Expert Insights

Latest news stories and opinions about the Dental, GP and Care Industries. For your ease of use, we have established categories under which you can source the relevant articles and news items.

05th December 2014

Outcomes Framework for Older People in Scotland

Senior Woman Celebrating In Chair At HomeIn October 2014 the NHS Scotland published what I believe is a very important document: "Optimising Older People’s Quality of Life: an Outcomes Framework".

The rather formal title belies its exciting content and potential to improve services across the board for older people in Scotland.

A development team of health and care professionals and voluntary groups set out a framework to measure and improve outcomes strategically, as well as in four specific example areas: eating well, falls prevention, age-friendly environment and palliative/end of life care.

Pushing to set and achieve outcomes

My experience in working in elderly care was of constantly pushing to set and achieve outcomes. Healthier eating, exercise, social activity and setting aspirations we found were ways to turn around people's attitudes and enable oder people to lead fuller and perhaps longer lives. We had considerable success in terms of activities being taken up, and people setting activity targets for themselves. I remember one gentleman who took piano lessons at an advanced age, others who discovered 'new' foods, and regained what they thought were lost skills.

What I find exciting about this framework is that it sets out nationally, in strategic as well as in detailed terms for all professionals, where their work should be targeted. Rather than age being a static and declining condition, it presupposes that people have the potential to develop at all ages. This involves service commissioners and planners, all the way to the front line care assistants and managers.

The programme states the current position in each of four model areas, and then shows how we need to improve performance.

Useful guide to best practice in elderly care

It is a useful guide to best practice in elderly care. To take one of the 'Nested models', eating well, the paper identifies the shocking statistics of poor nourishment among older people and the public expense of treating the resulting hospital admissions.

The model encourages knowledge and awareness about healthy eating to be promoted, for food services (e.g. delivery, availability, diversity) to improve reach to older people, workforce knowledge to be enhanced, planners to be better informed, and older people themselves (a significant make up of voluntary services ) to spread the word about eating well.

Each of us working with older people can find where we slot into this framework, and proceed accordingly. I will certainly be promoting it myself, and I trust that the government, as well as all other partners, will have outcome targets to measure the actual improvement which this bold development can bring about.

*All information is correct at the time of publishing. Use of this material is subject to your acceptance of our terms and conditions.

Tony Clarke

Scottish Care Inspectorate Specialist

Tony began care work as a care assistant in care of the elderly here in Scotland in the 1970s. He very much enjoyed promoting activities, interests and good basic care. After a gap to gain a social work qualification, he worked in management of care services, latterly as a peripatetic manager which gave him experience of a wide range of services.

Join over 130,000 users already using the QCS Management System!
Start Free Trial Buy Now
Back to Top

Register here for your FREE TRIAL

  • Try our unique Management System, or any of our individual packs
  • PLUS! Gain FREE trial access to our Mock Inspection Toolkit
  • Over 2,300+ pages of easy to use guidance and 300+ policies & procedures

Simply fill out the form below and get full access for 24 hours to a QCS Management System of your choice.