Search results for ‘Subject term:"learning disabilities"’ Sort:
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No pain, plenty of gain
- Author:
- DUNNING Jeremy
- Journal article citation:
- Community Care, 23.9.10, 2010, pp.26-27.
- Publisher:
- Reed Business Information
Hertfordshire Council has engaged professional services consultancy OLM to review and reduce the costs of its long-term residential placements. This has resulted in savings of £2.5M a year, expected to rise to £7.3m by the end of 2011. The Council insists that there has been no change in quantity or quality of care, and this is supported by Hertfordshire Local Involvement Network which represents service users.
Assessing the economic cost of a community unit: the case of Dr. Barnardo's Intensive Support Unit
- Authors:
- SHIELL Alan, WRIGHT Ken G
- Publisher:
- York University. Centre for Health Economics
- Publication year:
- 1987
- Pagination:
- 32p., illus., bibliog.
- Place of publication:
- York
A submission to the DHSS on problems which have been generated by recent legislation and regulations on the registration and funding of residential care
- Author:
- ASSOCIATION OF RESIDENTIAL COMMUNITIES FOR THE RETARDED
- Publisher:
- Association of Residential Communities for the Retarded
- Publication year:
- 1985
- Pagination:
- 12p.,appendices.
- Place of publication:
- Lydney
Why are people with intellectual disability moved "out-of-area"?
- Authors:
- PERRY David W., et al
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 4(3), September 2007, p.203–209.
- Publisher:
- Wiley
Some people with intellectual disabilities (ID) continue to be provided with accommodations that are outside their local area, away from familiar people and places. Although studies have been scarce on this topic, there is evidence to suggest that this does not always provide the best outcome for individuals in terms of quality of life. The authors undertook a survey to look at the personal characteristics of 89 persons with ID originally from the city of Coventry in the UK, and now situated by local health or social services authorities in locations other than the immediate Coventry area. The authors found that the number of people being placed "out-of-area" is increasing; among them are persons with autistic spectrum disorder (particularly those transitioning into adulthood), those with a past history of behaviour resulting in action by the criminal justice system, and those with a history of aggression toward others. There are concerns that the commissioning and provision of "out-of-area" services echo the dehumanizing institutionalization policies that dominated the first part of the 20th century, are lacking in coordination, and are proving to be more expensive than locally provided services.
Report of a research study into the costs of village communities
- Author:
- CRONSHAW Phil
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1996
- Pagination:
- 37p.,bibliog.
- Place of publication:
- London
Provides details of research into the costs of village communities for people with learning difficulties.
A summary of the consultation on changes to the allocation formulae for the learning disabilities commissioning transfer grant preserved rights grant and AIDS support grant
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2010
- Pagination:
- 25p.
- Place of publication:
- London
This document provides a summary of responses from the consultation on the allocation formulae for the 3 social care grants: Learning Disabilities Transfer Grant; the Preserved Rights Grant; and the AIDS Support Grant. The consultation paper set out potential options for allocation of each of the 3 social care grants from 1st April 2011. Respondents were invited to state their preferred options, and were also encouraged to provide comments or suggest alternative allocation options. Respondents were also asked to check the data held by the Department which was used to calculate 2 of the options. The consultation did not prejudge the outcome of the Spending Review, which considered the future form of the grants. The consultation ran from 27 July 2010 to 6 October 2010. In total, 157 responses to the consultation were received from a wide range of organisations and individuals including local authorities; NHS bodies; care trusts; and voluntary and independent sector organisations and user led organisations. The document summarises the responses received from the consultation in relation to each of the 3 grants, and the Governments response for each grant.
Getting to grips with commissioning for people with learning disabilities
- Author:
- CARE SERVICES IMPROVEMENT PARTNERSHIP. Social Care Programme
- Publisher:
- Care Services Improvement Partnership
- Publication year:
- 2007
- Pagination:
- 8p.
- Place of publication:
- London
Councils and the NHS in England together spend around £5 billion on care and support for people with learning disabilities. In 2005-06, three-quarters of councils reported facing significant cost pressures in services for adults with learning disabilities, with a combined budget overspend estimated to be over £80 million. Spending continues to rise faster than inflation. The main reasons for this growth are demographic change and the continued reliance on building-based services to meet the bulk of demand. More people need support and the complexity of their needs is increasing. Around 70% of the money councils spend on social care for adults with learning disabilities is used to buy residential, nursing care or day care services. The share used by residential and nursing care homes remains around 50%. This ties councils into long-term commitments to pay for care that is expensive and cannot easily be changed as a person’s needs change. There is limited information available about customer satisfaction and the outcomes being achieved. However, inevitably even the best residential services offer less choice and control than living in a home of your own. There is only limited scope for achieving better value for money within the current system of commissioning. Many councils have already tightened eligibility criteria, but spending continues to increase. Benchmarking the costs of residential services can give useful short-term savings, but in the longer term rising demand is likely to push up prices.
Provision of residential services for people with intellectual disability in Australia: an international comparison
- Author:
- STANCLIFFE Roger J.
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 27(2), June 2002, pp.117-124.
- Publisher:
- Taylor and Francis
National data on the provision of services to Australians with a disability under the Commonwealth/State Disability Agreement (CSDA) have been gathered since 1995 using the Minimum Data Set (MDS). This paper analyses MDS data on residential services for people with intellectual disability between 1995 and 1999. Trends include: a steady growth in the number of recipients of CSDA-funded residential services; a slow decline in the proportion of people housed in large residentials; a gradual increase in the number of people served in community group homes; and a more rapid growth in outreach/drop-in services such as semi-independent living. Makes comparisons with the USA and United Kingdom and concludes that Australia needs to increase the provision of residential services to people with intellectual disability.
The forgotten four hundred
- Author:
- STAINTON Tim
- Journal article citation:
- Community Living, 13(1), July 1999, pp.10-11.
- Publisher:
- Hexagon Publishing
A series of broken promises, apparently driven by cost cutting policies, means that today some 400 people are still languishing in large institutions in Wales. The number is slowly declining but this is due to mortality rather than resettlement rates. Charts the course that took Wales from the top to the bottom of the league for learning difficulties services.
Community housing costs
- Author:
- FELCE David
- Journal article citation:
- Tizard Learning Disability Review, 1(1), January 1996, pp.39-43.
- Publisher:
- Emerald
Small-scale community residential services are often held to be costly. However, such a simple assertion obscures a greater complexity which underlies the relationship between the nature of services, their resource requirements and their quality outcome. The article asserts that there are some economies of scale to be found but not as strong as popular belief would hold.