Page 10 - NCPHWR Annual Report 2017-18_Neat
P. 10

Work Packages | Healthy Ageing                                                                                             Cross-Cutting Themes

























           Vulnerable
            Adults &
          Maintaining                                                                                                           Social Care

           Health and
           Wellbeing



                The Centre undertakes research into a variety of different challenges                                              Social Care Research forms a cross-cutting theme in the Centre, underpinning all
                posed by adults that might result in them being identified as vulnerable.                                          areas of the Centre’s work. The Centre works closely with colleagues from other
                These challenges range from chronic health conditions such as arthritis                                            social care relevant Centre’s, such as the Wales School for Social Care Research
                and dementia and adults with intellectual disability, to the burden of                                             (WSSCR) and Wales Kidney Research Unit (WKRU), as well as health boards, local
                disorders and substance abuse. These challenges are identified using                                               authorities and third sector organisations such as the Wales Council for Voluntary
                linked health records (general practice and hospital records) to look at                                           Action (WCVA).
                long-term health information collected through HealthWise Wales and
                analysed using the SAIL Databank. Research is also undertaken to identify                                          This year a key focus of the Centre’s work around social care was undertaking a
                interventions that can support the maintenance of health and well-being                                            Population Needs Assessments Analysis of 22 local authorities, identifying priority
                of adults through improvements in the environments they live in.                                                   areas across Welsh authorities as well as current gaps in research and data. In total,
                                                                                                                                   seven sets of reports were produced, themes included:

                                                                                                                                   •  children and young people                          •  domestic abuse and sexual violence
                    Research Impact                                                                                                •  older people, health/physical                      •  advocacy services
                                                                                                                                       disabilities                                      •  asylum seekers and refugees
                       • Recent research has identified that health checks for adults with                                         •  learning disability and autism                     •  homelessness
                       intellectual disability lowers death rates (compared to those who have
                       not had health checks) especially for those with autism.                                                    •  mental health                                      •  substance abuse
                                                                                                                                   •  sensory impairment                                 •  veterans
                       • Work examining medications associated with dementia shows                                                 •  carers who need support
                       medications for high blood pressure and anticoagulants are associated
                       with less risk of dementia, but antidepressants and antiplatelet
                       medications are associated with higher risks of dementia.                                                   As a result, a number of Pan-Wales priority areas were identified for requiring
                       • A longitudinal study into emergency hospital admissions associated                                        improvements such as public understanding, client focus, transitions, advice and
                       with a non-randomised housing intervention identified that hospital                                         assistance.
                       admissions can be avoided through improving whole home quality
                       standards in line with national housing quality standards.                                                  Going forward local authorities are using the findings from the reports to form
                                                                                                                                   actions plans. This will be achieved by many of the suggestions and aspirations for
                       • We are working with ENRICH Cymru and My Home Life Cymru as well                                           improvement, highlighted in the evaluation being turned into concrete actions. After
                       as local health boards, supporting older people, particularly regarding
                       research in and about care homes.                                                                           a second phase of analysis, actions can then be carried out and followed up by how
                                                                                                                                   the NCPHWR could best input into these plans.


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