Search results for ‘Subject term:"older people"’ Sort:
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Is social exclusion still important for older people?
- Author:
- KNEALE Dylan
- Publisher:
- Age UK
- Publication year:
- 2012
- Pagination:
- 124p.
- Place of publication:
- London
Social exclusion among older people has received little attention, despite the fact that older people are at high risk of social isolation and loneliness, as well as exhibiting substantial inequalities in income and housing. The study analysed data from the English Longitudinal Study of Ageing (ELSA), collected in 2002 and 2008, to examine how patterns of social exclusion have changed. Social exclusion was measured across 7 domains including exclusion from social relationships, local amenities, financial products, civic activities and access to information, decent housing and public transport, cultural activities, and common consumer goods. The report discusses: how social exclusion can be measured among older people; factors associated with the risk of being socially excluded in 2008; how exclusion status changes over time for individuals; and the impact social exclusion has on people’s lives. The findings show that levels of social exclusion rose slightly between 2002 and 2008 among people aged 50 and above. In 2002, 54.4% were not excluded on any domain, reducing to 52.3% in 2008. The report highlights how an older person’s demographic, socioeconomic and health characteristics are associated with whether or not they are socially excluded. The policy implications of these findings are discussed.
Caps, opt-ins, opt outs: is England making progress in reforming care funding?
- Author:
- LLOYD James
- Publisher:
- Strategic Society Centre
- Publication year:
- 2012
- Pagination:
- 24p.
- Place of publication:
- London
This discussion paper provides a response to the government's recent progress report on care funding. The government’s report ‘Caring for our future: progress report on funding reform’, July 2012, set out the government's response to the recommendations of the Commission on Funding of Care and Support. In this document, the government accepts as the basis for reform the principle put forward by the Commission of financial protection through capped costs and an extended means test, but reveals that it will not make a decision on the capped cost model until the next Spending Review expected in late 2013. This response paper argues that the government's progress report effectively acknowledges that care funding reform could proceed on a cost-neutral basis for the Treasury, and not interfere with the government's deficit reduction strategy. However, the government fails to set out any of the options for paying for care funding reform and does not seek to use its report to inform a wider debate on this issue. This discussion paper suggests that progress toward care funding reform may occur in several ways: public acceptance of the difficult tax and spending decisions required to make the capped cost model cost-neutral for the Treasury; the implementation of a low-cost capped cost model; or the creation of a voluntary capped cost state-sponsored insurance scheme that becomes mandatory over time.
The case for tomorrow facing the beyond: a joint discussion document on the future of services for older people
- Author:
- ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2012
- Pagination:
- 24p.
- Place of publication:
- London
This policy statement is one of two linked documents produced by the Association of Directors of Adult Social Services (ADASS). This second document outlines the key areas for future development of policy and practice with regard to older people across public care. It draws on a review of evidence and policy, the experience of Directors of Adult Social Services in their day to day contact with service users, carers and providers across England, and consultation with colleagues in related disciplines. ADASS has been supported by the Institute of Public Care at Oxford Brookes University. This paper begins with a brief review of progress, before exploring future challenges and identifying what is needed to achieve better services for older people. Actions that Government and partners need to take to get there are offered, and these summarised in a final action list. The list includes helping to change assumptions about old age, incentivise community services, reduce barriers to integration, make sure choice and control work, protect quality and supply in the market, and help to invest in more social care.
Making it work for us: a residents' inquiry into sheltered and retirement housing
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2012
- Pagination:
- 60p.
- Place of publication:
- London
This report is designed to encourage wider policy engagement with older residents on the management and future delivery of sheltered and retirement housing in England. It sets out issues for providers, commissioners, policymakers and central government, from a resident’s perspective. It seeks to support the development of a coherent, balanced national strategy on retirement housing, where older people have real influence. The panel of residents, who reviewed the situation for England, concluded that we need greater investment in affordable, attractive housing options – integrated with housing support services and in the right locations. The panel believes that progress towards this goal is being impeded by a range of factors, identified during the inquiry and set out in this report.
Assistive technology as a means of supporting people with dementia: a review
- Authors:
- BONNER Steve, IDRIS Tahir
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2012
- Pagination:
- 18p.
- Place of publication:
- London
Awareness of Assistive Technology (AT) products, devices and solutions available is still sketchy and variable around the UK. There is almost a ‘postcode lottery’ relating to the quality of AT solutions available to people with dementia due to the varying approaches taken around the country. This paper reviews the current policy and practice in relation to AT supporting people to live well with dementia, including different housing settings and rounding off with some good practice case studies which highlight the wide array of technology solutions available. Included in this review are: a brief summary of different types of AT; a review of policy initiatives, including legislation, which have attempted to encourage the greater use of AT; ethical considerations; current practice by major housing providers; good practice examples; and people with dementia’s experience.
On becoming a co-operative: the journey
- Author:
- EASTMAN Mervyn
- Journal article citation:
- Working with Older People, 16(2), 2012, pp.78-87.
- Publisher:
- Emerald
Change AGEnts is the legacy organisation that came out of the Better Government for Older People's Programme, 1998-2009. The journey from a government sponsored initiative to an independent co-operative illustrates the opportunities and challenges inherent in taking forward the coalition's present policy intentions of promoting co-ownership of services, localism and building co-operative communities. This paper examines the role that the co-operative sector can play in responding to the needs and aspirations of older people. In addition, through recounting the Change AGEnts co-operative journey, it seeks to demonstrate that co-operative principles have the potential to reconfigure services and change the existing negative narrative on which much public sector commissioning and provision is based. The author concluded that the experience of forming a co-operative and becoming part of the co-operative movement, has the potential to completely change the relationship between older people and the state.
CARDI: a model for working across disciplines, sectors and borders
- Author:
- O'SULLIVAN Roger
- Journal article citation:
- Quality in Ageing and Older Adults, 13(1), 2012, pp.6-15.
- Publisher:
- Emerald
The Centre for Ageing Research and Development (CARDI) was established in Ireland in 2007 to share information across all of Ireland. This article charts the organisation's development and focuses on the development and learning from its grants programme, established to support ageing research in Ireland, north and south. CARDI has promoted and helped support the development of a community of researchers on ageing across Ireland via its grants programme, networking events and communication's strategy. There is growing momentum, interest and potential in an all-Ireland approach to research on ageing and older people. The paper also explores the development of ageing research in Ireland, illustrating how it is of benefit to researchers, policy makers and older people.
From family to personal responsibility: the challenges for care of the elderly in England
- Author:
- STEWART Ann
- Journal article citation:
- Journal of Social Welfare and Family Law, 34(2), 2012, pp.179-196.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The aim of this paper is to discuss recent legal and policy developments in relation to the provision of adult social care in England. In particular it considers the Law Commission's 2011 proposals and the recommendations from the Dilnot Enquiry in 2011. Both proposals seek to allocate the responsibilities for and risks of caring more coherently and explicitly than at present. This paper reflects on the ways in which responsibilities in relation to caring among and for older citizens are understood and distributed within the present system of social care in order to draw out the implications for these proposals. It highlights the challenges raised by demographic changes that result from an increasingly ageing society and the assumption that women will continue to undertake unpaid care although they are now substantially engaged in paid labour markets. It considers more broadly the extent to which the impact of caring particularly for the elderly is recognised within family, labour and social welfare law. It reviews the growing policy assumption that individuals are expected to plan for their own care in later life and that their needs will be met through the exercise of individual choice in a care market. It concludes by providing suggestions for the way ahead.
Progress in personalisation for people with dementia
- Authors:
- ADAMS Trevor, ROUTLEDGE Martin, SANDERSON Helen
- Publisher:
- Helen Sanderson Associates
- Publication year:
- 2012
- Pagination:
- 40p.
- Place of publication:
- London
Today, the dominant approach in services to people with dementia is person centred care, developed in the 1980s. Since then, person centred care has changed the way people with dementia are seen and addressed, and has given rise to a dramatic increase in the quality of care. This paper examines personalisation and describes how it builds on and extends person centred care. It reviews recent ideas about personhood within person centred care and highlights the increasing recognition that people with dementia have agency. The paper argues that developing services that support agency and self-direction is central to personalisation, and extends person centred care. It outlines the progress that has been made towards the implementation of personalisation, which has been a key feature of government policy since 2007.
Integrated care for older people in Europe: latest trends and perceptions
- Author:
- LEICHSENRING Kai
- Journal article citation:
- International Journal of Integrated Care, 12(1), 2012, Online only
- Publisher:
- International Foundation for Integrated Care
This perspectives paper reflects upon the authors experience in researching long-term care, the rationale for creating integrated long-term care systems, and discusses some innovations. As a researcher and consultant he has coordinated local pilots and European research projects to improve long-term care for older people by better integrating health and social care systems. One of his main conclusions is the need to treat long-term care as a system in its own right. It is suggested that long-term care systems require a discernable identity; specific policies, structures, processes and pathways; and the leadership and resources that can underpin expectations, drive performance for better outcomes for those living with (and working for those with) long-term care needs. The author notes that progress in developing LTC systems can be identified in all European countries. Integrated care solutions at the interface of health and social care, and between formal and informal care, have appeared. He notes that these have been achieved partly by means of (slow) political reforms, partly as a response to market-oriented governance, and in many cases through pioneering community and civil society initiatives. The paper concludes that it will depend on such initiatives, and their ability to convince both citizens and policy-makers, as to whether new societal approaches to long-term care are created that meet the demands of ageing societies.