{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T02:08:20Z","timestamp":1788314900893,"version":"build-2803163510"},"reference-count":43,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Long-term care homes play an essential role within health and social care. Successful measures to support older people at home for longer have led to increased prevalence of disability, frailty and cognitive impairment in those who live in care homes over the last two decades. The need for care home places is projected to increase for the next two decades. Modern care homes provide care for people who are predominantly over 80, have multiple long-term conditions, take multiple medicines, are physically dependent and live with cognitive impairment. Residents do better when services recognise the contributions of staff and care home providers rather than treating residents as individual patients living in a communal setting. There is a strong case given residents\u2019 frailty, multimorbidity and disability, that care should be structured around Comprehensive Geriatric Assessment (CGA). Care should be designed to allow opportunities for multiprofessional teams to come together for CGA, particularly if healthcare professionals are based outside care homes. Good data about care homes and residents are central to efforts to deliver high quality care\u2014in some countries, these data are collected but not collated. Collating such data is a priority. Care home staff are under-recognised and underpaid\u2014parity of pay and opportunity with NHS staff is the bare minimum to ensure that the best are recruited and retained in the sector. During the COVID-19 pandemic, residents and relatives have frequently been left out of decisions about policies that affect them, and better consultation is needed to deliver high quality care.<\/jats:p>","DOI":"10.1093\/ageing\/afac169","type":"journal-article","created":{"date-parts":[[2022,7,25]],"date-time":"2022-07-25T00:09:15Z","timestamp":1658707755000},"source":"Crossref","is-referenced-by-count":43,"title":["From Warkworth House to the 21st century care homes: progress marked by persistent challenges"],"prefix":"10.1093","volume":"51","author":[{"given":"Adam L","family":"Gordon","sequence":"first","affiliation":[{"name":"Academic Unit of Injury , Recovery and Inflammation Sciences (IRIS), School of Medicine, , Nottingham DE22 3NE, UK"},{"name":"University of Nottingham , Recovery and Inflammation Sciences (IRIS), School of Medicine, , Nottingham DE22 3NE, UK"},{"name":"NIHR Applied Research Collaboration-East Midlands (ARC-EM) , Nottingham NG7 2UH, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6908-0032","authenticated-orcid":false,"given":"Karen","family":"Spilsbury","sequence":"additional","affiliation":[{"name":"School of Healthcare , , Leeds LS2 9DA, UK"},{"name":"University of Leeds , , Leeds LS2 9DA, UK"},{"name":"NIHR Yorkshire and Humber Applied Research Collaboration , Leeds LS2 9DA, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9227-7135","authenticated-orcid":false,"given":"Wilco P","family":"Achterberg","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care , , Leiden 2333, The Netherlands"},{"name":"Leiden University Medical Centre , , Leiden 2333, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rich","family":"Adams","sequence":"additional","affiliation":[{"name":"Sears Healthcare Ltd , Newbury RG14 1JN, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liz","family":"Jones","sequence":"additional","affiliation":[{"name":"National Care Forum , London CV1 2TE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8938-4893","authenticated-orcid":false,"given":"Claire","family":"Goodman","sequence":"additional","affiliation":[{"name":"Centre for Research in Public Health and Community Care (CRIPACC) , , Hatfield AL10 9EU, UK"},{"name":"University of Hertfordshire , , Hatfield AL10 9EU, UK"},{"name":"NIHR Applied Research Collaboration-East of England (ARC-EoE) , Cambridge CB2 8AH, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,7,25]]},"reference":[{"key":"2022072500091321400_ref1","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1136\/pmj.79.930.229","article-title":"History of the development of geriatric medicine in the UK","volume":"79","author":"Barton","year":"2003","journal-title":"Postgrad Med J"},{"key":"2022072500091321400_ref2","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1093\/ageing\/afv104","article-title":"Emergency care for frail older people-urgent AND important-but what works?","volume":"44","author":"Conroy","year":"2015","journal-title":"Age Ageing"},{"key":"2022072500091321400_ref3","first-page":"CD006211","article-title":"Comprehensive geriatric assessment for older adults admitted to hospital","volume":"2017","author":"Ellis","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"2022072500091321400_ref4","doi-asserted-by":"crossref","first-page":"e49","DOI":"10.1097\/BOT.0b013e3182a5a045","article-title":"Orthogeriatric care models and outcomes in hip fracture patients: a systematic review and meta-analysis","volume":"28","author":"Grigoryan","year":"2014","journal-title":"J Orthop Trauma"},{"key":"2022072500091321400_ref5","doi-asserted-by":"crossref","first-page":"356","DOI":"10.4997\/jrcpe.2020.401","article-title":"Comprehensive geriatric assessment (CGA) in the perioperative setting: the current state of play","volume":"50","author":"Sbai","year":"2020","journal-title":"J R Coll Physicians Edinb"},{"key":"2022072500091321400_ref6","volume-title":"Present and future configuration of health and social care services to enhance robustness in older age","author":"Robinson"},{"key":"2022072500091321400_ref7","doi-asserted-by":"crossref","first-page":"1807","DOI":"10.1111\/j.1532-5415.2010.03043.x","article-title":"Dutch elderly care physician: a news generation of nursing home physician specialists","volume":"58","author":"Koopmans","journal-title":"J Am Geriatr Soc"},{"key":"2022072500091321400_ref8","volume-title":"Care Homes Market Study","author":"Competition and Markets Authority","year":"2017"},{"key":"2022072500091321400_ref9","first-page":"2","article-title":"Future demand for long-term care in the UK. 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