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Smarter spending for better care: ten ideas to make better use of social care funding for older people and carers
- Author:
- COUNSEL AND CARE
- Publisher:
- Counsel and Care
- Publication year:
- 2010
- Pagination:
- 11p.
- Place of publication:
- London
With the budgetary pressures facing local authorities in England, it is important to identify how better value for money could be achieved from current spending on social care. The drive for efficiencies should not be at the detriment of older people with care and support needs and their families and carers. This document provides 10 ideas to make better use of current social care funding while improving quality of care and experiences for older people and their carers. It argues that better value for money could be achieved by re-focusing resources on: providing easily accessible advice, information and advocacy; recognising the key role that families and carers play; specialist independent financial advice; supporting people to stay or move where they want to be in later life; integration of housing, health and care; new technology (telecare and telehealth); personalisation (making sure care is focused on the person); prevention, early intervention and homechecks; volunteering and intergenerational work; and dementia drugs and treatments. These ideas could result in the delivery of better care at the same time as saving up to £3 billion.
Under pressure: tackling the financial challenge for councils of an ageing population
- Author:
- AUDIT COMMISSION
- Publisher:
- Audit Commission
- Publication year:
- 2010
- Pagination:
- 64p.
- Place of publication:
- London
Local councils face considerable challenges in responding to an ageing population during a time of tightened public resources. They need a good grasp of changing local demographics and what these mean for older people and for local services. They must work in partnership with other organisations to redesign services and target them more effectively to make public money go as far as possible. This report provides study tools and guidance which will support councils in developing better use of local data. Better information will enable councils to improve financial planning for both the medium and the longterm. Joint strategic needs assessments must support stronger awareness of the impacts of changing demographics, and should provide opportunities for joint responses that make best use of available funds
Research on the costs of long-term care for older people – current and emerging issues
- Author:
- BOWES Alison
- Journal article citation:
- Social Policy and Society, 6(3), July 2007, pp.447-459.
- Publisher:
- Cambridge University Press
This review explores debates concerning the costs of long-term care for older people, and aims to give an overview of the recent and current research agenda in this area, referring primarily to work published 2000–2006. The focus of much work is on the identification of costs, their distribution and the contexts of policy and delivery of services in which these operate.
Costs of dementia and dementia care: a review
- Authors:
- WIMO Anders, LJUNGGREN Gunnar, WINBLAD Bengt
- Journal article citation:
- International Journal of Geriatric Psychiatry, 12(8), August 1997, pp.841-856.
- Publisher:
- Wiley
Costs of dementia care constitute a great part of the total costs of care for older people. Because the prevalence of dementia is linked to increasing age, and the number of the oldest old is rising, the costs of dementia care will increase considerably in the forthcoming decades. Reviews research describing the costs of dementia care. Goes on to discuss the methodological problems of comparing and analysing research from different countries, and between different periods of time.
Den nya aldreomsorgen (The new elder care)
- Authors:
- EDELBALK Gunnar, LINDGREN Bjorn
- Journal article citation:
- Nordisk Sosialt Arbeid, 4,, 1995, pp.269-278.
- Publisher:
- Universitetsforlaget AS
Eldercare in Sweden since the middle of the 1960s has been characterized by a heavy drive towards helping old people live at home with support from home help. The state subsidised municipal eldercare in two ways: through state contributions to home help and through housing benefit. There were no comparable forms of support for old people's homes. In the 1980s the problems of the existing eldercare policy became obvious. Home residence with home help proved to be relatively expensive for pensioners with large care needs. The economic strains and the new cost-awareness led to a reappraisal of the policy. In 1992 the municipalities were given total responsibility for elder-care and medical care for the elderly. The new conditions have given Swedish eldercare a new direction. It has become less generous. A new form of care, half-way between old people's homes and nursing homes, is being developed.
Anchor care team: an appraisal
- Authors:
- GIBBS Ian, WRIGHT Ken
- Publisher:
- Anchor Housing Trust
- Publication year:
- 1993
- Pagination:
- 36p.,tables.
- Place of publication:
- Oxford
An appraisal of the work of the Anchor Care Team working in a sheltered housing scheme in Newcastle. Includes an appendix on the Guttman Scaling Technique for assessing older people.
A cost-effective alternative?
- Author:
- DOEG Rachel
- Journal article citation:
- Journal of Dementia Care, 21(1), 2013, pp.14-16.
- Publisher:
- Hawker
Volunteers in Swansea have been engaging people with dementia in group activities as part of a pilot project, My Home Life Wales, run by Age Cymru Swansea Bay. The aim of the project was to establish whether inviting volunteers who were untrained in dementia to run their own group activities in a residential home could improve quality of life for residents. The hope was that this could be a cost-effective solution for homes unable or struggling to pay for full time coordinators. The project in this nursing home had an annual budget of £3,500. The plan was to recruit 10-15 volunteers to deliver one activity session of no more than an hour once a week. Of the 23 residents at the home, between 8-10 people attended activity sessions regularly; most were in the early to moderate stages of dementia. Feedback from the volunteers has guided the organisation on the targeted support and training needed when the service is rolled out across Swansea.
Impact assessment of personal care at home: regulations and guidance
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2009
- Pagination:
- 17p.
- Place of publication:
- London
Presents the analysis and evidence for the Government’s proposed policy which would require councils in England with adult social services responsibilities (CASSRs) to provide personal care free of charge in certain circumstances to people with the highest needs. It provides a cost-benefit analysis of free personal care at home, and details specific impacts on small firms, health, rural areas, black and minority ethnic groups, people with disabilities, women and older people.
Costs of community-based public mental health services for older adults: variations related to age and diagnosis
- Authors:
- GILMER Todd, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(12), December 2006, pp.1121-1126.
- Publisher:
- Wiley
Several studies have examined service use among older adults although, to our knowledge, none has examined costs from a systems perspective. This study examined use and costs of mental health services among older adults in San Diego County in order to determine how expenditures and modes of service varied by age cohort and psychiatric diagnosis. Utilization data from San Diego County Adult and Older Adult Mental Health Services (AOAMHS) were used to identify older adults (age 60) receiving services in the community during fiscal year 2003-2004. Cost data were derived from detailed examination of cost reports, and Medicaid fee schedules. Trends in demographic and clinical characteristics by six age cohorts were described. Multivariate models were used to estimate the relationships between costs, age, and clinical diagnosis while controlling for other demographic and clinical characteristics. Components of costs were also examined. Total expenditures declined from age cohorts 60-64 through ages 85 and over. Expenditures were similar, and greatest, for clients with schizophrenia and bipolar disorder, while outlays were lower for those with major depression, other psychotic disorder, other depression, anxiety, substance use disorder, and cognitive disorders. Clients diagnosed with cognitive disorder had high use of emergency services and little connection to outpatient services. Expenditures were related to age and clinical diagnosis. Future efforts should investigate older adults' pathways to care, and should determine whether older adults presenting in emergency services would benefit from a specialized case management program providing linkages to community based resources.
Securing good care for older people: taking a long-term view
- Author:
- WANLESS Derek
- Publisher:
- King's Fund
- Publication year:
- 2006
- Pagination:
- 310p., bibliog.
- Place of publication:
- London
The report found the number of elderly people with high social care needs would increase by more than a half by 2026. To meet these needs at current service levels investment had to be raised from £10.1bn to £24bn, the report said. Because so many people were let down by the existing system, the government should go further. Means-testing for care like washing, dressing and cleaning must end, Wanless said. But he stopped short of backing free social care, suggesting a minimum care package should be topped up by personal contributions matched by the state. For a good but financially justifiable level of person care and safety, investment would have to reach £29.5bn by 2026. This represents an increase of 1.3% of GDP to 3%. Currently those with assets of more than £20,500 have to pay for personal care. Because of this means-testing and the focus on providing care in nursing homes, many thousands of people had been forced to sell their homes.