• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

With reference to one of the standards of the National Service Framework (NSF) for older people (DOH, 2001) explore how the NSF has contributed to improving care. The National Service Framework (NSF) for older people was first developed in 2001

Extracts from this document...


With reference to one of the standards of the National Service Framework (NSF) for older people (DOH, 2001) explore how the NSF has contributed to improving care. The National Service Framework (NSF) for older people was first developed in 2001 to provide a higher standard of care. The service looks at the problems faced by the older population when receiving care from the National Health (NHS) and other health care services. The framework is looking at promoting independence support and a high quality service for older people. Some of the aims are as follows, to improve care standards, extend services, and help people over the age of sixty five stay healthy (DOH 2001). Before the national service framework was implemented services were failing this may be due to the increase of an aging population. People are now living longer and the health service was unable to cope with the demands as well as the financial implications. The NSF is looking at better standards of care, extending services for older people, providing more funding for services, and developing good communication between social services and the health service. The NHS is looking to set out a plan that will modernise the services and provide protection for older people and promote independence. The national service framework for older people looks to improve the funding, and allow the standard of care to improve. The NSF is based on a ten year plan which will develop independence, support, and provide a higher quality service from the National Health Service (NHS) ...read more.


During 2004 the national institute for health and clinical excellence (NICE 2004) developed guidelines on the assessment and prevention of falls in older people. These guidelines were put in place to tackle some of the problems outlined in standard six of the national service framework. Some of the main priorities outlined are as follows, a client should be asked routinely if they have had a fall within the past year, a client who has fallen or is at risk of falling should be observed for balance and gait deficits, clients who have fallen or are having problems with balance and gait should be offered a multifunctional falls risk assessment carried out by a health care professional for example a member of the falls service. Multifunctional risk assessment looks at strength and balance training, home assessment visual assessment etc and a client should be offered a multidisciplinary assessment (NICE 2004). Clients should be treated as an individual and given as much information possible, to help prevent further falls and to promote independence. These guidelines presented by NICE show that since the national service framework for older people has been published, falls has proved to be a major issue amongst older people (Strachan-Bennett 2004). The assessment process as outlined however can cause distress for the patient due to multiple assessments that take place for their health within the community, or within a hospital setting. Part of the patient centred care standard set by the national service framework (2001) looks at implementing a single assessment process. This process will improve services for older people including the falls services (Wilson 2005). ...read more.


Certain areas within the National Health Service have introduced an assessment on falls and are aware of policies and procedures. Health promotion has been recognised as an important stage of preventing falls. The national service framework for older people has had a big impact on reducing the number of falls by providing services, advice, assessments and exercises. People are more aware of the dangerous that can occur when older people fall. However there are still areas that have not got a falls service in place and are not carrying out appropriate assessments. It has shown in the audit report that emergency departments and fracture clinics are lacking in knowledge in regards to falls. One of the standards milestones was to have a falls service in place throughout all health and social care by 2005, its now 2006 and not all health care professionals are aware of a falls service within their area. Osteoporosis is a major issue that needs tackling as this condition accounts for a large number of falls within the United Kingdom. People are not aware of how it can cause falls, and the correct advice that is needed to prevent further falls once been diagnosed. The reports have also shown a lack of communication between the hospital trust and the community care trusts, important information is not been passed over. Whilst working on placement I have not known people be referred to a falls service I have only seen physiotherapy and occupational health input. The standard has improved the services for falls, but there are still improvements that need to be made for the department of health to meet the 10 year plan. ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Healthcare section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Healthcare essays

  1. Marked by a teacher

    Elderly people in Residential Care.

    3 star(s)

    of home owners quitting the business and leaving local authorities short of accommodations. Report conducted by Mr William Laing said ''For better or worse, the delivery of nursing and residential care was largely privatised during 1980s and 1990s.Our ability to offer quality and choice to older people now depends on providing a stable and competitive care home sector''.

  2. Health and Social Care practitioners in the UK must work within a legal and ...

    * Address; this may also distinguish the service user. Where the service user lives may be relevant to their condition. * Telephone number; in case they need to be contacted after care. * Marital status; to find out if there is a relevant somebody that is to be contacted in case of emergency.

  1. Today's healthcare environment dictates that management decisions are clinically sound, operationally efficient, financially responsible ...

    and 'A First Class Service: Quality in the New NHS' (DoH 1998). The new structures set out systems and frameworks for delivering clinical effectiveness and well as cost effectiveness. The key proposals included the development of nationally agreed service frameworks (NSFs)

  2. The Effectiveness of Brief Interventions in Reducing Binge

    admissions was, 909 per 100, 000 men and 510.4 per 100, 000 women (NICE, 2008). Conclusively, the above scholars have stated the settings in which binge drinking thrives. They clearly cite several scenarios ranging from the individual, gender, environmental, culture, genetic predispositions, and age to clinical presentations.

  1. Health promotion is an important element of the government's health agenda. Critically discuss this ...

    healthy lifestyle promotion, healthy options in canteen. * Positive health protection, e.g. implementation of workplace policies such as smoking and alcohol policies * Health education aimed at positive health protection, e.g. campaigning for protective legislation Downie's model highlights the potential overlap between prevention and positive action, taking the view that effective health education is the building block for securing change.

  2. The aim of this assignment is to critically evaluate the biopsychosocial perspectives and influences ...

    Edelman 2000 states that a given health behaviour is a function of demographic and socio-cultural variables as well as four factors: perceived susceptibility; perceived severity; perceived benefits/barriers and cues to action and that these core beliefs should be used to predict the likelihood that a behaviour will occur, each of

  1. This essay is about accident prevention in the older adult at home. Relevant ...

    It is those departments who have information as well as promotional material available for health service staff to use and experience initiatives such as home safety check systems. The Department of Health (1992) continue to say that many accidents occur in old age where physical frailty, and falls are a big concern.

  2. I will discuss and identify a nursing skill whilst on placement. The nursing skill ...

    rail guard up on the side that I wasn?t on and made sure I checked on him regularly I also made sure that Tommy was comfortable, lying on a clean, dry and comfortable bed, the rationale for the rail guard was to avoid and prevent the risk of him falling

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work