Michelle Cornes
Biographic Data
| ID | 4439679 |
|---|---|
| NAME | Michelle Cornes |
| GIVEN NAMES | Michelle |
| FAMILY NAME | Cornes |
| SIGNATURE | CORNES M |
| AFFILIATIONS | King's College London |
| ORCID | 0000-0001-5445-8592 |
| VERIFIED | Yes |
| TOTAL WORKS | 32 |
| TOTAL CITATIONS | 92 |
| AUTHOR COUNT | 32 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2007 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 6 |
Unveiling the Economic Implications of Gaps in Responses to Self‐Neglect: Case Studies From Multiple Exclusion Homelessness and From Hoarding Behaviour Amongst Older Individuals
This paper explores the economic implications of different support scenarios for individuals who self‐neglect whilst experiencing multiple exclusion homelessness (MEH) or hoarding behaviour (HB). It draws on analysis of six Safeguarding Adults Reviews (SARs) of self‐neglect‐related deaths from across English localities. Focused on the last one or 2 years of an individual’s life, the SARs provide a detailed examination of resource utilisation acro…
A person-centred approach to help services and commissioners to improve the experience of people who are homeless and secure better sustainability
Successful implementation of evidence-based services in health and social care depends largely on the fit of the services with the values and priorities of users who are shaping and participating in their delivery and use. When looking at the implementation of innovative specialist hospital discharge schemes for people who are homeless, there is a lack of knowledge on homeless people’s preferences and perspectives on receiving out-of-hospital car…
How important is integration to the successful ‘roll out’ of specialist hospital discharge schemes for people who are homeless
In 2021, we published research funded by the UK National Institute for Health Research that demonstrated the effectiveness and cost effectiveness of specialist hospital discharge schemes for people who are homeless. A key finding of the research was that areas that had a specialist homeless hospital discharge scheme had fewer delayed discharges and could reduce their emergency readmissions among homeless patients by 14%. This positive outcome att…
Social work practice with self-neglect and homelessness: Findings from vignette-based interviews
This article reports social workers’ attitudes and approaches to working with people experiencing multiple exclusion homelessness (MEH) who self-neglect, and whether these people receive services, including safeguarding, differently from other populations. It draws on telephone interviews in 2020 with twenty-two social workers working with adults in a range of statutory local authority and National Health Service hospital roles in England. Interv…
Why were Covid-19 infections lower than expected amongst people who are homeless in London, UK in 2020? Exploring community perspectives and the multiple pathways of health inequalities in pandemics
High rates of COVID-19 infections and deaths amongst people who are homeless in London, UK were feared. Rates however stayed much lower than expected throughout 2020; an experience that compares to other settings globally. This study sought a community level perspective to explore this rate of infections, and through this explore relationships between COVID-19 and existing health inequalities. Analyses are reported from ongoing qualitative studie…
Homelessness, hospital discharge and challenges in the context of limited resources: A qualitative study of stakeholders' views on how to improve practice in a deprived setting
Hospital discharge for people experiencing homelessness is a perennial challenge. The Homeless Reduction Act 2017 (HRA) places new responsibilities on hospitals, but it remains unknown whether this has affected discharge practices. This qualitative study explores stakeholders' views on the challenges around hospital discharge for people experiencing homelessness, in the context of a deprived English city. Semi-structured interviews were conducted…
The economic case for hospital discharge services for people experiencing homelessness in England: An in‐depth analysis with different service configurations providing specialist care
There are long-standing concerns that people experiencing homelessness may not recover well if left unsupported after a hospital stay. This study reports on a study investigating the cost-effectiveness of three different 'in patient care coordination and discharge planning' configurations for adults experiencing homelessness who are discharged from hospitals in England. The first configuration provided a clinical and housing in-reach service duri…
Hospital readmission among people experiencing homelessness in England: A cohort study of 2772 matched homeless and housed inpatients
BACKGROUND: Inpatients experiencing homelessness are often discharged to unstable accommodation or the street, which may increase the risk of readmission. METHODS: We conducted a cohort study of 2772 homeless patients discharged after an emergency admission at 78 hospitals across England between November 2013 and November 2016. For each individual, we selected a housed patient who lived in a socioeconomically deprived area, matched on age, sex, h…
Social Work Practice with Adults under the Rising Second Wave of Covid-19 in England: Frontline Experiences and the Use of Professional Judgement
The impacts on adult social work in England of the Covid-19 pandemic were sudden and are proving long-standing. In England, many social workers moved to home working and virtual contact with colleagues, managers, staff from other agencies and service users. A first national lockdown was followed by a lessening of restrictions, but a second wave started at the end of Summer 2020 and restrictions were re-introduced. This study draws on telephone in…
Situating and understanding hospital discharge arrangements for homeless people
Improving hospital discharge arrangements for people who are homeless: A realist synthesis of the intermediate care literature
This review presents a realist synthesis of "what works and why" in intermediate care for people who are homeless. The overall aim was to update an earlier synthesis of intermediate care by capturing new evidence from a recent UK government funding initiative (the "Homeless Hospital Discharge Fund"). The initiative made resources available to the charitable sector to enable partnership working with the National Health Service (NHS) in order to im…
Improving Hospital Discharge Arrangements for People who are Homeless: The Role of Specialist Integrated Care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Increasing access to Care Act 2014 assessments and personal budgets among people with experiences of homelessness and multiple exclusion: A theoretically informed case study
Purpose: The purpose of this paper is to present a case study describing the progress that is being made in one city in England to increase access to Care Act 2014 assessments and personal budgets among people with experiences of homelessness and multiple exclusion. Design/methodology/approach: A case study employing a “study group” to describe and reflect on local development work. Findings: The authors focus on the “systems change” activity tha…
Multiple Exclusion Homelessness: The Preventive Role of Social Work
There is increasing evidence that many homeless people have multiple and complex needs but are excluded from social work support. The data on which this paper draws are part of a study investigating service interfaces and interprofessional working that took place in three areas of England in 2009–11. This paper reports and discusses the ways in which some social workers employed in statutory and voluntary agencies work with people with risks of a…
Supportive Practice with Carers of People with Substance Misuse Problems
While there is increased recognition of the role of family carers in supporting adults with social care needs, some groups of carers are overlooked or hidden from professional view. Carers of people with substance misuse problems may be among this group since they are at risk of feeling guilty and stigmatised; targeting and eligibility criteria may concentrate professionals’ activities on people with high levels of need for practical support and …
Supporting the social networks of homeless people
Purpose – Homelessness often results from the loss of social networks and individuals are tested in being able to sustain or develop new positive social networks necessary to rebuild lives. The purpose of this paper is to present findings from an exploratory study which investigated how different agencies and professionals support people experiencing multiple exclusion homelessness (MEH) to develop and maintain their social networks amid other co…
Embarking on self-directed support in Scotland: A focused scoping review of the literature
This article presents findings from a focused scoping review of the published literature on self-directed support (SDS), the term adopted by the Scottish Government to refer to its policy to improve social care outcomes and choices for people using publicly funded services and to distinguish it from personalisation, the term more commonly used in England, and from consumer-directed-care and cash for counselling. The review was undertaken to infor…
Reaching out or missing out: Approaches to outreach with family carers in social care organisations
Outreach is advocated as a way of improving the uptake of services among underserved populations and of filling the gaps between mainstream services and the populations they are intended to support. Despite the policy emphasis on providing better help for family carers, research consistently shows that many of those providing unpaid care to a family member or friend report difficulties in finding out about the assistance to which they are entitle…
Assessing the effectiveness of policy interventions to reduce the use of agency or temporary social workers in England: Agency or temporary social workers in England
There has been growing concern that English local authorities are over reliant on temporary staff to meet the shortage of social workers. This has been criticised as inefficient and costly while leading to problems of continuity and consistency for people using social work services. Focussing on recent policy and the implementation of new administrative procedures for the procurement and management of temporary or agency staff, this article explo…
Reconciling recovery, personalisation and Housing First: Integrating practice and outcome in the field of multiple exclusion homelessness
Recovery' is a key concept in the organisation and delivery of interdisciplinary support for people experiencing multiple exclusion homelessness (MEH, that is, situations where homelessness overlaps with a range of other complex problems such as mental health issues and drug and alcohol dependencies). At the level of individual support planning, practitioners are expected to 'work together' to motivate service users to make positive changes to th…
Considering the safeguarding risks presented by agency or temporary social care staff: Research findings and recommendations
Purpose Little is known about the implications of employing agency staff on safeguarding or the reasons why employers recruit staff from agencies who specialise in supplying staff to the sector or why social care staff work for such agencies. This paper aims to present findings from a study of agency workers in social care services in England. Design/methodology/approach Drawing on a review of the literature and policy documents, the study involv…
When self‐directed support meets adult support and protection: Findings from the evaluation of the SDS test sites in Scotland
Purpose This paper aims to explore the possible connections between self‐directed support and adult support and protection, both of which are important policy developments in Scotland. Design/methodology/approach The authors draw on findings from the national evaluation of the test sites or pilots of self‐directed support in Scotland and interviews at two time points with adult protection leads in the test sites. These interview data are set in t…
Working Together to Address Multiple Exclusion Homelessness
This article draws on preliminary findings from a two-year exploratory study to describe how different agencies and professionals work together to identify and manage the intersections between homelessness and other facets of deep social exclusion. We assess the extent to which current practice is informed by policy frameworks for ‘personalised and integrated care planning’ focusing in particular on the ‘coordinating’ and ‘sign-posting’ role of t…
Better evidence for better commissioning: A study of the evidence base of generic social care commissioning guides in the UK
Commissioning of services has become integral to the role of those in the health and social care profession and a plethora of guidance on commissioning exists to aid professionals in this strategic activity. As part of a study of the Care Services Improvement Partnership (CSIP), the evidence base of published generic social care commissioning guides, published between 2003 and 2008, was assessed. Guides that were intended for healthcare commissio…
Rural dimensions of elder abuse: Contributions to the No Secrets review from rural older people
As part of the consultation around the review of the guidance document No Secrets (Department of Health, 2008a) in England, a project was commissioned to listen to the views and experiences of a group of older people living in a rural community. This article reports on the consultation process and findings. Messages for the review are identified that largely support the literature in confirming the variety of experiences and views held by rural o…
Reconciling recovery, personalisation and Housing First: Integrating practice and outcome in the field of multiple exclusion homelessness
Recovery' is a key concept in the organisation and delivery of interdisciplinary support for people experiencing multiple exclusion homelessness (MEH, that is, situations where homelessness overlaps with a range of other complex problems such as mental health issues and drug and alcohol dependencies). At the level of individual support planning, practitioners are expected to 'work together' to motivate service users to make positive changes to th…
Working Together to Address Multiple Exclusion Homelessness
This article draws on preliminary findings from a two-year exploratory study to describe how different agencies and professionals work together to identify and manage the intersections between homelessness and other facets of deep social exclusion. We assess the extent to which current practice is informed by policy frameworks for ‘personalised and integrated care planning’ focusing in particular on the ‘coordinating’ and ‘sign-posting’ role of t…
Embarking on self-directed support in Scotland: A focused scoping review of the literature
This article presents findings from a focused scoping review of the published literature on self-directed support (SDS), the term adopted by the Scottish Government to refer to its policy to improve social care outcomes and choices for people using publicly funded services and to distinguish it from personalisation, the term more commonly used in England, and from consumer-directed-care and cash for counselling. The review was undertaken to infor…
Elderly people's perspectives on health and well-being in rural communities in England: Findings from the evaluation of the National Service Framework for Older People
Addressing the problems of meeting the needs of ageing populations in rural areas is recognised as a political and service delivery challenge. The National Service Framework (NSF) for Older People (NSFOP) set out a series of service standards to raise quality, to redress variations in service use and to enhance the effectiveness of services across health and social care in England and alluded to the challenges of meeting such standards in rural c…
Multiple Exclusion Homelessness: The Preventive Role of Social Work
There is increasing evidence that many homeless people have multiple and complex needs but are excluded from social work support. The data on which this paper draws are part of a study investigating service interfaces and interprofessional working that took place in three areas of England in 2009–11. This paper reports and discusses the ways in which some social workers employed in statutory and voluntary agencies work with people with risks of a…
There Are Wonderful Social Workers but it's a Lottery: Older People's Views about Social Workers
This paper draws on the evaluation of the impact of the English National Service Framework for Older People (NSFOP) on the experiences and expectations of older people, four years into its ten-year programme. The NSFOP focuses on achieving cultural changes so that older people and their carers are treated with respect, dignity and fairness. The evaluation took a mixed methods consultation approach in ten localities. This paper focuses on what was…
Reaching out or missing out: Approaches to outreach with family carers in social care organisations
Outreach is advocated as a way of improving the uptake of services among underserved populations and of filling the gaps between mainstream services and the populations they are intended to support. Despite the policy emphasis on providing better help for family carers, research consistently shows that many of those providing unpaid care to a family member or friend report difficulties in finding out about the assistance to which they are entitle…
Social Work Practice with Adults under the Rising Second Wave of Covid-19 in England: Frontline Experiences and the Use of Professional Judgement
The impacts on adult social work in England of the Covid-19 pandemic were sudden and are proving long-standing. In England, many social workers moved to home working and virtual contact with colleagues, managers, staff from other agencies and service users. A first national lockdown was followed by a lessening of restrictions, but a second wave started at the end of Summer 2020 and restrictions were re-introduced. This study draws on telephone in…
We are not blaming anyone, but if we don't know about amenities, we cannot seek them out’: Black and minority older people's views on the quality of local health and personal social services in Englan…
Improving access to culturally-appropriate services and enhancing responses to the needs of older people from black and minority ethnic backgrounds were among the aims of the National Service Framework for Older People (NSFOP) that was introduced in England in 2001. Progress in meeting the aims of the NSFOP was evaluated by a mid-term independent review led by the Healthcare Commission, the body responsible for regulating health-care services in …
Increasing access to Care Act 2014 assessments and personal budgets among people with experiences of homelessness and multiple exclusion: A theoretically informed case study
Purpose: The purpose of this paper is to present a case study describing the progress that is being made in one city in England to increase access to Care Act 2014 assessments and personal budgets among people with experiences of homelessness and multiple exclusion. Design/methodology/approach: A case study employing a “study group” to describe and reflect on local development work. Findings: The authors focus on the “systems change” activity tha…
Assessing the effectiveness of policy interventions to reduce the use of agency or temporary social workers in England: Agency or temporary social workers in England
There has been growing concern that English local authorities are over reliant on temporary staff to meet the shortage of social workers. This has been criticised as inefficient and costly while leading to problems of continuity and consistency for people using social work services. Focussing on recent policy and the implementation of new administrative procedures for the procurement and management of temporary or agency staff, this article explo…
An inspector calls: Adult protection in the context of the NSFOP review
This article reports on the findings of the inspections and consultations undertaken as part of the evaluation of the National Service Framework for Older People. It focuses on what was found about the implementation of adult protection systems, by synthesising the inspectors' findings, drawing on older people's comments in meetings and interviews concerning care in hospitals, as an illustration, and by reporting the results from a survey. Togeth…
Hospital readmission among people experiencing homelessness in England: A cohort study of 2772 matched homeless and housed inpatients
BACKGROUND: Inpatients experiencing homelessness are often discharged to unstable accommodation or the street, which may increase the risk of readmission. METHODS: We conducted a cohort study of 2772 homeless patients discharged after an emergency admission at 78 hospitals across England between November 2013 and November 2016. For each individual, we selected a housed patient who lived in a socioeconomically deprived area, matched on age, sex, h…
Supporting the social networks of homeless people
Purpose – Homelessness often results from the loss of social networks and individuals are tested in being able to sustain or develop new positive social networks necessary to rebuild lives. The purpose of this paper is to present findings from an exploratory study which investigated how different agencies and professionals support people experiencing multiple exclusion homelessness (MEH) to develop and maintain their social networks amid other co…
Better evidence for better commissioning: A study of the evidence base of generic social care commissioning guides in the UK
Commissioning of services has become integral to the role of those in the health and social care profession and a plethora of guidance on commissioning exists to aid professionals in this strategic activity. As part of a study of the Care Services Improvement Partnership (CSIP), the evidence base of published generic social care commissioning guides, published between 2003 and 2008, was assessed. Guides that were intended for healthcare commissio…
Promoting the use of diverse sources of evidence: Evaluating progress in the provision of services for people with dementia and their carers
English This article reports on an innovatory partnership between regulatory bodies and researchers to assess progress in improving NHS, local authority and other services for older people in 10 different parts of England. It discusses how consultation exercises held as part of local inspections that fed into a national review of the National Service Framework for Older People may enlarge the evidence base for planning and service improvement pur…
Social work practice with self-neglect and homelessness: Findings from vignette-based interviews
This article reports social workers’ attitudes and approaches to working with people experiencing multiple exclusion homelessness (MEH) who self-neglect, and whether these people receive services, including safeguarding, differently from other populations. It draws on telephone interviews in 2020 with twenty-two social workers working with adults in a range of statutory local authority and National Health Service hospital roles in England. Interv…
The economic case for hospital discharge services for people experiencing homelessness in England: An in‐depth analysis with different service configurations providing specialist care
There are long-standing concerns that people experiencing homelessness may not recover well if left unsupported after a hospital stay. This study reports on a study investigating the cost-effectiveness of three different 'in patient care coordination and discharge planning' configurations for adults experiencing homelessness who are discharged from hospitals in England. The first configuration provided a clinical and housing in-reach service duri…
Situating and understanding hospital discharge arrangements for homeless people
When self‐directed support meets adult support and protection: Findings from the evaluation of the SDS test sites in Scotland
Purpose This paper aims to explore the possible connections between self‐directed support and adult support and protection, both of which are important policy developments in Scotland. Design/methodology/approach The authors draw on findings from the national evaluation of the test sites or pilots of self‐directed support in Scotland and interviews at two time points with adult protection leads in the test sites. These interview data are set in t…
Developing world class commissioning competencies in care services in England: The role of the service improvement agency
This article provides an insight into the support needs of health and social care commissioners seeking to develop world class commissioning competencies and the role of service improvement agencies in meeting these needs. Reporting findings from the evaluation of one service improvement agency based in England, we focus on the 'improvement supports' (the products and services) that were delivered by the 'Care Services Improvement Partnership' th…
Promoting the use of diverse sources of evidence: Evaluating progress in the provision of services for people with dementia and their carers
English This article reports on an innovatory partnership between regulatory bodies and researchers to assess progress in improving NHS, local authority and other services for older people in 10 different parts of England. It discusses how consultation exercises held as part of local inspections that fed into a national review of the National Service Framework for Older People may enlarge the evidence base for planning and service improvement pur…
An inspector calls: Adult protection in the context of the NSFOP review
This article reports on the findings of the inspections and consultations undertaken as part of the evaluation of the National Service Framework for Older People. It focuses on what was found about the implementation of adult protection systems, by synthesising the inspectors' findings, drawing on older people's comments in meetings and interviews concerning care in hospitals, as an illustration, and by reporting the results from a survey. Togeth…
Wise owls and professors: The role of older researchers in the review of the National Service Framework for Older People
Aim This article explores the involvement of older people in research and inspection, reflecting on the learning from the recent ‘joint review’ of the National Service Framework for Older People in England. Methodological context Working in 10 different localities, the ‘joint review’ comprised a formal inspection of health and local council services (carried out by the Healthcare Commission, Commission for Social Care Inspection and the Audit Com…
Elderly people's perspectives on health and well-being in rural communities in England: Findings from the evaluation of the National Service Framework for Older People
Addressing the problems of meeting the needs of ageing populations in rural areas is recognised as a political and service delivery challenge. The National Service Framework (NSF) for Older People (NSFOP) set out a series of service standards to raise quality, to redress variations in service use and to enhance the effectiveness of services across health and social care in England and alluded to the challenges of meeting such standards in rural c…
There Are Wonderful Social Workers but it's a Lottery: Older People's Views about Social Workers
This paper draws on the evaluation of the impact of the English National Service Framework for Older People (NSFOP) on the experiences and expectations of older people, four years into its ten-year programme. The NSFOP focuses on achieving cultural changes so that older people and their carers are treated with respect, dignity and fairness. The evaluation took a mixed methods consultation approach in ten localities. This paper focuses on what was…
Developing world class commissioning competencies in care services in England: The role of the service improvement agency
This article provides an insight into the support needs of health and social care commissioners seeking to develop world class commissioning competencies and the role of service improvement agencies in meeting these needs. Reporting findings from the evaluation of one service improvement agency based in England, we focus on the 'improvement supports' (the products and services) that were delivered by the 'Care Services Improvement Partnership' th…
We are not blaming anyone, but if we don't know about amenities, we cannot seek them out’: Black and minority older people's views on the quality of local health and personal social services in Englan…
Improving access to culturally-appropriate services and enhancing responses to the needs of older people from black and minority ethnic backgrounds were among the aims of the National Service Framework for Older People (NSFOP) that was introduced in England in 2001. Progress in meeting the aims of the NSFOP was evaluated by a mid-term independent review led by the Healthcare Commission, the body responsible for regulating health-care services in …
Better evidence for better commissioning: A study of the evidence base of generic social care commissioning guides in the UK
Commissioning of services has become integral to the role of those in the health and social care profession and a plethora of guidance on commissioning exists to aid professionals in this strategic activity. As part of a study of the Care Services Improvement Partnership (CSIP), the evidence base of published generic social care commissioning guides, published between 2003 and 2008, was assessed. Guides that were intended for healthcare commissio…
Rural dimensions of elder abuse: Contributions to the No Secrets review from rural older people
As part of the consultation around the review of the guidance document No Secrets (Department of Health, 2008a) in England, a project was commissioned to listen to the views and experiences of a group of older people living in a rural community. This article reports on the consultation process and findings. Messages for the review are identified that largely support the literature in confirming the variety of experiences and views held by rural o…
Working Together to Address Multiple Exclusion Homelessness
This article draws on preliminary findings from a two-year exploratory study to describe how different agencies and professionals work together to identify and manage the intersections between homelessness and other facets of deep social exclusion. We assess the extent to which current practice is informed by policy frameworks for ‘personalised and integrated care planning’ focusing in particular on the ‘coordinating’ and ‘sign-posting’ role of t…
Considering the safeguarding risks presented by agency or temporary social care staff: Research findings and recommendations
Purpose Little is known about the implications of employing agency staff on safeguarding or the reasons why employers recruit staff from agencies who specialise in supplying staff to the sector or why social care staff work for such agencies. This paper aims to present findings from a study of agency workers in social care services in England. Design/methodology/approach Drawing on a review of the literature and policy documents, the study involv…
When self‐directed support meets adult support and protection: Findings from the evaluation of the SDS test sites in Scotland
Purpose This paper aims to explore the possible connections between self‐directed support and adult support and protection, both of which are important policy developments in Scotland. Design/methodology/approach The authors draw on findings from the national evaluation of the test sites or pilots of self‐directed support in Scotland and interviews at two time points with adult protection leads in the test sites. These interview data are set in t…
Assessing the effectiveness of policy interventions to reduce the use of agency or temporary social workers in England: Agency or temporary social workers in England
There has been growing concern that English local authorities are over reliant on temporary staff to meet the shortage of social workers. This has been criticised as inefficient and costly while leading to problems of continuity and consistency for people using social work services. Focussing on recent policy and the implementation of new administrative procedures for the procurement and management of temporary or agency staff, this article explo…
Reconciling recovery, personalisation and Housing First: Integrating practice and outcome in the field of multiple exclusion homelessness
Recovery' is a key concept in the organisation and delivery of interdisciplinary support for people experiencing multiple exclusion homelessness (MEH, that is, situations where homelessness overlaps with a range of other complex problems such as mental health issues and drug and alcohol dependencies). At the level of individual support planning, practitioners are expected to 'work together' to motivate service users to make positive changes to th…
Supportive Practice with Carers of People with Substance Misuse Problems
While there is increased recognition of the role of family carers in supporting adults with social care needs, some groups of carers are overlooked or hidden from professional view. Carers of people with substance misuse problems may be among this group since they are at risk of feeling guilty and stigmatised; targeting and eligibility criteria may concentrate professionals’ activities on people with high levels of need for practical support and …
Supporting the social networks of homeless people
Purpose – Homelessness often results from the loss of social networks and individuals are tested in being able to sustain or develop new positive social networks necessary to rebuild lives. The purpose of this paper is to present findings from an exploratory study which investigated how different agencies and professionals support people experiencing multiple exclusion homelessness (MEH) to develop and maintain their social networks amid other co…
Embarking on self-directed support in Scotland: A focused scoping review of the literature
This article presents findings from a focused scoping review of the published literature on self-directed support (SDS), the term adopted by the Scottish Government to refer to its policy to improve social care outcomes and choices for people using publicly funded services and to distinguish it from personalisation, the term more commonly used in England, and from consumer-directed-care and cash for counselling. The review was undertaken to infor…
Reaching out or missing out: Approaches to outreach with family carers in social care organisations
Outreach is advocated as a way of improving the uptake of services among underserved populations and of filling the gaps between mainstream services and the populations they are intended to support. Despite the policy emphasis on providing better help for family carers, research consistently shows that many of those providing unpaid care to a family member or friend report difficulties in finding out about the assistance to which they are entitle…
Multiple Exclusion Homelessness: The Preventive Role of Social Work
There is increasing evidence that many homeless people have multiple and complex needs but are excluded from social work support. The data on which this paper draws are part of a study investigating service interfaces and interprofessional working that took place in three areas of England in 2009–11. This paper reports and discusses the ways in which some social workers employed in statutory and voluntary agencies work with people with risks of a…
Improving hospital discharge arrangements for people who are homeless: A realist synthesis of the intermediate care literature
This review presents a realist synthesis of "what works and why" in intermediate care for people who are homeless. The overall aim was to update an earlier synthesis of intermediate care by capturing new evidence from a recent UK government funding initiative (the "Homeless Hospital Discharge Fund"). The initiative made resources available to the charitable sector to enable partnership working with the National Health Service (NHS) in order to im…
Improving Hospital Discharge Arrangements for People who are Homeless: The Role of Specialist Integrated Care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Increasing access to Care Act 2014 assessments and personal budgets among people with experiences of homelessness and multiple exclusion: A theoretically informed case study
Purpose: The purpose of this paper is to present a case study describing the progress that is being made in one city in England to increase access to Care Act 2014 assessments and personal budgets among people with experiences of homelessness and multiple exclusion. Design/methodology/approach: A case study employing a “study group” to describe and reflect on local development work. Findings: The authors focus on the “systems change” activity tha…
Situating and understanding hospital discharge arrangements for homeless people
Hospital readmission among people experiencing homelessness in England: A cohort study of 2772 matched homeless and housed inpatients
BACKGROUND: Inpatients experiencing homelessness are often discharged to unstable accommodation or the street, which may increase the risk of readmission. METHODS: We conducted a cohort study of 2772 homeless patients discharged after an emergency admission at 78 hospitals across England between November 2013 and November 2016. For each individual, we selected a housed patient who lived in a socioeconomically deprived area, matched on age, sex, h…
Social Work Practice with Adults under the Rising Second Wave of Covid-19 in England: Frontline Experiences and the Use of Professional Judgement
The impacts on adult social work in England of the Covid-19 pandemic were sudden and are proving long-standing. In England, many social workers moved to home working and virtual contact with colleagues, managers, staff from other agencies and service users. A first national lockdown was followed by a lessening of restrictions, but a second wave started at the end of Summer 2020 and restrictions were re-introduced. This study draws on telephone in…
Medicine (27 works) · Political science (24 works) · Nursing (22 works) · Psychology (22 works) · Public relations (21 works) · Healthcare innovation and challenges (19 works) · Sociology (18 works) · Homelessness and Social Issues (17 works) · Business (14 works) · Social Work (11 works)