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Extra care housing in Wales: a state of the nation report
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2015
- Pagination:
- 17
- Place of publication:
- London
This report, prepared by the Institute for Public Care, provides an up-to-date picture of the current supply of extra care housing in Wales, the challenges facing the market and issues which will need to be considered for future provision. It also sets out some of the outcomes that extra care housing can offer, such as improving the health and wellbeing of residents and the benefits it can provide to the local community. The report offers support for encouraging and facilitating new extra care housing developments in Wales and draws attention to accommodation, care and services already offered in the country. The report makes four key recommendations to expand the provision of extra care housing for older people in Wales: developing a strategic vision on housing for older people; developing a better understand of the outcomes extra care housing can provide; raising awareness of extra care housing as a housing option for those seeking advice and information; and a greater degree of diversity and innovation to deliver services that meet the needs of local communities. (Edited publisher abstract)
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.
Gone for good?: prefunded insurance for long-term care
- Author:
- LLOYD James
- Publisher:
- Strategic Society Centre
- Publication year:
- 2011
- Pagination:
- 65p.
- Place of publication:
- London
In the debate on how to fund long-term care in England and Wales, some stakeholders have advocated a central role for financial services, and pre-funded consumer insurance in particular. This report examines this approach by considering: the potential role that pre-funded insurance could take in funding long-term care; and the extent to which the pre-funded long-term care insurance market can help policymakers achieve key strategic policy objectives for social care. It examines the demand and supply-side barriers to the use of pre-funded long-term care insurance, noting the last UK provider exited the market in 2010 citing a lack of demand. No country has achieved an effective market in pre-funded long-term care insurance, with France having the highest rate at 15%. The report argues that even if the UK were in the future to achieve a take-up of 15% this would still result in outcomes that failed to meet many policy objectives for long-term care funding, particularly associated with ‘catastrophic costs’, fiscal pressures and the incidence of means-testing. It concludes by outlining some of the multiple other roles that the financial services industry could take in funding social care, particularly around delivering and servicing a state-sponsored insurance scheme for long-term care, akin to the schemes found in countries such as Singapore and the Netherlands.
Getting personal
- Author:
- TRUELAND Jennifer
- Journal article citation:
- Health Service Journal, 11.10.01, 2001, pp.9-10.
- Publisher:
- Emap Healthcare
Reports on the tensions that are rising as the four UK nations get set to start payments for nursing care - and in Scotland, personal care for elderly people.
An overview of projects funded under the Welsh Office Elderly Initiative: 1987 - 1991
- Authors:
- ROBINSON Catherine A., WENGER G. Clare
- Publisher:
- University of Wales. Centre for Social Policy Research and Development
- Publication year:
- 1992
- Pagination:
- 38p.
- Place of publication:
- Bangor
Paying for social care: an independent report commissioned by the Welsh Government
- Author:
- HOLTHAM Gerald
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2018
- Pagination:
- 62
- Place of publication:
- Cardiff
This report considers the economic case for a system of enhanced social insurance to help fund social care costs for older people in Wales. It considers four issues: whether any tax or levy on incomes should be hypothecated to social care rather than being part of general revenue; whether tax payments for social care be part of a contributory scheme where a record of payments is necessary to enjoy some of the benefits; how could the system ensure intergenerational fairness; and whether the scheme would work better on the pay-as-you-go principle whereby revenues go immediately to support care or should it be funded, whereby revenues go into a fund that is invested to meet future care need. The report concludes that a funded contributory scheme could provide a viable solution to the problem of funding social care with a flat rate tax increase of 2 per cent. It suggests that the smallest tax increase at which the funded scheme makes sense if rates are not dependent on age cohort is 1.5 per cent. The report will inform the work of an inter-Ministerial group on social care in Wales, chaired by the Minister for Children, Older People and Social Care. (Edited publisher abstract)
A delicate balance? Health and social care spending in Wales
- Authors:
- LUCHINSKAYA Daria, OGLE Joseph, TRICKEY Michael
- Publisher:
- Wales Public Services 2025
- Publication year:
- 2017
- Pagination:
- 24
- Place of publication:
- Cardiff
This briefing note looks at trends in public spending on health and local authority funded adult social care in Wales since 2009-10, with some comparisons with the other UK nations. It reports that the total health and social service spend per head in Wales was higher than that of England in 2015-16. Over the period 2009-10 to 2015-16, day-to-day spending on local authority-organised adult social services in Wales remained broadly flat in real terms, but the increasing over-65 population means that spending per older person has fallen by over 12% in real terms. The briefing concludes that spending may need to increase by at least £129 million (23%) between 2015-16 and 2020-21 to get back to the equivalent spend per-head in 2009-10, which amounts to a 2.5% year-on-year increase. (Edited publisher abstract)
Advocacy counts 5: a review of advocacy services for older people in Wales
- Author:
- AGE CYMRU
- Publisher:
- Age Cymru
- Publication year:
- 2016
- Pagination:
- 43
- Place of publication:
- Cardiff
Drawing on the results of a survey, this report looks at the provision of advocacy services which support all adults in Wales to provide a broad snapshot of the advocacy landscape. It also highlights changes in the provision of advocacy services aimed specifically at older people. The survey received responses from 22 respondents. The analysis looks at numbers of advocacy services funded specifically for older people; those provided for a wider client group; language; quality of services; funding and sustainability; and the role of advocacy in safeguarding. It finds that although there has been a 69 per cent rise (from 26 to 44) in advocacy services for all age groups across Wales since 2013, there has been a 17 per cent drop (from 23 to 19) in the number of services specifically for older people. Over 60 per cent of providers responded that funding for their current service had less than a year to run. Safeguarding is seen as a high priority for advocacy services, with all of respondents having supported someone who had been abused in the last 12 months. An brief overview of national policy developments and their influence on advocacy services also provided. (Edited publisher abstract)
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.
Independent ageing: council support for care self-funders
- Authors:
- CARR-WEST Jonathan, THRAVES Laurie
- Publisher:
- Local Government Information Unit
- Publication year:
- 2011
- Pagination:
- 20p.
- Place of publication:
- London
The cost of providing residential care for the elderly is substantial and rising, but would be even more stretched were it not for the contributions that individuals make to their own care. This report investigates the cost to councils of those who begin by funding their own care but fall back on state funding when their own means run out. It draws upon a survey of chief executives, leaders, finance directors, adult services directors and cabinet portfolio holders in all 174 upper tier authorities in England and Wales. The report demonstrates that the cost of people falling back on state funding for residential care is substantial and immediate. This is already costing councils significant amounts of money. Over 60% of key decision makers in councils do not have a detailed picture of the problem. Those that do recognise the problem significantly underestimate the cost. The report sets out some practical recommendations for how councils can help ensure that fewer self-funders deplete their resources and fall back on the state. For the most part these interventions are low cost and capable of realising cost reductions. This will lead to cost savings for councils, but it will also allow individuals to make better informed choices and improved provision for their old age.