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The impact of devolution: long-term care provision in the UK
- Author:
- BELL David
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2010
- Pagination:
- 41p., bibliog.
- Place of publication:
- York
This report on long-term care provision policies, from a series on the impact of 10 years devolved government in the United Kingdom, considers the constraint that tax and benefit structure (control of which remains centrally within the Departmental Expenditure Limits (DEL) system), has on Scotland, Northern Ireland, Wales and England. The importance of having secondary social care, funded from Annually Managed Expenditure by the Department for Work and Pensions (DWP) and less bound to annual budgets than DEL, in minimising diversity of delivered care is discussed. The inability of devolved governments to steer DWP, due to weak intergovernmental relations, is highlighted and in section 2 Scottish attendance allowances and Welsh domiciliary care charges are contrasted. Section 3 details demand for care varies more within countries than between them, while section 4 highlights divergence in older people’s ability to pay. A current snapshot of care provision across the UK in section 5, is followed by a focus on free personal care, personalisation and charging in Section 6. Section 7 reiterates that policies can be constrained as well as enhanced by devolution. Other reports, in this series, detail area based regeneration, indicators of poverty and social exclusion, employment and employability and housing and homelessness.
Identifying a fairer system for funding adult social care
- Authors:
- KEEN Justin, BELL David
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2009
- Pagination:
- 11p., bibliog.
- Place of publication:
- York
This briefing sets out a framework for identifying a fairer system of adult social care. It discusses five key questions that form a framework for identifying a fairer system. What is the scope of the reform programme? What is to be distributed? What distributive principle should be used? What are the priorities? and Who are the loosers in the care lottery? It then uses these questions evaluate the Green Paper Shaping the future of care together. This analysis shows that the Paper represents an advance on previous government statements on adult social care, but lacks important detail, particularly on funding options.
Free personal care in Scotland: recent developments
- Authors:
- BELL David, BOWES Alison, DAWSON Alison
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2007
- Pagination:
- 64p.
- Place of publication:
- York
A report of a study into the operation of the free personal care policy in Scotland is presented. The study was based on analysis of statistical data since 2002 and a series of interviews conducted from August to October 2006 with local authorities and the Scottish Commission for the Regulation of Care. The report, which focuses on the local authority perspective, considers the impact, problems and limitations of the free personal care policy and suggests possible reasons for increases in demand for care. Although the policy has wide public support, local authorities report that misunderstandings remain, for example, concerning whether meal preparation is free. The study also investigates why there is variation between local authorities in controlling expenditure.
Financial care models in Scotland and the UK
- Authors:
- BELL David, BOWES Alison
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2006
- Pagination:
- 106p.
- Place of publication:
- York
The study begins by outlining current care policy for older people in the UK, and the development and context of free personal care in Scotland. It then explores the Scottish situation and finds that the similarities are sufficiently strong to argue that Scotland is a good exemplar for social care policies elsewhere in Great Britain. The practical problems encountered in Scotland during its introduction are assessed in detail, from the point of view of both the suppliers of care, and the older people themselves. Looking forward, the authors identify key threats to the sustainability of the Scottish policy and conclude by reviewing the wider lessons for the UK as a whole in designing policies to care for older people.