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Brexit Check what you need to do

Report looking at the configuration of health and social care services for older people.

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Future of ageing: health and social care services

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We use cookies to collect information about how you use GOV.UK. We use this information to make the website work as well as possible and improve government services. Brexit Check what you need to do Report looking at the configuration of health and social care services for older people.

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Advances in health care have helped people in England to live longer than ever before. As a result, the number of older people in England is growing significantly and this rate of growth is projected to speed up over the next 20 years. This is good news for all of us but it creates a challenge for the NHS - as we get older we tend to get long term conditions and need more health and social care.

Our ageing population

More than one in five of us are already over 60, and the number of people over 60 is expected to increase from 14.9 million in 2014 to 18.5 million in 2025 (ONS, 2015)

75% of 75 year olds in the UK have more than one long term condition, rising to 82% of 85 year olds (Barnett et al, 2012)

Between 2007/08 and 2013/14 the numbers of A&E attendances by people aged 60 or over increased by two-thirds, a steeper increase than is expected by demographic change alone (NHS England data, 2015)

If we don't improve the way we provide support to older people then the NHS will struggle to meet the increasing demand for resources as well as changing patient needs.

How old is an older person?

Generally, someone over the age of 65 might be considered an older person. However, it is not easy to apply a strict definition because people can biologically age at different rates so, for example, someone aged 75 may be healthier than someone aged 60. Instead of simply age, ' frailty ' has a bigger impact on their likelihood to require care and support.

What is NHS England doing to support people to age well?

NHS England is working with partners to support people in England to age well. There is always something we can do to improve our health and wellbeing. For older people who may be starting to find things more difficult, it is particularly important to take active steps to slow down or reverse some of the health challenges. It is essential that older people are supported to remain as healthy and independent as possible for as long as possible and they receive the highest quality care when they need it. To do this we are working with partners across health and social care to:

reframe frailty as a long term condition to be prevented, identified and managed alongside other long term conditions

reduce the amount of time someone spends in long term ill health in later life through early identification and offering support and self-management through, for example, healthy ageing and healthy caring guides

supporting public services to work together to support people. This includes safe and well visits carried out by the fire and rescue service, who also work with people to identify common health and fire risks

identify and support implementation of best practice interventions for key stages of frailty

promote proactive frailty case finding (identifying people at risk of frailty) to target prevention strategies among those most at risk of ageing with multiple long term conditions. For example the Toolkit for General practice in supporting older people living with frailty offers a suite of tools to GPs and practice staff to support case finding, assessment and case management of older people living with frailty. This toolkit will assist GPs and practice staff in meeting the GP contract requirement to identify frailty in patients aged 65 and over

promote tailored care and personalised care planning which documents people's preferences and supports choices about key aspects of care towards the end of life for people with advanced frailty

Many of these approaches are being put into practice by the vanguard sites who are developing new care models that include supporting older people and those with long term conditions to have better, joined up health and care services.

For more information contact us at england.clinicalpolicy@nhs.net

View key resources designed to support older people and frailty.

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Advances in health care have helped people in England to live longer than ever before. As a result, the number of older people in England is growing significantly and this rate of growth is projected to speed up over the next 20 years.

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The Care Home Journey is specifically designed to support nursing care in older peoples care homes. It is the first time the RCN has provided bespoke web pages for nurses working in this area of the independent sector and the content has been reviewed by current experts.

View the resource.

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Professional resources | Older people | Royal College of Nursing

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The Care Home Journey is specifically designed to support nursing care in older peoples care homes. It is the first time the RCN has provided bespoke web pages for nurses working in this area of the independent sector and the content has been reviewed by current experts. View the resource.

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24 November 2010

This guideline covers strategies, regulation, enforcement, surveillance and workforce development in relation to preventing unintentional injuries in the home, on the road and during outdoor play and...

Read Summary

04 November 2015

This guideline covers planning and delivering social care and support for older people who have multiple long-term conditions. It promotes an integrated and person-centred approach to delivering...

Read Summary

Published by Laing and Buisson, 01 November 2015

In September 2014 LaingBuisson published its first White Paper entitled: Strategic commissioning of long term care for older people: Can we get more for less? In the year that has elapsed since...

Read Summary

Published by Age UK, 01 January 2011

Older people and human rights: a reference guide for professionals working with older people -...

Read Summary

24 June 2015

This guideline covers how to improve the health and wellbeing of employees, with a focus on organisational culture and the role of line managers.

Read Summary

A guide that to support social care professionals in assessing the mental health needs of older people.

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24 November 2010 This guideline covers strategies, regulation, enforcement, surveillance and workforce development in relation to preventing unintentional injuries in the home, on the road and during outdoor play and... Read Summary 04 November 2015 This guideline covers planning and delivering social care and support for older people who have multiple long-term conditions.

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Resources for working in Health and Social Care

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Female, pale brown hair: Yeah.

Female, senior worker, blue uniform: Within normal range?

Female, pale brown hair: Yeah.

Female, senior worker, blue uniform: Numeracy and literacy skills in heath care generally is incredibly important.

All health care professionals, whatever situation they're in will be recording such aspects as temperatures and blood pressures, possibly weights and heights just to see how the patient's condition is at that particular time.

Female, blue hijab: You normally take a temperature of someone when they have a fever, infection.

Male, short dark hair, stripey top: An average person's temperature would be about 37 degrees Centigrade.

Sometimes we have to convert grams into milligrams so we have to know that there's a thousand milligrams in a gram.

Female, senior worker, blue uniform: We use a lot of charts for documenting certain things.

Female, dark hair, stripey uniform: The chart, I think, which is most commonly used within hospitals and medical environment is the line chart.

Male, short hair: Collecting data is a huge part of our jobs because we need to monitor a patient's progress over time.

Female, dark hair, earrings: We also used food charts for some patients.

You hae to document what the patient ate for their breakfast, lunch and supper and you do that every day.

Female, pale brown hair: So what I might do now is do your blood pressure, your vital signs, your temperature, your respiration rate and your pulse.

How does that sound?

Female, patient, dark hair: Okay, thank you.

Female, pale brown hair: Okay, there you go.

Female, senior worker, blue uniform: Communication skills are incredibly important in the health care profession.

We need to be very clear with what we're saying.

We shouldn't use technical jargon, it needs to be clear, accurate, fairly brief.

Female, pale brown hair: I'm just going to pop it into my chart now, okay?

Female, senior worker, blue uniform: Anybody who's thinking of entering the health care profession such as nursing, midwifery, residential homes, district nursing needs to be competent to a certain level in literacy, numeracy and computer skills.

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Female, pale brown hair: Yeah. Female, senior worker, blue uniform: Within normal range? Female, pale brown hair: Yeah. Female, senior worker, blue uniform: Numeracy and literacy skills in heath care generally is incredibly important.

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Our reports tell you what we think about the quality of care.

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Health and social care: resources for health and safety

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List of resources such as publications, videos and links applicable to the health and social care sector

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The United Nations agency working to promote health, keep the world safe and serve the vulnerable.

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We support ministers in leading the nation's health and social care to help people live more independent, healthier lives for longer. DHSC is a ministerial department, supported by 24 agencies and public bodies .

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The Royal College of Nursing (RCN) brings you First Steps for Health Care Assistants (HCAs) to support you either individually - or as part of your workplace induction programme - to learn in your own time, the most important factors that will get you started in your health care career.

First Steps has been developed around the NHS Knowledge and Skills Framework and codes and standards for each of the UK countries, see ' Information for employers '.

First Steps maps to a range of National Occupational Standards that can be printed off in the form of an assessment checklist that could form the basis of a portfolio of learning. We also suggest that you record your reflections, and have provided a reflective diary for you to complete when you reach the end of each topic. You can use it to build up into a portfolio of learning.
Overarching learning outcomes
After completing all the sections in this learning resource, the learner should be able to:

explain the role of the HCA and the boundaries of the role, taking into account your individual rights and responsibilities

describe what is meant by person - centred care and patient safety

explain the process for identifying and reporting suspected abuse of vulnerable people (safeguarding)

describe the principles of promoting health

describe the principles of effective communication

describe the legal requirements regarding confidentiality, consent and capacity

explain best practice for recording and accessing medical records

describe the principles of quality care in terms of: teamwork; accountability and delegation; and best practice guidelines

describe the principles of equality, diversity and rights in terms of: the legal requirements; promoting and treating people with dignity, respect and privacy; and the process for raising concerns

explain the policies and practices that protect the safety of staff and all other individuals in the workplace environment

describe the principles of infection prevention and control including the importance and practice of good hand hygiene

explain the importance and benefits of continuing professional development and reflective practice as a lifelong learner

explain the procedure for undertaking a range of observation activities.

Feedback
We hope you find First Steps useful and enjoy using it. Do show it to your friends and colleagues, and let your employers know about it too.

We welcome your feedback about this online induction resource and invite you to share your views about your learning experience. Please get in contact with us via our Customer feedback form.

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First steps for health care assistants | First Steps

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The Royal College of Nursing (RCN) brings you First Steps for Health Care Assistants (HCAs) to support you either individually - or as part of your workplace induction programme - to learn in your own time, the most important factors that will get you started in your health care career.

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National Institute for Clinical Excellence

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National Institute for Clinical Excellence

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NICE helps practitioners and commissioners get the best care to patients, fast, while ensuring value for the taxpayer.

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Social Care Institute for Excellence (SCIE)

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Accredited training, consultancy, research and resources for the social care and health sectors from independent charity and improvement agency, the Social Care Institute for Excellence.

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The King’s Fund | health policy, NHS leadership, events

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The King’s Fund is an English health charity that shapes health and social care policy and practice, provides NHS leadership development, and hosts health care events.