Summary of the impact

The project:

1. Achieved positive changes in local health and social care policy and practice that directly responded to the concerns and experiences of older people;
2. Enhanced the knowledge and practice of practitioners and policy makers, at national and local levels, about the experiences of older people and carers of moving across service boundaries ("transitions");
3. Developed approaches that researchers and service commissioners and providers can employ to 1) involve marginalised older people in research and service development and 2) promote the citizenship of older people through their participation as co-researchers;
4. Made the research findings accessible to practitioners and service providers through feedback events and workshops.

Summary of the impact

Research into participative practice and well-being with older people has contributed directly to the development and application of an ethic of care in policy and service delivery, as well as to practices in older people's participation, locally, nationally and internationally. The research has directly impacted on practitioners and practice developments in services for older people, with learning resources (co-designed with practitioners and older people) being used in professional education and training across the UK and in New Zealand. An innovative participatory methodology has both enhanced older people's participation locally and been adopted more widely by university community research collaborators working to enhance older people's citizenship and well-being (eg in Netherlands). Research has directly informed policy concerning older people's needs assessments by recognising the centrality of relationships to well-being in older age. The well-being research involving collaboration with service users and providers has been described as `exemplary' by the leading national charity Age UK.

Summary of the impact

This research into what is believed to be one of the largest care home closures programmes in Europe had three key impacts in terms of:

• Helping to design the initial closure process at local level
• Evaluating outcomes of the subsequent closures to ensure that local policy and practice were safe (for frail older people in potentially very vulnerable situations)
• Producing national guidance for all English Councils on managing care home closures and contributing to local/national planning and a change in public opinion regarding care home closure in the wake of the Southern Cross scandal.

Summary of the impact

This case study presents the impact of the Health and Temperature Research Group (HTRG) at Sheffield Hallam University, led by Professor Tod. The group generates novel, collaborative, translational, interdisciplinary (e.g. health, housing and environment, energy and welfare) research with a focus on cold related ill health. The research impact is illustrated here by The Keeping Warm in Later Life Project (KWILLT). KWILLT findings provide a unique understanding of the complex environment and multiple factors influencing older people keeping warm and well in winter. Beneficiaries include NHS, local and national policy makers, and practice organisations.

Summary of the impact

The O4O action research project generated positive impacts for older people living in some of Europe's most remote and rural areas. It helped to shift perceptions of older people as a burden on society and towards recognition of the value they can bring to their communities as well as their potential to be involved in services design and delivery. The project underpinned the development of several older people's services that have generated employment opportunities and health/wellbeing improvement. The project challenged some of the assumptions in social enterprise/co-production policy and helped to identify the types of support that older people, and rural communities more widely, may need in order to develop their own service delivery organisations. O4O was recognised by the European Commission (EC) for its contribution to addressing the challenge of demographic change and supporting active aging.

Summary of the impact

This case study demonstrates how programmes of research led by the University of Sheffield since 1995 have generated theoretical models and implementation tools that have had considerable significance and reach in a diverse number of areas.

There have been impacts on:

• Care and Education Practice, with over 1,250 managers/practitioners completing leadership programmes and a more widespread adoption by the practitioner community.
• Service improvements, with thousands of family carers and older people having an enhanced service-user experience.
• Public and practitioner debate, as the work has been shared with the residents and workers in 18,000 care homes.
• International policy guidelines, where it has informed the generation of quality standards in care homes throughout Europe.
• Policy debates, where the research has featured prominently in discussions about achieving dignity in care.

Summary of the impact

The Personal Social Services Research Unit (PSSRU) at the University of Manchester (UoM) has run a programme of research examining community care of older people since 1996. The findings have informed key government decision-making around two important national policy initiatives between 2008 and 2013: (1) the development and implementation of Personal Budgets in Social and Health Care and (2) National Strategies to improve Dementia Services. This has affected the national provision of social care for older people and other adult social care users. In 2011-12, there were over 1.2 million people in England receiving social care affected by these policy changes (over 800,000 aged 65+), with a cost of £6,600m spent on their care (NHS and Social Care Information Centre).

Summary of the impact

A key challenge for UK Government is to identify how older generations can continue to live independently in their own homes. The UK's changing demographics, recent increases in the cost of institutional care coupled with its declining availability make this a priority for policy makers. A twelve stage research programme undertaken by Professor Tinker has investigated how improved home care and assistive technologies including aids and adaptations could be employed to enable older people to remain at home longer. It examined and costed these options and provided recommendations on how they, and other specialised housing types such as sheltered housing, could be provided. Central government, local authorities and housing associations have employed her findings in revising their approaches to housing support for this rapidly growing population. Her findings have recently been employed by governments in Europe, Canada, the USA, Australia and the Far East in their reappraisals of policy on assisted living in later life.

Summary of the impact

Research on residential care- and extracare-supported housing conducted by Swansea's Centre for Innovative Ageing (CIA) has impacted on the development and reconfiguration of supported housing services in Wales. Our research on care home closures has directly led to Welsh Government (WG) consultation on guidance regarding `escalating concerns' for care home closures, and the Independent Advisory Group on Local Authority Closure of Care Homes has recommended that our amendments to escalating concerns should be adopted in relation to care home closures due to strategic/policy reasons. Work is now underway by the WG to publish revised guidance in relation to care home closures based on our research. Three local authorities (Swansea, Vale of Glamorgan and Wrexham) have used our research on the challenges associated with extracare provision to inform the development of future services.

Summary of the impact

Research at Newcastle has made a significant contribution to the public services modernisation agenda in the areas of inter-agency working and information-sharing. The research showed that effective information-sharing required not just that different information systems are made compatible with each other, but also that people from different professional cultures are enabled to work together through a common understanding of information governance issues. In active collaboration with a range of service providers, a number of processes and tools were developed for the significant benefit of service users. They have been implemented in a variety of policy settings, including children's services and adult social care, and have informed current programmes funded by the UK government.