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A Fair deal for older people: public views on the funding of long-term care
- Author:
- DEEMING Chris
- Publisher:
- King's Fund
- Publication year:
- 2001
- Pagination:
- 42p.,bibliog.
- Place of publication:
- London
This report publishes the results of an opinion poll comissioned by the King's Fund to look at the public's views of current and proposed policies regarding the funding of long-term care. The poll was carried out six months after the government had published its response to the recommendations of the Royal Commission on Long-Term Care and were introducing a Health and Social Care Bill which included recommendations on the funding of long-term personal care. The two main recommendations of the Commission were that both nursing care and personal care should be free for all who need it. The first of these recommendations was accepted by the Government but the second was rejected. The opinion poll reports that two thirds of people questioned supported the Governments decision on nursing care but that three out of five people disagreed with the Government's decision to continue means-testing people for personal care. This result marks a change in public attitudes towards the funding of long-term care. Earlier surveys showed that only 25 percent of people in england and Wales supported the idea of free nursing and personal care. This number has now more than doubled and suggests that people are unhappy with the Government's policies and that a rethink may be needed.
Funding long-term care: challenges and solutions
- Author:
- NICKALLS Susan
- Journal article citation:
- Third Force News, 6.2.98, 1998, pp.8-9.
- Publisher:
- Scottish Council for Voluntary Organisations
Talks to Sir Stewart Sutherland, chairman of the Royal Commission on Long-Term Care for the Elderly, about the complex issues he is trying to resolve.
Commissioning home care for older people
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
This guide captures the latest research findings on this important and emerging area of social care. Sections include: What older people want from home care services; What is good home care?; The commissioning cycle and Funding and costs. It also provides some practice examples of good work in this area. The guide is aimed at health and social care commissioners of home care services for older people with complex needs. Providers of these care services may also find it useful. (Edited publisher abstract)
Public preferences for paying for social care in later life in England: a latent class analysis
- Authors:
- READ Sanna, et al
- Journal article citation:
- Social Science and Medicine, 274, April 2021, p.113803.
- Publisher:
- Elsevier
There is ongoing debate about how the funding system for social care of older people in England should best be reformed. We investigated how public attitudes to individual and state responsibility for paying for social care in later life vary with demographic and socio-economic characteristics. Four vignettes of individuals in need of home care or residential care with varying levels of savings, income and housing wealth were presented to a sample of people aged 18–75 years (n = 3000) in December 2018. Respondents were asked if care costs should be paid by the user, the state or shared. They were also asked about the best way to pay for social care in old age. Latent class analysis was used to identify sub-groups with similar preferences for paying for care, and to explore their socio-demographic characteristics. We identified five classes. The majority (Class 1, 58%) preferred that the state and the user should share social care costs. Class 2 (18%) thought that the state should pay all costs regardless of users' savings, income or housing wealth. Class 3 (15%) preferred users to pay all costs at all levels of savings, income and housing wealth, with the exception of those unable to afford the costs. Classes 4 and 5 (5% each) were characterised by different patterns of ‘don't know’ answers. Socio-economic status was higher among those proposing higher user contributions (Class 3) and lower among those with several ‘don't’ know’ responses (Classes 4 and 5). Concerns about care costs in old age were high among those proposing that the state pays all costs (Class 2) and those preferring that users pay all costs (Class 3). This study shows that public views on social care funding vary with respondents' characteristics and that proposals to reform the system need to be carefully calibrated. (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)
Funding social care: what service users say
- Author:
- BERESFORD Peter
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2010
- Pagination:
- 11p., bibliog.
- Place of publication:
- York
The views of a diverse range of social care service users on current proposals for funding social care are presented. The National Service User 2009 consultation, which involved a diverse range of older and working age people from different parts of the UK was reported in the government’s 2009 Green Paper ‘Shaping the Future of Care Together’ and is frequently quoted in this report. With sections entitled, ‘the demand for social care’, ‘options for funding social care – the three government options’, ‘failure to ensure equity and independent living’, ‘strong support for universal disability benefits’, ‘social care and health’, ‘funding social care through general taxation’, ‘complexities of funding’, ‘the value base of the Green Paper’, ‘new funding proposals’ (Labour/Conservative), and ‘next steps - securing funding for social care, the importance of improved public debate and supporting service user involvement in the debate’, this paper addresses how social care can meet the expected increase in demand, especially from older people, how a fair, sustainable and high quality service should be funded and how care should be delivered.
Older people's views on how to finance increasing health-care costs
- Authors:
- WERNTOFT Elisabet, et al
- Journal article citation:
- Ageing and Society, 26(3), May 2006, pp.497-514.
- Publisher:
- Cambridge University Press
The aims of this paper are to investigate both older people's views about ways in which to finance health-care costs and their willingness to pay for treatment themselves, along with variations in these views by age and gender. The data are from the Good Ageing in Skåne (GAS) prospective longitudinal cohort study in Sweden, which involved medical examinations and a survey of living arrangements and socio-economic conditions. For the analysis reported in this paper, 930 GAS respondents aged 60–93 years were invited to participate in an additional structured interview, and 902 (97%) accepted. The sample was divided into the ‘young-old’ (aged 60–72 years), ‘old-old’ (78–84 years) and ‘oldest-old’ (87–93 years). It was found that the participants recommended increasing health-care funding by higher taxes and that they were willing to pay themselves for specific treatments, e.g. cosmetic surgery and medication to combat impotence and obesity. Many were also willing to pay privately for cataract surgery, to shorten the wait, although the respondent's financial circumstances associated with this willingness. Significantly more men than women, and of the ‘young-old’ than of the other two age groups, would pay for cataract surgery. The views of people aged 85 or more years differed from those of the young-old, e.g. significantly fewer believed that older people's health care received too little resource. Views about how to finance health care thus differed among the age groups and between men and women.
Low intensity support: preventing dependency
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 1999
- Pagination:
- 6p.
- Place of publication:
- York
Older people and disabled people often don't qualify for full social services assistance. Yet many clearly do need help. Low intensity support can help prevent people reaching crisis point and enable them to sustain their own homes. But it is important to strike the right balance between helping people and controlling their lives. This summary considers how users perceive their services and needs, and highlights some innovative approaches to support. It assesses what users want, discusses what best practice might be and investigates some of the dilemmas for providers and the the implications for policy reform.
Future imperfect
- Authors:
- HENWOOD Melanie, WADDINGTON Eileen
- Journal article citation:
- Community Care, 24.9.98, 1998, p.21.
- Publisher:
- Reed Business Information
Outlines how new research shows that many elderly people feel cheated by the welfare state because they are paying twice over for long-term care.
Reality makes a mockery of good practice
- Author:
- NUROCK Shirley
- Journal article citation:
- Journal of Dementia Care, 5(1), January 1997, p.10.
- Publisher:
- Hawker
The author finds reading about person-centred care and new therapy ideas only increases her frustration on the reality of long-term care for her husband.