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Short changed: the Care Bill, top-ups and the emerging crisis in residential care funding
- Authors:
- LLOYD James, INDEPENDENT AGE
- Publisher:
- Independent Age
- Publication year:
- 2013
- Pagination:
- 28
- Place of publication:
- London
In England, more than 350,000 older people live in residential care, of whom 175,000 are ‘self-funders’ who pay for their residential care fees themselves, 143,000 have their residential care fees are paid by their council, and 56,000 ‘top-up’ the local authority funding they receive via so-called ‘third party payments. This report sets out the context for the government reforms to social care by reviewing key aspects of the current residential care market in England, including the growing use of ‘third party’ top-ups. It identifies those aspects of the Care Bill and the government’s ‘capped cost’ reforms to care funding in England that will have significant implications for the operation of ‘top-up’ payments. It explores the consequences of the new category of top-up payments - ‘self-funder top-ups’ - that will emerge following the 2016 reforms to care funding in England, and the rules that should be applied to them. It makes recommendations to policymakers that existing rules on top-ups must be properly applied, and must also be applied to the new category of ‘self-funder top-ups’ from 2016 when the Care Bill reforms are due to take effect. Applying these rules will have budgetary implications for local authorities and care providers, in light of which the Government must review public spending accordingly. (Edited publisher abstract)
Delivering lifetime homes, lifetime neighbourhoods: a national strategy for housing in an ageing society
- Author:
- GREAT BRITAIN. Department for Communities and Local Government
- Publisher:
- Great Britain. Department for Communities and Local Government
- Publication year:
- 2008
- Pagination:
- 36p.
- Place of publication:
- London
Provides an update on progress of the Government strategy 'Lifetime Homes, Lifetime Neighbourhoods' and outlines the next steps on delivery. It includes outlines of the roles of the different partners in delivery.
Supply-side review of the UK specialist housing market and why it is failing older people
- Author:
- HARDING Andrew J.E.
- Journal article citation:
- Housing Care and Support, 21(2), 2018, pp.41-50.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to provide a supply-side review of policies and practices that impact on the shortage of supply in the contemporary specialist housing market for older people in the UK. Design/methodology/approach: The review is based on a review of academic literature, policy documents, reports and other sources. Findings: There is a critical conflict between the key social purpose of specialist housing (i.e. living independent of socially provided care) and the values that underpin and ultimately limit the quantity of units in both the social and private sector. In the social sector, government policies prohibit rather than encourage local authorities and housing associations from increasing specialist housing stock. The nature of leasehold tenures in the private sector tends to commodify not only housing stock but also those who use it and therefore acts to instrumentalise housing supply in favour of the profit motive and the focus on the person and her or his needs is largely ignored. Originality/value: While the shortage of specialist housing is well known, this paper is unique in that it provides a comprehensive and critical supply-side review of the factors that have created such conditions. (Publisher abstract)
Implementing Dilnot: just more data or a driver for change? The care funding reforms and initial consultations with IT suppliers
- Author:
- ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES. Information Management Group
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2013
- Pagination:
- 28
- Place of publication:
- London
The Association of Directors of Adult Social Services (ADASS) calls on government to clarify the situation concerning the rights of care home residents to use online forms on council websites, to see if they qualify for the care accounts being introduced as part of the new Dilnot arrangements for funding social care. This report notes that an estimated additional 0.5 million (mainly older) people will be contacting councils from 2016 for help with their care costs, because of the "Dilnot Cap” on total lifetime costs that anyone will have to pay out of their own pocket. From April 2015, all local authorities will be required to offer deferred payments for care costs. so that no-one will be obliged to sell their home during their lifetime to pay for their residential care .The report found that with one exception, all IT suppliers were at a very early stage of considering the implications of the care funding reforms on their systems. While existing computer systems can be enhanced relatively easily to support the new data requirements, a simple enhancement could miss an opportunity radically to improve local authority computer systems for greater efficiency. The report recommends that: the Department of Health clarify the legal admissibility of online `pre-assessments’; ADASS, with the Local Government Association should recommend processes for handling additional self-funder caseload more efficiently, including an online self-service option; ADASS Information Management Group should assess options for electronic transfer of data; and ADASS IMG should carry out cost-benefit analysis of options for local authorities to obtain verified NHS numbers, (Edited publisher abstract)
The tartan road: the Scottish route to health and social care integration
- Author:
- PETCH Alison
- Journal article citation:
- Journal of Care Services Management, 6(1), 2012, pp.16-25.
- Publisher:
- Taylor and Francis
Plans for health and social care integration in Scotland were announced in December 2011. Under the proposals the existing community health partnerships are to be replaced by health and social care partnerships which will be the joint and equal responsibility of the NHS and the local authority in each area. The partnerships are intended to deliver integrated care and support in the community, with an initial focus on services for older people. This article explores the proposals in the context of earlier developments in Scotland, the evidence on effective models for integrated working, and the existing community health partnerships. It draws on the findings of an evidence review commissioned from the author by the Scottish Association of Directors of Social Work. It also looks at the Reshaping Care for Older People programme launched in 2011, and the work of the community health partnerships. The article notes the 7 proposed health and care integration outcomes set out in the formal consultation on the integration proposals, and identifies and discusses factors most likely to lead to successful implementation of the proposals.
Achieving age equality in Welsh health and social care services
- Authors:
- MORGAN Gareth, et al
- Journal article citation:
- Generations Review, 22(4), October 2012, Online only
- Publisher:
- British Society of Gerontology
Briefly reports on the findings of a scoping exercise which gathered the views of professionals in 7 Welsh Health Boards, 22 Local Authority and 27 other organisations on their awareness of, and attitudes to, UK government age equality legislation. Questions included whether this would have a direct impact on respondents own job/role; whether the organisations were ready to implement this legislation; barriers to implementation, and whether the legislative framework will have an impact on attitudes and behaviours to ageing.
Telecare to 2012: an action plan for Scotland
- Author:
- JOINT IMPROVEMENT TEAM
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2011
- Pagination:
- 24p.
- Place of publication:
- Edinburgh
This Action Plan has been developed by the national Telecare Programme Board and builds directly upon the 2008-10 Telecare Strategy. It provides continuing strategic direction and support for Local Partnerships and other key stakeholders in the development and implementation of their telecare programmes. Compared with most other countries, Scotland is currently performing well in the development and implementation of telehealth and telecare services for its citizens. Around 19% of those aged 65 and over use community alarm systems, 3.5% enjoy more sophisticated social care packages and 1% benefit from a bespoke telehealth package. The next phase of development should focus primarily on actions which expand telecare as a mainstreamed service and integrate it with other provision and processes. This will: enable greater access to telecare services for users and carers; expand the awareness, confidence and proficiency of the health, housing and care workforce; and provide a more robust platform from which more innovative technologies and services can spring. This is likely to be achieved through a mixed economy of care, with some provided by the public sector, some direct by the private market and some purchased directly by or on behalf of service users. Local partnerships should lead on developing a strategic response to this challenge and should take forward delivery where this involves the public sector.
Personal care at home: a consultation on proposals for regulations and guidance: the government response
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2010
- Pagination:
- 34p.
- Place of publication:
- London
This document sets out the government’s response to the public consultation Personal Care at Home, which ran from 25 November 2009 to 23 February 2010. The original consultation sought the public’s views on the Government’s proposals for requiring councils in England with adult social services responsitilities (CASSRs) to provide personal care free of charge in certain circumstances to people with the highest needs, as introduced in the Personal Care At Home Bill.
A journey through the years: ageing and social care
- Author:
- JONES Ray
- Journal article citation:
- Ageing Horizons, 6, 2007, Online only
- Publisher:
- Oxford Institute of Ageing
- Place of publication:
- Oxford
The paper analyses the history of English social care philosophy, policy, and institutions since the late seventies, and the challenges of today which they have helped to shape. Guiding principles changed in fundamental ways requiring and causing profound cultural and structural changes, not always with the intended mix of consequences. Changes in practice philosophy complemented changes in the philosophical bases of policy. They moved along a continuum of doing ‘to’ people (containing and controlling as well as caring), to doing for’ (paternalistic but often also patronisingly assuming ‘cosiness’ in looking after people), to doing ‘with’ (partnership and participation), to offering more independence choice and control and doing ‘by’ themselves but with ‘assistance’ when needed. Since 1989, policy and institutions have been adapted to reduce the dependence on institutions, better match responses to individual circumstances and increase control and choice by shifting the balance of roles of authorities from direct provision to planning and purchasing more diverse services and supporting the development of a succession of new models for securing their fit to user wishes and circumstances. From 1998, policy was designed to accelerate and secure greater consistency in development based on the national policy principles through performance management including rewards and incentives. From 2005, the challenge was defined more in terms of improving the broad wellbeing of older people and finding new ways of contributing to it, particularly in ways which would reduce the subsequent need for services. Pressures on public budgets have throughout been and continue to be a major concern of field agencies.
Home improvement agencies: development and reform; a consultation paper
- Author:
- GREAT BRITAIN. Office of the Deputy Prime Minister
- Publisher:
- Great Britain. Office of the Deputy Prime Minister
- Publication year:
- 2002
- Pagination:
- 29p.
- Place of publication:
- Wetherby
Home improvement agencies (“HIAs”) are a key source of help for older, disabled and vulnerable people to remain living independently in their own homes. Many clients have expressed their gratitude for the help their local agency has given them in assessing their needs for improvements and adaptations, arranging funding and providing support during the stress and disruption that work in the home can cause. The Government believes that, to enable the sector to deliver its full potential, steps need to be taken to make HIA services available across the country, to clarify what should be expected of agencies, and to reform the structure of the sector in a way that makes more economic and geographical sense.