Are national service frameworks and quality standards necessary for Essay

Are depicted object service frameworks and quality standards necessary for improving services, and is there any evidence that they are working - Essay subjectHowever, neither the concept nor the implementation f an acute-based, multidisciplinary older persons outreach and support team (OPOST) has been reported in the literature to date.The 2004 report, Better Health in Old Age, from the national director for older peoples health, provides an impressive range f comments, with supporting evidence, on the success f the National Service Framework for Older People (NSF) as seen through the eyes f various stakeholders.This attractively presented document looks back over the three years since the launch f the NSF and forward to a mint f the future. Readers f Nursing Older People may find it any(prenominal)what irritating that the image chosen for the cover is in stark cable to their own experiences f caring for older people. The photograph f older people canoeing, and clearly enjoying it, on the reports cover may have encouraged some newspapers to adopt the theme f taking responsibility for personal fitness as a spur to better health. Tai chi is an increasingly touristy form f exercise, suitable for many older people, and given the imminent publication f the White Paper on public health it was no surprise that it was used as the focus, and to illustrate news reports. While adopting such a theme is undoubtedly a positive approach it may too mask many f the other significant achievements.My chosen theme is climate change. Let me explain what I mean. The NSFs first standard is aimed at eliminating agism and that must, in my view, start with the language and attitudes we use to express ourselves. We have all come a long way from the days when a report describing the pressures emerging as a result f longer life expectancy, and the growth in the number f older people experiencing mental health problems could be published with a title as pejorative as The Rising Tid e (HMSO 1983). The health secretary, writing the foreword to the new