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Recent trends in life expectancy at older ages: update to 2014
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2016
- Pagination:
- 29
- Place of publication:
- London
A summary of recent trends in life expectancy among those aged 65 and over in England, in the English regions and local authorities. The report shows that the overall upward trend in life expectancy at all older ages continues. Life expectancy at older ages in England is now the highest on record for all the age and sex groups studied, except for females aged 85, for whom it is the same as it was in 2011. The report shows however, that despite this overall picture of improvement, calculated life expectancy for older people in some parts of the country did not increase or fell. At English local authority level there are significant variations in the trend in life expectancy at older age for which there is no apparent explanation. The report also includes trends in life expectancy in the European Union. (Edited publisher abstract)
Age UK loneliness heat map
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2016
- Place of publication:
- London
Interactive heat map which shows the relative risk of loneliness for older people (aged 65+) across 32,844 neighbourhoods within local authority areas in England. The relative risk of loneliness has been calculated based on the Census 2011 figures for the factors: marital status, self-reported health status, age and household size. It can be used alongside local knowledge and an understanding of local neighbourhoods to help improve the allocation of limited resources to reduce loneliness across a geographic area and help understand whether existing services are reaching areas of need. (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)
Community care statistics, social services activity, England, 2015-16
- Author:
- NHS DIGITAL
- Publisher:
- NHS Digital
- Publication year:
- 2016
- Pagination:
- 21
- Place of publication:
- Leeds
This is a report on the social care activity of Councils with Adult Social Services Responsibilities (CASSRs) in England between 1st April 2015 and 31st March 2016. It contains aggregate information mainly taken from council administrative systems used to record the process of assessing eligibility to state funded social care and providing services where people are eligible. This is the second year of the SALT (Short and Long Term) collection and councils were provided with the opportunity to revise their 2014-15 data; as such, some data has been updated from last year. The report shows that there were 1,811,000 requests for support from new clients, which had reached the stage of having a known outcome to that request during the reporting period. 28 per cent of these were from clients aged 18-64, with the remaining 72 per cent from clients aged 65 and over. There were 245,000 completed instances of Short Term Support to Maximise Independence, for new and existing clients during the reporting period. There were 873,000 clients receiving long term support during the reporting period. The report also reveals that there were 387,000 carers in contact with the council, of whom 314,000 (81 per cent) received direct support. There were also 57,000 instances of respite or other support delivered to the cared-for person. A third of carers in contact with the council (131,000) did not receive a review or assessment during the year. Over half the carers in contact with the council (53 per cent) are aged 18-64 and nine per cent (35,000 carers) are aged over 85. (Edited publisher abstract)
Attendance allowance and local government: examining the evidence and the options
- Author:
- LLOYD James
- Publisher:
- Strategic Society Centre
- Publication year:
- 2016
- Pagination:
- 36
- Place of publication:
- London
Explores the government’s proposal to transfer Attendance Allowance (AA) from the Department for Work and Pensions (DWP) to local authorities, as part of its plans to reform local government financing and give councils new spending responsibilities. It describes the operation of the AA system, its recipients and take-up and compares the AA and adult social care systems in England. It then examines evidence on the costs of living with a disability for older people and to what extent the AA and social care system meets these additional costs. The final chapter identifies and evaluates options for the government in transferring AA to local government in England and Wales. Options examined are: transfer AA spending to the local authority adult social care system; administration of AA system by local authorities; and a new universal, disability-related cash payment for older people paid by local authorities. The report concludes with key messages for policy makers and social care stakeholders. These include the importance of understanding the population group that receives AA - who are typically older, poorer, live alone, and with substantial levels of disability - and a recognition of potential additional costs for local authorities following any transfer due to the likelihood of increased demand for adult social care. (Edited publisher abstract)
Scrutinising changes to community services: guidance for local authorities
- Author:
- OLDER PEOPLE'S COMMISSIONER FOR WALES
- Publisher:
- Older People's Commissioner for Wales
- Publication year:
- 2016
- Pagination:
- 25
- Place of publication:
- Cardiff
This guidance is designed to ensure that robust Equality and Human Rights Impact Assessments (EHRIAs) are undertaken when changes to community services are proposed, essential to ensure that there is not a disproportionate impact upon older people and that alternative approaches are considered. Non-statutory community services such as day centres, public toilets, libraries and transport are as important to older people’s health, independence and wellbeing as statutory health and social care services but are at risk due to reductions in public spending. Part 1 examines the importance of current Equality Impact Assessments and promotes the need to use Equality and Human Rights Impact Assessments (EHRIAs) when changes to community services are being considered. Part 2 examines the crucial role of scrutiny around changes to community services and is targeted towards elected members and officers in local government. The aim is to improve the quality of scrutiny and ensure that the impact of closing down or reducing the provision of a community service on older people is thoroughly and rigorously analysed and considered. (Edited publisher abstract)
Combating loneliness: a guide for local authorities
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2016
- Pagination:
- 32
- Place of publication:
- London
Building on the latest evidence, this guide sets out a range of actions for effectively combating loneliness, focusing on older people. Loneliness is a significant and growing issue for many older people and its impacts are devastating and costly – with comparable health impacts to smoking and obesity. The report suggests that effective action to combat loneliness is best delivered in partnership and should take place in the context of a wider strategy to promote older people’s wellbeing. Key recommendations for action include: consider ‘addressing loneliness’ as an outcome measure of council strategies; work at the neighbourhood level, to understand and build on existing community capacity and assets; recognise and respond to individual needs and circumstances by both making sure general services are geared up to meet the needs of those who are lonely, as well as providing specific interventions as required; pooling resources and intelligence across organisations and developing new partnerships may increase the benefits for those who are hard to reach or isolated. (Edited publisher abstract)
Loneliness and isolation: guidance for local authorities and commissioners
- Author:
- CAMPAIGN TO END LONELINESS
- Publisher:
- Campaign to End Loneliness
- Publication year:
- 2016
- Place of publication:
- London
An online resource providing guidance for adult social care, clinical commissioning groups and public health teams on addressing loneliness and social isolation in older people. The resource explains why local authorities should take a strategic approach to addressing loneliness in their local areas, and outlines the four steps they should take: gathering information, developing a strategy, strengthening partnerships and evaluation. It also provides a Loneliness framework which sets out the interventions needed in a local area to support older people experiencing, or at risk of experiencing, loneliness. The framework covers four distinct categories of intervention: foundation services, direct interventions, gateway services, and structural enablers. The resource also includes information on relevant legislation and policy initiatives in England that are relevant to addressing loneliness and isolation and details of resources can be used to evaluate the effectiveness of services on loneliness in older age. Links to useful resources and case studies and included throughout. (Edited publisher abstract)
Review of delayed transfers of care: Cardiff and Vale Health and Social Care Community
- Author:
- AUDITOR GENERAL FOR WALES
- Publisher:
- Wales Audit Office
- Publication year:
- 2016
- Pagination:
- 34
- Place of publication:
- Cardiff
A review of Cardiff and Vale Integrated Health and Social Care (IHSC) partnership (the Partnership), carried out between March and June 2016, to assess ambitious whether their plans to integrate health and social care services have led to improvements in levels of delayed transfers of care from hospital. The review found that the independence of older people is being prioritised through joint working and the implementation of an integrated service model. It also found good use of the intermediate care fund, but highlights that there are no contingency plans in place if the fund was to stop. It also found that partners had develop a strong governance, performance monitoring and evaluation arrangements. Although delayed transfers of care remain the second highest in Wales, performance is steadily improving. The report concludes that partners are working well together to manage delayed transfers of care, whilst realising their plans for a whole systems model. The report makes two recommendations. The appendices includes four good practice case studies of initiatives that other health and social care services in England and Wales are using to reduce delayed transfers of care. (Edited publisher abstract)
Older people’s care survey
- Author:
- CAMERON Gordon
- Publisher:
- Family and Childcare Trust
- Publication year:
- 2016
- Pagination:
- 30
- Place of publication:
- London
Reports on a survey of all local authorities and Health and Social Care Trusts in the UK carried out by The Family and Childcare Trust to find out about social care services for older people across the UK. The survey asked whether there was enough provision available, how much residential and home care cost for the people who received it, and local authorities knowledge of the care market in their area. The survey received 182 responses out of 211 local authorities and Trusts, giving an overall response rate of 86 per cent. The results found that only one in five funding authorities reported having enough older people’s care in their area to meet demand. It also identified wide regional variation in availability of care services and in the types of services which have problems meeting demand. While 84 per cent of respondents in the UK said they had enough availability for care home places, that figure falls to 48 per cent for home care, and 32 per cent for nursing homes with specialist dementia support. It also found that although local authorities held good information on the costs they were paying for older people’s care, they had less information on fees for self-funders. The report highlights both the issues facing local authorities in delivering care for older people and how older people and their families face can struggle to get the care they need at a price they can afford. The report makes a number of recommendations including for Government to provide funding to support upstream intervention services, such as at home care, and extra care home schemes and for local authorities to provide up to date information for families about social care in their area, including information about the cost of fees. (Edited publisher abstract)