Search results for ‘Subject term:"older people"’ Sort:
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The pressure's on
- Author:
- FORDER Julien
- Journal article citation:
- Community Care, 8.2.07, 2007, pp.30-31.
- Publisher:
- Reed Business Information
With a rapidly ageing population and a growing number of people with disabilities services are coming under more pressure. The author examines the evidence, including the Wanless review, for more money from the comprehensive spending review for older people’s services.
What is out there and what can we learn? International evidence on funding and delivery of long-term care
- Authors:
- ROLAND Daniel, FORDER Julien, JONES Karen
- Journal article citation:
- Social Policy and Society, 21(2), 2022, pp.261-274.
- Publisher:
- Cambridge University Press
This article describes the social care funding and delivery arrangements of a varied selection of developed countries, focusing on long-term care of older people. International evidence and latest reforms can inform the debate as countries struggle economically. Some have opted for mandatory social insurance that provides universal coverage. A premium is paid and if the insured individual or relatives require support, they are entitled to it. Others opted for a similar universal system but with earmarked taxation, while others fund their social care entirely from general taxation. Many chose a safety-net system in which benefits are means-tested leaving wealthier individuals to secure private arrangements of care. Within the UK, the level of support varies as Scotland provides personal care free of charge, being more generous than England, Wales and Northern Ireland. There is no "one solution", but understanding different options can help in the discussion of current and future reforms. (Edited publisher abstract)
Measuring personal social services outputs for national accounts: services for older people
- Authors:
- NETTEN Ann, FORDER Julien, SHAPIRO Judith
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2006
- Pagination:
- 55p., bibliog.
- Place of publication:
- Canterbury
There is increasing pressure to devise a means of reflecting the outputs of social care in ways that can be used to reflect changes in productivity and efficiency. Professor Sir Tony Atkinson led a review for the Office for National Statistics (ONS) on the future development of government output, productivity and associated price indices (Atkinson, 2005). The review followed Eurostat guidance that countries should be developing direct measures of government services that are individually consumed. As part of this review and with the longer-term objective of improving measurement and understanding of PSS output and productivity in social care, the Department of Health funded work to develop new measures of personal social services (PSS) output and productivity, reflecting best available practice. This paper reports on the results of this work. An extensive search of the literature identified little theoretical discussion or empirical evidence in the field of measuring productivity and outputs of social care services. Most of the evidence was limited to evaluations of cost effectiveness of specific interventions or services for particular client groups. While valuable in their own right such studies do not address the central question of how to measure government output in social care services across client groups in a way that could be used to monitor changes in productivity over time. The first stage of the work was to develop a theoretically based approach and to identify how it might be applied (at least to some extent) using existing sources of data. The second stage (which we report on here) is to illustrate the application of the approach for measuring for National Accounts purposes outputs and services for older people using routine statistical sources and drawing on data collected as part of a study conducted to inform the Formula Spending Share The authors start by describing the overall approach to the welfare index and then in turn discuss the methodology and basis for estimating core components of this index: Capacity for Benefit and quality. In section 5 they illustrate the application of the approach to activity data in estimating outputs and changes in levels of output over time. Finally they discuss some of the issues raised by the application including the wider potential of the approach and data requirements if such an approach were to be used in the future for National Accounts.
Ageing societies: challenges and opportunities: evidence from the BUPA health pulse 2010 international healthcare survey
- Authors:
- FERNANDEZ Jose-Luis, FORDER Julien
- Publisher:
- Bupa
- Publication year:
- 2010
- Pagination:
- 27p., bibliog.
- Place of publication:
- London
This report presents the findings of the Bupa Health Pulse 2010 international healthcare survey around the theme of 'ageing societies'. It summarises some of the most important evidence about the ageing process across the world, and discusses some of the key policy challenges that ageing presents, looking particularly at the capacity for societies to provide high quality support for their older people in the future. The study surveyed 12,262 people across 12 countries (Australia, Brazil, China, France, Germany, India, Italy, Mexico, Russia, Spain, UK, USA), but the patterns described are common to a much larger number of countries. The report is structured around 3 parts. The first examines the question of the ageing process in different societies and what it means in terms of: increases in the older population; changes in the balance between young and old; and increases in the number of people with health problems and in the level of demand for care services. The second part examines the support system required to look after older people in need of care including: the sharing of caring and funding responsibilities between the state and private individuals; the need to ensure that resources are in place to look after the growing number of older people; and the levels of support provided to older people in need. The last section summarises the key policy implications.
The impact of a tightening fiscal situation on social care for older people
- Authors:
- FORDER Julien, FERNANDEZ Jose-Luis
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2010
- Pagination:
- 8p.
- Place of publication:
- Canterbury
The purpose of this paper is to assess the effects of a reduction in funding for care. In the current difficult fiscal climate, a cut in funding for social care seems likely. This paper illustrates the consequences of a reduction in the budget available to fund social care for older people. In particular, it looks at the effects of a 6.7% per annum real terms reduction in the total budget available for social care in the 2 years after 2010/11 (the reduced-budget scenario). It also considers an alternative scenario where funding is assumed to increase sufficiently to allow the current need eligibility thresholds and financial threshold to remain unchanged (the demand-led scenario). The reduced-budget scenario results in net public expenditure falling to around 80% of the level required in the demand-led scenario in 2012/13. The total number of older people that would be state-supported would fall by nearly one half of the level of the demand-led case. The reduction would mostly affect people receiving home care services rather than residential care because they tend to have less severe needs and therefore are more likely to be affected by an increased needs eligibility threshold. Unmet need as measured in the model would nearly double in the reduced budget case.
Securing good care for more people: options for reform
- Authors:
- HUMPHRIES Richard, FORDER Julien, FERNANDEZ Jose-Luis
- Publisher:
- King's Fund
- Publication year:
- 2010
- Pagination:
- 63p., bibliog.
- Place of publication:
- London
The purpose of this report was to: refresh and update The King’s Fund’s 2006 review Securing Good Care for Older People: Taking a long-term view using a dynamic micro-simulation model to provide new estimates of projected costs and benefits; to reflect new policy developments and the implications of political and financial uncertainty; and to assess the funding options set out in the Green Paper Shaping the Future of Care Together and how these compare to the funding options modeled in this report. The report reasserts the case for change. Trends and developments that have occurred since the 2006 review and the different circumstances in which the reform of social care funding and delivery must now be viewed are discussed. The results of a funding analysis are then reported. The analysis was applied to three funding options over the period 2015-2026: the existing system unreformed; free personal care (FPC); and a revised, less generous version of the 2006 review’s partnership model in which the state funds 50% of everyone’s care and support costs and matches every £2 contributed by the individual with a further £1. The analysis indicated that both FPC and the King’s Fund partnership model would help many more people than the existing system but at a higher cost. FPC involves the highest cost to the public purse without a commensurate improvement in outcomes. Attendance allowance is also discussed. The review recommends integrating support for care costs from Attendance Allowance into the care system to improve targeting of resources. The authors make several suggestions for reform to achieve more sustainable funding of care.
Regulation: how much does it cost?
- Authors:
- NETTEN Ann, FORDER Julien, KNIGHT Jane
- Journal article citation:
- Registered Homes and Services, 4(4), August 1999, pp.49-52.
Summarises the findings of research commissioned by the Department of Health to estimate the costs of regulating residential and nursing home care services for adults. The research focused on five types of regulatory activities: inspection, registration, dealing with complaints, enforcement and policy and practice development.