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Incentives and deterrents to the supply of long-term care for the elderly in England: evidence and experience in two local authorities
- Authors:
- ALLAN Stephen, DARTON Robin
- Journal article citation:
- Social Policy and Society, 21(2), 2022, pp.304-315.
- Publisher:
- Cambridge University Press
This article reports on a study assessing the incentives and deterrents to long-term care (LTC) supply in two local markets in England. The supply of LTC in many countries is facing the issues of rising demand, (lack of) workforce and the interaction of the public and private sectors. Findings from qualitative interviews of local council and provider stakeholders exploring barriers and enablers faced by LTC providers in two local authorities (LAs) are presented and discussed. The interviews provided insight in three main areas: staffing, demand and stakeholder relationships. Staffing, in particular, is crucial and we found that there are many difficulties for providers in maintaining their workforce. Consistent with previous research, we also found that public spending levels on LTC puts pressure on providers striving to maintain a good quality service, including improved remuneration of staff. (Edited publisher abstract)
The cost implications of the changing population and characteristics of care homes
- Authors:
- DARTON Robin, NETTEN Ann, FORDER Julien
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(3), March 2003, pp.236-243.
- Publisher:
- Wiley
A survey of care homes for older people was conducted in 21 local authorities in England in 1996. A complete response was obtained for 618 homes (75%) and 11,900 residents. Findings were compared with surveys conducted in 1986 and 1988. Dependency was significantly related to prices, primarily due to the differential payments to nursing and residential homes. Home characteristics were also related to price, the proportion of single rooms having the largest impact. However, prices were most sensitive to local wage rates, particularly in residential homes. Compared with previous surveys levels of dependency had increased, particularly in voluntary residential homes and nursing homes. Independent homes were more likely to be purpose built, and a higher proportion of beds were in single rooms, although only 30% of private residential, dual registered and nursing homes achieved the proposed level of 80% of beds in single rooms. Staffing ratios appeared to have increased, but price rises were modest, particularly for nursing homes.
Closures of care homes for older people; February 2002
- Authors:
- NETTEN Ann, DARTON Robin, WILLIAMS Jaquetta
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 2002
- Pagination:
- 4p.
- Place of publication:
- Canterbury
Summarises research commissioned from the Department of Health investigating the causes processes and consequences of the increased number of closures of care homes for older people. The research aims to identify the rates of closures, the types of homes that are closing, and the circumstances that lead up to closure.