Search results for ‘Subject term:"older people"’ Sort:
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Focus on: Social care for older people: reductions in adult social services for older people in England
- Authors:
- ISMAIL Sharif, et al, QUALITYWATCH
- Publishers:
- QualityWatch, Health Foundation, Nuffield Trust
- Publication year:
- 2014
- Pagination:
- 46
- Place of publication:
- London
Local authorities are responsible for providing support for eligible older adults needing help with daily living activities, either in the home or in care institutions. However, most local authorities are tightly rationing social care for the over-65s in response to budget cuts, resulting in significant drops in the number of people receiving services like home-delivered meals and day care. This report asks how local authorities have responded to this decline in income and explores the possible impact on older adults’ health and wellbeing. It outlines trends in social care provision and informal care before 2010, and finds that budget allocations from central Government to English local authorities were reduced by 14% in real terms between 2011/12 and 2014/15. It examines the impact of budget cuts on spending on adult social services since 2010, and how this has affected access to and volume of services, based on analysis of datasets for local authorities in England. The potential impact of reductions in spending and services on older people’s wellbeing and the possible effects on health services are discussed. (Edited publisher abstract)
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.
The relationship between social care resources and healthcare utilisation by older people in England: an exploratory investigation
- Authors:
- PACE Maria Lucia, et al
- Publisher:
- University of York. Centre for Health Economics
- Publication year:
- 2020
- Pagination:
- 37
- Place of publication:
- York
Background: Since 2010, adult social care spending has fallen significantly in real terms whilst demand has risen. Reductions in local authority (LA) budgets are expected to have had spill over effects on the demand for healthcare in the English NHS. Motivation: If older people, including those with dementia, have unmet needs for social care, their use of healthcare may increase. Methods: We assembled a panel dataset of 150 LAs, aggregating individual-level data where appropriate. We tested the impact of changes in LA social care resources, which was measured in two ways: expenditure and workforce. The effects on people aged 65+ were assessed on five outcomes: 1. Rates of emergency hospital admissions for falls in people with dementia aged 65 and over; 2. Rates of emergency hospital admissions for fractured neck of femur in people 65 and over; 3. Extended length of stay in people with dementia, 7 days and over; 4. Extended length of stay in people with dementia, 21 days and over; 5. Rates of NHS Continuing Healthcare (NHS CHC). Conclusions: The study found no consistent evidence that reductions in social care budgets led to the expected rises in hospital admissions, hospital stays or uptake of NHS CHC. However, findings suggest that public sector staff providing direct social care, particularly professional staff, may be instrumental in facilitating access to NHS CHC. In addition, the study found tentative evidence that extended hospital stays are partially offset by social care provision by the independent sector and by unpaid carers providing intensive care. To test the validity and robustness of these findings, future research using linked individual-level health and social care data is needed. (Edited publisher abstract)
Care in places: inequalities in local authority adult social care spending power
- Authors:
- INTERNATIONAL LONGEVITY CENTRE UK, HOLDEN Dan
- Publishers:
- International Longevity Centre UK, Salvation Army
- Publication year:
- 2019
- Pagination:
- 28
- Place of publication:
- London
This report, commissioned by the Salvation Army, explores local level inequalities in adult social care. It focuses on how the current system of devolved funding arrangement works in practice and considers the extent to which it is an effective way of matching funding to need for care at a local level. It shows that the main ways local authorities fund adult social care is through a mixture of money taken from business rates, council tax and money provided by central Government. It highlights significant inequalities in local authorities’ capacity to fund the social care their older residents need. Key finding show that county councils tend to be in a worse position than unitary authorities in terms of their ability to fund the social care their residents need; and that smaller, post-industrial towns and cities fare worse in terms of their ability to spend on social care than larger urban centres. It highlights the need to look at the mechanisms for funding care at the local level as part of the debate on the future of social care. (Edited publisher abstract)
Personal social services: expenditure and unit costs, England: 2013-14, final release
- Author:
- HEALTH AND SOCIAL CARE INFORMATION CENTRE. Adult Social Care Statistics
- Publisher:
- Health and Social Care Information Centre
- Publication year:
- 2014
- Pagination:
- 53
- Place of publication:
- London
This summary provides information about the money spent on adult social care by the social services departments of councils with adult social services responsibilities (CASSRs) in England. It contains information taken from CASSR administrative systems used to record personal social services expenditure and income. Gross current expenditure by CASSRs on adult social care in England in 2013-14 was £17.2 billion. This represents an increase of half of one per cent in cash terms from 2012-13, which is the equivalent of a one per cent decrease in real terms. Over the five year period from 2008-09, there has been a decrease of three per cent in real terms. 51 per cent (£8.8 billion) of expenditure in 2013-14 was on older people (those aged 65 and over), compared to 52 per cent in 2012-13. The average cost per adult aged 18 and over supported in residential care, nursing care or intensively in their own home was £597 per week in 2013-14, compared to the real term figure of £613 in 2012-13; a three per cent decrease in real terms and one per cent in cash terms. (Edited publisher abstract)
Tracking your preventative spend: a step-by-step guide
- Author:
- WILKES Laura
- Publisher:
- Local Government Information Unit
- Publication year:
- 2013
- Pagination:
- 28
- Place of publication:
- London
This toolkit helps councils to have a clearer understanding of how much of their budget is spent on prevention, how this contributes to the delivery of outcomes and what this means for increasing their activity towards early action programmes. It sets out the five steps to mapping and analysing spend: establishing a project sponsor and steering group; identifying and agreeing aims, objectives and scope of the project; understanding the outcome; mapping preventative services for the chosen outcome; and analysing and mapping budgets. It covers the practical steps taken and the outputs and challenges of each step. The toolkit draws on work carried out by the British Red Cross with the LGiU and Mears to support Camden Council to track their preventative spend against one of the council’s key outcomes from the Adult Social Care Outcomes Framework: to keep older people living independently for longer. The toolkit provides a useful resource for councils, health and wellbeing boards and clinical commissioning groups. (Edited publisher abstract)
2010/11 national survey of investment in mental health services for older people
- Author:
- MENTAL HEALTH STRATEGIES
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2011
- Pagination:
- 43p.
- Place of publication:
- London
This report provides details of the level of investment in mental health services for older people’s mental health services (OPMH) covering people aged 65 and above, in England for 2010/11 and compares it with the reported results in previous in OPMH in England since 2006/07. Analysis is provided for England as a whole and also for geographical regions. The report notes that local authorities (LA’s) experience greater difficulty in separating out mental health from their more general social care investment, so figures may not be as accurate as those from NHS organisations. Based on the reported information real term investment has increased 35.5% since 2006/07 and 3.8% since 2009/10. Although differences in the English average of expenditure may be narrowing there are still inequalities in expenditure per head. Commissioners must reduce health inequalities, improve services and ensure value for money.
From social security to community care: the impact of the transfer of funding on local authorities; fourth quarter 1993/94 and full year report 1993/94
- Authors:
- KENNY Doreen, EDWARDS Phillip
- Publisher:
- Local Government Management Board
- Publication year:
- 1994
- Pagination:
- 44p.,diags.,tables.
- Place of publication:
- Luton
Report on a monitoring exercise of the transfer of funding packages for residential care from the Department of Social Security to local authorities. The study aimed to establish the basic patterns of spending and admissions arising from the transfer from the transfer of responsibilities; and to gather a body of data that would inform negotiations with central government on personal social services expenditure.
Care and care homes in the 1990's: an analysis of trends and costs
- Authors:
- BAKER Peter, DILWORTH Julia, KENNY Doreen
- Publisher:
- London Research Centre
- Publication year:
- 1990
- Pagination:
- 85p., tables, bibliog.
- Place of publication:
- London
Research covering a cross-section of local authorities in England.
Supporting vulnerable and older people: the Supporting People programme; tenth report of the session 2003-04; report together with formal minutes, oral and written evidence
- Author:
- GREAT BRITAIN. Parliament. House of Commons. Office of the Deputy Prime Minister. Housing, Planning, Local Government and the Regions Committee
- Publisher:
- Stationery Office
- Publication year:
- 2004
- Pagination:
- 20p.
- Place of publication:
- London
This report examines aspects of the Government’s Supporting People Programme, which began in April 2003. The programme was independently reviewed by Eugene Sullivan of RSM Robson Rhodes less than one year after its launch. This review, coupled with some concerns expressed by the Hanover Housing Group, resulted in the Urban Affairs Sub-Committee announcing an evidence session in February 2004, with a view to exploring the following issues: the reasons behind the commissioning of a review less than one year after the programme had been launched; the effects of capital and revenue funding streams operating in silos; the allocation of funding to Home Improvement Agencies; and the significance of the transfer of administrative responsibility for the programme within ODPM. On 30 March 2004, the Committee took oral evidence from the National Housing Federation, Foundations, Hanover Housing Association, London Borough of Hammersmith and Fulham, Women’s Aid Federation of England, Derbyshire County Council and Yvette Cooper MP, Parliamentary Under-Secretary of State at ODPM. Supplementary written evidence was also supplied by the National Housing Federation, Foundations and Hanover Housing Association. Since the March 2004 oral evidence session, things have of course moved on, in reaction to the Robson Rhodes report and in preparation for the 2004 Spending Review. In this report, the Committee reflects on the findings of the Review report and looks ahead to the future of the programme.