Bibliografias temáticas / Nursing homes – Ireland – Costs

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Publicado: 26 de julho de 2024

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Artigos de revistas sobre o assunto "Nursing homes – Ireland – Costs"

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Rice, Niamh, e Charles Normand. "The cost associated with disease-related malnutrition in Ireland". Public Health Nutrition 15, n.º 10 (8 de fevereiro de 2012): 1966–72. http://dx.doi.org/10.1017/s1368980011003624.

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AbstractObjectiveThe present study aimed to establish the annual public expenditure arising from the health and social care of patients with diet-related malnutrition (DRM) in the Republic of Ireland.DesignCosts were calculated by (i) estimating the prevalence of DRM in health-care settings derived from age-standardised comparisons between available Irish data and large-scale UK surveys and (ii) applying relevant costs from official sources to estimates of health-care utilisation by adults with DRM. No attempt has been made to estimate separately the costs of DRM and any associated disease, since each can be a cause or consequence of the other. The methods used are adapted from an evaluation of the cost of malnutrition in the UK by the British Association for Parenteral and Enteral Nutrition (2009).SettingsHospitals, nursing homes, out-patient clinics, primary-care clinics and home care.SubjectsAll adult patients receiving hospital in-patient, out-patient or specified community health-care services.ResultsThe annual public health and social care cost associated with adult malnourished patients in Ireland is estimated at over €1·4 billion, representing 10 % of the health-care budget. Most of this cost arises in acute hospital or residential care settings (i.e. 70 %), with nutritional support estimated to account for <3 % of spend.ConclusionsThe cost associated with the care of patients with DRM is substantial and may rise as the proportion of older people within the population increases, a group at increased risk of DRM. Despite growing pressure on health-care budgets, little attention has been focused on the economic burden associated with DRM in Ireland or the potential for savings arising from improved detection and treatment of those at risk.
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McClean, Pamela, Michael Tunney, Deirdre Gilpin, Carole Parsons e Carmel Hughes. "Antimicrobial Prescribing in Nursing Homes in Northern Ireland". Drugs & Aging 28, n.º 10 (outubro de 2011): 819–29. http://dx.doi.org/10.2165/11595050-000000000-00000.

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Lipley, Nick. "Nursing homes say costs outweigh extra funding". Nursing Standard 16, n.º 20 (30 de janeiro de 2002): 4. http://dx.doi.org/10.7748/ns.16.20.4.s4.

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Mukamel, Dana B., William D. Spector, Rhona Limcangco, Ying Wang, Zhanlian Feng e Vincent Mor. "The Costs of Turnover in Nursing Homes". Medical Care 47, n.º 10 (outubro de 2009): 1039–45. http://dx.doi.org/10.1097/mlr.0b013e3181a3cc62.

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Kilgore, Meredith L. "Reflecting on Turnover Costs in Nursing Homes". Medical Care 47, n.º 10 (outubro de 2009): 1037–38. http://dx.doi.org/10.1097/mlr.0b013e3181ae558a.

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Shanagher, D. "70 NURSING HOME MODEL OF CARE POST COVID-19". Age and Ageing 50, Supplement_3 (novembro de 2021): ii9—ii41. http://dx.doi.org/10.1093/ageing/afab219.70.

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Abstract Background The COVID-19 pandemic is recognised as having a significant impact on older people, particularly on those within nursing homes. Prior to the pandemic, a significant focus was placed on the application of a social model of care within nursing homes. We know that COVID-19 has required the stringent application of infection prevention and control measures as well as the provision of increased amounts of clinical care. This has resulted in the recent stronger application of a medical model of care within nursing homes. Methods A roundtable event attended by twenty-six people took place. Attendees represented clinical Gerontology, the Irish College of General Practitioner, Sage Family Forum, The Health Information and Quality Authority, Nursing Homes Ireland and nursing home providers. A number of presentations were made, and a roundtable discussion took place about the model of nursing home care post pandemic. Key messages from presentations and the discussion were captured. A report was compiled and shared with attendees to check for accuracy. Results The following key messages were identified: 1. Social care is a cornerstone of nursing home care 2. Increased integration of nursing homes within the wider health and social care system is required 3. Increased access to services for nursing home residents is required 4. Regulatory reform is required 5. Resourcing of nursing home care needs to be appropriately addressed 6. The nursing home sector need to be included in conversations around policy and service development affecting nursing home care in Ireland. Conclusion Nursing homes are an essential part of the healthcare system in Ireland and have been shown to be adaptable throughout the course of the pandemic. A one size fits all approach is an unlikely fit for purpose approach as we look towards the future with COVID-19.
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Robinson, D. J., E. McGovern, E. Doorley, C. Hayden e D. O'Shea. "The Nursing Homes Support Scheme Act in Ireland – older persons’ views". European Geriatric Medicine 2, n.º 3 (julho de 2011): 130–33. http://dx.doi.org/10.1016/j.eurger.2011.04.006.

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MacGabhann, Patricia. "Caring for gay men and lesbians in nursing homes in Ireland". British Journal of Nursing 24, n.º 22 (10 de dezembro de 2015): 1142–48. http://dx.doi.org/10.12968/bjon.2015.24.22.1142.

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Ó Cathaoir, Katharina, e Ida Gundersby Rognlien. "The Rights of Elders in Ireland during COVID-19". European Journal of Health Law 28, n.º 1 (4 de janeiro de 2021): 81–101. http://dx.doi.org/10.1163/15718093-bja10035.

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Abstract This article reflects on COVID-19 restrictions imposed on elders in Ireland through the lens of the right to private and family life (Article 8 ECHR), focusing on stay at home orders and recommendations advising elders to avoid social contact. Furthermore, we examine restrictions on visiting nursing homes given the high death toll in that setting. In our analysis, we zero in on the principles of foreseeability and proportionality, highlighting areas of concern and aspects that we submit should be considered in a proportionality assessment. Ultimately, we argue that it is a mistake to view the COVID-19 pandemic solely as an emergency. In this manner, the solutions suggested through the law – restrictions on movement and visitation bans – are too narrow and fail to address the underlying structures, such as, issues in the healthcare system, the limited home help for elderly and poor conditions in nursing homes.
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Marihart, Cindy L., Ardith R. Brunt e Angela A. Geraci. "The High Price of Obesity in Nursing Homes". Care Management Journals 16, n.º 1 (março de 2015): 14–19. http://dx.doi.org/10.1891/1521-0987.16.1.14.

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This article provides a commentary on the costs of obese nursing home patients. We conducted a comprehensive literature search, which found 46 relevant articles on obesity in older adults and effects on nursing home facilities. This review indicated obesity is increasing globally for all age groups and older adults are facing increased challenges with chronic diseases associated with obesity more than ever before. With medical advances comes greater life expectancy, but obese adults often experience more disabilities, which require nursing home care. In the United States, the prevalence of obesity in adults aged 60 years and older increased from 9.9 million (23.6%) to 22.2 million (37.0%) in 2010. Obese older adults are twice as likely to be admitted to a nursing home. Many obese adults have comorbidities such as Type 2 diabetes; patients with diabetes incurred 1 in every 4 nursing home days. Besides the costs of early entrance into nursing facilities, caring for obese residents is different than caring for nonobese residents. Obese residents have more care needs for additional equipment, supplies, and staff costs. Unlike emergency rooms and hospitals, nursing homes do not have federal requirements that require them to serve all patients. Currently, some nursing homes are not prepared to deal with very obese patients. This is a public health concern because there are more obese people than ever in history before and the future appears to have even a heavier generation moving forward. Policymakers need to become aware of this serious gap in nursing home care.
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Teses / dissertações sobre o assunto "Nursing homes – Ireland – Costs"

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Chiu, Herng-Chia. "The Linkage Between Hospitals and Nursing Homes: Alternative Approaches to Minimizing Transaction Costs". VCU Scholars Compass, 1995. https://scholarscompass.vcu.edu/etd/4410.

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Finding more efficient ways to organize and deliver medical care is a major policy and management concern in the United States. High levels of expenditures for administrative and coordinating functions are attributed to the fact that health care systems are not "seamless" and that excessive transaction or friction costs are incurred in the exchanges between providers and purchasers and among providers. Renewed interest in vertical integration as a means to addressed these problems is being explored in the empirical literature, but rigorous theory-based investigations are rare. This study is a theory-based exploration of how hospitals address the "make-or-buy" decision of acquiring nursing home services for patients requiring post-acute stay placement. The purpose of the study is to investigate under what circumstances hospitals chose to undertake formal arrangements to acquire nursing home services for patients to be discharged, rather than simply arranging for each discharge in the "spot market." In some instances this may be long-term contracting or leasing of beds, while in other instances it may mean the hospital acquires or develops its own skill nursing facility--a form of vertical integration. The study adopts Oliver Williamson's transaction cost economics theory as the theoretical basis for the study. This framework argues that the most efficient mode of transacting is determined by analyzing three dimensions of the transaction: uncertainty, frequency, and asset specificity (supplier identity). At higher levels of each of these dimensions, organizations are more likely to observe that "markets fail" and that formal arrangements between buyers and sellers are preferable, with vertical integration representing the "make" versus "buy" option. The study uses data from the American Hospital Association Survey and other sources to identify if and how hospitals have made formal arrangements for nursing home services. It tests ten hypotheses derived from the theory that focus on the three dimensions of transactions and interactions among them. The methodology uses several analytical approaches to establish the validity of the measures of the dimensions, and then tests the hypotheses using multivariate logistic regression to contrast various modes of transaction. The importance of transaction uncertainty and specificity are strongly supported in the findings, while transaction frequency is weakly correlated to higher degrees of integration. The results are consistent with both the theoretical arguments advanced by transaction cost economics and with prior research, which is only available from non-health care applications. The study makes an important, and perhaps unique, contribution to empirically operationalizing and testing a transaction cost economics-based interpretation of the decision to vertically integrate in health care. It also provides useful insight into the need for vertical integration to be selectively adopted as it may not be the most efficient mode of organization in all "make or buy" decision opportunities.
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Boose, Lynn Allen. "A Study of Differences between Social/HMO and Other Medicare Beneficiaries Enrolled in Kaiser Permanente under Capitation Contracts Regarding Intermediate Care Facility Use Rates and Expenditures". PDXScholar, 1993. https://pdxscholar.library.pdx.edu/open_access_etds/1135.

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The Social/HMO Demonstration evaluates the feasibility of expanding Medicare Supplemental Insurance benefits to cover a limited amount of ICF and community based long-term care (LTC) services provided under a comprehensive HMO benefit package for capitated Medicare beneficiaries. The policy research question addressed by this study is whether adding an Expanded Care Benefit (ECB) to the capitated HMO benefit package offered by Kaiser Permanente (KP) changes utilization patterns and costs of ICF services, and the probability of becoming Medicaid eligible. This study provides descriptive information regarding this policy research question. The research goal of this study is to measure the extent to which collective ICF use rates and expenditure patterns for S/HMO members are consistently the same, greater or less than baseline data of Risk HMO Medicare members who do not have the S/HMO ECB. The purpose of such measurement is to determine if an empirical basis exists for postulating an ICF utilization and expenditures outcome effect which is influenced by the S/HMO ECB. Utilization and financial data are collected from all SNF and ICF level nursing homes in Multnomah County for all Medicare beneficiaries enrolled in KP between June 1, 1986 and July 31, 1988. Eligibility data are assembled on all Medicare beneficiaries enrolled in KP during the same time period who were residents of Multnomah County. Nursing home use rates and rates for related expenditures are determined for all nursing home residents (1, 331) by their eligibility status in KP during the time of each nursing home stay. Days in an ICF are censored by transfers between Cost, Risk and S/HMO enrollment status. Rates are standardized by the age and gender distribution of research population members (19, 261) to adjust use rates for differences in age cohort distribution of Risk members and S/HMO members. Risk rates and S/HMO rates are compared and differences in utilization and expenditures are evaluated. Conclusions about such patterns are used to formulate hypotheses for testing and confirming descriptive observations. Findings show that overall S/HMO member rates are less than Risk member rates for five of the six Research Questions addressed in this study. Specifically, the probability of admission to an ICF is substantially greater for S/HMO members than for Risk members. However, S/HMO members remained in ICFs fewer days than Risk members, over the two year study period, as measured by age adjusted rates for ICF days per member year of eligibility during the study period. Difference in the mean length of ICF stay is statistically significant between Risk and S/HMO. The rate of total payments received by nursing homes for S/HMO ICF residents per 1000 S/HMO members was substantially less than that for Risk members. The rate of spend-down to welfare status was substantially lower for S/HMO members than for Risk members who became ICF residents. Higher proportions of S/HMO members were discharged from ICFs to home than were Risk members, which is consistent with S/HMO Expanded Care Benefit objectives.
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O'Halloran, P. D. "A cluster-randomised controlled trial to evaluate a policy to provide external hip protectors for residents of nursing and residential homes in Northern Ireland". Thesis, Queen's University Belfast, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.397896.

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Livros sobre o assunto "Nursing homes – Ireland – Costs"

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Britain, Great. Nursing homes: Nursing Homes (Specially Controlled Technique) Order (Northern Ireland) 1986. [Belfast]: HMSO, 1986.

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Britain, Great. Registered Homes: The Nursing Homes Regulations (Northern Ireland) 1993. Belfast: HMSO, 1993.

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Britain, Great. Registered homes: The Nursing Homes (Amendment) Regulations (Northern Ireland) 1998. Belfast: Stationery Office, 1998.

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Britain, Great. The nursing homes and nursing agencies (Northern Ireland) order 1985. [Belfast]: HMSO, 1985.

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Britain, Great. Nursing homes and nursing agencies: The Nursing Agencies Regulations (Northern Ireland) 1986. [Belfast]: HMSO, 1986.

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Sauers, Eugene J. Medicaid, PA nursing homes, and you: Most asked questions and answers pertaining to medical assistance and Pennsylvania nursing homes. North Charleston, South Carolina: CreateSpace Independent Publishing Platform, 2013.

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Budish, Armond D. Avoiding the Medicaid trap: How every American can beat catastrophic medical costs. New York: Avon Books, 1990.

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O'Shea, Eamon. The role and future development of nursing homes in Ireland. Dublin: National Council for the Elderly, 1991.

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Rhoades, Jeffrey A. Nursing home expenses, 1987 and 1996. [Rockville, MD (2101 East Jefferson St., Suite 501, Rockville, 20852): U.S. Dept. of Health and Human Services, Public Health Service, Agency for HealthCare Research and Quality, 2001.

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United States. Agency for Health Care Policy and Research., ed. Nursing home use and costs: Lifetime estimates and the effect of financing strategies. [Rockville, MD] (2101 East Jefferson St., Suite 501, Rockville 20852): [U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 1993.

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Capítulos de livros sobre o assunto "Nursing homes – Ireland – Costs"

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Romero-Ortuno, Roman, Peter May, Minjuan Wang, Siobhan Scarlett, Ann Hever e Rose Anne Kenny. "TILDA Participants in Nursing Homes". In The Older Population of Ireland on the Eve of the COVID-19 Pandemic, 141–44. The Irish Longitudinal Study on Ageing, 2020. http://dx.doi.org/10.38018/tildare.2020-10.c8.

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Tabish, Syed. "Chapter-18 Cutting Construction Costs". In Hospitals And Nursing Homes Planning Organization And Management, 163–65. Jaypee Brothers Medical Publishers (P) Ltd., 2003. http://dx.doi.org/10.5005/jp/books/10362_18.

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Halvorsen, Kjell H. "Pharmacist Involvement in Optimizing Medication Use in Nursing Homes". In Medication Safety in Municipal Health and Care Services, 193–206. Cappelen Damm Akademisk/NOASP, 2022. http://dx.doi.org/10.23865/noasp.172.ch9.

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Nursing home residents have many comorbidities, for which medication therapy is the treatment modality most utilized. The extensive use of medications among these residents is beneficial, but puts these individuals at high risk of experiencing adverse drug events. To optimize medication use in nursing home residents, we have witnessed an increased pharmacist involvement. This review presents how pharmacists can be involved in optimizing medication use among Norwegian nursing home residents. The review is based on a literature search (PubMed), knowledge of Norwegian nursing home studies involving pharmacists, and fifteen years of work experience. A conceptual framework guided the knowledge synthesis regarding the different work tasks identified at the individual, healthcare, and system level. Pharmacists contribute on different levels to ensure high-quality medication use in nursing homes, which means involvement in multidisciplinary teams to identify and solve medication-related problems. Collaboration with other healthcare professionals and teaching them about medication management are examples on the healthcare level. Involvement on the system level includes developing medication management procedures, providing medication statistics, investigating costs, and facilitating tender rounds. Studies investigating hard endpoints in nursing home residents were not identified. Although pharmacists as healthcare providers seem to be expanding their role, municipalities and the healthcare system seem to lack a strategy about how and where this resource can be used most effectively. Developing job descriptions for pharmacists, and preparing the healthcare setting and nursing homes for future challenges, should be prioritized.
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"The context of healthcare". In Oxford Handbook of Primary Care and Community Nursing, editado por Judy Brook, Caroline McGraw e Val Thurtle, 1–34. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198831822.003.0001.

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This chapter begins by covering the UK health profile, then defines the key concepts in primary care and public health, and outlines the generic long-term conditions model. It provides a brief overview of the National Health Service, including differences in England, Northern Ireland, Scotland, and Wales. It covers current NHS entitlements for people from overseas, commissioning of services, and public health in a broader context. It also describes health needs assessment, and provides an overview of the services in primary care, the role of general practice, and other primary healthcare services. Further services, including those to prevent unplanned hospital admission, aid hospital discharge, those that support children and families, housing, social support, and care homes are all covered.
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Baily, Martin Neil, e Benjamin H. Harris. "How Are Families Planning for End-of-Life Care?" In The Retirement Challenge, 125—C9.P57. Oxford University PressNew York, 2023. http://dx.doi.org/10.1093/oso/9780197639276.003.0009.

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Abstract Retirees run the risk of outliving their assets and facing large medical expenses at the end of life. Nursing home care costs more than $100,000 a year in some places. Dementia care can last for several years if the person contracts Alzheimer’s while young. The most common form of end-of-life care is from a family member, either a spouse or adult child. That can place a heavy burden on the caregiver and mean sub-par care for the patient. Insurance policies can cover part of the cost of full-time care but are very expensive. Medicaid pays for nursing home care for those who have exhausted their financial resources, but the quality of these nursing homes varies. This chapter discusses the problem and why the long-term care insurance market has not thrived.
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Heuvel, Wim van den, e Hans Gerritsen. "Home-care services in the Netherlands". In Home care for older People in Europe, 213–36. Oxford University PressNew York, NY, 1991. http://dx.doi.org/10.1093/oso/9780192620507.003.0009.

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Abstract In the Netherlands, the home-help service is largely subsidized by the government. Up to 1989 the money was allocated from general tax revenue to private organizations by the Ministry of Health, Welfare and Culture. Since January 1989, services have been funded through the Exceptional Medical Expenses Scheme (AWBZ). The AWBZ is a law which originally applied to long-term care (nursing homes; care longer than one year in general or psychiatric hospitals), but which now, under the reconstruction of the Dutch health insurance system, is gradually being extended to cover a large part of the costs of all health and social-care services (Commissie Structuur en Financiering 1987).
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Lidz, Charles W., Lynn Fischer e Robert M. Arnold. "The Meaning of Autonomy in Long-Term Care". In The Erosion of Autonomy in Long-Term Care, 3–21. Oxford University PressNew York, NY, 1992. http://dx.doi.org/10.1093/oso/9780195073942.003.0001.

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Abstract Over the last fifteen years, health care ethicists have focused increasingly on the notion of autonomy. Until the 1960s the dominant (and perhaps only) values in discussions of health care ethics were beneficence and nonmaleficence. The Hippocratic Oath succinctly summarizes this view, enjoining physicians “to help or at least to do no harm.” Professionals were to restore the patient’s health or, if this was not possible, at least to prevent further pain, suffering, or disability. This view of ethics required health care professionals to promote the patient’s best interest as interpreted from the health care professional’s perspective. According to this view, the job of professionals is to use their knowledge to weigh the costs and benefits of available therapies and to determine which treatments are in the patient’s “best interests.” Beneficence required professionals to act in accordance with their expert judgments, rather than making decisions based on the patient’s assessment of what is in her best interest. In nursing homes this leads to an emphasis on the individual’s physical well-being.
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Trabalhos de conferências sobre o assunto "Nursing homes – Ireland – Costs"

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Avgar, Ariel, Lorin M. Hitt e Prasanna Tambe. "The Effects of Organizational Factors on Healthcare IT Adoption Costs: Evidence from New York Nursing Homes". In 2010 43rd Hawaii International Conference on System Sciences. IEEE, 2010. http://dx.doi.org/10.1109/hicss.2010.375.

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Sepp, Jaana, Marina Järvis e Piia Tint. "773 Integration of musculoskeletal disorders prevention into safety management system in nursing homes: a reciprocal health care model". In 32nd Triennial Congress of the International Commission on Occupational Health (ICOH), Dublin, Ireland, 29th April to 4th May 2018. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/oemed-2018-icohabstracts.759.

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Relatórios de organizações sobre o assunto "Nursing homes – Ireland – Costs"

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Keane, Claire, Sean Lyons, Mark Regan e Brendan Walsh. HOME SUPPORT SERVICES IN IRELAND: EXCHEQUER AND DISTRIBUTIONAL IMPACTS OF FUNDING OPTIONS. ESRI, fevereiro de 2022. http://dx.doi.org/10.26504/sustat111.

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A new statutory scheme for the provision of home support services is currently being developed by the Department of Health. Research has shown that access to home support services varies across the country. The new scheme aims to tackle this issue to ensure equitable access to home support services nationwide and is part of wider reform of Ireland’s health and social care systems as envisaged in the Sláintecare report and Department of Health action plans. Publicly funded home support services in Ireland are currently provided free of charge for recipients, unlike long-term residential or nursing home care, which involves a contribution from residents. In 2019, the HSE’s Older Persons’ Services provided care to 53,000 people at a cost of €440 million. It is anticipated that demand for home support services may increase under the new scheme, for example if unmet demand is met or if the new scheme results in more people being able to remain in their own home, substituting away from long-term residential care. Any increased demand would result in an increased cost, which may also rise as the population ages. This report examines the possible introduction of co-payments for home support services. We focus on the likely Exchequer impact of a range of different funding scenarios along with the distributional, poverty and inequality impacts of such charges. Due to data limitations, and the fact that the majority of home support services are provided to older age groups, we focus on those aged 65 years and over. Regarding co-payments we examine the impact of flat-rate charges for users, regardless of means, as well as co-payments for home support recipients above a variety of income levels. The tapering of payments is also examined to ensure that individuals just over a specific income threshold would see co-payments gradually increasing as their income rises. We also consider the capping of co-payments so that those needing a high number of home support hours would not potentially face very high costs.
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Clavet, Nicholas-James, Réjean Hébert e Pierre-Carl Michaud. The future of long-term care in Quebec: what are the cost savings from a realistic shift towards more home care? CIRANO, abril de 2022. http://dx.doi.org/10.54932/zrzh8256.

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This paper aims to estimate the future long-term care needs and expenditures in Quebec while proposing and evaluating a reform package that could deliver increased coverage as well as be more financially sustainable than current policy. This reform package consists of a shift towards more intensive use of home care while increasing public coverage of care needs. A key feature of the proposed reform is to improve the ability of users to choose their provider with the creation of a senior’s care account, an account that grants individuals in need to purchase services from several providers, including both home and institutional care. To improve the neutrality of public support across care arrangements, we also propose to increase residents’ contribution in nursing homes while favoring the continued use of existing tax credits to help seniors with lower needs in terms of care. Using detailed dynamic modelling of care needs, living arrangements, and expenditures, we estimate that long-term care needs will grow rapidly in the next two decades and the costs will quickly become prohibitive under current policy. We show that substantial cost savings may exist.
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Clavet, Nicholas-James, Réjean Hébert e Pierre-Carl Michaud. The future of long-term care in Quebec: what are the cost savings from a realistic shift towards more home care? CIRANO, abril de 2022. http://dx.doi.org/10.54932/zrzh8256.

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This paper aims to estimate the future long-term care needs and expenditures in Quebec while proposing and evaluating a reform package that could deliver increased coverage as well as be more financially sustainable than current policy. This reform package consists of a shift towards more intensive use of home care while increasing public coverage of care needs. A key feature of the proposed reform is to improve the ability of users to choose their provider with the creation of a senior’s care account, an account that grants individuals in need to purchase services from several providers, including both home and institutional care. To improve the neutrality of public support across care arrangements, we also propose to increase residents’ contribution in nursing homes while favoring the continued use of existing tax credits to help seniors with lower needs in terms of care. Using detailed dynamic modelling of care needs, living arrangements, and expenditures, we estimate that long-term care needs will grow rapidly in the next two decades and the costs will quickly become prohibitive under current policy. We show that substantial cost savings may exist.
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Survey of health and social care setting food businesses on implementation of the FSA Listeriosis Guidance. Food Standards Agency, maio de 2023. http://dx.doi.org/10.46756/sci.fsa.djg946.

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Food safety is a crucial component of protecting the wellbeing of those in the care of health and social care organisations. Incidents, such as the 2019 listeriosis outbreak associated with pre-packed sandwiches supplied to hospitals in England, from which seven patients died of listeriosis, underline the risk of the disease and the serious consequences that a breach in standards can have. Vulnerable consumers - whose immune systems are weakened in some way - are particularly susceptible to listeriosis and the disease has a high hospitalisation and fatality rate, compared to infections with other bacterial pathogens. The bacterium which causes listeriosis, Listeria monocytogenes, is acutely challenging to control as it has the potential to grow at low temperatures and can survive freezing. As such, L. monocytogenes must be controlled in any health or social care (HSC) organisation that provides chilled ready-to-eat food for vulnerable groups. The Food Standards Agency (FSA) guidance on ‘Reducing the risk of vulnerable groups contracting listeriosis (Opens in a new window)’ concentrates on preventing the spread of listeriosis, from preparation to consumption, in chilled ready-to-eat food. The review set up following the 2019 listeriosis outbreak - the Independent Review of NHS Hospital Food (Opens in a new window), contained recommendations on food safety for NHS trusts to take on board. The FSA also committed to assess its own guidance in response to the 2019 outbreak. Social research was commissioned as part of the FSA’s response. This report covers findings from 39 respondents within NHS Trusts and 445 from Health and Social Care (HSC) (non- NHS Trust) settings, such as nursing homes, home care service providers and hospices, in England, Wales and Northern Ireland. The research objectives for the surveys of health and social care settings and NHS Trusts were to: Measure awareness of the FSA guidance on listeriosis Find out how well the FSA guidance on listeriosis is implemented Understand barriers to implementing the guidance in full Understand good practice in implementing the guidance Understand HSC stakeholders’ perceptions of the effectiveness and suitability of the guidance
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