Search results for ‘Author:"king derek"’ Sort:
Results 1 - 10 of 11
Numbers of working carers whose employment is ‘at risk’ in England
- Authors:
- KING Derek, et al
- Journal article citation:
- Research Policy and Planning, 31(1), 2014, pp.29-42.
- Publisher:
- Social Services Research Group
Recent evidence suggests that a key threshold at which carers in England are at risk of leaving employment occurs when unpaid care is provided for 10 or more hours a week, a lower threshold than previously thought. Previous studies had shown that providing care for 20 or more hours a week had a negative effect on employment. One implication is that there are more working carers whose employment is at risk than previously thought. This paper aims to estimate the numbers of working carers whose employment is at risk because they provide care for 10 or more hours a week. A subsidiary aim is to estimate the numbers of working carers providing care for 10 or more hours a week to someone in a private household. Using the 2011 Population Census, Understanding Society (2010/11) and the Survey of Carers in Households (2009/10), we find that there are approximately 790,000 working carers aged 16-64 whose employment is at risk because they provide care for 10 or more hours a week. Of these, approximately 735,000 provide care to someone in a private household. There are nearly a quarter of a million more carers whose employment is at risk than previously thought. (Publisher abstract)
Data on adult social care: scoping review
- Authors:
- KING Derek, WITTENBERG Raphael
- Publisher:
- NIHR School for Social Care Research
- Publication year:
- 2015
- Pagination:
- 63
- Place of publication:
- London
Reports on the findings of a scoping review to identify available quantitative national data on adult social care in England and to also to examine the potential for making more use of these data in addressing research questions. The review examines the coverage and quality of the data, provides practical details about how to access them, as well as plans for future data collections or changes to current collections. Examples are included of how the data have been used in existing studies, with suggestions of how the data could be used in future studies. The review also includes some discussion of the issue of linking social care and other data and some of the challenges and opportunities this would present. The bulk of the report details the quantitative data sets identified as especially relevant to researching adult social care in England. Data sources discussed include coverage of information on: need for care, in terms of severe disability; provision of unpaid care from family and friends; numbers of users of care services and volumes of care received; characteristics of recipients of unpaid, publicly funded and privately funded care services; expenditure on adult social care; unit costs and payments for care; outcomes of adult social care; numbers and characteristics of providers of formal social care services; and the social care workforce. (Edited publisher abstract)
When is a carer’s employment at risk? Longitudinal analysis of unpaid care and employment in midlife in England
- Authors:
- KING Derek, PICKARD Linda
- Journal article citation:
- Health and Social Care in the Community, 21(3), 2013, pp.303-314.
- Publisher:
- Wiley
This article examines the thresholds at which provision of unpaid care affects employment in England. Previous research has shown that providing care for 20 or more hours a week has a negative effect on employment. The present article explores the impact of a lower threshold and asks whether provision of care for 10 or more hours a week has a negative effect on employment. The article focuses on women and men aged between 50 and State Pension Age (60 for women, 65 for men). The study uses data from the first four waves of the English Longitudinal Study of Ageing (ELSA), collected in 2002/2003, 2004/2005, 2006/2007 and 2008/2009. Across these waves, there are 17 123 people aged 50–59/64 years, of whom 9% provide unpaid care to an adult. Using logistic regression analysis of the longitudinal data, the study finds that employed women in their fifties who start providing care for <10 hours a week are significantly more likely to remain in employment one wave later than similar women who have not started to provide care. In contrast, employed women in their fifties who start providing care for 10 or more hours a week are significantly less likely to remain in employment one wave later than similar women who have not started to provide care. Employed men aged between 50 and State Pension Age, who provide care for 10 or more hours a week at the beginning of the period have a significantly reduced employment rate one wave later than those who do not provide care. The study therefore suggests that carers’ employment may be negatively affected when care is provided at a lower intensity than is generally estimated in England. This has important implications for local authorities, who have a duty to provide services to carers whose employment is at risk. (Publisher abstract)
Projections of demand for residential care for older people in England: report for BUPA
- Authors:
- KING Derek, et al
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2010
- Pagination:
- 23p., bibliog.
- Place of publication:
- Canterbury
This paper reports on the impact that changes in assumptions about household composition, housing tenure and the balance of domiciliary to institutional care could have on the future numbers of older people in care homes. It uses the PSSRU model, a macrosimulation model which makes projections of demand for long-term care for older people. A series of scenarios regarding changes in household composition, tenure, and balance of care were developed for this project, and their impact compared to that of scenarios previously investigated about variant population projections, marital status and rises in the real costs of care. The results show the impact of the scenarios in terms of the distribution between public and privately funded residents in care homes, projected numbers of recipients of local authority funded home care, total expenditure on long-term care and workforce requirements for care homes. The analyses suggest that projections of future demand for residential care are very sensitive to assumptions regarding the rate of change in the probability of entering residential care. This is also likely to impact significantly on the distribution of funding of residential care between public versus private spending. The rate of change in the probability of entering residential care is also likely to have a significant impact on the future demand for workers employed in care homes.
Reducing emergency hospital stays for older people: Innovation Forum first year report
- Authors:
- WISTOW Gerald, KING Derek
- Publisher:
- Innovation Forum
- Publication year:
- 2006
- Pagination:
- 54p.
- Place of publication:
- London
This report from the Innovation Forum is based on the idea that good housing, a range of facilities for transport, leisure and entertainment, families and friends can all help older people thrive and stay healthy thereby reducing the need for emergency hospital stays. And, if any of this is to come about, it means a firmer strategy than currently exists to ensure there is a sufficiently significant transfer of funding from acute to community settings.
Patterns of, and factors associated with, atypical and typical antipsychotic prescribing by general practitioners in the UK during the 1990s
- Authors:
- KING Derek, KNAPP Martin
- Journal article citation:
- Journal of Mental Health, 15(3), June 2006, pp.269-278.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This paper estimates the rate of change in primary care prescribing of atypical antipsychotics in the treatment of schizophrenia and schizoaffective disorder and assesses the link between these changes and the individual characteristics of patients. Analyses use the UK-based General Practice Research Database for the years 1993 to 1999. Data were linked across years for each individual. A panel logistic regression model was used to identify factors influencing the choice between typical and atypical antipsychotics. A total of 4,391 people were included in the dataset. Atypical antipsychotics prescribing in general practice grew from 1.8% in 1993 to 20.8% in 1999. Older patients were less likely to be prescribed an atypical as compared to a typical antipsychotic. Patients who had an inpatient stay in the previous year were over 1.5 times as likely to receive atypical antipsychotics, as were patients who had visited their GP six or more times in the previous year. Empirical results suggest that, over time, factors other than those warranted by the needs of patients may influence the class of antipsychotic they are prescribed. As prescribing of atypical antipsychotics increases, more evidence is needed to determine what factors are impacting upon the choice of antipsychotic medication.
Active steps to prevention
- Authors:
- WISTOW Gerald, KING Derek
- Journal article citation:
- Community Care, 29.06.06, 2006, pp.32-33.
- Publisher:
- Reed Business Information
The authors present early results from the first year of a local authority-led initiative, the Innovation Forum's older peoples project. The results suggest that a shift towards more preventative services is effective and is reducing older people's stays in hospital. The project was based on the idea that good housing, a range of facilities, and families and friends can help older people retain their independence.
Perceptions of unmet needs for community social care services in England. A comparison of working carers and the people they care for
- Authors:
- BRIMBLECOMBE Nicola, PICKARD Linda, KING Derek
- Journal article citation:
- Health and Social Care in the Community, 25(2), 2017, pp.435-446.
- Publisher:
- Wiley
Previous UK research has found expressed unmet need for services by unpaid working carers and among disabled and older people. There are, however, suggestions from research that views on unmet needs for services differ between carers and care-recipients. Working carers in the UK say that the care-recipient is sometimes reluctant to accept services and the few international comparative dyad studies that have been carried out find that carers perceive higher unmet need than care-recipients. Recent policy discussions in England have also recognised that there may be differences of opinion. This study collected data in 2013 from working carer/care-recipient dyads in England about perceived need for services for the care-recipient, disability, unpaid care hour provision and individual and socio-demographic characteristics. It found that care-recipients as well as their carers perceive high unmet need for services, although carers perceive higher unmet need. For carers, unmet need is associated with the disability of the carer-recipient and being the daughter or son of the care-recipient; for care-recipients it is associated with unpaid care hours, carers’ employment status and carers’ health. The majority of dyads agree on need for services, and agreement is higher when the working carer provides care for 10 hours or more hours a week. Services for care-recipients may enable working carers to remain in employment so agreement on needs for services supports the implementation of legislation, policy and practice that has a duty to, or aims to, support carer's employment. (Edited publisher abstract)
The state of adult social care research: findings from an online survey
- Authors:
- REHILL Amritpal, KING Derek, KNAPP Martin
- Journal article citation:
- Research Policy and Planning, 29(2), 2012, pp.115-134.
- Publisher:
- Social Services Research Group
This paper describes the findings from an online survey that asked about the status of social care research in 2010. Some questions reflected concerns raised at a 2005 seminar, organised by the Department of Health, that had discussed social care research. Notwithstanding the difficulties of collecting this kind of information through an online survey, the findings offer some useful insights. A number of improvements were described over the period from 2005 to 2010, including a more strategic approach to research, greater emphasis on interdisciplinarity, a greater practice focus, better accessibility to findings, some influences on policy and practice, and greater involvement of people who use services and carers. On the other hand, there were strong concerns about the future funding of social care research, with associated concerns about the effectiveness of care and support. Concerns were also expressed about ethics and governance arrangements, and research careers. (Publisher abstract)
The long-term care system for the elderly in England
- Authors:
- WITTENBERG Raphael, MALLEY Juliette, KING Derek
- Publisher:
- Centre for European Policy Studies
- Publication year:
- 2010
- Pagination:
- 46p.
- Place of publication:
- Brussels
Produced as part of a project on the future of long-term care for the elderly in Europe, this report focuses on the long-term care system for older people in England. It provides an overview of the current system, looking at assessment of care needs, availability of and eligibility for long term care services, management and organisation, integration within the system and with health and social services, and funding. It also examines demand and supply of long term care, including the need for long term care and demographic characteristics, the role of informal and formal care and the role of cash benefits, and demand and supply of informal care, formal care, institutional and home care. It concludes with a discussion of policy goals, recent reforms and current policy debate, and a critical appraisal of the long term care system.