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Editorial

Editorial Community care is an interdisciplinary, inter-agency respond. The quality of service to the consumer endeavour. The current Government has rightly empha- demands that this should happen – and it is within the sised partnership working as an important means of scope of local initiative. delivering this. However, there is an apparent lack of thinking about the benefits and implications of work- The second issue is about how all this will work in the ing in partnership on the evidence base for effective long run. Evidence-based approaches are no instant community care, which is worth exploring a little here. panacea. They demand critical thinking, time for personal and organisational change, and practice Compared with NHS organisations, local authority which is reflective and open to modification. They also social services departments are trailing in the demand space in people’s working lives, which seems development of evidence-based approaches. The NHS like the biggest hurdle of all (Sheldon & Chilvers, in had a five-year start, with the first large-scale press; McColl et al., 1998). These two studies of, developments taking place about a decade ago, in the respectively, social care professionals and general form of policy initiatives, university centres of practitioners show remarkably common ground. Of excellence, publications, in-service training. The first course, the doctors are much better prepared for the main stirrings in social care did not really emerge until scientific dimension; but they also find it difficult to the middle of the last decade, and the investment is keep up to date. McColl et al.’s work concludes that paltry in comparison with the NHS, even allowing for some collective spoon-feeding is necessary, despite the the differing scales of each enterprise. The language of tradition of individually accountable practice in evidence-based policy and practice can now be heard medicine. in social care circles, but its prevalence, along with understanding of the issues, is apparently limited. Opportunity now beckons, in the form of the develop- ment of primary health care, if social care, housing This may change with more time and the implemen- and other community professionals can be positively tation of the Care Standards Bill, which presages a involved. The article by Robinson and Griffiths in this body for social care along the lines of the new issue emphasises the potential. The Topical Theme National Institute for Clinical Excellence established written by Hodson and Pitt shows the steps that one for the NHS. But two important issues are already local authority SSD is already taking, which will give clear. The first concerns the current health of evidence- it a capacity to take the opportunities likely to be based approaches in community care; why pursue available. different furrows when the evidence base for Peter Thistlethwaite community care is, by definition, likely to be common Editor to health and social care professionals? Rehabilitation References is a convincing exemplar where the common ground is already known, and anything which can be done to McColl, A., Smith, H., White, P. & Field, J. (1998) The route bring together health, social care and housing to evidence-based medicine: a questionnaire survey. British Medical Journal, p316. professionals in developments based on a shared evidence base is to be welcomed. Currently this will Sheldon, B. & Chilvers, R. (in press) Prospects for Evidence- mean NHS organisations opening their doors a little Based Social Care: An empirical study. University of Exeter. CEBSS. wider, and social care professionals wanting to 2 Managing Community Care Volume 8 • Issue 2 • April 2000 © Pavilion Publishing (Brighton) Ltd http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Integrated Care Emerald Publishing

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Publisher
Emerald Publishing
Copyright
Copyright © Emerald Group Publishing Limited
ISSN
1476-9018
DOI
10.1108/14769018200000011
Publisher site
See Article on Publisher Site

Abstract

Community care is an interdisciplinary, inter-agency respond. The quality of service to the consumer endeavour. The current Government has rightly empha- demands that this should happen – and it is within the sised partnership working as an important means of scope of local initiative. delivering this. However, there is an apparent lack of thinking about the benefits and implications of work- The second issue is about how all this will work in the ing in partnership on the evidence base for effective long run. Evidence-based approaches are no instant community care, which is worth exploring a little here. panacea. They demand critical thinking, time for personal and organisational change, and practice Compared with NHS organisations, local authority which is reflective and open to modification. They also social services departments are trailing in the demand space in people’s working lives, which seems development of evidence-based approaches. The NHS like the biggest hurdle of all (Sheldon & Chilvers, in had a five-year start, with the first large-scale press; McColl et al., 1998). These two studies of, developments taking place about a decade ago, in the respectively, social care professionals and general form of policy initiatives, university centres of practitioners show remarkably common ground. Of excellence, publications, in-service training. The first course, the doctors are much better prepared for the main stirrings in social care did not really emerge until scientific dimension; but they also find it difficult to the middle of the last decade, and the investment is keep up to date. McColl et al.’s work concludes that paltry in comparison with the NHS, even allowing for some collective spoon-feeding is necessary, despite the the differing scales of each enterprise. The language of tradition of individually accountable practice in evidence-based policy and practice can now be heard medicine. in social care circles, but its prevalence, along with understanding of the issues, is apparently limited. Opportunity now beckons, in the form of the develop- ment of primary health care, if social care, housing This may change with more time and the implemen- and other community professionals can be positively tation of the Care Standards Bill, which presages a involved. The article by Robinson and Griffiths in this body for social care along the lines of the new issue emphasises the potential. The Topical Theme National Institute for Clinical Excellence established written by Hodson and Pitt shows the steps that one for the NHS. But two important issues are already local authority SSD is already taking, which will give clear. The first concerns the current health of evidence- it a capacity to take the opportunities likely to be based approaches in community care; why pursue available. different furrows when the evidence base for Peter Thistlethwaite community care is, by definition, likely to be common Editor to health and social care professionals? Rehabilitation References is a convincing exemplar where the common ground is already known, and anything which can be done to McColl, A., Smith, H., White, P. & Field, J. (1998) The route bring together health, social care and housing to evidence-based medicine: a questionnaire survey. British Medical Journal, p316. professionals in developments based on a shared evidence base is to be welcomed. Currently this will Sheldon, B. & Chilvers, R. (in press) Prospects for Evidence- mean NHS organisations opening their doors a little Based Social Care: An empirical study. University of Exeter. CEBSS. wider, and social care professionals wanting to 2 Managing Community Care Volume 8 • Issue 2 • April 2000 © Pavilion Publishing (Brighton) Ltd

Journal

Journal of Integrated CareEmerald Publishing

Published: Apr 1, 2000

There are no references for this article.