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A funding settlement that works for people, not services
- Authors:
- STONE Emma, WOOD Claudia
- Journal article citation:
- Quality in Ageing and Older Adults, 11(4), December 2010, pp.14-23.
- Publisher:
- Emerald
The forthcoming Comprehensive Spending Review will set the pace of care funding for the next four years, and will ultimately form the foundation of a permanent settlement for how we contribute towards our care in later life, and the systems that deliver it. This article considers how to fund care and support for a growing, and increasingly diverse, population of older people. In it, the authors reflect on whether it is possible to create a funding settlement for long-term care that meets four criteria, namely: fairness; transparency; sustainability; and capacity to support the outcomes that people want and value. The authors ask whether we can create a funding settlement that starts from people's lives - not service-based assumptions. The authors outline the principles for a fair future settlement, and detail why an outcomes-based funding system is so important. The article also considers what a settlement principle enshrining all four principles might look like, before concluding with a discussion of the challenges that an outcomes-based model might face.
A funding settlement that works for people, not services
- Authors:
- STONE Emma, WOOD Claudia
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2010
- Pagination:
- 9p., bibliog.
- Place of publication:
- York
This paper was written in advance of the Comprehensive Spending Review in October 2010 and the coalition Government's new vision for social care, expected in early November. It is hoped that together these will form the foundations of a permanent settlement for how we all will contribute towards our care in later life and the system that delivers it. The paper considers the question regarding whether the proposed funding settlement and statute will be aligned with each other, and, critically, with a vision for social care that is designed around people’s lives, rather than around services. It argues that only a funding system acceptable in principle and in practice to those who contribute to it will survive over time. It considers four key principles for a future funding settlement, arguing that it should be: fair; transparent; sustainable; and capable of supporting self-defined outcomes. The importance of an outcome-based funding system, which is compatible with how people live their lives, and what they want and value from life, is discussed. The paper considers what a settlement enshrining these principles would look like. It concludes by examining the challenges of an outcome-based model.