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Social care funding, and the care home market (England)
- Authors:
- JARRETT Tim, CROMARTY Hannah
- Publisher:
- Great Britain. Parliament. House of Commons Library
- Publication year:
- 2016
- Pagination:
- 33
- Place of publication:
- London
This note considers the current state of the market for residential care (care homes), and also the announcements made in the November 2015 Spending Review regarding funding for social care. It highlights the rather fragmented nature of the care home market which, combined with the fact that local authorities are the largest single purchasers in most parts of the country, means that local authorities have what has been described as monopsony purchasing power. Given the pressures facing local authority budgets, they have sought to negotiate lower prices for the care home places they finance; this has prompted care home providers to seek further cross-subsidisation from self-funded residents, in a situation where many care home providers have significant debts and looming challenges such as the introduction of the National Living Wage. The note also considers the role of the Care Quality Commission (CQC) in monitoring the financial health of strategically important care home providers, and the duties of local authorities in the event of the failure of a provider. The implications of the discretionary 2% Council tax precept for social care and the additional £1.5 billion for the health and social care “Better Care Fund” are also outlined together with a summary of the current position of key organisations, including local government, health bodies, the voluntary sector and the Care Quality Commission, which have questioned the sustainability of the market for publicly-funded social care and called for immediate additional funding to avert a ‘social care crisis’. (Edited publisher abstract)
Advocacy counts 5: a review of advocacy services for older people in Wales
- Author:
- AGE CYMRU
- Publisher:
- Age Cymru
- Publication year:
- 2016
- Pagination:
- 43
- Place of publication:
- Cardiff
Drawing on the results of a survey, this report looks at the provision of advocacy services which support all adults in Wales to provide a broad snapshot of the advocacy landscape. It also highlights changes in the provision of advocacy services aimed specifically at older people. The survey received responses from 22 respondents. The analysis looks at numbers of advocacy services funded specifically for older people; those provided for a wider client group; language; quality of services; funding and sustainability; and the role of advocacy in safeguarding. It finds that although there has been a 69 per cent rise (from 26 to 44) in advocacy services for all age groups across Wales since 2013, there has been a 17 per cent drop (from 23 to 19) in the number of services specifically for older people. Over 60 per cent of providers responded that funding for their current service had less than a year to run. Safeguarding is seen as a high priority for advocacy services, with all of respondents having supported someone who had been abused in the last 12 months. An brief overview of national policy developments and their influence on advocacy services also provided. (Edited publisher abstract)
Towards a new deal for care and carers. Report of the PSA Commission on Care, 2016
- Authors:
- ELIAS Juanita, et al
- Publication year:
- 2016
- Pagination:
- 52
This report, commissioned by the Political Studies Association, looks at the current crisis facing the care of older in England. The report argues that a New Deal for older people should bring together three different aspect of care provision - the recognition of issues of care, the importance of the redistribution of resources, and representation of the voices of both those that are cared for and those that care. The report is based on a review of the primary and secondary literature as well as an online survey of 169 care workers, and interviews with care providers and local authority officials. Chapters cover: an overview of the care landscape in England, also looking at the nature of the paid and unpaid workforce; the current challenges in financing care, highlighting reductions in spending, rising demand, and the pressures placed on unpaid carers; how individuals access the care they need, and the cost and difficulties of gaining access to care; and results from the survey of care workers. The report concludes that the social care system is unsustainable and in crisis. It also highlights how women bear the brunt of the current crisis, as they are both more likely to provide unpaid care and to be recipients of care. Recommendations include: the establishment of a National Care Service free at the point of access; increased investment in social care; professionalisation and support of the care workforce; and recognition of the work of unpaid carers. (Edited publisher abstract)
The homecare deficit 2016: a report on the funding of older people’s homecare across the United Kingdom
- Author:
- UNITED KINGDOM HOMECARE ASSOCIATION
- Publisher:
- United Kingdom Homecare Association
- Publication year:
- 2016
- Pagination:
- 72
- Place of publication:
- Wallington
- Edition:
- Version 1
Drawing on data obtained from freedom of information requests, this report analyses average prices paid by councils for home care services across all four administrations of the United Kingdom. It also provides a breakdown by England’s nine government regions. The data were obtained during a sample week in April 2016 following the introduction of the new National Living Wage. The analysis found that only one in ten authorities paid an average price at or above UKHCA’s minimum price of £16.70 per hour. It also found that seven authorities paid average prices which the UKHCA believe are unlikely even to cover care workers’ wages and on-costs of £11.94 per hour. Only 24 councils had completed calculations for the costs of home care. The report highlights the low rates that many councils are paying independent and voluntary homecare providers. It argues that this underfunding is a root cause of the instability of local homecare markets and the low pay and conditions of the homecare workforce. The analysis also exposes the level of risk that councils place on a system intended to support older and disabled people. The report makes a number of recommendations, which include the need for local authorities to provide calculations of their costs of homecare. (Edited publisher abstract)
Facing the challenges in the development of long-term care for older people in Europe in the context of an economic crisis
- Authors:
- DEUSDAD Blanca A., PACE Charles, ANTTONEN Anneli
- Journal article citation:
- Journal of Social Service Research, 42(2), 2016, pp.144-150.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article introduces the content of this special issue, which incorporates eight articles in which authors evaluate recent changes and developments in long term conditions (LTCs) for older people in European countries, most particularly from the perspective of restructuring taking place in the LTC for older people. The economic and state financial crises are the most important drivers behind widespread overall restructuring processes. (Edited publisher abstract)
The damage: care in crisis
- Author:
- UNISON
- Publisher:
- Unison
- Publication year:
- 2016
- Pagination:
- 20
- Place of publication:
- London
To examine the impact of cuts on social care services for older people this report draws on a survey of 1,075 social care staff working in home care, residential care and day care across in the UK; individual accounts from people using care services. It also looked at the views of people working in health care about how cuts to services have affected their work. It finds that budget cuts are having a direct impact on the quality of care due to the pressures placed on staff. Of those responding to the survey 63 per cent said they had less time to spend with the people they care for because of staff shortages, and 36 per cent said the rationing of supplies and cutting corners had increased. The report makes recommendations for national and local government and social care employers. (Edited publisher abstract)
Towards a new age: the future of the UK welfare state
- Author:
- BRANCATI Cesira Urzi
- Editors:
- FRANKLIN Ben, HOCHLAF Dean
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2016
- Pagination:
- 172
- Place of publication:
- London
Brings together a collection of essays from over 20 experts from different fields to consider how the welfare state should respond to the challenge of population ageing in order to ensure long term sustainability and maximise wellbeing. The report begins with a provocation which argues that population ageing, the welfare state and democracy might be incompatible. It then looks at challenges posed by ageing for the welfare state, including how ageing might affect economic growth and intergenerational fairness and the extent to which benefits and entitlements might need to change in order to support future sustainability. The main section of the report focuses on possible solutions to cope with demographic change. Essays explore: options for pensions reform; labour market challenges and reform options; reforming education; the future of health and care, focusing on better integration of health, social and community care and the importance of prevention for future sustainability; and recommendations for housing reform, including the importance of increasing the supply of houses for older people. The final two contributions explore the conditions that are most conducive to enabling reform and outline some general principles for a national debate on ageing and the welfare state. (Edited publisher abstract)
Health and social care in counties: funding, demand and cost pressures. CCN response to independent research
- Author:
- COUNTY COUNCILS NETWORK
- Publisher:
- County Councils Network
- Publication year:
- 2016
- Pagination:
- 15
- Place of publication:
- London
This document draws out a summary of the key findings from the LG Futures research and analysis on Social Care and Health: Funding and Cost Pressure Analysis. The study has shown that it is CCN member councils that have witnessed the largest reductions in social care funding, and the formulae is embedding historic funding disparities that could see these disadvantages compounded over the coming years. This document provides the CCN response to the research findings that highlight the funding and demand challenges facing adult social care and health services in counties. Building on the CCN response to the local government finance settlement, it sets out a range of proposals for Government to consider in ensuring that the Spending Review achieves its core ambition of a sustainable health and social care system capable of driving forward an ambitious plan to integrate health and social care by 2020. (Edited publisher abstract)
Social care and health: funding and cost pressure analysis
- Author:
- RANASINGHE Jude
- Publisher:
- LG Futures
- Publication year:
- 2016
- Pagination:
- 59
- Place of publication:
- Hockliffe
Maps social care and Clinical Commissioning Groups (CCGs) funding to local authority boundaries. The research examines the comparative levels of funding and potential demand and cost pressures for County Council Network members compared to other authority types. It covers older people’s social care funding and demand, NHS and Better Care Fund funding, public health funding and total funding. Key findings include: CCN member councils will see their 65+ population grow by 2 per cent per year until 2020, faster than any other local authority type; CCN member councils receive 44 per cent less cash funding per head compared to the national average, less than London Boroughs (61 per cent) and Metropolitan Boroughs (53 per cent); on average CCN member councils have witnessed the largest reductions in ASC funding (-22.9 per cent) compared to other local authority types, and higher reductions in estimated cash funding (20.1 per cent) than the national average; there is evidence that demand has grown in counties, while it has declined across other parts of England; outside of London, delayed discharges are sufficiently higher in counties than other parts of the sector and are costing local health economies enormous extra costs; there is a projected increase of 14.8 per cent in the number of people in CCN authorities with a limiting long term illness by 2020-21; counties receive significantly less CCG funding (£1.2bn) based on their total population of 25.4 million and national average allocations. In total, it is calculated that CCN member councils receive £1.98bn less combined funding for health and social care when compared to other local authority types. (Edited publisher abstract)
Social care for older people: home truths
- Authors:
- HUMPHRIES Richard, et al
- Publisher:
- King's Fund
- Publication year:
- 2016
- Pagination:
- 98
- Place of publication:
- London
This report looks at the current state of social care services for older people in England, through a combination of national data and interviews with local authorities, NHS and private providers and other groups. It considers the impact of cuts in local authority spending on social care providers and on older people, their families and carers. The research findings are reported in five sections: views of local authorities about the scale and nature of the savings and perceptions of the future; views of social care providers, including residential, home care and voluntary sector organisations about the impact of local authority budget pressures; the views of interviewees about the impact on older people, their families and carers; the view from the NHS on the experience of managing rising pressures from older patients; and the impact of national and local strategies to improve care and support for older people, such as Care Act 2014, integration, and the Better Care Fund. The report finds that social care for older people is under huge pressure, with increasing numbers of people are not receiving the help they need; social care providers are struggling to retain staff, maintain quality and stay in business; under-investment in primary and community NHS services is undermining the policy objective of keeping people independent and out of residential care; and funding has not kept pace with the new demands created by the Care Act 2014. The report makes recommendations to address three major challenges in adult social care, which are, to: achieve more with fewer resources, for example, through better commissioning and integrated care; establish a more explicit policy framework, which makes it clear that primary responsibility for funding care sits with individuals and families; and reform the long-term funding of social care because reliance on additional private funding is unlikely to be sufficient or equitable. (Edited publisher abstract)