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Securing good care for older people: taking a long-term view
- Author:
- DAVIES Bleddyn
- Journal article citation:
- Ageing Horizons, 6, 2007, Online only
- Publisher:
- Oxford Institute of Ageing
- Place of publication:
- Oxford
The paper aims to explain and evaluate two key features of Securing Good Care for Older People, the Wanless Report on alternative mechanisms for funding long-term care of older people. The first is the new elements of the methodology for evaluating the alternatives. The paper argues that more successfully than previously and analyses in other countries, these elements focus attention on what are really the core issues: the means and ends which are the unique foci of long-term care, and estimates of the consequences of alternatives for them. By doing so, the report faces the politicians and policy analysis and research communities with a formidable challenge, to master and contribute to the development of the new framework and evidence. Failure to meet the challenge will increases the risk that the policy system will reinforce rather than weaken causes of gross inequity and inefficiency caused by the under-funding of long-term care seemingly unanswerably demonstrated by the report. The second key feature is the type of funding model the Report recommends given expected changes in the balance between demands and public expenditure. It is argued that the report’s analysis as successfully transforms the state of the argument about this as much as about the framework, methodology and evidence for evaluating alternatives, demonstrating the relative weakness of models widely advocated a decade ago. Part 2 discusses how to build on the Report. It discusses the framing of issues and the analysis of evidence for each of the key foci of the report’s main contribution to evaluation methodology. Finally the paper discusses whether the recommended model would be the wisest choice given the environment likely during the next few decades.
Public spending levels for social care of older people: why we must call in the debt
- Author:
- DAVIES Bleddyn
- Journal article citation:
- Policy and Politics, 35(4), October 2007, pp.719-726.
- Publisher:
- Policy Press
The author debates the funding of social care for older people.
Equity and efficiency in community care: from muddle to model and model to...?
- Author:
- DAVIES Bleddyn
- Journal article citation:
- Policy and Politics, 25(4), October 1997, pp.337-359.
- Publisher:
- Policy Press
The community care reforms were partly a response to critiques of inequity and inefficiency in targeting and weak impacts of services on outcomes of value in their own right. The article revaluates criticisms made in the 1980s in the light of reform outcomes. The provisional findings suggest reallocation of resources in the direction suggested by the critiques and policy statements, greater flexibility in packages, higher productiveness but higher unit costs of service inputs. Considers that the reforms still fall short of the goals, and raise important dilemmas.
Maintaining the pressure in community care reform
- Author:
- DAVIES Bleddyn
- Journal article citation:
- Social Policy and Administration, 28(3), September 1994, pp.197-205.
- Publisher:
- Wiley
Argues for the need to produce a substantial medium-term review of the impacts of the community care changes. Proposes that the review consider: targeting; input and outcome mixes and substitution; central government style; and user and partnership financing mechanisms.
Care management, equity and efficiency: the international experience
- Author:
- DAVIES Bleddyn
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 1993
- Pagination:
- 184p.,bibliog.
- Place of publication:
- Canterbury
Uses the experiences of various countries to contribute to the development of a logic about how performing case management tasks better might improve outcomes, and how to perform them more efficiently. Includes a section evaluating case management models.
Case management and the social services: on breeding the best chameleons
- Author:
- DAVIES Bleddyn
- Journal article citation:
- Generations Review, 2(2), June 1992, pp.18-21.
- Publisher:
- British Society of Gerontology
Response to R. Jack's article by the Director of the Personal Social Services Research Unit at the University of Kent at Canterbury.
Social Services in the city: context change, service response, and service outcomes. (In) The Statistician n. 29 1990 pp. 229-245
- Author:
- DAVIES Bleddyn
- Publisher:
- [none]
- Publication year:
- 1990
- Pagination:
- 18p.,tables.
Discusses the new managerialist critique of community care, the policy goal to mix the supply economy of welfare, and the redefinitions of the rights and obligations of the individual.
Costs needs and outcomes in residential and community-based care of the elderly: towards the quantification of optimal targeting criteria: prepared for the conference "Les Institutions Sanitaires et Sociales Face au Vieillisement" ... September 1988
- Author:
- DAVIES Bleddyn
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 1988
- Pagination:
- 27p., tables, bibliog.
- Place of publication:
- Canterbury
Looks at costs and outcomes of community and residential services for the elderly.
Financing long-term social care: challenges for the nineties; paper for the Esmee Fairbairn workshop, Cambridge, September 1988
- Author:
- DAVIES Bleddyn
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 1988
- Pagination:
- 26p., tables, bibliog.
- Place of publication:
- Canterbury
Suggests ways of improving the mechanisms for financing long-term social care for old people.
British community-based care: implications of evidence about the outcome consequences of resource variations; written for the consultation on the development of services for the elderly in the province of Ontario, March 1988
- Author:
- DAVIES Bleddyn
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 1988
- Pagination:
- 6p.
- Place of publication:
- Canterbury