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Can we afford the doctor?: GP retainers and care homes
- Author:
- PATTERSON Maria
- Publisher:
- English Community Care Association
- Publication year:
- 2008
- Pagination:
- 14p.
- Place of publication:
- London
ECCA - English Community Care Association - has released a report about care homes being forced to pay retainers in order to access GP services on behalf of their residents.
Health difficulties: how to cope with changing needs
- Author:
- COUNSEL AND CARE
- Publisher:
- Counsel and Care
- Publication year:
- 2009
- Pagination:
- 34p.
- Place of publication:
- London
The paper explains what help is available for older people from the local Council and the NHS if anyone develops difficulties due to ill-health or disability. This includes support inside and outside the home and financial assistance.
Briefing: Health and care of older people in England 2019
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2019
- Pagination:
- 70
- Place of publication:
- London
Drawing on official statistics and analysis from Age UK, this report provides an overview of how services are functioning for older people across the NHS and social care. It highlights the ageing population and increasing levels of complex health and care needs. It also looks at the funding pressures on social care crisis, the implications of funding cuts for the provision of services and on older people and their families. The report finds that a growing and ageing population means demand for care services is increasing, whilst social care spending per head of the adult population has fell in real terms between 2010/11 and 2017/18, the cost of providing care is rising. (Edited publisher abstract)
Do out-of-pocket health expenditures rise with age among older Americans?
- Author:
- STEWART Susan T.
- Journal article citation:
- Gerontologist, 44(1), February 2004, pp.48-57.
- Publisher:
- Oxford University Press
Relationships are examined between age and out-of-pocket costs for different health goods and services among the older population. Age patterns in health service use and out-of-pocket costs are examined by use of the 1990 Elderly Health Supplement to the Panel Study of Income Dynamics (N = 1,031, age 66+). Multivariate regression is used to examine how age effects are mediated by health, insurance, and socioeconomic variables. Although long-term care expenditures increased with age, out-of-pocket costs for most other services did not. Total out-of-pocket costs increased with age only when nursing home costs were included. Increases with age in hospital and prescription costs were explained by declining health. Patterns of service use suggested reduced access to discretionary care among the oldest old. Although expenditures did not increase with age for most services, the high personal cost for nursing home care among the oldest old underlines the need for increased efforts to support them in the community. Greater spending by those in poor health highlights the importance of preventing age-related health conditions and their complications. Improved access to discretionary care among the oldest old may help to reduce the need for care in higher cost settings. The high prevalence of out-of-pocket prescription spending across the age range provides impetus for current efforts to reduce these costs.
The relationship between pre-retirement earningsand health status in old age: black-white differences
- Authors:
- OZAWA Martha N., CHOI Young
- Journal article citation:
- Journal of Gerontological Social Work, 38(4), 2002, pp.19-37.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
It is widely believed that people who earned more while they were young tend to be healthier in old age. This article questions whether this generalisation applies equally to black and white elderly people. A multivariate analysis, which included gender, marital status, age, education and number of children raised as control variables, indicated that the level of earnings during people's working lives is not related to the health impairments of black people at the time of retirement or 10 years later, but strongly related to the health impairments of white people.
Financing health services for pensioners in Argentina: a salutary tale
- Author:
- LLOYD-SHERLOCK Peter
- Journal article citation:
- International Journal of Social Welfare, 12(1), January 2003, pp.24-30.
- Publisher:
- Wiley
The article examines the problems facing a programme to finance health care for pensioners in Argentina, known as PAMI. The programme is accumulating large deficits and many of its services are of doubtful quality. PAMI's problems and its resistance to reforms are put in the wider context of Argentina's liberalised health-care system, neo-liberal adjustment and flawed governance. The Argentine experience has relevance for other developing countries with weak state regulatory capacity, and points to the dangers of delegating health financing of older people to the private sector.
Care home closures: the provider perspective
- Authors:
- WILLIAMS Jacquetta, et al
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 2002
- Pagination:
- 48p.
- Place of publication:
- Canterbury
This report describes part of the study on the causes, processes and consequences of home closure from the perspective of independent providers. A survey of registration and inspection units was conducted to identify the proportions of closures that were due to business reasons, changes in registration, the consequences for supply, and the views of unit managers
Paying the price for care
- Author:
- CHRISTIE Bryan
- Journal article citation:
- Care and Health Guide, 27.11.02, 2002, pp.6-9.
- Publisher:
- Care and Health
Britain's care home system is being underfunded by more than £1 Billion a year. This is the stark findings of a recent report from the Joseph Rowntree Foundation.It found that the fees councils are currently prepared to pay are between £75 and £85 a week below the reasonable costs of running an efficient and good quality care home. It concludes that the average 'fair price' for nursing home places should rise from £385 to £459 per week and the average fee for a residential place from £268 to £353 per week. Now a High Court judgment on a case taken by 11 care home owners in Lincolnshire could once and for all settle the argument of 'a fair price for care'.
Health and long term care use trajectory for older disabled women
- Author:
- MEHDIZADEH Shala A.
- Journal article citation:
- Gerontologist, 42(3), June 2002, pp.304-313.
- Publisher:
- Oxford University Press
Examines health and long-term care use trajectories of a sample of chronically disabled older women in the USA eligible for both Medicare and Medicaid by exploring their use data in order to understand and anticipate the increasing demand on the health and long-term care delivery systems as aging female baby boomers reach age 65 and older. A long-term care career was established for patients beginning with receiving long-term care in the community, followed by a transition stage in which care was received in the community and in a nursing home, and finally by a stage at which they entered and remained in a nursing home. As patients proceeded along their long-term care career and their health and disability status worsened, there appeared a clear shift in the kind of care needed from hospital and home care to nursing home care. There was also a shift in the major payer, from Medicare to Medicaid. As the baby boomers age, a much larger number of women will be disabled and need health and long-term care services.
NHS continuing care: sixth report of session 2004-05: volume 2: oral and written evidence
- Author:
- GREAT BRITAIN. Parliament. House of Commons. Health Committee
- Publisher:
- Stationery Office
- Publication year:
- 2005
- Pagination:
- 148p.
- Place of publication:
- London
NHS continuing care means fully funded care for people who do not require care in an NHS acute hospital, but who nevertheless require a high degree of ongoing health care. Anybody can qualify for NHS continuing care funding if their needs satisfy eligibility criteria, although the largest group of people who receive continuing care funding are elderly people. Continuing care funding is intended to cover the entire costs of care, including all medical care, nursing care, personal care, living costs and accommodation costs, the same as if their care was being provided in an NHS hospital. Eligibility for continuing care funding is currently established with reference to criteria introduced by the Department of Health in 1995. The criteria relate to the complexity, intensity or unpredictability of a patient's healthcare needs, requiring the regular supervision of a consultant, specialist nurse or other member of the NHS multidisciplinary team. From 1995 onwards, individual Health Authorities were each required to develop local policies and eligibility criteria for continuing care funding within this general framework.