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BJSW Advance Access originally published online on May 24, 2006
British Journal of Social Work 2007 37(6):1043-1058; doi:10.1093/bjsw/bcl032
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© The Author 2006. Published by Oxford University Press on behalf of The British Association of Social Workers. All rights reserved.

The Single Assessment Process in Primary Care: Older People’s Accounts of the Process

Jackie Powell, Judy Robison, Helen Roberts and Gwen Thomas

Jackie Powell is a Reader in Social Work Studies at the University of Southampton and a registered social worker.

Judy Robison is also a qualified social worker with extensive research experience. She was employed as a Senior Research Fellow in the School of Social Sciences at the University of Southampton during the period of the research study.

Helen Roberts is a Consultant Physician based at the Elderly Care Research Unit at Southampton General Hospital.

Gwen Thomas is a qualified nurse previously located at the Research Unit but now working in a primary care setting.

Correspondence to Jackie Powell, School of Social Sciences, University of Southampton, Highfield, Southampton, Hampshire, SO17 1BJ, UK. E-mail: J.M.Powell{at}soton.ac.uk

Recent government policies have been active in addressing social inclusion and active participation of older people in many aspects of societal life. Independence and well-being animate these developments and are evident in the emphasis on person-centred services within the single assessment process for older people (Department of Health, 2002b).

Drawing on a feasibility study of the Single Assessment Process as a ‘case-finding’ approach, this paper presents findings drawn from older people’s accounts of this experience. These accounts indicate the potential of the process for identifying ‘low-level’ need, whilst raising issues of access to formal services and resource constraint; also they underline the importance of understanding how older people seek ways of managing their own health and well-being, whilst continuing to contribute to the social cohesion of society by providing support to their peers and to younger generations.

Interdependence, it is suggested, rather than dependence should underlie any approach to assessing older people’s needs, if we are to appreciate and build upon the complexity of older people’s strategies for actively managing their lives.

Keywords: single assessment process, older people, interdependence


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