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Third party payments for care home fees in Wales: report of a national review by CSSIW
- Author:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES
- Publisher:
- Care and Social Services Inspectorate Wales
- Publication year:
- 2010
- Pagination:
- 29p.
- Place of publication:
- Cardiff
Some independent care homes charge fees which are higher than the maximum amount that Social Services can contribute. If the individual chooses to move into a home which charges a higher fee than the amount paid by Social Services, then the difference between the amounts is paid by a third party, usually a relative. This report reviews the application of these third party payments in Wales. Evidence was drawn from a survey completed by 237 care home providers who provide care for older people requiring both personal and nursing care. Further evidence was gained from an examination of local authority policies and from meetings with provider and local authority representative organisations. The findings indicate that around 40% of providers across Wales charge third party payments. There were regional variations in the number of homes in an area charging third party payments. Most providers see these payments as being necessary to support their businesses, with the majority of respondents highlighted a shortfall between the real costs of providing care and the cost paid by the local authority. In only 12% of cases did providers state that this charge was for increased services or facilities. The impact of these costs on third parties can be great.
Maritime Charities Funding Group: accommodation, care and support strategy for older seafarers and their dependents: executive summary
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2010
- Pagination:
- 4p.
- Place of publication:
- Oxford
Demographic change amongst the seafarer population is neither uniform nor does it follow the national increase. Over the next ten years it is estimated that for the over 60's population the number of ex Royal Navy personnel will fall by 31 % and former fishermen by 15% although the number of ex merchant seamen aged over 60 is projected to rise by 12%. Overall, this will produce a decline in the number of former seafarers aged over 60 from 569,000 to 439,000. Older seafarers, as for all older people, will have an increasingly complex range of support needs. There is recognition that there is going to be an increasing demand for specialist dementia care facilities, as well as general nursing care needed by older seafarers. This report suggests that the Maritime Charities Funding Group adopts as its vision the following four outcomes in order to prioritise and determine future funding: older seafarers are helped to be independent, healthy and happy; older seafarers are able to live in the community and accommodation they want; older seafarers are able to make informed choices about where and how they live; and older seafarers with complex needs are able to receive high quality specialist care.
The Commission on Long-Term Care Funding Options: a roundtable summary
- Author:
- SOCIAL MARKET FOUNDATION
- Publisher:
- Social Market Foundation
- Publication year:
- 2010
- Pagination:
- 8p.
- Place of publication:
- London
Reforming the system for funding older people's long-term care is arguably one of the biggest public policy challenges confronting the UK. The problems within the current social care system include geographical variations in entitlement, and limited availability of advice and support. Following the 2010 general election, the new Coalition Government announced in its Programme for Government document that it would establish a commission on long-term care, to report within a year, to examine options for funding reform. In response to this announcement, the Social Market Foundation convened an expert roundtable on July 12th, 2010 in order to draw lessons for the new body from previous commissions on both long-term funding and other policy challenges. This briefing summarises the discussion at the roundtable, which included members of the Royal Commission on Long-term Care, the Wanless Review of Social Care and the Pensions Commission. It provides advice relating to: the timescale, size and independence of the commission; engagement of stakeholders and the public; the production of an interim report; and political feasibility. It also outlines some issues that the Commission should address.
Careless: funding long-term care for the elderly
- Authors:
- FEATHERSTONE Henry, WHITHAM Lilly
- Publisher:
- Policy Exchange
- Publication year:
- 2010
- Pagination:
- 39p.
- Place of publication:
- London
This “think piece” presents an overview of the issues surrounding the funding of long term care for the elderly in the UK. In part it is based on two public events on the subject. The authors begin by defining long term care and discuss the current arrangements. They then look at the need for reform, the political appetite and how this care can be paid for. Total spending on long term care for the year 2008-09 is estimated at more than £16 billion. The report considers what form change might take and suggests priorities for the coalition government and the new commission on the funding of care and support. The importance of asking the right questions in order to achieve consensus and a lasting solution is stressed. The report concludes that given the current reality of public finances, funding long term care exclusively from taxation should not be one of the options considered. Instead it is suggested that the Commission focuses on analysing how three specific models could be adapted in England: a partnership model where the state funds 50% of care; a full social insurance model as used in parts of Europe; and a third hybrid model with some state guarantees but where co-payments are required backed by insurance or annuity products rather than matched funding.
Call for evidence on the future funding of care and support
- Author:
- COMMISSION ON FUNDING OF CARE AND SUPPORT
- Publisher:
- Commission on Funding of Care and Support
- Publication year:
- 2010
- Pagination:
- 25p.
- Place of publication:
- London
The Commission on Funding of Care and Support is seeking suggestions on the future funding of care and support in England. In this paper the Commission sets out its remit; explains the opportunities and challenges it perceives facing the future funding of care and support; outlines its assessment of the current system; sets out the direction of reform; explains how it plans to appraise the options; and sets out the questions it would like addressed as part of this Call for Evidence. Three questions are posed. Respondents are asked to comment on the Commission’s description of the main opportunities and challenges facing the future funding of care and support; the Commission’s description of the strengths of the current funding system, and its potential shortcomings and to suggest any gaps; and to provide suggestions for how the funding system should be reformed, with the proviso that any suggested model should be sustainable and resilient, fair, offer value for money, be easy to use and understand, and offer choice. The Call for Evidence will be open until midnight on 28 January 2011.
Smarter spending for better care: ten ideas to make better use of social care funding for older people and carers
- Author:
- COUNSEL AND CARE
- Publisher:
- Counsel and Care
- Publication year:
- 2010
- Pagination:
- 11p.
- Place of publication:
- London
With the budgetary pressures facing local authorities in England, it is important to identify how better value for money could be achieved from current spending on social care. The drive for efficiencies should not be at the detriment of older people with care and support needs and their families and carers. This document provides 10 ideas to make better use of current social care funding while improving quality of care and experiences for older people and their carers. It argues that better value for money could be achieved by re-focusing resources on: providing easily accessible advice, information and advocacy; recognising the key role that families and carers play; specialist independent financial advice; supporting people to stay or move where they want to be in later life; integration of housing, health and care; new technology (telecare and telehealth); personalisation (making sure care is focused on the person); prevention, early intervention and homechecks; volunteering and intergenerational work; and dementia drugs and treatments. These ideas could result in the delivery of better care at the same time as saving up to £3 billion.
Care home handbook
- Author:
- COUNSEL AND CARE
- Publisher:
- Counsel and Care
- Publication year:
- 2010
- Pagination:
- 56p.
- Place of publication:
- London
- Edition:
- 4th ed.
Handbook providing information to service users and their carers about the issues around deciding on a care home, finding and paying for one, and living in a care home. Sections cover: Making a decision about care; Choosing a care home; Paying for a care home; Living in a care home, and Making a complaint. The final section provides a list of organisations that can provide further information and advice. Content is relevant for people in England and Wales.
Choice of accommodation: care homes
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2010
- Pagination:
- 14p.
- Place of publication:
- London
This factsheet explains what rights care home residents have to choose which home they will live in when the local authority assists with the funding and arrangement of the placement. It is also relevant to residents who arrange and fund their own residential care to start with but need local authority assistance later on. The rights of individuals to choose their own care home accommodation have been developed over a number of years. Local authorities have a responsibility to provide a range of accommodation to meet identified needs at their ‘usual cost’. In this context ‘top-up’ of care home fees is only appropriate where a genuine choice has been made by a service user to live in a care home that costs more than the ones that the local identified have identified to meet identified eligible needs. The information in this factsheet is correct for the period April 2009 to March 2010.
The future social care market
- Author:
- NATIONAL MARKET DEVELOPMENT FORUM
- Publisher:
- National Market Development Forum
- Publication year:
- 2010
- Pagination:
- 6p.
- Place of publication:
- Oxford
The social care market is going to change in the coming years. Key trends include greater choice and control over service provision for users and carers, a stronger emphasis on communities and prevention, and changes in the basis of funding care. This paper looks at some assumptions that might be made about the social care market in the future and the potential issues and problems to be faced. The paper is based on discussions by participants in the National Market Development Forum between March and July 2010. The assumptions range from the almost inevitable, such as the growth in the numbers of older people, to the highly speculative, such as increased migration of older people. Key challenges that the social care market is likely to pose for commissioners and providers in the future are discussed. With these assumptions and challenges in mind, the paper suggests potential responses that will help to create an ‘ideal’ social care market. Key to the future will be the provision of accommodation into which care and health services can be delivered within the community, together with a combined preventative approach from health and social care.
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.