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Public support for older disabled people: evidence from the English Longitudinal Study of Ageing on receipt of disability benefits and social care subsidy
- Authors:
- HANCOCK Ruth, MORCIANO Marcello, PUDNEY Stephen
- Publisher:
- University of East Anglia
- Publication year:
- 2016
- Pagination:
- 35
In England, state support for older people with disabilities consists of a national system of non-means-tested cash disability benefits and a locally administered means-tested system of social care. Evidence on how the combination of the two systems targets those in most need is lacking. This study estimates a latent factor structural equation model of disability and receipt of one or both forms of support. The model integrates the measurement of disability and its influence on receipt of state support, allowing for the socio-economic gradient in disability, and adopts income and wealth constructs appropriate to each part of the model. This paper finds that receipt of each form of support rises as disability increases, with a strong concentration on the most disabled, especially for local-authority-funded care. The overlap between the two programmes is confined to the most disabled. Less than half of recipients of local-authority-funded care also receive a disability benefit; a third of those in the top 10 per cent of the disability distribution receive neither form of support. Despite being non-means-tested, disability benefits display a degree of income and wealth targeting, as a consequence of the socio-economic gradient in disability and likely disability benefit claims behaviour. The scope for improving income/wealth targeting of disability benefits by means testing them, as some have suggested, is thus less than might be expected. (Edited publisher abstract)
Disability and poverty in later life
- Authors:
- HANCOCK Ruth, MORCIANO Marcello, PUDNEY Stephen
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2016
- Pagination:
- 44
- Place of publication:
- London
This report explores the relationship between disability and poverty among the older population. It provides an overview of the current system of disability support for older people which involves both nationally-administered disability benefits of Attendance Allowance and Disability Living Allowance, and local systems of social care provision. It then looks at measuring poverty, emphasising the additional living costs that disabled people face, and the importance of taking disability costs into account when making assessments. The report considers three scenarios for the system of public support within the existing level of government spending which involve changes to levels of mean-testing and reach of support. It casts doubt on some of the suggestions that have been made for improving the targeting of public support for older disabled people. The report concludes that: effective targeting does not necessarily require an extension of means-testing; the present benefit and social care system is reasonably well-targeted, but falls far short of full support for the most severely disabled; there is a case for tailoring the structure of disability benefits more closely to the severity of disability; and there is a need for caution in considering proposals that would scrap national disability benefits in favour of an expansion of local authority social care funding. (Edited publisher abstract)