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Slicing up the pie: allocation of central government funding of care of older people
- Authors:
- DARTON Robin, et al
- Journal article citation:
- Social Policy and Administration, 44(5), October 2010, pp.529-553.
- Publisher:
- Wiley
This article discusses how resources are allocated to local authorities, and how they are important in providing an equitable system of delivery of social care. A variety of approaches have been used in the past, and the most recent uses a ‘needs-based’ formula. The Department of Health for England commissioned research in 2004 to inform the improvement and updating of the formula. The results of individual-level analyses were compared with the results obtained from analyses of ward-level data on service users. Both analyses were affected by problems of data availability, particularly the individual-level analysis, and the Department of Health and the Office of the Deputy Prime Minister decided that the formula calculations should be based on the results of the small area analysis. Despite the differences in approach, both methods produced very similar results. The article outlines the strengths and weaknesses of each approach. It highlights developments that could allow a normative approach to incorporate future policy objectives into formulae that, to date, have been based on historical data and service patterns.
Exploring shared options in funding long-term care for older people
- Author:
- DAVEY Judith A.
- Journal article citation:
- Health and Social Care in the Community, 6(3), May 1998, pp.151-157.
- Publisher:
- Wiley
Policy-makers throughout the world are faced with the question of how long-term care for dependent elderly people is to be funded. This article discusses possible sources of funding and a variety of policy approaches which have been taken by members of the Organisation for Economic Co-operation and Development, with particular emphasis on Britain. Details are provided of schemes involving private sector insurance and equity release products. A variety of issues arise from the proposed use of such 'partnership' schemes in Britain. Discussion of these issues draws in aspects of the wider social and policy contexts.
Funding for long-term care
- Author:
- THOMAS-BELL Ann
- Journal article citation:
- Elders the Journal of Care and Practice, 3(4), December 1994, pp.52-56.
The government has announced recently that older people will no longer be kept in hospital as a matter of course, and Care in the Community programmes offer little comfort to people who have experienced its inadequacies. Discusses concern over what will happen to those in need of long-term, who do not have the resources to obtain the care they require.
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.
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)
Care in places: inequalities in local authority adult social care spending power
- Authors:
- INTERNATIONAL LONGEVITY CENTRE UK, HOLDEN Dan
- Publishers:
- International Longevity Centre UK, Salvation Army
- Publication year:
- 2019
- Pagination:
- 28
- Place of publication:
- London
This report, commissioned by the Salvation Army, explores local level inequalities in adult social care. It focuses on how the current system of devolved funding arrangement works in practice and considers the extent to which it is an effective way of matching funding to need for care at a local level. It shows that the main ways local authorities fund adult social care is through a mixture of money taken from business rates, council tax and money provided by central Government. It highlights significant inequalities in local authorities’ capacity to fund the social care their older residents need. Key finding show that county councils tend to be in a worse position than unitary authorities in terms of their ability to fund the social care their residents need; and that smaller, post-industrial towns and cities fare worse in terms of their ability to spend on social care than larger urban centres. It highlights the need to look at the mechanisms for funding care at the local level as part of the debate on the future of social care. (Edited publisher abstract)
Care in later life: incentives to use assets to pay for care
- Author:
- ADAMS John
- Publisher:
- Pensions Policy Institute
- Publication year:
- 2019
- Pagination:
- 48
- Place of publication:
- London
An ageing population means there are more people than ever reaching older age and increasing the need for care. This report, sponsored by The Association of British Insurers, analyses five incentivised proposals that could encourage people to fund their own care. Specifically, it considers people who have savings and assets, excluding their house value, that mean they are unable to claim support from the state (£23,250), but less than £200,000. It estimates that this target group makes up approximately 37 per cent of people in England aged over 50. The report considers five possible proposals that have been raised within the financial industry: income from a pension scheme is used to pay for care, exempt from income tax; use tax exempt pension withdrawals to secure an insurance product that covers care costs; the introduction of a Care ISA with no Inheritance Tax paid on residual amounts at death; releasing equity from a property to secure an insurance product that covers care costs; and pledging equity from a property to cover care costs in return for a corresponding government pledge. They proposals are intended to represent a selection of the types of products and/or fiscal regime changes that could be adopted to create an environment that enables people to efficiently pay for, or prepare for, care costs. (Edited publisher abstract)
Fixing the care crisis
- Author:
- GREEN Damian
- Publisher:
- Centre for Policy Studies
- Publication year:
- 2019
- Pagination:
- 36
- Place of publication:
- London
In this report, the Damian Green MP puts forward a proposal to secure the future of social care for older people. It proposes adopting a 'state pension model' by introducing a new Universal Care Entitlement, with the Government providing enough support for a decent standard of care. In addition, people could be incentivised to pay for more expensive care on top of this provision from their savings or housing wealth via a Care Supplement. This would move funding from councils to Whitehall, easing pressure on local budgets and encouraging the approval of more retirement housing and care homes. The report also suggests a range of methods to fill the immediate funding gap in the social care system, estimated at approximately £2.75 billion. These include, in decreasing order of preference: taxing the winter fuel allowance; diverting savings from the Spending Review; and potentially imposing a 1 per cent National Insurance surcharge on those over 50. (Edited publisher abstract)
"Why call it care when nobody cares?"
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2018
- Pagination:
- 8
- Place of publication:
- London
This campaign report is based on interviews with 127 older people and their families across the country. Older people and their families felt that too many professional carers don’t have the time, skills or resources to deliver quality care; they find it difficult to navigate the care system and that the cost of social care is too high. The report concludes with the five principles participants wanted to see from the Social Care Green Paper. These included for the responsibility for care to be shared across society; ring-fenced funding for social care, and to establish what is reasonable for families to do and the help they’ll get to support them. (Edited publisher abstract)
Support for older people: health, social care and the third sector. Think piece
- Author:
- UNIVERSITY OF SOUTH WALES. Welsh Institute for Health and Social Care
- Publisher:
- University of South Wales. Welsh Institute for Health and Social Care
- Publication year:
- 2017
- Pagination:
- 38
- Place of publication:
- Pontypridd
This compilation of nine essays reflects on the role of the third sector in supporting older people’s health and care needs, and looks at how relationships within the sector and with other agencies need to develop in order to meet the rising challenge of ageing. The essays are by leaders within the sector and present deliberately different perspectives covering the three key areas of: existing practice and influence; commissioning, relationships and funding; and the future. Contributions cover the importance of ensuring services are co-produced and person-centred, the need to develop sustainable strategic relationships across the third and public sector and making the best use of expertise and resources. The paper forms the first stage of project from Welsh Institute for Health and Social Care (WIHSC), Wales Council for Voluntary Action (WCVA) and Age Alliance Wales to encourage ideas on how to improve and develop services through stronger relationships and systems. (Edited publisher abstract)