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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.
Third party payments for care home fees in Wales: report of a national review by CSSIW
- Author:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES
- Publisher:
- Care and Social Services Inspectorate Wales
- Publication year:
- 2010
- Pagination:
- 29p.
- Place of publication:
- Cardiff
Some independent care homes charge fees which are higher than the maximum amount that Social Services can contribute. If the individual chooses to move into a home which charges a higher fee than the amount paid by Social Services, then the difference between the amounts is paid by a third party, usually a relative. This report reviews the application of these third party payments in Wales. Evidence was drawn from a survey completed by 237 care home providers who provide care for older people requiring both personal and nursing care. Further evidence was gained from an examination of local authority policies and from meetings with provider and local authority representative organisations. The findings indicate that around 40% of providers across Wales charge third party payments. There were regional variations in the number of homes in an area charging third party payments. Most providers see these payments as being necessary to support their businesses, with the majority of respondents highlighted a shortfall between the real costs of providing care and the cost paid by the local authority. In only 12% of cases did providers state that this charge was for increased services or facilities. The impact of these costs on third parties can be great.
Dignity in care: notable practice resource compendium
- Author:
- SOCIAL SERVICES IMPROVEMENT AGENCY
- Publisher:
- Social Services Improvement Agency
- Publication year:
- 2010
- Pagination:
- 49p.
- Place of publication:
- Cardiff
Lists examples of notable practice in the area of dignity in care. Each case example gives brief summery details, an overview of the project and contact details. The document aims to support the Welsh Assembly Government’s Dignity in Care programme.
Financing the future: a study of older people's finances
- Author:
- CONSUMER FOCUS WALES
- Publisher:
- Consumer Focus Wales
- Publication year:
- 2010
- Pagination:
- 50p.
- Place of publication:
- Cardiff
The extent to which older people are managing financially, especially in light of the recent economic downturn is examined. Specific areas of financial detriment, along with some worrying signs for the future given that some older people are only just coping now and more could struggle in the future. The report concludes that it is essential that Government in Wales adequately funds services that provide help and support to older people in Wales. In addition there needs to be comprehensive long-term planning of advice services in Wales in order to deal with growing demand from older people, and this needs to take into account the preferred communication channels of this group of people
Fifty - the new sixty? The health and social care of older prisoners
- Author:
- WILLIAMS John
- Journal article citation:
- Quality in Ageing and Older Adults, 11(3), September 2010, pp.16-24.
- Publisher:
- Emerald
The fastest growing sector of the prison population is older people. Although the numbers are still relatively small, at under 2,500 in 2007, it would seem that the ‘sameness’ principle within prisons renders older prisoners invisible. The health of older prisoners is a matter of concern - research indicates that you age 10 years faster in prison which can compound the problems that may be associated with ageing. The provision of health and social care do not match those for older people outside of the prison system. This article considers the legal issues surrounding the treatment of older prisoners. It recognises that restrictions on liberty are a component of the prison system; however, it questions whether the consequences of ‘sameness’ infringe the legal rights of older prisons. It recommends a statutory presumption of equivalence of care, which can only be rebutted expressly or by necessary implication.
The future ageing of the ethnic minority population in England and Wales
- Author:
- LIEVESLEY Nat
- Publisher:
- Runnymede Trust
- Publication year:
- 2010
- Pagination:
- 81p., bibliog.
- Place of publication:
- London
This report gives a detailed estimate of the ethnic make-up of the older population of England and Wales over the next 40 years. It uses, as its classification of ethnicity, the 16 ethnic groups chosen for the 2001 census. While the present population of older black and minority ethnic (BME) people is relatively small and mainly born overseas, over time it will become much larger, more ethnically diverse and will include more people born in the UK . The study used the 16 ethnic group classifications used by the 2001 census. Using 2001 census data as a starting point, the study projects population figures at 5 year time points to 2051 using Cohort Component projections. The report finds that by 2051 the BME (including white ethnic minority groups) population of England and Wales will have reached 25 million, making up 36% of the total. By 2051, in England and Wales , there will be 3.8 million BME older people aged 65 and over and 2.8 million aged 70 and over. This changing population will have implications for public service planners at a local and national level and financial institutions.
Uncovering history: private sector care homes for older people in England
- Authors:
- JOHNSON Julia, ROLPH Sheena, SMITH Randall
- Journal article citation:
- Journal of Social Policy, 39(2), April 2010, pp.235-253.
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
During research for The Last Refuge (1962), Peter Townsend visited 173 public, voluntary and private residential care homes for older people in England and Wales. This article, drawing on this old data now archived at the University of Essex, traces the subsequent history of these homes, revisiting a small sample that were still operating as care homes in 2006. The authors, focusing on the 42 private homes he previously visited, some of which remain open and were revisited by during the current research in 2005/6, note that the pre-1980 history of private sector residential care provision for older people is an elusive and poorly charted subject. Drawing on the two data sets for then and now, this article aims to contribute new insights into this area of UK policy and practice history, by drawing comparison in terms of the physical environment of the residential care home, the resident’s and staff’s opinions, and, using the Commission for Social Care Inspection reports, a measure of quality.
Older people who use BSL: preferences for residential care provision in Wales
- Authors:
- HUNT Ros, ORAM Rosemary, YOUNG Alys
- Publisher:
- University of Manchester
- Publication year:
- 2010
- Pagination:
- 59p.
- Place of publication:
- Manchester
The Welsh Assembly Government has begun to consider whether there is a case for the establishment of a specialist, Sign Language medium, residential care provision for deaf people in Wales. Currently there is no care home provision in Wales where British Sign Language (BSL) is used as a matter of course. All deaf older people in Wales are placed in care environments where BSL is not routinely used by staff and where they are often the only deaf resident. The study comprised: 4 community consultations involving 32 deaf people throughout Wales; 6 stakeholder interviews with representatives of relevant specialist service providing organisations in Wales; and 7 individual interviews with older deaf people. The findings are discussed under the following headings: high levels of concern about the current situation; communication and language as pre-eminent issues; failure to meet cultural needs; the whole older people’s care spectrum; arguments for specialist residential care; and barriers to specialist residential care provision. The report concludes that there is a clear need to change current practice. Meeting deaf people’s linguistic and cultural needs should be the starting point in making decisions about future care provision, and in judging the efficacy and appropriateness of this care.
Care home handbook
- Author:
- COUNSEL AND CARE
- Publisher:
- Counsel and Care
- Publication year:
- 2010
- Pagination:
- 56p.
- Place of publication:
- London
- Edition:
- 4th ed.
Handbook providing information to service users and their carers about the issues around deciding on a care home, finding and paying for one, and living in a care home. Sections cover: Making a decision about care; Choosing a care home; Paying for a care home; Living in a care home, and Making a complaint. The final section provides a list of organisations that can provide further information and advice. Content is relevant for people in England and Wales.
Practice guidance: supporting the social care workforce to deliver person centred care for people with dementia
- Author:
- ROWETT Roger
- Publisher:
- Care Council for Wales
- Publication year:
- 2010
- Pagination:
- 36p.
- Place of publication:
- Cardiff
The focus of this workforce practice guidance is to assist managers and social care staff to raise their levels of understanding and competence in person centred working with people with dementia. It draws on a study carried out in 2008 which aimed to identify and promote good practice in relation to older people experiencing dementia. The study involved care providers from across Wales trying out various approaches to person centred working. These mainly focused on introducing ways of capturing information about the individual, from the individual’s point of view. The guidance is based on first hand examples of what has worked and been learned. It includes: key messages; guidance to managers; sample information and worksheets that can be used to inform the workforce and others about person centred working and its introduction; as well as sample guidance to staff on good practice supporting the process with service users and carers. The guidance is mainly for managers and supervisors within social care but will be relevant to others such as health professionals and families.