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Modernising social care services for older people: scoping the United Kingdom evidence base

Published online by Cambridge University Press:  21 April 2009

SALLY JACOBS ,
CHENGQIU XIE ,
SIOBHAN REILLY ,
JANE HUGHES  and
DAVID CHALLIS
SALLY JACOBS*
Affiliation:
School of Pharmacy and Pharmaceutical Sciences, University of Manchester, UK.
CHENGQIU XIE
Affiliation:
Personal Social Services Research Unit, University of Manchester, UK.
SIOBHAN REILLY
Affiliation:
Personal Social Services Research Unit, University of Manchester, UK.
JANE HUGHES
Affiliation:
Personal Social Services Research Unit, University of Manchester, UK.
DAVID CHALLIS
Affiliation:
Personal Social Services Research Unit, University of Manchester, UK.
*
Address for correspondence: Sally Jacobs, School of Pharmacy and Pharmaceutical Sciences, 1st floor, Stopford Building, University of Manchester, Oxford Road, Manchester M13 9PT, UK Email: sally.jacobs@manchester.ac.uk
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Abstract

In common with other developed countries at the end of the 20th century, modernising public services was a priority of the United Kingdom (UK) Labour administration after its election in 1997. The modernisation reforms in health and social care exemplified their approach to public policy. The authors were commissioned to examine the evidence base for the modernisation of social care services for older people, and for this purpose conducted a systematic review of the relevant peer-reviewed UK research literature published from 1990 to 2001. Publications that reported descriptive, analytical, evaluative, quantitative and qualitative studies were identified and critically appraised under six key themes of modernisation: integration, independence, consistency, support for carers, meeting individuals' needs, and the workforce. This paper lists the principal features of each study, provides an overview of the literature, and presents substantive findings relating to three of the modernisation themes (integration, independence and individuals' needs). The account provides a systematic portrayal both of the state of social care for older people prior to the modernisation process and of the relative strengths and weaknesses of the evidence base. It suggests that, for evidence-based practice and policy to become a reality in social care for older people, there is a general need for higher quality studies in this area.

Keywords

modernisationsocial careevidence-based policysystematic review
Type
Research Article
Information
Ageing & Society , Volume 29 , Issue 4 , May 2009 , pp. 497 - 538
Copyright
Copyright © 2009 Cambridge University Press

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