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Care Management in Social and Primary Health Care - The Gateshead Community Care Scheme (Hardcover)
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Care Management in Social and Primary Health Care - The Gateshead Community Care Scheme (Hardcover)
Series: Routledge Revivals
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This title was first published in 2003: This book provides an
evaluation of the Gateshead Community Care Scheme which was devised
as an alternative to residential and hospital care for frail
elderly people. An important feature of the scheme was the
decentralization of control of resources to individual social
workers acting as care managers, with defined caseloads and
expenditure limits to ensure accountability. The initial social
social care scheme was subsequently extended to provide both health
and social care to clients from a large general practice based in a
health centre. The social care team was enlarged to include a nurse
care manager and part-time doctor and physiotherapist. The study
examines the operation of care management in both settings, the use
of devolved budgets and services developed, the outcomes for
clients and carers and the costs of care. Admissions to residential
care were reduced and the elderly people who received the scheme's
support experienced a better quality of care and greater well-being
when compared with elderly people receiving the usual range of
services. This was achieved at no greater cost. The characteristics
of those for whom the scheme was most appropriate are described. In
addition, the pattern of development of the scheme as it was
incorporated into the mainstream of the Social Services and after
the implementation of the NHS and Community Care Act are examined.
Final, the implications for the development of care management are
considered.
General
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