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Social care: forthcoming Green Paper on older people and parallel programme (England)
- Author:
- JARRETT Tim
- Publisher:
- Great Britain. Parliament. House of Commons Library
- Publication year:
- 2018
- Pagination:
- 30
- Place of publication:
- London
Briefing paper looking at the forthcoming Green Paper on social care for older people and parallel programme of work on social care for working age adults. It provides a background to the plans for a Green Paper and its confirmed contents, which will include: a lifetime cap on what people pay for social care, integration with health and others services, information on carers, workforce, and technological developments. The briefing also outlines the timetable to date and delays and signposts to a selection of commentaries on the proposed Green Paper. (Edited publisher abstract)
Free personal care: how to eliminate catastrophic costs
- Authors:
- BUSHNELL Jeremy, MITCHELL Ray, SEYMOUR Catherine
- Publisher:
- Independent Age
- Publication year:
- 2019
- Pagination:
- 16
- Place of publication:
- London
This report argues that providing free personal care would be a fairer, more transparent system that is affordable and would benefit more older people that the current system. It highlights how various proposals to cap the costs of care would leave the majority of older people at risk of catastrophic costs, whether they are receiving domiciliary care or are in residential care, while costing not much less than free personal care. It provides an overview of care costs, looks at the limited impact of caps on costs and outlines the benefits of free personal care for individuals. The report also sets out three steps for the Government to ensure that older people in care do not suffer catastrophic costs. These are: to introduce free personal care for all older people who need it; define catastrophic costs (care costs and hotel costs) as 50 per cent of an individual’s wealth; and introduce a safeguard to protect individuals from catastrophic costs. (Edited publisher abstract)
Independent financial advice about funding social care in later life
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH. School for Social Care Research
- Publisher:
- NIHR School for Social Care Research
- Publication year:
- 2018
- Pagination:
- 6
- Place of publication:
- London
A summary of findings from a study to explore evidence and practice on independent financial advice about paying for adult social care in later life. The study involved a literature review of research and policy on the provision of financial advice for funding later life care from 1997 to 2017. It also included interviews with 15 members of the public, 21 professionals and 15 representatives from the adult social care and financial services sector. The research found that a lack of understanding between members of the public, adult social care organisations and the financial services sector is preventing people getting advice about paying for care later in life. However, it also found a mutual desire for increased cross sector working amongst adult social care and financial services sector. (Edited publisher abstract)
Adult social care activity and finance report: detailed analysis, England 2017-18
- Author:
- NHS DIGITAL. Adult Social Care Statistics Team
- Publisher:
- NHS Digital
- Publication year:
- 2018
- Pagination:
- 52
- Place of publication:
- Leeds
Aggregate information from 152 Councils with Adult Social Services Responsibilities (CASSRs) in England, to provide insight into adult social care activity and expenditure for the period 1 April 2017 to 31 March 2018. The report includes information on overall expenditure and also provides breakdowns of expenditure by: requests for support to local authorities; short term care; long term care; and support for carers. Activity data comes from the Short and Long Term (SALT) return, while finance data is taken from the Adult Social Care Finance Return (ASC-FR). Key findings show that gross current expenditure on adult social care by local authorities was £17.9 billion, representing an increase of £402 million from the previous year (a 2.3 per cent increase in cash terms and a 0.4 per cent increase in real terms). The area of care which saw the largest increase in expenditure was long term support. However, overall the number of clients receiving long term care has decreased each year since 2015-16, to 857,770 in 2017-18 (Edited publisher abstract)
An international comparison of long-term care funding and outcomes: insights for the social care green paper
- Author:
- INCISIVE HEALTH
- Publisher:
- Incisive Health
- Publication year:
- 2018
- Pagination:
- 49
- Place of publication:
- London
This report, commissioned by Age UK, highlights different approaches to long-term care taken by five countries in the developed world, and looks at how they compare to the system in England. These five countries have very different systems, but face similar demographic and financial challenges to those in England. The countries are France, Germany, Spain, Italy and Japan. The report compares the approaches in relation to: service structures, funding levels, funding models, and outcomes. The findings suggest that creating a sustainable social care system fit for a rapidly ageing population is a challenge in every one of these countries. However, it finds that the financial deal for citizens with care needs is often more generous in other countries in comparison to England, with other nations generally either providing some non-means tested basic level of support, and/or cap the amount of co-payment to be made, and/or use a more gradual means-test. Profiles for each of the five countries are also included. (Edited publisher abstract)
Achieving financial and political sustainability in social care funding. What can England learn from Germany's long-term care social insurance approach?
- Authors:
- GLENDINNING Caroline, WILLS Mathew
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2018
- Pagination:
- 7
- Place of publication:
- York
This paper outlines the lessons that England can learn from Germany about sustainable funding arrangements for adult social care and achieving consensus on reform. The paper was submitted as evidence to the House of Commons Health and Housing, Communities, and Local Government Select Committees joint inquiry to examine what a sustainable adult social care funding arrangement might look like and how this can be achieved politically. While acknowledging the different institutional frameworks of the English and German welfare states, the paper finds there are important lessons that England can learn from the German approach, about both sustainable funding arrangements and achieving consensus on reform. Key lessons include: the explicit recognition that need for care, at any age, is a social risk requiring social protection: the crucial role of central government in maximising risk pooling and in regulating contributions; benefits and eligibility frameworks; the importance of a universal and equitable approach to care funding in order to build political and public support; compatibility with existing welfare structures and institutions to facilitate rapid implementation; comprehensive social protection for family care-giving. (Edited publisher abstract)
IPC and personal health budget support and development programme: learning and next steps
- Author:
- VOLUNTARY VOICES
- Publisher:
- Voluntary Voices
- Publication year:
- 2018
- Pagination:
- 31
- Place of publication:
- London
Explores how voluntary and community organisations and clinical commissioning groups can collaborate to deliver integrated personal commissioning and personal health budgets. The Voluntary Voices partnership brought together local VCSE organisations across the country to help them make the most of PHB through learning, planning and nurturing support networks. Findings from the engagement activities and participants’ feedback include: VCSE organisations often find it very difficult to know what is happening about PHBs in their area; there often seemed to be a deep cultural divide between the CCG and VCSE organisations; VCSE organisations are not always good at identifying and responding to the business opportunities that PHBs offer; PHBs are still in the early phases of their development, and it is not always clear that they yet make good business sense for VCSE organisations; the commissioning model adopted in a locality impacts sometimes adversely upon the response from VCSE organisations; VCSE organisations are better at collaborating than competing – collaboration in this way is the bedrock of this programme; co-production with people and families was at the heart of IPC and PHBs, but sometimes neither the CCG nor local organisations seemed to have fully understood how co-production can work well, or how it might help. The report sets out ideas and suggestions that emerged in the course of the programme, including: explore ways of making PHBs more demand-led; make use of some of the same, simple person-centred approaches used in care and support planning; support and encourage a real meeting of minds around PHBs between CCGs and the VCSE sector; connect with the Joint Strategic Needs Assessment (JSNA) process; promote and articulate PHBs through STPs and ICSs; get PHBs onto different agendas. (Edited publisher abstract)
Breaking down barriers to better health and care
- Author:
- NHS ENGLAND
- Publisher:
- NHS England
- Publication year:
- 2019
- Pagination:
- 6
- Place of publication:
- Redditch
This guide provides details on how NHS organisations and local councils in England are moving from fragmented services to local partnerships and integrated care systems in order to meet the health needs of the population. The paper looks at how health and care needs are changing as a result of the rising number of older people; people living in ill health for longer; more and more people living with more than one long-term condition; nearly a third of people with a long-term physical condition in England also having a mental health concern such as anxiety or depression; rise in overweight and obesity rates; and the significant difference in healthy life expectancy between people living in the most deprived and the least deprived areas. For these reasons, NHS organisations and local councils in England are joining forces to integrate services and to invest in ways to prevent illness and keep people out of hospital. Their aim is that people can live healthier lives and get the care and treatment they need, in the right place, at the right time. The paper briefly outlines two approaches to an improved provision of care: working in partnership and giving more power to local areas through the establishment of integrated care systems. The paper describes some examples of integrated care, including moving services closer to local communities in Frimley; improving day-to-day health and wellbeing in Lancashire and South Cumbria; and expanding and improving hospital services in Dorset. Originally published in 2018, updated 2019. (Edited publisher abstract)
Adult social care activity and finance report: detailed analysis, England 2016-17
- Author:
- NHS DIGITAL. Adult Social Care Statistics Team
- Publisher:
- NHS Digital
- Publication year:
- 2017
- Pagination:
- 47
- Place of publication:
- Leeds
This report provides aggregated information from 152 Councils with Adult Social Services Responsibilities (CASSRs) in England, to provide information on adult social care activity and expenditure for the period 1 April 2016 to 31 March 2017. It provides breakdowns of expenditure by: Requests for support; Short term care; Long term care; and Carers. It reports that gross current expenditure on adult social care by local authorities was £17.5 billion, a three per cent increase in cash terms and a one per cent increase in real terms from the previous year. Long Term support saw the largest increase in expenditure, which increased by £539 million to £13.6 billion in 2016-17, an increase in cash terms of four per cent. The publication replaces the 'Personal Social Services: Expenditure and Unit Costs and Community Care Statistics series'. (Edited publisher abstract)
Social care: a step forwards or a step backwards?
- Authors:
- HOOD Andrew, SIMPSON Polly
- Publisher:
- Institute for Fiscal Studies
- Publication year:
- 2017
- Place of publication:
- London
This briefing outlines current social care provision and funding, and who is currently eligible for help with care costs in England. It also looks at the implications of raising the asset threshold for eligibility for public funding to residential and home care and of abandoning a cap on the amount an individual would have to pay towards the cost of their social care over a lifetime. (Edited publisher abstract)