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A survey of access to medical services in nursing and residential homes in England
- Authors:
- GLENDINNING Caroline, et al
- Journal article citation:
- British Journal of General Practice, 52(480), July 2002, pp.545-548.
- Publisher:
- Royal College of General Practitioners
A survey was conducted within the 72 English primary care groups/trusts (PCG/Ts) used in the National Tracker Survey of PCG/Ts to investigate patterns of access to medical services for residents in homes for older people. A structured questionnaire was used to investigate home characteristics, numbers of general practitioners (GPs) or practices per home, homes' policies for registering new residents with GPs, existence of payments to GPs, GP services provided to homes, and access to specialist medical care. Wide variations in the numbers of GPs providing services to individual homes were found and this was not entirely dependent on home size. Eight percent of homes paid local GPs for their services to residents; these were more likely to be nursing homes than residential homes and larger homes. Homes paying local GPs were more likely to receive one or more additional services, over and above GPs' core contractual obligations. Few homes had direct access to specialist clinicians. These extensive variations in homes' policies and local GP services raise serious questions about patient choice, levels of GP services and, above all, about equity between residents within homes, between homes and between those in homes and in the community.
People who fund their own social care: scoping review
- Authors:
- BAXTER Kate, GLENDINNING Caroline
- Publisher:
- NIHR School for Social Care Research
- Publication year:
- 2014
- Pagination:
- 50
- Place of publication:
- London
Scoping review which identifies research evidence about people who fund their own social care in England. Specifically the review looks at: the size of the self-funding population and its characteristics (age, region, type of care); information, advice and help available and needed by self-funders; the experiences care providers have of people funding their own social care; and gaps in the available evidence. The review comprised: a search of electronic databases; a search of the websites of selected organisations; and contacts with a small number of organisations known to have been active in research about self-funders. A total of 185 relevant pieces of work published since 2000 were identified, and 71 met the inclusion criteria. Information retrieved focussed on residential care, domiciliary care or both. Evidence suggests that the number and percentage of self-funders has increased in both residential and home care; many felt local authorities were unwilling to help them with their information needs and they were often signposted elsewhere; main information needs were in relation to fees and finances, particularly the long term financial implications of care. Gaps in the research evidence identified include: the number and characteristics of self-funders; factors that influence the level of demand; the levels of support needed; how tasks carried out for self-funders might differ from local authority-funded clients; and the experiences and outcomes for self-funder. Recommendations are made on key areas for potential future research. (Edited publisher abstract)
Paying for long-term domiciliary care: a comparative perspective
- Authors:
- GLENDINNING Caroline, et al
- Journal article citation:
- Ageing and Society, 17(2), March 1997, pp.123-140.
- Publisher:
- Cambridge University Press
Concerns over growing numbers and proportions of older people in industrialised societies have prompted interest in the development of cheaper ways of providing long-term care for older people. While debate in the UK is currently focused on the costs of residential and nursing care, other European and Nordic countries have introduced schemes designed to encourage or sustain the provision of 'social' care by family members, friends and 'volunteers', on the assumption that this can be provided a lower net public expense that either residential care or formally-organised domiciliary services. This article describes four different models on which such payments are currently based. These models are discussed and evaluated, taking into account factors which include the eligibility criteria for payments; maximising the autonomy of older people and family care-givers; and the relationships between financial payments and access to services.