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dc.contributor.authorSteils, Nicole
dc.contributor.authorPorteus, Jeremy
dc.contributor.authorFisk, Malcolm
dc.contributor.authorForsyth, Kirsty
dc.contributor.authorWoolham, John
dc.date.accessioned2020-02-14T09:24:55Z
dc.date.available2020-02-14T09:24:55Z
dc.date.issued2019-12-16
dc.identifier.citationWoolham, J., Steils, N., Forsyth, K., Fisk, M. and Porteus, J. (2019) Making Use of Evidence in Commissioning Practice: Insights into the Understanding of a Telecare Study’s Findings. Evidence and Policyen
dc.identifier.issn1744-2656
dc.identifier.otherEVIDPOL-D-18-00085R2
dc.identifier.urihttps://dora.dmu.ac.uk/handle/2086/19185
dc.descriptionThe paper draws on (100+) survey responses from social services authorities in England. It established their generally minimal understandings of (largely negative) outcomes of the government promoted (Whole System Demonstrator (WSD) project. The WSD project involved over 5000 mainly older people - half of whom were, following assessment, assigned telecare equipment (others telehealth). The robustness of the outcomes are discussed; issues about the effectiveness of assessments are raised; and the appropriateness of the methodology (an RCT) is questioned. In sum the paper provides an example where shortcomings of RCTs are exposed in a context where technological changes impact on ‘traditional’ (health and) social care service frameworks. The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.en
dc.description.abstractIn less than a generation, telecare has become a significant new resource for local authority (LA) Adult Social Care Departments (ASCDs) in England and other European countries to offer to people eligible for social care and support. All English ASCDs either have directly managed, or commissioned, telecare services, and telecare is often used as a 'first line' service (that is, before other forms of intervention). The Whole Systems Demonstrator Project (WSD), a very large clinical trial funded by the English Department of Health (DH) concluded that it does not deliver better outcomes. Despite this, and in the context of unprecedented reductions in adult social care expenditure over the last decade (Innes and Tetlow, 2015), investment in telecare has continued in the UK. This article explores the extent and nature of the evidence used in LAs to support investment in telecare.en
dc.language.isoenen
dc.publisherPolicy Pressen
dc.subjectTelecareen
dc.subjectOlder Peopleen
dc.subjectAdult Social Careen
dc.subjectWhole System Demonstratoren
dc.subjectCommissioningen
dc.titleMaking Use of Evidence in Commissioning Practice: Insights into the Understanding of a Telecare Study’s Findingsen
dc.typeArticleen
dc.identifier.doihttps://doi.org/10.1332/174426419X15730452200823
dc.peerreviewedYesen
dc.funderNIHR (National Institute for Health Research)en
dc.projectidN/Aen
dc.cclicenceCC-BY-NCen
dc.date.acceptance2019-11-05
dc.researchinstituteCentre for Computing and Social Responsibility (CCSR)en
dc.exception.ref2021codes255ben


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