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Ageing societies: challenges and opportunities: evidence from the BUPA health pulse 2010 international healthcare survey
- Authors:
- FERNANDEZ Jose-Luis, FORDER Julien
- Publisher:
- Bupa
- Publication year:
- 2010
- Pagination:
- 27p., bibliog.
- Place of publication:
- London
This report presents the findings of the Bupa Health Pulse 2010 international healthcare survey around the theme of 'ageing societies'. It summarises some of the most important evidence about the ageing process across the world, and discusses some of the key policy challenges that ageing presents, looking particularly at the capacity for societies to provide high quality support for their older people in the future. The study surveyed 12,262 people across 12 countries (Australia, Brazil, China, France, Germany, India, Italy, Mexico, Russia, Spain, UK, USA), but the patterns described are common to a much larger number of countries. The report is structured around 3 parts. The first examines the question of the ageing process in different societies and what it means in terms of: increases in the older population; changes in the balance between young and old; and increases in the number of people with health problems and in the level of demand for care services. The second part examines the support system required to look after older people in need of care including: the sharing of caring and funding responsibilities between the state and private individuals; the need to ensure that resources are in place to look after the growing number of older people; and the levels of support provided to older people in need. The last section summarises the key policy implications.
The impact of a tightening fiscal situation on social care for older people
- Authors:
- FORDER Julien, FERNANDEZ Jose-Luis
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2010
- Pagination:
- 8p.
- Place of publication:
- Canterbury
The purpose of this paper is to assess the effects of a reduction in funding for care. In the current difficult fiscal climate, a cut in funding for social care seems likely. This paper illustrates the consequences of a reduction in the budget available to fund social care for older people. In particular, it looks at the effects of a 6.7% per annum real terms reduction in the total budget available for social care in the 2 years after 2010/11 (the reduced-budget scenario). It also considers an alternative scenario where funding is assumed to increase sufficiently to allow the current need eligibility thresholds and financial threshold to remain unchanged (the demand-led scenario). The reduced-budget scenario results in net public expenditure falling to around 80% of the level required in the demand-led scenario in 2012/13. The total number of older people that would be state-supported would fall by nearly one half of the level of the demand-led case. The reduction would mostly affect people receiving home care services rather than residential care because they tend to have less severe needs and therefore are more likely to be affected by an increased needs eligibility threshold. Unmet need as measured in the model would nearly double in the reduced budget case.
Securing good care for more people: options for reform
- Authors:
- HUMPHRIES Richard, FORDER Julien, FERNANDEZ Jose-Luis
- Publisher:
- King's Fund
- Publication year:
- 2010
- Pagination:
- 63p., bibliog.
- Place of publication:
- London
The purpose of this report was to: refresh and update The King’s Fund’s 2006 review Securing Good Care for Older People: Taking a long-term view using a dynamic micro-simulation model to provide new estimates of projected costs and benefits; to reflect new policy developments and the implications of political and financial uncertainty; and to assess the funding options set out in the Green Paper Shaping the Future of Care Together and how these compare to the funding options modeled in this report. The report reasserts the case for change. Trends and developments that have occurred since the 2006 review and the different circumstances in which the reform of social care funding and delivery must now be viewed are discussed. The results of a funding analysis are then reported. The analysis was applied to three funding options over the period 2015-2026: the existing system unreformed; free personal care (FPC); and a revised, less generous version of the 2006 review’s partnership model in which the state funds 50% of everyone’s care and support costs and matches every £2 contributed by the individual with a further £1. The analysis indicated that both FPC and the King’s Fund partnership model would help many more people than the existing system but at a higher cost. FPC involves the highest cost to the public purse without a commensurate improvement in outcomes. Attendance allowance is also discussed. The review recommends integrating support for care costs from Attendance Allowance into the care system to improve targeting of resources. The authors make several suggestions for reform to achieve more sustainable funding of care.