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Whitehead PJ, Rooney L, Adams‐Thomas J, Bailey C, Greenup M, Southall C, Raffle A, Rapley T, Whittington S. 'Single-handed care' initiatives and reviews of double-handed homecare packages: A survey of practices in English local authorities with adult social care responsibilities. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e5560-e5569. [PMID: 36047083 PMCID: PMC10087553 DOI: 10.1111/hsc.13980] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 06/21/2022] [Accepted: 08/13/2022] [Indexed: 05/13/2023]
Abstract
International health and social care systems are experiencing unprecedented pressure and demand. 'Single-handed care' initiatives seek to identify whether all or part of a homecare package involving more than one care worker can be safely reduced to a single worker. Little is known about these initiatives across local authorities. The aim of this study was to identify, describe and explain current processes and practices for single-handed care initiatives and double-handed homecare reviews. An electronic survey link was sent to each local authority with social care responsibilities in England. The questions covered a range of areas in relation to single-handed care processes and included a combination of pre-coded and free-text responses. Responses were received from 76 (50%) local authorities. Findings were that over 12,000 reviews were reported within a year with a median of 141 (IQR 45-280) from 53 authorities that provided figures. Reviews were usually led by a local authority occupational therapist. On average, 540 min was spent per review, including conducting and organising the review, documentation, and travel. In nearly half the authorities, double handed care remained at least partially in place following at least 80% of the reviews and remained wholly in place following at least 60%. Local authorities also reported some resistance from homecare providers when implementing single-handed care. The findings have confirmed anecdotal evidence that reviews of double-handed homecare packages are common practice within local authorities. Given the amount of time taken with these reviews, and paucity of evidence on outcomes for people receiving them, further research should evaluate this.
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Affiliation(s)
| | - Leigh Rooney
- Population Health Sciences InstituteNewcastle UniversityNewcastle upon TyneUK
| | | | - Catherine Bailey
- Department of Nursing, Midwifery and HealthNorthumbria UniversityNewcastle upon TyneUK
| | - Marie Greenup
- Occupational Therapy TeamSunderland City CouncilSunderlandUK
| | - Carole Southall
- Department of Social Work, Education and Community WellbeingNorthumbria UniversityNewcastle upon TyneUK
| | | | - Tim Rapley
- Department of Social Work, Education and Community WellbeingNorthumbria UniversityNewcastle upon TyneUK
| | - Stephanie Whittington
- Department of Social Work, Education and Community WellbeingNorthumbria UniversityNewcastle upon TyneUK
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Modak A, Raju B, Jumah F, Pain M, Gupta G, Nanda A. A modern history of neurosurgery and neurology in India: lessons for the world. J Neurosurg 2022; 138:1467-1472. [PMID: 36152333 DOI: 10.3171/2022.7.jns22456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Accepted: 07/25/2022] [Indexed: 11/06/2022]
Abstract
The compendia of medical knowledge of the great ancient Indian physicians Suśruta, Caraka, Jīvaka, and Vāgbhaṭa all attest to the practice of neurosurgery and neurology starting in the 1st millennium bce. Although a period of scientific stagnation ensued between the 12th and 20th centuries ce, Indian medical neurosciences once again flourished after India’s independence from British rule in 1947. The pioneers of modern Indian neurosurgery, neurology, and their ancillary fields made numerous scientific and clinical discoveries, advancements, and innovations that proved influential on a global scale. Most importantly, the efforts of Indian neurosurgeons and neurologists were unified at the national level through the Neurological Society of India, which was established in 1951 and enabled an unprecedented degree of collaboration within the aforementioned medical specialties. The growth and success of the Indian model bears several lessons that can be applied to other nations in order to garner better collaboration among neurosurgeons, neurologists, and physicians in related fields. Here, the authors elaborate on the origins, growth, and development of neurosurgery and neurology in India and discuss their current state in order to glean valuable lessons on interdisciplinary collaboration, which forms the basis of the authors’ proposal for the continued growth of societies dedicated to medical neurosciences across the world.
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Affiliation(s)
- Anurag Modak
- Department of Neurosurgery, University Hospital, New Jersey Medical School, Rutgers University, Newark
- Center for Advanced Biotechnology and Medicine, Robert Wood Johnson Medical School, Rutgers University, Piscataway; and
| | - Bharath Raju
- Department of Neurosurgery, University Hospital, New Jersey Medical School, Rutgers University, Newark
| | - Fareed Jumah
- Department of Neurosurgery, University Hospital, New Jersey Medical School, Rutgers University, Newark
| | - Margaret Pain
- Department of Neurosurgery, Robert Wood Johnson University Hospital, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, New Jersey
| | - Gaurav Gupta
- Department of Neurosurgery, Robert Wood Johnson University Hospital, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, New Jersey
| | - Anil Nanda
- Department of Neurosurgery, University Hospital, New Jersey Medical School, Rutgers University, Newark
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