in the mind. Continue reading

Imagining the future – the social care workforce

Dr Martin StevensMartin Stevens is Senior Research Fellow at the Social Care Workforce Research Unit at the Policy Institute at King’s. (1,593 words)

A new report from the Centre for Workforce Intelligence: Forecasting the Adult Social Care Workforce to 2035 was launched at an event on the 27 July. This report asks some key questions and offers some possible answers. What will social care look like in 2035? Who will be doing the work?  How many people will be needed to keep care and support services going? Social care seems to like such forecasts, a previous report by Skills for Care in 2011 estimated that the number of jobs in the adult social care sector would need to grow from around 1.6 million in 2010, to 2.8 million in 2025 in order to meet projected demand for social care support. Only last year the Centre for Workforce Intelligence (2015) forecasted a 33 per cent growth in demand by 2030. Continue reading

Gambling – a risky business?

Stephanie BramleyCaroline NorrieDr Stephanie Bramley (Research Associate, left) and Caroline Norrie (Research Fellow) of the Social Care Workforce Research Unit at King’s introduce their new study. (1335 words)

In May the Unit began working on a new project exploring gambling participation by adults at risk. Here we explain some of the background to this study and set out what we intend to focus on. We would be pleased to hear from people with an interest in this subject—either existing interest or new interest following this blog.

Gambling is a popular leisure activity in Britain. The Gambling Commission says that 45% of adults participated in gambling during the last 4 weeks. Playing the National Lottery is the most popular activity, followed by online gambling, scratchcards, other lotteries, horses, sports betting, online betting and private betting. Between October 2014 and September 2015 the British gambling industry generated a gross gambling yield of £9.8 billion (the amount retained by gambling operators after the payment of winnings, but before the deduction of the costs of the operation) (Gambling Commission, 2016) and in the 2015-16 tax year the tax revenue from betting and gaming reached £2.7 billion (HMRC, 2016). Continue reading

Values, Equalities, Rights and Dementia

Laura Cole is Senior Research Associate at the Social Care Workforce Research Unit, King’s College London. (929 words)

It is often overlooked that two thirds of people with dementia are women, and caring is often viewed as a woman’s role; both in the family and the workplace. These seemingly obvious points were highlighted at the second* event of the VERDe Network, ‘Venus, Mars and Dementia – Gender perspectives on dementia’ held on 2 June 2016 in central London. Everyone who  attended was keen to explore the equalities dimensions arising from gender differences that affect the services, policies and practitioners that aim to support people with dementia and their carers. Continue reading

Building the case for housing as supporting a good old age

Fendt-Newlin et al 2016 Living well in old age-page-001The authors of Living well in old age. The value of UK housing interventions in supporting mental health and wellbeing in later life introduce the report, which is published today.

Housing in later life is more than just a roof or a matter of getting upstairs. Housing-related services can help many people by supporting their mental and physical wellbeing in later life. A newly published review of UK housing interventions focuses on their contribution to mental health in particular since this area of wellbeing often gets overlooked. Housing care and support can help people reduce the risks of depression or other problems getting worse and can make a difference in the lives of people with severe disabilities.

The review was undertaken by a research team at the Social Care Workforce Research Unit at King’s College London. It was commissioned by HACT on behalf of a group of social housing providers and developmental bodies who are keen to place on record the many links between housing, care and health services practice (*). Continue reading

Social Work and Disability

Peter Simcock and Dr. Rhoda Castle introduce their new book, Social Work and Disability, now out from Polity Books. (1,040 words)

0745670199Literature focusing on social work with disabled people, particularly those with physical and sensory impairments, is relatively limited, and so an email from the publisher Polity Press enquiring if such a text would be welcome was met with great enthusiasm. We didn’t realise then, that we would be the authors of that text, especially when faced with other demands on our time, not least PhD study and our ‘day jobs’. However, a number of things motivated us to write this book. First of all, we have both observed some inspiring social work practice with disabled people, and this is an area of work we would like to promote among the practitioners of the future. Although people should not be defined purely in terms of their impairments, there can be variation between the restrictions that people with different atypical physical attributes will face, and variation again between their experience and that of people with learning disabilities. As literature focusing on social work with people with physical and sensory impairments is particularly sparse, this was a gap we sought to address. However, despite this primary focus on disability associated with physical and sensory impairment, we have attempted to take a holistic approach, which recognises that people with learning disabilities may also have physical impairments. Continue reading

Social care, the market and the prospects for a National Care Service

John WoolhamJohn Woolham is Senior Research Fellow at the Social Care Workforce Research Unit. (524 words)

Professor Guy Daly, Executive Dean of the Health and Life Sciences Faculty at Coventry University, Bleddyn Davies, Emeritus Professor of Social Policy at the Personal Social Services Research Unit and I spoke at a Research in Specialist and Elderly Care (RESEC) seminar on 10 March at the House of Lords. RESEC is a national charity whose principal aim is to promote research and teaching in social care by identifying priorities for funding and teaching and securing funds to invest in these priorities. It provides finance for agreed projects and ensures findings and outcomes are publically disseminated. Continue reading

What are the prospects for using telecare for older people?

John WoolhamJohn Woolham is Senior Research Fellow at the Social Care Workforce Research Unit. (500 words)

On 9 March, I spoke in a webinar lecture for Oxford Academic Health Science Network. This network brings together universities, industry and the NHS throughout the Thames Valley region to improve health and prosperity in our region through rapid clinical innovation adoption. One strand of this network is devoted to a dementia clinical network and I was invited to speak by Dr Rupert McShane, a Consultant Old Age Psychiatrist at Oxfordshire and Buckinghamshire Mental Health NHS Foundation Trust, who leads this network. Continue reading

Ageing and India

Valerie LipmanValerie Lipman is an honorary Postdoc Research Fellow at the Social Care Workforce Research Unit, the Policy Institute at King’s. (926 words)

Just as the British TV-watching public was being captivated by the start of a three-part reality-style programme, ‘The Real Marigold Hotel’, showing eight familiar-faced senior citizens set up home in Jaipur north India, I was on my way to West Bengal in east India to take part in a gerontology conference. While the show raised some big questions about realistic retirement choices, including enjoying India’s many splendours, India is coming to terms with its own vast and growing population of older citizens. Continue reading

From our annual joint conference: End of Life Care

Dr Joan RapaportThe Annual Joint Conference of the Social Care Workforce Research Unit and Making Research Count at King’s College London and Age UK London, with support from the British Society of Gerontology was held on 11 February 2016 at King’s College London. Joan Rapaport reports. (1,633 words)

By way of introduction, Professor Jill Manthorpe, Director, Social Care Workforce Research Unit, explained that the focus of the conference was on good practice in the day-to-day delivery of palliative and end of life care. The Unit’s Longitudinal Care Work Study had highlighted the importance of collaborative working between health and social care agencies and ensuring staff were prepared and supported when working with people in the last stages of life. In spite of all the bad news about social care being ‘in crisis’ and of poor quality, research has shown that four out of five people describe positive experiences: ‘We can work on the one in five’. Continue reading