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A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
A
A&E
Accident and Emergency Department (casualty)
Acute
A branch of healthcare where people receive short-term treatment for a severe injury, illness, urgent medical condition, or while recovering from surgery. Acute care services are generally provided in a hospital setting.
Adaptations
Changes to a home or the introduction of equipment which can help older people, people with a disability, or people living with mobility issues to live independently in their own homes. Adaptations can reduce the risk of falls and other accidents by making it safer for an individual to undertake tasks. Adaptations can also reduce the need for home care or admission to a care home by enabling people to complete daily tasks themselves. A wide variety of aids and equipment is available, such as adapted cutlery, telecare alarms, specialist seating and beds. Common examples of adaptations include replacing a bath with a level access shower or making it easier to get in and out of the home by widening doors or installing a ramp.
Admitted / Admission (to hospital)
Being taken into hospital
Advocacy
Support from another person to help someone express their views and wishes, and to help make sure their voice is heard. Someone who helps in this way is called an advocate. An advocate can be a family member or friend, but formal advocacy is often provided by an organisation to help someone understand and access care.
Adult Carer Support Plan
An assessment to find out what a carer (unpaid, informal carer) needs (such as respite, short breaks etc.) and how services can support them better
Adult support and protection (ASP)
Things we can do to identify, support and protect adults who may be at risk of harm or neglect and who may not be able to protect themselves
Alcohol and Drug Partnership (ADP)
ADPs are multi agency partnerships established to implement and respond to the national strategies on alcohol, drugs, tobacco and volatile substances across the whole population. ADPs also have a responsibility to develop a local substance strategy which addresses prevention. This must ensure that the range of treatment options that are required to promote recovery from substance use problems are provided for and available at point of need.
Anticipatory Care Plans (ACPs)
A plan prepared by a person with health/care needs along with a professional. The plan lays out what the person would prefer if/when their condition changes.
Assessment
Process used to identify the needs of a person so that appropriate services can be planned for them
Avoidable admission
An admission to a bed that may be regarded as unnecessary had other more appropriate services been available
B
Balance of care
How much care is given in the community compared to how much is given in hospitals etc.
Bed based services
Those services such as inpatient wards in a hospital where people are cared for overnight
Bed days
The number of days that beds in hospital are occupied by someone
C
Capacity
Capacity refers to an individual’s ability to make decisions about their wellbeing. This may change over time and may refer to different aspects of their life. For people who have been medically assessed as lacking capacity there is legislation to protect their wellbeing.
Care home
A care service providing 24-hour care and support with premises, usually as someone’s permanent home.
Care Plan
A Care Plan is the plan of treatment or actions agreed with a service user, their carer and family, following an assessment of need by a health or care agency.
Carer
A carer is a person, of any age, who looks after family, partners, or friends in need of help, because they are ill, frail or have a disability and need support to live independently. This care is unpaid however the carer may be in receipt of carers allowance, but this is not considered to be payment.
Chief Officer
Chief Officer of the Integration Joint Board was appointed to provide a single point of management for the integrated budget and integrated service delivery. They are accountable to the Integration Joint Board and to the Chief Executives of their Health Board and Local Authority for the delivery of the integrated services.
Choice and control
Choice and control is about shaping services to meet people’s needs, rather than allocating people to fit around services
Clinical and Care Governance
Clinical and care governance is a systematic approach to maintain and improve care in a health and social care system. This will provide assurance to the IJB on the systems for delivery of safe, effective, person-centred care in line with the IJB’s statutory duty for the quality of health and care services.
Commission (a service)
Buying a service from another to meet the needs of a population
Community Based Support
Services that are delivered within community settings, sometimes within a person’s home. Community based support is provided by NHS Forth Valley, Falkirk Council and also by voluntary and community organisations.
Community Planning Partnership (CPP)
Where public agencies work together with the community to plan and deliver better services which make a difference to people’s lives
D
Daily living
Tasks that people carry out to look after their home, themselves and when taking part in work, social and leisure activities
Delayed discharge
Where someone is unable to leave hospital because the appropriate care and/or support is not yet available for them at home
Delegated function
A service that Falkirk Health and Social Care Partnership plans or delivers on behalf of Falkirk Council or NHS Forth Valley.
Delivering (a service)
Carrying out a service
Demographic change / workforce challenges
Changes in population (e.g., more older people) that mean we have to change how we provide our services
Direct payments
Means-tested payments made to service users in place of services they have been assessed as needing. This allows people to have greater choice in their care
E
Early intervention
Giving support, care and/or treatment as early as possible
End of Life Care
End of life care addresses medical, social and emotional, spiritual and accommodation needs of people thought to have less than one year to live. It often involves a range of health and social care services for those with advanced conditions who are nearing the end of life.
Engagement
Having meaningful contact with communities e.g., involving them in decisions that affect them
F
Facilitate/facilitator
A term commonly used during community engagement and outreach, meaning to make a process easy or easier. A facilitator is a person who runs this process.
Front line staff
Staff who work directly with users of a service
G
Governance
The way an organisation is run.
H
Health and Social Care Integration
In the UK, Health and Social Care (often abbreviated to HSC or H&SC) is a term that relates to services that are available from health and social care providers. This is a generic term used to refer to integrating/bringing together the whole of the health and social care provision infrastructure, public and private sector, including the Third sector.
Health inequalities
The gap that exists between the health of different population groups such as the well-off compared to poorer communities or people with different ethnic backgrounds
Home First
The Home First team support people to avoid delay in their discharge from hospital, they work with the person, their carer / relatives to agree how to support them to get home.
Housing Contribution Statement (HCS)
The HCS sets out the arrangements for carrying out the housing functions delegated to the Integration Authority under the Public Bodies (Joint Working) (Scotland) Act 2014
I
Independent sector
This includes voluntary, not for profit, and private profit-making organisations. It also includes housing associations
Integration
The term used to describe the partnership working between health and social care services as outlined in the Public Bodies (Joint Working) (Scotland) Act 2014
Integration Joint Board (IJB)
The IJB is responsible for running the partnership and has members from Falkirk Council and NHS Forth Valley, staff representatives, the Third Sector and the public
Integration Scheme
The detail of our model of integration is laid out within our Integration Scheme. This scheme sets out a robust and transparent framework for the governance and operation of the Falkirk Health and Social Care Partnership. This includes detail such financial arrangements, governance arrangements, data sharing, liability and dispute resolution.
Intermediate Care
Intermediate Care services support people to improve their independence and aim to provide a range of enabling, rehabilitative and treatment services in community and residential settings. The term has been defined as a “range of integrated services to promote faster recovery from illness, prevent unnecessary acute hospital admission, support timely discharge and maximise independent living”(NSF for Older People, DOH, June 02).
J
JLES – Joint Loan Equipment Service
Funded jointly by NHS Forth Valley, Falkirk Council, and Stirling Council, JLES provides, delivers, uplifts, maintains, and recycles aids and equipment used by people to live as independently as possible in their own home.
Joint working
Different teams and organisations working together
K
L
Long term conditions
Long-term conditions are conditions that last a year or longer, impact on many aspects of a person’s life, and may require ongoing care and support. The definition does not relate to any one condition, care group or age category. It covers adults and older people as well as children and those with physical and mental health issues. Common long-term conditions include epilepsy, diabetes, some mental health problems, heart disease, chronic pain, arthritis, inflammatory bowel disease, asthma and chronic obstructive pulmonary disease.
M
Multidisciplinary
Where several different professionals work together in the interests of service users and carers
N
O
Out of Hours (OOH) Services
Services for patients’ when their registered GP practice is closed, such as evenings, weekends, and public holidays. If you need urgent medical advice which can’t wait until your GP practice is open, or you have a sudden onset or worsening of conditions, please call NHS 24 on 111. If you have a life threatening illness or injury, always dial 999
P
Palliative care / Palliative and End of Life Care
Palliative care aims to improve the quality of life of people, and their families, with life-threatening illness that can’t be cured. It helps to prevent and relieve the problems associated with their condition, through early identification and assessment of their needs, care planning to address any symptoms and pain and address any social, psychological, or spiritual needs.
Partnership
A partnership refers to two or more individuals or organisations working together to achieve a shared aim. Within the context of health and social care integration, the Partnership consists of Falkirk Council, NHS Forth Valley, Third and Independent sectors working together to provide effective, joined up service.
Personal outcomes
The changes or improvements that have taken place during the time someone has been receiving support
Person-centred
Putting the needs and aspirations of the individual service user at the centre of our work
Priorities
Things we think are important to do
Proactive
Creating or controlling a situation rather than just responding once it’s happened.
Public Bodies
NHS Forth Valley and Falkirk Council are both public bodies. A public body is democratically accountable at either national or local level. They have specific functions and requirements generally driven by legislation, which they must undertake. The Public Bodies (Joint Working) (Scotland) Act requires the integration of health and social care and is an example of legislation.
Q
R
Readmission
Being taken back into hospital shortly after having been discharged
Recruitment and retention
Being able to recruit and keep staff
Reablement
Reablement service will begin at the point of assessment and have a focus on independence through the delivery of a short-term person centred approach by a multidisciplinary team of well-trained staff working
Resilience
Being able to cope with and recover from difficult situations
Redesign
Redesign within the context of health and social care integration, relates to services may be changed and improved. Redesign is based on evaluation and review of existing services and will often include listening to service users, their carers and families about what services are important to them.
Rehabilitation
Rehabilitation entails restoring someone to health or normal life through guidance and therapy after addiction, or illness.
Remobilise, Recover, Redesign
An overview of the HSCP mobilisation response to the Covid-19 pandemic, and the key elements for recovery and the potential for redesign
Risk management
The process of identifying, quantifying, and managing the risks that an organisation faces
S
Self-management
Where people take responsibility for and manage their own care. Encouraging people with health and social care needs to stay well, learn about their condition and remain in control of their own health
Self-directed support
When the person who needs services directs their own care and has choice when it comes to their support
Social Care
Any form of support or help given to someone to help them take their place in society
Stakeholders
Stakeholders include any person or group with a vested interest in the outcome of a project or plan.
Strategic Commissioning
This is the process that informs the Integration Authorities Strategic Plan. Strategic Commissioning is a way to describe all the activities involved in:
- assessing and forecasting needs
- linking investment to agreed desired outcomes
- planning the nature, range and quality of future services; and
- working in partnership to put these in place.
Strategic Plan
The plan that describes what the partnership aims to do, and the local and national outcomes used to measure our progress
Sustainable
Can be maintained at a certain level or rate
T
Technology
Specialised devices that help people in their day-to-day life, such as telecare, telehealth or telemedicine, alarm call system, remote support and advice or mobility aids
Third sector
Voluntary and community groups, social enterprises, charities
Transformational change
A complete change in an organisation, designed to bring big improvements.
Transition
Used to describe a significant change for someone, such as starting to use a new care service or a change in life stage (e.g., becoming an adult).
U
Unscheduled Care
Care which cannot reasonably be foreseen or planned in advance, and is required outside of regular working hours of services. People needing to access unscheduled care often:
- access advice from NHS24,
- receive a referral to an Out of Hours Service via NHS24; or
- receive an urgent appointment with their GP