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Top tips from local authorities who have developed strategies to help older people to access direct payments
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2009
- Pagination:
- 7p.
- Place of publication:
- London
Two case studies are provided from local authorities to illustrate the approaches they have used to increase the uptake of direct payments. Each case study provides a top tip, a detailed explanation of the approach taken and contact details for further information. The two case studies cover: Mainstreaming direct payments from Cornwall County Council and offering direct payments for older people as a first option from Sefton Metropolitan Borough Council.
Where the poor law lives on
- Authors:
- IVORY Mark, GILLEN Sally
- Journal article citation:
- Community Care, 19.07.07, 2007, pp.26-28.
- Publisher:
- Reed Business Information
Changing eligibility criteria have made it more difficult for older people to access care services. The authors examine the extent of the problem and also look at possible solutions that developments in telecare and the personalisation of services. The article also contains a short case study.
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)
Equipment provision by local authority occupational therapy teams using the Fair Access to Care Services eligibility framework: a vignette and interview study
- Authors:
- SACKLEY Catherine, LETT Karen, LITTLECHILD Rosemary
- Journal article citation:
- British Journal of Occupational Therapy, 72(6), June 2009, pp.259-265.
- Publisher:
- Sage
In April 2003, the first national eligibility framework for adult services, Fair Access to Care Services (FACS), was implemented by local authorities in England. The intention was to ensure equity in the provision of adaptive equipment. This study examined how the criteria were being used by local authority occupational therapy teams and if equity was being achieved. Five vignettes or hypothetical case histories were used to capture the experiences of a purposefully selected group of 12 employees from three local authority occupational therapy teams in the Midlands. Semi-structured interviews were then conducted to explore the themes raised by responses to the vignettes. Interviews were recorded and transcribed. Thematic analysis was independently conducted by two of the authors. There are inconsistencies in the access to services and the use of eligibility criteria, particularly at the point of entry to the service and for those people who are classified as having 'low' level needs. However, there is consistency within professional practice and evidence that staff prioritise client need. The implementation of FACS has been inconsistent and has not resulted in equity of provision. Some occupational therapy staff appear to prioritise the needs of clients above organisational policies.
Implementing an extra care housing strategy in Oxfordshire: delivering system change
- Author:
- COOPER Martin
- Publisher:
- Care Services Improvement Partnership. Housing Learning and Improvement Network
- Publication year:
- 2008
- Pagination:
- 9p.
- Place of publication:
- London
This case study offers an overview of Oxfordshire County Council's experience in putting their Extra Care Housing Strategy into practice, drawing on interviews with key Council players and their partners.
Assessment and services from your local council
- Author:
- COUNSEL AND CARE
- Publisher:
- Counsel and Care
- Publication year:
- 2009
- Pagination:
- 28p.
- Place of publication:
- London
User-friendly factsheet intended for enquirers, and directly relevant to older people, their families and carers. This item deals with assessment and services from local councils.
The great home care divide
- Author:
- TICKLE Louise
- Journal article citation:
- Community Care, 19.04.07, 2007, pp.28-29.
- Publisher:
- Reed Business Information
The author looks at why domiciliary care in some areas can be free and easily accessible while in others it is costly and restricted.
Care contradictions: higher charges and fewer services: Counsel and Care’s national survey of local authority care charging and eligibility criteria 2006
- Author:
- COUNSEL AND CARE
- Publisher:
- Counsel and Care
- Publication year:
- 2006
- Pagination:
- 12p.
- Place of publication:
- London
A national survey of local authorities conducted by Counsel and Care has revealed that older people who need social care services are subjected to a triple lottery based on where they live; how their local authority applies the eligibility criteria for care services; and the charging policy of their local authority. The National Survey of Local Authority Care Charging and Eligibility Criteria 2006 shows that it is very difficult for older people to access support in the community, unless their needs are very high. Two-thirds of all local authorities surveyed have set their criteria at the top two levels of substantial or critical need, indicating that there are many people whose needs fall below this level and are not being met by social care services.
What price care in old age?: three years on from SPAIN’s underfunding of social care paper, what has changed?
- Author:
- AGE CONCERN
- Publisher:
- Age Concern
- Publication year:
- 2005
- Place of publication:
- London
The report exposes the budget rationing and age discrimination that continues to starve older people of the care they need. Though older people make up 62% of social services’ clients, they only see 47% of the budget because funds are ‘creamed off’ to pay for other adults’ services. And local authorities are still paying lower rates for older people’s residential care than for other groups – in 2004 local authorities were only prepared to pay an average of £377 for older people, while younger adults were offered £447 to £734. Funding shortages mean that crucial services for older people are being cut or diminished. Cleaning and housework services, respite, transport and mobility aids can make or break an older person’s independence, but these are being severed across the country. The number of households receiving home care has gone down by a quarter since 1997. Home care services and mobility equipment are crucial for helping to prevent older people from needing expensive hospital stays or moving into a care home. For the want of a grab rail costing around £25 or a ramp costing £150 ramp, an older person may suffer falls that require a stay on an acute ward costing approximately £1,285.
Making direct payments work for older people
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2004
- Pagination:
- 4p.
- Place of publication:
- York
The scope of the Community Care (Direct Payments) Act was extended to older people in February 2000. However, scepticism remains about older people's desire and ability to use direct payments. A new study examined the way older people use direct payments, how they make them work, and the role of local authority care managers and direct payments support services in making direct payments a real option for older people. The research was conducted in three local authority areas in England.