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Dartington review on the future of adult social care: what can England learn from the experiences of other countries?
- Author:
- GLENDINNING Caroline
- Publisher:
- Research in Practice for Adults
- Publication year:
- 2010
- Pagination:
- 24p., bibliog.
- Place of publication:
- Dartington
This paper examines the potential future funding and delivery of adult social care by investigating the experiences of other advanced welfare states, including Denmark, Netherlands and Japan. In 2008 the English Government announced consultation on the future funding and delivery of care and support for disabled adults and older people. A Green Paper was published which suggested a number of potentially radical changes to adult social care and a further period of consultation was announced. However, these debates are also much longer standing. Despite projections of demographic change, particularly future population ageing, this on-going consultation suggests that politically acceptable and economically sustainable solutions are hard to find. If central government becomes responsible for deciding on the levels of resources allocated to individual service users, then it would be unfair to expect local authorities to contribute resources from local council tax – central government would become responsible for raising all the resources for social care, from taxation and insurance mechanisms; a move entirely consistent with reform elsewhere in the world.
Paying for care in Wales: creating a fair and sustainable system: green paper consultation on options for reform
- Author:
- WALES. Welsh Assembly Government
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2009
- Pagination:
- 50p.
- Place of publication:
- Cardiff
In 2008 the Welsh Assembly Government held a major consultation and engagement programme on the general direction that reform of the social care system should take. The results of that consultation have helped to shape the proposals set out in this Green Paper. Reponses are invited to questions on disability benefits, bringing money into the system, different funding options, ways to contribute and whether there should be a nationally or a locally determined funding system.
Comparison of service utilisation and costs of working age adults and older adults receiving treatment for psychosis and severe non-psychotic conditions in England: implications for commissioning
- Authors:
- NILFOROOSHAN Ramin, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 32(1), 2017, pp.110-115.
- Publisher:
- Wiley
Objective: Current plans in the English National Health Service are to replace block contracts for mental health providers with a single tariff for each ‘cluster’ of conditions. A single tariff will not take into account the potential additional complexity and costs inherent in caring for older people. To examine the basis for a uniform tariff, differences in service utilisation and costs between working age adults and older adults in two populous clusters (non-psychotic, psychotic) were investigated across five mental health healthcare providers in and around London. Methods: Retrospective review of records over 3 months assessing service utilisation and costs using the Client Services Receipt Inventory. Results: Records of 362 patients were reviewed, 179 older adults (90 non-psychotic, 89 psychotic) and 183 adults of working age (83 non-psychotic, 100 psychotic). Older adults in both clusters had more tests, assessments and home visits. Overall costs of care of older adults were significantly higher in the non-psychotic cluster (£5634, vs £4405 psychotic, p = 0.044). Conclusions: An appropriate age-related tariff is required for each cluster. (Publisher abstract)
Fairer care funding: volume III: supporting documents
- Author:
- COMMISSION ON FUNDING OF CARE AND SUPPORT
- Publisher:
- Commission on Funding of Care and Support
- Publication year:
- 2011
- Pagination:
- 46, 69p.
- Place of publication:
- London
In addition to its final report on the future funding of care and support in England, the Commission on Funding of Care and Support (Dilnot Commission) has published three supporting documents. The first document is the Call for Evidence, which includes the background and scope, criteria for evaluating suggestions, and the questions to be addressed; and summary of the responses received. The second document is the letter providing input to the 2010 Spending Review and the Government response to the Commission's letter. The third document details the Ipsos MORI literature review of public opinion research on social care funding of social care in England. (Edited publisher abstract)
Fairer care funding: volume II: analysis and evidence supporting the recommendations of the Commission on Funding Care and Support
- Author:
- COMMISSION ON FUNDING OF CARE AND SUPPORT
- Publisher:
- Commission on Funding of Care and Support
- Publication year:
- 2011
- Pagination:
- 195p.
- Place of publication:
- London
The Commission on Funding of Care and Support (Dilnot Commission), an independent body set up by Government to review the funding system for adult social care in England. This report accompanies the Commission’s main publication and sets out in greater detail the analysis and evidence that underpin the recommendations. The report begins with a summary of key findings and recommendations. The remainder of the report is in four main parts. Part 1 covers the reasons for reforming the adult social care funding system. Part 2 looks at the Commission's proposed funding model. Part 3 covers enablers of reform and looks at what needs to be done to enable the care and support system to work more effectively. Part 4 next steps and the timetable for reform.
Fairer care funding: volume I: the report of the Commission on Funding of Care and Support
- Authors:
- COMMISSION ON FUNDING OF CARE AND SUPPORT, DILNOT Andrew
- Publisher:
- Commission on Funding of Care and Support
- Publication year:
- 2011
- Pagination:
- 80p.
- Place of publication:
- London
The Commission on Funding of Care and Support (Dilnot Commission), an independent body set up by Government to review the funding system for adult social care in England, presents its final recommendations. The report begins by outlining the reasons why the funding system needs to change. The Commission then puts forward what it considers to be a better, fairer funding system and provides the rationale for the proposed new model. They propose a cap on an individual's lifetime contribution to adult social care costs, with means-tested support for those with lower incomes. The ways in which people can be supported in meeting their contribution to any care costs are then discussed. These include financial services, advice services, and improved assessment and eligibility processes. The Commission then considers the impact of the proposed funding model on different groups in society, looks at further changes to Government may wish to make to the means-tested system; and the costs of the reform. A final chapter then proposes a timeline for implementing the reforms. (Edited publisher abstract)
Social care: how it could be paid for in future: easy read
- Author:
- COMMISSION ON FUNDING OF CARE AND SUPPORT
- Publisher:
- Commission on Funding of Care and Support
- Publication year:
- 2011
- Pagination:
- 16p.
- Place of publication:
- London
An easy read booklet summarising the final recommendations of the Commission on Funding of Care and Support, also known as the Dilnot Commission. The Commission has provided advice to Government on the changes that need to be made to the funding of adult social care in England. It discusses why there needs to be changes to the way social are is paid for; how the new plan could work; and how it will affect people needing care now or in the future.
A map of mental health
- Author:
- SMITHIES Rachel
- Publisher:
- London School of Economics, Centre for Economic Performance
- Publication year:
- 2010
- Pagination:
- 42p., bibliog.
- Place of publication:
- London
This report provides a comprehensive picture of mental health services in England, including staffing and expenditure, and the number of people in need and the number treated. Historically, this information has been split across sub-sections of the health and social services; and the readily available information often appeared to give inconsistent answers. This paper brings together and interprets the available evidence to provide a single coherent map of mental health need and services, from children to older adults and across both health and social care services, in England. The paper begins in Part I with the need – the number of people with clinically significant problems and the fraction of them who are getting help. It then looks at the organisation and staffing of the services for people with different types of need. It ends in Part III with the cost – the cost of the services, and the much greater cost to the economy of so many people with continuous problems of distress.
Future sight loss (1): the economic impact of partial sight loss in the UK adult population: full report
- Author:
- ACCESS ECONOMICS
- Publisher:
- Royal National Institute for the Blind
- Publication year:
- 2009
- Pagination:
- 202p., bibliog.
- Place of publication:
- London
This report by Access Economics was commissioned by the Royal National Institute of Blind People (RNIB) to estimate the economic impact of partial sight and blindness in the UK adult population. Five leading causes of partial sight and blindness were investigated, including age-related macular degeneration (AMD), cataract, diabetic retinopathy, glaucoma, and refractive error. The report comprises the following estimates: prevalence in the UK by age, gender, ethnicity, severity, major region and major cause in 2008, and future projections by decade to 2050; direct health system costs in the UK adult population, disaggregated by cost components for 2008; indirect costs in the UK adult population, disaggregated by cost components for 2008; the burden of disease measured in terms of disability adjusted life years (DALYs) in the UK adult population, disaggregated by years of life lost due to premature death (YLL) and healthy years of life lost due to disability (YLD), and converted into a reasonable monetary equivalent; projection of health care system costs and indirect costs for 2009 to 2013; a comparison with Australia, US, Canada and Japan; and economic impact of four hypothetical eye care programs, including promotion of the prevention of eye injuries, improved access to integrated low vision and rehabilitation services, increased regular eye tests for those aged 60 years or more, and increased access to eye care services for minority ethnic groups. The results indicate that partial sight and blindness in the adult population places a large economic cost on the UK, totalling £22.0 billion in 2008.
Personal social services expenditure and unit costs England, 2008-09
- Author:
- NATIONAL HEALTH SERVICE. Information Centre for Health and Social Care
- Publisher:
- National Health Service. Information Centre for Health and Social Care
- Publication year:
- 2010
- Pagination:
- 25p.
- Place of publication:
- Leeds
The Personal Social Services Expenditure return (PSSEX1) collects detailed information on Personal Social Services (PSS) expenditure. Data collected within the PSSEX1 is used by the Care Quality Commission to monitor the performance of social services across councils. In 2008-09 information was collected for adult’s social care expenditure only; children’s social care expenditure is now the responsibility of the Department for Children, Schools and Families. This document reports on current expenditure, trends in expenditure, expenditure by service provision, grants and unit costs. Expenditure is provided for older people, physically disabled adults, learning disabled adults, adults with mental health needs, and asylum seekers. The overall figures indicate that local authorities have reported an increase in adult social services spend from £15.3 billion in 2007-08 to £16.1 billion in 2008-09, this is approximately 5% in cash terms and 3% in real terms. Over a longer term, this represents a real term increase of 13% since 2003-04 and 54% over the 10 years from 1998-99.